COMMUNITY CARE SERVICES INC
PREM14A, 1999-08-09
HOME HEALTH CARE SERVICES
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                 AMENDMENT NO. 1 TO PRELIMINARY PROXY STATEMENT

           THE PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS.

                            SCHEDULE 14A INFORMATION

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934

Filed by the Registrant [X]
Filed by a Party other than the Registrant [ ]
Check the appropriate box:
[X] Preliminary Proxy Statement
[ ] Confidential, for Use of the Commission Only (as permitted by
    Rule 14a-6(e)(2))
[ ] Definitive Proxy Statement
[ ] Definitive Additional Materials
[ ] Soliciting Material Pursuant
    to Section 240.14a-11(c) or Section 240.14a-12

                          COMMUNITY CARE SERVICES, INC.

       (Name of Registrant as Specified In Its Charter)

       (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

[ ]    No fee required:

[X]    Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

       1)       Title of each class of securities to which transaction applies:

                          Common Stock, par value $.01

       2) Aggregate number of securities to which transaction applies:

                                    5,029,601

       3)       Per unit price or other underlying value of transaction
                computed pursuant to Exchange Act Rule 0-11 (Set forth the
                amount on which the filing fee is calculated and state how it
                was determined):

                                 $1.20 per share

       4) Proposed maximum aggregate value of transaction:

                                  $6,035,521.20

       5) Total fee paid:

                                    $1,207.10



<PAGE>



[X]    Fee paid previously with preliminary materials.

[ ]    Check box if any part of the fee is offset as provided by Exchange Act
Rule 0-11(a)(2) and identify the filing for which the offsetting fee was paid
previously. Identify the previous filing by registration statement number, or
the Form or Schedule and the date of its filing.

       1)   Amount Previously Paid:

       2)   Form, Schedule or Registration Statement No.:

       3)   Filing Party:

       4)   Date Filed:



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                          COMMUNITY CARE SERVICES, INC.
                                18 Sargent Place
                           Mt. Vernon, New York 10550

                                ----------------
                    NOTICE OF SPECIAL MEETING OF SHAREHOLDERS
                                ----------------

     Notice is hereby given that a special meeting of the shareholders (the
"Special Meeting") of Community Care Services, Inc. (the "Company") will be held
at the offices of the Company, 18 Sargent Place, Mt. Vernon, New York, on
___________, 1999, at 10:00 a.m. (local time), for the following purposes:

1.   To consider and vote upon a proposal (the "Merger Proposal") to approve and
     adopt the Agreement and Plan of Merger, dated as of June 14, 1999, by and
     among the Company, Landauer Hospital Supplies Inc. ("LHS") and LHS Merger
     Sub, Inc. ("Merger Sub") (the "Merger Agreement"), and the transactions
     contemplated thereby, pursuant to which Merger Sub will be merged with and
     into the Company, with the Company continuing as the surviving entity,
     thereby becoming a wholly-owned subsidiary of LHS; and

2.   To consider and transact such other business as may properly come before
     the meeting or any adjournments thereof.

     The Board of Directors has fixed the close of business on [June 15], 1999
as the record date for the determination of shareholders entitled to vote at the
Special Meeting and any adjournment or postponement thereof.

     The Merger Agreement provides for the merger (the "Merger") of the Company
with Merger Sub, with the Company surviving and becoming a wholly-owned
subsidiary of LHS. Subject to the terms and conditions of the Merger Agreement,
upon consummation of the Merger, each share of the Company's common stock, par
value $.01 (the "Common Stock"), will be converted into the right to receive
$1.20 in cash.

     A special committee of independent members of the Board of Directors of the
Company has determined that the Merger is fair and in the best interests of the
Company and its shareholders and has approved the Merger Agreement and the
transactions contemplated thereby on behalf of the Board of Directors, including
the Merger. THE BOARD OF DIRECTORS RECOMMENDS THAT THE COMPANY'S SHAREHOLDERS
VOTE "FOR" THE MERGER PROPOSAL.

     You are urged to read carefully the accompanying Proxy Statement, which
includes a description of the terms of the proposed Merger. A copy of the Merger
Agreement is attached to the Proxy Statement as Annex A.

     As more fully explained in the Proxy Statement, holders of the Common Stock
have the right to dissent from the Merger and to receive payment of the fair
value of their shares upon full compliance with Section 623 of the Business
Corporation Law of the State of New York, a copy of which is attached to the
Proxy Statement as Annex B.

     To ensure your representation at the meeting, please sign date and return
the enclosed form of Proxy in the envelope provided. If you do attend and wish
to vote in person, you may revoke your proxy at that time. Please do not send in
your stock certificates at this time. In the event the Merger is consummated,
you will be sent a letter of transmittal for that purpose as soon as reasonably
practicable thereafter.

                                            By order of the Board of Directors,

                                            Louis Rocco,
                                            Secretary

August __, 1999


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<PAGE>

                          COMMUNITY CARE SERVICES, INC
                                18 Sargent Place
                           Mt. Vernon, New York 10550

                                ----------------
                                 PROXY STATEMENT
                                ----------------

     This Proxy Statement is being furnished to the holders of common stock, par
value $.01 per share (the "Common Stock"), of Community Care Services, Inc., a
New York corporation (the "Company"), in connection with the solicitation by the
Board of Directors of proxies of the shareholders to be voted at a special
meeting of shareholders to be held on _______, 1999 or at any adjournments
thereof (the "Special Meeting"). The approximate date of mailing this Proxy
Statement is August __, 1999.

     This Proxy Statement relates to the Agreement and Plan of Merger, dated as
of June 14, 1999 (the "Merger Agreement"), by and among the Company, Landauer
Hospital Supplies Inc. ("LHS") and LHS Merger Sub, Inc. ("Merger Sub") and the
transactions contemplated thereby, including the Merger (as hereinafter
defined). A copy of the Merger Agreement is attached hereto as Annex A.

     The Merger Agreement provides for the merger (the "Merger") of the Company
with Merger Sub, with the Company surviving and becoming a wholly-owned
subsidiary of LHS. Subject to the terms and conditions of the Merger Agreement,
upon consummation of the Merger, each share of Common Stock will be converted
into the right to receive $1.20 per share in cash (the "Merger Price").

     Financing for the Merger is expected to include a senior financing of
approximately $9 million and a junior financing of approximately $3 million from
financial institutions to be determined. As of the date hereof, LHS and Merger
Sub are currently considering financing proposals with respect to the senior
financing from three commerical banks and junior financing proposals from two
financial institutions.

     A special committee of independent members of the Board of Directors of the
Company (the "Special Committee") has determined that the Merger is fair and in
the best interests of the Company and its shareholders and has approved the
Merger Agreement and the transactions contemplated thereby on behalf of the
Board of Directors, including the Merger. THE BOARD RECOMMENDS THAT THE
COMPANY'S SHAREHOLDERS VOTE "FOR" THE PROPOSAL TO APPROVE AND ADOPT THE MERGER
AGREEMENT AND THE TRANSACTIONS CONTEMPLATED THEREBY, INCLUDING THE MERGER.

     THE MERGER IS FOR CASH ONLY. AFTER THE CLOSING OF THE MERGER, CURRENT
COMPANY SHAREHOLDERS WILL HAVE NO FURTHER OWNERSHIP INTEREST IN THE COMPANY.

     Only holders of shares of Common Stock of record at the close of business
on [June 15], 1999 (the "Record Date") will be entitled to vote at the Special
Meeting. The Common Stock is the only class of the Company's voting securities
outstanding. On the Record Date, there were 7,217,851 outstanding shares of
Common Stock, each of which is entitled to one vote. As of the close of business
on the Record Date, LTTR Home Care, LLC ("LTTR") and Alan J. Landauer, the
President and sole shareholder of LHS, Managing Director and sole member of
LTTR, and a Director and Chairman of the Board of the Company, were the record
owners of an aggregate of 2,188,250 shares of Common Stock, representing
approximately 30.32% of the issued and outstanding Common Stock. Also as of the
Record Date, Dean L. Sloane, a director of the Company, Craig V. Sloane, Mary
Sloane, The Sloane Family Foundation and DMJ Management Group, Inc. (the "Sloane
Group") were the record and beneficial owners of an aggregate of 2,091,450
shares of Common Stock, representing approximately 28.98% of the issued and
outstanding Common Stock. Pursuant to the Sloane Shareholders' Agreement (as
hereinafter defined), the Sloane Group has agreed to vote its shares of Common
Stock in favor of the Merger and has granted an irrevocable proxy to LHS and any
designee of LHS to vote its shares in favor of the Merger. As a result, Mr.
Landauer controls the vote of 59.30% of the outstanding Common Stock. In
addition, other directors and officers of the Company beneficially own, in the
aggregate, 390,299 shares (including options to purchase 25,000 shares at an
exercise price of $.50 per share that are currently exercisable),


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<PAGE>



constituting 5.41% of the outstanding Common Stock. See "The Special Meeting -
Vote Required," "The Sloane Shareholders' Agreement" and "Security Ownership of
Certain Beneficial Owners and Management."

     The Common Stock is traded on the OTC Bulletin Board under the symbol
"CCSE." On April 6, 1999, the day before the public announcement of the Merger
was made, the last reported sale price of the Common Stock, as reported on the
OTC Bulletin Board, was $.50 per share. On August ___, 1999, the last trading
day prior to the date of this Proxy Statement, the last reported sale price of
the Common Stock, as reported on the OTC Bulletin Board, was $___ per share.

     Where a choice has been specified in a Proxy, the Proxy will be voted as
specified. Each Proxy will be voted FOR each matter unless a contrary choice is
specified as to that matter. If the accompanying Proxy is executed and returned,
the shareholder may nevertheless revoke it at any time prior to the voting
thereof by delivering a later-dated Proxy, delivering written notice of
revocation to the Company's Secretary, or voting in person at the Special
Meeting.

     Proxies are being solicited by mail directly and through brokerage and
banking institutions. The Company will pay all expenses in connection with the
solicitation of proxies. In addition to the use of the mails, proxies may be
solicited by directors, officers, and employees of the Company, personally or by
telephone, telegraph, facsimile machine or e-mail. The Company may reimburse
brokers and other persons holding shares of the Company in their names, or in
the names of nominees, for their reasonable expenses in sending materials to
shareholders and obtaining their proxies.

     SHAREHOLDERS OF THE COMPANY ARE URGED TO READ THIS PROXY STATEMENT AND THE
ANNEXES HERETO IN THEIR ENTIRETY.

     NO PERSONS HAVE BEEN AUTHORIZED TO GIVE ANY INFORMATION OR TO MAKE ANY
REPRESENTATIONS OTHER THAN THOSE CONTAINED IN THIS PROXY STATEMENT IN CONNECTION
WITH THE SOLICITATION OF PROXIES HEREBY AND, IF GIVEN OR MADE, SUCH INFORMATION
OR REPRESENTATIONS MUST NOT BE RELIED ON AS HAVING BEEN AUTHORIZED BY THE
COMPANY OR ANY OTHER PERSON. THE DELIVERY OF THIS PROXY STATEMENT SHALL NOT
IMPLY THAT THERE HAS BEEN NO CHANGE IN THE INFORMATION SET FORTH HEREIN OR IN
THE AFFAIRS OF THE COMPANY SINCE THE DATE HEREOF.

     All information contained in this Proxy Statement concerning LHS, Merger
Sub and LTTR has been supplied by LHS and has not been independently verified by
the Company. Except as otherwise indicated, all other information contained in
this Proxy Statement has been supplied by the Company.

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

     THIS TRANSACTION HAS NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
EXCHANGE COMMISSION (THE "COMMISSION") NOR HAS THE COMMISSION PASSED UPON THE
FAIRNESS OR MERITS OF SUCH TRANSACTION NOR UPON THE ACCURACY OR ADEQUACY OF THE
INFORMATION CONTAINED IN THIS DOCUMENT. ANY REPRESENTATION TO THE CONTRARY IS
UNLAWFUL.

     The date of this Proxy Statement is August __, 1999.



                                        5

<PAGE>



                                                 TABLE OF CONTENTS


THE SPECIAL MEETING............................................................8
     Purpose of the Meeting ...................................................8
     Vote Required ............................................................8
     Solicitation of Proxies...................................................8
     Voting and Revocation of Proxies..........................................8

PARTIES TO THE MERGER AGREEMENT................................................9
     The Company...............................................................9
     LHS   ....................................................................9
     Merger Sub................................................................9

SPECIAL FACTORS................................................................9
     Interests of Certain Persons in the Merger................................9
     Purposes of the Merger...................................................10
     Background of the Merger.................................................10
     Fairness of the Transaction..............................................19
     The Company's Reasons for the Merger.....................................20
     The Landauer Group's Reasons for the Merger..............................22
     Opinion of Financial Advisor.............................................23
     Effects of the Merger....................................................32
     Federal Income Tax Consequences..........................................35

ACCOUNTING TREATMENT..........................................................36

DESCRIPTION OF THE MERGER AND THE MERGER AGREEMENT............................36
     The Merger...............................................................36
     Conversion of Securities.................................................36
     Payment of Merger Price..................................................37
     Representations and Warranties...........................................37
     Conduct of Business Pending the Merger...................................38
     Exclusivity..............................................................38
     Conditions Precedent to the Merger.......................................38
     Termination..............................................................39
     Fees and Expenses........................................................39

SLOANE SHAREHOLDERS' AGREEMENT................................................39

RIGHTS OF DISSENTING SHAREHOLDERS.............................................40

SOURCE AND AMOUNT OF FUNDS....................................................40

MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTERS......................40

MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION.....................41

DELISTING AND DEREGISTRATION OF COMMON STOCK AND WARRANTS.....................41

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT................41

ADDITIONAL INFORMATION ABOUT THE COMPANY AND ITS BUSINESS.....................44
     Business Development.....................................................44
     Business of the Company..................................................44


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<PAGE>



     Products and Services....................................................45
     Competition..............................................................47
     Government Regulation and Reimbursement..................................47
     Insurance................................................................49
     Employees................................................................49
     The Company's Directors and Executive Officers...........................49
     Certain Financial Information............................................50
     Public Filings...........................................................51
     Description of Property..................................................51
     Legal Proceedings........................................................51

INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS......................................51

SHAREHOLDER PROPOSALS.........................................................52

INCORPORATION BY REFERENCE....................................................52

OTHER MATTERS.................................................................52


ANNEX A   AGREEMENT AND PLAN OF MERGER
ANNEX B   SECTION 623 OF THE BUSINESS CORPORATION LAW OF THE STATE OF NEW YORK
ANNEX C   OPINION OF FINANCIAL ADVISOR




                                        7

<PAGE>


                               THE SPECIAL MEETING

PURPOSE OF THE MEETING

     At the Special Meeting, the holders of Common Stock will consider and vote
upon the proposal to approve and adopt the Agreement and Plan of Merger dated as
of June 14, 1999 by and among the Company, LHS and Merger Sub, and the
transactions contemplated thereby, including the Merger (the "Merger Proposal").

     The Special Committee has the authority to act on this matter for the
entire Board. The Special Committee has determined that the Merger is fair and
in the best interests of the Company and its shareholders and has approved the
Merger Proposal. THE BOARD OF DIRECTORS RECOMMENDS THAT THE COMPANY'S
SHAREHOLDERS VOTE "FOR" THE MERGER PROPOSAL. See "Special Factors - The
Company's Reasons for the Merger."

VOTE REQUIRED

     Approval of the Merger Proposal will require the affirmative vote of the
holders of two-thirds (66.67%) of the outstanding Common Stock. Only holders of
record of Common Stock at the close of business on [June 15, 1999] (the "Record
Date") are entitled to receive notice of and to vote at the Special Meeting and
any adjournment or postponement thereof. The Common Stock is the Company's only
voting security outstanding. At the close of business on the Record Date, there
were 7,217,851 shares of Common Stock outstanding, each of which entitles the
registered holder thereof to one vote on all matters voted upon at the Special
Meeting. As of the Record Date, LTTR and Alan J. Landauer owned, in the
aggregate, 2,188,250 shares of Common Stock or 30.32% of the outstanding Common
Stock. The Sloane Group has entered into the Sloane Shareholders' Agreement
pursuant to which the Sloane Group has agreed to vote in favor of the Merger
Proposal and has named LHS and any designee of LHS as its proxy to vote its
shares at the Special Meeting. As of the Record Date, the Sloane Group owned
2,091,450, or 28.98% of the outstanding Common Stock. As a result, Mr. Landauer
controls the vote of 59.30% of the outstanding Common Stock. In addition, other
directors and officers of the Company beneficially own, in the aggregate,
390,299 shares (including options to purchase 25,000 shares at an exercise price
of $.50 per share that are currently exercisable), constituting 5.41% of the
outstanding Common Stock. See "Security Ownership of Certain Beneficial Owners
and Management" and "The Sloane Shareholders' Agreement."

     All directors and officers of the Company that own Common Stock have
indicated that they will vote in favor of the Merger, and all of such persons
(other than Mr. Landauer) intend to sell their shares to LHS upon the
consummation of the Merger. As a result, the Merger Proposal will have the
approval of at least 64.71% of the outstanding Common Stock without the vote of
any of the publicly held Common Stock.

     The proxy holder may use his discretionary authority to adjourn or postpone
the Special Meeting in order to solicit additional votes for the approval of the
Merger.

SOLICITATION OF PROXIES

     Proxies are being solicited hereby on behalf of the Board of Directors of
the Company. The entire cost of proxy solicitation for the Special Meeting will
be borne by the Company. In addition to the use of the mail, solicitation may be
made by telephone or otherwise by directors, officers and regular employees of
the Company. Such directors, officers and regular employees will not be
additionally compensated for such solicitation, but may be reimbursed for
out-of-pocket expenses incurred in connection therewith. If undertaken, the
expense of such solicitation would be nominal.

VOTING AND REVOCATION OF PROXIES

     SHAREHOLDERS ARE REQUESTED TO COMPLETE, DATE AND SIGN THE ACCOMPANYING FORM
OF PROXY AND RETURN IT PROMPTLY TO THE COMPANY IN THE ENCLOSED POSTAGE-PAID
ENVELOPE. Shares represented by proxies properly signed and returned will be
voted at the Special Meeting in accordance with the instructions contained
thereon, unless revoked prior to the vote. If a proxy is properly signed and
returned without voting instructions, the shares represented thereby will be
voted FOR the approval and adoption of the Merger Agreement, and at the
discretion of the proxy holders as to any other matters which may properly come
before


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<PAGE>



the Meeting. No other matters are scheduled to be presented to the Meeting, but,
if any other matters are properly brought before the Meeting and submitted to a
vote, all proxies will be voted in accordance with the judgment of the persons
authorized to vote the proxies. A proxy may be revoked at any time before the
vote by giving written notice of such revocation to Louis Rocco, the Secretary
of the Company, at Community Care Services, Inc., 18 Sargent Place, Mount
Vernon, New York 10550, prior to the Special Meeting, or by giving written
notice of such revocation at the Special Meeting to the Secretary of the Special
Meeting. A subsequently dated proxy will revoke a prior proxy. A shareholder may
attend the Special Meeting and vote in person whether or not such shareholder
has previously given a proxy.

                         PARTIES TO THE MERGER AGREEMENT

THE COMPANY

     The Company was incorporated in the State of New York in 1992. The Company,
together with its wholly-owned subsidiary, Metropolitan Respirator Service, Inc.
("Metropolitan"), provides home health care services and products consisting
primarily of respiratory equipment, rental and sale of durable medical equipment
and sale of home health care supplies primarily in the five boroughs of New York
City, and Westchester, Rockland and Nassau Counties in New York State, as well
as northern New Jersey. See "Additional Information About the Company and its
Business."

LHS

     LHS was incorporated in the State of New York on May 26, 1955, and is
engaged in the sale and rental of durable medical equipment to home care
patients. The mailing address for LHS is 99 Calvert Street, Harrison, New York
10528, and its telephone number is (914) 835-4200. Alan J. Landauer has been the
President and sole shareholder of LHS since 1980, and is a Director and Chairman
of the Board of the Company.

MERGER SUB

     Merger Sub was incorporated in the State of New York on May 20, 1999 solely
for the purpose of consummating the Merger. Merger Sub has minimal assets and no
business and has carried on no activities other than those directly related to
its formation and the execution of the Merger Agreement. The address of its
principal executive office is c/o Landauer Hospital Supplies, Inc., 99 Calvert
Street, Harrison, New York 10528 and its telephone number is (914) 835- 4200.
Merger Sub is a wholly-owned subsidiary of LHS. Alan J. Landauer is the
President of Merger Sub.

                                 SPECIAL FACTORS

INTERESTS OF CERTAIN PERSONS IN THE MERGER

     Alan J. Landauer, a Director and the Chairman of the Board of the Company,
is the President and sole shareholder of LHS, the Managing Director and sole
member of LTTR, and the President of Merger Sub. If the Merger is consummated,
the Company will become a wholly-owned subsidiary of LHS, and Mr. Landauer will
become President of the Company. Accordingly, Mr. Landauer has a substantial
interest in the matters to be acted upon at the Special Meeting. Upon the
Closing, Dean L. Sloane, a Director of the Company and its former Chairman of
the Board, and Craig V. Sloane, a former Director of the Company, will enter
into three-year consulting agreements with the Company providing for annual
consulting fees of $110,000 and $26,000, respectively.

     The Sloane Group and LHS entered into a Shareholders' Agreement concurrent
with the execution of the Merger Agreement under which the Sloane Group agreed
to vote all of the shares of Common Stock owned by it (not less than 2,091,450
shares) in favor of the Merger (the "Sloane Shareholders' Agreement"). A
complete copy of the Sloane Shareholders' Agreement was included with an
amendment to the Schedule 13D with respect to the Company filed by LHS, LTTR and
Alan J. Landauer with the Securities and Exchange Commission (the "Commission")
on June 9, 1999. See "Sloane Shareholders' Agreement."

     In order to induce LHS and Merger Sub to enter into the Merger Agreement,
and pursuant to the Sloane Shareholders' Agreement, the Sloane Group also
granted an irrevocable proxy to LHS and any designee of LHS to vote


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<PAGE>



its shares of Common Stock at any meeting of shareholders or in response to any
solicitation of proxies with respect to the Merger or certain other transactions
for a period of six months from the date of the Sloane Shareholders'
Agreement.  See "Sloane Shareholders' Agreement."

     Certain officers and directors of the Company, other than Mr. Landauer, are
also shareholders of the Company and will each receive $1.20 per share for their
interest in the Company, for aggregate consideration of $2,133,959, as follows:
Thomas C. Blum, $12,000; Saverio D. Burdi, $104,692; Louis Rocco, $351,667; and
Dean L. Sloane, $1,665,600.

     Thomas C. Blum, Gary J. Spirgel and Alan J. Landauer were nominated by Mr.
Landauer for election to the Board of Directors and were elected at the
Company's annual meeting of shareholders (the "Annual Meeting") on April 8,
1999.

PURPOSES OF THE MERGER

     The purposes of the Merger are as follows:

     (i) To provide the shareholders of the Company with a certain return of
$1.20 for their shares and eliminate the risks to the shareholders presented by
the ongoing Federal investigation of the Company, the cap on borrowings imposed
by its bank, economic and market conditions effecting the Company and the
delisting of the Company's securities by the Nasdaq Small Cap Market.

     (ii) To benefit the companies by resulting in enhanced bargaining power
with vendors, greater visibility in the marketplace, and improved economics
through economies of scale. The Merger is expected to result in greater
profitability, which will enable the combined companies to take advantage of
market opportunities as they arise.

     The Company believes that the Merger is the only alternative available to
it to accomplish the foregoing purposes. Other than LHS, no party has indicated
to the Company any interest in entering into a transaction with the Company that
would accomplish the foregoing purposes. See "Special Factors - Background of
the Merger."

BACKGROUND OF THE MERGER

     The Merger culminates a series of events that began in June 1997, when the
Department of Justice commenced an investigation against the Company and its
then Chief Executive Officer, Alan T. Sheinwald ("Sheinwald"). A search warrant
was executed at the Company's executive offices on June 4, 1997. The Company was
informed that Sheinwald and the Company itself were targets of a Department of
Justice criminal investigation for allegedly improper payments relating to a
contract, involving Medicare, to provide healthcare services outside of New York
State. If the Company is charged with criminal wrongdoing and it is determined
that the Company engaged in criminal wrongdoing, the Company will be subject to
criminal penalties, which may include fines of up to $1,000,000 or more and an
order of restitution, would be terminated as a Medicaid and Medicare services
provider, and could also be at the risk of having its contracts with private
insurers and other non-governmental agencies terminated. Additionally, even if
the Company is not charged with criminal wrongdoing itself, but one of its past
or present officers or employees are convicted of crimes related to their
employment, the Company could be terminated as a Medicaid and Medicare provider.
In these circumstances, although the Company would not be subjected to automatic
exclusion from such programs, it could be at risk of having its contracts with
private insurers and other non-governmental agencies terminated. The Company has
cooperated with the government in the Department of Justice criminal
investigation (the "Federal Investigation"). See "Additional Information About
the Company and its Business - Legal Proceedings."

     Following the commencement of the Federal Investigation, the closing price
of the Company's Common Stock dropped from $2.625 per share on June 4, 1997 to a
low of $.1875 on November 20, 1998.

     Sheinwald was dismissed as an executive and employee of the Company on July
1, 1997. He retained ownership of 2,142,250 shares of the Company's Common
Stock.



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<PAGE>



     Alan J. Landauer contacted Harris LeRoy, a consultant to the Company, in
mid-December 1998 and they met later that week along with Louis Rocco. At the
meeting, Mr. Landauer expressed interest in making an investment in the Company.
Messrs. LeRoy and Rocco suggested to Mr. Landauer that he contact Mr. Sheinwald
to determine if he was interested in selling his shares.

     Mr. Landauer, on behalf of LTTR, contacted Mr. Sheinwald on or about
December 16, 1998 regarding purchasing Mr. Sheinwald's Common Stock. Messrs.
Landauer and Sheinwald held a meeting the following day, and Mr. Sheinwald
confirmed that he was interested in selling his shares, that he had been in
discussions with another party that was interested in purchasing his shares for
an aggregate purchase price of $1,500,000 or $.71 per share and that he would
consider an offer from Mr. Landauer, on behalf of LTTR, on the same terms as the
other party. The parties did not exchange materials at this meeting. On December
16, 1998, the closing price of the Company's common stock was $.25.

     Also in December, 1998, the Company Directors received an expression of
interest from an unaffiliated third party to merge with the Company. The
interested party met with Dean L. Sloane, then Chairman of the Board of the
Company, on December 29, 1998 for a preliminary discussion regarding its
interest. Mr. Sloane and Bruce L. Ansnes, then Vice Chairman of the Board,
subsequently met with the interested party at its attorney's office on February
4, 1999, at which time the party made a proposal to enter into a merger with the
Company pursuant to which the Company's shareholders would receive 20% of the
combined entity. Messrs. Sloane and Ansnes advised the party that proposed the
transaction did not provide a sufficient return to the shareholders. The
inquiring party was invited to increase its proposal, but no subsequent offer
was provided.

     Mr. Landauer made an offer to purchase Mr. Sheinwald's shares in early
January 1999 and prepared a letter of intent describing the terms and
conditions. On January 16, 1999, Mr. Landauer advised Mr. Sloane LTTR had
executed a letter of intent with Mr. Sheinwald to purchase his Common Stock.

     On January 19, 1999, the Company received a copy of a letter of intent
executed by LTTR and Sheinwald providing for the purchase by LTTR of 2,126,250
shares from Sheinwald (the "Sheinwald Shares") for up to $1,500,000, with a
portion of the purchase price contingent upon developments in the Federal
Investigation. Payment of one-half of the purchase price was made contingent
upon the outcome of the Federal Investigation because of Mr. Landauer's belief
that a negative outcome of the Federal Investigation could reduce the value of
the Sheinwald Shares of Common Stock and that Mr. Sheinwald should bear some of
the risks associated with such an outcome. The closing of the transaction was
made contingent upon the approval of the Board of Directors of the Company on or
before February 8, 1999, in accordance with Section 912 of the New York Business
Corporation Law ("NYBCL"). Section 912 provides that unless certain conditions
are met, no New York corporation may engage in a business combination with any
shareholder that owns greater than a 20% interest in a company (an "Interested
Shareholder") for a period of five years from the date that the shareholder
became an Interested Shareholder, unless the transaction under which the
shareholder became an Interested Shareholder was approved by the corporation's
board of directors prior to its consummation. The presumption underlying Section
912 is that Interested Shareholders, by virtue of the amount of shares they own,
have the ability to cause a corporation to enter into business combinations that
are not favorable to other shareholders. Section 912 is intended to provide
shareholders with protection from business combinations with Interested
Shareholders or with affiliates of Interested Shareholders that are unfavorable
to them. Since the Sheinwald Shares represented a 29.46% interest in the
Company, Mr. Landauer would become an Interested Shareholder upon the
consummation of LTTR's purchase of the Sheinwald Shares. Accordingly, he sought
to obtain the approval of the Company's Board of Directors to that transaction
in order avoid the restrictions on subsequent transactions with Company imposed
by Section 912.

     On January 21, 1999, Messrs. Sloane, Landauer, Robert Garnsey, Vice
President of LHS, and Bruce L. Ansnes, then Vice Chairman of the Board of the
Company, met at Mr. Sloane's office to meet Mr. Sloane and to attempt to explore
possible ways in which LTTR and the Company might work together for mutual
benefit. The meeting was brief but Mr. Landauer expressed his belief that the
Company's shareholder value would be best enhanced if the Company were to be
sold.

     On February 3, 1999, LTTR and Sheinwald executed a Stock Purchase Agreement
providing for the sale by Sheinwald to LTTR of the Sheinwald Shares, with the
closing of the sale to be contingent upon, among other things,


                                       11

<PAGE>



the approval of the Company's Board of Directors on or before February 8, 1999.
The Board of Directors subsequently discussed the issue of LTTR's purchase of
Sheinwald's shares and obtained advice from counsel. The Board acted by
consensus in a telephone conversation on February 8, 1999 to determine not to
grant such approval for LTTR's purchase of the Sheinwald Shares. The Board of
Directors' decision was based on its belief that it should have additional time
to explore other options to enhance shareholder value and to engage a financial
advisor for the purpose of considering strategic alternatives. The Board did not
wish to give Mr. Landauer an unfettered ability to engage in a business
combination with the Company without being certain that this would be the best
way to enhance shareholder value. Furthermore, the Board believed that if Mr.
Landauer wished to pursue a subsequent transaction involving the Company, the
Company's negotiating position would be stronger if it maintained all of the
rights available to it under NYBCL Section 912.

     The consequences of the Board not approving Mr. Landauer's purchase of the
Sheinwald Shares were that in order for Mr. Landauer to engage in a business
combination with the Company he would be required to wait for a period of five
years, unless the proposed business combination met certain conditions,
described below.

     Following the execution of the Stock Purchase Agreement, Mr. Landauer
requested to meet with the Board to discuss the matter. On February 4, 1999, the
Board, via counsel, requested that Mr. Landauer provide a written proposal
regarding his intentions and advised that the Board was unable to meet with Mr.
Landauer at that time. Mr. Landauer's counsel responded on February 5, 1999 by
letter reserving Mr. Landauer's rights as a shareholder of the Company and
indicating that he would consider whether to complete the acquisition of the
Sheinwald Shares despite the Board of Directors' not having approved such
transaction.

     On February 11, 1999, the Company's Board of Directors held a meeting at
which Pinnacle Advisory Group, L.C., an affiliate of Pinnacle Partners, Inc.
("Pinnacle Partners") was selected as the Company's financial advisor to, among
other things, explore strategic alternatives to enhance shareholder value. The
Board discussed the likelihood that Mr. Landauer would commence a hostile
takeover and discussed the Company's vulnerability to a takeover and various
anti-takeover defenses. It was determined that it was in the Company's best
interests for the Company to amend its Certificate of Incorporation to provide
for certain anti-takeover defenses including the classification of the Board of
Directors into three classes, each having staggered three year terms, the
limitation of persons entitled to call a special meeting of shareholders to the
Chairman of the Board, the President and a majority of the Board of Directors,
and the requirement of a two-thirds majority vote of either the Board of
Directors or shareholders to amend the Company's Bylaws. The Board believed that
these anti-takeover measures, if adopted by the shareholders, would make it more
difficult for the Company to be acquired in a hostile takeover by Mr. Landauer,
or any other acquirer, and would result in a potential acquirer having to
negotiate with the Company, thereby maximizing the price that would be offered
to the shareholders. The Board voted to reschedule the Company's Annual Meeting
for March 23, 1999, in order to have sufficient time to modify the Company's
proxy statement to include proposals regarding the anti-takeover measures.

     Also on February 11, 1999, the Company's counsel advised Mr. Landauer's
counsel in a letter that any and all inquiries regarding the Company were to be
directed to Mr. Sloane.

     On February 12, 1999, LTTR consummated its acquisition of Sheinwald's
Shares, having waived the contingency regarding the approval of the Company's
Board of Directors. The aggregate purchase price payable by LTTR for Sheinwald's
Shares was $1,500,000, or $.715 per share, subject to adjustment. $600,000 of
the purchase price was payable at closing. An additional $150,000 was paid on
March 29, 1999. The balance of $750,000 is due and payable on March 31, 2000 or
earlier if LTTR becomes reasonably assured that the Federal Investigation is no
longer open and active. The $750,000 balance of the purchase price is subject to
a reduction in an amount equal to the percentage interest which the Sheinwald
Shares bear to the number of shares of the Company's Common Stock issued and
outstanding on February 12, 1999, multiplied by the aggregate amount of any
fines, penalties or restitution paid or payable by the Company or its
subsidiaries with respect to the Federal Investigation, up to a maximum
deduction of $150,000. In addition, the entire $750,000 balance on the purchase
price will be canceled if on or prior to March 31, 2000, Mr. Sheinwald, the
Company, or any of the Company's subsidiaries is indicted in connection with the
Federal Investigation, and 50% or more of the payments from Medicare or Medicaid
to the Company and its subsidiaries on a consolidated basis are placed on a
withhold or suspended for more than 60 days as a result of the indictment or
provider numbers are withdrawn, canceled or terminated.



                                       12

<PAGE>



     As indicated above, the significance of LTTR concluding its purchase of the
Sheinwald Shares without the approval of the Board was that any subsequent
business combination between the Company and LTTR, Mr. Landauer, or their
affiliates, had to meet the conditions set forth in Section 912 of the NYBCL.
The proposed Merger meets all of the required conditions. A description of the
conditions imposed by NYBCL Section 912 follows, with an explanation of the
manner in which the conditions are satisfied:

     (i) The price paid would have to equal at least the higher of (a) the
highest price per share paid by Mr. Landauer or his affiliates at a time that
they were owners of five percent or more of the outstanding capital stock of the
Company for any Common Stock during the five year period immediately preceding
the Merger or the five year period immediately prior to LTTR's purchase of the
Sheinwald Shares, whichever is higher, plus interest compounded annually from
such date through the consummation date of the Merger at the rate for one-year
United States treasury obligations from time to time in effect, less the
aggregate amount of any cash dividends paid and the market value of any
dividends paid other than in cash, per share of common stock since such date, up
to the amount of such interest and (b) the market value per share of the Common
Stock on the announcement date of the Merger or the date of LTTR's acquisition
of the Sheinwald Shares, whichever is higher, plus interest compounded annually
from such date through the consummation date of the Merger at the rate for
one-year United States treasury obligations from time to time in effect, less
the aggregate amount of any cash dividends paid and the market value of any
dividends paid other than in cash, per share of common stock since such date, up
to the amount of such interest.

     The Merger Price qualifies under all of the foregoing tests. Mr. Landauer
purchased 50,000 shares from Allan Goldfeder for $1.00 per share on March 12,
1999, which was the highest price paid by him and his affiliates for the
Company's Common Stock in any transaction through the date hereof. The market
value of the Company's common stock on the date LTTR purchased the Sheinwald
Shares (February 12, 1999) and the date of the announcement of the proposed
Merger (April 7, 1999) was $.625 and $1.00, respectively.

     (ii) The consideration to be received by holders of Common Stock must be
paid in cash, or in the same form as that paid by Mr. Landauer in his
acquisition of the Sheinwald Shares and must be distributed promptly.

     LTTR paid cash for the Sheinwald Shares. If the Merger is consummated, the
Merger Price will be paid promptly to the shareholders (other than LHS, Mr.
Landauer and their affiliates) in cash.

     (iii) The holders of all outstanding shares of Common Stock not
beneficially owned by Mr. Landauer must be entitled to receive the Merger Price.

     All unaffiliated shareholders are entitled to receive the Merger Price upon
the consummation of the Merger.

     (iv) Mr. Landauer may not become the beneficial owner of any additional
shares of Common Stock between the date of the purchase of the Sheinwald Shares
and the consummation of the Merger, other than in business combinations
permitted under NYBCL Section 912, or pursuant to stock splits, stock dividends
or other distributions of stock that did not constitute a business combination.

     Although the purchase by Mr. Landauer of 50,000 shares of Common Stock from
Alan Goldfeder on March 12, 1999 was consummated between the date of purchase of
the Sheinwald Shares and the consummation of the Merger, the transaction by
which Mr. Goldfeder's shares of Common Stock were purchased met the requirements
of Section 912 described in paragraphs (i) and (ii) above, using the purchase of
the Sheinwald Shares for price measurement, thus making the acquisition of Mr.
Goldfeder's shares of Common Stock permissible under NYBCL Section 912.

     The failure by LTTR to obtain the approval of the Board of Directors for
its purchase of the Sheinwald Shares currently presents no obstacle to the
Merger due to full compliance with the requirements of NYBCL Section 912. If Mr.
Landauer or any of his affiliates make any further purchases of Common Stock in
the open market or otherwise prior to the consummation of the Merger, the
circumstances of such transaction could result in the Merger Price no longer
being adequate under NYBCL Section 912 and result in the Merger being invalid
unless all of the provisions of NYBCL Section 912 are complied with.



                                       13

<PAGE>



     Also on February 12, 1999, LTTR and Alan J. Landauer jointly filed a
Schedule 13D with the Commission indicating that they had obtained beneficial
ownership of 2,126,250 shares of Common Stock from Mr. Sheinwald, in addition to
12,000 shares of Common Stock Mr. Landauer had purchased in the open market (the
"Schedule 13D"). Mr. Landauer is the sole member and Managing Director of LTTR.
In the Schedule 13D, LTTR and Mr. Landauer reported that their purpose in
acquiring Mr. Sheinwald's Common Stock was an investment, but that LTTR intended
to review the business affairs and financial position of the Company and that
based upon such review may consider from time to time various alternative
courses of action both with respect to the business of the Company and with
respect to LTTR's equity position therein.

     Also on February 12, 1999, Mr. Landauer's counsel, in a letter to the
Company's counsel, requested a meeting between Messrs. Landauer and Sloane any
time after February 19, 1999.

     Also on February 12, 1999, the Company formally engaged Pinnacle Partners
to serve as the Company's financial advisor to, among other things, explore
strategic alternatives available to the Company to enhance shareholder value.
Pinnacle Partners is a private investment banking firm that provides financial
advisory services to middle market healthcare companies throughout the United
States. Pinnacle Partners was selected as the Company's financial advisor based
upon its reputation, expertise in advising healthcare companies and the
presentation made by it to the Company's Board of Directors. Mr. Sloane was
aware of Pinnacle Partners reputation and contacted principals of Pinnacle
Partners to discuss the Company's situation and needs and the various ways in
which Pinnacle Partners could provide assistance in exploring strategic
alternatives to enhance shareholder value. Based upon Mr. Sloane's conversations
with Pinnacle Partners, Mr. Sloane recommended to the Board of Directors that
Pinnacle Partners be engaged as the Company's financial advisor. Pinnacle
Partners made a presentation to the whole Board of Directors and was approved by
the Board of Directors based upon its experience, reputation and the Company's
needs.

     On February 24, 1999, the Company filed an amended preliminary proxy
statement for its Annual Meeting with the Commission which included proposals to
amend the Company's Certificate of Incorporation to provide for the adoption of
a classified Board of Directors, limitations on the persons entitled to call a
special meeting of shareholders and the requirement of a two-thirds vote of
shareholders to amend the Company's By-Laws. The amended preliminary proxy
statement set the date of the Annual Meeting and the record date for determining
shareholders entitled to vote at the Annual Meeting as February 17, 1999.

     On February 26, 1999, Messrs. Sloane and Landauer met at Mr. Landauer's
office. At that meeting, Mr. Landauer indicated an interest in purchasing Mr.
Sloane's Common Stock for $.90 to $1.00 per share. Mr. Sloane rejected the offer
and Mr. Landauer subsequently increased his offer to $1.00 to $1.10 per share.
Mr. Sloane rejected the offer and advised Mr. Landauer that he would act in the
best interest of all of the Company's shareholders and would not entertain an
offer for only his holdings. Mr. Landauer subsequently made a proposal to
purchase all of the remaining outstanding Common Stock at a price of $1.00 to
$1.10 per share. Mr. Sloane subsequently reported the offer to the other
directors and consulted with Pinnacle Partners regarding Mr. Landauer's offer.
On February 26, 1999, the closing price of the Company's Common Stock was $.75.

     On March 10, 1999, the Board of Directors engaged Georgeson & Company
("Georgeson") as proxy solicitors in connection with the agenda to be voted on
at the Annual Meeting, with a particular focus on the proposals to amend the
Certificate of Incorporation. At or about the same time, both Georgeson and the
Company's transfer agent, Continental Stock Transfer & Trust Company
("Continental"), informed the Company and the Company's counsel that even though
the inquiries had been made by the Company to brokers regarding Common Stock
held by them in street name, the brokers required additional time to obtain
specific voting instructions from their clients because brokers do not have
discretionary authority to vote on behalf of their clients regarding amendments
to a company's certificate of incorporation. Georgeson and Continental both
advised the Company that most brokers would not be able to obtain such specific
voting instructions prior to March 23, 1999.

     On March 12, 1999, Louis Rocco, Saverio D. Burdi, Donald Fargnoli, Wade
Wilson and Allan Goldfeder entered into a Shareholders' Agreement with Mr.
Landauer pursuant to which they agreed to vote their shares of the Company's
common stock in accordance with decisions of Mr. Landauer with respect to the
election and removal of directors of the Company and granted an irrevocable
proxy to Mr. Landauer for that purpose. In addition, they agreed to cause the


                                       14

<PAGE>



Company to have a Board of five persons of which three would be designees of Mr.
Landauer. The Shareholder Agreement terminates on March 12, 2000.

     On March 12, 1999, Mr. Landauer sent a letter to Mr. Sloane stating that he
intended to nominate three directors for election at the Annual Meeting.

     On March 18, 1999, Mr. Landauer filed an amended Schedule 13D (the "Amended
Schedule 13D") indicating that he had been granted irrevocable proxies by
several of the Company's shareholders, including Donald Fargnoli, Allan
Goldfeder, Louis Rocco, Saverio Burdi and Wade Wilson, pursuant to a
Shareholders Agreement (the "LTTR Shareholders Agreement"), to vote on the
election or removal of directors. Additionally, pursuant to the LTTR
Shareholders Agreement, the foregoing shareholders agreed that they would cause
the Company to have a Board of Directors consisting of five directors, three of
whom would be nominees of Mr. Landauer. Further, on the Amended Schedule 13D,
Mr. Landauer reported his purchase of an additional 50,000 shares of Common
Stock from Allan Goldfeder on March 12, 1999, bringing LTTR and Mr. Landauer's
holdings of Common Stock to 2,188,250 shares.

     On March 22, the Company's Board of Directors met with Pinnacle Partners to
discuss potential strategic alternatives available to the Company to enhance
shareholder value. At such meeting, representatives of Pinnacle Partners,
participating via teleconference, reviewed and discussed with members of the
Board of Directors a variety of strategic alternatives that they had evaluated
on behalf of the Company, including a sale or merger of the Company, a leveraged
buyout of the Company, an acquisition and consolidation strategy and a
continuation of the Company's business plan on a status quo basis. Pinnacle
Partners reviewed the feasibility of each of the alternatives discussed in the
preceding sentence, and, following the conclusion of its presentation,
recommended to the Board of Directors that it pursue a sale or merger of the
Company to attempt to enhance shareholder value. Representatives of Pinnacle
Partners were authorized to commence activities designed to solicit interest
from parties interested in acquiring or entering into a merger transaction with
the Company. Pinnacle Partners was also advised that Mr. Sloane would continue
negotiations with Mr. Landauer regarding Mr. Landauer's proposal to acquire the
Company. At such meeting, Pinnacle Partners indicated that, in their view, the
proposal by Mr. Landauer to acquire the Company also represented an attractive
alternative to the Company.

     Also on March 22, 1999, the Board of Directors determined that based on the
results of the proxy solicitation reported by Georgeson and Continental, the
majority of shareholders whose Common Stock was held in the name of brokers
would not be represented at the Annual Meeting on the issue of the proposals to
amend the Company's certificate of incorporation because of the need for the
brokers to obtain specific instructions with regard to these proposals. As a
result, the Board of Directors determined to postpone the Annual Meeting until
April 8, 1999, which would give brokers enough time to gather voting
instructions on the proposals to amend the Company's certificate of
incorporation without having to change the record date for the Annual Meeting.
An addendum to the definitive proxy materials was mailed to the shareholders and
a press release was issued on March 22, 1999 reporting the new Annual Meeting
date.

     Effective March 23, 1999, Mr. Bruce L. Ansnes and Dr. Bernard M. Kruger
resigned from the Board of Directors of the Company for personal reasons.

     On March 24, 1999, Messrs. Sloane and Landauer met at Mr. Landauer's
office. After continued negotiations between Mr. Sloane and Mr. Landauer, Mr.
Landauer increased his prior offer for the outstanding Common Stock to $1.10 per
share. Mr. Sloane indicated that he needed to consult with representatives of
Pinnacle Partners regarding the new proposal and to review the proposal with the
Board of Directors. On March 24, 1999, the closing price of the Company's Common
Stock was $.75. An initial draft of a letter of intent was prepared by Mr.
Landauer's counsel and distributed to Dean Sloane on March 29, 1999. The letter
of intent provided for LTTR to acquire, by way of merger, all of the outstanding
Common Stock for a purchase price of $1.10 per share. The letter of intent
contemplated that Dean Sloane and Craig V. Sloane would enter into consulting
agreements, including a covenant not to compete with the Company, but the fee
payable to Messrs. Sloane was left open. It also contemplated that Messrs.
Sloane and other shareholders of the Company associated with them would enter
into a shareholders agreement in which they would agree to vote their shares of
Common Stock in favor of the Merger and grant a proxy to Mr. Landauer. An
exclusivity letter was also distributed to Mr. Sloane which provided that LTTR
would have the exclusive right for a period of 45 days to negotiate a definitive
agreement to acquire the Company.


                                       15

<PAGE>



     Thereafter, Mr. Sloane, after consultation with counsel and representatives
of Pinnacle Partners, spoke directly with Mr. Landauer and an agreement was
reached by them to increase the proposed purchase price to $1.20 per share,
subject to the negotiation of a definitive agreement, the approval of the
Company's Board of Directors, and a determination by the Board of Directors
regarding the fairness of the transaction. Messrs. Sloane's personal counsel
negotiated the terms of the consulting agreements with Mr. Landauer's counsel. A
second draft of the letter of intent was circulated by Mr. Landauer's counsel on
April 5, 1999. In the second draft, the purchase price for all of the
outstanding common stock was increased to $1.20 per share and the annual
consulting fees payable to Dean Sloane and Craig V. Sloane following the
consummation of the Merger were set at $110,000 and $26,000 per year,
respectively. It was also provided that the financial obligations under the
consulting agreements (i) would accelerate upon a change in control of LTTR,
which would include a change in control involving an affiliate of LTTR and (ii)
would be guaranteed by Alan J. Landauer.

     Between March 24, 1999 and April 6, 1999, Mr. Sloane consulted with
representatives of Pinnacle Partners regarding the proposal by Mr. Landauer to
acquire the outstanding Common Stock for $1.20 per share. Mr. Sloane requested
that Pinnacle Partners prepare an analysis in order to evaluate the fairness of
the proposed Merger.

     The Company and LTTR executed a letter of intent effective April 6, 1999
providing for the purchase by LTTR or one of its affiliates of all of the
Company's issued and outstanding Common Stock for the price of $1.20 per share
(the "Merger Price"), conditioned upon the successful negotiation of a
definitive written agreement and the approval of the Company's shareholders. The
exclusivity period under the letter of intent between the Company and LTTR was
extended by supplemental letters dated May 17, 1999 and May 28, 1999. Also
effective April 6, 1999, Dean L. Sloane, Mary Sloane, Joshua Sloane, Craig V.
Sloane, and The Sloane Family Foundation executed a letter of intent pursuant to
which they each agreed, for a period of forty-five business days, or such
earlier time as negotiations on a definitive Merger Agreement between LTTR and
the Company terminate, not to transfer, encumber, or engage in any discussions
or negotiations with respect to their shares of Common Stock. The closing price
of the Company's Common Stock on April 6, 1999 was $.50.

     At the Annual Meeting held on April 8, 1999, Messrs. Bruce L. Ansnes and
Craig V. Sloane and Dr. Bernard M. Kruger did not seek re-election to the Board,
although their names appeared as nominees on the Proxies solicited by the
Company. The three nominees proposed by Mr. Landauer, including Messrs.
Landauer, Thomas C. Blum and Gary J. Spirgel, were elected to the Board of
Directors, together with incumbent directors Dean L. Sloane and Louis Rocco, and
Mr. Landauer was elected Chairman of the Board of the Company. The proposals
regarding the adoption of amendments to the Company's Certificate of
Incorporation were approved, as was the ratification of the appointment of the
Company's auditors. The proposal regarding the reverse stock split failed.

     At the Board of Directors meeting following the Annual Meeting, a Special
Committee of independent members of the Board of Directors comprised of Messrs.
Sloane, Spirgel and Rocco was appointed to evaluate the Merger, negotiate the
terms of the Merger Agreement, and to determine whether the transaction was fair
and in the best interests of the Company and the unaffiliated shareholders. The
Special Committee was delegated with the authority to approve the transaction in
its discretion. The Special Committee received no direction from the Board of
Directors other than to conduct the aforesaid evaluation. Messrs. Sloane,
Spirgel and Rocco were appointed to the Special Committee, because none of them
had any prior material business affiliation with Mr. Landauer or any of his
affiliates. Messrs. Spirgel and Landauer were business acquaintances. In
February 1999, Mr. Spirgel performed a three-day consulting assignment for LHS.
The Board believed that Messrs. Sloane, Spirgel and Rocco were in the best
position to adequately represent the interests of the unaffiliated shareholders
of the Company and to determine if the purchase price of $1.20 per share, which
had been proposed in the April 8, 1999 letter of intent, was fair from a
financial point of view to the unaffiliated shareholders. Mr. Sloane conducted
the principal negotiations of the Merger Agreement with Mr. Landauer, with the
assistance of counsel, and regularly consulted with Messrs. Rocco and Spirgel on
the status of the negotiations. Messrs. Sloane, Rocco and Spirgel received all
copies of drafts of the transaction documents which were circulated by Mr.
Landauer's counsel, and provided input to the Special Committee's counsel which
was incorporated into the negotiations. None of the members of the Special
Committee received any compensation for their service. The Special Committee
retained Pinnacle Partners to assist in evaluating the transaction to render an
opinion regarding the fairness of the Merger. The Special Committee also
retained Nordlicht & Hand, counsel to the Company, to act as counsel to the
Special Committee for the purpose of negotiating the Merger Agreement and
providing advice to the Special Committee on legal matters.



                                       16

<PAGE>



     Information regarding the prior involvement of the members of the Special
Committee with the Company, Mr. Landauer, or Mr. Landauer's affiliates, and
relationships they will have with the Company, Mr. Landauer and affiliates of
the Company and Mr. Landauer after the Merger is consummated, is as follows:

     Dean L. Sloane - At the time of the selection of the Special Committee, Mr.
Sloane had been a Director of the Company since its formation, had served as
Chairman of the Board since July 1997, and owned 1,388,000 shares, constituting
19.38% of the Company's total issued and outstanding stock. Subsequent to the
Merger, Mr. Sloane will receive a three year consulting agreement from the
Company for annual aggregate fees of $110,000.

     Gary J. Spirgel - Prior to his election to the Board on April 8, 1999,
Messrs. Spirgel and Landauer were business acquaintances. In February 1999, Mr.
Spirgel performed a three-day consulting assignment for LHS. Since April 15,
1999, he has been the Chief Operating Officer of LHS.

     Louis Rocco - At the time of the selection of the Special Committee, Mr.
Rocco had served as Vice President of the Company, President of its Metropolitan
Respirator Service subsidiary since May 10, 1997, and as a Director of the
Company since March 1998, and owned 293,056 shares, constituting 4.09% of the
Company total issued and outstanding stock. Mr. Rocco joined the Company in May
1997 following the Company's acquisition of Metropolitan. As part of that
transaction, the Company paid to Mr. Rocco for his interest in Metropolitan
$1,063,502 in cash and a $1,302,182 promissory note bearing interest at the rate
of 6% per annum. In March 1998, Mr. Rocco converted 80% of the promissory note
for 293,506 shares of the Company's common stock plus cash of $73,000. The
balance of the promissory note is being paid in monthly installments of $10,000.
Mr. Rocco is also party to an Employment Agreement with the Company which
provides for base annual compensation of $225,000 and has a term which expires
on May 10, 2004. Mr. Rocco's Employment Agreement provides that he will not
compete against the Company during the term of the Agreement and for a period of
one year thereafter. On March 12, 1999, Mr. Rocco, along with Saverio D. Burdi,
Donald Fargnoli, Wade Wilson and Allan Goldfeder entered into the LTTR
Shareholders Agreement with Mr. Landauer pursuant to which they agreed to vote
their shares of the Company's common stock in accordance with decisions of Mr.
Landauer with respect to the election and removal of directors of the Company
and granted an irrevocable proxy to Mr. Landauer for that purpose. In addition,
they agreed to cause the Company to have a Board of five persons of which three
would be designees of Mr. Landauer. The LTTR Shareholders Agreement terminates
on March 12, 2000.

     A first draft of the Merger Agreement was prepared by Mr. Landauer's
counsel and circulated to the parties on April 20, 1999. The principal areas of
dispute between the parties concerned the following issues which were proposed
by LHS and objected to by the Special Committee:

     (i) The imposition of a termination fee of $350,000 in the event the Merger
was not consummated due to the Company's breach or if the Merger failed to
receive the necessary approval of shareholders. The Special Committee's position
was that a termination fee should be paid only if the Company received and
accepted a superior offer;

     (ii) The funding of the fund for payment of the Merger Price after the
effective date of the Merger, rather than prior to the Merger;

     (iii) The requirement for representations and warranties of the Company to
be correct on the date of the consummation of the Merger, which was objected to
by the Special Committee on the grounds that the Company may become subject to
circumstances beyond its control which could render certain representations
untrue;

     (iv) The inclusion of a condition to LHS' obligation to consummate the
transaction that the number of dissenting shares not exceed 5% of the total
outstanding Common Stock (other than Common Stock owned by Mr. Landauer and his
affiliates);

     (v) The inclusion of a condition to LHS' obligation to consummate the
transaction that it obtain all of the financing it required to consummate the
Merger; and

     (vi) The absence of any agreement from LHS to provide the Company with
indemnification for any liability resulting from material misstatements or
omissions in information provided by LHS for inclusion in the Proxy Statement.


                                       17

<PAGE>



     Counsel to the Special Committee, Nordlicht & Hand, reviewed the Merger
Agreement with the members of the Special Committee and provided comments to Mr.
Landauer's counsel on May 17, 1999. The attorneys then discussed the issues and
reviewed the open points and the other party's positions with their respective
clients. The issues were resolved as follows:

     (i) Regarding the termination fee, Mr. Landauer's position was that the
$350,000 was reasonable in light of the expenses incurred by him associated with
the transaction and amounted to only approximately $.05 per share based on the
total number of shares of Common Stock outstanding. After several discussions
between counsel and discussions by each counsel with its respective clients, Mr.
Sloane, as Chairman of the Special Committee, agreed to this point, with the
agreement of the other members of the Special Committee.

     (ii) The Special Committee agreed that the payment fund would be funded
after the effective date of the Merger, believing there was little or no risk
that it would not be funded.

     (iii) Mr. Landauer agreed that the Company would not be responsible if
events beyond its control caused any of its representations to be untrue. At the
Special Committee's request, Mr. Landauer agreed that LHS would not consider the
Company to be in breach of any representation which Mr. Landauer knew to be
untrue by virtue of information he obtained in his capacity as Chairman of the
Board or through his due diligence activity.

     (iv) As to the issue regarding the closing condition that not more than 5%
of the shares exercise dissenters' rights, Mr. Landauer's position was that he
might not want to proceed with the transaction if a large number of shares
dissented from the transaction. After discussions among counsel and between
Messrs. Sloane and Landauer, Mr. Sloane agreed to this point, with the agreement
of the other members of the Special Committee.

     (v) As to the issue regarding the closing condition that LHS obtain
financing, although Mr. Landauer obtained a commitment from his lenders for the
financing of the Merger while negotiations were continuing, he nevertheless
requested that the condition remain in the event the financing fell through. Mr.
Sloane, with the approval of the other members of the Special Committee, agreed
to this point, believing that the risk that Mr. Landauer would not obtain
financing was low.

     (vi) As to the issue regarding LHS indemnifying the Company for any
material misstatements or omissions in materials provided by LHS for inclusion
in the Proxy Statement, Mr. Landauer agreed to this point.

     The foregoing points were reflected in a second draft of the Merger
Agreement that was distributed on May 20, 1999. Thereafter, several revised
drafts with minor wording changes were circulated. The final draft of the Merger
Agreement was circulated on June 14, 1999.

     On May 19, 1999, the Special Committee held a telephonic meeting at which
Mr. Sloane reported that an agreement with Mr. Landauer regarding the Merger had
been reached, subject to approval of the Special Committee. The Company's legal
advisors reported on the status of the negotiations and the remaining issues in
the Merger Agreement. The Special Committee discussed the draft of the fairness
opinion provided by Pinnacle Partners. The Special Committee also discussed the
potential benefits and risks of the transaction, as well as the status of the
Company and the potential risks of not entering into a transaction. At the
conclusion of the meeting, the Special Committee of the Board of Directors
unanimously agreed to enter into the Merger Agreement, subject to satisfactory
resolution of the remaining issues in the Merger Agreement.

     On June 7, 1999, a meeting of the Board of Directors was held to discuss
the Merger. Pinnacle Partners (participating via telephone) reviewed with the
Board of Directors the financial and other analyses performed by Pinnacle
Partners in connection with its evaluation of the Merger Price. After review of
its material, Pinnacle Partners rendered to the Special Committee an oral
opinion (which opinion was subsequently confirmed by delivery of a written
opinion, dated June 15, 1999) to the effect that, as of the date of such opinion
and based upon and subject to certain matters stated therein (including a
discussion with the Company's certified public accountants), the Merger Price
was fair, from a financial point of view, to the holders of Common Stock (other
than Alan J. Landauer, LTTR and their affiliates, including the Sloane Group, as
to which Pinnacle Partners was not requested to express an opinion). The Board
of Directors subsequently ratified the action of the Special Committee in
approving the Merger.


                                       18

<PAGE>



     On June 14, 1999, the Merger Agreement was executed, and the parties issued
a joint press release announcing the Merger.

     On June 15, 1999, a telephonic meeting of the Special Committee was held at
which Pinnacle Partners reviewed certain adjustments in the calculations upon
which the fairness opinion was based, but indicated that the adjustments were
immaterial and did not impact its opinion of the fairness of the Merger. The
Special Committee then ratified its prior decision to approve the Merger.

FAIRNESS OF THE TRANSACTION

     The Company and Alan J. Landauer, LHS, LTTR and Merger Sub (collectively,
the "Landauer Group") each reasonably believe that the transaction is fair to
the unaffiliated shareholders for the following reasons:

     (i) The interests of the unaffiliated shareholders were adequately
represented through the appointment of the Special Committee to negotiate the
terms of the Merger (other than the Merger Price, which had previously been
established in the April 6, 1999 letter of intent) and consider the fairness of
the transaction, the appointment of Pinnacle Partners as financial advisor to
render an opinion on the fairness of the transaction, including the Merger
Price, and the engagement of Nordlicht & Hand, counsel to the Company, to act as
counsel to the Special Committee in connection with the negotiation of the
Merger Agreement;

     (ii) The fact that the Merger Price of $1.20 per share exceeded the trading
price of the Company's Common Stock on the day the Merger Agreement was executed
(the closing price of the Common Stock on June 14, 1999 was $.6875;

     (iii) The fact that the Merger Price exceeded the average historical market
prices of the Company's Common Stock during the nine months preceding the date
the Merger Agreement was executed;

     (iv) The fact that the Merger Price exceeded the $.715 per share paid by
LTTR for the Sheinwald Shares and the $1.00 per share paid by Mr. Landauer to
Alan Goldfeder for 50,000 shares on March 12, 1999;

     (v) The availability of the rights granted to dissenting shareholders under
Section 623 of the NYBCL. Such rights would allow any shareholder who believed
that the $1.20 per share price offered by LHS was insufficient to seek an
opportunity to so assert under New York law;

     (vi) The fact that the only other proposal received by the Company was an
offer to merge with another entity which would have resulted in a stock
transaction where the shareholders would own only 20% of the combined companies.
That offer was rejected by the Company on the grounds that the consideration
offered was inadequate;

     (vii) The fact that the Merger was approved by a majority of the Directors
who are not employees of the Company;

     (viii)The uncertainty that the shareholders could sell their Common Stock
for at least $1.20 per share if the Merger were not consummated; and

     (ix) The fact that the Merger Price is greater than the Company's net book
value per share of $.66 as of March 31, 1999.

     The Company and the Landauer Group are aware that the Merger has not been
structured to require the approval of at least a majority of the unaffiliated
shareholders. Rather, the approval of two-thirds of the outstanding shares is
required for the approval of the transaction. The Company and Mr. Landauer
further note that Mr. Landauer, through shares owned directly or indirectly by
him and proxies granted to him by the Sloane Group, controls the vote of 59.30%
of the outstanding Common Stock. The Company and the Landauer Group also were
aware that the Directors who are not employees of the Company did not retain an
unaffiliated representative to act solely on behalf of the unaffiliated security
holders for the purpose of negotiating the terms of the Merger. Rather, the
negotiations were principally conducted by Dean L. Sloane, as Chairman of the
Special Committee, in conjunction with counsel. In addition, the


                                       19

<PAGE>



Company and the Landauer Group each have taken into account that the Merger
Price was established in the letter of intent and prior to the formation of the
Special Committee, but each of them note that Pinnacle Partners subsequently
issued a fairness opinion in which it determined that the Merger Price was fair
to the unaffiliated shareholder. The Company's liquidation value and going
concern value were not given significant weight. Notwithstanding the foregoing,
the Company and the Landauer Group believe that the reasons supporting the
fairness of the Merger set forth above are significant and outweigh these other
factors.

THE COMPANY'S REASONS FOR THE MERGER

     The Special Committee has determined that the Merger is fair and in the
best interests of the Company and its shareholders and has unanimously approved
the Merger Agreement and the transactions contemplated thereby, including the
Merger. THE SPECIAL COMMITTEE UNANIMOUSLY RECOMMENDS THAT THE COMPANY'S
SHAREHOLDERS VOTE "FOR" THE MERGER.

     In determining to recommend that the Company's shareholders vote FOR the
Merger, the Special Committee considered a number of factors, including the
following:

     (i) The current and historical financial condition, results of operations
and resources of the Company, including the need to replace its $2,500,000 line
of credit with The Bank of New York (the "Bank"). The Company has drawn down
approximately $2,500,000 under the line. In July 1997, the Bank notified the
Company that it put a $2,500,000 cap on borrowings until the uncertainty
involving the Federal Investigation was resolved. The credit facility is
callable by the Bank at any time. The Bank has transferred the administration of
the credit facility within the Bank to its Asset Recovery Department. The
Merger, if consummated, would provide the Company with sufficient capital to
satisfy its obligations to the Bank and to take advantage of market
opportunities.

     (ii) The projected financial condition, results of operations, prospects
and strategic objectives of the Company in the health care industry, as well as
the risks involved in achieving those objectives given the current economic and
market conditions effecting the Company. Consummation of the Merger would remove
from the Company's shareholders the substantial risks inherent in the health
care industry, although it would also eliminate the ability of the shareholders
to participate in any future growth in the value of the Company.

     (iii) The efforts conducted by the Company with the assistance of Pinnacle
Partners in exploring strategic alternatives to enhance shareholder value. The
Company had received only one prior expression of interest in a transaction. The
Company believes that the Merger is the only alternative available to it to
accomplish the foregoing purposes. In December, 1998, the Company's Directors
received an expression of interest from an unaffiliated third party to merge
with the Company. The interested party met with Dean L. Sloane, then Chairman of
the Board of the Company, on December 29, 1998 for a preliminary discussion
regarding their interest. Messrs. Sloane and Bruce L. Ansnes, then Vice Chairman
of the Board, subsequently met with the interested party at their attorney's
office on February 4, 1999, at which time the party made a proposal to enter
into a merger with the Company pursuant to which the Company's shareholders
would receive 20% of the combined entity. Messrs. Sloane and Ansnes advised the
party that proposed the transaction did not provide a sufficient return to the
shareholders. Representatives of Pinnacle Partners met in person with
representatives of the party that submitted the other proposal to fully
investigate such proposal and determined that such proposal was not attractive
to the Company's unaffiliated shareholders. The inquiring party was invited to
increase their proposal, but no subsequent offer was provided. Other than LHS,
no party has indicated to the Company any interest in entering into a
transaction with the Company that would accomplish the foregoing purposes. Since
Mr. Landauer made his intentions regarding the Company publicly known in his
Schedule 13D filing and amendments thereto, no other party has expressed an
interest in acquiring the Company. Pinnacle Partners did not identify any party
that was interested in pursuing a transaction with the Company. As a result of
the foregoing, the Special Committee believed that there was no alternative
transaction immediately available which was as favorable to the Company's
shareholders as the proposed Merger.

     (iv) The risks to the Company associated with the pending Federal
Investigation. If the Company is charged with criminal wrongdoing and it is
determined that the Company engaged in criminal wrongdoing, the Company will be
subject to criminal penalties, which may include fines of up to $1,000,000 or
more and an order of restitution, would be terminated as a Medicaid and Medicare
services provider, and could also be at the risk of having its contracts with
private insurers and other non-governmental agencies terminated. Additionally,
even if the Company is not charged with criminal wrongdoing itself, but one of
its past or present officers or employees is convicted of crimes related to his


                                       20

<PAGE>



employment, the Company could be terminated as a Medicaid and Medicare provider.
In these circumstances, although the Company would not be subjected to automatic
exclusion from such programs, it could be at risk of having its contracts with
private insurers and other non-governmental agencies terminated.

     (v) The Special Committee's belief that the Merger Price permitted the
Company's shareholders to recognize with certainty $1.20 per share in cash for
all their shares, whereas, without the Merger, the ability of the shareholders
of the Company to realize the Merger Price would be uncertain and subject to
contingencies beyond the Company's control.

     (vi) The delisting of the Common Stock from trading in the Nasdaq Small Cap
Market, effective March 31, 1999. Because of the lack of trading volume of the
Common Stock and the absence of market makers to enact transactions in the
over-the-counter market, the Company's shareholders are limited in their ability
to liquidate their holdings.

     (vii) The availability of the rights granted to dissenting shareholders
under Section 623 of the NYBCL. Such rights would allow any shareholder who
believed that the $1.20 per share price offered by LHS was insufficient to seek
an opportunity to so assert under New York law.

     (viii)The likelihood that the Merger would be consummated, including the
likelihood of satisfying the conditions to the consummation of the Merger
contained in the Merger Agreement.

     (ix) The experience, reputations and financial condition of persons
controlling LHS.

     (x) The recommendation of the Company's management in favor of the Merger.

     (xi) The expectation that the Merger would result in an increased market
share, economies of sale, and a maximization of efficiency.

     (xii)The terms of the Merger Agreement and the proposed Merger are the
result of negotiations by representatives of the Company and the Special
Committee and representatives of LHS. Although termination of the Merger
Agreement, under certain circumstances, would obligate the Company to pay a
$350,000 termination fee and reimburse expenses, the Special Committee believes
that these provisions would not materially impede another serious possible
acquirer and would allow the Board of Directors to fulfill its fiduciary
obligations to consider a superior proposal if one were received.

     (xiii)The Special Committee's observation that the trading price of the
Common Stock was consistently below the price that was offered by LHS to
unaffiliated shareholders of the Company. The closing price of the Common Stock
reported on the OTC Bulletin Board on May 18, 1999 was $.75 per share.

     (xiv) Pinnacle Partners' presentation to the Board of Directors on June 7,
1999 and Pinnacle Partners' written opinion dated June 15, 1999 to the effect
that, as of such date and based upon and subject to certain matters stated in
such opinion, the Merger Price to be received in the Merger by the holders of
Common Stock (other than Alan J. Landauer, LTTR and their affiliates, including
the Sloane Group, as to which Pinnacle Partners was not requested to express an
opinion) was fair from a financial point of view to such holders.

     The Special Committee also gave significant weight to Pinnacle Partner's
presentation and opinion that the Merger Price was fair to the unaffiliated
shareholders. The Special Committee believed that the Federal investigation, the
cap placed on the Company's borrowings by its bank, and the delisting of the
Company's securities by the Nasdaq Small Cap Market presented serious risks to
the shareholders' ability to realize a return on their investment. The loss of
the Company's Medicaid and Medicare provider numbers, if the Company was found
guilty of wrongdoing in the Federal investigation, would have a material adverse
effect on the Company's ability to continue its business. The Company's ability
to grow and take advantage of market opportunities has been seriously hampered
by the lack of available cash. The ability of the Company's shareholders to
freely trade the Common Stock has been hindered due to the delisting of the
Company's securities by the Nasdaq Small Cap Market. The certainty presented by
Mr. Landauer's offer of $1.20 per share and the elimination of these risks to
the shareholders were significant factors in the Special Committee's
recommendation of the Merger. The Special Committee also gave weight to the lack
of immediately available alternative


                                       21

<PAGE>



transactions that would achieve the purposes of the Merger. Weight was also
given to the fact that at no time during the six months prior the execution of
the letter of intent on April 6, 1999 had the closing price of the Company's
stock exceeded $1.20. The Special Committee also considered that there was a
strong likelihood that the necessary vote of two-thirds of the outstanding
shares for the approval of the Merger would be obtained. Consideration was also
given to the fact that LTTR paid $.715 per share for the Sheinwald Shares and
that Mr. Landauer paid $1.00 per share for 50,000 shares to Alan Goldfeder. The
price being offered to unaffiliated shareholders in the Merger is higher than
the price paid in both of such transactions.

     The Special Committee considered that the Merger has not been structured to
require the approval of at least a majority of the unaffiliated shareholders.
Rather, the approval of two-thirds of the outstanding shares is required for the
approval of the transaction. The Special Committee also considered that Mr.
Landauer, through shares owned directly or indirectly by him and proxies granted
to him by the Sloane Group, controls the vote of 59.30% of the outstanding
Common Stock. The Special Committee considered that the Directors who are not
employees of the Company did not retain an unaffiliated representative to act
solely on behalf of the unaffiliated security holders for the purpose of
negotiating the terms of the Merger. Rather, the negotiations were principally
conducted by Dean L. Sloane, as Chairman of the Special Committee, in
conjunction with counsel. In addition, the Special Committee considered that the
Merger Price was established in the letter of intent and prior to the formation
of the Special Committee, but believed that any concern was mitigated by
Pinnacle Partners' opinion regarding the fairness of the Merger Price. The
Special Committee was aware that the Merger Price is less than the Company's net
book value per share of $1.42 as of March 31, 1999. The Company's liquidation
value and going concern value were not given significant weight. Notwithstanding
the foregoing, the Special Committee concluded that the reasons supporting the
fairness of the Merger set forth in the preceding paragraph are significant and
outweigh these other factors.

     The foregoing discussion of the information and factors considered by the
Special Committee is not meant to be exhaustive, but includes all material
factors considered by it. In view of the variety of factors considered, the
Special Committee did not find it practical to, and did not, quantify or
otherwise attempt to assign relative weights to the specific factors considered
in reaching its determination. In addition, individual members of the Special
Committee may have given different weights to different factors.

     The Special Committee was aware of the interests and involvement of Mr.
Landauer and his affiliates in connection with the Merger negotiations and the
potential for conflict. However, although LTTR and Mr. Landauer have voting
control of over fifty percent of the outstanding Common Stock, they do not alone
control a sufficient percentage of the outstanding Common Stock to approve the
Merger. Also, with the exception of Gary J. Spirgel, the members of the Special
Committee that studied the fairness of the Merger are not associates of LHS,
LTTR or Mr. Landauer. The members of the Special Committee, which negotiated the
final terms of the Merger Agreement, included Dean L. Sloane and Louis Rocco,
the remaining two members of the Board of Directors that existed prior to the
Annual Meeting, and Mr. Spirgel. All of the members of the Special Committee
believe that the approval of the Merger is fair and in the best interests of the
Company. The Special Committee does not believe that LTTR and Mr. Landauer used
their stock position to better their economic position in connection with the
Merger. See "Special Factors - Interests of Certain Persons in the Merger."

     The Special Committee did not perform a formal independent analysis of the
financial fairness of the Merger, but did rely on the Pinnacle Partners Opinion,
described below. In consideration of the role of the Special Committee and the
engagement of Pinnacle Partners and the Company's outside legal counsel, the
Special Committee did not appoint an unaffiliated representative to act solely
on behalf of the unaffiliated holders of the Common Stock.

THE LANDAUER GROUP'S REASONS FOR THE MERGER

     The Landauer Group believes that the business of the Company and its
affiliates is complementary with the business of LHS and that the Merger will
benefit the companies by resulting in enhanced bargaining power with vendors,
greater visibility in the marketplace, and improved economics through economies
of scale. The Merger is expected to result in greater profitability, which will
enable the combined companies to take advantage of market opportunities as they
arise.



                                       22

<PAGE>



     Mr. Landauer proposed that the transaction be structured as a merger
because it (i) would be accomplished in one step and therefore was more
efficient and (ii) would not result in the payment of any tax by the Company as
a result of the Merger.


OPINION OF FINANCIAL ADVISOR

     The Special Committee of the Board of Directors of the Company (the
"Special Committee) retained Pinnacle Partners to act as its financial advisor
in connection with the proposed Merger. The Special Committee selected Pinnacle
Partners upon recommendation of the Company because of its expertise and the
reputation of its senior professionals in the areas of mergers and acquisitions
and "going private" transactions. Pinnacle Partners is a private investment bank
that provides superior quality financial advisory services to middle market
healthcare companies throughout the United States. As part of its practice,
Pinnacle Partners is regularly engaged in the valuation of businesses and their
securities in connection with mergers and acquisitions, private placements and
valuations for estate, corporate and other purposes.

     In connection with the engagement of Pinnacle Partners, the Special
Committee requested that Pinnacle Partners evaluate the fairness, from a
financial point of view, to the holders of Common Stock (other than Alan J.
Landauer, LTTR, and their affiliates (the "Landauer Affiliates") and the Sloane
Group, as to which Pinnacle Partners was not requested to express an opinion) of
the consideration to be received by such holders in the Merger. On June 7, 1999,
at a meeting of the Special Committee held to evaluate the proposed Merger,
Pinnacle Partners delivered its oral opinion (which opinion was subsequently
confirmed by delivery of a written opinion dated June 15, 1999) to the Board of
Directors to the effect that, as of the date of such opinion (the "Pinnacle
Partners Opinion") and based upon and subject to certain matters stated therein
(including confirmation from the Company's certified public accountants as to
the status of the Company's audit and proposed adjustments and reclassifications
to the Company's operating results for the period ended March 31, 1999), the
Merger Consideration was fair, from a financial point of view, to the holders of
Common Stock (other than the Landauer Affiliates and the Sloane Group, as to
which Pinnacle Partners was not requested to express an opinion).

     A COPY OF THE PINNACLE PARTNERS OPINION, WHICH SETS FORTH THE ASSUMPTIONS
MADE, MATTERS CONSIDERED AND LIMITATIONS ON THE SCOPE OF REVIEW UNDERTAKEN BY
PINNACLE PARTNERS IS ATTACHED AS ANNEX C TO THIS PROXY STATEMENT AND
INCORPORATED HEREIN BY REFERENCE.

     THE PINNACLE PARTNERS OPINION IS DIRECTED ONLY TO THE FAIRNESS, FROM A
FINANCIAL POINT OF VIEW, OF THE CONSIDERATION OF $1.20 PER SHARE IN CASH TO BE
RECEIVED BY THE HOLDERS OF COMMON STOCK IN THE MERGER.

     THE PINNACLE PARTNERS OPINION WAS PROVIDED AT THE REQUEST AND FOR THE
INFORMATION OF THE SPECIAL COMMITTEE IN EVALUATING THE CONSIDERATION AND DOES
NOT CONSTITUTE A RECOMMENDATION TO ANY SHAREHOLDER CONCERNING WHETHER TO ELECT
TO RECEIVE THE CONSIDERATION OR VOTE IN FAVOR OF TRANSACTIONS CONTEMPLATED BY
THE MERGER AGREEMENT.

     THE SUMMARY OF THE PINNACLE PARTNERS OPINION SET FORTH IN THIS PROXY
STATEMENT SETS FORTH THE MATERIAL ELEMENTS OF SUCH OPINION AND IS QUALIFIED IN
ITS ENTIRETY BY REFERENCE TO THE FULL TEXT OF THE PINNACLE PARTNERS OPINION
ATTACHED AS ANNEX C HERETO.

     STOCKHOLDERS OF THE COMPANY SHOULD READ THE PINNACLE PARTNERS OPINION
CAREFULLY IN ITS ENTIRETY FOR INFORMATION WITH RESPECT TO THE PROCEDURES
FOLLOWED, ASSUMPTIONS MADE, MATTERS CONSIDERED AND LIMITATIONS ON THE REVIEW
UNDERTAKEN BY PINNACLE PARTNERS IN RENDERING ITS OPINION.



                                       23

<PAGE>



     PINNACLE PARTNERS HAS CONSENTED TO THE REFERENCES TO PINNACLE PARTNERS AND
THE PINNACLE PARTNERS OPINION IN THIS PROXY STATEMENT, AND TO THE ATTACHMENT OF
THE PINNACLE PARTNERS OPINION TO THIS PROXY STATEMENT AS AN APPENDIX HERETO.

     In arriving at the Pinnacle Partners Opinion, Pinnacle Partners:

         (i) Reviewed the Merger Agreement (dated June 14, 1999), a draft of
this Proxy Statement (dated June 14, 1999), which Pinnacle Partners assumed is
identical in all material respects to the Definitive Proxy Statement, the Sloane
Shareholders' Agreement dated June 14, 1999), and the Stock Purchase Agreement
between Landauer and Sheinwald (dated February 12, 1999);

         (ii) Reviewed the Company's prospectus, dated as of October 18, 1996,
filed with the Commission;

         (iii) Reviewed the Company's Annual Reports on Form 10-K filed with the
Commission for the fiscal years ended March 31, 1997 and 1998;

         (iv) Reviewed the Company's Quarterly Reports on Form 10-Q filed with
the Commission for the fiscal quarters ended June 30, 1998, September 30, 1998
and December 31, 1998;

         (v) Reviewed certain interim and estimated unaudited financial
statements and analysis for the Company prepared by management of the Company;

         (vi) Reviewed projected financial statements and related forecasts of
the Company prepared or based upon information supplied by, management of the
Company;

         (vii) Held discussions with certain senior officers, directors and
other representatives and advisors of the Company (including the Company's
certified public accountants and legal counsel) concerning the history,
business, operations, financial condition and prospects of the Company
(including discussions held with representatives of Pinnacle Partners who
visited the Company's corporate headquarters);

         (viii) Reviewed the financial terms of the Merger as set forth in the
Merger Agreement in relation to, among other things: current and historical
market prices and trading volumes of the Common Stock; the historical and
projected earnings and other operating data of the Company; and the
capitalization and financial condition of the Company, including near-term
liquidity needs of, and capital resources available to, the Company;

         (ix) Reviewed, to the extent publicly available, certain business,
financial, stock market and other information relating to the businesses of
other companies whose operations Pinnacle Partners considered relevant in
evaluating those of the Company;

         (x) Reviewed, to the extent publicly available, the financial terms of
selected transactions which Pinnacle Partners considered relevant in evaluating
the Merger;

         (xi) Reviewed the historical trading prices and volumes of the shares
of Common Stock as traded on Nasdaq and the over-the counter bulletin board;

         (xii) Performed various financial analyses, as Pinnacle Partners deemed
appropriate, of the Company using generally accepted analytical methodologies,
including:

          (a)  analysis of premiums paid in public merger and acquisition
               transactions;
          (b)  the application of the public trading multiples of companies
               which Pinnacle Partners deemed comparable to the Company to the
               financial results of the Company;
          (c)  the application of the multiples reflected in selected mergers
               and acquisitions involving businesses which Pinnacle Partners
               deemed comparable to the Company to the financial results of the
               Company; and
          (d)  a discounted projected cash flow analysis.



                                       24

<PAGE>



     In addition to the foregoing, Pinnacle Partners reviewed such other
materials, performed such other financial examinations, studies, analyses,
inquiries and investigations and considered such other financial, economic and
market criteria as Pinnacle Partners deemed appropriate in arriving at its
Opinion.

     In rendering the Pinnacle Partners Opinion, Pinnacle Partners assumed and
relied, without independent verification, upon the accuracy and completeness of
all the financial and other information, as well as information that was
publicly available, supplied to or otherwise reviewed by or discussed with
Pinnacle Partners by the Company or from other sources, and upon the assurance
of the Company's management that they were not aware of any information or facts
that would make the information provided to Pinnacle Partners incomplete,
inaccurate or misleading. With respect to the projected financial statements
referenced in the second preceding paragraph, the management of the Company
advised Pinnacle Partners, who assumed without independent investigation, that
the Company reasonably prepared such financial statements and that such
financial statements reflected the best currently available estimates and
judgments of the management of the Company as to the future results of
operations and financial condition at and for the periods specified therein.
Pinnacle Partners has expressed no opinion with respect to such financial
statements. In rendering the Pinnacle Partners Opinion, Pinnacle Partners
assumed that the Company will continue to operate as a going concern. No
consideration was given to the effect of any solvency, bankruptcy or similar
laws on the Merger in the event such laws become applicable to the Company in
the future. Pinnacle Partners did not undertake and was not provided with an
independent evaluation or appraisal of the assets or liabilities (contingent or
otherwise) of the Company, nor did Pinnacle Partners undertake any physical
inspection of the properties or assets of the Company.

     Pinnacle Partners expressed no view as to, and the Pinnacle Partners
Opinion does not address, the relative merits of the Merger as compared to any
alternative business strategies that might exist for the Company or the effect
of any other transaction in which the Company might engage. The Pinnacle
Partners Opinion did not constitute a recommendation as to any action taken by
the Board of Directors or the Company and did not constitute a recommendation to
any shareholder of the Company with respect to whether to vote in favor of the
transactions contemplated by the Merger Agreement. The Pinnacle Partners Opinion
should not be relied upon by any shareholder as such. The Pinnacle Partners
Opinion was necessarily based upon information available, and financial, stock
market and other conditions and circumstances existing and disclosed, to
Pinnacle Partners as of the date of the Pinnacle Partners Opinion. Although
Pinnacle Partners evaluated the Merger Consideration from a financial point of
view, Pinnacle Partners was not asked to and did not recommend the specific
consideration to be paid in the Merger. Such consideration was determined
through negotiations between the Company and LHS. The Company did not impose
other limitations on Pinnacle Partners with respect to the investigations made
or procedures followed by Pinnacle Partners in rendering the Pinnacle Partners
Opinion. Pinnacle Partners disclaimed any undertaking or obligation to advise
any person of any change in any fact or matter affecting the Pinnacle Partners
Opinion which might come or be brought to Pinnacle Partners' attention after the
date of the Pinnacle Partners Opinion. Pinnacle Partners and the Company entered
into a letter-form engagement agreement dated February 12, 1999 (the "Engagement
Agreement"), pursuant to which Pinnacle Partners was retained to, among other
things, render the Pinnacle Partners Opinion. The Pinnacle Partners Opinion
stated Pinnacle Partners' understanding that such opinion would be used by the
Special Committee solely in connection with its consideration of the fairness of
the consideration to be received by holders of Common Stock (other the Landauer
Affiliates and the Sloane Group, as to which Pinnacle Partners was not requested
to express an opinion) in the Merger and for no other purpose. In rendering the
Pinnacle Partners Opinion, Pinnacle Partners specifically disclaims being
engaged as an agent of the Company's shareholders or any third party.

     In preparing the Pinnacle Partners Opinion, Pinnacle Partners performed a
variety of financial and comparative analyses, including those described below.
The summary of such analyses does not purport to be a complete description of
the analyses underlying the Pinnacle Partners Opinion. The preparation of a
fairness opinion is a complex analytic process involving various determinations
as to the most appropriate and relevant quantitative and qualitative methods of
financial analyses and the application of those methods to the particular
circumstances. Therefore, such an opinion is not readily susceptible to partial
analysis or summary description. Pinnacle Partners believes that its analyses
must be considered as a whole and that selecting any portion or portions of such
analyses and of the factors considered, without considering all analyses and
factors, could create a misleading or incomplete view of the processes
underlying such analyses and the Pinnacle Partners Opinion. In its analyses,
Pinnacle Partners made numerous assumptions with respect to the Company,
industry performance, general business, economic, market and financial
conditions and other matters, many of which are beyond the control of the
Company. The estimates contained in such analyses and the valuation ranges
resulting from any particular analysis are not necessarily indicative of actual
values or predictive of


                                       25

<PAGE>



future results or values, which may be significantly more or less favorable than
those suggested by such analyses. In addition, analyses relating to the value of
businesses or securities do not purport to be appraisals or to reflect the
prices at which businesses or securities actually may be sold. Accordingly, such
analyses and estimates are inherently subject to substantial uncertainty. The
Pinnacle Partners Opinion, and the underlying analysis prepared by Pinnacle
Partners in arriving at the Pinnacle Partners Opinion, were only one of many
factors considered by the Special Committee in its evaluation of the Merger and
should not be viewed as determinative of the views of the Special Committee or
management with respect to the Merger Consideration or the proposed Merger.

STOCK TRADING HISTORY. Pinnacle Partners reviewed the history of the trading
prices and trading volume of the Common Stock since October 18, 1996 and the
relative trading price of the Common Stock over the prior twelve month, six
month, three month and one month periods, respectively, in relation to the:

       (i)  Standard & Poor's Small Cap 600 Index (the "S&P Small Cap"),
       (ii) Russell 2000 Index (the "Russell 2000"), and
       (iii)Standard & Poor's Health Care Index ("S&P Health Care").

The following table summarizes the returns experienced by the Common Stock and
the three indexes for the periods indicated.


                     PERFORMANCE OF COMMON STOCK AND INDEXES
                       For periods preceding June 14, 1999
                    ------------------------------------------------------------
                       12 Month        6 Month        3 Month       1 Month
                        Period          Period        Period        Period
                    ------------------------------------------------------------

CCSE Common Stock        -62.1%          175.0%         0.0%          0.0%
S&P Small Cap 600        -4.4%           9.2%           8.3%          -0.1%
Russell 2000             -2.3%           11.2%          8.3%          -2.6%
S&P Health Care          6.6%            -3.2%          -14.5%        -7.2%


As noted above and below, in arriving at its Opinion, Pinnacle Partners
considered the results of all of its analyses as a whole and did not attribute
any particular weight to any analysis, factor or ratio considered by it.

The Premiums Paid Analysis. Pinnacle Partners reviewed the median premiums paid
in merger and acquisition transactions between January 1, 1997 and June 2, 1999
for:

       (i)   all U.S. announced mergers and acquisitions transactions,
       (ii)  transactions valued less than $25.0 million, and
       (iii) transactions where the target's stock price was less than $10.00
             per share.

     The premiums paid were applied to the price of the Company's Common Stock
one day and four weeks prior to both the public announcement of the signing of a
letter of intent ("LOI") relating to the Merger (April 7, 1999), and the meeting
of the Board of Directors during which the Merger Agreement was approved (June
7, 1999). The following table shows the results:



                                       26

<PAGE>


                         IMPUTED EQUITY VALUE PER SHARE
                 Premiums applied to price of common stock at:

                    ------------------------------------------------------------
                                                    1 Day Before      4 Weeks
                         1 Day         4 Weeks         Merger      Before Merger
                      Before LOI      Before LOI      Agreement      Agreement
                     Announcement    Announcement     Approval       Approval
                    ------------------------------------------------------------
All US announced
M&A transactions       $ 0.62          $ 1.34           $ 0.85        $ 1.00

Transactions under
$25 million            $ 0.65          $ 1.43           $ 0.90        $ 1.07

Transactions where
stock $10              $ 0.62          $ 1.29           $ 0.85        $ 0.97

Pinnacle Partners noted that the $1.20 per share offered by LHS exceeded the
majority of the imputed equity values per share derived in the Premiums Paid
Analysis. As noted above and below, in arriving at its opinion, Pinnacle
Partners considered the results of all of its analyses as a whole and did not
attribute any particular weight to any analysis, factor or ratio considered by
it.

     ANALYSIS OF SELECTED PUBLICLY TRADED COMPANIES.



                                       27

<PAGE>

     In evaluating the transaction, Pinnacle Partners compared the Company and
its financial results to a universe of selected public companies that it deemed
comparable to the Company. This analysis is relevant in determining the
potential fundamental value of the Company's Common Stock by comparing it to
securities issued by corporations engaged in the same or similar line of
business which are listed on an exchange or are actively traded in an organized
over-the-counter ("OTC") market, and which have capital stock securities that
are actively traded by the public. In general, stocks that are listed on an
exchange are considered to be traded in the most efficient marketplace; however,
comparable companies that have stocks actively traded in the OTC market are also
reviewed. One essential factor in determining the appropriateness of a
particular comparable company is whether the corporation's stock is sold on
exchange or in an OTC market which provides evidence of an active, free public
market for the stock as of the valuation date. As a generalization, the prices
of stocks that are traded in volume in a free and active market by informed
investors best reflect the consensus of the investing public as to what the
future holds for the corporations and industries represented by an investment in
such stocks.

     Pinnacle Partners analyzed certain public financial, business, stock market
and other information on a universe of public companies that are engaged in the
home healthcare industry. The comparison of the Company to the comparable
companies involved the comparison of selected operating, financial and other
relevant statistics. In general, home healthcare companies are engaged in one or
more of the following four businesses: (i) home nursing care, (ii) home
respiratory care, (iii) home infusion therapy and (iv) rental of home medical
equipment. The Company is engaged in the business segments described in clauses
(ii) and (iv) and is the only public company with this business profile. All of
the companies that were evaluated participated in one or both of the Company's
businesses and almost all of the public companies were larger than the Company.

     Using publicly available information, Pinnacle Partners analyzed and
compared selected financial and operating data of the Company to the
corresponding data of a group of publicly traded companies that Pinnacle
Partners deemed to be similar to the Company (the "Comparable Companies"). In
determining the appropriate Comparable Company universe for the Company,
Pinnacle Partners considered a variety of factors including business focus,
market capitalization, revenue, earnings before interest and taxes ("EBIT"), and
net income. The Comparable Companies included:


PUBLICLY TRADED COMPANIES

NAME                                      TICKER                       EXCHANGE

Lincare Holdings, Inc.                    LNCR                         NASDAQ
Apria Healthcare Group, Inc.              AHG                          NYSE
Matria Healthcare, Inc.                   MATR                         NASDAQ
Coram Healthcare Corp.                    CRH                          NYSE
Transworld Healthcare, Inc.               TWH                          AMEX
National Home Health Care                 NHHC                         NASDAQ
Option Care, Inc.                         OPTN                         NASDAQ
American HomePatient, Inc.                AHOM                         NASDAQ
Pediatric Services of America, Inc.       PSAI                         NASDAQ

NAME                                      TICKER                       EXCHANGE

Staff Builders, Inc.                      SBLI                         OTC BB
Caretenders Health Corp.                  CTND                         NASDAQ
Star Multicare Services, Inc              SMCS                         NASDAQ
In Home Health, Inc.                      IHHI                         NASDAQ
Amedisys, Inc.                            AMED                         OTC BB
New York Health Care, Inc.                NYHC                         NASDAQ
Accuhealth, Inc.                          AHLT                         OTC BB
Help at Home, Inc.                        HAHI                         NASDAQ
Healthcor Holdings, Inc.                  HCOR                         OTC BB
Numed Home Health Care, Inc.              NUMD                         OTC BB

     With respect to the Comparable Companies, Pinnacle Partners analyzed their
respective stock prices as of June 14, 1999 compared to their latest 12 month
("LTM") and projected earnings per share ("EPS"), where available, for the
current and the subsequent fiscal years to determine a price/earnings multiple
based upon the current price of the stocks. Mean and median multiples were then
applied to the Company's LTM, as well as, projected net income per share
(adjusted to reflect a "normalized" effective tax rate of 44%). The results are
shown below.


                         IMPUTED EQUITY VALUE PER SHARE
                     Based on actual and projected EPS for:

                  Latest 12 Months     Fiscal Year Ending     Fiscal Year Ending
                                       March 31, 2000         March 31, 2001

Median Multiple   $ 0.20               $ 0.59                 $ 1.28
Mean Multiple     $ 0.29               $ 0.54                 $ 1.16

     Additionally, Pinnacle Partners analyzed the adjusted market values (fully
diluted market value, plus outstanding debt, less cash) as multiples of LTM
revenues and EBIT based upon closing stock prices as of June 14, 1999.



                                       28

<PAGE>


                         IMPUTED EQUITY VALUE PER SHARE
                       Based on Latest 12 Month Data for:

                       Revenue               EBIT

Median Multiple        $ 0.56                $ 0.93
Mean Multiple          $ 1.27                $ 1.12

     Pinnacle Partners noted that the $1.20 per share offered by LHS exceeded
the majority of the imputed equity values per share derived in the Analysis of
Selected Publicly Traded Companies. As noted above and below, in arriving at its
opinion, Pinnacle Partners considered the results of all of its analyses as a
whole and did not attribute any particular weight to any analysis, factor or
ratio considered by it.

     SELECTED MERGER AND ACQUISITION TRANSACTIONS ANALYSIS. Pinnacle Partners
analyzed merger and acquisition ("M&A") transactions completed in the healthcare
services sector from January 1, 1996 through the date of its presentation to the
Company's Board of Directors. Pinnacle Partners noted that there was a limited
set of recent transactions that it deemed to be comparable to the Merger given
the general slowdown in M&A activity in the home healthcare sector. Pinnacle
Partners determined it was appropriate to include in its analysis certain M&A
transactions in the healthcare services sector based upon: (i) the size of the
transaction, (ii) the sector of the healthcare services industry in which the
transaction occurred (certain sectors had characteristics that were more similar
to the home healthcare sector than others), (iii) the circumstances surrounding
the transaction and (iv) the structure of the transaction. Pinnacle Partners
explained how the results of its analysis of selected precedent M&A transaction
were relevant to its conclusion that the Merger was fair in its disclosure
language. Using publicly available information, Pinnacle Partners reviewed,
among other things, the implied transaction multiples paid or proposed to be
paid in 21 selected transactions in the healthcare services industry. The
following table outlines the acquirer and target companies in each of these
transactions.






                                       29

<PAGE>




ACQUIROR                                 TARGET

Advanced Paradigm, Inc.                  Foundation Health's IPS
Dental Care Alliance, Inc.               Philadelphia Dental Offices
Gentle Dental Services, Inc.             Capital Dental Care, Inc.
The Kroll - O'Gara Co.                   Laboratory Specialists of America, Inc.
Amedisys, Inc.                           Columbia HCA - 6 states
Omnicare, Inc.                           United Professional Cos.
Olsten Corporation                       Columbia/HCA - Florida operations
RehabCare Group, Inc.                    StarMed Staffing, Inc.
Spectrum Healthcare, Inc.                United Correctional Management, Inc.
Sunbelt Home Health, Inc.                Housecall Medical Resources, Inc.
American HomePatient, Inc.               National Medical Systems, Inc.
Preferred Employers Holdings Group, Inc. HSSI - Travel Nurse Operations
Integrated Health, Inc.                  Community Care America, Inc.
Accuhealth, Inc.                         Healix Healthcare, Inc.
Integrated Health, Inc.                  Rotech Medical Corp.
Healthcor Holdings, Inc.                 Southern Medical Mart, Inc.
Vencor, Inc.                             Transitional Hospitals Corp.
Home Health Corp. of America, Inc.       PDN, Inc. & Medical IV
NHP, Inc.                                Preferred Home Health, Inc.
Olsten Corporation                       Quantum Health Resources, Inc.
Horizon/CMS Healthcare, Inc.             Medical Innovations, Inc

     Pinnacle Partners analyzed the median and mean multiples of purchase price
to LTM Net Income (adjusted to reflect a "normalized" effective tax rate of 44%)
and of Transaction Value to LTM Revenue, LTM EBITDA, and LTM EBIT. The results
are shown below.


                         IMPUTED EQUITY VALUE PER SHARE

                                   Transaction       Transaction     Transaction
                  Purchase Price   Value to LTM     Value to LTM    Value to LTM
                    to LTM EPS       Revenue           EBITDA           EBIT

Median Multiple     $ 0.27          $ 1.68            $ 2.39           $ 0.78
Mean Multiple       $ 0.27          $ 2.44            $ 2.54           $ 0.66

     No company, transaction or business used as a comparison in the "Selected
Company Analysis" or "Selected Merger and Acquisition Transactions Analysis" is
identical to the Company or the Merger. Accordingly, an analysis of the results
of the foregoing is not entirely mathematical; rather, it involves complex
considerations and judgments concerning differences in financial and operating
characteristics and other factors that could affect the acquisition, public
trading or other values of the Selected Companies, the Selected Transactions or
the business segment, company or transaction to which they are being compared.
As noted above and below, in arriving at its opinion, Pinnacle Partners
considered the results of all of its analyses as a whole and did not attribute
any particular weight to any analysis, factor or ratio considered by it.



                                       30

<PAGE>



     DISCOUNTED CASH FLOW ANALYSIS. Pinnacle Partners performed a discounted
cash flow analysis of the projected free cash flow of the Company for fiscal
years 2000 and 2003, based upon internal estimates of the management of the
Company. The stand-alone discounted cash flow analysis of the Company was
determined by:

     (i)  adding (x) the present value of projected free cash flows over the
          four-year period from 2000 to 2003 and (y) the present value of the
          estimated terminal value in year 2003,
     (ii) subtracting the total current outstanding debt of the Company, and
     (iii)adding the total amount of cash and cash equivalents on the Company's
          balance sheet

     Pinnacle Partners also estimated the range of terminal values for the
Company at the end of the four-year period by applying terminal value multiples
of 0.35x to 0.65x to the Company's projected 2003 revenues. The projected cash
flows and estimated terminal values of the Company were discounted using
discount rates ranging from 8% to 12%. The discount rates that were used were
determined by analyzing the estimated weighted average cost of capital ("WACC")
of the Company, based upon the Capital Asset Pricing Model ("CAPM"). The CAPM
determines an estimated WACC based upon:

     (i)  a risk-free rate, which was estimated by using the yield of the
          30-year U.S. Treasury Bond as of June 14, 1999 as a proxy yield, and

     (ii)a risk premium that incorporates the estimated beta for the company,
         which was estimated by analyzing the unlevered betas of the universe
         of Comparable Companies.

     Based upon a WACC of 9.04%, the imputed equity for the Common Stock was
$1.22 per share.

Utilizing the range of terminal multiples and discount rates discussed above,
this analysis resulted in a range of equity values per share shown in the
following table.


                         IMPUTED EQUITY VALUE PER SHARE
       Using the following multiples of 2003 revenues for terminal value:

Discount Rate    .35x        .45x          .55x            .65x

8%               $0.77       $1.04         $1.31           $1.57
9%               $0.72       $0.98         $1.24           $1.50
10%              $0.68       $0.93         $1.18           $1.43
11%              $0.64       $0.88         $1.12           $1.36
12%              $0.60       $0.83         $1.06           $1.29

     Pinnacle Partners noted that the $1.20 per share offered by LHS exceeded
the majority of the imputed equity values per share derived in the Discounted
Cash Flow Analysis. As noted above and below, in arriving at its opinion,
Pinnacle Partners considered the results of all of its analyses as a whole and
did not attribute any particular weight to any analysis, factor or ratio
considered by it.

     OTHER FACTORS AND COMPARATIVE ANALYSES. In rendering the Pinnacle Partners
Opinion, Pinnacle Partners considered certain other factors and conducted
certain other comparative analyses, including, among other things, a review of:

     (i)  indications of interest received from, and discussions with, third
          parties other than LHS;
     (ii) historical and projected financial results of the Company;
     (iii)the history of trading prices and volume for the Common Stock;
     (iv) the shareholder profile of the Company; and
     (v)  selected published analysts' reports on the companies that Pinnacle
          Partners deemed to be generally comparable to the Company.


                                       31

<PAGE>

     As noted above, in arriving at its opinion, Pinnacle Partners considered
the results of all of its analyses as a whole and did not attribute any
particular weight to any analysis, factor or ratio considered by it.

     Subject to the matters set forth in the Pinnacle Partners Opinion, the
judgments made by Pinnacle Partners as to its analyses and the factors
considered by Pinnacle Partners caused Pinnacle Partners to be of the opinion,
as of the date of the Pinnacle Partners Opinion, that the Merger Consideration
was fair, from a financial point of view, to the holders of Common Stock (other
than the Landauer Affiliates and the Sloane Group, as to which Pinnacle Partners
was not requested to express an opinion).

     Pursuant to the Engagement Letter, the Company paid Pinnacle Partners a fee
of $50,000 (the "Fairness Opinion Fee") upon delivery of the Pinnacle Partners
Opinion. Also pursuant to the Engagement Letter, the Company paid Pinnacle
Partners a fee of $10,000 upon the execution of the Engagement Letter and has
agreed to reimburse Pinnacle Partners for its out-of-pocket expenses incurred by
it in connection with its engagement, including all fees and expenses of its
legal counsel. In addition, the Company has agreed to indemnify Pinnacle
Partners and related persons against certain liabilities, including liabilities
under the federal securities laws, arising out of Pinnacle Partners' engagement
as the Company's financial advisor. Pinnacle Partners may provide investment
banking or financial advisory services to the Company or LHS or their affiliates
in the future. Pinnacle Partners is a private investment banking firm whose
senior professionals have extensive experience in the valuation of businesses
and their securities in connection with mergers, acquisitions, private
placements and valuations for corporate and other purposes.

EFFECTS OF THE MERGER

     In General
     ----------

     The Merger will result in 100% of the Company being acquired by LHS for
consideration of $1.20 per share. The total consideration paid will be
$6,035,521.20, all of which will be paid to the shareholders (other than LTTR,
LTTR's member and Merger Sub) for their shares, assuming that there is no
exercise of dissenter's rights. All shareholders of the Company other than LHS
and its affiliates will receive a cash payment for their shares and thereafter
will no longer have any of the rights and privileges of shareholders of the
Company. The merger will result in the Company no longer being a public company.
Its securities will be deregistered and it will no longer be required to file
public reports with the Commission. In addition, the Company will no longer be
subject to the rules provided under Section 16 of the Securities Exchange Act of
1934, as amended (the "Exchange Act"), regarding short-swing profits or the
disclosure provisions of Rule 13e-3 under the Exchange Act.




                                       32

<PAGE>



     Effect on the Unaffiliated Shareholders
     ---------------------------------------

     At the Effective Time (as defined below), by virtue of the Merger and
without any further action on the part of any shareholder of the Company or
Merger Sub:

     (i) each issued and outstanding share of Common Stock and any associated
shareholder rights (other than shares held by dissenting shareholders, LTTR,
LTTR's member and Merger Sub), shall be canceled and converted into the right to
receive $1.20 per share, resulting in aggregate payments to the unaffiliated
shareholders of $3,902,000 (assuming that no shareholder exercises dissenter's
rights);

         (ii)each dissenting shareholder shall be entitled to receive the "fair
value" of his Common Stock as determined in accordance with Section 623 of the
NYBCL (See "Rights of Dissenting Shareholders");

         (iii)each issued and outstanding share of common stock, par value $.01
per share, of Merger Sub shall be converted into one share of common stock of
the Surviving Corporation;

         (iv) each option to purchase shares of Common Stock outstanding prior
to the Effective Time shall be canceled at the Effective Time and each option
holder shall receive, in exchange, a cash payment, which prior to deduction for
applicable withholding taxes, is in an amount equal to the product of (A) the
excess, if any, of the Merger Price over the per share exercise price of the
option and (B) the number of shares subject to the option (whether or not
vested). If the exercise price of any option is equal to or exceeds the Merger
Price, such option shall be canceled without any payment; and

         (v) each warrant to purchase shares of Common Stock outstanding prior
to the Effective Time shall entitle the holder to receive a cash payment equal
to the Merger Price upon exercise of the warrant by the warrant holder at or
before the Effective Time, including payment by the warrant holder of the
exercise price of the warrant. Each such warrant not so exercised shall continue
in effect after the Effective Time until it expires by its own terms, but the
warrant holder shall be entitled only to a cash payment by the Surviving
Corporation equal to the Merger Price upon exercise of the warrant by the
warrant holder, including payment by the warrant holder of the exercise price of
the warrant, until the expiration of the warrant.

     At the Effective Time, if the Merger is consummated, present holders of
Common Stock will no longer have an equity interest in the Company and will
cease to have rights with respect thereto, except the right to receive the
applicable payment in respect of each such share and the right to receive
payment for their Common Stock to the extent that they exercised their right to
dissent with respect thereto prior to the Special Meeting. Present holders of
the Common Stock will neither share in the Company's future earnings and growth
nor the risks associated with such earnings and growth. No transfer of shares of
Common Stock will be made on the stock transfer books of the Surviving
Corporation after the Effective Time.

     The Common Stock is currently registered under the Exchange Act.
Registration of the Shares under the Exchange Act may be terminated upon
application of the Company to the Commission if the Common Stock is neither
listed on a national securities exchange nor held by 300 or more holders of
record. Termination of registration of the Common Stock under the Exchange Act
would substantially reduce the information required to be furnished by the
Company to its shareholders and to the Commission and would make certain
provisions of the Exchange Act no longer applicable to the Company, such as the
shortswing profit recovery provisions of Section 16(b) of the Exchange Act, the
requirement of furnishing a proxy statement pursuant to Section 14(a) of the
Exchange Act in connection with shareholders' meetings and the related
requirement of furnishing an annual report to shareholders. Furthermore, the
ability of "affiliates" of the Company and persons holding "restricted
securities" of the Company to dispose of such securities pursuant to Rule 144 or
144A promulgated under the Securities Act of 1933, may be impaired or
eliminated. LHS intends to seek to cause the Company to apply for termination of
registration of the Shares under the Exchange Act as soon after the consummation
of the Merger as the requirements for such termination are met.

The benefits of the Merger to the unaffiliated shareholders are as follows:



                                       33

<PAGE>



     (i)Consummation of the Merger would remove from the Company's shareholders
the substantial risks inherent in the health care industry, although it would
also eliminate the ability of the shareholders to participate in any future
growth in the value of the Company.

     (ii)The elimination to the shareholders of the risks to the Company
associated with the pending Federal Investigation. If the Company is charged
with criminal wrongdoing and it is determined that the Company engaged in
criminal wrongdoing, the Company will be subject to criminal penalties, which
may include fines of up to $1,000,000 or more and an order of restitution, would
be terminated as a Medicaid and Medicare services provider, and could also be at
the risk of having its contracts with private insurers and other
non-governmental agencies terminated. Additionally, even if the Company is not
charged with criminal wrongdoing itself, but one of its past or present officers
or employees are convicted of crimes related to their employment, the Company
could be terminated as a Medicaid and Medicare provider. In these circumstances,
although the Company would not be subjected to automatic exclusion from such
programs, it could be at risk of having its contracts with private insurers and
other non-governmental agencies terminated.

     (iii) The Merger Price permits the Company's shareholders to recognize with
certainty $1.20 per share in cash for all their shares, whereas, without the
Merger, the ability of the shareholders of the Company to realize the Merger
Price would be uncertain and subject to contingencies beyond the Company's
control.

     (iv)The elimination of the risks presented by the delisting of the Common
Stock from trading in the Nasdaq Small Cap Market, effective March 31, 1999.
Because of the lack of trading volume of the Common Stock and the absence of
market makers to enact transactions in the over-the-counter market, the
Company's shareholders are limited in their ability to liquidate their holdings.

     Effect on the Company
     ---------------------

     At the date and time of the closing under the Merger Agreement (the
"Closing"), a Certificate of Merger (the "Certificate of Merger") will be
delivered to the Secretary of State of the State of New York for filing. The
Merger will become effective at the time of such filing (the "Effective Time").

     At the Effective Time, Merger Sub will be merged with and into the Company,
with the Company continuing as the surviving corporation (in such capacity, the
"Surviving Corporation") and becoming a wholly-owned subsidiary of LHS, which is
controlled by Alan J. Landauer, and LHS will have a 100% interest in the net
book value and net loss per share of the Company of $.66 and $.01, respectively,
based upon the audited financial statements of the Company as of March 31, 1999.
As a result of the Merger, the separate corporate existence of Merger Sub will
cease, and the Surviving Corporation will retain and succeed to all the rights
and be responsible for all the obligations of the Company and Merger Sub in
accordance with the NYBCL.

     At the Effective Time, the Certificate of Incorporation and the By-laws of
Merger Sub as in effect immediately prior thereto, will become the Certificate
of Incorporation and By-laws, respectively, of the Surviving Corporation, until
thereafter amended in accordance with applicable law. The name of the Surviving
Corporation will be Landauer Metropolitan Respiratory Services, Inc.

     The directors and officers of Merger Sub immediately prior to the Effective
Time will become the directors and officers of the Surviving Corporation, each
to hold office in accordance with the Certificate of Incorporation and Bylaws of
the Surviving Corporation. The sole director of Merger Sub is Alan J. Landauer.
The officers of Merger Sub immediately prior to the Merger will be Alan J.
Landauer, President, and the existing officers of the Company.

     The benefits of the Merger to the Company are as follows:

     (i) The Merger, if consummated, would provide the Company with sufficient
capital to satisfy its obligations to the Bank and to take advantage of market
opportunities.

     (ii) The expectation that the Merger will result in the Company and its
affiliates having an increased market share through the merging of customer
bases with LHS and its affiliates, resulting in enhanced bargaining positions
with


                                       34

<PAGE>



vendors, greater visibility to potential customers, economies of scale, and
maximization of efficiency through the merger of management and work forces.

     Effect on Alan J. Landauer and his Affiliates
     ---------------------------------------------

     Upon the consummation of the Merger, LTTR and LHS, which are controlled by
Alan J. Landauer, will have a 100% interest in the net book value and net loss
per share of the Company of $.66 and $.01, respectively, based upon the audited
financial statements of the Company as of March 31, 1999. As a result of the
Merger, the separate corporate existence of Merger Sub will cease, and the
Surviving Corporation will retain and succeed to all the rights and be
responsible for all the obligations of the Company and Merger Sub in accordance
with the NYBCL.

     Effect on Management
     --------------------

     Certain officers and directors of the Company, other than Mr. Landauer, are
also shareholders and will each receive $1.20 per share for their interest in
the Company, for aggregate consideration of $2,133,959, as follows: Thomas Blum,
$12,000; Saverio D. Burdi, $104,692; Louis Rocco, $351,667; and Dean L. Sloane,
$1,665,600. Upon the consummation of the Merger, Mr. Sloane will enter into a
three year Consulting Agreement with the Company providing for annual fees of
$110,000. Following the consummation of the Merger, none of the directors or
officers of the Company, other than Mr. Landauer, will have any interest in the
net book value or net earnings of the Company.

FEDERAL INCOME TAX CONSEQUENCES

     The following is a general summary of the material federal income tax
consequences of the Merger to beneficial owners of Common Stock and to holders
of options and warrants to purchase Common Stock, and is based upon current
provisions of the Internal Revenue Code of 1986, as amended (the "Code"),
existing, proposed, temporary and final regulations thereunder and current
administrative rulings and court decisions, all of which are subject to change
(possibly on a retroactive basis).

     THE TAX DISCUSSION SET FORTH IS INCLUDED FOR GENERAL INFORMATION ONLY.
SHAREHOLDERS ARE URGED TO CONSULT WITH THEIR OWN LEGAL AND TAX ADVISORS
REGARDING THE FEDERAL INCOME TAX CONSEQUENCES OF THE MERGER IN LIGHT OF THEIR
PARTICULAR CIRCUMSTANCES, AND ANY OTHER CONSEQUENCES TO THEM OF THE MERGER UNDER
STATE, LOCAL AND FOREIGN TAX LAWS.

     The receipt of cash by a holder in exchange for such holder's Common Stock
will constitute a taxable transaction to such holder for federal income tax
purposes under the Code. In general, each holder of Common Stock will recognize
gain or loss for federal income tax purposes equal to the difference, if any,
between the cash received pursuant to the Merger or pursuant to the exercise of
dissenters' rights under the NYBCL and such holder's adjusted tax basis for its
Common Stock. In general, such gain or loss will be capital gain or loss and
will be long-term capital gain or loss if the holder has held its Common Stock
for more than one year as of the Effective Time. There are limitations on the
deductibility of capital losses.

     Unless a holder of Common Stock entitled to receive cash payments pursuant
to the Merger complies with certain reporting and certification procedures, or
otherwise demonstrates to the satisfaction of the Paying Agent, as hereinafter
defined, that it is an exempt recipient under applicable withholding provisions
of the Code and the Treasury regulations promulgated thereunder, such holder may
be subject to federal backup withholding at a rate of 31% with respect to all
such cash payments which such holder is entitled to receive. Backup withholding
is not an additional tax. Rather, persons subject to 31% backup withholding
generally will be allowed a credit for the amount of tax withheld against such
person's federal income tax liability for such year.

     Each holder of an option to purchase Common Stock that is outstanding prior
to the Effective Time will, in settlement thereof and without any action by such
holder, be entitled to receive for each share of Common Stock subject to such
option an amount in cash (subject to any applicable tax withholding
requirements) equal to the excess, if any, of the Merger Price over the per
share exercise price of such option. The holder of such option will recognize
ordinary compensation income equal to the cash received pursuant to the Merger
(including any applicable tax withholding) in


                                       35

<PAGE>



respect of such option. Holders of such options should consult their own tax
advisors as to whether all or a portion of the cash payable in respect of an
option may be subject to the 20% nondeductible excise tax under Sections 280G
and 4999 of the Code imposed on "excess parachute payments."

     It is anticipated that each holder of a warrant to purchase Common Stock
that is outstanding prior to the Effective Time and that subsequently expires
without exercise pursuant to the terms of the Merger, may be entitled to
recognize a loss for federal income tax purposes in an amount equal to the
holder's adjusted tax basis in such warrant. Such loss is expected to result
generally in a long-term capital loss for such holder (and be subject to the
limitations on the deductibility of capital losses generally) if the Common
Stock that initially was to be issued upon exercise of the warrant would have
been a capital asset if acquired by such holder and the warrant has been held by
the holder for more than one year at the time such loss is recognized. Loss
recognition may also apply generally to a warrant holder who exercises such
warrant pursuant to the terms of the Merger. Holders of warrants should consult
with their own legal and tax advisors as to the particular tax consequences,
including the amount, character and timing of any loss, that may result for
federal income tax purposes with respect to such warrants.

     Consummation of the Merger will result in an ownership change under
Internal Revenue Code Section 382 which may limit the future use of the
Company's existing net operating loss carry forwards.

     EACH SHAREHOLDER IS URGED TO CONSULT HIS OR HER OWN TAX ADVISOR AS TO THE
PARTICULAR TAX CONSEQUENCES TO HIM OR HER OF THE MERGER, INCLUDING THE
APPLICABILITY AND EFFECT OF ANY FOREIGN, STATE, LOCAL OR OTHER TAX LAWS, ANY
RECENT CHANGES IN APPLICABLE TAX LAWS AND ANY PROPOSED LEGISLATION.

ACCOUNTING TREATMENT

     The Company understands that the Merger will be accounted for by LTTR as a
"purchase" under generally accepted accounting principles.

               DESCRIPTION OF THE MERGER AND THE MERGER AGREEMENT

     The description of the Merger Agreement contained in this Proxy Statement
discusses the material aspects thereof, but does not purport to be complete in
every respect. It is qualified in its entirety by reference to the Merger
Agreement, a copy of which is attached hereto as Annex A and incorporated herein
by reference.

THE MERGER

     At the Effective Time, Merger Sub will be merged with and into the Company,
with the Company continuing as the surviving corporation (in such capacity, the
"Surviving Corporation"). As a result of the Merger, the separate corporate
existence of Merger Sub will cease and the Surviving Corporation will retain and
succeed to all the rights and be responsible for all the obligations of the
Company and Merger Sub in accordance with the NYBCL.

     At the Effective Time, the Certificate of Incorporation and the By-laws of
Merger Sub as in effect immediately prior thereto, will become the Certificate
of Incorporation and By-laws, respectively, of the Surviving Corporation, until
thereafter amended in accordance with applicable law. The name of the Surviving
Corporation shall be Landauer Metropolitan Respiratory Services, Inc.

     The directors and officers of Merger Sub immediately prior to the Effective
Time will become the directors and officers of the Surviving Corporation, each
to hold office in accordance with the Certificate of Incorporation and Bylaws of
the Surviving Corporation.

CONVERSION OF SECURITIES

     At the Effective Time, by virtue of the Merger and without any further
action on the part of any shareholder of the Company or Merger Sub:



                                       36

<PAGE>



         (i) each issued and outstanding share of Common Stock and any
associated shareholder rights (other than shares held by dissenting
shareholders, LTTR, LTTR's member and Merger Sub), shall be canceled and
converted into the right to receive $1.20 per share;

         (ii)each dissenting shareholder shall be entitled to receive the "fair
value" of his Common Stock as determined in accordance with Section 623 of the
NYBCL (See "Rights of Dissenting Shareholders"); and

         (iii)each issued and outstanding share of common stock, par value $.01
per share, of Merger Sub shall be converted into one share of common stock of
the Surviving Corporation.

     At the Effective Time, holders of Common Stock will cease to have rights
with respect thereto, except the right to receive the applicable payment in
respect of each such share and the right to receive payment for their Common
Stock to the extent that they exercised their right to dissent with respect
thereto prior to the Special Meeting. No transfer of shares of Common Stock will
be made on the stock transfer books of the Surviving Corporation after the
Effective Time.

PAYMENT OF MERGER PRICE

     Immediately after the Effective Time, Merger Sub will cause the Surviving
Company to deposit with Continental Stock Transfer & Trust Company (the "Paying
Agent"), an aggregate amount in cash sufficient in the aggregate for the Paying
Agent to make full payment of the Merger Price to the holders of all of the
outstanding Common Stock (other than dissenting shareholders, LTTR, LTTR's
member and Merger Sub). No interest will accrue or be paid to the holder of any
outstanding Common Stock.

     As soon as reasonably practical after the Effective Time, the Paying Agent
will mail to each holder of record of certificates which immediately prior to
the Effective Time represented outstanding shares of Common Stock
("Certificates"): (i) a letter of transmittal which will specify that delivery
shall be effected, and risk of loss and title to each such Certificate shall
pass only upon delivery of such Certificate to the Paying Agent, contain a
representation in a form reasonably satisfactory to the Surviving Corporation as
to the good and marketable title to the Common Stock represented by such
Certificates free and clear of any lien, and contain such other provisions as
the Company and LHS may reasonably specify; and (ii) instructions to effect the
surrender of such Certificates in exchange for an amount equal to the product of
the Merger Price and the number of shares of Common Stock represented by such
Certificate.

     Upon the surrender to the Paying Agent of a Certificate for cancellation,
together with a duly executed letter of transmittal and such other documents as
the Paying Agent may reasonably require, the Paying Agent will deliver the
applicable Merger Price in respect of the shares of Common Stock represented by
such Certificate, without interest. The Paying Agent will promptly surrender
such Certificate to the Surviving Corporation for cancellation.

     HOLDERS OF COMMON STOCK SHOULD NOT FORWARD THEIR STOCK CERTIFICATES WITH
THE ENCLOSED PROXY CARD, NOR SHOULD THEY RETURN THEIR STOCK CERTIFICATES TO THE
PAYING AGENT, UNTIL THEY HAVE RECEIVED A LETTER OF TRANSMITTAL.

REPRESENTATIONS AND WARRANTIES

     The Merger Agreement contains various representations and warranties of the
Company relating to, among other things, the following matters regarding the
Company and its subsidiaries (which representations and warranties are subject,
in certain cases, to specified exceptions): (i) due organization, qualification
and corporate power; (ii) capital structure; (iii) the authorization, validity
and enforceability of the Merger Agreement; (iv) the absence of any conflict
with applicable laws and contracts to which they are a party; (v) reports and
other documents filed with the Commission; (vi) title to assets; (vii)
subsidiaries; (viii) the accuracy and completeness of the Company's financial
statements; (ix) the absence of material adverse changes since December 31,
1998; (x) the absence of undisclosed liabilities; (xi) the absence of any
requirement to pay broker's fees in connection with the Merger; (xii) compliance
with laws; (xiii) tax matters, including the payment of taxes and filing of tax
returns; (xiv) intellectual property rights; (xv) rights to tangible assets;
(xvi) the quality of its inventory; (xvii) contracts and other agreements to
which they are party; (xviii) the validity and collectibility of notes, accounts
receivable and reimbursements; (xix) the absence of powers of attorney granted
by any of them; (xx) the validity of insurance policies; (xxi) litigation;
(xxii) product warranties; (xxiii) employee relations;


                                       37

<PAGE>



(xxiv) employee benefit plans; (xxv) the absence of guaranties of obligations of
other parties; (xxvi) compliance with laws governing environmental, health and
safety issues; (xxvii) the absence of business arrangements or relationships
with the holders of Common Stock; (xxviii) possession of all licenses, permits
and other authorizations necessary to own and operate its assets and participate
in reimbursement programs as currently participated in; and (xxix) the absence
of termination proceedings as to participation in Medicare or Medicaid.

     The Merger Agreement contains various representations and warranties of LHS
and Merger Sub relating to, among other things: (i) due organization; (ii) the
authorization, validity and enforceability of the Merger Agreement; (iii) the
absence of any conflict with applicable laws and contracts to which they are a
party; (iv) the absence of any requirement to pay broker's fees in connection
with the Merger; and (v) the absence of litigation with respect to the execution
of the Merger Agreement and the consummation of the transactions contemplated
thereby.

     Except for the agreements relating to the payment of the Merger Price and
provisions concerning indemnification, none of the representations, warranties
and covenants of the parties to the Merger Agreement will survive the Effective
Time.

CONDUCT OF BUSINESS PENDING THE MERGER

     The Company has agreed that from the date of the Merger Agreement it will
not (and will not cause or permit any of its subsidiaries to) engage in any
practice, take any action, or enter into any transaction outside the ordinary
course of business.

EXCLUSIVITY

     The Company has agreed that it will not (and will not cause or permit any
of its subsidiaries to) solicit, initiate or encourage the submission of any
proposal or offer from any person relating to the acquisition of all or
substantially all of its capital stock or assets, except that the Company and
its subsidiaries and their respective directors and officers may participate in
any discussion or negotiations regarding, furnish any information with respect
to, assist or participate in, or facilitate in any other manner any effort to or
attempt by any person to do or seek any of the foregoing to the extent their
fiduciary duties may require. The Company is required to notify LHS immediately
if any person makes any proposal, offer, inquiry or contact with respect to any
of the foregoing.

CONDITIONS PRECEDENT TO THE MERGER

     The obligations of the Company, LHS and Merger Sub to consummate the Merger
are conditioned, among other things, on the following:

     (i) The Merger Agreement receiving the approval of at least 66 2/3% of the
issued and outstanding Common Stock;

     (ii)The Company and its subsidiaries obtaining all required third party
consents to the Merger;

     (iii) The absence of any pending or threatened action, suit or proceeding
which could prevent the consummation of any of the transactions contemplated by
the Merger Agreement, cause the rescission of any of the transactions
contemplated by the Merger Agreement following consummation, adversely effect
the right of LHS to own the capital stock of the Surviving Corporation and to
control the Surviving Corporation and its subsidiaries, or adversely affect the
right of the Surviving Corporation or its Subsidiaries to own its assets and
operate its business;

     (iv)The parties receipt of all authorizations, consents and approvals of
governments and governmental agencies required in connection with the Merger;
and

     (v) LHS and Merger Sub obtaining all of the financing they require in order
to consummate the Merger.



                                       38

<PAGE>



     In addition, the obligation of LHS and Merger Sub to consummate the Merger
is conditional, among other things, on the number of dissenting shares not
exceeding 5% of the total number of issued and outstanding shares (not including
those shares owned by LTTR, LTTR's members and Merger Sub).

     Conditions to the closing of the Merger Agreement may be waived upon the
agreement of the parties, or upon the assent of the party having the right to
terminate the Merger Agreement if a given condition is not met, as the case may
be.

TERMINATION

     The Merger Agreement may be terminated at any time prior to the Closing,
whether before or after approval of the Merger by the Company's shareholders:

         (i) by mutual written consent of the Company, LHS and Merger Sub;

         (ii) by either LHS or Merger Sub if (a) the Company has breached any
material representation, warranty or covenant contained in the Merger Agreement
in any material respect and failed to cure such breach for a period of ten days
after receipt of notice of the breach from LHS or Merger Sub or (b) if the
closing does not occur on or before August 30, 1999 due to the failure of any
condition precedent to the obligation of LHS and Merger Sub to close (unless the
failure results primarily from LHS or Merger Sub breaching any representation,
warranty or covenant contained in the Merger Agreement);

         (iii)by the Company if (a) LHS or Merger Sub has breached any material
representation, warranty or covenant contained in the Merger Agreement in any
material respect and failed to cure such breach for a period of ten days after
receipt of notice of the breach from the Company or (b) if the Closing does not
occur on or before August 30, 1999 due to the failure of any condition precedent
to the obligation of the Company to close (unless the failure results primarily
from the Company breaching any representation, warranty or covenant contained in
the Merger Agreement); and

         (iv) by any party giving notice to the other parties at any time after
the Special Meeting if the Merger Agreement and the Merger fail to receive the
requisite shareholder approval.

     If the Merger Agreement is terminated prior to Closing, the Company and its
management will continue to explore strategic alternatives to enhance
shareholder value. There can be no assurance that such alternatives will be
available to the Company or that they can be obtained on terms as favorable to
the Company and the shareholders as those provided for in the Merger Agreement.

FEES AND EXPENSES

     Regardless of whether the Merger is consummated, all expenses incurred in
connection with the transactions contemplated by the Merger Agreement will be
paid by the party incurring such expenses (including legal fees and expenses).
Notwithstanding the foregoing, if the Merger Agreement terminates prior to the
Closing because either (i) there is a breach by the Company of any material
representation, warranty or covenant contained in the Merger Agreement in any
material respect which is not cured within ten days after receipt of notice of
the breach from LHS or Merger Sub (other than failures which result primarily
from LHS or Merger Sub breaching any representation, warranty or covenant
contained in the Merger Agreement) or (ii) if the Company terminates the Merger
Agreement prior to obtaining shareholder approval of the Merger and the Merger
Agreement as a result of having received an acquisition proposal that the Board
of Directors of the Company determines, in good faith, and after consultation
and advice from its financial advisors, is likely to be subject to completion
and would, if consummated, result in a transaction more favorable, from a
financial point of view, to the Company's shareholders than the Merger, then the
Company shall pay to LHS a termination fee of $350,000, and will reimburse LHS
for any and all expenses incurred by LHS and Merger Sub, including attorneys'
fees, relating to or arising out of the Merger Agreement and the transactions
contemplated by the Merger Agreement.

     Fees and expenses of the Company in connection with the Merger, including
filing fees, printing costs, attorneys' fees and costs, fees of the Company's
independent certified public accountants, and fees of $50,000 and out-of-pocket


                                       39

<PAGE>



expenses to Pinnacle Partners, are expected to total approximately $150,000,
exclusive of fees and costs of LHS and Merger Sub.


                         SLOANE SHAREHOLDERS' AGREEMENT

     The Sloane Group and LHS entered into the Sloane Shareholders' Agreement
concurrent with the execution of the Merger Agreement under which the Sloane
Group agreed to vote all of the shares of Common Stock owned by it (not less
than 2,091,450 shares) in favor of the Merger. A complete copy of the Sloane
Shareholders' Agreement was included with an amendment to the Schedule 13D with
respect to the Company filed by LHS, LTTR and Alan J. Landauer with the
Commission on June 9, 1999.

     In order to induce LHS and Merger Sub to enter into the Merger Agreement,
and pursuant to the Sloane Shareholders' Agreement, the Sloane Group also
granted an irrevocable proxy to LHS and any designee of LHS to vote its shares
of Common Stock at any meeting of shareholders or in response to any
solicitation of proxies with respect to the Merger or certain other transactions
for a period of six months from the date of the Sloane Shareholders' Agreement.

                        RIGHTS OF DISSENTING SHAREHOLDERS

     Holders of Common Stock who oppose the Merger and comply with the
provisions of Section 623 of the NYBCL are entitled to demand and receive in
cash the fair value of their shares as determined pursuant to the NYBCL. Company
shareholders who wish to exercise this right must file a written objection to
the Merger prior to the Special Meeting or at the Special Meeting but before the
vote on the Merger, must not vote in favor of the Merger, and must meet certain
other conditions. This objection may be withdrawn at any time prior to a
dissenting shareholder's acceptance of an offer from the Company upon the
satisfaction of certain conditions. Such shareholders will forfeit their right
to a cash value payment if they do not comply with all statutory procedures and
requirements.

     The written objection must include a notice of election to dissent, the
name and residence address of the shareholder, the number of shares of Common
Stock as to which he or she dissents and a demand for payment of the fair value
of his or her shares of Common Stock if the Merger is approved and carried out.
A shareholder may not dissent as to less than all of his or her shares as to
which he or she has a right to dissent.

     The above is a brief summary of dissenting shareholders' rights, which is
not meant to be a complete description of the procedures for exercising rights
pursuant to Section 623 of the NYBCL. Please see the text of Section 623 of the
NYBCL attached hereto as Annex B for a complete description of the procedure for
exercising dissenting shareholders' rights.

                           SOURCE AND AMOUNT OF FUNDS

     LHS and Merger Sub intend to finance the payment of the Merger Price and
costs relating to the Merger through borrowings from financial institutions. In
order to complete the Merger, LHS and Merger Sub also expect to refinance the
Company's existing bank loan and repay short-term borrowings used to acquire the
Sheinwald Shares. Total funds needed to complete the transaction are expected to
be approximately $12 million. Prior to the date of the Special Meeting, LHS and
Merger Sub expect to secure binding commitments from commercial lending
institutions to provide senior financing of approximately $9 million (the
"Senior Financing") and subordinated debt of approximately $3 million (the
"Junior Financing"). LHS and Merger Sub are currently considering Senior
Financing proposals from three commercial banks and Junior Financing proposals
from two financial institutions.

     The Senior Financing is expected to bear interest at a rate of
approximately 9% and have a repayment term of 6 to 10 years. The Junior
Financing is expected to have a yield of approximately 20% and allow a portion
of interest to be paid in kind. Both the Senior Financing and the Junior
Financing will be secured by a blanket security interest on all of the assets of
LHS and the Company. LHS expects to repay amounts owing under the Senior
Financing and Junior Financing from available cash from operations of LHS and
the Company.



                                       40

<PAGE>




            MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

     The Common Stock and Class A Warrants of the Company are traded on the OTC
Bulletin Board and the Boston Stock Exchange under the symbols "CCSE" and
"CCSEW", respectively. Prior to March 31, 1999, the Common Stock had been traded
on the Nasdaq SmallCap Market, but was delisted from the SmallCap Market
following the determination by the Nasdaq Listing Qualifications Panel that the
Common Stock failed to maintain a minimum bid price of $1.00 per share pursuant
to Nasdaq Marketplace Rules.

     Set forth below are the high and low bids for the Common Stock and Class A
Warrants during the periods indicated as provided by the Nasdaq SmallCap, and as
appeared on the OTC Bulletin Board following the delisting of the Common Stock
from the Nasdaq SmallCap Market at the close of business on March 30, 1999. Such
quotations reflect interdealer price without retail mark-up, markdown or
commissions, and may not reflect actual transactions.



       COMMON STOCK
   FISCAL QUARTER ENDED               HIGH          LOW
- --------------------------        -----------  -------------

March 31, 1997............           4.875        3.938
June 30, 1997.............           4.625        0.625
September 30, 1997........           1.813        0.844
December 31, 1997.........           3.031        1.250
March 31, 1998............           4.625        1.906
June 30, 1998.............          5.6875        1.375
September 30, 1998........          2.9375        0.625
December 31, 1998.........          0.9375       0.1875
March 31, 1999............           1.000        0.250


    CLASS A WARRANTS
  FISCAL QUARTER ENDED               HIGH           LOW
- --------------------------        -----------  -------------
March 31, 1997                       3.375        2.063
June 30, 1997                        3.125        0.125
September 30, 1997                   0.500        0.063
December 31, 1997                    1.000        0.344
March 31, 1998                       1.500        0.625
June 30, 1998                        1.375       0.3125
September 30, 1998                   1.000        0.125
December 31, 1998                   0.1875        0.010
March 31, 1999                       0.050        0.050

     On June 8, 1999, there were approximately 474 holders of record of the
common stock, which include all shares held in nominee names by brokerage firms
and financial institutions as one shareholder.

     The Company has not paid cash dividends on its common stock and anticipates
that, for the foreseeable future, any earnings will be retained for use in its
business and no cash dividends will be paid.

            MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION

     Item 6 "Management's Discussion and Analysis of Financial Condition or Plan
of Operation" in the Company's Annual Report on Form 10-KSB for the fiscal year
ended March 31, 1999 is incorporated herein by reference.

            DELISTING AND DEREGISTRATION OF COMMON STOCK AND WARRANTS

     If the Merger is consummated the Common Stock and the Warrants will cease
to be publicly traded and therefore will be deregistered under the Exchange Act.
As a result, the Company will no longer be obligated to file reports pursuant to
Section 13 of the Exchange Act.


                                       41

<PAGE>




         SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

     The following table sets forth certain information regarding beneficial
ownership of the Company's Common Stock on July 31, 1999 with respect to (a)
each person or group known to the Company to be the beneficial owner of more
than 5% of the outstanding shares of Common Stock, (b) each director of the
Company, (c) each named executive officer of the Company (as that term is
defined in Item 402(a)(2) of Regulation S-B promulgated by the Commission) and
(d) all officers and directors of the Company as a group. Except as set forth
below, all of such shares are held of record and beneficially.


     NAME AND ADDRESS OF         AMOUNT AND NATURE OF     PERCENT OF
      BENEFICIAL OWNER           BENEFICIAL OWNERSHIP        CLASS
      ----------------           --------------------        -----
Alan J. Landauer...............       4,279,700(1)           59.30%
99 Calvert Street
Harrison, NY 10528

LTTR Home Care, LLC............       2,126,250              29.46%
99 Calvert Street
Harrison, New York 10528

Dean L. Sloane.................       1,663,800(2)           23.05%
4 Gannett Drive
White Plains, NY 10604

Thomas C. Blum.................          10,000(3)               *
Columbia Financial Partners, LP
375 Park Avenue
New York, NY 10152

Louis Rocco....................         293,056               4.06%
18 Sargent Place
Mt. Vernon, NY 10550

Gary J. Spirgel................               0                  *
18 Sargent Place
Mount Vernon, NY 10550

Saverio D. Burdi...............          87,243(4)            1.21%
18 Sargent Place
Mt. Vernon, NY 10550

Harris G. Leroy II.............               0                  *
6 Betsy Ross Court
Skillman, New Jersey 08558

All Officers and Directors.....       4,669,999              64.64%
 as a Group (7 persons)

- ------------
*Less than one percent.

(1)  Includes 2,126,250 shares owned by LTTR. Also includes an aggregate of
     2,091,450 shares owned by the Sloane Group, for which proxies have been
     granted to LHS and any designee of LHS for the purpose of voting such
     shares at any meeting of shareholders or in response to any solicitations
     of proxies for a period of six months expiring December 14, 1999. See
     "Sloane Shareholders' Agreement."



                                       42

<PAGE>



(2)  Includes 100,000 Shares owned by Mr. Sloane's wife, Mary Sloane, 800 shares
     owned by Mr. Sloane's son, Joshua Sloane and 175,000 Shares owned by The
     Sloane Family Foundation for which Mr. Sloane disclaims beneficial
     ownership. Mr. Sloane has granted an irrevocable proxy to LHS and any
     designee of LHS for the purpose of voting such shares at any meeting of
     shareholders or in response to any solicitation of proxies for a period of
     six months expiring December 14, 1999. See "Sloane Shareholders'
     Agreement."

(3)  Mr. Blum disclaims beneficial ownership of 27,000 shares of Common Stock
     owned by his brother James J. Blum.

(4)  Includes options to purchase 25,000 shares of Common Stock at an exercise
     price of $.50 per share granted to Mr. Burdi as of December 14, 1998.

     The following table sets forth certain information regarding beneficial
ownership of the Company's Common Stock on July 31, 1999 by the officers and
directors of the Company:


       NAME AND ADDRESS OF          AMOUNT AND NATURE OF
        BENEFICIAL OWNER            BENEFICIAL OWNERSHIP       PERCENT OF CLASS
        ----------------            --------------------       ----------------

Alan J. Landauer.................       4,279,700(1)                59.30%
99 Calvert Street
Harrison, NY 10528

Dean L. Sloane...................       1,663,800(2)                23.05%
4 Gannett Drive
White Plains, NY 10604

Thomas C. Blum...................          10,000(3)                    *
Columbia Financial Partners, LP
375 Park Avenue
New York, NY 10152

Louis Rocco......................         293,056                    4.06%
18 Sargent Place
Mt. Vernon, NY 10550

Gary J. Spirgel..................               0                       0
18 Sargent Place
Mount Vernon, NY 10550

Saverio D. Burdi.................          87,243(4)                 1.21%
18 Sargent Place
Mt. Vernon, NY 10550

Elia C. Guarneri.................               0                       0
18 Sargent Place
Mt. Vernon, New York

All Officers and Directors ......       4,669,999                   64.64%
as a  Group (7 persons)

- ------------
*      Less than one percent.

(1)  Includes 2,126,250 shares owned by LTTR. Also includes an aggregate of
     2,091,450 shares owned by the Sloane Group, for which proxies have been
     granted to LHS and any designee of LHS for the purpose of voting such
     shares at any meeting of shareholders or in response to any solicitations
     of proxies for a period of six months expiring December 14, 1999. See
     "Sloane Shareholders' Agreement."

(2)  Includes 100,000 Shares owned by Mr. Sloane's wife, Mary Sloane, 800 shares
     owned by Mr. Sloane's son, Joshua Sloane and 175,000 Shares owned by The
     Sloane Family Foundation for which Mr. Sloane disclaims beneficial
     ownership. Mr. Sloane has


                                       43

<PAGE>



     granted an irrevocable proxy to LHS and any designee of LHS for the purpose
     of voting such shares at any meeting of shareholders or in response to any
     solicitation of proxies for a period of six months expiring December 14,
     1999. See "Sloane Shareholders' Agreement."

(3)  Mr. Blum disclaims beneficial ownership of 27,000 shares of Common Stock
     owned by his brother James J. Blum.

(4)  Includes options to purchase 25,000 shares of Common Stock at an exercise
     price of $.50 per share granted to Mr. Burdi as of December 14, 1998.


            ADDITIONAL INFORMATION ABOUT THE COMPANY AND ITS BUSINESS

BUSINESS DEVELOPMENT

     The Company was incorporated in the State of New York in 1992. The Company,
together with Metropolitan, provides home health care services and products
consisting primarily of respiratory equipment, rental and sale of durable
medical equipment and sale of home health care supplies primarily in the five
boroughs of New York City, and Westchester, Rockland and Nassau Counties in New
York State, as well as northern New Jersey.

     In April 1993, the Company acquired certain assets of Adam, including
inventory, office equipment and an assignment of the office lease. Since
acquiring the assets of Adam, the Company's management has expanded operations
by implementing a sales strategy focusing on an informed diagnostic-centered
approach, signing new major payor contracts with additional HMOs and PPOs
including Oxford Health Plans, Metro Plus Health Maintenance Organization,
NYLCare, The Bronx Health Plan, US Healthcare, HealthFirst, and Local 1199
National Benefit Fund, and offering new equipment, products and services such as
low air loss beds, alternating pressure beds and standing wheelchairs. In
addition, the Company has significantly increased its sales of medical supplies
as a result of becoming a provider of disposable medical supplies for the
largest certified home health care agency in New York.

     On October 18, 1996, the Company consummated an initial public offering of
its securities. Pursuant to the offering, with an overallotment of 195,000
units, the Company sold 1,495,000 shares of Common Stock at a price of $5.10 per
share and 1,495,000 Class A Warrants at a price of $.10 per Warrant, each such
Warrant entitling the holders thereof to purchase one share of Common Stock at
an exercise price of $6.00 per share. The gross aggregate proceeds from the
public offering were $7,774,000 and the net proceeds to the Company were
$5,638,326.

     On May 10, 1997, the Company acquired 68% of the outstanding shares of
Metropolitan for a purchase price of approximately $5,993,000, consisting of
approximately $2,800,000 in cash, Promissory Notes with an aggregate principal
amount of $2,967,000 accruing interest at a rate of 6% per annum, a portion of
which was issued to certain Metropolitan employees (including a Promissory Note
for $444,000 issued to Wade Wilson, the brother-in-law of Alan T. Sheinwald, who
at the time was the President and Chief Executive Officer of the Company), and
62,243 shares of the Company's common stock with a value of $226,000. Also on
May 10, 1997, the Company purchased the remaining 32% of the outstanding shares
of Metropolitan in a separate transaction. The purchase price was approximately
$2,487,000 consisting of $1,300,000 in cash, 300,000 shares of common stock of
the Company with a value of $1,087,000 and a one year Promissory Note with a
face value of $100,000 accruing interest at a rate of 6% payable quarterly.

     Metropolitan was incorporated on April 15, 1974 and is engaged in the sale
and rental of medical supplies and durable medical equipment within the New York
metropolitan area. The Company has continued to operate Metropolitan as a
separate business and has treated Metropolitan as a wholly-owned subsidiary.

BUSINESS OF THE COMPANY

     The Company is a provider of an extensive variety of home health care
products and services. The Company services the home health care market by
coordinating with various health care workers and payor case managers to
determine the home health needs of patients.



                                       44

<PAGE>



     The importance of home health care is increasing as a result of significant
economic pressure within the health care industry. The ongoing pressure to
contain health care costs, while maintaining high quality care, is accelerating
the growth of alternate site care that reduces hospital admissions and lengths
of hospital stays, such as home health care.

     The growth in home health care is also due to increased acceptance by
payors, patients and the medical community, including physicians, hospitals and
other providers. Home health care often results in lower costs, which is
increasingly important under managed care. In addition, home health care has
grown rapidly as a result of advances in medical technology, which have
facilitated the delivery of services in alternate sites; demographic trends,
such as an aging population; and a strong preference among patients to receive
health care in their homes.

     The home health care industry is highly fragmented and characterized by
local providers that typically do not offer a comprehensive range of
cost-effective services. These local providers often do not have the capital
necessary to expand their operations or the range of services offered, which
limits their ability to compete for managed care contracts and other referrals
and to realize efficiencies in their operations. As managed care has become more
prevalent, payors increasingly are seeking home health care providers that offer
a cost-effective, comprehensive range of services in each market served, which
further inhibits the ability of local providers to compete effectively. As a
result of these economic and competitive pressures, the home health care
industry is undergoing rapid consolidation, a trend the Company expects will
continue.

PRODUCTS AND SERVICES

     The Company services patients referred to the Company by nurses,
physicians, social workers and payor case managers, as well as discharge
planners at hospitals, HMOs, PPOs and rehabilitation centers. Working with these
individuals, the Company's personnel coordinate the delivery and set-up of the
products and supplies to be used by patients in their home recovery and care.
Upon receipt of an order, the Company will arrange for the appropriate products
and supplies to be delivered to the patient at home. At the time of delivery,
the Company's personnel will set up equipment as necessary and spend time with
the patient and/or care givers to explain the proper use of the medical
equipment delivered. The Company handles customer service inquiries via an 800
telephone number, and will generally send its personnel to visit the patient, if
necessary, to rectify any problems that may arise.

     The primary categories of products provided by the Company (and examples of
the products available in each category) are set forth below:

Durable Medical Equipment

     --  Hospital beds

     --  Wheelchairs

     --  Walking Aids

     --  Bathroom safety equipment

     --  Patient lifts

Disposable Medical Supplies  ("Supplies")

     --  Incontinent products (diapers, liners, chux)

     --  Wound care products (dressings and bandages for treating decubitus (bed
         sores and lesions, pressure sores, ulcerations, etc.)

     --  Nutritional products (Ensure, Sustacal, etc.)

     --  Diabetic products/supplies


                                       45

<PAGE>



     --  Ostomy supplies

     --  Urological supplies (catheters, etc.)

     --  Blood pressure products

     --  Skin care products

Rehabilitation Products  ("Rehabilitation")

     --  Powered operated vehicles (Includes specialized versions such as
         wheelchairs and scooters)

     --  Advanced support surfaces (low air loss beds, alternating pressure
         mattresses)

     --  Specialized seating

Respiratory Equipment and Products ("Respiratory")

     --  0(2) concentrators

     --  Nebulizers with compressors

     --  Suction pumps

     --  Oximetry equipment

     --  C-PAP (Continuous positive air pressure) equipment

     --  Bi-PAP (Bi-level positive air pressure) equipment

     The Company provides a diversified range of services and products. The
following table sets forth the percentage of net revenues represented by each
category of product for the years ended March 31:


                                      YEAR ENDED
                                       MARCH 31,
                               -------------------------

                                1999                1998
                                ----                ----
    DME and Supplies           54.7%                58.9%
     Rehabilitation            15.0%                15.6%
       Respiratory             30.3%                25.5%
                               ----                 ----
                               100.0%              100.0%
                               =====               =====

     The Company's inventory is housed in its 20,000 square foot
office/warehouse facility in Mount Vernon, New York. All of its products are
readily available from more than one supplier and the Company can generally fill
an order within 24 hours of placement. The Company operates on a regular basis
24 hours a day, Monday through Saturday and provides services on an emergency
basis on Sundays. The Company utilizes its 800-telephone number for customer
service calls. The Company's office receives calls from 8:00 A.M., to 6:00 P.M.,
Monday through Friday and 9:00 A.M., to 1:00 P.M., on Saturdays, while an
answering service handles calls at all other hours. The Company's service
technicians are available to handle calls on a 24-hour basis.

     Generally, the fees charged by the Company for its products and supplies
are covered by third party payor arrangements such as Medicaid, Medicare or
private insurance. Equipment such as hospital beds, wheelchairs and patient
lifters covered by Medicare is generally paid for on a rental basis over a
15-month term. In many instances, such equipment is returned to the Company
prior to the 15-month term, in which case the equipment is re-conditioned and


                                       46

<PAGE>



available for a new rental term. Generally, the equipment can be reconditioned
for use to be available for several rental terms for a period in excess of five
years. The Company receives a semi-annual maintenance payment for any equipment
that is used in excess of 15 months on a per patient basis. Purchased equipment
covered by Medicare is reimbursed at approved published prices. Equipment
covered by Medicaid is generally sold pursuant to an approved price range or a
cost plus fee basis. Insurance payors use customary and usual standards for
their reimbursement terms, which are generally comparable to Medicare terms. For
the fiscal year ended March 31, 1999, the average days of sales outstanding from
the day of billing was 146 days from Medicare, 131 days from Medicaid and 128
days from private insurers and other non-governmental agencies, respectively. An
inconsequential percentage of the Company's business is direct cash sales to
customers. For the fiscal years ended March 31, 1999 and 1998, the allocation of
net revenues among the Company's third party payors was approximately 34.2% and
30.0% to Medicare, 30.5% and 30.7% to Medicaid and 35.3% and 39.3% to private
insurers and other non-governmental agencies, respectively.

COMPETITION

     The home health care provider industry is highly competitive. While there
are a few select national providers, the Company currently encounters its most
significant competition in providing home health care products from small
commercial providers operating in the New York metropolitan area. Relatively few
barriers to entry exist in the home health care industry. Accordingly, other
companies, including managed care organizations and health care providers that
currently are not serving the home health care market, may become competitors.
Recently there has been consolidation of home health care companies within the
New York Metropolitan area. Such consolidation may limit the Company's ability
to maintain or increase its market share, which may materially affect its
business, results of operations and financial condition. The Company believes
that health care facilities in the geographic area serviced by the Company
consider quality of care, reliability and reputation to be the most important
factors in referring a home health care provider to its patients, although other
factors such as financial stability, personnel policies and practices and costs
are also considered.

     The Company's objective is to enhance its position as a leading regional
provider of cost-effective, comprehensive home health care. Management believes
that offering comprehensive services and maintaining a strong regional presence
are essential to generate referrals, particularly from managed care
organizations and other payors. The Company expects that managed care contracts
will generate an increasing number of referrals as the penetration of managed
care accelerates.

     The Company has developed and implemented service and procedure standards
that comply with the standards required by the Joint Commission on Accreditation
of Healthcare Organizations ("JCAHO"), a nationally recognized organization that
develops standards for various health care industry segments and monitors
compliance with those standards through voluntary surveys of participating
providers. As the home health care industry has grown, the need for objective
quality measurements has increased. Not all providers have chosen to undergo the
accreditation process because of its expense and time burden. Consequently, the
Company has positioned itself to procure managed care contracts in part because
of its choice to undergo rigorous review of its operations. The Company and
Metropolitan are JCAHO accredited.

GOVERNMENT REGULATION AND REIMBURSEMENT

     The Company and Metropolitan must comply with and are subject to extensive
federal and state regulations in connection with their participation in Medicaid
and Medicare. Medicare is a federal health insurance program for the elderly and
for chronically disabled individuals, which pays for equipment and services when
medically necessary. Medicare uses a charge-based reimbursement system for
purchased medical equipment based on approved published prices. Equipment such
as hospital beds, wheelchairs and patient lifters is generally paid for on a
rental basis over a 15 month term, with maintenance payments semi-annually
thereafter on a per patient basis.

     Medicaid is a combined federal-state program for medical assistance to
impoverished individuals who are aged, blind or disabled or members of families
with dependent children. The Medicaid program in New York is subject to federal
requirements. The New York State Department of Health ("DOH") has the authority
to set levels of reimbursement within federal guidelines. These reimbursement
levels are generally consistent with the Company's customary charges.


                                       47

<PAGE>



     The Company has submitted a reenrollment application to DOH for
Metropolitan, which is currently pending. Pursuant to State regulations,
reenrollment is required due to change in ownership of Metropolitan. An adverse
determination on reenrollment, which is not subject to judicial review, would
have material adverse consequences on the Company's business, results of
operations and financial condition. The Company has surrendered it Medicaid
provider number as part of a settlement reached with DOH and transferred its
Medicaid business to Metropolitan. See "Additional Information About the Company
and Its Business - Legal Proceedings."

     Government funding for health care programs, including Medicare and
Medicaid, is subject to changes in laws and regulations, administrative rulings,
interpretations of policy, determinations by intermediaries and governmental
funding restrictions, all of which could materially increase or decrease program
reimbursements for the Company's products and services. Efforts have been made
at various governmental levels to reduce the costs of such programs, and no
assurance can be given that future funding levels for Medicare and Medicaid
programs will be comparable to present levels. Changes in reimbursement policies
as a result of budget cuts or other government action could adversely affect the
Company's operations. The Company anticipates that Congress and state
legislatures will continue to review and assess alternative health care delivery
systems and cost-control measures, and public debate of these issues will likely
continue in the future. The level of revenues and profitability of the Company,
like those of other health care providers, will also be affected by the
continuing efforts of private payors to contain or reduce the costs of health
care by lowering reimbursement rates, increasing case management review of
service, negotiating reduced contract pricing and capitation arrangements.

     The Company, like other Medicaid-Medicare providers, is subject to
governmental audits and other reviews and investigations related to Medicaid and
Medicare reimbursement claims. The Company is also subject to various fraud and
abuse laws that are designed to maintain the integrity of the Medicare and
Medicaid programs. These laws prohibit, among other things, any bribe, kickback,
rebate or remuneration of any kind in return for, or as an inducement for, the
referral of Medicare or Medicaid patients (the "Anti-kickback Statute"). The
United States Department of Health and Human Services ("HHS") has interpreted
the Anti-kickback Statute broadly to include the intentional payment of anything
of value to influence the referral of a Medicare and Medicaid recipient. HHS has
also adopted regulations creating "safe harbors" that exempt certain types of
business relationships and payments that do not appear to pose a threat of
Medicare and Medicaid program abuse. Transactions covered by the Anti-kickback
Statute that do not conform to applicable safe harbors are not necessarily in
violation of the Anti-kickback Statute, but the practice may be subject to
increased scrutiny and possible prosecution. A violation of the Anti-kickback
Statute may result in civil and criminal penalties, including imprisonment,
fines of up to $1,000,000 and orders of restitution, as well as exclusion from
participation in the Medicare and Medicaid programs.

     Federal and state enforcement authorities have significantly increased the
amount of resources devoted to the investigation and prosecution of health care
fraud and abuse. For example, under the Health Insurance Portability and
Accountability Act (the "Act"), which was enacted in 1996, new appropriations
have been earmarked to fund government enforcement activities, a new federal
program has been established to coordinate and centralize such activities, and a
national data bank has been created to collect information regarding adverse
actions (including civil, criminal, license, and certification sanctions)
against health care providers, suppliers and or licensed practitioners.

     The Act also strengthens existing anti-fraud programs. The Act conforms
Medicare's civil monetary penalty provision to cover certain conduct that is
prohibited elsewhere under the Medicare statute and other federal laws. The Act
also added a rule under the civil monetary penalty provision prohibiting a
person from remunerating a Medicare or Medicaid beneficiary that the person
knows or should know is likely to influence the beneficiary to order or receive
items or services. The Act further provides for mandatory exclusion from the
Medicare/Medicaid Programs of an individual (or entity) convicted of a felony
relating to health care fraud, and authorizes permissive exclusions of up to
three years for the conviction of other health care offenses. The Act also
allows for the permissive exclusion of certain individuals who (i) maintain a
controlling interest in a sanctioned entity and who knew or should have known of
the action constituting the basis of the sanction or (ii) who serve as managing
employees or officers of such a sanctioned entity.

     There has also been an increase in enforcement activities under the fraud
and abuse laws pursuant to Operation Restore Trust, a federal government
initiative that focuses on the reimbursement practices of nursing homes, home
health care agencies and durable medical equipment companies located in the five
states with the largest Medicare


                                       48

<PAGE>



populations. The targeted states include California, Florida, Illinois, New York
and Texas. Operation Restore Trust has been responsible for millions of dollars
in civil and criminal restitution, fines, recovery of overpayments and the
exclusion of a number of individuals and corporations from the Medicare program.

     Pursuant to the federal/state statutory regulations and administration of
the Medicaid program, each state has a Medicaid Fraud Control Unit. In New York
State that Unit is placed within the Office of the Attorney General. This office
has broad civil and criminal jurisdiction over Medicaid providers. In the course
of its operations, it reviews Medicaid providers. The Company is currently the
subject of such a review. Several other providers of medical equipment and
supplies in the same general geographic area have recently been subject to
similar reviews.

     The Company has implemented a Medicare and Medicaid Compliance Plan. The
Compliance Plan encompasses a code of conduct, corporate policies on vendor
contracting, sales and marketing, billing, records management, and other
matters. The plan is being implemented by means of formal training program of
the Company's staff.

     Upon the consummation of the Merger, the Company will make a filing with
the DOH notifying that agency of the change of ownership of the Company and
Metropolitan and requesting that Metropolitan be re-enrolled as a Medicaid
provider.

INSURANCE

     The Company carries a broad range of general liability, comprehensive
property damage, worker's compensation, professional liability, automobile and
other insurance coverage that management considers adequate for the protection
of its assets and operations. While management believes the manufacturers of the
equipment it sells or rents currently maintain their own insurance, and in some
cases the Company has received evidence of such coverage, there can be no
assurance that such manufacturers will continue to do so. There can be no
assurance that the coverage limits of such policies will be sufficient to cover
any judgements, settlements or cost relating to any pending or future legal
proceedings. If the insurance carried by the Company is not sufficient to cover
any judgements, settlements or cost relating to pending or future legal
proceedings, the Company's business and financial condition could be materially,
adversely effected.

EMPLOYEES

     As of March 31, 1999, the Company had approximately 130 employees, 117 of
whom are full-time employees and 13 of whom are part-time. Its management team
is comprised of four executives and four managers with extensive experience in
the home health care industry. The Company has two sales representatives and two
rehabilitation specialists who work on a salary. There are three dispatchers and
eight drivers who deliver products and are specially trained by the Company to
properly set up equipment and explain its use to patients. The Company has
fifteen warehouse workers, four repair specialists, and twenty five customer
service intake personnel, thirty three individuals who handle reimbursement and
a six person administrative staff. The Company also has twenty staff respiratory
therapists to provide service and advice to customers utilizing respiratory
equipment. Also, the Company has one person dedicated to its management
information system, two finance and accounting personnel and two purchasing
personnel. The Company also has 16 contract drivers who make deliveries. The
Company is not a party to any collective bargaining agreements and considers its
relations with employees to be good.

THE COMPANY'S DIRECTORS AND EXECUTIVE OFFICERS

     Alan J. Landauer, Chairman of the Board of Directors of the Company since
April 8, 1999, is also the President and Chief Executive Officer of Landauer
Hospital Supplies, Inc., a home medical equipment provider, a position he has
held since 1980. He has also been the President and Chief Executive Officer of
Landauer Home Infusion Service from 1991 to the present. Mr. Landauer is active
in the management and growth of these home medical equipment providers and has
completed four acquisitions in the prior four years.

     Thomas C. Blum, a Director of the Company since April 8, 1999, is currently
affiliated with Columbia Financial Partners, which makes private investments in
small financial institutions, as a consultant. From September 1996 to October
1998, Mr. Blum was Managing Director of Bear Stearns & Co. where he was
responsible for


                                       49

<PAGE>



investment banking relationships in the financial institutions group. In the
prior 14 years, Mr. Blum was employed by Salomon Brothers Inc. rising to Vice
President in investment banking, where he was responsible for mergers and
acquisitions, capital raising and advisory work. From 1989 to 1992, Mr. Blum ran
Salomon's Asia financial institutions business from Tokyo, Japan. Mr. Blum and
Mr. Landauer are first cousins.

     Gary J. Spirgel, a Director of the Company since April 8, 1999 and Chief
Operating Officer of LHS since April 15, 1999, was employed for 16 years by
Health Force, Inc., a national provider of home care services with 85 offices in
23 states and a wholly owned subsidiary of Accustaff, Inc. From 1994 to 1998 he
was President of Health Force, where he had full operational responsibility for
the company, including profitability. His active employment with Health Force
terminated in April 1998 when the division was sold.

     Dean L. Sloane has been a Director of the Company since its inception and
was appointed Chairman of the Board of Directors of the Company in July 1997 and
served in that capacity until April 8, 1999. Since December 1988, he has been
Chairman of the Board, President and a Director of Community Medical Transport,
Inc., a publicly traded company.

     Louis Rocco joined the Company in May 1997 as Vice President. He also
serves as a Director and as Secretary of the Company and President of
Metropolitan. Mr. Rocco was a founder of Metropolitan and held various executive
positions in Metropolitan from its inception through May 1997. Mr. Rocco is a
registered Respiratory Therapist and has a B.S. in Respiratory Therapy from Long
Island University.

     Saverio D. Burdi joined the Company in May 1997 as Senior Vice President
and was appointed Chief Operating Officer in July 1997. Prior to joining the
Company, Mr. Burdi was an owner of Metropolitan and was employed by Metropolitan
from June 1989 through May 1997, and served as Vice President-Sales of
Metropolitan from June 1992 though May 1997.

     Elia C. Guarneri joined the Company in January 1998 as Corporate
Controller, was appointed Acting Chief Financial Officer in October 1998 and was
made Chief Financial Officer on February 11, 1999. Prior to joining the Company,
Mr. Guarneri was Senior Accountant at Puglisi, Midler & Co. from December 1995
to January 1998 and was a Staff Accountant at Tobin & Company from October 1994
to December 1995. Prior to October 1994, Mr. Guarneri attended Pace University.
Mr. Guarneri received a B.B.A. from Pace University and is a Certified Public
Accountant.

     None of the above listed officers and directors of the Company have during
the past five years (i) been involved in a petition under the bankruptcy code of
the United States (ii) been convicted in a criminal preceding (iii) been the
subject of any order, judgment or decree enjoining him from, among other things,
acting as a broker, dealer, investment advisor, engaging in any type of business
practice or engaging in any activity in connection with the purchase or sale of
any security or in connection with any violation of federal or state securities
laws, (iv) been subject to any order or decree barring or suspending his right
to engage in any activities described in (iii) above, or (v) been found by a
court of competent jurisdiction in a civil action or by a governmental authority
to have violated any federal or state securities law.

CERTAIN FINANCIAL INFORMATION

     The following table sets forth the Company's book value per share of Common
Stock outstanding as of the dates shown:


                                      BOOK VALUE PER SHARE OF
          DATE                             COMMON STOCK
          ----                             ------------
     March 31, 1998                            $.63
    December 31, 1998                          $.65
     March 31, 1999                            $.66



                                       50

<PAGE>



     The Company's ratio of earnings to fixed charges as of March 31, 1999 was
1.23: 1. The Company had an earnings deficiency of $4,916,000 as of March 31,
1998.

PUBLIC FILINGS

     While the Company is not required to deliver an annual report to its
security holders, the Company has elected to deliver its annual report to its
security holders and such annual report will include audited financial
statements.

     The Company files all of the reports required by Section 12 of the Exchange
Act with the Commission. Anyone may read and copy such materials filed with the
Commission at the Commission's Public Reference Room at 450 Fifth Street N.W.,
Washington, D.C. 20549. Information about the Public Reference Room can be
obtained by calling the Commission at 1-800-SEC-0330. In addition, the
Commission maintains an internet site at http://www.sec.gov that contains
reports, proxy, and information statements, and other information regarding
issuers that file electronically.

DESCRIPTION OF PROPERTY

     The Company's offices and warehouse are located in a 20,000 square foot
facility in Mount Vernon, New York, pursuant to a five year lease which
commenced January 1, 1996 and provides for annual rental payments of $114,000
for the first three years of the lease term and $132,000 for the last two years
of the lease term.

LEGAL PROCEEDINGS

     On June 4, 1997, a search warrant was executed at the Company's executive
offices. The Company was informed that its then Chief Executive Officer and then
Chief Operating Officer and the Company itself are targets of a Department of
Justice criminal investigation for allegedly improper payments relating to a
contract, involving Medicare, to provide healthcare services outside of New York
State. If the Company is charged with criminal wrongdoing and it is determined
that the Company engaged in criminal wrongdoing, the Company will be subject to
criminal penalties, which may include fines of up to $1,000,000 or more and an
order of restitution, would be terminated as a Medicaid and Medicare services
provider, and could also be at the risk of having its contracts with private
insurers and other non-governmental agencies terminated. Additionally, even if
the Company is not charged with criminal wrongdoing itself, but one of its past
or present officers or employees are convicted of crimes related to their
employment, the Company could be terminated as a Medicaid and Medicare provider.
In these circumstances, although the Company would not be subjected to automatic
exclusion from such programs, it could be at risk of having its contracts with
private insurers and other non-governmental agencies terminated. The Company has
cooperated with the government in the Department of Justice criminal
investigation.

     On May 16, 1997, the New York State Department of Social Services ("DSS"),
which has subsequently been abolished and its functions assumed by the New York
State Department of Health ("DOH"), issued a Draft Notice of Proposed Agency
Action and Draft Audit Report regarding the Company ("The Draft Notice").
Pursuant to the Draft Notice, DSS sought recovery of $227,000 from the Company
as well as exclusion of the Company as a provider under the New York State
Medicaid program. Pursuant to DOH's process, the Company, through its healthcare
regulatory counsel, submitted a detailed response to the Draft Notice. DOH
thereafter reviewed its draft findings and recommendations and issued a final
Notice. Pursuant to which DOH reduced the amount of the proposed audit recovery
to $83,978. DOH has also withdrawn its intention to exclude the Company as a
provider under the New York State Medicaid program. DOH has issued an advisory
to the Company that continued performance issues of the type or nature addressed
in the audit could result in a severe sanction in the future. As a further
development, the Company has agreed to surrender its Medicaid provider number,
in favor of conducting its Medicaid business through Metropolitan. During the
fourth quarter of fiscal year 1999 the Company transferred the majority of its
Medicaid business to Metropolitan. The effective date of the surrender of the
Company's Medicaid provider number was March 1, 1999.


                    INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS



                                       51

<PAGE>


     The Company's independent certified public accountant is Richard A. Eisner
& Company, LLP. A representative of Richard A. Eisner & Company, LLP will attend
the Special Meeting and will have an opportunity to make a statement if he
desires to do so. That representative will be available to respond to
appropriate questions.

                              SHAREHOLDER PROPOSALS

     If the Merger is not consummated, the Company will hold its 2000 annual
meeting of its shareholders in accordance with its Bylaws and the NYBCL. Any
proposals of shareholders to be presented at the 2000 annual meeting of
shareholders are required to be delivered to the Secretary of the Company by no
later than November 8, 1999 in order to be included in the Company's Proxy
Statement and form of Proxy. If a shareholder does not notify the Company by
January 22, 2000 of a proposal, then the persons named as Proxies in the
accompanying Proxy may use their discretionary voting authority if the proposal
is raised at the meeting.

                           INCORPORATION BY REFERENCE

     The following documents filed by the Company with the Commission are
incorporated herein by reference: (i) the Company's audited Financial Statements
for the years ended March 31, 1999 and March 31, 1998 included in the Company's
Annual Report on Form 10-KSB for the Year Ended March 31, 1999; (ii) the
unaudited balance sheets and comparative year-to-date income statements and
statements of cash flows and related earnings per share amounts included in the
Company's Quarterly Report on Form 10-QSB for the quarter ended [June 30, 1999];
and (iii) all documents filed subsequent to the date of this Proxy Statement.

     THE COMPANY HEREBY UNDERTAKES TO PROVIDE WITHOUT CHARGE, TO EACH PERSON TO
WHOM THIS PROXY STATEMENT IS DELIVERED, UPON WRITTEN OR ORAL REQUEST AND BY
FIRST CLASS MAIL OR OTHER EQUALLY PROMPT MEANS WITHIN ONE BUSINESS DAY OF
RECEIPT OF SUCH REQUEST, A COPY OF ANY AND ALL OF THE INFORMATION THAT HAS BEEN
INCORPORATED BY REFERENCE IN THIS PROXY STATEMENT. ALL SUCH REQUESTS SHOULD BE
DIRECTED TO LOUIS ROCCO, SECRETARY OF THE COMPANY, AT 18 SARGENT PLACE, MOUNT
VERNON, NEW YORK 10550 (TELEPHONE NUMBER 914-605-9050).

                                  OTHER MATTERS

     The Board is not aware of any business which will be presented at the
Special Meeting other than those matters set forth in the accompanying Notice of
Special Meeting. If any other matters are properly presented at the Special
Meeting for action, it is intended that the person named in the accompanying
Proxy and acting thereunder will vote in accordance with his best judgment on
such matters.



                                       52

<PAGE>

                                     ANNEX A



================================================================================









                          AGREEMENT AND PLAN OF MERGER

                                  BY AND AMONG

                         Landauer Hospital Supplies Inc.

                              LHS Merger Sub, Inc.

                                       AND

                          Community Care Services, Inc.

                                  June 14, 1999












================================================================================






<PAGE>



                          AGREEMENT AND PLAN OF MERGER

         AGREEMENT AND PLAN OF MERGER entered into as of June 14, 1999, (the
"Agreement") by and among LANDAUER HOSPITAL SUPPLIES INC., a New York
corporation (the "Buyer"), LHS MERGER SUB, INC., a New York corporation and a
wholly-owned Subsidiary of the Buyer (the "Transitory Subsidiary"), and
COMMUNITY CARE SERVICES, INC., a New York corporation (the "Target"; the Buyer,
the Transitory Subsidiary, and the Target are referred to collectively herein as
the "Parties").

         This Agreement contemplates a transaction in which the Buyer will
acquire the Target for cash through a reverse subsidiary merger of the
Transitory Subsidiary with and into the Target.

         Concurrent with the execution and delivery of this Agreement, and as a
condition and inducement to the Buyer's willingness to enter into this
Agreement, Dean L. Sloane, Craig V. Sloane, Mary Sloane, The Sloane Family
Foundation and DMJ Management Group, Inc. (the "Sloane Group") will enter into
an agreement with Buyer (the "Shareholders' Agreement") pursuant to which the
Sloane Group will agree to vote all shares of Target common stock owned by each
of the members of the Sloane Group (not less than 2,091,450 shares) in favor of
the Merger. In addition, the Shareholders' Agreement will provide that each
member of the Sloane Group will give an irrevocable proxy to Buyer to vote such
shares in such member's name and on such member's behalf at any meeting of
shareholders or in response to any solicitation of proxies with respect to the
Merger or certain other transactions for a period of six (6) months from the
date of such agreement.

         Now, therefore, in consideration of the premises and the mutual
promises herein made, and in consideration of the representations, warranties,
and covenants herein contained, the Parties agree as follows.

         1.       Definitions.

         "Acquisition Proposal" means any acquisition of 10% or more of the
consolidated assets of the Target and its Subsidiaries or of over 10% of any
class of equity securities of the Company or any of its Subsidiaries; any
merger, consolidation, business combination, recapitalization, liquidation,
dissolution or similar transaction involving the Target or any of its
Subsidiaries whose assets, individually or in the aggregate, constitute more
than 10% of the consolidated assets of the Target, other than the transactions
contemplated by this Agreement; or any other transaction, the consummation of
which would, or could reasonably be expected to, materially dilute the benefits
to the Buyer of the transactions contemplated hereby.

         "Acquisition Transaction" means any Acquisition Proposal that is
consummated.

         "Affiliate" has the meaning set forth in Rule 12b-2 of the regulations
promulgated under the Securities Exchange Act except that the Buyer, the
Transitory Subsidiary, LTTR Home Care LLC and Alan J. Landauer shall not
be deemed members of an Affiliated Group of the Target or its Affiliates.

         "Affiliated Group" means any affiliated group within the meaning of
Code Section 1504(a) or any similar group defined under a similar provision of
state, local or foreign law.

         "Buyer" has the meaning set forth in the preface above.

         "Buyer-owned Share" means any Target Share that the Buyer or the
Transitory Subsidiary owns beneficially.

         "Certificate of Merger" has the meaning set forth in Section 2(c)
below.

         "Closing" has the meaning set forth in Section 2(b) below.

         "Closing Date" has the meaning set forth in Section 2(b) below.

         "COBRA" means the requirements of Part 6 of Subtitle B of Title I of
ERISA and Code Section 4980B.




<PAGE>



         "Code" means the Internal Revenue Code of 1986, as amended.

         "Confidential Information" means any information concerning the
businesses and affairs of the Target and its Subsidiaries that is not already
generally available to the public.

         "Controlled Group" has the meaning set forth in Code Section 1563.

         "Definitive Proxy Materials" means the definitive proxy materials
relating to the Special Meeting.

         "Disclosure Schedule" has the meaning set forth in Section 3 below.

         "Dissenting Share" means any Target Share held of record by any
shareholder who or which has exercised his or its rights pursuant to Section 623
of the New York Business Corporation Law.

         "Effective Time" has the meaning set forth in Section 2(d)(i) below.

         "Employee Benefit Plan" means any (a) nonqualified deferred
compensation or retirement plan or arrangement, (b) qualified defined
contribution retirement plan or arrangement which is an Employee Pension Benefit
Plan, (c) qualified defined benefit retirement plan or arrangement which is an
Employee Pension Benefit Plan (including any Multiemployer Plan), or (d)
Employee Welfare Benefit Plan or material fringe benefit or other retirement,
bonus, or incentive plan or program.

         "Employee Pension Benefit Plan" has the meaning set forth in ERISA
Section 3(2).

         "Employee Welfare Benefit Plan" has the meaning set forth in ERISA
Section 3(1).

         "Environmental, Health, and Safety Requirements" shall mean all
federal, state, local and foreign statutes, regulations, ordinances and other
provisions having the force or effect of law, all judicial and administrative
orders and determinations, all contractual obligations and all common law
concerning public health and safety, worker health and safety, and pollution or
protection of the environment, including without limitation all those relating
to the presence, use, production, generation, handling, transportation,
treatment, storage, disposal, distribution, labeling, testing, processing,
discharge, release, threatened release, control, or cleanup of any hazardous
materials, substances or wastes, chemical substances or mixtures, pesticides,
pollutants, contaminants, toxic chemicals, petroleum products or byproducts,
asbestos, polychlorinated biphenyls, noise or radiation, each as amended and as
now or hereafter in effect.

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

         "Excess Loss Account" has the meaning set forth in Treas. Reg. Section
1.1502-19.

         "Fairness Opinion" has the meaning set forth in Section 5(d) below.

         "GAAP" means United States generally accepted accounting principles as
in effect from time to time.

         "Intellectual Property" means (a) all inventions (whether patentable or
unpatentable and whether or not reduced to practice), all improvements thereto,
and all patents, patent applications, and patent disclosures, together with all
reissuances, continuations, continuations-in-part, revisions, extensions, and
reexaminations thereof, (b) all trademarks, service marks, trade dress, logos,
trade names, and corporate names, together with all translations, adaptations,
derivations, and combinations thereof and including all goodwill associated
therewith, and all applications, registrations, and renewals in connection
therewith, (c) all copyrightable works, all copyrights, and all applications,
registrations, and renewals in connection therewith, (d) all mask works and all
applications, registrations, and renewals in connection therewith, (e) all trade
secrets and confidential business information (including ideas, research and
development, know-how, formulas, compositions, manufacturing and production
processes and techniques, technical data, designs, drawings, specifications,
customer and supplier lists, pricing and cost information, and business and
marketing plans and proposals), (f) all computer software (including data and
related documentation), (g) all other proprietary rights, and (h) all copies and
tangible embodiments thereof (in whatever form or medium).



<PAGE>



         "Knowledge" means that a Person knew or reasonably should have known a
given fact or circumstance without undertaking any investigation.

         "Liability" means any liability (whether known or unknown, whether
asserted or unasserted, whether absolute or contingent, whether accrued or
unaccrued, whether liquidated or unliquidated, and whether due or to become
due), including any liability for Taxes.

         "Merger" has the meaning set forth in Section 2(a) below.

         "Merger Consideration" has the meaning set forth in Section 2(d)(v)
below.

         "Most Recent Fiscal Quarter End" has the meaning set forth in Section
3(h) below.

         "Most Recent Balance Sheet" has the meaning set forth in Section 3(h)
below.

         "Multiemployer Plan" has the meaning set forth in ERISA Section 3(37).

         "New York Business Corporation Law" means the Business Corporation Law
of the State of New York, as amended.

         "New York Certificate of Merger" has the meaning set forth in Section
2(c) below.

         "Ordinary Course of Business" means the ordinary course of business
consistent with past custom and practice (including with respect to quantity and
frequency).

         "Party" or "Parties" has the meaning set forth in the preface above.

         "Paying Agent" has the meaning set forth in Section 2(e) below.

         "Payment Fund" has the meaning set forth in Section 2(e) below.

         "Person" means an individual, a partnership, a corporation, an
association, a joint stock company, a trust, a joint venture, an unincorporated
organization, or a governmental entity (or any department, agency, or political
subdivision thereof).

         "PBGC" means the Pension Benefit Guaranty Corporation.

         "Prohibited Transaction" has the meaning set forth in ERISA Section 406
and Code Section 4975.

         "Public Report" has the meaning set forth in Section 3(e) below.

         "Requisite Shareholder Approval" means the affirmative vote of the
holders of two thirds of the Target Shares in favor of this Agreement and the
Merger.

         "SEC" means the Securities and Exchange Commission.

         "Securities Act" means the Securities Act of 1933, as amended.

         "Securities Exchange Act" means the Securities Exchange Act of 1934, as
amended.

         "Security Interest" means any mortgage, pledge, lien, encumbrance,
charge, or other security interest, other than (a) mechanic's, materialman's,
and similar liens, (b) liens for taxes not yet due and payable or for taxes that
the taxpayer is contesting in good faith through appropriate proceedings, (c)
purchase money liens and liens securing rental payments under capital lease
arrangements, and (d) other liens arising in the Ordinary Course of Business and
not incurred in connection with the borrowing of money.



<PAGE>



         "Special Meeting" has the meaning set forth in Section 5(c)(ii) below.

         "Subsidiary" means any corporation with respect to which a specified
Person (or a Subsidiary thereof) owns a majority of the common stock or has the
power to vote or direct the voting of sufficient securities to elect a majority
of the directors.

         "Surviving Corporation" has the meaning set forth in Section 2(a)
below.

         "Target" has the meaning set forth in the preface above.

         "Target Share" means any share of the Common Stock, $.01 par value per
share, of the Target other than Buyer-owned shares.

         "Target Shareholder" means any Person who or which holds any Target
Shares.

         "Tax" means any federal, state, local, or foreign income, gross
receipts, license, payroll, employment, excise, severance, stamp, occupation,
premium, windfall profits, environmental (including taxes under Code Section
59A), customs duties, capital stock, franchise, profits, withholding, social
security (or similar), unemployment, disability, real property, personal
property, sales, use, transfer, registration, value added, alternative or add-on
minimum, estimated, or other tax of any kind whatsoever, including any interest,
penalty, or addition thereto, whether disputed or not.

         "Tax Return" means any return, declaration, report, claim for refund,
or information return or statement relating to Taxes, including any schedule or
attachment thereto, and including any amendment thereof.

         "Transitory Subsidiary" has the meaning set forth in the preface above.

         "Warrants" means the Class A Redeemable Common Stock Purchase Warrants
of the Target.

         "Warrant Agent" means Continental Stock Transfer & Trust Company.

         "Warrant Agreement" means the warrant agreement dated October 18, 1996
by and among the Target, the Warrant Agent and Maidstone Financial, Inc.

         2.       Basic Transaction.

         a.       The Merger. On and subject to the terms and conditions of this
                  Agreement, the Transitory Subsidiary will merge with and into
                  the Target (the "Merger") at the Effective Time. The Target
                  shall be the corporation surviving the Merger (the "Surviving
                  Corporation").

         b.       The Closing. The closing of the transactions contemplated by
                  this Agreement (the "Closing") shall take place at the offices
                  of Thacher Proffitt & Wood, located at Two World Trade Center,
                  New York, New York, commencing at 9:00 a.m. local time on the
                  second business day following the satisfaction or waiver of
                  all conditions to the obligations of the Parties to consummate
                  the transactions contemplated hereby (other than conditions
                  with respect to actions the respective Parties will take at
                  the Closing itself) or such other date as the Parties may
                  mutually determine (the "Closing Date").

         c.       Actions at the Closing. At the Closing, (i) the Target will
                  deliver to the Buyer and the Transitory Subsidiary the various
                  certificates, instruments, and documents referred to in
                  Section 6(a) below, (ii) the Buyer and the Transitory
                  Subsidiary will deliver to the Target the various
                  certificates, instruments, and documents referred to in
                  Section 6(b) below, (iii) the Target and the Transitory
                  Subsidiary will deliver to the Department of State of the
                  State of New York for filing, a Certificate of Merger in the
                  form attached hereto as Exhibit A (the "Certificate of
                  Merger"), and (iv) the Buyer will cause the Surviving
                  Corporation to deliver the Payment Fund to the Paying Agent in
                  the manner provided below in this Section 2.




<PAGE>



         d.       Effect of Merger.

         i. General. The Merger shall become effective at the time (the
"Effective Time") the Target and the Transitory Subsidiary file the Certificate
of Merger with the Secretary of State of the State of New York. The Merger shall
have the effect set forth in the New York Business Corporation Law. The
Surviving Corporation may, at any time after the Effective Time, take any action
(including executing and delivering any document) in the name and on behalf of
either the Target or the Transitory Subsidiary in order to carry out and
effectuate the transactions contemplated by this Agreement.

         ii. Certificate of Incorporation. The Certificate of Incorporation of
the Surviving Corporation shall be amended and restated at and as of the
Effective Time to read as did the Certificate of Incorporation of the Transitory
Subsidiary immediately prior to the Effective Time and the name of the Surviving
Corporation will be changed to Landauer Metropolitan Respiratory Services, Inc.

         iii. Bylaws. The Bylaws of the Surviving Corporation shall be amended
and restated at and as of the Effective Time to read as did the Bylaws of the
Transitory Subsidiary immediately prior to the Effective Time and the name of
the Surviving Corporation will be changed to Landauer Metropolitan Respiratory
Services, Inc.

         iv. Directors and Officers. The directors and officers of the
Transitory Subsidiary shall become the directors and officers of the Surviving
Corporation at and as of the Effective Time (retaining their respective
positions and terms of office).

         v. Conversion of Target Shares. At and as of the Effective Time, (A)
each Target Share (other than any Dissenting Share or Buyer-owned Share) shall
be converted into the right to receive an amount (the "Merger Consideration")
equal to $1.20 in cash (without interest), (B) each Dissenting Share shall be
converted into the right to receive payment from the Surviving Corporation with
respect thereto in accordance with the provisions of the New York Business
Corporation Law, and (C) each Buyer-owned Share shall be canceled; provided,
however, that the Merger Consideration shall be subject to equitable adjustment
in the event of any stock split, stock dividend, reverse stock split, or other
change in the number of Target Shares outstanding. No Target Share shall be
deemed to be outstanding or to have any rights other than those set forth above
in this Section 2(d)(v) after the Effective Time.

         vi. Conversion of Capital Stock of the Transitory Subsidiary. At and as
of the Effective Time, each share of common stock, $.01 par value per share, of
the Transitory Subsidiary shall be converted into one share of common
stock, $.01 par value per share, of the Surviving Corporation.

         vii. Target Stock Options. Each option to purchase shares of Target
common stock that is outstanding prior to the Effective Time (whether or not
vested or exercisable) shall, at the Effective Time, be canceled, and in
exchange therefor, each option holder shall receive a cash payment which, prior
to deduction for applicable withholding taxes, is in an amount equal to the
product of (A) the excess, if any, of the Merger Consideration over the per
share exercise price of the option and (B) the number of shares subject to the
option (whether or not vested). The Surviving Corporation shall make such
payment on or after the Closing Date immediately upon receipt of a written
agreement from the option holder to accept such payment in full settlement of
such option holder's rights with respect to the option. If the per share
exercise price of any option equals or exceeds the Merger Consideration, such
option shall be canceled without any payment required thereunder.

         viii. Warrants. Each Warrant to purchase shares of Target common stock
outstanding prior to the Effective Time shall entitle the holder to receive a
cash payment equal to the Merger Consideration upon exercise of the Warrant by
the Warrant holder at or before the Effective Time, including payment by the
Warrant holder of the exercise price of the Warrant. Each such Warrant not so
exercised shall continue in effect after the Effective Time until it expires by
its own terms, but the Warrant holder shall be entitled only to a cash payment
by the Surviving Corporation equal to the Merger Consideration upon exercise of
the Warrant by the Warrant holder, including payment by the Warrant holder of
the exercise price of the Warrant, until the expiration of the Warrant.

         e.       Procedure for Payment.




<PAGE>



         i. At or before the Effective Time, (A) the Buyer will cause the
Surviving Corporation to furnish to Continental Stock Transfer & Trust Company
(the "Paying Agent") a corpus (the "Payment Fund") consisting of cash sufficient
in the aggregate for the Paying Agent to make full payment of the Merger
Consideration to the holders of all of the outstanding Target Shares (other than
any Dissenting Shares and Buyer-owned Shares). No interest will accrue or be
paid to the holder of any outstanding Target Shares.

         ii. The Buyer may cause the Paying Agent to invest the cash included in
the Payment Fund in one or more of the permitted investments set forth on
Exhibit B attached hereto; provided, however, that the terms and conditions of
the investments shall be such as to permit the Paying Agent to make prompt
payment of the Merger Consideration as necessary. The Buyer may cause the Paying
Agent to pay over to the Surviving Corporation any net earnings with respect to
the investments, and the Buyer will cause the Surviving Corporation to replace
promptly any portion of the Payment Fund which the Paying Agent loses through
investments.

         iii. The Buyer may cause the Paying Agent to pay over to the Surviving
Corporation any portion of the Payment Fund (including any earnings thereon)
remaining 180 days after the Effective Time, and thereafter all former
shareholders shall be entitled to look to the Surviving Corporation (subject to
abandoned property, escheat, and other similar laws) as general creditors
thereof with respect to the cash payable upon surrender of their certificates.

         iv. The Buyer shall cause the Surviving Corporation to pay all charges
and expenses of the Paying Agent.

         f.       Closing of Transfer Records. After the close of business on
                  the Closing Date, transfers of Target Shares outstanding prior
                  to the Effective Time shall not be made on the stock transfer
                  books of the Surviving Corporation.

         3. Representations and Warranties of the Target. The Target represents
and warrants to the Buyer and the Transitory Subsidiary that the statements
contained in this Section 3 are correct and complete as of the date of this
Agreement and, to the extent the correctness and completeness of such statements
are within the reasonable control of Target or its Subsidiaries, will be correct
and complete as of the Closing Date (as though made then and as though the
Closing Date were substituted for the date of this Agreement throughout this
Section 3), except as set forth in the disclosure schedule accompanying this
Agreement and initialed by the Parties (the "Disclosure Schedule"). The
Disclosure Schedule will be arranged in paragraphs corresponding to the lettered
and numbered paragraphs contained in this Section 3.

         a.       Organization, Qualification, and Corporate Power. Each of the
                  Target and its Subsidiaries is a corporation duly organized,
                  validly existing, and in good standing under the laws of the
                  jurisdiction of its incorporation. Each of the Target and its
                  Subsidiaries is duly authorized to conduct business and is in
                  good standing under the laws of each jurisdiction where such
                  qualification is required. Each of the Target and its
                  Subsidiaries has full corporate power and authority and all
                  licenses, permits, and authorizations necessary to carry on
                  the businesses in which it is engaged and to own and use the
                  properties owned and used by it. Section 3(a) of the
                  Disclosure Schedule lists the directors and officers of each
                  of the Target and its Subsidiaries. The Target has delivered
                  to the Buyer and Merger Sub correct and complete copies of the
                  certificate of incorporation and bylaws of each of the Target
                  and its Subsidiaries (as amended to date). The minute books
                  (containing the records of meetings of the shareholders, the
                  board of directors, and any committees of the board of
                  directors), the stock certificate books, and the stock record
                  books of each of the Target and its Subsidiaries are correct
                  and complete. None of the Target and its Subsidiaries is in
                  default under or in violation of any provision of its
                  certificate of incorporation or bylaws.

         b.       Capitalization. The entire authorized capital stock of the
                  Target consists of 20,000,000 shares of common stock, par
                  value $.01 per share, of which 7,217,851 shares of common
                  stock, including Target Shares and Buyer-owned shares, are
                  issued and outstanding; 1,000,000 preferred shares, of which
                  no shares are issued and outstanding; and no Target Shares are
                  held in treasury. All of the issued and outstanding Target
                  Shares have been duly authorized and are validly issued, fully
                  paid, and nonassessable. In addition, the Target has issued
                  5,685, 182 Warrants and 177,000 stock options to purchase
                  shares of Target common stock. There are no other outstanding
                  or authorized options,



<PAGE>



                  warrants, purchase rights, subscription rights, conversion
                  rights, exchange rights, or other contracts or commitments
                  that could require the Target to issue, sell, or otherwise
                  cause to become outstanding any of its capital stock. There
                  are no outstanding or authorized stock appreciation, phantom
                  stock, profit participation, or similar rights with respect to
                  the Target. To the Knowledge of any director or officer of the
                  Target, there are no voting trusts, proxies, or other
                  agreements or understandings with respect to the voting of the
                  capital stock of the Target except those to which the Buyer or
                  any Affiliates of the Buyer (other than the Target or its
                  Subsidiaries) is a party. No holder of any Warrant shall have
                  the right, in connection with this Agreement or any event
                  following the Closing Date, to exercise a Warrant and receive
                  an amount greater than the exercise price thereof.

         c.       Authorization of Transaction. The Target has full power and
                  authority (including full corporate power and authority) to
                  execute and deliver this Agreement and to perform its
                  obligations hereunder and the execution and delivery by the
                  Target , and the performance of its obligations hereunder,
                  have been duly authorized by all requisite corporate action on
                  the part of the Company, and the Agreement has been duly
                  executed and delivered by the Target; provided, however, that
                  the Target cannot consummate the Merger unless and until it
                  receives the Requisite Shareholder Approval. This Agreement
                  constitutes the valid and legally binding obligation of the
                  Target, enforceable in accordance with its terms and
                  conditions.

         d.       Noncontravention. Neither the execution and the delivery of
                  this Agreement, nor the consummation of the transactions
                  contemplated hereby, will (i) violate any constitution,
                  statute, regulation, rule, injunction, judgment, order,
                  decree, ruling, charge, or other restriction of any
                  government, governmental agency, or court to which any of the
                  Target and its Subsidiaries is subject or any provision of the
                  charter or bylaws of any of the Target and its Subsidiaries,
                  the violation of which would have a material adverse effect on
                  the business of the Target and its Subsidiaries taken as a
                  whole, or (ii) conflict with, result in a breach of,
                  constitute a default under, result in the acceleration of,
                  create in any party the right to accelerate, terminate,
                  modify, or cancel, or require any notice under any agreement,
                  contract, lease, license, instrument, or other arrangement to
                  which any of the Target and its Subsidiaries is a party or by
                  which it is bound or to which any of its assets is subject (or
                  result in the imposition of any Security Interest upon any of
                  its assets). Other than in connection with the provisions of
                  the New York Business Corporation Law, the Securities Exchange
                  Act, the Securities Act, and the state securities laws, none
                  of the Target and its Subsidiaries needs to give any notice
                  to, make any filing with, or obtain any authorization,
                  consent, or approval of any government or governmental agency
                  in order for the Parties to consummate the transactions
                  contemplated by this Agreement.

         e.       Filings with the SEC. The Target has made all filings with the
                  SEC that it has been required to make under the Securities Act
                  and the Securities Exchange Act (collectively the "Public
                  Reports"). Each of the Public Reports has complied with the
                  Securities Act and the Securities Exchange Act in all material
                  respects. None of the Public Reports, as of their respective
                  dates, contained any untrue statement of a material fact or
                  omitted to state a material fact necessary in order to make
                  the statements made therein, in light of the circumstances
                  under which they were made, not misleading.

         f.       Title to Assets. The Target and its Subsidiaries have good and
                  marketable title to, or a valid leasehold interest in, the
                  properties and assets used by them, located on their premises,
                  or shown on the Most Recent Balance Sheet or acquired after
                  the date thereof, free and clear of all Security Interests,
                  except for properties and assets disposed of in the Ordinary
                  Course of Business since the date of the Most Recent Balance
                  Sheet.

         g.       Subsidiaries. Section 3(g) of the Disclosure Schedule sets
                  forth for each Subsidiary of the Target (i) its name and
                  jurisdiction of incorporation, (ii) the number of shares of
                  authorized capital stock of each class of its capital stock,
                  (iii) the number of issued and outstanding shares of each
                  class of its capital stock, the names of the holders thereof,
                  and the number of shares held by each such holder, and (iv)
                  the number of shares of its capital stock held in treasury.
                  All of the issued and outstanding shares of capital stock of
                  each Subsidiary of the Target have been duly authorized and
                  are validly issued, fully



<PAGE>



                  paid, and nonassessable. One of the Target and its
                  Subsidiaries holds of record and owns beneficially all of the
                  outstanding shares of each Subsidiary of the Target, free and
                  clear of any restrictions on transfer (other than restrictions
                  under the Securities Act and state securities laws), Taxes,
                  Security Interests, options, warrants, purchase rights,
                  contracts, commitments, equities, claims, and demands. There
                  are no outstanding or authorized options, warrants, purchase
                  rights, subscription rights, conversion rights, exchange
                  rights, or other contracts or commitments that could require
                  any of the Target and its Subsidiaries to sell, transfer, or
                  otherwise dispose of any capital stock of any of its
                  Subsidiaries or that could require any Subsidiary of the
                  Target to issue, sell, or otherwise cause to become
                  outstanding any of its own capital stock. There are no
                  outstanding stock appreciation, phantom stock, profit
                  participation, or similar rights with respect to any
                  Subsidiary of the Target. There are no voting trusts, proxies,
                  or other agreements or understandings with respect to the
                  voting of any capital stock of any Subsidiary of the Target.
                  None of the Target and its Subsidiaries controls directly or
                  indirectly or has any direct or indirect equity participation
                  in any corporation, partnership, trust, or other business
                  association which is not a Subsidiary of the Target.

         h.       Financial Statements. The Target has filed Quarterly Reports
                  on Form 10-Q for the fiscal quarters ended December 31, 1998
                  (the "Most Recent Fiscal Quarter End" or the "Most Recent
                  Balance Sheet," as applicable), September 30, 1998, and June
                  30, 1998 and an Annual Report on Form 10-K for the fiscal year
                  ended March 31, 1998. The financial statements included in or
                  incorporated by reference into these Public Reports (including
                  the related notes and schedules) have been prepared in
                  accordance with GAAP applied on a consistent basis throughout
                  the periods covered thereby, and present fairly the financial
                  condition of the Target and its Subsidiaries as of the
                  indicated dates and the results of operations of the Target
                  and its Subsidiaries for the indicated periods , are correct
                  and complete in all respects, and are consistent with the
                  books and records of the Target and its Subsidiaries;
                  provided, however, that the interim statements are subject to
                  normal year-end adjustments.

         i.       Events Subsequent to Most Recent Fiscal Quarter End. Since the
                  Most Recent Fiscal Quarter End, there has not been any
                  material adverse change in the business, financial condition,
                  operations, results of operations, or future prospects of the
                  Target and its Subsidiaries taken as a whole.

         j.       Undisclosed Liabilities. None of the Target and its
                  Subsidiaries has any liability (whether known or unknown,
                  whether asserted or unasserted, whether absolute or
                  contingent, whether accrued or unaccrued, whether liquidated
                  or unliquidated, and whether due or to become due), including
                  any liability for taxes, except for (i) liabilities set forth
                  on the balance sheet dated as of the Most Recent Fiscal
                  Quarter End and (ii) liabilities which have arisen after the
                  Most Recent Fiscal Quarter End in the Ordinary Course of
                  Business (none of which results from, arises out of, relates
                  to, is in the nature of, or was caused by any breach of
                  contract, breach of warranty, tort, infringement, or violation
                  of law).

         k.       Brokers' Fees. None of the Target and its Subsidiaries has any
                  liability or obligation to pay any fees or commissions to any
                  broker, finder, or agent with respect to the transactions
                  contemplated by this Agreement.

         l.       Legal Compliance. Each of the Target, its Subsidiaries, and
                  their respective predecessors and Affiliates has complied with
                  all applicable laws (including rules, regulations, codes,
                  plans, injunctions, judgments, orders, decrees, rulings, and
                  charges thereunder) of federal, state, local, and foreign
                  governments (and all agencies thereof), except where the
                  failure to so comply would not have a material adverse effect
                  on the Target and its Subsidiaries taken as a whole, and no
                  action, suit, proceeding, hearing, investigation, charge,
                  complaint, claim, demand, or notice has been filed or
                  commenced against any of them alleging any failure so to
                  comply.

         m.       Tax Matters.




<PAGE>



         i. Each of the Target and its Subsidiaries has filed all Tax Returns
that it was required to file. All such Tax Returns were correct and complete in
all respects. All Taxes owed by any of the Target and its Subsidiaries (whether
or not shown on any Tax Return) have been paid. None of the Target and its
Subsidiaries currently is the beneficiary of any extension of time within which
to file any Tax Return. No claim has ever been made by an authority in a
jurisdiction where any of the Target and its Subsidiaries does not file Tax
Returns that it is or may be subject to taxation by that jurisdiction. There are
no Security Interests on any of the assets of any of the Target and its
Subsidiaries that arose in connection with any failure (or alleged failure) to
pay any Tax.

         ii. Each of the Target and its Subsidiaries has withheld and paid all
Taxes required to have been withheld and paid in connection with amounts paid or
owing to any employee, independent contractor, creditor, shareholder, or
other third party.

         iii. No director or officer (or employee responsible for Tax matters)
of any of the Target and its Subsidiaries expects any authority to assess any
additional Taxes for any period for which Tax Returns have been filed. There is
no dispute or claim concerning any Tax Liability of any of the Target and its
Subsidiaries either (A) claimed or raised by any authority in writing or (B) as
to which any of the directors and officers (and employees responsible for Tax
matters) of the Target and its Subsidiaries has Knowledge based upon personal
contact with any agent of such authority. Section 3(m)(iii) of the Disclosure
Schedule lists all federal, state, local, and foreign income Tax Returns filed
with respect to any of the Target and its Subsidiaries for taxable periods ended
on or after March 31, 1996, indicates those Tax Returns that have been audited,
and indicates those Tax Returns that currently are the subject of audit. The
Target has delivered to the Buyer correct and complete copies of all federal
income Tax Returns, examination reports, and statements of deficiencies assessed
against or agreed to by any of the Target and its Subsidiaries since March 31,
1996.

         iv. None of the Target and its Subsidiaries has waived any statute of
limitations in respect of Taxes or agreed to any extension of time with respect
to a Tax assessment or deficiency.

         v. None of the Target and its Subsidiaries has filed a consent under
Code Section 341(f) concerning collapsible corporations. None of the Target and
its Subsidiaries has made any payments, is obligated to make any payments, or is
a party to any agreement that under certain circumstances could obligate it to
make any payments that will not be deductible under Code Section 280G. None of
the Target and its Subsidiaries has been a United States real property holding
corporation within the meaning of Code Section 897(c)(2) during the applicable
period specified in Code Section 897(c)(1)(A)(ii). Each of the Target and its
Subsidiaries has disclosed on its federal income Tax Returns all positions taken
therein that could give rise to a substantial understatement of federal income
Tax within the meaning of Code Section 6662. None of the Target and its
Subsidiaries is a party to any Tax allocation or sharing agreement. None of the
Target and its Subsidiaries (A) has been a member of an Affiliated Group filing
a consolidated federal income Tax Return (other than a group the common parent
of which was the Target) or (B) has any Liability for the Taxes of any Person
(other than any of the Target and its Subsidiaries) under Reg. Section 1.1502-6
(or any similar provision of state, local, or foreign law), as a transferee or
successor, by contract, or otherwise.

         vi. Section 3(m)(vi) of the Disclosure Schedule sets forth the
following information with respect to each of the Target and its Subsidiaries
(or, in the case of clause (B) below, with respect to each of the Subsidiaries)
as of the most recent practicable date (as well as on an estimated pro forma
basis as of the Closing giving effect to the consummation of the transactions
contemplated hereby): (A) the basis of the Target or Subsidiary in its assets;
(B) the basis of the shareholder(s) of the Subsidiary in its stock (or the
amount of any Excess Loss Account); (C) the amount of any net operating loss,
net capital loss, unused investment or other credit, unused foreign tax, or
excess charitable contribution allocable to the Target or Subsidiary; and (D)
the amount of any deferred gain or loss allocable to the Target or Subsidiary
arising out of any Deferred Intercompany Transaction (as such term is defined in
the Code).

         vii. The unpaid Taxes of the Target and its Subsidiaries (A) did not,
as of the Most Recent Fiscal Year End, exceed the reserve for Tax Liability
(rather than any reserve for deferred Taxes established to reflect timing
differences between book and Tax income) set forth on the face of the Most
Recent Balance Sheet (rather than in any notes thereto) and (B) do not exceed
that reserve as adjusted for the passage of time through the Closing Date in
accordance with the past custom and practice of the Target and its Subsidiaries
in filing their Tax Returns.




<PAGE>



         n.       Real Property.

         i. Neither the Target nor its Subsidiaries owns any real property.

         ii. Section 3(n)(ii) of the Disclosure Schedule lists and describes
briefly all real property leased or subleased to any of the Target and its
Subsidiaries. The Target has delivered to the Buyer correct and complete copies
of the leases and subleases listed in Section 3(n)(ii) of the Disclosure
Schedule (as amended to date). With respect to each lease and sublease listed in
Section 3(n)(ii) of the Disclosure Schedule:

                           (1) the lease or sublease is legal, valid, binding,
                  enforceable, and in full force and effect except to the extent
                  enforceability may be limited by bankruptcy, moratorium or
                  other laws affecting the rights of creditors and by general
                  principles of equity;

                           (2) the lease or sublease will continue to be legal,
                  valid, binding, enforceable, and in full force and effect on
                  identical terms following the consummation of the transactions
                  contemplated hereby except to the extent enforceability may be
                  limited by bankruptcy, moratorium or other laws affecting the
                  rights of creditors and by general principles of equity;

                           (3) no party to the lease or sublease is in breach or
                  default, and no event has occurred which, with notice or lapse
                  of time, would constitute a breach or default or permit
                  termination, modification, or acceleration thereunder;

                           (4) no party to the lease or sublease has repudiated
                  any provision thereof;

                           (5) there are no disputes, oral agreements, or
                  forbearance programs in effect as to the lease or sublease;

                           (6) none of the Target and its Subsidiaries has
                  assigned, transferred, conveyed, mortgaged, deeded in trust,
                  or encumbered any interest in the leasehold or subleasehold;

                           (7) all facilities leased or subleased thereunder
                  have received all approvals of governmental authorities
                  (including licenses and permits) required in connection with
                  the operation thereof and have been operated and maintained in
                  accordance with applicable laws, rules, and regulations except
                  where the failure to do so would not have a material adverse
                  effect on the Target and its Subsidiaries taken as a whole;

                           (8) all facilities leased or subleased thereunder are
                  supplied with utilities and other services necessary for the
                  operation of said facilities; and

                           (9) to the Knowledge of the officers and directors of
                  the Target and its Subsidiaries, the owner of the facility
                  leased or subleased has good and marketable title to the
                  parcel of real property, free and clear of any Security
                  Interest, easement, covenant, or other restriction, except for
                  installments of special easements not yet delinquent and
                  recorded easements, covenants, and other restrictions which do
                  not impair the current use, occupancy, or value, or the
                  marketability of title, of the property subject thereto.

         o.       Intellectual Property.

         i. The Target and its Subsidiaries own or have the right to use
pursuant to license, sublicense, agreement, or permission all Intellectual
Property necessary or desirable for the operation of the businesses of the
Target and its Subsidiaries as presently conducted. Each item of Intellectual
Property owned or used by any of the Target and its Subsidiaries immediately
prior to the Closing hereunder will be owned or available for use by the Target
or the Subsidiary on identical terms and conditions immediately subsequent to
the Closing hereunder. Each of the Target and its Subsidiaries has taken all
necessary and desirable action to maintain and protect each item of Intellectual
Property that it owns or uses.



<PAGE>




         ii. To the Knowledge of the officers and directors of the Target and
its Subsidiaries, none of the Target and its Subsidiaries has interfered with,
infringed upon, misappropriated, or otherwise come into conflict with any
Intellectual Property rights of third parties, and none of the directors and
officers (and employees with responsibility for Intellectual Property matters)
of the Target and its Subsidiaries has received any charge, complaint, claim,
demand, or notice alleging any such interference, infringement,
misappropriation, or violation (including any claim that any of the Target and
its Subsidiaries must license or refrain from using any Intellectual Property
rights of any third party). To the Knowledge of any of the directors and
officers (and employees with responsibility for Intellectual Property matters)
of the Target and its Subsidiaries, no third party has interfered with,
infringed upon, misappropriated, or otherwise come into conflict with any
Intellectual Property rights of any of the Target and its Subsidiaries.

         iii. Section 3(o)(iii) of the Disclosure Schedule identifies each
patent or registration which has been issued to any of the Target and its
Subsidiaries with respect to any of its Intellectual Property, identifies each
pending patent application or application for registration which any of the
Target and its Subsidiaries has made with respect to any of its Intellectual
Property, and identifies each license, agreement, or other permission which any
of the Target and its Subsidiaries has granted to any third party with respect
to any of its Intellectual Property (together with any exceptions).

         iv. Section 3(o)(iv) of the Disclosure Schedule identifies each item of
Intellectual Property that any third party owns and that any of the Target and
its Subsidiaries uses pursuant to license, sublicense, agreement, or permission,
other than off-the-shelf computer software licensed to the Target or any of its
Subsidiaries.

         p.       Tangible Assets. The Target and its Subsidiaries own or lease
                  all buildings, machinery, equipment, and other tangible assets
                  necessary for the conduct of their businesses as presently
                  conducted and as presently proposed to be conducted. Each such
                  tangible asset is free from defects (patent and latent), in
                  all material respects, has been maintained in accordance with
                  normal industry practice, is in good operating condition and
                  repair (subject to normal wear and tear), and is suitable for
                  the purposes for which it presently is used and presently is
                  proposed to be used.

         q.       Inventory. The inventory of the Target and its Subsidiaries,
                  whether or not reflected in the Most Recent Balance Sheet,
                  consists primarily of medical supplies sold directly to
                  customers for home use, medical equipment rented to customers
                  for home use all of which is merchantable and fit for the
                  purpose for which it was procured or manufactured, and none of
                  which is slow-moving, obsolete, damaged, or defective, subject
                  only to the reserve for inventory writedown set forth in the
                  Most Recent Balance Sheet as adjusted for the passage of time
                  through the Closing Date in accordance with the past custom
                  and practice of the Target and its Subsidiaries.

         r.       Contracts. Section 3(r) of the Disclosure Schedule lists the
                  following contracts and other agreements to which any of the
                  Target and its Subsidiaries is a party:

         i. any agreement (or group of related agreements) for the lease of
personal property to or from any Person providing for lease payments in excess
of $50,000 per annum;

         ii. any agreement (or group of related agreements) for the purchase or
sale of raw materials, commodities, supplies, products, or other personal
property, or for the furnishing or receipt of services, the performance of which
will extend over a period of more than one year, result in a material loss to
any of the Target and its Subsidiaries to the Knowledge of the officers and
directors of the Target and its Subsidiaries, or involve consideration in excess
of $50,000;

         iii. any agreement concerning a partnership or joint venture;

         iv. any agreement (or group of related agreements) under which it has
created, incurred, assumed, or guaranteed any indebtedness for borrowed money,
or any capitalized lease obligation, in excess of $50,000 or under which it has
imposed a Security Interest on any of its assets, tangible or intangible;




<PAGE>



         v. any agreement concerning confidentiality or noncompetition (other
than those generally imposed by the Target and its Subsidiaries on employees);

         vi. any profit sharing, stock option, stock purchase, stock
appreciation, deferred compensation, severance, or other plan or arrangement for
the benefit of its current or former directors, officers, and employees;

         vii. any collective bargaining agreement;

         viii. any agreement for the employment of any individual on a
full-time, part-time, consulting, or other basis providing annual compensation
in excess of $25,000 or providing severance benefits;

         ix. any agreement under which it has advanced or loaned any amount to
any of its directors, officers, and employees outside the Ordinary Course of
Business;

         x. any agreement under which the consequences of a default or
termination could have a material adverse effect on the business, financial
condition, operations, results of operations, or future prospects of any of the
Target and its Subsidiaries taken as a whole;

         xi. any other agreement (or group of related agreements) the
performance of which involves consideration in excess of $50,000; or

         xii. each existing Medicare and Medicaid contract (collectively, the
"Program Agreements") or evidence thereof relating to the participation by the
Target and its Subsidiaries in the Medicare and Medicaid Programs (the
"Governmental Programs").

         Target has delivered to the Buyer a correct and complete copy of each
written agreement listed in Section 3(r) of the Disclosure Schedule (as amended
to date) and a written summary setting forth the terms and conditions of each
oral agreement referred to in Section 3(r) of the Disclosure Schedule. With
respect to each such agreement: (A) the agreement is a legal, valid, binding and
enforceable obligation of the Target or its Subsidiaries, as the case may be,
and is in full force and effect except to the extent enforceability may be
limited by bankruptcy, moratorium or other laws affecting the rights of
creditors and by general principles of equity; (B) subject to obtaining any
required consent from the other party or parties thereto, the agreement will
continue to be a legal, valid, binding and enforceable obligation of the Target
or its Subsidiaries, as the case may be, and in full force and effect on
identical terms following the consummation of the transactions contemplated
hereby except to the extent enforceability may be limited by bankruptcy,
moratorium or other laws affecting the rights of creditors and by general
principles of equity; (C) no party is in breach or default, and no event has
occurred which with notice or lapse of time would constitute a breach or
default, or permit termination, modification, or acceleration, under the
agreement; and (D) no party has repudiated any provision of the agreement.

         s.       Notes, Accounts Receivable and Reimbursements. All notes,
                  accounts receivable and reimbursements of the Target and its
                  Subsidiaries are reflected properly on their books and
                  records, are valid receivables subject to no setoffs or
                  counterclaims (or with respect to Government Programs, no
                  notice of any offsets against future reimbursements), are
                  current and collectible, and to the Knowledge of the officers
                  and directors of the Target and its Subsidiaries and those
                  employees responsible for billing and collections, will be
                  collected in accordance with their terms at their recorded
                  amounts, subject only to the reserve for bad debts set forth
                  in the Most Recent Balance Sheet as adjusted for the passage
                  of time through the Closing Date in accordance with the past
                  custom and practice of the Target and its Subsidiaries.

         t.       Powers of Attorney. There are no outstanding powers of
                  attorney executed on behalf of any of the Target and its
                  Subsidiaries.

         u.       Insurance. Section 3(u) of the Disclosure Schedule sets forth
                  the following information with respect to each insurance
                  policy (including policies providing property, casualty,
                  liability, and workers' compensation coverage and bond and
                  surety arrangements) to which any of the Target and its



<PAGE>



                  Subsidiaries has been a party, a named insured, or otherwise
                  the beneficiary of coverage at any time since March 31, 1996:

         i. the name, address, and telephone number of the agent;

         ii. the name of the insurer, the name of the policyholder, and the name
of each covered insured;

         iii. the policy number and the period of coverage;

         iv. the scope (including an indication of whether the coverage was on a
claims made, occurrence, or other basis) and amount (including a description of
how deductibles and ceilings are calculated and operate) of coverage; and

         v. a description of any retroactive premium adjustments or other
loss-sharing arrangements.

With respect to each such insurance policy: (A) the policy is legal, valid,
binding, enforceable, and in full force and effect except to the extent
enforceability may be limited by bankruptcy, moratorium or other laws affecting
the rights of creditors and by general principles of equity; (B) the policy will
continue to be legal, valid, binding, enforceable, and in full force and effect
on identical terms following the consummation of the transactions contemplated
hereby except to the extent enforceability may be limited by bankruptcy,
moratorium or other laws affecting the rights of creditors and by general
principles of equity; (C) neither any of the Target and its Subsidiaries nor any
other party to the policy is in breach or default (including with respect to the
payment of premiums or the giving of notices), and no event has occurred which,
with notice or the lapse of time, would constitute such a breach or default, or
permit termination, modification, or acceleration, under the policy; and (D) no
party to the policy has repudiated any provision thereof. Each of the Target and
its Subsidiaries has been covered since March 31, 1996 by insurance in scope and
amount customary and reasonable for the businesses in which it has engaged
during the aforementioned period. Section 3(u) of the Disclosure Schedule
describes any self-insurance arrangements affecting any of the Target and its
Subsidiaries.

         v.       Litigation. Section 3(v) of the Disclosure Schedule sets forth
                  each instance in which any of the Target and its Subsidiaries
                  (i) is subject to any outstanding injunction, judgment, order,
                  decree, ruling, or charge or (ii) is a party or, to the
                  Knowledge of any of the directors and officers (and employees
                  with responsibility for litigation matters) of the Target and
                  its Subsidiaries, has been threatened to be made a party to
                  any action, suit, proceeding, hearing, or investigation of,
                  in, or before any court or quasi- judicial or administrative
                  agency of any federal, state, local, or foreign jurisdiction
                  or before any arbitrator. None of the actions, suits,
                  proceedings, hearings, and investigations set forth in Section
                  3(v) of the Disclosure Schedule could result in any adverse
                  change in the business, financial condition, operations,
                  results of operations, or future prospects of any of the
                  Target and its Subsidiaries. None of the directors and
                  officers (and employees with responsibility for litigation
                  matters) of the Target and its Subsidiaries has any reason to
                  believe that any such action, suit, proceeding, hearing, or
                  investigation may be brought or threatened against any of the
                  Target and its Subsidiaries. There are no pending appeals,
                  adjustments, challenges, audits, litigation, notices of intent
                  to reopen or open completed payments with respect to the
                  Governmental Programs and none of the Target and its
                  Subsidiaries has received notice of pending, threatened or
                  possible decertification or other loss of participation in any
                  of the Governmental Programs which remains in effect as of the
                  date hereof.

         w.       Product Warranty. None of the Target and its Subsidiaries
                  manufacture or assemble any products. Each product sold,
                  leased, or delivered by any of the Target and its Subsidiaries
                  has been in conformity with all applicable contractual
                  commitments and all express and implied warranties, and none
                  of the Target and its Subsidiaries has any Liability (and
                  there is no basis for any present or future action, suit,
                  proceeding, hearing, investigation, charge, complaint, claim,
                  or demand against any of them giving rise to any Liability)
                  for replacement or repair thereof or other damages in
                  connection therewith, subject only to the reserve for product
                  warranty claims set forth on the face of the Most Recent
                  Balance Sheet (rather than in any notes thereto) as adjusted
                  for the passage of time through the Closing Date in accordance
                  with the past custom and practice of the Target and its
                  Subsidiaries. No product sold, leased, or delivered by any of
                  the Target and its Subsidiaries is subject



<PAGE>



                  to any guaranty, warranty, or other indemnity offered by the
                  Target or one of its Subsidiaries beyond the applicable
                  standard terms and conditions of sale or lease. Section 3(w)
                  of the Disclosure Schedule includes copies of the standard
                  terms and conditions of sale or lease for each of the Target
                  and its Subsidiaries (containing applicable guaranty,
                  warranty, and indemnity provisions).

         x.       Product Liability. None of the Target and its Subsidiaries has
                  any Liability (and there is no basis for any present or future
                  action, suit, proceeding, hearing, investigation, charge,
                  complaint, claim, or demand against any of them giving rise to
                  any Liability) arising out of any injury to individuals or
                  property as a result of the ownership, possession, or use of
                  any product sold, leased, or delivered by any of the Target
                  and its Subsidiaries.

         y.       Employees. To the Knowledge of any of the directors and
                  officers (and employees with responsibility for employment
                  matters) of the Target and its Subsidiaries, no executive, key
                  employee, or group of employees has any plans to terminate
                  employment with any of the Target and its Subsidiaries. None
                  of its Subsidiaries is a party to or bound by any collective
                  bargaining agreement, nor has any of them experienced any
                  strikes, grievances which have resulted in legal,
                  administrative or other similar proceedings, claims of unfair
                  labor practices, or other collective bargaining disputes. None
                  of the Target and its Subsidiaries has committed any unfair
                  labor practice. None of the directors and officers (and
                  employees with responsibility for employment matters) of the
                  Target and its Subsidiaries has any Knowledge of any
                  organizational effort presently being made or threatened by or
                  on behalf of any labor union with respect to employees of any
                  of the Target and its Subsidiaries.

         z.       Employee Benefits.

         i. Section 3(z) of the Disclosure Schedule lists each Employee Benefit
Plan that any of the Target and its Subsidiaries maintains or to which any of
the Target and its Subsidiaries contributes or has any obligation to
contribute.

                           (1) Each such Employee Benefit Plan (and each related
                  trust, insurance contract, or fund) complies in form and in
                  operation in all respects with the applicable requirements of
                  ERISA, the Code, and other applicable laws.

                           (2) All required reports and descriptions (including
                  Form 5500 Annual Reports, summary annual reports, PBGC-1's,
                  and summary plan descriptions) have been timely filed and
                  distributed appropriately with respect to each such Employee
                  Benefit Plan. The requirements of COBRA have been met with
                  respect to each such Employee Benefit Plan which is an
                  Employee Welfare Benefit Plan.

                           (3) All contributions (including all employer
                  contributions and employee salary reduction contributions)
                  which are due have been paid to each such Employee Benefit
                  Plan which is an Employee Pension Benefit Plan and all
                  contributions for any period ending on or before the Closing
                  Date which are not yet due have been paid to each such
                  Employee Pension Benefit Plan or accrued in accordance with
                  the past custom and practice of the Target and its
                  Subsidiaries. All premiums or other payments for all periods
                  ending on or before the Closing Date have been paid with
                  respect to each such Employee Benefit Plan which is an
                  Employee Welfare Benefit Plan.

                           (4) Each such Employee Benefit Plan which is an
                  Employee Pension Benefit Plan meets the requirements of a
                  "qualified plan" under Code Section 401(a), has received,
                  within the last two years, a favorable determination letter
                  from the Internal Revenue Service that it is a "qualified
                  plan," and Seller is not aware of any facts or circumstances
                  that could result in the revocation of such determination
                  letter.

                           (5) The market value of assets under each such
                  Employee Benefit Plan which is an Employee Pension Benefit
                  Plan (other than any Multiemployer Plan) equals or exceeds the
                  present value of all vested and nonvested Liabilities
                  thereunder determined in accordance with PBGC



<PAGE>



                  methods, factors, and assumptions applicable to an Employee
                  Pension Benefit Plan terminating on the date for
                  determination.

                           (6) The Target has delivered to the Buyer correct and
                  complete copies of the plan documents and summary plan
                  descriptions, the most recent determination letter received
                  from the Internal Revenue Service, the most recent Form 5500
                  Annual Report, and all related trust agreements, insurance
                  contracts, and other funding agreements which implement each
                  such Employee Benefit Plan.

         ii. With respect to each Employee Benefit Plan that any of the Target,
its Subsidiaries, and any ERISA Affiliate (as such term is defined under ERISA)
maintains or ever has maintained or to which any of them contributes,
ever has contributed, or ever has been required to contribute:

                           (1) No such Employee Benefit Plan which is an
                  Employee Pension Benefit Plan (other than any Multiemployer
                  Plan) has been completely or partially terminated or been the
                  subject of a Reportable Event as to which notices would be
                  required to be filed with the PBGC. No proceeding by the PBGC
                  to terminate any such Employee Pension Benefit Plan (other
                  than any Multiemployer Plan) has been instituted or, to the
                  Knowledge of any of the directors and officers (and employees
                  with responsibility for employee benefits matters) of the
                  Target and its Subsidiaries, threatened.

                           (2) There have been no Prohibited Transactions with
                  respect to any such Employee Benefit Plan. No ERISA fiduciary
                  has any Liability for breach of fiduciary duty or any other
                  failure to act or comply in connection with the administration
                  or investment of the assets of any such Employee Benefit Plan.
                  No action, suit, proceeding, hearing, or investigation with
                  respect to the administration or the investment of the assets
                  of any such Employee Benefit Plan (other than routine claims
                  for benefits) is pending or, to the Knowledge of any of the
                  directors and officers (and employees with responsibility for
                  employee benefits matters) of the Target and its Subsidiaries,
                  has been threatened. None of the directors and officers (and
                  employees with responsibility for employee benefits matters)
                  of the Target and its Subsidiaries has any Knowledge of any
                  Basis for any such action, suit, proceeding, hearing, or
                  investigation.

                           (3) None of the Target and its Subsidiaries has
                  incurred, and none of the directors and officers (and
                  employees with responsibility for employee benefits matters)
                  of the Target and its Subsidiaries has any reason to expect
                  that any of the Target and its Subsidiaries will incur, any
                  Liability to the PBGC (other than PBGC premium payments) or
                  otherwise under Title IV of ERISA (including any withdrawal
                  liability as defined in ERISA Section 4201) or under the Code
                  with respect to any such Employee Benefit Plan which is an
                  Employee Pension Benefit Plan.

         iii. None of the Target, its Subsidiaries, and the other members of the
Controlled Group that includes the Target and its Subsidiaries contributes to,
ever has contributed to, or ever has been required to contribute to any
Multiemployer Plan or has any Liability (including withdrawal liability as
defined in ERISA Section 4201) under any Multiemployer Plan.

         iv. None of the Target and its Subsidiaries maintains or ever has
maintained or contributes, ever has contributed, or ever has been required to
contribute to any Employee Welfare Benefit Plan providing medical, health, or
life insurance or other welfare-type benefits for current or future retired or
terminated employees, their spouses, or their dependents (other than in
accordance with COBRA).

         aa.      Guaranties. None of the Target and its Subsidiaries is a
                  guarantor or otherwise is liable for any Liability or
                  obligation (including indebtedness) of any other Person.

         bb.      Environmental, Health, and Safety Matters.




<PAGE>



         i. Each of the Target, its Subsidiaries, and their respective
predecessors and Affiliates has complied and is in compliance with all
Environmental, Health, and Safety Requirements, except where the failure to so
comply would not have a material adverse effect on the Target and its
Subsidiaries taken as a whole.

         ii. Without limiting the generality of the foregoing, each of the
Target, its Subsidiaries and their respective Affiliates has obtained and
complied with, and is in compliance with, all material permits, licenses and
other authorizations that are required pursuant to Environmental, Health, and
Safety Requirements for the occupation of its facilities and the operation of
its business; a list of all such material permits, licenses and other
authorizations is set forth in the attached Schedule 2 (the "Environmental and
Safety Permits Schedule")

         iii. Neither the Target, its Subsidiaries, nor their respective
predecessors or Affiliates has received any written or oral notice, report or
other information regarding any actual or alleged violation of Environmental,
Health, and Safety Requirements, or any liabilities or potential liabilities
(whether accrued, absolute, contingent, unliquidated or otherwise), including
any investigatory, remedial or corrective obligations, relating to any of them
or its facilities arising under Environmental, Health, and Safety Requirements.

         iv. To the Knowledge of the officers and directors of the Target and
its Subsidiaries, none of the following exists at any property or facility owned
or operated by the Target or its Subsidiaries: (1) underground storage tanks,
(2) asbestos-containing material in any form or condition, (3) materials or
equipment containing polychlorinated biphenyls, or (4) landfills, surface
impoundments, or disposal areas.

         v. None of the Target, its Subsidiaries, or their respective
predecessors or Affiliates has treated, stored, disposed of, arranged for or
permitted the disposal of, transported, handled, or released any substance,
including without limitation any hazardous substance, or owned or operated any
property or facility (and no such property or facility is contaminated by any
such substance) in a manner that has given or would give rise to liabilities,
including any liability for response costs, corrective action costs, personal
injury, property damage, natural resources damages or attorney fees, pursuant to
the Comprehensive Environmental Response, Compensation and Liability Act of
1980, as amended ("CERCLA"), the Solid Waste Disposal Act, as amended ("SWDA")
or any other Environmental, Health, and Safety Requirements.

         vi. Neither this Agreement nor the consummation of the transaction that
is the subject of this Agreement will result in any obligations for site
investigation or cleanup, or notification to or consent of government agencies
or third parties, pursuant to any of the so-called "transaction-triggered" or
"responsible property transfer" Environmental, Health, and Safety Requirements.

         vii. Neither the Target, its Subsidiaries, nor any of their respective
predecessors or Affiliates has, either expressly or by operation of law, assumed
or undertaken any liability, including without limitation any obligation for
corrective or remedial action, of any other Person relating to Environmental,
Health, and Safety Requirements.

         viii. No facts, events or conditions relating to the past or present
facilities, properties or operations of the Target, its Subsidiaries, or any of
their respective predecessors or Affiliates will prevent, hinder or limit
continued compliance with Environmental, Health, and Safety Requirements, give
rise to any investigatory, remedial or corrective obligations pursuant to
Environmental, Health, and Safety Requirements, or give rise to any other
liabilities (whether accrued, absolute, contingent, unliquidated or otherwise)
pursuant to Environmental, Health, and Safety Requirements, including without
limitation any relating to onsite or offsite releases or threatened releases of
hazardous materials, substances or wastes, personal injury, property damage or
natural resources damage.

         cc.      Certain Business Relationships With the Target and Its
                  Subsidiaries. None of the Target Shareholders or their
                  Affiliates has been involved in any business arrangement or
                  relationship with any of the Target or its Subsidiaries within
                  the past 12 months, and none of the Target Shareholders and
                  their Affiliates owns any asset, tangible or intangible, which
                  is used in the business of any of the Target and its
                  Subsidiaries.

         dd.      Compliance with Applicable Laws.




<PAGE>



         i. Each of the Target and its Subsidiaries owns, holds or possesses all
licenses, franchises, permits, privileges, immunities, approvals and other
authorizations from governmental entities which are necessary to entitle it to
own or lease, operate and use its assets, to participate in the Medicare,
Medicaid and all other reimbursement programs as currently participated in and
to carry on and conduct its business (collectively called "Permits") except
where the failure to do so would not have a material adverse effect on the
Target and its Subsidiaries taken as a whole. Each of the Target and its
Subsidiaries has fulfilled and performed its obligations under each of the
respective Permits in all material respects, and no event has occurred or
condition or state of facts exists which constitutes or, after notice or lapse
of time or both, would constitute a breach or default under any Permit either
(i) which permits or, after notice or lapse of time or both, would permit
revocation or termination of any Permit, or (ii) which may reasonably be
expected to adversely affect the rights of the Target or its Subsidiaries under
any Permit; no notice of cancellation, suspension, revocation, or default or of
any dispute concerning any Permit, or of any event, condition or state of facts
described in the preceding clause, has been received by, or is known to, the
Target or its Subsidiaries, or, to the Knowledge of any of the directors and
officers of the Target and its Subsidiaries, is proposed or threatened; and each
of the Permits is valid, subsisting and in full force and effect and may
reasonably be expected to continue in full force and effect after the Effective
Time in each case without (A) the occurrence of any breach, default or
forfeiture of rights thereunder, or (B) the consent, approval, or act of, or the
making of any filing with, any governmental entity. None of the Target and its
Subsidiaries has made any fraudulent misrepresentations in connection with any
judicial or regulatory proceedings or actions before any governmental entity.

         ii. None of the Target or its Subsidiaries has submitted any claims in
connection with any referrals to any of its programs which violated any
applicable self-referral law, including the Stark Bill (42 U.S.C. Section 1395)
or any applicable state self-referral law as those laws are currently
interpreted.

         iii. Each program operated by the Target and its Subsidiaries has (i)
obtained and maintains in good standing its JCAHO accreditation, if applicable,
as well as all required healthcare licenses, (ii) where required by applicable
law, obtained and maintains accreditation for such programs, (iii) obtained and
maintains all certifications required from any governmental entity including,
without limitation, where required by applicable law, Medicaid certification and
Medicare certification and (iv) obtained and maintains eligibility and good
standing for reimbursement from Medicare and Medicaid and any other third party
payor.

         iv. There are no situations which involved or involve the Target or its
Subsidiaries in (A) the use of any corporate funds for unlawful contributions,
gifts, entertainment or other unlawful expenses related to political activity,
(B) the making of any direct or indirect unlawful payments to government
officials from corporate funds or the establishment or maintenance of any
unlawful or unrecorded funds, (C) the violation of any of the provisions of The
Foreign Corrupt Practices Act of 1977, or any rules or regulations promulgated
thereunder, (D) the payment of or offering to pay any illegal remuneration for
any referral to any of its programs in violation of any applicable anti-
kickback law, including the "Medicare Anti-kickback Statute" (42 U.S.C. Section
1320a-7b(b)) or any applicable state anti-kickback law, (E) the violation of any
Medicare or Medicaid requirements, including the fraud and abuse provisions, (F)
the receipt of any illegal discounts or rebates or any other violation of the
anti-trust laws, (G) any investigation by the SEC of which the officers or
directors of the Target have Knowledge or (H) any investigation of the Target or
its Subsidiaries by a Medicare intermediary or carrier, the Health Care Finance
Administration, the Office of the Inspector General of the Department of Heath
and Human Services or any other federal, foreign, state or local government
agency or authority of which the officers or directors of the Target have
Knowledge.

         v. None of the Target or its Subsidiaries has submitted any claim for
payment to any payor source, either governmental or nongovernmental, in
violation of any false claim or fraud law, including the "False Claim Act" (31
U.S.C. Section 3729) or any applicable state false claim or fraud law.

         ee.      Medicare and Medicaid. None of the Target and its Subsidiaries
                  is engaged in termination proceedings as to its participation
                  in Medicare or Medicaid or has received notice that its
                  current participation, if any, in Medicare or Medicaid is
                  subject to any contest, termination or suspension as a result
                  of alleged violations or any non-compliance with participation
                  requirements. There is no pending or, to the Knowledge of the
                  Target or its Subsidiaries, threatened proceeding or
                  investigation involving participation by the Target or its
                  Subsidiaries in the Medicare or Medicaid programs. To the
                  Knowledge of any of the directors and officers of the Target,
                  none of the Target and its



<PAGE>



                  Subsidiaries has received reimbursement in excess of the
                  amount provided by law. All liabilities and contractual
                  adjustments of the business under any third party payor or
                  reimbursement programs have been properly reflected and
                  adequately reserved for in the financial statements as of the
                  dates thereof (with the reserves being established
                  consistently with past practices). The Target and its
                  Subsidiaries have always been and are currently in compliance
                  in all respects with applicable rules and regulations
                  governing reimbursement under the Medicare and Medicaid
                  programs.

         ff.      No Litigation. None of the officers or directors of the Target
                  or its Subsidiaries have Knowledge of any pending or
                  threatened litigation related to the execution of this
                  Agreement in the consummation of the transactions contemplated
                  hereby.

         4. Representations and Warranties of the Buyer and the Transitory
Subsidiary. Each of the Buyer and the Transitory Subsidiary represents and
warrants to the Target that the statements contained in this Section 4 are
correct and complete as of the date of this Agreement and, to the extent the
correctness and completeness of such statements are within the control of Target
or its Subsidiaries, will be correct and complete as of the Closing Date (as
though made then and as though the Closing Date were substituted for the date of
this Agreement throughout this Section 4), except as set forth in the Disclosure
Schedule. The Disclosure Schedule will be arranged in paragraphs corresponding
to the numbered and lettered paragraphs contained in this Section 4.

         a.       Organization. Each of the Buyer and the Transitory Subsidiary
                  is a limited liability company and a corporation,
                  respectively, duly organized, validly existing, and in good
                  standing under the laws of the jurisdiction of its
                  organization.

         b.       Authorization of Transaction. Each of the Buyer and the
                  Transitory Subsidiary has full power and authority (including
                  full corporate power and authority) to execute and deliver
                  this Agreement and to perform its obligations hereunder and
                  the execution and delivery by the Target, and the performance
                  of its obligations hereunder, have been duly authorized by all
                  requisite corporate action on the part of the Company, and the
                  Agreement has been duly executed and delivered by the Target.
                  This Agreement constitutes the valid and legally binding
                  obligation of each of the Buyer and the Transitory Subsidiary,
                  enforceable in accordance with its terms and conditions.

         c.       Noncontravention. Neither the execution and the delivery of
                  this Agreement, nor the consummation of the transactions
                  contemplated hereby, will (i) violate any constitution,
                  statute, regulation, rule, injunction, judgment, order,
                  decree, ruling, charge, or other restriction of any
                  government, governmental agency, or court to which either the
                  Buyer or the Transitory Subsidiary is subject or any provision
                  of the charter or bylaws of either the Buyer or the Transitory
                  Subsidiary the violation of which would have a material
                  adverse effect on the business of the Buyer and the Transitory
                  Subsidiary taken as a whole or (ii) conflict with, result in a
                  breach of, constitute a default under, result in the
                  acceleration of, create in any party the right to accelerate,
                  terminate, modify, or cancel, or require any notice under any
                  agreement, contract, lease, license, instrument, or other
                  arrangement to which either the Buyer or the Transitory
                  Subsidiary is a party or by which it is bound or to which any
                  of its assets is subject, except where the violation,
                  conflict, breach, default, acceleration, termination,
                  modification, cancellation, or failure to give notice would
                  not have a material adverse effect on the ability of the
                  Parties to consummate the transactions contemplated by this
                  Agreement. To the Knowledge of any director or officer of the
                  Buyer, and other than in connection with the provisions of the
                  New York Corporation Law, the Securities Exchange Act, the
                  Securities Act and the state securities laws, neither the
                  Buyer nor the Transitory Subsidiary needs to give any notice
                  to, make any filing with, or obtain any authorization,
                  consent, or approval of any government or governmental agency
                  in order for the Parties to consummate the transactions
                  contemplated by this Agreement except where the failure to
                  give notice, to file, or to obtain any authorization, consent,
                  or approval would not have a material adverse effect on the
                  ability of the Parties to consummate the transactions
                  contemplated by this Agreement.




<PAGE>



         d.       Brokers' Fees. Neither the Buyer nor the Transitory Subsidiary
                  has any liability or obligation to pay any fees or commissions
                  to any broker, finder, or agent with respect to the
                  transactions contemplated by this Agreement for which any of
                  the Target and its Subsidiaries could become liable or
                  obligated.

         e.       No Litigation. None of the officers or directors of the Buyer
                  or the Transitory Subsidiary have Knowledge of any pending or
                  threatened litigation related to the execution of this
                  Agreement in the consummation of the transactions contemplated
                  hereby.

         5. Covenants. The Parties agree as follows with respect to the period
from and after the execution of this Agreement.

         a.       General. Each of the Parties will use its reasonable best
                  efforts to take all action and to do all things necessary,
                  proper, or advisable in order to consummate and make effective
                  the transactions contemplated by this Agreement (including
                  satisfaction, but not waiver, of the closing conditions set
                  forth in Section 6 below).

         b.       Notices and Consents. The Target will give any notices (and
                  will cause each of its Subsidiaries to give any notices) to
                  third parties, and will use its best efforts to obtain (and
                  will cause each of its Subsidiaries to use its best efforts to
                  obtain) any third party consents, that the Buyer may request
                  in connection with the matters referred to in Section 3(d)
                  above.

         c.       Regulatory Matters and Approvals. Each of the Parties will
                  (and the Target will cause each of its Subsidiaries to) give
                  any notices to, make any filings with, and use its reasonable
                  best efforts to obtain any authorizations, consents, and
                  approvals of governments and governmental agencies in
                  connection with the matters referred to in Section 3(d) and
                  Section 4(c) above. Without limiting the generality of the
                  foregoing:

         i. Securities Act, Securities Exchange Act and State Securities Laws.
The Target will prepare and file with the SEC preliminary proxy materials under
the Securities Exchange Act relating to the Special Meeting. The Target will use
its best efforts to respond to the comments of the SEC thereon and will make any
further filings (including amendments and supplements) in connection therewith
that may be necessary, proper, or advisable. The Buyer will provide the Target,
and the Target will provide the Buyer, with whatever information and assistance
in connection with the foregoing filings that the filing Party reasonably may
request.

         ii. New York Business Corporation Law. The Target will call a special
meeting of its shareholders (the "Special Meeting"), as soon as practicable in
order that the shareholders may consider and vote upon the adoption of this
Agreement and the approval of the Merger in accordance with the New York
Business Corporation Law. The Target will mail the Definitive Proxy Materials to
its shareholders as soon as practicable. The Definitive Proxy Materials will
contain the affirmative recommendation of the board of directors of the Target
in favor of the adoption of this Agreement and the approval of the Merger;
provided, however, that no director or officer of the Target shall be required
to violate any fiduciary duty or other requirement imposed by law in connection
therewith.

         iii. Medicare and Medicaid. The Target will take all actions necessary
to authorize Buyer and the Transitory Subsidiary to use the Target's or its
Subsidiaries' Medicare and/or Medicaid numbers as permitted by law.

         d.       Fairness Opinion. The Target will deliver to the Buyer and the
                  Transitory Subsidiary on or before the date the Definitive
                  Proxy Materials are mailed to the shareholders of the Target
                  an opinion of Pinnacle Partners as to the fairness of the
                  Merger to the Target Shareholders from a financial point
                  of view (the "Fairness Opinion").

         e.       Operation of Business. The Target will not (and will not cause
                  or permit any of its Subsidiaries to) engage in any practice,
                  take any action, or enter into any transaction outside the
                  Ordinary Course of Business. Without limiting the generality
                  of the foregoing:

         i. none of the Target and its Subsidiaries will authorize or effect any
change in its charter or bylaws;



<PAGE>




         ii. none of the Target and its Subsidiaries will grant any options,
warrants, or other rights to purchase or obtain any of its capital stock or
issue, sell, or otherwise dispose of any of its capital stock (except upon the
conversion or exercise of options, warrants, and other rights currently
outstanding);

         iii. none of the Target and its Subsidiaries will declare, set aside,
or pay any dividend or distribution with respect to its capital stock (whether
in cash or in kind), or redeem, repurchase, or otherwise acquire any of its
capital stock;

         iv. none of the Target and its Subsidiaries will issue any note, bond,
or other debt security or create, incur, assume, or guarantee any indebtedness
for borrowed money or capitalized lease obligation outside the Ordinary Course
of Business;

         v. none of the Target and its Subsidiaries will impose any Security
Interest upon any of its assets outside the Ordinary Course of Business;

         vi. none of the Target and its Subsidiaries will make any capital
investment in, make any loan to, or acquire the securities or assets of any
other Person outside the Ordinary Course of Business;

         vii. none of the Target and its Subsidiaries will make any change in
employment terms for any of its directors, officers, and employees outside the
Ordinary Course of Business; and

         viii. none of the Target and its Subsidiaries will commit to any of the
foregoing.

         f.       Full Access. The Target will (and will cause each of its
                  Subsidiaries to) permit representatives of the Buyer to have
                  full access at all reasonable times, and in a manner so as not
                  to interfere with the normal business operations of the Target
                  and its Subsidiaries, to all premises, properties, personnel,
                  books, records (including tax records), contracts, and
                  documents of or pertaining to each of the Target and its
                  Subsidiaries. Each of the Buyer and the Transitory Subsidiary
                  will treat and hold as such any Confidential Information it
                  receives from any of the Target and its Subsidiaries in the
                  course of the reviews contemplated by this Section 5(f), will
                  not use any of the Confidential Information except in
                  connection with this Agreement, and, if this Agreement is
                  terminated for any reason whatsoever, agrees to return to the
                  Target all tangible embodiments including written, electronic,
                  or other formats (and all copies) thereof which are in its
                  possession or control, and will destroy all work papers,
                  memoranda and notes related thereto except, however, that
                  Confidential Information shall not be deemed to include (i)
                  such information that is already known to the Buyer or the
                  Transitory Subsidiary or to others not bound by a duty of
                  confidentiality or such information becomes publicly available
                  through no fault of the Buyer or the Transitory Subsidiary,
                  (ii) the use of such information that is necessary or
                  appropriate in making any filing or obtaining any consent or
                  approval required for the consummation of the Merger or (iii)
                  the furnishing or use of such information is required by or
                  necessary or appropriate in connection with legal proceedings;
                  provided, that, the Buyer and the Transitory Subsidiary will
                  provide written notice to the Target in advance of making such
                  disclosure and will not object to the Target's efforts to
                  intercede in such matter for such purpose of protecting the
                  confidentiality of the Confidential Information.

         g.       Notice of Developments. Each Party will give prompt written
                  notice to the others of any material adverse development
                  causing a breach of any of its own representations and
                  warranties in Section 3 and Section 4 above. No disclosure by
                  any Party pursuant to this Section 5(g), however, shall be
                  deemed to amend or supplement the Disclosure Schedule or to
                  prevent or cure any misrepresentation, breach of warranty, or
                  breach of covenant.

         h.       Exclusivity. The Target will not (and will not cause or permit
                  any of its Subsidiaries to) solicit, initiate, or encourage
                  the submission of any proposal or offer from any Person
                  relating to the acquisition of all or substantially all of the
                  capital stock or assets of any of the Target and its
                  Subsidiaries (including any acquisition structured as a
                  merger, consolidation, or share exchange);



<PAGE>



                  provided, however, prior to the Target obtaining shareholder
                  approval of this Agreement, the Target, its Subsidiaries, and
                  their directors and officers will remain free to participate
                  in any discussions or negotiations regarding, furnish any
                  information with respect to, assist or participate in, or
                  facilitate in any other manner any effort or attempt by any
                  Person to do or seek any of the foregoing to the extent their
                  fiduciary duties may require. The Target shall notify the
                  Buyer immediately if any Person makes any proposal, offer,
                  inquiry, or contact with respect to any of the foregoing.

         i.       Disclosure. The Definitive Proxy Materials will comply with
                  the Securities Exchange Act in all material respects. The
                  Target hereby covenants that the Definitive Proxy Materials
                  will not contain any untrue statement of a material fact or
                  omit to state a material fact necessary in order to make the
                  statements made therein, in the light of the circumstances
                  under which they will be made, not misleading; provided,
                  however, the Target makes no covenant with respect to any
                  information that the Buyer and the Transitory Subsidiary will
                  supply specifically for use in the Definitive Proxy Materials.
                  The Buyer and the Transitory Subsidiary shall indemnify and
                  hold harmless the Target, its Subsidiaries and their
                  respective officers, directors, employees and agents from and
                  against any and all losses, liabilities, costs, and expenses
                  (including without limitation, reasonable attorneys' fees and
                  costs of litigation) directly arising out of any untrue
                  statement of material fact or omission of a statement of
                  material fact necessary in order to make the statements
                  therein not materially misleading made in the Definitive Proxy
                  Materials directly attributable to information provided by the
                  Buyer or the Transitory Subsidiary. The Target and its
                  Subsidiaries shall indemnify and hold harmless the Buyer, the
                  Transitory Subsidiary and their respective officers,
                  directors, employees and agents from and against any and all
                  losses, liabilities, costs, and expenses (including without
                  limitation, reasonable attorneys' fees and costs of
                  litigation) directly arising out of any untrue statement of
                  material fact or omission of a statement of material fact
                  necessary in order to make the statements therein not
                  materially misleading made in the Definitive Proxy Materials
                  directly attributable to information provided by the Target or
                  its Subsidiaries.

         j.       Warrants. Upon request of the Buyer, prior to the Special
                  Meeting the Target shall cause notice (in a form approved by
                  the Buyer, which approval shall not be unreasonably withheld)
                  to be given to Warrant holders of the proposed transaction and
                  its effect upon the rights of such Warrant
                  holders.
                  Following receipt of the Requisite Shareholder Approval, the
                  Target will, subject to content approval by the Buyer, which
                  approval shall not be reasonably withheld, prepare and file a
                  certificate with the Warrant Agent (following the form set
                  forth in Section 9(e) of the Warrant Agreement) and cause a
                  summary of such certificate to be sent to the underwriter and
                  each registered holder of Warrants. The certificate will
                  contain information regarding the rights of such holders to
                  acquire $1.20 in cash upon the exercise of such holders'
                  Warrants.

         6.       Conditions to Obligation to Close.

         a.       Conditions to Obligation of the Buyer and the Transitory
                  Subsidiary. The obligation of each of the Buyer and the
                  Transitory Subsidiary to consummate the transactions to be
                  performed by it in connection with the Closing is subject to
                  satisfaction of the following conditions:

         i. this Agreement and the Merger shall have received the Requisite
Shareholder Approval and the number of Dissenting Shares shall not exceed 5% of
the number of outstanding Target Shares;

         ii. the Target and its Subsidiaries shall have procured all of the
third party consents specified in Section 5(b) above;

         iii. except for any representation and warranty that, as of the date of
this Agreement, to the Knowledge of Alan J. Landauer, Chairman of the Board and
a Director of the Target since April 8, 1999, was untrue or incorrect, the
representations and warranties set forth in Section 3 above shall be true and
correct at and as of the Closing Date;

         iv. the Target shall have performed and complied with all of its
covenants hereunder in all material respects through the Closing;



<PAGE>




         v. no action, suit, or proceeding shall be pending or threatened before
any court or quasi-judicial or administrative agency of any federal, state,
local, or foreign jurisdiction or before any arbitrator wherein an unfavorable
injunction, judgment, order, decree, ruling, or charge would (A) prevent
consummation of any of the transactions contemplated by this Agreement, (B)
cause any of the transactions contemplated by this Agreement to be rescinded
following consummation, (C) affect adversely the right of the Buyer to own the
capital stock of the Surviving Corporation and to control the Surviving
Corporation and its Subsidiaries, (D) affect adversely the right of any of the
Surviving Corporation and its Subsidiaries to own its assets and to operate its
businesses (and no such injunction, judgment, order, decree, ruling, or charge
shall be in effect) or (E) result in any liability, contingent or otherwise,
from record or beneficial holders of Warrants, except to the extent the Purchase
Price (as defined in the Warrant Agreement and satisfactory to the Buyer)
exceeds the value of what such holder may be entitled to under the Warrant
Agreement upon consummation of the transactions contemplated by this Agreement;

         vi. the Target shall have delivered to the Buyer and the Transitory
Subsidiary an officers' certificate to the effect that each of the conditions
specified above in Section 6(a)(i)-(v) is satisfied in all respects;

         vii. the Parties shall have received all other authorizations,
consents, and approvals of governments and governmental agencies referred to in
Section 3(d) and Section 4(c) above;

         viii. the Buyer and the Transitory Subsidiary shall have received from
counsel to the Target an opinion in form and substance as set forth in Exhibit C
attached hereto, addressed to the Buyer and the Transitory Subsidiary, and dated
as of the Closing Date;

         ix. the Buyer and the Transitory Subsidiary shall have received the
resignations, effective as of the Closing, of each director and officer of the
Target and its Subsidiaries other than those whom the Buyer shall have specified
in writing at least five business days prior to the Closing;

         x. all actions to be taken by the Target in connection with
consummation of the transactions contemplated hereby and all certificates,
opinions, instruments, and other documents required to effect the transactions
contemplated hereby will be satisfactory in form and substance to the Buyer and
the Transitory Subsidiary; and

         xi. the Buyer and the Transitory Subsidiary shall have obtained all of
the financing they will require in order to consummate the Merger.

The Buyer and the Transitory Subsidiary may waive any condition specified in
this Section 6(a) if they execute a writing so stating at or prior to the
Closing.

         b.       Conditions to Obligation of the Target. The obligation of the
                  Target to consummate the transactions to be performed by it in
                  connection with the Closing is subject to satisfaction of the
                  following conditions:

         i. the representations and warranties set forth in Section 4 above
shall be true and correct in all material respects at and as of the Closing
Date;

         ii. each of the Buyer and the Transitory Subsidiary shall have
performed and complied with all of its covenants hereunder in all material
respects through the Closing;

         iii. no action, suit, or proceeding shall be pending or threatened
before any court or quasi-judicial or administrative agency of any federal,
state, local, or foreign jurisdiction or before any arbitrator wherein an
unfavorable injunction, judgment, order, decree, ruling, or charge would (A)
prevent consummation of any of the transactions contemplated by this Agreement,
(B) cause any of the transactions contemplated by this Agreement to be rescinded
following consummation, (C) affect adversely the right of the Buyer to own the
capital stock of the Surviving Corporation and to control the Surviving
Corporation and its Subsidiaries, (D) affect adversely the right of any of the
Surviving Corporation and its Subsidiaries to own its assets and to operate its
businesses (and no such injunction,



<PAGE>



judgment, order, decree, ruling, or charge shall be in effect); and there shall
not be any judgement, order, decree, stipulation, injunction or charge in effect
preventing consummation of any transactions contemplated by this Agreement;

         iv. each of the Buyer and the Transitory Subsidiary shall have
delivered to the Target an officers' certificate to the effect that each of the
conditions specified above in Section 6(b)(i)-(v) is satisfied in all respects;

         v. this Agreement and the Merger shall have received the Requisite
Shareholder Approval;

         vi. the Parties shall have received all other authorizations, consents,
and approvals of governments and governmental agencies referred to in Section
3(d) and Section 4(c) above;

         vii. the Target shall have received from counsel to the Buyer and the
Transitory Subsidiary an opinion in form and substance as set forth in Exhibit D
attached hereto, addressed to the Target, and dated as of the Closing Date; and

         viii. all actions to be taken by the Buyer and the Transitory
Subsidiary in connection with consummation of the transactions contemplated
hereby and all certificates, opinions, instruments, and other documents required
to effect the transactions contemplated hereby will be reasonably satisfactory
in form and substance to the Target.

The Target may waive any condition specified in this Section 6(b) if it executes
a writing so stating at or prior to the Closing.

         7.       Termination.

         a.       Termination of Agreement. Any of the Parties may terminate
                  this Agreement with the prior authorization of its board of
                  directors (whether before or after shareholder approval) as
                  provided below:

         i. the Parties may terminate this Agreement by mutual written consent
at any time prior to the Effective Time;

         ii. the Buyer and the Transitory Subsidiary may terminate this
Agreement by giving written notice to the Target at any time prior to the
Effective Time (A) in the event the Target has breached any material
representation, warranty, or covenant contained in this Agreement, the Buyer or
the Transitory Subsidiary has notified the Target of the breach, and the breach
has continued without cure for a period of 10 days after the notice of breach or
(B) if the Closing shall not have occurred on or before August 30, 1999, by
reason of the failure of any condition precedent under Section 6(a) hereof
(unless the failure results primarily from the Buyer or the Transitory
Subsidiary breaching any representation, warranty, or covenant contained in this
Agreement);

         iii. the Target may terminate this Agreement by giving written notice
to the Buyer and the Transitory Subsidiary at any time prior to the Effective
Time (A) in the event the Buyer or the Transitory Subsidiary has breached any
material representation, warranty, or covenant contained in this Agreement in
any material respect, the Target has notified the Buyer and the Transitory
Subsidiary of the breach, and the breach has continued without cure for a period
of 10 days after the notice of breach or (B) if the Closing shall not have
occurred on or before August 30, 1999, by reason of the failure of any condition
precedent under Section 6(b) hereof (unless the failure results primarily from
the Target breaching any representation, warranty, or covenant contained in this
Agreement);

         iv. Prior to the Target obtaining shareholder approval of this
Agreement, the Target may terminate this Agreement by giving written notice to
the Buyer at any time prior to the Effective Time, in the event that a Person
has made an Acquisition Proposal that the board of directors of the Target
determines, in good faith, and after consultation with and advice from its
financial advisors, is likely to be subject to completion and would, if
consummated, result in a transaction more favorable, from a financial point of
view, to the Target's shareholders than this Agreement and the Merger;




<PAGE>



         v. any Party may terminate this Agreement by giving written notice to
the other Parties at any time after the Special Meeting in the event this
Agreement and the Merger fail to receive the Requisite Shareholder Approval.

         b.       Effect of Termination. If any Party terminates this Agreement
                  pursuant to Section 7(a) above, all rights and obligations of
                  the Parties hereunder shall terminate without any liability of
                  any Party to any other Party (except for any liability of any
                  Party then in breach); provided, however, that the
                  confidentiality provisions contained in Section 5(h) or
                  Section 8(b) above shall survive any such
                  termination.

         c.       Termination Fee. In the event of termination by the Target
                  pursuant to Section 7(a)(iv) above or by the Buyer or the
                  Transitory Subsidiary pursuant to or Section 7(a)(ii) above,
                  Target shall (i) pay to Buyer a termination fee of three
                  hundred fifty thousand dollars ($350,000), not as a penalty
                  but in recognition of the substantial time and efforts
                  expended, expenses incurred and other opportunities foregone
                  by the Buyer in connection with this Agreement plus (ii) any
                  and all expenses incurred by Buyer or the Transitory
                  Subsidiary (including without limitation, attorneys' fees)
                  relating to or arising out of this Agreement or the
                  transactions or the agreements contemplated herein; provided,
                  however, this Section 7(c) shall not apply to a termination
                  pursuant to Section 7(a)(ii)(B) if the basis thereof is the
                  failure to satisfy the condition precedent described in
                  Section 6(a)(i), unless an Acquisition Transaction is
                  contracted for on or prior to December 31, 1999.

         8.       Miscellaneous.

         a.       Survival. None of the representations, warranties, and
                  covenants of the Parties (other than the provisions in Section
                  2 above concerning payment of the Merger Consideration and the
                  provisions in Section 5(k) above concerning indemnification)
                  will survive the Effective Time.

         b.       Press Releases and Public Announcements. No Party shall issue
                  any press release or make any public announcement relating to
                  the subject matter of this Agreement without the prior written
                  approval of the other Parties; provided, however, that any
                  Party may make any public disclosure it believes in good faith
                  is required by applicable law or any listing or trading
                  agreement concerning its publicly- traded securities (in which
                  case the disclosing Party will use its reasonable best efforts
                  to advise the other Party prior to making the disclosure).

         c.       No Third-Party Beneficiaries. This Agreement shall not confer
                  any rights or remedies upon any Person other than the Parties
                  and their respective successors and permitted assigns;
                  provided, however, that the provisions in Section 2 above
                  concerning payment of the Merger Consideration are
                  intended for the benefit of the Target Shareholders.

         d.       Entire Agreement. This Agreement (including the documents
                  referred to herein) constitutes the entire agreement among the
                  Parties and supersedes any prior understandings, agreements,
                  or representations by or among the Parties, written or oral,
                  to the extent they related in any way to the subject matter
                  hereof.

         e.       Succession and Assignment. This Agreement shall be binding
                  upon and inure to the benefit of the Parties named herein and
                  their respective successors and permitted assigns. No Party
                  may assign either this Agreement or any of its rights,
                  interests, or obligations hereunder without the prior written
                  approval of the other Parties.

         f.       Counterparts. This Agreement may be executed in one or more
                  counterparts, each of which shall be deemed an original but
                  all of which together will constitute one and the same
                  instrument.

         g.       Headings. The section headings contained in this Agreement are
                  inserted for convenience only and shall not affect in any way
                  the meaning or interpretation of this Agreement.




<PAGE>



         h.       Notices. All notices, requests, demands, claims, and other
                  communications hereunder will be in writing. Any notice,
                  request, demand, claim, or other communication hereunder shall
                  be deemed duly given if (and then two business days after) it
                  is sent by registered or certified mail, return receipt
                  requested, postage prepaid, and addressed to the intended
                  recipient as set forth below:

         If to the Target:          Community Care Services, Inc.
                                    18 Sargent Place
                                    Mount Vernon, NY  10550
                                    Attention:  Elia C. Guaneri, Chief Financial
                                                Officer
                                    Telephone: (914) 665-9050

         Copy to:                   Nordlicht & Hand
                                    Olympic Tower
                                    645 Fifth Avenue
                                    New York, NY 10022
                                    Attention:  Brian M. Hand, Esq.
                                    Telephone: (212) 421-6500
                                    Facsimile:  (212) 421-0499

         If to the Buyer:           Landauer Hospital Supplies Inc.
                                    99 Calvert Street, P.O. Box 839
                                    Harrison, NY  10528
                                    Attention: Alan J. Landauer
                                    Telephone: (914) 835-4200
                                    Facsimile: (914) 835-4793

         Copy to:                   Thacher Proffitt & Wood
                                    Two World Trade Center
                                    New York, NY  10048
                                    Attention: Thomas N. Talley, Esq.
                                    Telephone: (212) 912-7645
                                    Facsimile: (212) 912-7751

         If to the
         Transitory Subsidiary:     LHS Merger Sub, Inc.
                                    c/o Landauer Hospital Supplies, Inc.
                                    99 Calvert Street, P.O. Box 830
                                    Harrison, NY  10528
                                    Attention: Alan J. Landauer
                                    Telephone: (914) 835-4200
                                    Facsimile: (914) 835-4793

         Copy to:                   Thacher Proffitt & Wood
                                    Two World Trade Center
                                    New York, New York  10048
                                    Attention: Thomas N. Talley, Esq.
                                    Telephone: (212) 912-7645
                                    Facsimile: (212) 912-7751

Any Party may send any notice, request, demand, claim, or other communication
hereunder to the intended recipient at the address set forth above using any
other means (including personal delivery, expedited courier, messenger service,
telecopy, telex, ordinary mail, or electronic mail), but no such notice,
request, demand, claim, or other communication shall be deemed to have been duly
given unless and until it actually is received by the intended recipient. Any
Party may change the address to which notices, requests, demands, claims, and
other communications hereunder are to be delivered by giving the other Parties
notice in the manner herein set forth.



<PAGE>



         i.       GOVERNING LAW. THIS AGREEMENT SHALL BE GOVERNED BY AND
                  CONSTRUED IN ACCORDANCE WITH THE DOMESTIC LAWS OF THE STATE OF
                  NEW YORK WITHOUT GIVING EFFECT TO ANY CHOICE OR CONFLICT OF
                  LAW PROVISION OR RULE (WHETHER OF THE STATE OF NEW YORK OR ANY
                  OTHER JURISDICTION) THAT WOULD CAUSE THE APPLICATION OF THE
                  LAWS OF ANY JURISDICTION OTHER THAN THE STATE OF NEW YORK.

         j.       Amendments and Waivers. The Parties may mutually amend any
                  provision of this Agreement at any time prior to the Effective
                  Time with the prior authorization of their respective boards
                  of directors; provided, however, that any amendment effected
                  subsequent to shareholder approval will be subject to the
                  restrictions contained in the New York Business Corporation
                  Law. No amendment of any provision of this Agreement shall be
                  valid unless the same shall be in writing and signed by all of
                  the Parties. No waiver by any Party of any default,
                  misrepresentation, or breach of warranty or covenant
                  hereunder, whether intentional or not, shall be deemed to
                  extend to any prior or subsequent default, misrepresentation,
                  or breach of warranty or covenant hereunder or affect in any
                  way any rights arising by virtue of any prior or subsequent
                  such occurrence.

         k.       Jurisdiction; Service of Process. Any action or proceeding
                  seeking to enforce any provision of, or based upon any right
                  arising out of, this Agreement may be brought against any of
                  the Parties in the courts of the State of New York, County of
                  Westchester, or, if it has or can acquire jurisdiction, in the
                  United States District Court for the Southern District of New
                  York, and each of the Parties consents to the jurisdiction of
                  such courts (and of the appropriate appellate courts) in any
                  such action or proceeding and waives any objection to venue
                  laid therein. Process in any action or proceeding referred to
                  in the preceding sentence may be served on any Party anywhere
                  in the world.

         l.       Severability. Any term or provision of this Agreement that is
                  invalid or unenforceable in any situation in any jurisdiction
                  shall not affect the validity or enforceability of the
                  remaining terms and provisions hereof or the validity or
                  enforceability of the offending term or provision in any other
                  situation or in any other jurisdiction.

         m.       Expenses. Each of the Parties will bear its own costs and
                  expenses (including legal fees and expenses) incurred in
                  connection with this Agreement and the transactions
                  contemplated hereby.

         n.       Construction. The Parties have participated jointly in the
                  negotiation and drafting of this Agreement. In the event an
                  ambiguity or question of intent or interpretation arises, this
                  Agreement shall be construed as if drafted jointly by the
                  Parties and no presumption or burden of proof shall arise
                  favoring or disfavoring any Party by virtue of the authorship
                  of any of the provisions of this Agreement. Any reference to
                  any federal, state, local, or foreign statute or law shall be
                  deemed also to refer to all rules and regulations promulgated
                  thereunder, unless the context otherwise requires. The word
                  "including" shall mean including without limitation.

         o.       Incorporation of Exhibits and Schedules. The Exhibits and
                  Schedules identified in this Agreement are incorporated herein
                  by reference and made a part hereof.

                                      *****





<PAGE>



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


                                        LANDAUER HOSPITAL SUPPLIES INC.



                                        By:      /s/ Alan J. Landauer
                                                 ---------------------------
                                        Name:    Alan J. Landauer
                                        Title:   Chairman



                                        LHS MERGER SUB, INC.



                                        By:      /s/ Alan J. Landauer
                                                 ---------------------------
                                        Name:    Alan J. Landauer
                                        Title:   President



                                        COMMUNITY CARE SERVICES, INC.



                                        By:      /s/ Elia C. Guarneri
                                                 ---------------------------
                                        Name:    Elia C. Guaneri
                                        Title:   Chief Financial Officer




<PAGE>



                                                                      SCHEDULE 1

                               DISCLOSURE SCHEDULE
                  EXCEPTIONS TO REPRESENTATIONS AND WARRANTIES



<PAGE>



                                                                      SCHEDULE 2

                    ENVIRONMENTAL SAFETY AND PERMITS SCHEDULE




<PAGE>



                                     ANNEX B

                BUSINESS CORPORATION LAW OF THE STATE OF NEW YORK

                               DISSENTERS' RIGHTS

Section 623. Procedure to Enforce Shareholders' Right to Receive Payment for
Shares.

         a.       A shareholder intending to enforce his right under a section
                  of this chapter to receive payment for his shares if the
                  proposed corporate action referred to therein is taken shall
                  file with the corporation, before the meeting of shareholders
                  at which the action is submitted to a vote, or at such meeting
                  but before the vote, written objection to the action. The
                  objection shall include a notice of his election to dissent,
                  his name and residence address, the number and classes of
                  shares as to which he dissents and a demand for payment of the
                  fair value of his shares if the action is taken. Such
                  objection is not required from any shareholder to whom the
                  corporation did not give notice of such meeting in accordance
                  with this chapter or where the proposed action is authorized
                  by written consent of shareholders without a meeting.

         b.       Within ten days after the shareholders' authorization date,
                  which term as used in this section means the date on which the
                  shareholders' vote authorizing such action was taken, or the
                  date on which such consent without a meeting was obtained from
                  the requisite shareholders, the corporation shall give written
                  notice of such authorization or consent by registered mail to
                  each shareholder who filed written objection or from whom
                  written objection was not required, excepting any shareholder
                  who voted for or consented in writing to the proposed action
                  and who thereby is deemed to have elected not to enforce his
                  right to receive payment for his shares.

         c.       Within twenty days after the giving of notice to him, any
                  shareholder from whom written objection was not required and
                  who elects to dissent shall file with the corporation a
                  written notice of such election, stating his name and
                  residence address, the number and classes of shares as to
                  which he dissents and a demand for payment of the fair value
                  of his shares. Any shareholder who elects to dissent from a
                  merger under section 905 (Merger of subsidiary corporation) or
                  paragraph (c) of section 907 (Merger or consolidation of
                  domestic and foreign corporations) or from a share exchange
                  under paragraph (g) of section 913 (Share exchanges) shall
                  file a written notice of such election to dissent within
                  twenty days after the giving to him of a copy of the plan of
                  merger or exchange or an outline of the material features
                  thereof under section 905 or 913.

         d.       A shareholder may not dissent as to less than all of the
                  shares, as to which he has a right to dissent, held by him of
                  record, that he owns beneficially. A nominee or fiduciary may
                  not dissent on behalf of any beneficial owner as to less than
                  all of the shares of such owner, as to which such nominee or
                  fiduciary has a right to dissent, held of record by such
                  nominee or fiduciary.

         e.       Upon consummation of the corporate action, the shareholder
                  shall cease to have any of the rights of a shareholder except
                  the right to be paid the fair value of his shares and any
                  other rights under this section. A notice of election may be
                  withdrawn by the shareholder at any time prior to his
                  acceptance in writing of an offer made by the corporation, as
                  provided in paragraph (g), but in no case later than sixty
                  days from the date of consummation of the corporate action
                  except that if the corporation fails to make a timely offer,
                  as provided in paragraph (g), the time for withdrawing a
                  notice of election shall be extended until sixty days from the
                  date an offer is made. Upon expiration of such time,
                  withdrawal of a notice of election shall require the written
                  consent of the corporation. In order to be effective,
                  withdrawal of a notice of election must be accompanied by the
                  return to the corporation of any advance payment made to the
                  shareholder as provided in paragraph (g). If a notice of
                  election is withdrawn, or the corporate action is rescinded,
                  or a court shall determine that the shareholder is not
                  entitled to receive payment for his shares, or the shareholder
                  shall otherwise lose his dissenters' rights, he shall not have
                  the right to receive payment for his shares and he shall be
                  reinstated to all his rights as a shareholder as of the
                  consummation of the corporate action, including any
                  intervening



<PAGE>



                  preemptive rights and the right to payment of any intervening
                  dividend or other distribution or, if any such rights have
                  expired or any such dividend or distribution other than in
                  cash has been completed, in lieu thereof, at the election of
                  the corporation, the fair value thereof in cash as determined
                  by the board as of the time of such expiration or completion,
                  but without prejudice otherwise to any corporate proceedings
                  that may have been taken in the interim.

         f.       At the time of filing the notice of election to dissent or
                  within one month thereafter the shareholder of shares
                  represented by certificates shall submit the certificates
                  representing his shares to the corporation, or to its transfer
                  agent, which shall forthwith note conspicuously thereon that a
                  notice of election has been filed and shall return the
                  certificates to the shareholder or other person who submitted
                  them on his behalf. Any shareholder of shares represented by
                  certificates who fails to submit his certificates for such
                  notation as herein specified shall, at the option of the
                  corporation exercised by written notice to him within
                  forty-five days from the date of filing of such notice of
                  election to dissent, lose his dissenter's rights unless a
                  court, for good cause shown, shall otherwise direct. Upon
                  transfer of a certificate bearing such notation, each new
                  certificate issued therefor shall bear a similar notation
                  together with the name of the original dissenting holder of
                  the shares and a transferee shall acquire no rights in the
                  corporation except those which the original dissenting
                  shareholder had at the time of transfer.

         g.       Within fifteen days after the expiration of the period within
                  which shareholders may file their notices of election to
                  dissent, or within fifteen days after the proposed corporate
                  action is consummated, whichever is later (but in no case
                  later than ninety days from the shareholders' authorization
                  date), the corporation or, in the case of a merger or
                  consolidation, the surviving or new corporation, shall make a
                  written offer by registered mail to each shareholder who has
                  filed such notice of election to pay for his shares at a
                  specified price which the corporation considers to be their
                  fair value. Such offer shall be accompanied by a statement
                  setting forth the aggregate number of shares with respect to
                  which notices of election to dissent have been received and
                  the aggregate number of holders of such shares. If the
                  corporate action has been consummated, such offer shall also
                  be accompanied by (1) advance payment to each such shareholder
                  who has submitted the certificates representing his shares to
                  the corporation, as provided in paragraph (f), of an amount
                  equal to eighty percent of the amount of such offer, or (2) as
                  to each shareholder who has not yet submitted his certificates
                  a statement that advance payment to him of an amount equal to
                  eighty percent of the amount of such offer will be made by the
                  corporation promptly upon submission of his certificates. If
                  the corporate action has not been consummated at the time of
                  the making of the offer, such advance payment or statement as
                  to advance payment shall be sent to each shareholder entitled
                  thereto forthwith upon consummation of the corporate action.
                  Every advance payment or statement as to advance payment shall
                  include advice to the shareholder to the effect that
                  acceptance of such payment does not constitute a waiver of any
                  dissenters' rights. If the corporate action has not been
                  consummated upon the expiration of the ninety day period after
                  the shareholders' authorization date, the offer may be
                  conditioned upon the consummation of such action. Such offer
                  shall be made at the same price per share to all dissenting
                  shareholders of the same class, or if divided into series, of
                  the same series and shall be accompanied by a balance sheet of
                  the corporation whose shares the dissenting shareholder holds
                  as of the latest available date, which shall not be earlier
                  than twelve months before the making of such offer, and a
                  profit and loss statement or statements for not less than a
                  twelve month period ended on the date of such balance sheet
                  or, if the corporation was not in existence throughout such
                  twelve month period, for the portion thereof during which it
                  was in existence. Notwithstanding the foregoing, the
                  corporation shall not be required to furnish a balance sheet
                  or profit and loss statement or statements to any shareholder
                  to whom such balance sheet or profit and loss statement or
                  statements were previously furnished, nor if in connection
                  with obtaining the shareholders' authorization for or consent
                  to the proposed corporate action the shareholders were
                  furnished with a proxy or information statement, which
                  included financial statements, pursuant to Regulation 14A or
                  Regulation 14C of the United States Securities and Exchange
                  Commission. If within thirty days after the making of such
                  offer, the corporation making the offer and any shareholder
                  agree upon the price to be paid for his shares, payment
                  therefor shall be made within sixty days after the making of



<PAGE>



                  such offer or the consummation of the proposed corporate
                  action, whichever is later, upon the surrender of the
                  certificates for any such shares represented by certificates.

         h.       The following procedure shall apply if the corporation fails
                  to make such offer within such period of fifteen days, or if
                  it makes the offer and any dissenting shareholder or
                  shareholders fail to agree with it within the period of thirty
                  days thereafter upon the price to be paid for their shares:

                  (i) The corporation shall, within twenty days after the
         expiration of whichever is applicable of the two periods last
         mentioned, institute a special proceeding in the supreme court in the
         judicial district in which the office of the corporation is located to
         determine the rights of dissenting shareholders and to fix the fair
         value of their shares. If, in the case of merger or consolidation, the
         surviving or new corporation is a foreign corporation without an office
         in this state, such proceeding shall be brought in the county where the
         office of the domestic corporation, whose shares are to be valued, was
         located.

                  (ii) If the corporation fails to institute such proceeding
         within such period of twenty days, any dissenting shareholder may
         institute such proceeding for the same purpose not later than thirty
         days after the expiration of such twenty day period. If such proceeding
         is not instituted within such thirty day period, all dissenter's rights
         shall be lost unless the supreme court, for good cause shown, shall
         otherwise direct.

                  (iii) All dissenting shareholders, excepting those who, as
         provided in paragraph (g), have agreed with the corporation upon the
         price to be paid for their shares, shall be made parties to such
         proceeding, which shall have the effect of an action quasi in rem
         against their shares. The corporation shall serve a copy of the
         petition in such proceeding upon each dissenting shareholder who is a
         resident of this state in the manner provided by law for the service of
         a summons, and upon each nonresident dissenting shareholder either by
         registered mail and publication, or in such other manner as is
         permitted by law. The jurisdiction of the court shall be plenary and
         exclusive.

                  (iv) The court shall determine whether each dissenting
         shareholder, as to whom the corporation requests the court to make such
         determination, is entitled to receive payment for his shares. If the
         corporation does not request any such determination or if the court
         finds that any dissenting shareholder is so entitled, it shall proceed
         to fix the value of the shares, which, for the purposes of this
         section, shall be the fair value as of the close of business on the day
         prior to the shareholders' authorization date. In fixing the fair value
         of the shares, the court shall consider the nature of the transaction
         giving rise to the shareholder's right to receive payment for shares
         and its effects on the corporation and its shareholders, the concepts
         and methods then customary in the relevant securities and financial
         markets for determining fair value of shares of a corporation engaging
         in a similar transaction under comparable circumstances and all other
         relevant factors. The court shall determine the fair value of the
         shares without a jury and without referral to an appraiser or referee.
         Upon application by the corporation or by any shareholder who is a
         party to the proceeding, the court may, in its discretion, permit
         pretrial disclosure, including, but not limited to, disclosure of any
         expert's reports relating to the fair value of the shares whether or
         not intended for use at the trial in the proceeding and notwithstanding
         subdivision (d) of section 3101 of the civil practice law and rules.

                  (v) The final order in the proceeding shall be entered against
         the corporation in favor of each dissenting shareholder who is a party
         to the proceeding and is entitled thereto for the value of his shares
         so determined.

                  (vi) The final order shall include an allowance for interest
         at such rate as the court finds to be equitable, from the date the
         corporate action was consummated to the date of payment. In determining
         the rate of interest, the court shall consider all relevant factors,
         including the rate of interest which the corporation would have had to
         pay to borrow money during the pendency of the proceeding. If the court
         finds that the refusal of any shareholder to accept the corporate offer
         of payment for his shares was arbitrary, vexatious or otherwise not in
         good faith, no interest shall be allowed to him.

                  (vii) Each party to such proceeding shall bear its own costs
         and expenses, including the fees and expenses of its counsel and of any
         experts employed by it. Notwithstanding the foregoing, the court may,
         in



<PAGE>



         its discretion, apportion and assess all or any part of the costs,
         expenses and fees incurred by the corporation against any or all of the
         dissenting shareholders who are parties to the proceeding, including
         any who have withdrawn their notices of election as provided in
         paragraph (e), if the court finds that their refusal to accept the
         corporate offer was arbitrary, vexatious or otherwise not in good
         faith. The court may, in its discretion, apportion and assess all or
         any part of the costs, expenses and fees incurred by any or all of the
         dissenting shareholders who are parties to the proceeding against the
         corporation if the court finds any of the following: (A) that the fair
         value of the shares as determined materially exceeds the amount which
         the corporation offered to pay; (B) that no offer or required advance
         payment was made by the corporation; (C) that the corporation failed to
         institute the special proceeding within the period specified therefor;
         or (D) that the action of the corporation in complying with its
         obligations as provided in this section was arbitrary, vexatious or
         otherwise not in good faith. In making any determination as provided in
         clause (A), the court may consider the dollar amount or the percentage,
         or both, by which the fair value of the shares as determined exceeds
         the corporate offer.

                  (viii) Within sixty days after final determination of the
         proceeding, the corporation shall pay to each dissenting shareholder
         the amount found to be due him, upon surrender of the certificates for
         any such shares represented by certificates.

         i.       Shares acquired by the corporation upon the payment of the
                  agreed value therefor or of the amount due under the final
                  order, as provided in this section, shall become treasury
                  shares or be cancelled as provided in section 515 (Reacquired
                  shares), except that, in the case of a merger or
                  consolidation, they may be held and disposed of as the plan of
                  merger or consolidation may otherwise provide.

         j.       No payment shall be made to a dissenting shareholder under
                  this section at a time when the corporation is insolvent or
                  when such payment would make it insolvent. In such event, the
                  dissenting shareholder shall, at his option:

                  (i) Withdraw his notice of election, which shall in such event
         be deemed withdrawn with the written consent of the corporation; or

                  (ii) Retain his status as a claimant against the corporation
         and, if it is liquidated, be subordinated to the rights of creditors of
         the corporation, but have rights superior to the non-dissenting
         shareholders, and if it is not liquidated, retain his right to be paid
         for his shares, which right the corporation shall be obliged to satisfy
         when the restrictions of this paragraph do not apply.

                  (iii) The dissenting shareholder shall exercise such option
         under subparagraph (1) or (2) by written notice filed with the
         corporation within thirty days after the corporation has given him
         written notice that payment for his shares cannot be made because of
         the restrictions of this paragraph. If the dissenting shareholder fails
         to exercise such option as provided, the corporation shall exercise the
         option by written notice given to him within twenty days after the
         expiration of such period of thirty days.

         k.       The enforcement by a shareholder of his right to receive
                  payment for his shares in the manner provided herein shall
                  exclude the enforcement by such shareholder of any other right
                  to which he might otherwise be entitled by virtue of share
                  ownership, except as provided in paragraph (e), and except
                  that this section shall not exclude the right of such
                  shareholder to bring or maintain an appropriate action to
                  obtain relief on the ground that such corporate action will be
                  or is unlawful or fraudulent as to him.

         l.       Except as otherwise expressly provided in this section, any
                  notice to be given by a corporation to a shareholder under
                  this section shall be given in the manner provided in section
                  605 (Notice of meetings of shareholders).

         m.       This Section shall not apply to foreign corporations except as
                  provided in subparagraph (e)(2) of Section 907 (Merger or
                  consolidation of domestic and foreign corporations).




<PAGE>



                                     ANNEX C

                          OPINION OF FINANCIAL ADVISOR

                        [Letterhead of Pinnacle Partners]

CONFIDENTIAL

June 15, 1999

Special Committee of the
         The Board of Directors
Community Care Services, Inc.
18 Sargent Place
Mount Vernon, New York  10550

Members of the Special Committee of the Board of Directors:

         We understand that Community Care Services, Inc. (the "Company") has
entered into an Agreement and Plan of Merger, dated as of June 14, 1999, by and
among the Company, Landauer Hospital Supplies, Inc. ("LHS") and LHS Merger Sub,
Inc. ("Merger Sub"), a wholly-owned subsidiary of LHS (the "Merger Agreement").
We also understand that Merger Sub was established for the sole purpose of
effecting the transactions contemplated by the Merger Agreement. We understand
pursuant to the Merger Agreement, upon consummation of the transactions
contemplated by the Merger Agreement, the Company will merge with Merger Sub and
the Company will be the surviving entity, thereby becoming a wholly-owned
subsidiary of LHS (the "Merger"). We understand that, subject to the terms and
conditions of the Merger Agreement, upon consummation of the Merger, each
outstanding share of the Company's common stock, par value $0.01 per share
("Common Stock") will be converted into the right to receive $1.20 in cash (the
"Merger Consideration"), except for Common Stock beneficially owned by Alan
Landauer, Chairman of the Board of the Company; LTTR Home Care, LLC, an
affiliate of LHS ("LTTR"), of which Alan Landauer serves as the Managing
Director and sole member; and dissenting shareholders. We have been advised that
the Merger Consideration is the only consideration to be received by the holders
of Common Stock (as set forth above), and that such holders shall have no
further ownership interest in the Company as of the effective date of the
Merger.

         We understand the following: (i) at the close of business on June 15,
1999, Alan Landauer and LTTR were the record owners of an aggregate of 2,188,250
shares of Common Stock, representing approximately 30.32% of the issued and
outstanding Common Stock; (ii) at the close of business on June 15, 1999, Dean
L. Sloane, a Director of the Company, Craig V. Sloane, Mary Sloane, Joshua
Sloane and the Sloane Family Foundation and DMJ Management Group, Inc. (the
"Sloane Group") were the record and beneficial owners of an aggregate of
2,091,450 shares of Common Stock, representing approximately 28.98% of the
issued and outstanding Common Stock; (iii) pursuant to a shareholders agreement
entered into by the Sloane Group, the Sloane Group has agreed to vote its shares
of Common Stock in favor of the Merger by granting an irrevocable proxy to Alan
Landauer to vote its shares in favor of the Merger; and, (iv) as a result, Alan
Landauer controls the vote of 59.30% of the outstanding Common Stock. In
addition, we have been advised that the other Directors and Officers of the
Company beneficially own, in the aggregate, 390,299 shares of Common Stock
(including options to purchase 25,000 shares of Common Stock at an exercise
price of $0.50 per share that are currently exercisable) and which constitute
approximately 5.41% of the outstanding Common Stock.

         You have requested our opinion, as investment bankers, as to the
fairness, from a financial point of view, of the Merger Consideration to be
received in the Merger by the holders of Common Stock (other than Alan Landauer,
LTTR and their affiliates, as defined in the Company's Draft Proxy Statement
dated June 14, 1999, including the Sloane Group, as to which we were not
requested to express an opinion) (this "Opinion"). It is understood that this
Opinion shall be used by you solely in connection with your consideration of the
fairness of the Merger Consideration to be received by holders of Common Stock
(other than Alan Landauer, LTTR and their affiliates, including the Sloane
Group, as to which we were not requested to express an opinion), and for no
other purpose, and that the Company will not furnish this Opinion or any other
material prepared by Pinnacle Advisory Group, L.C., an affiliate of Pinnacle
Partners, Inc. (collectively, "Pinnacle Partners") to any other person or
persons or use or refer to this Opinion for any



<PAGE>



other purpose without the prior written approval of Pinnacle Partners. Pinnacle
Partners understands and agrees that this Opinion may be referred to and
reproduced in any proxy statement of the Company filed in connection with the
Merger with the Securities and Exchange Commission. Pinnacle Partners, as part
of its investment banking business, is regularly engaged in the valuation of
businesses and their securities in connection with mergers and acquisitions,
private placements and valuations for corporate, estate and other purposes.

         In connection with our opinion set forth herein, we have, among other
things: (i) reviewed the Company's Draft Proxy Statement dated June 14, 1999
(the date of the draft that was most recently available and which we assume
herein will not be materially different from the Proxy Statement that shall be
mailed to holders of the Common Stock); (ii) reviewed the Company's prospectus
dated October 18, 1996; (iii) reviewed the Company's Annual Reports on Form 10-K
filed with the Securities and Exchange Commission for the fiscal years ended
March 31, 1997 and 1998; (iv) reviewed the Company's Quarterly Reports on Form
10-Q filed with the Securities and Exchange Commission for the periods ended
June 30, 1998, September 30, 1998, and December 31, 1998; (v) reviewed certain
other documents filed by the Company with the Securities and Exchange
Commission; (vi) reviewed certain interim and estimated year-end financial
analysis and forecasts for the Company prepared by management of the Company;
(vii) reviewed projected financial statements for the Company prepared by or
based upon information provided by management of the Company; (viii) held
discussions with management of the Company and its advisors (including the
Company's certified public accountants and legal counsel) regarding the history,
business, operations, financial condition and prospects of the Company; (ix)
performed various financial analyses, as we deemed appropriate, of the Company
using generally accepted analytical methodologies, including: (a) an analysis of
premiums paid in public merger and acquisition transactions; (b) the application
of the public trading multiples of companies which we deemed comparable to the
Company to the financial results of the Company; (c) the application of the
multiples reflected in selected mergers and acquisitions involving businesses
which we deemed comparable to the Company to the financial results of the
Company; (d) a discounted projected cash flow analysis; and (e) a review of the
historical trading prices and volumes of the Common Stock as traded on Nasdaq
and the over-the-counter bulletin board; and (x) reviewed such other materials
and performed such other financial studies, analyses, inquiries and
investigations as we deemed appropriate.

         In our review and analysis and in formulating our opinion, we have
assumed and relied upon the accuracy and completeness of all information
supplied or otherwise made available to us by the Company or obtained by us from
other sources (which we deemed reliable), and upon the assurance of the
Company's management that they are not aware of any information or facts that
would make the information provided to us incomplete, inaccurate or misleading.
We have not attempted to verify independently any of such information. With
respect to any interim, estimated or projected financial statements or forecasts
referred to in clauses (vi) through (viii) above, we have been advised by the
Company, and we have assumed, without independent investigation, that they have
been prepared reasonably and reflect the Company's best estimates and judgments
of the Company's actual or future results of operations and financial condition
at and for the periods specified therein, and we express no opinion with respect
to such interim or projected financial statements or forecasts. We have assumed
that the Company's audited financial results for the year ended March 31, 1999
will not be materially different from the estimated results for such period
provided to us by the Company. In rendering our opinion, we have assumed that
the Company will continue to operate as a going concern, and no consideration
has been given to the effect of any solvency, bankruptcy or similar laws on the
Merger in the event such laws become applicable to the Company in the future.
Our opinion is necessarily based upon financial, economic, market and other
conditions as they exist and can be evaluated by us on the date hereof. We
disclaim any undertaking or obligation to advise any person of any change in any
fact or matter affecting our opinion which may come or be brought to our
attention after that date of the opinion unless specifically requested to do so.
Our opinion does not constitute a recommendation as to any action the Board of
Directors of the Company or any holder of Common Stock should take in connection
with the Merger Agreement, the Merger or any aspect thereof or alternatives
thereto. Without limitation to the foregoing, this letter does not constitute a
recommendation to any holder of Common Stock with respect to whether to elect to
receive the Merger Consideration or vote in favor of transactions contemplated
by the Merger Agreement, and should not be relied upon by any holder of Common
Stock as such. In rendering our opinion, we have not been engaged as an agent or
fiduciary of the Company's stockholders or of any other third party. Our opinion
relates solely to the fairness, from a financial point of view, of the Merger
Consideration to be received by the holders of Common Stock (other than Alan
Landauer, LTTR and their affiliates, including the Sloane Group, as to which we
were not requested to express an opinion) in the Merger. We express no opinion
herein as to the structure, terms or effect of any other aspect of the
transactions contemplated by, or provisions of, the Merger Agreement. Based upon
and subject to all the foregoing, we are of the opinion, as investment bankers,
that as of the date hereof, the Merger Consideration



<PAGE>



to be received by the holders of Common Stock (other than Alan Landauer, LTTR
and their affiliates, including the Sloane Group, as to which we were not
requested to express an opinion), pursuant to the Merger is fair, from a
financial point of view, to such holders.

                                        Very truly yours,

                                        Pinnacle Advisory Group, L.C.



                                        Steven C. Jacobs
                                        ------------------
                                        Managing Director




<PAGE>


                                      PROXY
                          COMMUNITY CARE SERVICES, INC.

                  Solicited on Behalf of the Board of Directors

         The undersigned appoints Alan J. Landauer as the undersigned's proxy to
vote all shares of Common Stock of the undersigned in Community Care Services,
Inc. (the "Company"), a New York corporation, which the undersigned would be
entitled to vote at a special meeting of shareholders of the Company to be held
at the offices of the Company on July 19, 1999, at 10:00 a.m. (local time) or at
any adjournments thereof as follows:

1.   Approval and adoption of the Agreement and Plan of Merger, dated June 14,
     1999, by and among the Company, Landauer Hospital Supplies Inc. ("LHS") and
     LHS Merger Sub, Inc. ("Merger Sub") and the transactions contemplated
     thereby, pursuant to which Merger Sub will merge with and into the Company,
     with the Company continuing as the surviving entity, thereby becoming a
     wholly-owned subsidiary of LHS.

         |_|  FOR                 |_|  AGAINST                |_|  ABSTAIN

2.   In their discretion, upon such other business as may properly come before
     the meeting or any adjournments thereof.

     The shares of Common Stock represented by this Proxy will be voted in
accordance with the foregoing instructions. In the absence of any instructions,
such shares will be voted FOR the proposal in Item 1.

     The undersigned hereby revokes any Proxy or Proxies to vote shares of
Common Stock of the Company heretofore given by the undersigned.

                ________________________________, 1999
                (Date)

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

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

                                             Please date, sign exactly as your
                                             name appears on this Proxy, and
                                             promptly return in the enclosed
                                             envelope. When signing as guardian,
                                             executor, administrator, attorney,
                                             trustee, custodian, or in any other
                                             similar capacity, please give full
                                             title. If a corporation, sign in
                                             full corporate name by president or
                                             other authorized officer, giving
                                             his title, and affix corporate
                                             seal. If a partnership, sign in the
                                             partnership name by authorized
                                             person. In the case of joint
                                             ownership, each joint owner must
                                             sign.



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