KARRINGTON HEALTH INC
10-K405, 1997-03-31
NURSING & PERSONAL CARE FACILITIES
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, D.C. 20549
                                           
                                    FORM 10-K
(Mark One)
[x] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
    ACT OF 1934 [FEE REQUIRED]
                     For the fiscal year ended December 31, 1996

                                          OR

[  ]     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE  ACT OF 1934 [NO FEE REQUIRED]

                  For the transition period from         to        .
                                                 -------    -------

                           Commission file number 0-28656

                             KARRINGTON HEALTH, INC.
              (Exact name of registrant as specified in its charter)

         OHIO                                    31-1461482
(State or other jurisdiction of                  (IRS Employer
incorporation or organization)                   Identification No.)      

                              919 OLD HENDERSON ROAD
                              COLUMBUS, OH  43220
                              (614) 451-5151
  (Address, including zip code, and telephone number, including area code, 
               of registrant's principal executive offices)
                                           
          Securities Registered Pursuant to Section 12(b) of the Act:
                                         None
                                           
          Securities Registered Pursuant to Section 12(g) of the Act:
                            Common Stock, no par value

    Indicate by check mark whether the registrant (1) has filed all reports 
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 
during the preceding 12 months (or for such shorter period that the 
registrant was required to file such reports), and (2) has been subject to 
such filing requirements for the past 90 days.  YES [X]  NO [  ].

    Indicate by check mark if disclosure of delinquent filers pursuant to 
Item 405 of Regulation S-K is not contained herein, and will not be 
contained, to the best of registrant's knowledge, in definitive proxy or 
information statements incorporated by reference in Part III of this Form 
10-K or any amendment to this Form 10-K: [X]
                                           
Shares of registrant's common shares, without par value, outstanding at March 
24,1997 was 6,700,000.  As of March 24, 1997, the aggregate market value of 
the voting stock held by non-affiliates of the registrant was $35,519,000.

                      Documents Incorporated By Reference 
The information required by Part II, Items 5 through 8, of Form 10K is 
incorporated herein by reference to the registrant's Annual Report to 
Shareholders for the year ended December 31, 1996.  The information required 
by Part III of Form 10K is incorporated herein by reference to the 
registrant's definitive Proxy Statement relating to its 1997 Annual Meeting 
of Stockholders to be held on May 13, 1997.
                    ----------------------------------------
                    ----------------------------------------

                                       1
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                                   PART I

ITEM 1.  BUSINESS                          


    The Company develops, owns and operates private pay, assisted living 
residences. Assisted living residences provide housing and care for elderly 
or frail individuals who, although generally ambulatory, need assistance with 
one or more activities of daily living, such as bathing, grooming, dressing, 
eating or personal hygiene. 

    In 1990, Richard R. Slager, the Company's Chief Executive Officer and 
President, and Alan B. Satterwhite, the Company's Chief Operating Officer and 
Chief Financial Officer, formed DevelopMed Associates, Inc., an Ohio 
corporation ("DMA"), for the purpose of developing an assisted living 
residence business. In 1991, DMA entered into a strategic alliance with JMAC, 
Inc. ("JMAC"), an investment company owned by John H. McConnell and John P. 
McConnell, the founder and the Chairman, respectively, of Worthington 
Industries, Inc., pursuant to which alliance DMA and JMAC Properties, Inc., 
an Ohio corporation ("JMAC Properties"), which is a wholly-owned subsidiary 
of JMAC, formed the Company's predecessor, Karrington Operating Company, an 
Ohio general partnership ("Karrington Operating"). Prior to the consummation 
of the reorganization transactions (as described below), JMAC Properties 
owned a two-thirds equity interest in Karrington Operating, and DMA owned a 
one-third equity interest.

    Immediately prior to the Company's initial public offering in July 1996, 
JMAC transferred to the Company all of its shares of JMAC Properties in 
exchange for two-thirds of the pre-offering outstanding common shares of the 
Company and the shareholders of DMA transferred all of their shares of DMA to 
the Company in exchange for one-third of the pre-offering outstanding common 
shares of the Company.

    As of March 20, 1997, the Company has developed 26 residences in its 
target markets, 10 of which are open and 16 of which are under construction 
and scheduled to open in 1997 or by April of 1998. These 26 residences are 
located in Ohio, Pennsylvania, Indiana, Colorado, North Carolina, Michigan 
and New Mexico. As part of its nationwide expansion strategy, the Company has 
sites for 14 residences under contract in these states, as well as in 
Illinois, New York and California. 

    The prototypical Karrington assisted living model, which has been 
developed and refined by the Company since its first residence was opened in 
1992, is a mansion-style residence which houses 60 to 80 residents. Each 
residence is typically located in a middle- to upper-income community which 
has a well-established population of individuals 75 years of age and older. 
The Karrington model combines quality housing, personal care and support 
services to provide a cost-effective alternative for individuals with 
physical frailties or cognitive disorders, such as Alzheimer's disease, who 
do not require the regular skilled medical services provided by nursing 
facilities. The Karrington model allows the Company to control development 
costs, maintain consistent quality and improve operational effectiveness, 
while also creating "brand" awareness in the Company's markets. The Company 
has been successful in implementing the Karrington model, with residences 
open for one year or more having an average occupancy rate of 94.3% and 96.4% 
for the 12 months ended December 31, 1996 and 1995, respectively. 

    Karrington residences typically are staffed with licensed nurses on a 
24-hour basis and are designed to permit residents to "age in place" within 
the residence as they develop further physical or cognitive frailties. The 
Company believes that it is able to care for individuals with higher acuity 
levels (i.e., those needing greater assistance with activities of daily 
living) than is typical in the assisted living industry. 

    In addition to its own development activities, the Company has entered 
into a joint development relationship with Sisters of Charity Health Care 
Systems, Inc. ("SCHCS"), a not-for-profit corporation of which the sole 
member is Catholic Health Initiatives ("CHI").  CHI is a large, 
not-for-profit health organization formed by the recent consolidation of 
Catholic Health Corporation, SCHCS and Franciscan Health Systems. CHI 
operates 61 hospitals and 50 long-term care facilities in 20 states and has 
revenues exceeding $4 billion. The Company and CHI currently intend to 
develop and operate assisted living residences with CHI's health care system. 
See "Relationship with CHI." 

    By the end of 1999, the Company plans to have open approximately 77 
Company-owned residences.  As part of this plan, the Company will develop and 
operate Karrington Place residences, which are assisted living residences 
specifically designed for individuals with Alzheimer's disease and other 
cognitive disorders, in a substantial portion of its markets.  In addition, 
the Company intends to develop and open 12 jointly-owned residences.

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THE ASSISTED LIVING INDUSTRY

    The assisted living industry has developed over the past decade to 
provide a cost-effective residential alternative for elderly individuals who 
do not require the intensive medical attention provided by a skilled nursing 
facility but who cannot, or choose not to, live independently due to physical 
frailty or cognitive disorders. It is estimated that the assisted living 
industry has annual revenues of $15 billion. Assisted living represents a 
combination of housing and 24-hour a day personal support services designed 
to aid elderly residents with activities of daily living, such as bathing, 
grooming, dressing, eating and personal hygiene. Assisted living residences 
provide assistance to residents with limited medical needs and may provide 
higher levels of personal assistance for special need residents, such as 
incontinent residents or residents with Alzheimer's disease or other forms of 
cognitive disorders. 

    The assisted living industry is fragmented and, to date, is characterized 
by many small operators. The scope of assisted living services varies 
substantially among operators, ranging from basic "board and care" services 
to full service assisted living residences such as those operated by the 
Company. Many smaller assisted living providers do not operate in residences 
designed specifically for assisted living, do not have professionally trained 
staffs and may provide only limited assistance with low-level care 
activities. The Company believes there are few assisted living operators in 
its markets who provide the same comprehensive range of assisted living 
services, such as Alzheimer's care and other special care programs, as the 
Company. 

    The Company believes that the following factors should continue to 
positively affect the assisted living industry: 

CONSUMER PREFERENCES.  The Company believes assisted living is increasingly 
the alternative preferred by prospective residents and their families in 
providing care for the frail elderly. Assisted living residents have greater 
independence, and assisted living services allow them to "age in place" in a 
residential setting. The Company believes these factors result in a higher 
quality of life than that experienced in the more institutional or clinical 
settings, such as skilled nursing facilities. 

POSITIVE DEMOGRAPHIC CHANGES.  According to the U.S. Bureau of Census, the 
number of individuals in the United States 85 years and older is expected to 
increase by approximately 43% during the 1990s, from 3.0 million in 1990 to 
an estimated 4.3 million in 2000, as compared to total U.S. population growth 
of approximately 11% during the same period. It is further estimated that 
approximately 57% of the population of seniors over age 85 currently need 
assistance with activities of daily living and that more than one-half of 
seniors are likely to develop Alzheimer's disease or other cognitive 
disorders by age 85. 

ASSISTED LIVING DEMAND EXCEEDS SUPPLY.  The supply of long-term care beds per 
1,000 individuals 85 years of age and older declined from 686 beds per 
thousand to 604 beds per thousand between 1980 and 1991, according to the 
U.S. Bureau of Census, and the Company expects this trend to continue. The 
Company believes this decline is attributable to several factors. The 
majority of states in the United States have adopted certificate of need 
("CON") or similar statutes which generally require that, prior to the 
addition of new beds, the addition of new services or the making of certain 
capital expenditures, a state agency must determine that a need exists for 
the new beds or the proposed activities. The Company believes that this CON 
process tends to restrict the supply and availability of licensed nursing 
facility beds. High construction costs, limitations on government 
reimbursement for the full costs of construction and start-up expenses also 
act to constrain growth in the supply of such facilities and beds. At the 
same time, nursing facility operators are focusing on patients requiring 
higher levels of nursing care which results in fewer nursing beds being 
available to patients with lower acuity levels. 

COST ADVANTAGES.  The Company believes that the assisted living industry can 
provide comparable services for significantly less than the cost of such 
services to private pay residents in nursing facilities. The Company's market 
research indicates that the Company provides services at a cost of 25% to 35% 
less than the cost of comparable services provided by private intermediate 
care nursing facilities in the same market. 

CHANGES IN FAMILY COMPOSITION.  As a result of the increasing number of 
two-income families, the high divorce rate and the number of single-parent 
households, as well as the increasing geographic dispersion of families, many 
adult children are not available to care in their own homes for elderly 
parents. Two-income families are, however, often better able to provide 
financial support for elderly parents. 

COST CONTAINMENT PRESSURES.  Responding to rising health care costs, 
governmental and private payor sources have adopted cost containment measures 
that have encouraged reduced lengths of stay in hospitals. A result of this 
trend is an 

                                       3
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increase in the number of individuals receiving nursing facility care as 
compared to hospitalization. That, in turn, causes nursing facility operators 
to focus on improving occupancy and increasing services to residents 
requiring high levels of nursing care. As the level of care for nursing 
facility residents rises and the supply of nursing facility space is filled 
by residents having more acute needs, the Company believes that there will be 
greater demand for assisted living residences to provide for residents 
requiring less nursing care than generally will be provided to residents in 
nursing facilities. 

STRATEGY

    The principal components of the Company's strategy are to: 

DEVELOP KARRINGTON MODEL RESIDENCES IN CURRENTLY-SERVED AND NEW COMMUNITIES. 
The Company's plans call for rapid development of the Karrington model in the 
communities it currently serves, as well as expansion into additional 
communities. The Company targets middle-to upper-income metropolitan markets 
which have well-established populations of persons 75 years of age and older. 
This development activity, in conjunction with the Company's acquisition 
strategy (discussed below) and its relationship with CHI, is intended to 
result in regional concentrations of assisted living residences. The 
Company's ultimate objective is to develop a nationwide network of assisted 
living residences which will be utilized by managed care companies. 

EXPAND JOINT DEVELOPMENT RELATIONSHIPS WITH MAJOR HEALTH CARE SYSTEMS ACROSS 
THE UNITED STATES.  The Company believes that it will continue to benefit 
from its relationship with CHI, pursuant to which the Company expects to 
develop and operate, and jointly own with CHI, assisted living residences in 
communities where CHI or its affiliates have a major presence as a health 
care provider. In addition, the Company believes its relationship with CHI 
provides a significant source of referrals and the opportunity to leverage 
the Company's expertise by developing similar relationships with other large, 
primarily not-for-profit, health care systems throughout the country. 

CONTINUE ITS FOCUS ON PROVIDING A BROAD RANGE OF SERVICES TO HIGHER-ACUITY 
RESIDENTS.  The Company believes it provides a higher acuity level of care to 
its residents than is typically available at assisted living facilities, 
including care for individuals with Alzheimer's disease and other cognitive 
disorders. The Company is able to provide these services by building its 
residences to higher standards and specifications, hiring licensed 
professionals, providing advanced training to its staff and complying with 
relevant regulations. In addition to providing care to residents with more 
complex medical conditions, the Company seeks to offer a broad range of 
services to meet the varied needs of all of its residents. In the future, 
these services are expected to include physical, occupational, speech and 
other rehabilitation therapy programs and other resident services. By 
providing a higher level of care and a broader spectrum of services, the 
Company is able to allow its residents to "age in place." The Company also is 
able to provide these services at rates which are substantially less than the 
cost of similar services provided by nursing care facilities. 

ACQUIRE RESIDENCES FOR CONVERSION TO THE KARRINGTON MODEL.  The Company 
intends to acquire assisted living residences or other properties that can be 
effectively converted to the Karrington model of operation. These 
acquisitions will depend on location, financial feasibility, suitability for 
conversion and consistency with other standards and requirements. The Company 
also intends to pursue long-term management contracts where opportunities 
exist to expand the Company's operations or to facilitate the acquisition of 
residences. 

RELATIONSHIP WITH CHI

    In addition to its own residence development activities, the Company and 
Catholic Health Initiatives contemplate  the joint development of a 
significant number of assisted living residences, three of which are open at 
the end of 1996.  The genesis of the CHI relationship was the joint 
development by the Company and SCHCS of Karrington of Oakwood, a 53-unit 
assisted living residence located in the Dayton, Ohio area which opened in 
November 1994.  Following the success of the Karrington of Oakwood residence, 
the Company and CHI determined to expand their relationship and in 1995 
entered into a letter of intent relating to the joint development of six 
additional projects over a three-year period. The first of the six projects 
consists of a 61-unit assisted living residence and an adjacent 28-unit 
Alzheimer's and cognitive disorder residence located in Albuquerque, New 
Mexico, which opened in October 1996. Three additional residences are 
currently under construction in Cincinnati and Dayton, Ohio and Colorado 
Springs, Colorado.

    Each project is owned jointly by the Company and CHI, with CHI typically 
owning approximately 80% of the equity of the project. Construction and 
permanent debt financing generally is arranged by CHI on behalf of the 
venture and is non-recourse to the Company.

                                       4
<PAGE>

The Company provides all development and management services with respect to 
each residence under a standard agreement that generally provides for a 
development fee of $250,000 and a management fee of 5% of revenues. 

SERVICES AND OPERATIONS

SERVICES PROVIDED

    Seventy-five percent of Karrington residents are females and the average 
age of all residents is 83. Most Karrington residents have some disability 
associated with aging, such as dementia, Alzheimer's disease, arthritis, 
nutritional problems, incontinence, strokes or other disorders, and need 
assistance with two or more activities of daily living. Residents needs 
generally fall into one or more of the following categories: (i) requiring 
physical support or assistance with activities of daily living; (ii) 
requiring assistance, reminders and cuing due to some cognitive impairment; 
and (iii) requiring socialization and interaction with others. 

    Residents generally pay a daily suite rental rate under a resident 
agreement which is renewable annually and cancelable with 30 days notice. The 
daily suite rental rate ranges from $34 to $123 per day, depending on unit 
size, location, number of occupants and level of care required. Approximately 
70% of Karrington's residents live in private suites. While the Company's 
average daily suite rental rate is approximately $77, the wide range of rates 
offered by the Company allows the Company to accommodate persons of varying 
financial resources. Medication administration and various levels of extended 
care services, which depend on the degree of frailty, add to the basic rate. 
Additional charges may be incurred for other services such as hair care and 
special diets. Currently, all residents are private pay. 

    The Company's basic care program is provided to all residents at no 
additional cost and includes: assistance with daily living, such as eating, 
bathing, grooming, dressing and personal hygiene; three meals per day served 
in a common dining room; 24-hour security; emergency call systems in each 
unit and living area; transportation to offices, stores and community 
services; assistance with arranging outside services such as physician care, 
various therapy programs and other medical services; personal laundry 
services; housekeeping services; and social and recreational activities. 

    In addition to the basic care program, residents may be included in the 
extended care program, which assists residents who require more frequent or 
more intensive assistance or care. Prior to entering a Karrington residence, 
and periodically during their stay, individuals' needs are assessed to 
determine the level of extended care services required, and an individual 
care plan is designed. The Company's experience is that approximately 90% of 
its residents require some extended care services or require medication 
administration. 

    The Company's Alzheimer's and other cognitive disorder programs are 
provided in each prototype residence on a designated "special care" floor. 
The Company also develops Karrington Place residences designed specifically 
for Alzheimer's disease care. Trained staff provide special care programs for 
cognitively impaired residents, and each is charged additional daily fees for 
this added support. Programs include added assistance, stimulation, special 
activities, intervention and therapeutic programs that are developed and 
supported by physicians specializing in dementia care that consult with the 
Company. 

STAFFING

    Each residence has an Administrator and a four-person management team. 
This management team includes the Resident Care Director (who supervises all 
resident support staff and care plans), a Registered Nurse (responsible for 
all wellness programs, as well as medication programs), the Director of 
Administration (responsible for general administrative duties, including 
housekeeping, and all food service and dietary needs) and the Associate 
Administrator (involved in operations and marketing). Residence management 
teams report to a regional director responsible for the operation of several 
residences. Regional directors provide support, oversight and mentoring to 
each residence's staff. 

    Staffing models are used to determine appropriate personnel levels. 
Screening is used to help select staff with "care providing" characteristics. 
For each residence, services are typically provided by a staff of 
approximately 28 full-time equivalents. The largest staff component is 
"Resident Assistants," who include licensed practical nurses and other 
trained staff members who are responsible for administering services to 
residents. 

    The Company maintains competitive compensation programs, including
incentives and quarterly profit sharing,

                                       5
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which it believes help attract and retain excellent employees. The Company 
believes that the combination of proper interviewing, selection methods and 
review, training and appropriate incentives significantly reduces hiring and 
retraining costs and allows for a more stable, long-term work force. All 
employees participate in a recruitment and development program called the 
Predictive Index-Registered Trademark-, a third-party program which is 
focused on determining key criteria and personal attributes which the Company 
believes are important to the proper placement of staff and management. 

TRAINING AND QUALITY ASSURANCE

    The Company provides its personnel with an extensive and innovative 
training program. This training covers all aspects of Karrington's operation. 
At the end of a 90-day probationary period, each new employee is evaluated 
for permanent placement. Additionally, the Company has an extensive 
manager-in-training ("MIT") program which provides classroom and on-the-job 
training to develop future Karrington administrators and managers.  The 
Company believes investment in the MIT program is vital to its continued 
growth, quality control and consistency of service delivery. 

    The Company has structured a comprehensive quality assurance ("QA") 
program intended to maintain standards of care established for each 
residence. Under the Company's QA program, the care and services provided at 
each residence are monitored by the professional services staff which reports 
directly to the Company's senior management. The QA team works with residence 
management teams to assure that all staff members are trained, that clinical 
policies and procedures are followed, and that all state and federal 
standards are met while achieving the stringent requirements of the Company. 
The Company's QA program helps support compliance with federal and state 
regulations and requirements for licensing. Karrington has also developed a 
Quality of Service program which includes periodic surveys and follow-up with 
all current and former residents and responsible parties. 

DEVELOPMENT

    The Company's development personnel research and identify potential 
markets, primarily in major metropolitan areas and their surrounding suburban 
communities, and select sites for development within such markets. In 
evaluating a market, the Company considers a number of factors, including 
population, income and age demographics, traffic count, site visibility, 
residential and commercial characteristics, probability of obtaining zoning 
approvals, proximity of various competitors, estimated market demand and the 
potential to achieve economies of scale in a specific market by concentration 
of its development and operating activities. 

    The principal stages in the development process are (i) site selection 
and contract signing, (ii) zoning and site plan approval, (iii) architectural 
planning and design, (iv) contractor selection and (v) construction and 
licensure. Once a market has been identified, site selection and contract 
signing typically take three months. Zoning and site plan approval generally 
take three to nine months and are typically the most difficult step in the 
development process as a result of the Company's selection of sites in 
established communities which frequently require site rezoning. Architectural 
planning and design and contractor selection often occur during the zoning 
process but can prolong the start of construction. Residence construction 
generally takes 12 months. After a residence receives a certificate of 
occupancy and appropriate licenses, residents usually begin to move in 
immediately. The Company's experience indicates that new residences typically 
reach a stable level of occupancy of over 90% within 12 months, but there can 
be no assurance that these results will be achieved in new markets. The 
Company estimates that total capitalized cost to develop, construct and open 
a Karrington model residence, including land acquisition and construction 
costs, ranges from approximately $6.0 million to $7.5 million, an average 
cost per unit of approximately $110,000. The cost of any particular residence 
may vary considerably based on a variety of site-specific factors. 

    The Company's development activities are coordinated by its 16-person 
development staff, which has extensive real estate acquisition, design, 
engineering, zoning, general construction and project management experience. 
Architectural design and hands-on construction functions are usually 
contracted to experienced outside architects and contractors. 

    The Company's construction strategies include the development of national 
purchasing contracts for major building components and the retention of 
several regional contractors engaged to construct its residences. The Company 
believes these approaches will help reduce construction costs or mitigate the 
rate of cost increases due to inflation, increase product quality, and 
shorten construction periods that result from increased familiarity with the 
architectural, engineering and construction design of the Company's prototype 
residences. 

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ARCHITECTURAL DESIGNS

    The Karrington model residence is a freestanding, mansion-style building 
with a designed capacity of 60 to 80 residents in any of a variety of 
exterior styles. The prototype averages 64 units and approximately 45,000 
square feet and is generally built on a 1.5 to 2 acre site. Approximately 50% 
of the building is devoted to common areas and amenities. The Company has 
five basic building plan designs, which provide it with flexibility in 
adapting the model to a particular site and local zoning requirements. The 
building is usually three stories of concrete and steel frame construction 
built to institutional health care standards but residential in appearance. 
The interior design promotes a home-like environment while permitting the 
effective provision of resident care programs and promoting resident 
independence. 

    The individual resident suites are clustered on each floor to resemble a 
neighborhood, with a variety of suite floor plans of one or two rooms and 
varying square footage. Each floor has a quiet area resembling a library or 
den and an active area designed to support activity programs and interaction 
among residents, staff and families. The main floor usually includes the main 
dining room, private dining rooms, administrative offices, a library, a 
living or family room, an ice cream parlor and a year-round sun porch. Also 
included are public restrooms, outside porches, a foyer and a formal entryway 
with grand staircase and central elevator. On other floors in each residence 
are located a resident laundry room, a wellness center, a bathing spa area, 
employee break rooms, a beauty salon and activity areas. The special care 
floor also includes a separate resident kitchen and dining area. 

    Recently, the Company opened two stand-alone Alzheimer's care residences 
in Columbus, Ohio and Albuquerque, New Mexico designed specifically for 
residents with Alzheimer's disease. The "Karrington Place" residences were 
constructed using a special design concept intended to provide the atmosphere 
and physical environment believed by the Company to be most effective in 
assisting residents in the later stages of Alzheimer's disease. The Company 
intends to develop additional Karrington Place models in many of the markets 
it enters. 

    The architectural and interior design of the Karrington prototype 
incorporates Karrington's philosophy of dedication to excellence in 
preserving and enhancing personal dignity, independence, individuality and 
quality of life. The Company believes that its residential environments 
accomplish other objectives as well, including: (i) lowering the stress and 
disruption of the resident and their family that occurs because of a move; 
(ii) providing a secure environment that is easily traveled by residents with 
a wide variety of ambulation disabilities; (iii) making available a 
comfortable home-like environment that welcomes visitation by family and 
friends; and (iv) supporting the Company's special activities programs that 
promote inter-generational activities and events to bring together elderly 
residents with younger persons in the community. 

MARKETING

    The Company's marketing approach emphasizes consumer education and 
awareness directed to potential residents and family members. The adult 
children of residents tend to be significant decision-makers in the selection 
of the assisted living option. Other significant referral sources include 
hospital discharge planners, physicians, churches, social service agencies 
focused on the elderly, nursing facilities in the area, home health agencies, 
social workers, legal advisors, other health care providers and families of 
existing residents. Telephone directory advertising, media products and 
informal "networking" are directed by the Company toward educating 
decision-makers and other referral sources in a community. The marketing 
personnel in the Company's corporate office develop the overall strategy in 
each market as well as media materials, databases, direct mail, signage and 
community outreach activities. Each residence has a marketing director 
responsible for generating and following-up leads, coordinating referral 
activities and providing tours, counseling and caregiving advice for 
potential residents and their families with respect to the Company's 
residences and services. 

    Marketing activities begin during the development stage of a residence, 
after the Company has obtained site control, and continue with increased 
emphasis when an information center opens for a specific residence 
approximately eight months prior to opening. Historically, new residences 
have achieved deposits on approximately 30% of the units in a residence prior 
to opening, and residences have generally reached stable occupancy in 
approximately 12 months. 

REGULATION

    The Company's assisted living residences are subject to regulation and 
licensing by state and local health and social service agencies and other 
regulatory authorities, which requirements vary from state to state. These 
requirements

                                       7
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address, among other things: personnel education, training and records; 
facility services, including administration of medication and limited nursing 
services; physical plant specifications; furnishing of residents' units; food 
and housekeeping services; emergency evacuation plans; and residents' rights 
and responsibilities. In several states in which the Company operates or 
intends to operate, assisted living residences also require a certificate of 
need before the residences can be opened. In most states, assisted living 
residences are subject to state or local fire and building codes and food 
service licensure requirements. Like other health care residences, assisted 
living residences are subject to periodic survey or inspection by 
governmental authorities. From time to time in the ordinary course of 
business, the Company receives survey reports. The Company reviews such 
reports and takes appropriate corrective action if deficiencies are noted.  
Inspection deficiencies are resolved through a plan of correction, although 
the reviewing agency typically is authorized to take action against a 
licensed facility where deficiencies are noted in the survey process. Such 
action may include imposition of fines, imposition of a provisional or 
conditional license or suspension or revocation of a license or other 
sanctions. 

    Health care is an area of extensive and frequent regulatory change. The 
assisted living model for long-term care is relatively new, and, accordingly, 
the manner and extent to which it is regulated at the federal and state 
levels is evolving. Changes in the laws or new interpretations of existing 
laws may have a significant effect on methods and costs of doing business. 
The Company is actively involved in monitoring regulatory and legislative 
changes affecting the assisted living industry and participates with industry 
organizations to encourage improvements to existing laws and regulations. 

    The success of the Company will depend in part upon its ability to 
satisfy applicable regulations and requirements and to procure and maintain 
required licenses as the regulatory environment for assisted living evolves. 
The Company's operations could also be adversely affected by, among other 
things, future regulatory developments such as mandatory increases in the 
scope and quality of care to be offered to residents and revisions to 
licensing and certification standards. 

    The Company currently is not a Medicare or Medicaid provider. Under some 
state licensure laws, and for the convenience of its residents, some of the 
Company's assisted living residences maintain contracts with certain health 
care providers and practitioners, including pharmacies, visiting nurses, 
social service and home health organizations, through which health care 
providers make their health care products or services available to residents. 
Some of the services furnished by these contract parties may be covered by 
the Medicare programs. 

COMPETITION

    The long-term care industry is highly competitive. The Company believes 
the assisted living sector of long-term care, in which it operates, will 
become even more competitive in the future. The Company competes with 
numerous other companies providing similar long-term care alternatives such 
as home health care agencies, community-based service programs, retirement 
communities and convalescent centers, and other assisted living providers. 
The Company expects that, as the providers of assisted living services 
receive increased attention and the number of states providing reimbursement 
for assisted living rises, competition will intensify as a result of new 
market entrants. The Company also competes with skilled nursing facilities 
that provide long-term care services. In implementing its growth strategy the 
Company expects increased competition in its efforts to develop and acquire 
assisted living communities. Some of the Company's present and potential 
competitors are significantly larger and have, or may obtain, greater 
financial resources than those of the Company. 

PROPRIETARY INFORMATION

    The Company is the registered owner of the service mark "Karrington 
Communities-Registered Trademark-." The Company believes this mark is of 
material importance to its business. 

EMPLOYEES

    As of March 14, 1997, the Company had approximately 430 employees. None 
of the Company's employees are represented by a union or covered by a 
collective bargaining agreement. The Company has experienced no work 
stoppages and considers its relationship with its employees to be good. 

                                       8
<PAGE>

ITEM 2.  PROPERTIES

    The following table sets forth certain information regarding Karrington 
residences as of March 20, 1997: 

<TABLE>
<CAPTION>


Open Residences                                   Ownership         Metro Location      Commenced Operations     Units
- ---------------                                   ---------         --------------      --------------------     -----

<S>                                               <C>               <C>                 <C>                      <C>
Karrington of Bexley                                Owned            Columbus, OH           October 1992            53
Karrington on the Scioto                            Owned            Columbus, OH            March 1993             53
Karrington at Tucker Creek                          Owned            Columbus, OH           December 1993           54
Karrington of Oakwood (1)                       Jointly Owned         Dayton, OH            November 1994           53
Karrington of Shaker Heights                        Owned            Cleveland, OH          October 1995            59
Karrington Place (Alzheimer's Residence)            Owned            Columbus, OH           February 1996           26
Karrington of South Hills                           Owned           Pittsburgh, PA           August 1996            67
Karrington of Albuquerque (1)                   Jointly Owned       Albuquerque, NM         October 1996            61
St. Francis Place (Alzheimer's Residence) (1)   Jointly Owned       Albuquerque, NM         October 1996            28
Karrington at Fall Creek                            Owned          Indianapolis, IN          March 1997             61
                                                                                                 Total units       515
                                                                                                                   ---
                                                                                                                   ---

Residences                                         Planned                                                          
Under Construction                                Ownership         Metro Location      Planned Opening Date     Units
- ------------------                               -----------        --------------      --------------------     -----

Karrington of Kenwood (1)                        Jointly Own        Cincinnati, OH            2Q, 1997              67
Karrington at Willow Lake                            Own           Indianapolis, IN           3Q, 1997              61
Karrington of Englewood  (1)                     Jointly Own          Dayton, OH              3Q, 1997              48
Karrington of Colorado Springs (1)               Jointly Own      Colorado Springs, CO        3Q, 1997              64
Karrington of Fort Wayne                             Own            Fort Wayne, IN            3Q, 1997              61
Karrington of Fremont                                Own              Fremont, OH             4Q, 1997              48
Karrington of Wooster                                Own              Wooster, OH             4Q, 1997              48
Karrington of Rocky River                           Lease            Cleveland, OH            4Q, 1997              64
Karrington of Bath                                  Lease              Akron, OH              4Q, 1997              67
Karrington of Carmel                                Lease          Indianapolis, IN           4Q, 1997              58
Karrington of Gahanna (Alzheimer's Residence)       Lease            Columbus, OH             4Q, 1997              50
Karrington at the Shawhan                            Own              Tiffin, OH              4Q, 1997              55
Karrington of Findlay                                Own              Findlay, OH             4Q, 1997              48
Karrington of Piper Glen                             Own             Charlotte, NC            1Q, 1998              74
Karrington of Ann Arbor                             Lease            Ann Arbor, MI            2Q, 1998              67
Karrington of Presque Isle Bay                       Own                Erie, PA              2Q, 1998              69
                                                                                                 Total units       949
                                                                                                                   ---
                                                                                                                   ---

                                                                                                               Planned
Sites Under Contract                          Development Stage     Metro Location      Planned Opening Date     Units
- --------------------                          -----------------     --------------      --------------------     -----

Karrington of Eastover                              Zoned           Charlotte, NC             2Q, 1998            88
Karrington of Monroeville                           Zoned           Pittsburgh, PA            2Q, 1998            64
Karrington of Park Ridge                            Zoned            Chicago, IL              2Q, 1998            111
Karrington of Poland                                Zoned           Youngstown, OH            2Q, 1998            67
Karrington of Millcreek (Alzheimer's Residence)   In Zoning            Erie, PA               2Q, 1998            50
Karrington of Santa Rosa                          In Zoning         Santa Rosa, CA            3Q, 1998            80
Karrington of Novato                              In Zoning           Novato, CA              3Q, 1998            80
Karrington of Cincinnati  (1)                     In Zoning         Cincinnati, OH            3Q, 1998            67
Karrington of Parma                               In Zoning         Cleveland, OH             3Q, 1998            67
Karrington of Mt. Lookout (1)                       Zoned           Cincinnati, OH            4Q, 1998            70
Karrington of Williamsville                       In Zoning          Buffalo, NY              4Q, 1998            67
Karrington of Winston-Salem                       In Zoning        Winston-Salem, NC          4Q, 1998            67
Karrington of Upper St. Clair                     In Zoning         Pittsburgh, PA            4Q, 1998            67
Karrington of Farmington Hills                    In Zoning          Detroit, MI              4Q, 1998            67
                                                                                                 Total units   1,012
                                                                                                               -----
                                                                                                               -----

      (1) Joint venture with CHI.

</TABLE>

                                       9

<PAGE>

ITEM 3.  LEGAL PROCEEDINGS

    There are no pending material legal proceedings involving the Company. 


ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

    The Company did not submit any matter to a vote of its security holders
during the fourth quarter of its fiscal year ended December 31, 1996.


                                    PART  II


ITEM 5.    MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED SHAREHOLDER MATTERS

    Information required by this Item 5 is contained on page 27 of the 
Company's Annual Report to Shareholders for the year ended December 31, 1996 
and is incorporated herein by reference.

ITEM 6.    SELECTED FINANCIAL DATA

    Information required by this Item 6 is contained on page 26 of the 
Company's Annual Report to Shareholders for the year ended December 31, 1996 
and is incorporated herein by reference.

    
ITEM 7.    MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
           RESULTS OF OPERATIONS

    Information required by this Item 7 is contained on pages 9 through 12 of 
the Company's Annual Report to Shareholders for the year ended December 31, 
1996 and is incorporated herein by reference.

ITEM 8.    FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

    The financial statements and Report of Independent Auditors required by 
this Item 8 are set forth as indicated in Item 14.

ITEM 9.    CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
           FINANCIAL DISCLOSURE

    Not applicable.
                                       PART III
                                           

ITEM 10.   DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

    Information required by this Item 10 is contained under the captions 
"Election of Directors", "Executive Officers" and "Section 16(a) Beneficial 
Ownership Reporting Compliance" in the Company's definitive Proxy Statement 
relating to its 1997 annual meeting of Shareholders and is incorporated 
herein by reference.

ITEM 11.   EXECUTIVE COMPENSATION

    Information required by this Item 11 is contained under the captions 
"Executive Compensation" and "Election of Directors - Compensation of 
Directors" in the Company's definitive Proxy Statement relating to its 1997 
annual meeting of Shareholders and is incorporated herein by reference. 
Neither the report of the Compensation Committee of the Registrant's Board of 
Directors on executive compensation nor the performance graph included in the 
Registrant's definitive Proxy Statement relating to the annual meeting of 
Shareholders shall be deemed to be incorporated herein by 

                                      10
<PAGE>

reference.

ITEM 12.   SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

    Information required by this Item 12 is contained under the caption 
"Beneficial Ownership of Company Securities" in the Company's definitive 
Proxy Statement relating to its 1997 annual meeting of Shareholders and is 
incorporated herein by reference.

ITEM 13.   CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

    Information required by this Item 13 is contained under the caption 
"Certain Relationships and Related Party Transactions" in the Company's 
definitive Proxy Statement relating to its 1997 annual meeting of 
Shareholders and is incorporated herein by reference.


                                       PART  IV
                                           

ITEM 14.   EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K

(a)(1)&(2) FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULES

      See index to financial statements and financial statement schedules at 
page F-1.


   (3)     EXHIBITS

EXHIBIT NUMBER                DESCRIPTION                          REFERENCE
- --------------                -----------                         ------------
3.1               Form of Amended Articles of Incorporation 
                  of the Company                                       (1)

3.2               Form of Code of Regulations of the Company           (1)

10.1              1996 Incentive Stock Plan *                          (1)

10.2              Loan Agreement between the Company and JMAC 
                  dated December 29, 1995                              (1)

10.4              Registration Rights Agreement dated 
                  May 8, 1996, by and among the Company and 
                  the Investors (as defined therein)                   (1)

10.5              Reorganization Agreement dated May 8, 1996, 
                  by and among the Company and the Investors 
                  (as defined therein)                                 (1)

10.6              Letter of Intent Dated April 29, 1996, by 
                  and between the Company and Sisters of 
                  Charity Health Care Systems, Inc.                    (1)

13                Annual Report to Shareholders                        (2)

21                Subsidiaries of the Registrant                       (1)

23.1              Consent of Ernst & Young LLP                         (2)

23.2              Consent of  Deloitte & Touche LLP                    (2)

24.1              Power of Attorney - Richard R. Slager                (2)

24.2              Power of Attorney - Alan B. Satterwhite              (2)

24.3              Power of Attorney - Mark N. Mace                     (2)

24.4              Power of Attorney - Charles S. McCreary              (2)



                                      11

<PAGE>

24.5              Power of Attorney - John S. Christie                 (2)

24.6              Power of Attorney - Bernadine P. Healy               (2)

24.7              Power of Attorney - David H. Hoag                    (2)

24.8              Power of Attorney - John P. McConnell                (2)

24.9              Power of Attorney - James V. Pickett                 (2)

24.10             Power of Attorney - Harold A. Poling                 (2)

24.11             Power of Attorney - Michael H. Thomas                (2)

24.12             Power of Attorney - Robert D. Walter                 (2)

27                Financial Data Schedule                              (2)

_______________

    (1)    Included as an exhibit by the same number in the Company's 
           Registration Statement on Form S-1 (File No. 333-03491) and 
           incorporated herein by reference.

    (2)    Filed Herewith.

    *      Management contract or compensatory plan or arrangement.


(B)        REPORTS ON FORM 8-K

     The Company's current report on Form 8-K filed with the Securities and    
     Exchange Commission on November 12, 1996 reported under Item 5, a press 
     release dated the same date and included as an exhibit to the 8K, 
     announcing the execution of a letter of intent to acquire the business of 
     Kensington Management Group, Inc.

(C)        EXHIBITS

     Exhibits filed with this Annual Report on Form 10-K are attached hereto. 
     For a list of such exhibits, see Item 14 (a) (3).

(D)        FINANCIAL STATEMENT SCHEDULES

     No financial statement schedules are required because the required        
     information to be set forth therein is not applicable.


                                      12
<PAGE>



                                 SIGNATURES

    Pursuant to the requirements of Section 13 or 15 (d) of the Securities 
and Exchange Act of 1934, as amended, the Registrant has duly caused this 
report to be signed on its behalf by the undersigned, thereunto duly 
authorized.

                                       Karrington Health, Inc.
                             
                                       By:  /S/ RICHARD R. SLAGER  
                                           ---------------------------
                                             Richard R. Slager
                                             Chairman of the Board

                                       Date:  March 28, 1997

    Pursuant to the requirements of the Securities Act of 1934, as amended, 
this report has been signed below by the following persons on behalf of the 
registrant and in the capacities and on the dates indicated.


<TABLE>
<CAPTION>

SIGNATURE                                  TITLE                             DATE
<S>                          <C>                                     <C>

/S/  RICHARD R. SLAGER         Chairman of the Board, President        March 28, 1997
- ------------------------------ and Chief Executive Officer 
Richard R. Slager              (Principal Executive Officer)

/S/  ALAN B. SATTERWHITE       Chief Operating Officer, Chief          March 28, 1997
- ------------------------------ Financial Officer and Director 
Alan B. Satterwhite            (Principal Financial Officer)

/S/  MARK N. MACE              Senior Vice President, Finance          March 28, 1997
- ------------------------------ and Treasurer (Principal
Mark N. Mace                   Accounting Officer)

/S/  CHARLES H. MCCREARY       Secretary and Director                  March 28, 1997
- ------------------------------
Charles H. McCreary

/S/  JOHN S. CHRISTIE          Director                                March 28, 1997
- ------------------------------
John S. Christie

/S/ BERNADINE P. HEALY, M.D.   Director                                March 28, 1997
- ------------------------------
BERNADINE P. HEALY, M.D.

/S/ DAVID H. HOAG              Director                                March 28, 1997
- ------------------------------
David H. Hoag

/S/ JOHN H. MCCONNELL          Director                                March 28, 1997
- ------------------------------
John H. McConnell

/S/  JAMES V. PICKETT          Director                                March 28, 1997
- ------------------------------
James V. Pickett

/S/  HAROLD A. POLING          Director                                March 28, 1997
- ------------------------------
Harold A. Poling

/S/  MICHAEL H. THOMAS         Director                                March 28, 1997
- ------------------------------
Michael H. Thomas

/S/  ROBERT D. WALTER          Director                                March 28, 1997
- -------------------------------
Robert D. Walter

</TABLE>
                                          13
<PAGE>


                                KARRINGTON HEALTH, INC.

           INDEX TO FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULES

                              (ITEMS 14 (a)  (1) AND (2) )


1.  DESCRIPTION OF FINANCIAL STATEMENTS          
    ---------------------------------------------------
         
    The following are incorporated by reference in this       Page(s) in 1996
    Annual Report on Form 10-K for the year ended             Annual Report to
    December 31, 1996                                           Shareholders
                                                            -------------------

         Report of Independent Auditors (Ernst & Young LLP)          13
         Consolidated Balance Sheets                                 14
         Consolidated Statements of Operations                       15
         Consolidated Statements of Equity                           16
         Consolidated Statements of Cash Flows                       17
         Notes to Consolidated Financial Statements                 18-25
         
                                                                    Page  
                                                                  --------
    Independent Auditors' Report (Deloitte & Touche LLP)             F-2

2.  FINANCIAL STATEMENT SCHEDULES                              
         
         
    No financial statement schedules are required because the required     
    information to be set forth therein is not applicable.      

                                      F-1
<PAGE>


INDEPENDENT AUDITORS' REPORT

To the Owners of
Karrington Operating Company:


We have audited the consolidated balance sheet of Karrington Operating 
Company and affiliates as of December 31, 1994 (not incorporated in this Form 
10-K), and the related consolidated statements of operations, owners' equity 
(deficiency), and cash flows for the year then ended (incorporated herein).  
These financial statements are the responsibility of the Company's 
management.  Our responsibility is to express an opinion on these financial 
statements based on our audit.

We conducted our audit in accordance with generally accepted auditing 
standards. Those standards require that we plan and perform the audit to 
obtain reasonable assurance about whether the financial statements are free 
of material misstatement.  An audit includes examining, on a test basis, 
evidence supporting the amounts and disclosures in the financial statements.  
An audit also includes assessing the accounting principles used and 
significant estimates made my management, as well as evaluating the overall 
financial statement presentation. We believe that our audit provides a 
reasonable basis for our opinion.

In our opinion, such consolidated financial statements present fairly, in all 
material respects, the financial position of Karrington Operating Company and 
affiliates at December 31, 1994, and the results of their operations and 
their cash flows, for the year then ended in conformity with generally 
accepted accounting principles.

DELOITTE & TOUCHE LLP

Columbus, Ohio
January 24, 1995


                                      F-2


<PAGE>


                             KARRINGTON HEALTH, INC.

                                INDEX TO EXHIBITS


EXHIBIT NUMBER                  DESCRIPTION                           REFERENCE
- --------------                  -----------                           ---------
3.1             Form of Amended Articles of Incorporation 
                of the Company                                             (1)
3.2             Form of Code of Regulations of the Company                 (1)
10.1            1996 Incentive Stock Plan *                                (1)
10.2            Loan Agreement between the Company and JMAC 
                dated December 29, 1995                                    (1)
10.4            Registration Rights Agreement dated 
                May 8, 1996, by and among the Company and 
                the Investors (as defined therein)                         (1)
10.5            Reorganization Agreement dated May 8, 1996, 
                by and among the Company and the Investors 
                (as defined therein)                                       (1)
10.6            Letter of Intent Dated April 29, 1996, by 
                and between the Company and Sisters of 
                Charity Health Care Systems, Inc.                          (1)
13              Annual Report to Shareholders                              (2)
21              Subsidiaries of the Registrant                             (1)
23.1            Consent of Ernst & Young LLP                               (2)
23.2            Consent of  Deloitte & Touche LLP                          (2)
24.1            Power of Attorney - Richard R. Slager                      (2)
24.2            Power of Attorney - Alan B. Satterwhite                    (2)
24.3            Power of Attorney - Mark N. Mace                           (2)
24.4            Power of Attorney - Charles S. McCreary                    (2)
24.5            Power of Attorney - John S. Christie                       (2)
24.6            Power of Attorney - Bernadine P. Healy                     (2)
24.7            Power of Attorney - David H. Hoag                          (2)
24.8            Power of Attorney - John P. McConnell                      (2)
24.9            Power of Attorney - James V. Pickett                       (2)
24.10           Power of Attorney - Harold A. Poling                       (2)
24.11           Power of Attorney - Michael H. Thomas                      (2)
24.12           Power of Attorney - Robert D. Walter                       (2)
27              Financial Data Schedule                                    (2)

- ----------------
    (1)  Included as an exhibit by the same number in the Company's
         Registration Statement on Form S-1 (File No. 333-03491) and
         incorporated herein by reference.

    (2)  Filed Herewith.

    *    Management contract or compensatory plan or arrangement.



<PAGE>

                            KARRINGTON HEALTH, INC.


                                PUTTING MORE

                                    LIFE 

                                 IN ASSISTED

                                    LIVING

[PHOTO: Male resident with two young children.]
[PHOTO: Female resident with caregiver.]
[PHOTO: Karrington of South Hills residence.]




                               1996 ANNUAL REPORT


<PAGE>
- ------------------------------------------------------------------------------
     TABLE OF CONTENTS

9  Management's Discussion and                  17 Consolidated Statements 
   Analysis of Financial Condition                 of Cash Flows           
   and Results of Operations                                               
                                                18 Notes to Consolidated   
13 Management's Statement of                       Financial Statements    
   Financial Responsibility                                                
                                                26 Selected Consolidated   
13 Report of Independent                           Financial Data          
   Auditors                                                                
                                                27 Common Share Information
14 Consolidated Balance Sheets                                             
                                                27 Shareholder Information 
15 Consolidated Statements of Operations                                   
                                                28 Directors & Officers    
16 Consolidated Statements                                                 
   of Equity                                    29 Karrington Market Areas 


   REVENUES
     (Thousands
     of dollars)


               [GRAPH: Karrington's 1994, 1995 and 1996 revenues.]


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

CORPORATE PROFILE


     Founded in 1989, Columbus, Ohio-based Karrington
Health, Inc. develops, owns and operates private-pay
assisted living residences for physically frail and
cognitively impaired seniors, as well as dedicated
Karrington Place residences for individuals with Alzheimer's
Disease and related disorders.
     At residences across the country, Karrington provides
high quality programs and services for seniors who need
assistance with activities of daily living, such as eating,
bathing and personal hygiene, dressing and grooming, and
walking.
     At year-end 1996, Karrington had nine residences open
and 17 under construction.  Karrington's network includes
residences owned solely by the Company and joint
ventures with a major national health care system, Catholic
Health Initiatives, a $4 billion, 61-hospital operation.
     Karrington expects to expand its residence network and
relationships with major health care systems in 1997 with
the purchase of Kensington Management Group, Inc., a multi-state
operator of assisted living Alzheimer's care residences with
ties to the Mayo Clinic.
     Plans for 1997 call for opening 19 more residences--11
Karrington-owned, 3 joint
ventures, and 5 Kensington Alzheimer's care residences.  In
1998, the Company expects to open 27 new Karrington, joint
venture, and Kensington residences--3 of which are now under
construction.  By December 1999, the goal is 89
residences--77 owned by Karrington and 12 with joint venture
partners.
     Karrington founders and principals Richard R. Slager
and Alan B. Satterwhite in 1991 entered into a partnership
with JMAC, Inc., an investment company owned by John H.
McConnell and John P. McConnell of Worthington Industries,
Inc. The objective of the partnership:  position Karrington for
aggressive growth in the rapidly expanding $15 billion
assisted living industry.
     Since opening its first residence in 1992, Karrington
has more than quadrupled its annual revenues, generating
approximately $12 million in 1996 from its network of
Karrington-operated residences and joint ventures.
     In July 1996, Karrington became a public company,
raising approximately $28.4 million from the sale of 2.4
million common shares. The Company's access to capital in
a very capital-intensive industry supports Karrington's growth
goals.
     Committed to providing a supportive
residential environment, enabling residents to age-in-place,
Company management, employees, and directors embody
Karrington'S  MISSION STATEMENT:  DEDICATED TO EXCELLENCE IN
PRESERVING AND ENHANCING PERSONAL DIGNITY, INDIVIDUALITY,
INDEPENDENCE AND QUALITY OF LIFE.


The forward-looking statements in this report are subject to
certain risks and uncertainties that could cause actual
results to differ materially from expectations.  These
include without limitation licensing, permitting,
construction delays, cost increases on new developments,
business conditions, adverse changes in general economic
conditions, meeting all closing requirements, including
licensure, and the availability of financing for these
developments.  These and other risks are set forth in the
reports filed by the Company with the Securities & Exchange
Commission.

- -------------------------------------------------------------------------------
                             KARRINGTON HEALTH INC.

<PAGE>

                             1996 ANNUAL REPORT

- -------------------------------------------------------------------------------
<TABLE>
<CAPTION>
FINANCIAL HIGHLIGHTS
                                              
                                                      YEAR ENDED DECEMBER 31, 
                                   ----------------------------------------------------------
                                         1996                1995                  1994
                                   ----------------    ----------------      ----------------
<S>                                 <C>                 <C>                    <C>                 
Total revenues                         $9,596,000          $6,744,000            $5,264,000       
                                                                                           
Residences (end of year) (1):                                                              
     Open.........................              9                   5                     4                
     Under construction...........             17                   5                     1                
     Under contract...............             10                   8                     2                
                                                                                                    
Number of units (end of year) (1)                                                          
     Open.........................            454                 272                   213              
     Under construction...........          1,010                 243                    59               
     Under contract...............            742                 509                   128              
                                                                                                             
Occupancy rate (1)................           94.3%               96.4%                 98.9% 
Resident days (1).................        111,165              86,557                58,400       
                                                                       
- ---------------------------------------
(1)  Includes residences jointly-owned by the Company and CHI.  Occupancy rate includes
     residences open for more than one year at the beginning of the year presented.

- ------------------------------------------------------------------------------------------------------
</TABLE>


LETTER FROM THE CHAIRMAN

     The year ended December 31, 1996 was one of tremendous
growth and strategic transition for your Company, as we
successfully completed our initial public offering of 3
million shares on July 18.  Since then, Karrington has
experienced strong growth in revenues, while filling our
development and construction pipeline to meet projected
growth.
     For the full year 1996, revenues rose 42% to $9.6
million from $6.7 million in 1995.  Excluding a one-time tax
charge of $.17 per share, the 1996 net loss was $1.7
million, or $.31 per share, compared to a loss of $1.9
million, or $.45 per share in 1995.  System-wide
revenues, including jointly owned residences, increased 40%
to $12 million in 1996, from $8.6 million in 1995.  Per
share results were at break-even for the final quarter of
the year, the same period in which construction started on
11 new residences.  Our operating model and growth strategy
are supported by the positive financial results of the
entire year and the fourth quarter of 1996.
      Revenues for stabilized residences increased 4% in
1996, reflecting our ability to improve same-residence
results by capturing incremental services revenue through
our "aging-in-place" approach to assisted living.  Your
Company's philosophy of operating a higher-acuity, customer-
focused, aging-in-place model results in a longer length of
stay, with the potential for increased per-resident revenues
as health care needs increase.
     Thanks to state-of-the-art quality assurance programs,
expanded in 1996, your Company regularly receives deficiency-
free reviews from state licensing authorities, while
maintaining 95% occupancy rates in our stabilized
residences.  This--along with the above-mentioned
strategies--improved the Company's operating income margin
for stabilized residences to 35% in 1996 from 32% in 1995,
excluding depreciation and amortization.
     System revenue growth resulted from a full year of
operations for residences opened in 1995, as well as the
1996 opening of new residences in Pittsburgh,
Pennsylvania; Columbus, Ohio; and Albuquerque, New Mexico.
Operating results include costs associated with corporate
staff additions to manage Karrington's
steadily growing operating base.
     At year end, Karrington had investment-grade, short-
term securities totaling $12.3 million; $32.8 million of
long-term debt; more than $300 million in available
project financing; and shareholders' equity of $30.7
million.
     Today, your Company has 17 new Karrington assisted
living residences under construction in six  states, with 14
openings scheduled for 1997.  The Company has 14 sites
under contract and has


                               1
<PAGE>
- -------------------------------------------------------------------------------
[PHOTO: Richard R. Slager, Chairman and CEO.]

identified and is negotiating the acquisition of more than 20 
additional sites.  More than half of those are in existing markets, 
reflecting our strategy of achieving economies of scale and improving 
operating efficiencies through regionalization.
     Your Company's joint venture with Catholic Health Initiatives (CHI),
a $4 billion acute-care operator of 61 hospitals in 20 states, continues to
expand. Karrington and CHI plan a total of 12 residences in 10 markets.
Three residences are in operation, three are under construction, and two
sites are under contract.
     Our planned acquisition of Kensington Management Group, Inc. is expected 
to close in April 1997. Kensington has 12 residences open or under 
construction, totaling 406 beds in three states.  A specialty Alzheimer's 
care company, headed by industry pioneer Jon Rappaport, Kensington will add 
to Karrington's high-acuity niche, while providing your Company with a 
smaller model, ideal for many new markets. We anticipate Kensington will 
develop 15 new residences, or cottages, to serve more than 420 seniors over 
the next three years.
     The Kensington acquisition brings us additional benefits.  Given its 
established relationship with the Mayo Clinic in Rochester, Minnesota, 
Kensington enhances your Company's strategic ventures with internationally 
recognized acute-care health systems.  It also opens the door for potential 
development opportunities to continue Alzheimer's research with the Mayo 
Clinic in Florida and Arizona.
     As an extension of Karrington's services, your Company in 1996 
instituted a neighborhood outreach program, providing meals, transportation 
and other assisted living services to community residents who are not quite 
ready to move to Karrington.  We believe this program will add to the 
Company's earnings in the years ahead, through fee-for-service revenues and 
market referrals.  Karrington is also in the process of implementing an adult 
day care program which will expand its outreach to the community while adding 
to each residences' bottom line.
     1996 also saw the introduction of Karrington Advisory Services (KAS), 
the Company's newly formed consulting arm. KAS is poised to profit from 
management and consulting opportunities your Company encounters as a leader 
in assisted living development, construction, marketing, financing, and 
operations.  Our people, development strategy, construction expertise, 
operational experience and consulting know-how are respected and valued in 
the industry.
     On a personal note, we welcome new associates and shareholders to the 
Karrington family.  A true blending of talents, friendships, and experiences, 
your Company remains committed to achieving the Karrington Mission:
          DEDICATED TO EXCELLENCE IN
          PRESERVING AND ENHANCING
          PERSONAL DIGNITY, INDIVIDUALITY
          INDEPENDENCE AND QUALITY OF LIFE
      Ours is a Mission founded on the principles of dignity, respect, love 
and service.  A Mission intended to enrich the lives of our residents and 
their loved ones.  A Mission rooted in the family. A Mission that values our 
customers, employees and shareholders.
     We greatly appreciate your confidence in and support of the Karrington 
family.

Sincerely,


/s/ RICHARD R SLAGER

RICHARD R SLAGER
Chairman and CEO

                                       2

[PHOTO: Six senior officers of Karrington Health, Inc. including Stephen Lewis,
Anthony DiBlasi, Richard R. Slager, Robin V. Holderman, Alan B. Satterwhite 
and Mark N. Mace.]
- -------------------------------------------------------------------------------
                             KARRINGTON HEALTH INC.

<PAGE>


                              1996 ANNUAL REPORT

        The American family is reinventing itself...
and the way it cares for its elderly.  Americans are
living longer--and have greater financial
stability--than at any time in history.


     The elderly are the nation's fastest growing population segment, with 
the number of individuals age 85-plus expected to reach 4.3 million by the 
turn of the century.  Adults over 65 currently number 30 million, a figure 
the U.S. Census Bureau expects will double by the year 2030.

[PHOTO: Female resident with medical staff RN taking blood pressure.]

     Changing demographics, coupled with the fact that the elderly often are 
incapable of independent living, have created tremendous opportunities for 
Karrington Health, Inc. and the entire assisted living industry.  The Census 
Bureau reports that 50% of people over age 85 need help with at least one 
activity of daily living (ADL), such as eating, bathing and personal hygiene, 
dressing and grooming, and walking.  Another 7 million individuals over age 
65 need ADL assistance, and this number will double by 2020.
     In the past, assistance usually was provided by a female family member.  
But with the percentage of women working outside the home up from 38% in 1960 
to 57% today, their availability to fill the traditional caregiver role has 
declined. Single parents, growing numbers of Americans living alone and our 
transient society have further reduced the number of adult children able to 
care for elderly parents and relatives.  Consequently, the number of seniors 
living alone has more than quadrupled since 1960, growing from 7% to 30% of 
the population.
     Fortunately, when living alone is no longer an option, most older 
Americans can afford to move to an assisted living residence.  According to 
the demographics firm Claritas, Inc., more than 53% of seniors over age 80 
have incomes of $15,000 or more, with 35% reporting at least $25,000.  In 
addition, the U.S. Bureau of Labor and Statistics puts the median net worth 
of the age-75-and-older family at $87,000.
     The Assisted Living Federation of America (ALFA) predicts that, with the 
over-85 population doubling to more than 5.6 million by the year 2010, there 
could be a demand for more than 50,000 new assisted living units annually.  
Couple that with the U.S. Department of Health and Human Services' estimate 
that about half a million of the nation's 1.6 million nursing home residents 
are viable assisted living candidates, and it is no surprise that the $15 
billion assisted living industry is expected to grow to $30 billion by the 
year 2000.
     Wall Street has taken notice of the rapidly expanding market for 
assisted living as the number of publicly traded assisted living companies 
has increased more than six-fold--from two to 13--between 1994 and year-end 
1996. The challenge facing the elderly and their families, as well as 
shareholders and the investment community, is to identify well-managed, 
professional assisted living providers--such as Karrington--that are positioned
to survive inevitable industry consolidation and thrive in the new century.

THE KARRINGTON
ADVANTAGE:  CAPITAL,
CARE AND CREDIBILITY

   Karrington became a public company in July 1996, raising approximately 
$28.4 million from the sale of 2.4 million common shares. Karrington's access 
to capital in a very capital-intensive industry supports the Company's growth 
goals.

                                    3

<PAGE>
[PHOTO: Male resident with residence staff member.]

                                     LIFE

In addition to having the wherewithal for on-going development and potential 
acquisitions, what differentiates Karrington from other assisted living 
companies--public and private--are its unique competitive advantages:

HIGH-ACUITY PRODUCTS AND SERVICES:  At the heart of Karrington are the 
skilled and caring people, unique products and services, and dignified 
environments that enable Karrington residents to age-in-place gracefully. 
Among the high-acuity services the Company offers are Alzheimer's and related 
special care programs, including dedicated Karrington Place residences, 
opened in 1996.  Unique product and service offerings--designed to enhance 
quality of life and respect individuality--include personalized wellness 
assessment programs and restaurant-style menus.  Innovative community service 
activities introduced by Karrington over the past 12 months include the 
Neighbors Program and Adult Day Respite care, which are designed to relieve 
caregivers, while building relationships with area seniors who may someday 
need assisted living.

PROTOTYPE MANSION-STYLE RESIDENCES:  Karrington residents age-in-place in 
mansion-style communities, housing 60 to 80 seniors who need assistance with 
several activities of daily living, but do not require nursing home care.  
Karrington offers a flexible, price-sensitive rate and service structure, 
charging residents only for the care they need and the size of residential 
suite and roommate options they choose.  Each residence is managed by an 
administrator and four-person supervisory team, overseeing approximately 28 
full-time employees.  All resident services are provided by licensed nurses 
(RNs and LPNs) and trained resident assistants.  Karrington was among the 
first assisted living companies to have full-time nurses on staff 24 hours, 
to meet the health care needs of physically frail and cognitively impaired 
residents.

STRATEGIC PARTNERSHIPS:  Karrington's development partnership with the $4 
billion, 61-hospital Catholic Health Initiatives (CHI) brings Karrington the 
benefits of capital, credibility, and customer referral.  Karrington's 
planned acquisition of Kensington Management Group, Inc., with ties to the 
world-renown Mayo Clinic, will enhance the Company's participation in 
Alzheimer's research, while creating new development opportunities.  
Management plans to continue expansion of relationships with nationally 
respected acute health care systems to further broaden Karrington's position 
as an industry leader.

DEVELOPMENT STRENGTH:  Karrington's 16-member development team has extensive 
real estate acquisition, design, engineering, zoning, general construction 
and project management experience.  Responsible for all development to 
date--nine open Karrington residences and 17 under construction--the department
in 1996 entered into outsourcing agreements to facilitate site selection and
ease entry into new markets, including additional states and major 
metropolitan areas. These developers are working with Karrington to identify 
assisted living sites in California, New York, Connecticut, the Chicago area 
and the Mid-South. These development partnerships, coupled with over $300 
million in project financing, led by the $100 million financing package 
Karrington secured from Meditrust in 1996, will assist

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

                          KARRINGTON HEALTH, INC.

                                       4
<PAGE>


                              1996 ANNUAL REPORT

the Company in meeting its development goals through 1999 and beyond.

PEOPLE:  Karrington's management team and employees embody the Company's 
mission statement.  The Company has a thoroughly trained staff of 430 
administrative, health, and residential care professionals--a number that is 
expected to more than triple in 1997, as new residences open. Karrington's 
experienced management team includes senior executives who helped pioneer the 
industry's national trade association, ALFA. Management is supported by what 
is arguably the strongest board of directors in the assisted living industry. 
With the 1996 formation of the Karrington Advisory Services consultation and 
management services division, the Company is making its expertise available 
to others in the assisted living industry.

THE KARRINGTON MODEL FOR STRATEGIC GROWTH

     In 1996, Karrington opened four new residences, bringing to nine the 
total number of residences the Company has open.  Two of the four residences 
opened last year were part of a joint development with Catholic Health 
Initiatives, one of the nation's leading health care providers.  CHI offers 
tremendous benefits to Karrington, including community and industry-wide name 
recognition; credibility; capital; access to prime locations; and referral of 
prospective residents.

     Karrington/CHI's 1996 residences are located in Albuquerque, New Mexico, 
a new market for the Company.  They include a 61-unit assisted living 
residence and an adjacent 28-suite specialty Alzheimer's and cognitive 
disorders residence.
     Plans for 1997 call for the opening of 19 additional residences--11 
Karrington-owned, three joint ventures, and five Kensington Alzheimer's care 
residences. Management's goal for year-end 1998 is to open 27 new Karrington, 
joint venture, and Kensington residences, three of which are currently under 
construction.  By December 31, 1999, the goal is 89 residences--77 owned by 
Karrington and 12 with joint venture partners.  Projected growth in the 
Karrington residence network will result in substantial increases in annual 
revenues, strengthening the Company's position as an industry leader.
      Karrington takes a location-sensitive approach to 
development--identifying, acquiring, and developing the best site in each 
market. While competitors may build more buildings quicker, Karrington's goal 
is always to out-position other assisted living providers.  The fact that 
residents and their families appreciate the combination of individualized 
care and quality staffing and services, coupled with the convenient 
locations, quality construction, and functional beauty of Karrington homes, 
is reflected in the over 90% occupancy rate consistently achieved within a 
new residence's first year. 
     Over the next 12 months, the Company will continue its aggressive 
exploration of additional markets, with 1997 construction planned for the San 
Francisco Bay region; Chicago area; Memphis, Knoxville, and Nashville, 
Tennessee; Upstate New York; Connecticut; and Washington, D.C. 
     To help reach its 1999 goals, the Company will apply its standard 
portfolio of residence prototypes, while 

[PHOTO: Female resident being helped down stairs by caregiver.]

            Karrington is dedicated to Excellence in Preserving and Enhancing
            Personal Dignity, Individuality, Independence, and Quality of Life
            for its Residents.


                                       5
<PAGE>
                                    LIVING

establishing regional relationships with architects, engineers and 
contractors. The objective is to take advantage of suppliers' learned 
knowledge of Karrington's unique models to construct high-quality residences 
faster, reducing management time and cost, and reflecting the architecture of 
each community.

AGING-IN-PLACE:
HIGH-QUALITY HEALTH CARE
PLUS HANDS-ON HOSPITALITY

     Few assisted living operators provide the comprehensive range of 
care--such as Alzheimer's programs and other special care services--that 
Karrington delivers. Karrington is committed to helping its residents--75% of 
whom are women with an average age of 83--live the balance of their lives with 
personal dignity, individuality, independence and quality of life.
     Most Karrington residents have age-related disabilities and need 
assistance with three or more activities of daily living.  Unlike assisted 
living operators that discharge to nursing homes high-acuity residents, such 
as individuals who are  incontinent, utilize a wheelchair or walker or have 
Alzheimer's Disease, Karrington has the people and services in place to 
provide residents with the extra care they need as they age.  Karrington's 
goal is to allow each resident to age-in-place at Karrington, ideally making 
Karrington his or her final home.

[PHOTO: Female resident in wheelchair with a visitor.]

     Fifty percent of people over age 85 suffer from some stage of 
Alzheimer's Disease.  Karrington has developed products to allow the Company 
to care for most residents with cognitive disorders until the end of their 
lives, often precluding the need for hospitalization or nursing care.
     Since its inception, Karrington has provided a residential 
alternative--the Company's special care program--to care for individuals who 
suffer from dementia.  In the past, these individuals would have been 
institutionalized in a hospital or nursing facility.  In addition, all 
employees are cross-trained and undergo in-depth, special care training to 
assist them in identifying, monitoring and serving residents, beginning with 
the earliest signs of dementia.
     Over the past 12 months, the Company opened two Karrington Place 
assisted living residences, dedicated solely to serving the special needs of 
residents with Alzheimer's Disease and related disorders.  Karrington Place 
is a unique, safe, and inviting residence that looks and feels like a 
hometown neighborhood, complete with cheerful common areas and secure outdoor 
walking paths. Karrington Place caregivers are specially trained to assist 
residents facing the challenges of communication, nutrition, wandering and 
sleep. Setting a new standard for the long-term care of residents with 
dementia, Karrington Place enhances dignity, promotes individuality and 
encourages independence.  Additional Karrington Place residences are planned 
for 1997 and beyond.
     Karrington's scope of Alzheimer's care will expand in 1997 as the 
Company completes its acquisition of Kensington Management Group, Inc., a 
provider of multi-state assisted living Alzheimer's care residences.  With a 
letter of intent signed in November 1996, management targets April 1997 for 

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

                          KARRINGTON HEALTH, INC.

                                      6
<PAGE>


                              1996 ANNUAL REPORT

completion of the transaction.  At the time of the acquisition, Kensington's 
annualized revenues will approximate $10 million, and it will have 12 
residences open or under construction, with 406 licensed beds in three 
states.  Development is in progress for the establishment of new campus 
communities in Jacksonville, Florida and Phoenix, Arizona.  Kensington 
operates Alzheimer's care communities under the name Kensington Cottages, and 
intends to further develop its Alzheimer's care programs using medical 
directors with geriatric and dementia specialties similar to its relationship 
with the Mayo Clinic in Rochester, Minnesota.
     An innovative, nonresidential program Karrington is marketing is its 
Neighbors Program, started in 1996 and targeted for expansion in 1997.  The  
Neighbors Program takes Karrington's personnel and programs out into the 
communities in which it operates residences.  Through the Neighbors Program, 
Karrington makes select services-including transportation, meal preparation 
and delivery, light cleaning and laundry service, prescription and grocery 
delivery, and companionship-available for a fee to elderly individuals.  The 
Neighbors Program gives caregivers a needed break, and grants Karrington the 
opportunity to introduce staff and services to seniors who may someday choose 
assisted living.

[PHOTO: Male resident with two young children.]

     Plans for 1997 include the rollout of an Adult Day Respite program to 
enable seniors to spend part of a day and/or a night at a Karrington 
residence.  In addition, management over the next year will continue to 
develop hospice programs--the final phase of aging-in-place.  As Karrington 
and the elderly population grow, the Company will keep looking to the 
community, residents and caregivers for programming needs and solutions.

KARRINGTON
PROFESSIONALS:
HEALTH CARE EXPERTISE
WITH BUSINESS SAVVY

     Karrington's ability to provide innovative assisted living products is 
directly linked to the Company's skilled staff, experienced management and 
strong board of directors.
     Karrington deeply values employee education.  All residence staff 
undergo an extensive and innovative training program, covering all aspects of 
Karrington's operation and philosophy.  Mentoring with a registered nurse--to 
help staff identify and monitor residents' health care needs, including the 
early stages of dementia--is followed by on-going, year-round education.
     "Karrington Kollege," established in 1996, is a week-long, intensive 
training program, which is held at the home office and is mandatory for 
administrators and department supervisors.  Operations are reviewed, and the 
Karrington corporate philosophy toward its residents is stressed:  The 
residents' needs are the Company's number-one priority.  If it benefits the 
residents, no job is too small for a Karrington associate.
     Under the direction of Operations Senior Vice President John Knutson--a 
former ALFA director and well-known industry expert who joined Karrington in 
1996--the Company has established a comprehensive quality assurance (QA) 
program to monitor and maintain established standards of care.  Karrington's 
QA team works with residence management to ensure staff is trained, clinical 
policies and procedures are followed, and state and federal licensing 
requirements are met.
     Karrington's staff is supported by senior executives who helped pioneer 
the assisted living industry. Chairman and Chief Executive Officer Richard R. 
Slager is co-founder of the Company and immediate past-chairman of ALFA.  
Chief Financial Officer Alan B. Satterwhite, co-founder of Karrington, 
chaired the 1996 ALFA Overview Task Force Committee.  A testament to 
Karrington's management strength is the Company's board of directors. 
Recognized by the assisted living industry and the investment community as 
probably the strongest board in the industry, the Karrington board is an 
unusually influential group for a young, growing company.
     Combining health care know-how with acquisition expertise and experience 
growing public companies into national industry leaders, Karrington's 
11-person board of directors works with senior management to position the 
Company as a leader in the burgeoning assisted living industry.
     Outside directors include John S. Christie, President of JMAC, Inc., an 
investment company and principal Karrington shareholder; Dr. Bernadine P. 
Healy, Dean of The Ohio State University

                                        7

<PAGE>

                                   KARRINGTON

Medical School and former director of the National Institutes of Health; 
David H. Hoag, Chairman and CEO of LTV Corp.; John H. McConnell, founder and 
Chairman Emeritus of Worthington Industries; Charles H. McCreary, partner of 
the law firm Bricker & Eckler; James V. Pickett, Chairman of Pickett Realty 
Advisors and Managing Director of the real estate investment group of Banc 
One Capital Corporation; Harold A. Poling, retired Chairman of Ford;  Michael 
H. Thomas,

[PHOTO: Female resident being served coffee by a caregiver.]

Executive Vice President and Treasurer of JMAC, Inc.; and Robert D. Walter, 
Chairman and CEO of Cardinal Health.
     Given Karrington's talent pool and depth of management experience, it is 
no surprise that organizations considering entry into the assisted living 
industry look to Karrington for counsel.  In 1996, in response to growing 
requests for consulting services, the Company formed the Karrington Advisory 
Services division.  Located in Cleveland, Ohio, KAS is Karrington's 
full-service consulting arm.  KAS' target market includes organizations, such 
as hospitals, apartment developers, nursing home operators and health care 
systems, seeking expertise in the assisted living industry. Management 
expects KAS to experience steady growth throughout 1997 and beyond.

KARRINGTON:
Positioned For Leadership
In The Next Century

     Since opening its first residence in 1992, Karrington has more than 
quadrupled its annual revenues, generating approximately $12 million in 1996 
from the Company's network of Karrington-operated residences and joint 
ventures.  Over the past four years, the number of residences open, under 
construction, or in contract to the Company has grown from five to 36, with 
residential suites increasing from 160 in 1992 to 454 at year-end 1996.
     Karrington's future growth will come from developing, opening and 
operating residences in current markets, new communities and 

[PHOTO: Female resident with young child.]

additional states; expanding joint venture relationships with major U.S. 
health care systems; continuing to provide broad-based services that allow 
high-acuity residents to age-in-place; and strategically acquiring residences 
for conversion to the Karrington model.
     The Company made significant capital investments--time and money--in 1996, 
building what it believes is the finest, most experienced management team and 
staff in the assisted living industry.  In addition, much of the Company's 
focus over the past 12 months has been on standardizing internal operations, 
such as employee training, resident assessment, quality assurance and 
outsourcing relationships.
     BY STREAMLINING PROCESSES, STANDARDIZING PROCEDURES AND
ENSURING QUALITY, THE COMPANY HAS SUCCEEDED IN POSITIONING
KARRINGTON AS THE ASSISTED LIVING PROVIDER OF CHOICE FOR
PHYSICALLY FRAIL AND COGNITIVELY CHALLENGED AMERICANS.

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

                          KARRINGTON HEALTH, INC.

                                       8


<PAGE>

                              1996 ANNUAL REPORT
- -------------------------------------------------------------------------------

MANAGEMENT'S DISCUSSION
AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS

OVERVIEW

     The Company derives its revenues from two primary sources: (i) resident 
fees for the delivery of assisted living services and (ii) development fees 
and management services income for development and management of residences 
in which the Company does not own a controlling interest. The Company's 
revenue is derived principally from resident fees, which in 1996 comprised 
93% of total revenues (92% in 1995 and 95% in 1994).  Resident fees are paid 
monthly by residents, their families or other responsible parties and 
historically have been derived 100% from private pay sources. Resident fees 
include revenue from basic assisted living care, community fees, extended and 
special needs  care, Alzheimer's care and other sources. Community fees are 
one-time fees generally payable by a resident upon admission, and extended 
care and Alzheimer's care fees are paid by residents who require personal 
care in excess of services provided under the basic care program.  
Development fees and management services income, which accounts for the 
remaining percentage of revenues, consists of development fees recognized 
over the development and construction period and management fees which are a 
percentage of a managed residence's total operating revenues and are 
recognized as services are performed.

     The Company categorizes its operating expenses as follows: (i) residence 
operations, which includes labor, food, media advertising and promotion and 
other direct general operating expenses; (ii) general and administrative 
expenses, consisting of corporate and support functions such as marketing, 
accounting and other administrative expenses; and (iii) depreciation and 
amortization. In anticipation of its growth plans, the Company made 
significant investments in the number of management and staff at its 
headquarters in 1996 and 1995.

RESULTS OF OPERATIONS

     The following table sets forth certain data from the respective 
consolidated statements of operations as a percentage of total revenues:

<TABLE>

                                                YEAR ENDED DECEMBER 31,
                                           ------------------------------------
                                             1996          1995          1994  
                                           --------      --------      --------
<S>                                        <C>           <C>           <C>
Total revenues ..........................     100.0%        100.0%        100.0%
Expenses:
Residence operations ....................      68.5          65.0          65.6
General and administrative ..............      28.9          25.3          12.0
Depreciation and amortization ...........      14.4          14.5          16.1
Write-off of intangible asset ...........         -           7.3             -
                                           --------      --------      --------
Total expenses ..........................     111.8         112.1          93.7
                                           --------      --------      --------
Operating income (loss) .................     (11.8)%       (12.1)%         6.3%
                                           ========      ========      ========
Resident days (2) .......................    87,974        67,256        57,213
Average occupancy percentage (1) ........      93.4%         96.4%         98.9%
End of year (2):
Number of residences open ...............         6             4             3
Number of units .........................       312           219           160

</TABLE>

(1) Average occupancy percentage represents the average occupancy of the 
    Company-owned residences open for one year or more at the beginning of the 
    year presented.

(2) Excludes residences jointly-owned by the Company and CHI accounted for by 
    the equity method.

                                       9

<PAGE>
- -------------------------------------------------------------------------------

MANAGEMENT'S DISCUSSION
AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS

YEAR ENDED DECEMBER 31, 1996
COMPARED TO YEAR ENDED
DECEMBER 31, 1995

     Total revenue increased $2.9 million, or 42.3%, to $9.6 million in 1996 
from $6.7 million in 1995, primarily due to the growth in resident revenues. 
Resident revenues increased $2.7 million, or 43.9%, primarily due to the 
opening of two new residences during 1996 and a full year of operations for 
1995 residence openings (total of $2.4 million) and to the increase in the 
average daily resident rate. The average daily resident rate increased 7.1% 
to $93.05 in 1996 compared to $86.90 in 1995, primarily due to an increase in 
the average daily basic care rate of $7.12.

     Development and project management fees increased $118,000, or 22.6%, to 
$643,000 in 1996 from $524,000 in 1995, primarily due to development and 
management fees associated with the increased number of projects open or in 
development under the relationship with CHI.

     Residence operations expenses increased $2.2 million, or 50.1%, to $6.6 
million in 1996 from $4.4 million in 1995. As a percentage of total 
revenues, residence operations expenses increased from 65.0% in 1995 to 68.5% 
in 1996. This increase is primarily attributable to the opening of a new 
residence in October 1995 and two residences in 1996, as operations expenses 
are historically higher as a percent of total revenues during the first year 
of operation of a residence. Excluding these three residences, operations 
expenses were 60.7% of total revenues in 1996 compared to 63.2% in 1995.

     General and administrative expenses increased $1.1 million, or 62.7%, to 
$2.8 million in 1996 from $1.7 million in 1995, primarily due to increased 
compensation, payroll taxes and related benefits of $800,000 as a result of 
hiring additional management and staff at the Company's headquarters in 
anticipation of the Company's growth plans and the addition of a 
manager-in-training program initiated in the Spring of 1995. The Company 
expects the rate of increase in its general and administrative expenses will 
decrease as new personnel needs have been reduced by recent hires. In 
addition, the Company expects its general and administrative expenses will 
decrease as a percentage of its total operating revenues due to anticipated 
economies of scale resulting from the Company's development program.

     Depreciation and amortization increased $399,000, or 40.7%, to $1.4 
million in 1996 from $1.0 million in 1995, primarily due to the opening of 
two new residences in 1996 and a full year of operations for 1995 residence 
openings.

     Interest expense increased $249,000, or 24.4%, to $1.3 million in 1996 
from $1.0 million in 1995, primarily due to the opening of two new 
residences in 1996 and a full year of operations for 1995 residence openings. 

     Interest income resulted primarily from the investment of the Company's 
net proceeds from its initial public offering in July 1996.

     The increase in deferred income taxes resulted primarily from the 
Company's reorganization in July 1996. A deferred tax provision of $938,000 
was recorded for the differences in the basis for tax purposes and for 
financial accounting purposes of recorded assets and liabilities as of July 
18, 1996. This provision was offset by a $255,000 benefit recorded for the 
financial reporting loss for the period from July 18, 1996 to December 31, 
1996.

YEAR ENDED DECEMBER 31, 1995
COMPARED TO YEAR ENDED
DECEMBER 31, 1994

     Total revenue increased $1.5 million, or 28.1%, to $6.7 million in 1995 
from $5.3 million in 1994 primarily due to the growth in resident revenues. 
Resident revenues increased $1.2 million, or 25.0%, primarily due to the 
increase in resident revenues of $531,000 from the residence which opened in 
late December 1993, an increase of $433,000 resulting from higher average 
daily resident rates and the opening of a residence in late October 1995. The 
average daily resident rate increased 9.5%, to $86.90, in 1995 from $79.33 in 
1994, primarily due to an increase in the average daily basic care rate of 
$5.32.

     Development and project management fees increased $237,000, or 82.3%, to 
$524,000 in 1995 from $287,000 in 1994, primarily due to the increased number 
of projects in development under the relationship with CHI.

     Residence operations expenses increased $926,000, or 26.8%, to $4.4 
million in 1995 from $3.5 million in 1994, primarily due to a 17.6% increase 
in resident days and the Company's adoption of the provisions of AICPA SOP 
93-7, the effect of which was an increase in marketing 

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

                          KARRINGTON HEALTH, INC.

                                      10



<PAGE>

                               1996 ANNUAL REPORT

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

expenses of $199,000. As a percentage of total revenues, residence operations 
expenses decreased from 65.6% in 1994 to 62.0% in 1995 (excluding the effects 
of AICPA SOP 93-7). This decrease is primarily attributable to the second 
full year of operations at a residence where the average occupancy percentage 
increased to 93.7% in 1995 from 63.2% in 1994.

     General and administrative expenses increased $1.1 million, or 169%, to 
$1.7 million in 1995 from $634,000 in 1994, primarily due to increased 
compensation, payroll taxes and related benefits of $714,000 as a result of 
hiring additional management and staff at the Company's headquarters (from 20 
at the end of 1994 to 40 at the end of 1995) in anticipation of the Company's 
growth plans, including the addition of a manager-in-training program in the 
Spring of 1995, increased incentive compensation and compensation increases 
for existing staff and management.

     Depreciation and amortization increased $136,000, or 16.0%, to $980,000 
in 1995 from $844,000 in 1994 primarily due to a change in estimate relating 
to pre-opening costs ($92,000), the opening of a new residence ($48,000), and 
the Company's move to its new headquarters in July 1995. These increases were 
offset by a decrease of $70,000 as a result of the adoption of AICPA SOP 93-7 
described above.

     See Note 3 to Consolidated Financial Statements for discussion on the 
write-off of the intangible asset.

     Interest expense decreased $328,000, or 24.2%, to $1.0 million in 1995 
from $1.4 million in 1994, primarily due to the subordinated debentures 
converted to equity effective January 1, 1995.

LIQUIDITY AND CAPITAL RESOURCES

     The Company financed its initial growth through a combination of 
mortgage financing, subordinated borrowings from JMAC, Inc. (JMAC) and its 
affiliates and equity contributions. The Company's mortgage and construction 
mortgage financings provide for principal repayments in the next three to 14 
years, bear interest at various rates (ranging from 8.25% to 10.25% at 
December 31, 1996), and are secured by substantially all of the assets of the 
Company. The Company expects to refinance such amounts as they mature. In 
addition, one of the Company's residences is financed with a residential 
rental development revenue bond which provides for annual principal 
repayments beginning in 1998 through 2021 and bears interest at a fluctuating 
weekly rate (4.4% at December 31, 1996).

     The Company has entered into non-binding financing commitment letters 
with Meditrust Mortgage Investments, Inc. ("MMI"), an affiliate of Meditrust 
(a large health care REIT). Under the letters, MMI is to provide up to 
approximately $100 million in financing for one existing and approximately 13 
new residences, subject to various terms and conditions. The financings, 
which may be mortgage or lease financings, are to be entered into on a 
residence-by-residence basis, and are to be for terms of up to 14 years (with 
two additional five-year extension periods for the lease transactions). 
Interest during construction is to float at 2% above the prime rate. On 
completion of each residence, payments are to be set at an amount equal to 
3.25% over the yield at that time on the ten-year U.S. Treasury notes. 
Additional interest or lease payments are contingent on increased revenues of 
a financed residence during specified periods.  To date, the Company has 
completed mortgage agreements for one existing and three new residences 
totalling $22 million.

     In December 1995, the Company entered into a loan agreement with JMAC 
pursuant to which JMAC agreed to provide up to $8.0 million in loans to the 
Company.  Interest on the borrowings accrued at 15% per annum.  The total  
amount outstanding of $5,710,000, including accrued interest, was repaid in 
July 1996 with proceeds from the public offering at which time the agreement 
was terminated.

     Effective January 1, 1995, the partners of Karrington Operating Company 
entered into a recapitalization agreement pursuant to which subordinated 
debentures and accrued interest totaling $5.3 million were converted to 
equity. In addition, JMAC Properties, Inc. invested $5.0 million in equity 
during 1995.

     At December 31, 1996, the Company had $33.0 million of outstanding debt 
(at a weighted average interest rate of 8.9%).  At that date, the Company had 
equity of $30.7 million, which resulted from inception-to-date net capital 
contributions of $37.6 million (including $27.5 million in net proceeds from 
the July 1996 public 

                                      11
<PAGE>
- -------------------------------------------------------------------------------

offering) and net operating losses of $6.9 million. Working capital at 
December 31, 1996 was $7.8 million.

     During the years ended December 31, 1996, 1995 and 1994, the Company 
used $28.8 million, $10.7 million and $2.1 million, respectively, in cash to 
acquire property and equipment and other assets, and received $41.1 million, 
$10.9 million and $1.5 million, respectively, in cash from financing 
activities.

     In 1997 through 1999, the Company plans to open or acquire approximately 
71 new Company-owned residences and 9 jointly-owned residences bringing the 
total number of residences to 89.  To date, the Company has 17 of the 71 
residences open or under construction and is expected to acquire 12 
residences in April 1997.  The Company has 14 additional sites under 
contract. The Company has been, and will continue to be, dependent on 
third-party financing for its acquisition and development program.

     The Company estimates that newly developed residences will generally 
range in cost from $6.0 to $7.5 million, with the development cycle taking up 
to 24 months from site identification to residence opening. There can be no 
assurance that financing for the Company's acquisition and development 
program will be available to the Company on acceptable terms, if at all. 
Moreover, to the extent the Company acquires properties that do not generate 
positive cash flow, the Company may be required to seek additional capital 
for working capital and liquidity purposes. Residences typically reach a 
stable level of occupancy of over 90% within 12 months and generate 
break-even cash flows, after debt service, within approximately seven months.

     In February and March 1997, the Company entered into one year revolving 
credit agreements totaling $8,000,000.  Interest is payable monthly and 
accrues at either the bank's prime rate, the bank's eurodollar rate or LIBOR 
plus 2% if certain financial ratios are met.

     The net proceeds from the Company's initial public offering, together 
with existing financing commitments and additional financing the Company 
anticipates will be available, will be sufficient to fund its development and 
acquisition programs for at least the next 12 months. Additional financing 
will be required to complete the Company's growth plans through 1999 and to 
refinance certain existing indebtedness.

PENDING BUSINESS ACQUISITION

     The Company's acquisition of Kensington Management Group, Inc. 
(Kensington) is scheduled to be completed in April 1997.  At the time of 
acquisition, Kensington will have open or under construction 12 residences 
with 406 licensed beds in three states. Unaudited revenues in 1996 were 
approximately $6,500,000. Kensington operates Alzheimer's care communities 
under the name Kensington Cottages. The purchase price is expected to 
approximate $28 million. The Company will issue approximately 130,000 common 
shares, assume debt of approximately $1.7 million, incur new debt of 
approximately $21.7 million and make cash payments of approximately $3.1 
million. The Company has entered into a non-binding financing commitment with 
a lender for the $21.7 million of new debt plus an amount for four new 
cottages to build out a campus setting in Rochester, Minnesota.

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

                          KARRINGTON HEALTH, INC.

                                      12



<PAGE>

                              1996 ANNUAL REPORT

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

MANAGEMENT'S STATEMENT OF
FINANCIAL RESPONSIBILITY

     The management of Karrington Health, Inc. is responsible for the 
preparation of the accompanying consolidated financial statements in 
conformity with generally accepted accounting principles appropriate in the 
circumstances. Management is also responsible for the determination of 
estimates and judgments used in the financial statements, and the preparation 
of other financial information included in this annual report to 
shareholders. The financial statements have been audited by independent 
auditors.

     The management of the Company has established and maintains an 
accounting system and related internal controls that it believes are 
sufficient to provide reasonable assurance that assets are safeguarded 
against unauthorized acquisition, use or disposition, that transactions are 
executed and recorded in accordance with management's authorization and that 
the financial records are reliable for preparing financial statements.  The 
concept of reasonable assurance is based on the recognition that the cost of 
a system of internal control must be related to the benefits derived and that 
the balancing of the factors requires estimates and judgments.  Management 
considers the recommendations of the independent certified public accountants 
concerning the Company's system of internal control and takes appropriate 
actions which are cost effective in the circumstances.

     The Board of Directors has an Audit Committee of Directors who are not 
members of management. The Audit Committee meets periodically with the 
Company's management and independent certified public accountants to review 
matters relating to financial reporting, auditing and internal control. To 
ensure auditor independence, the independent certified public accountants 
have full and free access to the Audit Committee.


/s/ Richard R. Slager      /s/Alan B. Satterwhite          /s/ Mark N. Mace


Richard R. Slager         Alan B. Satterwhite            Mark N. Mace
Chairman and Chief        Chief Financial Officer        Senior Vice President,
Executive Officer         and Chief Operating Officer    Finance and Treasurer

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

REPORT OF INDEPENDENT AUDITORS

To the Shareholders of Karrington Health, Inc.

     We have audited the accompanying consolidated balance sheets of 
Karrington Health, Inc. and its subsidiaries (the "Company"), formerly 
Karrington Operating Company (a partnership), as of December 31, 1996 and 
1995, and the related consolidated statements of operations, equity, and cash 
flows for the years then ended.  These financial statements are the 
responsibility of the Company's management.  Our responsibility is to express 
an opinion on these financial statements based on our audits.  The financial 
statements of Karrington Operating Company for the year ended December 31, 
1994, were audited by other auditors whose report dated January 24, 1995, 
expressed an unqualified opinion on those statements.

     We conducted our audits in accordance with generally accepted auditing 
standards.  Those standards require that we plan and perform the audit to 
obtain reasonable assurance about whether the financial statements are free 
of material misstatement.  An audit includes examining, on a test basis, 
evidence supporting the amounts and disclosures in the financial statements.  
An audit also includes assessing the accounting principles used and 
significant estimates made by management, as well as evaluating the overall 
financial statement presentation.  We believe that our audits provide a 
reasonable basis for our opinion.

     In our opinion, the 1996 and 1995 consolidated financial statements 
referred to above present fairly, in all material respects, the financial 
position of Karrington Health, Inc. and its subsidiaries as of December 31, 
1996 and 1995, and the results of their operations and their cash flows for 
the years then ended in conformity with generally accepted accounting 
principles.


                                                        /s/ Ernst & Young LLP


Columbus, Ohio
February 14, 1997


                                      13

<PAGE>
- -------------------------------------------------------------------------------
                                       KARRINGTON HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

ASSETS
                                                            DECEMBER 31,
                                                    --------------------------
                                                       1996            1995
                                                    -----------    -----------
Current assets:
     Cash and cash equivalents ..................   $12,283,185    $   144,833
     Accounts receivable.........................       105,315        243,914
     Amounts due from affiliates.................       678,893        523,278
     Prepaid expenses............................       170,254         98,821
                                                    -----------    -----------
           Total current assets..................    13,237,647      1,010,846
Property and equipment - net (Note 2)............    52,011,748     24,879,363
Other assets - net (Note 3)......................     4,300,546        786,233
                                                    -----------    -----------
           Total assets..........................   $69,549,941    $26,676,442
                                                    -----------    -----------
                                                    -----------    -----------

LIABILITIES AND EQUITY

Current liabilities:
     Accounts payable and accrued liabilities....   $   788,981    $   614,713
     Construction payables.......................     3,181,560        810,334
     Payroll and related taxes...................       735,337        410,590
     Unearned resident fees......................       325,111        414,821
     Interest payable............................       158,103        129,699
     Current portion of long-term obligations....       242,211        205,485
                                                    -----------    -----------
           Total current liabilities.............     5,431,303      2,585,642
Long-term obligations (Notes 5 and 6)............    32,758,692     18,249,893
Deferred income taxes............................       683,000              -
Equity (Note 9):
     Common shares, without par value............    31,984,712              -
     Accumulated deficit.........................    (1,307,766)             -
     Partners' equity............................             -      5,840,907
                                                    -----------    -----------
     Total equity................................    30,676,946      5,840,907
                                                    -----------    -----------
     Total liabilities and equity................   $69,549,941    $26,676,442
                                                    -----------    -----------
                                                    -----------    -----------
See accompanying notes.

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

                          KARRINGTON HEALTH, INC.

                                     14

<PAGE>
- -------------------------------------------------------------------------------
                                       KARRINGTON HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS
OF OPERATIONS

                                                YEAR ENDED DECEMBER 31,
                                        ---------------------------------------
                                            1996          1995         1994
                                        -----------   -----------   -----------
Revenues:
     Residence operations.............. $ 8,952,759   $ 6,219,465   $ 4,976,787
     Development and project 
          management fees..............     642,803       524,391       287,683
                                        -----------   -----------   -----------
            Total revenues.............   9,595,562     6,743,856     5,264,470

Expenses:
Residence operations...................   6,574,958     4,380,312     3,453,690
General and administrative.............   2,772,727     1,704,694       634,016
Depreciation and amortization..........   1,379,060       979,797       844,420
Write-off of intangible asset (Note 3).           -       492,288             -
                                        -----------   -----------   -----------
            Total expenses.............  10,726,745     7,557,091     4,932,126
                                        -----------   -----------   -----------
Operating income (loss)................  (1,131,183)     (813,235)      332,344

Interest expense.......................  (1,271,561)   (1,022,516)   (1,349,827)
Interest income........................     470,065             -             - 
Equity in net loss of unconsolidated
     entities (Note 7).................      (7,157)     (105,529)      (17,470)
                                        -----------   -----------   -----------
Loss before income taxes...............  (1,939,836)   (1,941,280)   (1,034,953)
Deferred income taxes..................    (683,000)            -             - 
                                        -----------   -----------   -----------
Net loss............................... $(2,622,836)  $(1,941,280)  $(1,034,953)
                                        -----------   -----------   -----------
                                        -----------   -----------   -----------
Proforma (Note 2):
     Net loss per common share......... $      (.48)  $      (.45)
     Weighted average number of 
          common shares outstanding....   5,415,800     4,350,000

See accompanying notes.


                                    15


<PAGE>
- -------------------------------------------------------------------------------
                                       KARRINGTON HEALTH, INC. AND SUBSIDIARIES

Consolidated Statements
of Equity

<TABLE>
<CAPTION>

                                     COMMON SHARES
                                  ------------------
                                                      ACCUMULATED      PARTNERS'
                                    SHARES    AMOUNT    DEFICIT          EQUITY         TOTAL
                                   -------   -------  -----------       --------       --------
<S>                                <C>        <C>        <C>           <C>              <C>
BALANCE AT DECEMBER 31, 1993.....                                      $  (728,318)     $  (728,318)
     NET LOSS....................                                       (1,034,953)      (1,034,953)
                                                                        -----------      -----------
BALANCE AT DECEMBER 31, 1994.....                                       (1,763,271)      (1,763,271)
     CONVERSION OF LONG-TERM
          OBLIGATIONS AND
          ACCRUED INTEREST TO
          PARTNERS EQUITY........                                        5,330,458        5,330,458
     CASH CAPITAL CONTRIBUTIONS..                                        5,000,000        5,000,000
     CAPITAL DISTRIBUTIONS.......                                         (785,000)        (785,000)
     NET LOSS....................                                       (1,941,280)      (1,941,280)
                                                                        -----------      -----------
BALANCE AT DECEMBER 31, 1995.....                                        5,840,907        5,840,907
     NET LOSS....................                        $(1,307,766)   (1,315,070)      (2,622,836)
     REORGANIZATION
           TRANSACTION (NOTE 9)..  4,350,000  $4,525,837                (4,525,837)               -
     NET PROCEEDS FROM
     PUBLIC OFFERING.............  2,350,000  27,458,875                          -      27,458,875
                                   ---------  ---------- ------------   -----------     -----------
BALANCE AT DECEMBER 31, 1996.....  6,700,000 $31,984,712 $(1,307,766)  $       - 0 -    $30,676,946
                                   ---------  ---------- ------------   -----------     -----------  
                                   ---------  ---------- ------------   -----------     ----------- 
</TABLE>

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

                                 KARRINGTON HEALTH, INC.

                                       16
<PAGE>

<TABLE>
<CAPTION>
                                   1996 ANNUAL REPORT

- --------------------------------------------------------------------------------
                                         KARRINGTON HEALTH, INC.AND SUBSIDIARIES

CONSOLIDATED STATEMENTS
OF CASH FLOWS


                                              YEAR ENDED DECEMBER 31,
                                      ------------------------------------------
                                         1996              1995            1994
                                      ------------    -------------  --------------
<S>                                    <C>            <C>               <C>
OPERATING ACTIVITIES
Net loss.............................  $(2,622,836)   $ (1,941,280)     $ (1,034,953)
Adjustments to reconcile net loss to
     net cash provided by (used in)
     operating activities:
     Write-off of intangible assets..            -         587,288                 -
     Depreciation and amortization...    1,379,060         979,797           844,420
     Deferred income taxes...........      683,000               -                 -
     Loss on disposal of assets......       10,060           6,938                 -
     Straight-line rent expense......       16,563          12,520            19,520
     Equity in net loss of 
       unconsolidated entities.......        7,157         105,529            17,470
     Change in operating assets 
       and liabilities:
            Accounts receivable......      (17,016)       (659,317)          (50,777)
            Prepaid expenses.........      (71,433)         22,197           (36,081)
            Accounts payable and 
            accrued liabilities......      174,268         198,573            66,752
            Other liabilities              263,441         451,231           522,018
                                      ------------    -------------  ---------------
     Net cash provided by (used in)
        operating activities.........     (177,736)       (236,524)          348,369
INVESTING ACTIVITIES
Increase in escrow balances..........   (1,146,004)       (239,000)
Purchases of property and equipment..  (25,670,838)    (10,023,395)       (2,043,109)
Equity contributions to 
  unconsolidated entities............   (1,347,753)              -                 -
Distributions from unconsolidated 
  entity.............................      339,767               -                 -
Proceeds from sale of assets.........      101,202               -                 -
Payments of pre-opening costs........     (639,908)       (314,592)          (27,881)
Payments for organization costs and 
  other..............................      (96,571)        (50,320)           16,923
                                      ------------    -------------  ---------------
     Net cash used in investing
             activities..............  (28,460,105)    (10,627,307)       (2,054,067)
FINANCING ACTIVITIES
Net proceeds from public offering....   27,458,875               -                 -
Proceeds from mortgages..............   21,727,827      14,324,119         4,468,654
Repayment of mortgages...............   (7,165,025)     (7,491,258)       (3,813,759)
Proceeds from debentures due partner.    5,501,535          40,855         1,051,000
Repayment of debentures due partner..   (5,535,375)              -                 -
Payments of financing fees...........   (1,211,644)       (217,114)         (158,180)
Proceeds from partners 
   capital contribution..............            -       5,000,000                -
Payment of partner distributions.....            -        (785,000)
                                      ------------    -------------  ---------------
     Net cash provided by financing
             activities                 40,776,193      10,871,602         1,547,715
                                      ------------    -------------  ---------------
Increase (decrease) in cash and
     cash equivalents................   12,138,352           7,771          (157,983)
Cash and cash equivalents at
     beginning of year...............      144,833         137,062           295,045
                                      ------------    -------------  ---------------
Cash and cash equivalents at end of 
                  year...............  $12,283,185    $    144,833      $    137,062
                                      ------------    -------------  ---------------
                                      ------------    -------------  ---------------
Supplemental disclosure of cash flow 
  information
Cash paid for interest...............  $ 2,280,810    $  1,399,347      $    981,412

See accompanying notes.

</TABLE>

                                       17
<PAGE>
- -----------------------------------------------------------------------------

NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS

FOR THE YEARS ENDED
DECEMBER 31, 1996, 1995 AND 1994

1.  DESCRIPTION OF THE BUSINESS 
    Karrington Health, Inc. was incorporated in April 1996 to become the 
parent of Karrington Operating Company (Karrington Operating) upon the 
consummation of the reorganization transactions which occurred immediately 
prior to July 18, 1996 (see Note 9). Hereinafter, all references to the 
"Company" encompass Karrington Operating and Karrington Health, Inc. 
Karrington Operating is an Ohio General Partnership founded in 1991 by 
DevelopMed Associates, Inc. (Associates) and JMAC Properties, Inc., a private 
investment company, the principal shareholder of which is JMAC, Inc. (JMAC). 
The trade name "Karrington Communities," a Registered Trademark, is the 
operating name of all residences owned and operated by the Company.      

    The Company is a developer, owner and operator of licensed, assisted 
living residences which provides quality, professional, personal and 
health-care services, including an emphasis on Alzheimer's care, for 
individuals needing assistance with activities of daily living. These 
activities include bathing, dressing, meal preparation, housekeeping, taking 
medications, transportation and other activities that, because of the 
resident's condition, are difficult for residents to accomplish in an 
independent living setting. The Company offers its customers a dignified, 
residential environment focused on quality of life. The Company also provides 
development, support and management services to health-care providers in the 
long-term care industry. As of December 31, 1996, the Company, including 
joint ventures, had residences open in Ohio, Pennsylvania and New Mexico and 
residences under construction in Ohio, Indiana, Michigan, Pennsylvania, 
Colorado and North Carolina.

2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

BASIS OF PRESENTATION
    The consolidated financial statements reflect the operations and development
activities of the Company and its wholly-owned subsidiaries.  Significant
intercompany transactions and accounts are eliminated in consolidation.

USE OF ESTIMATES 
    The preparation of the consolidated financial statements in conformity 
with generally accepted accounting principles requires management to make 
estimates and assumptions that affect the reported amounts of assets and 
liabilities, disclosures of contingent assets and liabilities and the 
reported amounts of revenues and expenses during the reporting period. Actual 
results could differ from the estimates.

INVESTMENT IN UNCONSOLIDATED ENTITIES
    The Company uses the equity method of accounting for its investments in 
Karrington of Oakwood, LLC, a 50%-owned joint venture, Karrington of 
Albuquerque, LLC, Karrington of Englewood, LLC, and Karrington of Colorado 
Springs, LLC, 19.9%-owned joint ventures, and Karrington of Kenwood, LLC, a 
35%-owned joint venture (see Note 7).

REVENUE RECOGNITION
    The Company recognizes assisted living service fee revenue in the period 
in which it is earned. Payments received in advance are reflected as unearned 
resident fees in the accompanying consolidated financial statements. 
Community fees are payments received from residents at move in and may be 
refundable ratably over three months from the date of admission if the 
resident moves out. Community fees are recognized as revenue when received 
less an estimate of the amount that may be refunded. The Company performs 
development and project management consulting services for others in the 
assisted living industry and recognizes these fees as the services are 
provided.

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

                                 KARRINGTON HEALTH, INC.

                                      18
<PAGE>

                               1996 ANNUAL REPORT

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

CASH EQUIVALENTS
    The Company considers all liquid investments purchased with a maturity 
of three months or less to be cash equivalents.  At December 31, 1996, the 
Company's cash and cash equivalents are invested primarily in AAA rated 
insured auction securities, the largest single issue of which is $3 million.  
The carrying value of cash equivalents approximates their fair value.

PROPERTY
    Property and equipment are recorded at cost. In connection with the 
development of residence projects, the Company has entered into land purchase 
contracts, agreements with architects, financing agreements and construction 
contracts which are administered by the Company. All costs related to the 
development of residences are capitalized during the construction period. 
Indirect project development and pre-acquisition costs are also allocated to 
projects and capitalized. Depreciation, which includes amortization of 
capital leases, is computed when assets are placed in service, using the 
straight-line method over the respective useful lives of each class of asset 
which generally are as follows:

Land improvements ..................      15 years
Buildings ..........................     40 years
Furnishings and equipment .......... 3 - 10 years

Property and equipment consists of the following:

                                                       DECEMBER 31,
                                              --------------------------------
                                                  1996               1995
                                              ------------       -------------

Land and land improvements ..............     $  2,927,878       $   2,913,731
Buildings ...............................       23,242,775          15,277,629
Furnishings and equipment ...............        3,862,650           2,902,584
Construction-in-progress ................       24,147,397           5,100,340
                                              -------------      -------------
    Total ...............................       54,180,700          26,194,284
Accumulated depreciation 
  and amortization ......................       (2,168,952)         (1,314,921)
                                              --------------     -------------
Property and equipment - net                  $ 52,011,748       $  24,879,363
                                              --------------     -------------
                                              --------------     -------------

PRE-OPENING COSTS
    Pre-opening costs include costs to hire and train staff, costs to prepare 
the residence for operation and other related costs incurred prior to 
opening. Prior to 1995, costs incurred in connection with preparing the 
residence for opening and initial occupancy were capitalized and amortized 
over three years, commencing with the opening of the residence. In the first 
quarter of 1995, the Company changed the amortization period for pre-opening 
costs from three years to one to be more consistent with prevailing industry 
practice. The effect of this change was to increase amortization expense by 
$92,000 in 1995.

DEFERRED FINANCING COSTS
    Financing costs are capitalized and amortized using the interest method 
over the term of the related financing.

ORGANIZATION COSTS
    Organization costs are amortized using the straight-line method over five
years.

ADVERTISING EXPENSE 
    Prior to 1995, the Company capitalized advertising expenditures as part 
of pre-opening costs. In the first quarter of 1995, the Company adopted the 
provisions of AICPA SOP 93-7, "Reporting on Advertising Costs," expensing 
advertising expenditures as incurred. The effect of this change was to 
increase the net loss by $129,000 for 1995. Advertising expenditures were 
approximately $424,000, $276,000 and $250,000 for 1996, 1995 and 1994, 
respectively. Of these amounts, $16,000 was capitalized in 1994.

INCOME TAXES
    Partnership taxable income and losses were allocated to the partners for 
inclusion in their respective income tax returns. Accordingly, no provision 
or benefit for income taxes was recorded prior to July 18, 1996 (see Note 8).

PROFORMA NET LOSS PER COMMON SHARE
    Proforma net loss per common share is computed based on the weighted 
average number of shares outstanding during the period based on 4,350,000 
common shares outstanding following the reorganization (described in Note 9) 
and the 2,350,000 common shares issued as a result of the Company's initial 
public offering in July 1996.


                                      19
<PAGE>
- -------------------------------------------------------------------------------

3.  OTHER ASSETS
    Other assets consist of the following:
                                                        DECEMBER 31,
                                               ------------------------------
                                                   1996              1995
                                               ----------          ----------
Pre-opening costs, less accumulated
  amortization of $180,663 and
  $47,475 at December 31, 1996
  and 1995, respectively.................      $  497,298          $  291,770
Deferred financing costs, less
  accumulated amortization of
  $114,845 and $46,098  at
  December 31, 1996 and 1995,
  respectively..........................        1,430,096             329,199
Organization costs and
  other, less accumulated
  amortization of $169,236 and
  $125,925 at December 31, 1996
  and 1995, respectively...............            46,509              48,264
Escrow balances (see Note 6)...........         1,385,004             239,000
Equity (deficiency) in
 unconsolidated entities
 (see Note 7)..........................           852,503            (122,000)
Deposits and other.....................            89,136                   -
                                               ----------          ----------
                                               $4,300,546          $  786,233
                                               ----------          ----------
                                               ----------          ----------

    In the fourth quarter of 1995 a charge of $492,288 was recorded to 
write-off an intangible asset referred to as the Karrington Concept as it was 
determined the asset had no future benefit. The Karrington Concept 
represented an amount allocated to an intangible asset contributed to the 
Company in connection with its organization by Associates. The intangible 
asset was being amortized using the straight-line method over a period from 
the commencement of construction of each residence to December 2001, with the 
intent that the total Karrington Concept cost would be amortized over a 
period not to exceed ten years.
 
4.  CONSULTING AGREEMENT
    The Company had a consulting agreement with a limited partner that 
provided for fees based on a percentage of revenues. Under the agreement, the 
Company paid $141,000 and $100,000 in such fees in 1995 and 1994, 
respectively. In 1995, the Company elected to terminate the agreement 
effective March 1996 and a $50,000 termination fee was accrued at December 
31, 1995. Effective March 1996, the Company exercised, for the account of 
JMAC Properties, Inc., a $45,000 buyout option of the limited partner, which 
amount was accrued in accounts payable as a capital distribution at December 
31, 1995.

5.  LEASE COMMITMENTS
    Three of the Company's properties are on leased land. The initial lease 
terms extend to 2026 and include additional renewal periods up to 50 years. 
The Company is responsible for the payment of real estate taxes, site 
maintenance and access road maintenance. Future minimum lease payments under 
noncancellable operating leases, which primarily relate to the land leases, 
are as follows:

1997 ................................................. $   337,157
1998 .................................................     306,904
1999 .................................................     287,301
2000 .................................................     277,825
2001 .................................................     247,466
THEREAFTER ...........................................   8,270,619
                                                       -----------
TOTAL ................................................ $ 9,727,272
                                                       -----------
                                                       -----------

     Total rental expense incurred was $221,000, $104,000 and $93,000 for the 
years ended December 31, 1996, 1995 and 1994, respectively.  Of these 
amounts, $8,000, $20,000 and $23,000 were capitalized to 
construction-in-progress and pre-opening costs in the respective years.

- --------------------------------------------------------------------------------
                                 KARRINGTON HEALTH, INC.
                                        20
<PAGE>

                                  1996 ANNUAL REPORT
- -------------------------------------------------------------------------------

6. LONG-TERM OBLIGATIONS

Long-term obligations consist of the following:
<TABLE>
<CAPTION>

                                                                                 DECEMBER 31,
                                                                        ------------------------------
                                                                           1996               1995    
                                                                        -----------        -----------
<S>                                                                     <C>                <C>        
$475,000 mortgage due in monthly principal installments of                                            
  $1,979 plus interest at prime plus .75% (9.0% at                                                    
  December 31, 1996). Balance due in 2001.............................. $   435,418        $   457,187
$4,000,000 mortgage due in  monthly principal and  interest                                           
  installments of $33,412 with interest at LIBOR plus 3.73%                                           
  adjusted semi-annually (9.42% at December 31, 1996).                                                
  Balance due in 2001..................................................   3,947,115          3,974,283
$9,400,000 of mortgages due in monthly principal and                                                  
  interest installments of $79,128. Interest is accrued                                               
  at 8.9% to 9.1%. Balances are due in 2000............................   9,260,656          9,371,396
$4,724,867 mortgage due in monthly principal and  interest                                            
  installments of $42,636. Interest accrues at 9.91%.                                                 
  Balance due in 2006..................................................   4,717,605                 --
$5,800,000 residential rental development revenue bonds due                                           
  in annual principal payments ranging from $100,000 to                                               
  $300,000 beginning in 1998 through 2021. Interest is                                                
  determined weekly (4.4% at  December 31,1996)........................   5,800,000                 --
$19,835,145 construction mortgages. Interest is payable                                               
  monthly at prime to prime plus 2% (8.25% to 10.25%                                                  
  at December 31, 1996). Principal converts to term                                                   
  loans in 1997........................................................   8,751,835                 --
1995 construction mortgages refinanced in 1996.........................          --          4,449,122
Other long-term obligations............................................      88,274            203,390
                                                                        -----------        -----------
Total long-term obligations............................................  33,000,903         18,455,378
Less current portion...................................................    (242,211)          (205,485)
                                                                        -----------        -----------
Long-term obligations, less current portion............................ $32,758,692        $18,249,893
                                                                        -----------        -----------
                                                                        -----------        -----------
</TABLE>


     The mortgage loans are collateralized by substantially all the assets of
each residence. The Company is required to maintain minimum tangible net worth
and current ratio amounts and debt service coverage ratios with respect to
certain individual residences. Certain lenders also require escrow balances
to be held by the lenders which are included in Other assets in the Company's
consolidated balance sheets.
     The Company entered into non-binding financing commitment letters with 
Meditrust Mortgage Investments, Inc. ("MMI"), an affiliate of Meditrust 
(a large health care REIT). Under the letters, MMI is to provide up to
approximately $100 million in financing for one existing and approximately 13 
new residences, subject to various terms and conditions. The financings, which
may be mortgage or lease financings, are to be entered into on a residence-by-
residence basis, and are to be for terms of up to 14 years (with two additional
five-year extension periods for the lease transactions). Interest during 
construction is to float at 2% above the prime rate. On completion of each 
residence, payments are to be set at an amount equal to 3.25% over the yield 
at that time on the ten-year U.S. Treasury notes. Additional interest or lease
payments are contingent on increased revenues of a financed residence during
specified periods.  To date, the Company has completed mortgage agreements for
one existing and three new residences totalling $22 million.

                                       21


<PAGE>
- -------------------------------------------------------------------------------

     Interest costs incurred were $2,309,000, $1,433,000 and $1,426,000 for the
years ended December 31, 1996, 1995 and 1994, respectively.  Of these amounts
$1,038,000, $411,000 and $76,000 were capitalized as construction-in-progress in
the respective periods.  Interest cost incurred includes amounts due under 
obligations to JMAC and amounted to $175,000 and $462,000 in 1996 and 1994, 
respectively.  No such amounts were incurred for 1995.
     The carrying amounts of long-term obligations approximate fair value as the
interest rates are self-adjusting or are comparable to rates currently 
available.
     As of December 31, 1996, the long-term obligations (including capital 
leases)mature as follows:

1997..............$   242,211
1998..............    476,035
1999..............    936,591
2000..............  9,420,410
2001..............  4,333,836
Thereafter........ 17,591,820
                  -----------
Total.............$33,000,903
                  -----------
                  -----------
     Effective January 1, 1995, the Company's partners entered into a 
recapitalization agreement whereby subordinated debentures and accrued interest
totaling $5,330,458 were converted to partners'equity. In December 1995, the
Company entered into a loan agreement with JMAC to provide up to $8,000,000 in
subordinated loans to the Company.  Interest accrued at 15% per annum.  The 
total amount outstanding of $5,710,000, including accrued interest, was repaid 
in July 1996 with proceeds from the public offering at which time the agreement
terminated.

7. INVESTMENT IN UNCONSOLIDATED ENTITIES
     The Company and Sisters of Charity Health Care Systems,Inc. of Cincinnati,
Ohio (a founding system of Catholic Health Initiatives ("CHI"), have entered 
into five joint venture agreements to develop, own and operate six assisted 
living residences in Ohio, New Mexico and Colorado. Each project is owned 
jointly by the Company and CHI, with the Company typically owning approximately 
20% of the equity of the project.  Construction and permanent debt financing 
generally is to be arranged by CHI on behalf of the venture and is to be non-
recourse to the Company.  At December 31, 1996, the Company has guaranteed $1 
million of joint venture debt financing.  The Company provides all development
and management services with respect to each residence under a standard 
agreement that generally provides for a development fee of $250,000 per project
and a management fee of 5% of revenues.
     Under the agreements with CHI, the Company earned and recorded as revenue 
development fees of $464,000,  $363,000 and $175,000 in 1996, 1995 and 1994,
respectively. The Company serves as manager for each of the residences and 
receives management fees upon commencement of operations.  Management fees of
$149,000, $112,000 and $34,000 have been recorded as revenues for the years 
ended December 31, 1996, 1995 and 1994, respectively.
     As of December 31, 1996, three residences were open, three residences were 
under construction, and five other sites were under development. One residence 
was open at December 31, 1995.  Summarized financial information of joint 
ventures is presented below.
                                                        DECEMBER 31,
                                             --------------------------------
                                                  1996               1995
                                             ------------         -----------
BALANCE SHEETS
Current assets..........                     $  1,386,751         $   526,636
Property................                       20,173,572           4,786,285
Other assets............                          656,715              22,466
                                             ------------         -----------
      Total assets......                     $ 22,217,038         $ 5,335,387
                                             ------------         -----------
                                             ------------         -----------
Current liabilities.....                     $  2,489,313         $   626,587
Long-term obligations...                       15,364,102           4,013,799
Joint venture equity....                        4,363,623             695,001
                                             ------------         -----------
      Total liabilities and joint
       venture equity...                     $ 22,217,038         $ 5,335,387
                                             ------------         -----------
                                             ------------         -----------
STATEMENTS OF OPERATIONS
Residence revenues......                     $  2,347,278         $ 1,868,618
Operating expenses......                        1,809,886           1,333,203
Depreciation and
 amortization expense...                          308,589             281,684
Interest expense........                          436,646             464,788
                                             ------------         -----------
     Total expenses.....                        2,555,121           2,079,675
                                             ------------         -----------
Net loss................                    $    (207,843)        $  (211,057)
                                             ------------         -----------
                                             ------------         -----------

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

                                 KARRINGTON HEALTH, INC.

                                       22

<PAGE>
                                1996 ANNUAL REPORT
- -------------------------------------------------------------------------------

     During the first quarter of 1995, the joint venture changed the 
amortization period for pre-opening costs from three years to one. The effect 
of this change on the joint venture was to increase amortization expense by 
$133,000 in 1995.  The Company's equity in net loss of unconsolidated 
entities reflects its 50% share of the effect of this change.

8.   INCOME TAXES
     As a partnership, Karrington Operating recorded no provision for income 
taxes. Partnership income and losses were allocated to JMAC Properties, Inc. 
and Associates for inclusion in their respective income tax returns. As a 
result of the reorganization (described in Note 9), the Company applied the 
provisions of Statement of Financial Accounting Standards No. 109, 
"Accounting for Income Taxes" subsequent to July 18, 1996.  Deferred income 
taxes were provided for differences in the basis for tax purposes and for 
financial accounting purposes of recorded assets and liabilities as of July 
18, 1996.  Accordingly, a tax provision and a net deferred income tax 
liability of $938,000 was recorded in the 1996 statement of operations.
     The Company recorded a deferred tax benefit of $255,000 related to its 
financial reporting loss before taxes of $625,000 for the period from July 
18, 1996 to December 31, 1996.   A reconciliation of the recorded benefit 
based on the Federal statutory income tax rate to the Company's income tax 
provision for the period from July 18, 1996 to December 31, 1996 is as 
follows:

Benefit at Federal statutory rate. . . . . . . .     (34.0)%
State income taxes, net of Federal benefit . . .      (5.9)
Nondeductible expenses . . . . . . . . . . . . .        .9
Other. . . . . . . . . . . . . . . . . . . . . .      (1.8)
                                                     -------
Effective income tax rate. . . . . . . . . . . .     (40.8)%
                                                     -------
                                                     -------

     Deferred income taxes arise from temporary differences between financial 
reporting and tax reporting basis of assets and liabilities, and operating 
loss carryforwards for tax purposes. The components of the deferred income 
tax assets and liabilities are as follows:
                                                            December 31,
                                                                1996
                                                            ------------
Deferred income tax assets:
     Accrued liabilities. . . . . . . . . . .                 $   38,000
     Asset amortization . . . . . . . . . . .                    216,000
     Net operating loss carryforwards . . . .                    322,000
     Other. . . . . . . . . . . . . . . . . .                     20,000
                                                            ------------
Total deferred income tax assets. . . . . . .                    596,000
Valuation allowance for deferred
     income tax assets. . . . . . . . . . . .                          0
                                                            ------------
Net deferred income tax assets. . . . . . . .                    596,000
                                                            ------------
Deferred income tax liabilities:
      Property related. . . . . . . . . . . .                 (1,262,000)
      Other . . . . . . . . . . . . . . . . .                    (17,000)
                                                            ------------
Total deferred income tax liabilities . . . .                 (1,279,000)
                                                            ------------
Net deferred income tax liabilities . . . . .                 $ (683,000)
                                                            ------------
                                                            ------------

     Deferred tax assets, including the net operating loss carryforward, can 
be realized by offset to existing taxable temporary differences that will 
reverse in the carryforward period.  Accordingly, no valuation allowance for 
deferred tax assets was recorded at December 31, 1996.  The Company's net 
operating loss carryforwards expire in 2011.

9. EQUITY
     At December 1996, the Company's authorized capital shares 
consisted of (a) 28,000,000 common shares, without par value, of which 
6,700,000 were issued and outstanding and (b) 2,000,000 non-voting preferred 
shares without par value, none of which have been issued.  The Company's 
Board of Directors has the authority to issue preferred shares in one or more 
series and to fix the designations, the number of shares in such series, 
liquidation preferences, dividend rates, conversion rights and redemption 
provisions of the shares constituting any series, without any further vote or 
action by the

                                      23

<PAGE>
- -------------------------------------------------------------------------------

Company's shareholders. Any series of preferred shares so issued could have 
priority over the common shares with respect to dividend or liquidation 
rights or both.
     On July 18, 1996, 3,000,000 of the Company's common shares were sold 
pursuant to its initial public offering. Of the total shares sold, 2,350,000 
common shares were sold by the Company and 650,000 common shares were sold by 
JMAC.  The net proceeds to the Company were approximately $27.5 million of 
which $5.7 million was used to repay indebtedness due JMAC.  The balance of 
the net proceeds is being used to finance the development and acquisition of 
additional assisted living residences and for working capital and general 
corporate purposes.
      Immediately prior to July 18, 1996, the share-holders of JMAC 
Properties, Inc. and Associates contributed the stock in their respective 
companies for stock in the Company.  The shareholder of JMAC Properties, Inc. 
received 66 2/3% of the pre-offering outstanding common shares of the Company 
while the shareholders of Associates received the remaining 33 1/3% (a total 
of 4,350,000 shares).  Following the reorganization, JMAC Properties, Inc. 
and Associates became wholly-owned subsidiaries of the Company. As a result, 
the Company now owns 100% of the equity interests of Karrington Operating.

10.  INCENTIVE STOCK PLAN
     The Company has adopted the 1996 Incentive Stock Plan (the "Plan"). The 
Plan provides for the grant of incentive and non-qualified stock options, 
stock appreciation rights, restricted stock, performance shares and 
unrestricted common shares. The Plan also provides for the purchase of common 
shares through payroll deductions by employees of the Company who have 
satisfied certain eligibility requirements. The maximum number of shares 
available for issuance under the Plan is 550,000.
     In June 1996, the Company granted non-qualified options to certain 
officers, key employees and non-employee directors to acquire 169,000 common 
shares. These options became effective July 19, 1996 with an exercise price 
equal to the initial public offering price of $13.00 per share. The 115,000 
employee options have a ten-year term with 25% of the options vesting on each 
of the second through the fifth anniversaries of the date of grant. 
Non-employee directors received grants of non-qualified options to purchase 
an aggregate of 54,000 common shares which are exercisable beginning six 
months after the effective date of grant with a ten-year term.  In addition, 
each continuing non-employee director will receive on the day after each 
annual meeting of shareholders, a grant of a non-qualified stock option to 
purchase 2,000 common shares of the Company at an exercise price equal to the 
fair market value of the shares on the date of grant.  No shares were 
exercisable as of December 31, 1996.

     In 1996, the Company adopted Statement of Financial Accounting Standards 
(SFAS) No. 123, "Accounting for Stock-Based Compensation."  The Statement 
allows for a fair value-based method of accounting for employee stock options 
and similar equity instruments.  In accordance with the provisions of SFAS 
No. 123, the Company has elected to account for options granted under the 
Plan in accordance with APB Opinion 25, "Accounting for Stock Issued to 
Employees" and related interpretations.  If the Company had elected to 
recognize compensation cost based on the fair value of options at the grant 
date as prescribed by SFAS No. 123, net loss and proforma net loss per share 
would have increased by $291,000 and $.05, respectively. The fair value for 
these options was estimated at the date of grant using the Black-Scholes 
option pricing model. The assumptions used in the model included an expected 
dividend yield of 0%, an expected stock price volatility of .34, a risk-free 
interest rate of 6.5% and an expected life of the options of 10 years. The 
financial effects of applying SFAS No. 123 are not likely to be 
representative of the effects on reported results of operations for future 
years.

 11.  COMMITMENTS
     The Company has commitments totaling approximately $9,347,000 at 
December 31, 1996 for various land purchase contracts and $54,757,000 for 
various construction contracts.


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

                                 KARRINGTON HEALTH, INC.

                                      24
<PAGE>
                                1996 ANNUAL REPORT
- -------------------------------------------------------------------------------

12.  SUPPLEMENTAL PROFORMA LOSS PER SHARE
     Supplemental proforma net loss and net loss per share for the year ended 
December 31, 1996 would have been $2,535,000 and $.44, respectively, had the 
retirement of the JMAC debt taken place at January 1, 1996.  Supplemental net 
loss per share was based on the weighted average number of shares of common 
stock outstanding during the period plus the estimated number of shares to be 
issued to repay the JMAC debt.

13.  SUBSEQUENT EVENTS

KENSINGTON ACQUISITION
     The Company's acquisition of Kensington Management Group, Inc. 
(Kensington) is scheduled to be completed in April 1997.  At the time of 
acquisition, Kensington will have open or under construction 12 residences 
with 406 licensed beds in three states. Unaudited revenues in 1996 were 
approximately $6,500,000.  Kensington operates Alzheimer's care communities 
under the name Kensington Cottages. The purchase price is expected to 
approximate $28 million. The Company will issue approximately 130,000 common 
shares, assume debt of $1.7 million, incur new debt of approximately $21.7 
million and make cash payments of approximately $3.1 million.

REVOLVING CREDIT AGREEMENT
     In February 1997, the Company entered into a $3,000,000 revolving credit 
agreement expiring at March 31, 1998. Interest is payable monthly and accrues 
at the bank's prime rate or LIBOR plus 2% if certain financial ratios are 
met. The Company is required to pay a commitment fee of .25% on the unused 
portion of the total credit allowed under the agreement and is required to 
maintain minimum net worth and current ratio amounts.



                                      25
<PAGE>

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

SELECTED CONSOLIDATED
FINANCIAL DATA
(Amounts in thousands, except other operating data and per share data)

<TABLE>
<CAPTION>

                                                                      YEAR ENDED DECEMBER 31,              
                                                          ------------------------------------------------ 

                                                            1996      1995      1994      1993      1992   
                                                          --------  --------  --------  --------  -------- 
<S>                                                       <C>       <C>       <C>       <C>       <C>      
STATEMENT OF OPERATIONS DATA:
Revenues:
     Residence operations................................ $  8,953  $  6,220  $  4,977  $  2,288  $    216 
     Development and project
         management fees.................................      643       524       287        18         - 
                                                          --------  --------  --------  --------  -------- 
         Total...........................................    9,596     6,744     5,264     2,306       216 
Expenses:
     Residence operations................................    6,575     4,380     3,454     1,908       221 
     General and administrative..........................    2,773     1,705       634       170        84 
     Depreciation and amortization.......................    1,379       980       844       505        95 
     Write-off of intangible asset.......................                492                               
                                                          --------  --------  --------  --------  -------- 
         Total...........................................   10,727     7,557     4,932     2,583       400 
                                                          --------  --------  --------  --------  -------- 
Operating income (loss)..................................   (1,131)     (813)      332      (277)     (184)

Interest expense.........................................   (1,272)   (1,023)   (1,350)     (707)     (102)
Interest income..........................................      470         -         -         -         -
Equity in net loss of unconsolidated entities............       (7)     (105)      (17)        -         -
                                                          --------  --------  --------  --------  -------- 
Loss before income taxes.................................   (1,940)   (1,941)   (1,035)     (984)     (286)
Deferred income taxes....................................     (683)        -         -         -         -
                                                          --------  --------  --------  --------  -------- 
Net loss................................................. $ (2,623) $ (1,941) $ (1,035) $   (984) $   (286)
                                                          --------  --------  --------  --------  -------- 
                                                          --------  --------  --------  --------  -------- 

Proforma:
     Net loss per common share........................... $   (.48) $   (.45)                              
     Weighted average number of common
       shares outstanding................................    5,416     4,350                               

OTHER OPERATING DATA:
Residences (end of year) (1):
     Open................................................        9         5         4         3         1 
     Under construction..................................       17         5         1         1         1 
     Under contract......................................       10         8         2         1         1 
Number of units (end of year) (1):
     Open................................................      454       272       213       160        53 
     Under construction..................................    1,010       243        59        53        53 
     Under contract......................................      742       509       128        59        54 

BALANCE SHEET DATA:
Working capital (deficit)................................ $  7,806  $ (1,575) $   (911) $   (702) $   (637)
Total assets.............................................   69,550    26,676    16,292    14,883     9,938 
Long-term obligations, less current portion..............   32,759    18,250    16,778    14,472     8,753 
Equity (deficit).........................................   30,677     5,841    (1,763)     (728)      256 

(1) Includes residences jointly-owned by the Company and CHI.

</TABLE>

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

                                 KARRINGTON HEALTH, INC.

                                       26
<PAGE>

                               1996 ANNUAL REPORT

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

COMMON SHARE INFORMATION


     The Company's common shares, without par value, are quoted on the Nasdaq 
National Market System under the symbol KARR.  The following table reflects 
the range of the reported high and low closing prices of the common shares as 
reported on the Nasdaq National Market System, from the effective date of the 
IPO (July 18, 1996) to March 14, 1997.
     According to the records of the Company's transfer agent, the Company 
had forty-two shareholders of record as of March 13, 1997.  The Company 
believes a substantially larger number of beneficial owners hold such shares 
in depository or nominee form.
     The Company does not pay dividends on its common shares and does not 
anticipate that it will pay dividends in the foreseeable future.  However, 
the payment and amount of future dividends remain within the discretion of 
the Company's Board of Directors and will depend upon the Company's results 
of operations, financial condition, capital requirements, restrictions 
imposed by financing arrangements and other relevant factors.

<TABLE>
<CAPTION>

                                                            HIGH       LOW  
- ----------------------------------------------------------------------------
<S>                                                        <C>       <C>

1996:
Quarter Ended
     September 30, 1996 (beginning July 19, 1996)........  $13.50    $12.25 
     December 31, 1996...................................   16.00     12.25 
- ----------------------------------------------------------------------------
1997:
     Through March 14, 1997..............................  $12.75    $10.50 

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

</TABLE>

SHAREHOLDER INFORMATION

CORPORATE OFFICE
Karrington Health, Inc.
919 Old Henderson Road
Columbus, OH  43220
Phone: (614) 451-5151
http://www.karrington.com

COMMON STOCK
The common stock of 
Karrington Health, Inc. is 
traded on the Nasdaq
National Market System under 
the symbol "KARR".

TRANSFER AGENT & REGISTRAR
Shareholders with inquiries regarding address corrections,
lost certificates, changes in registration, and other
shareholder matters should contact Karrington's stock
transfer agent listed below:

National City Bank
Corporate Trust Division
P.O. Box 94915
Cleveland, OH  44101-4915
(216) 575-2000

INVESTOR RELATIONS CONTACT
Richard R. Slager,
Chairman and CEO
(614) 451-5151

FINANCIAL INFORMATION
Requests for published
information about Karrington Health, Inc. may be sent to the
Company's Corporate Office or telephoned in to the Company's
Investor Relations Contact at (614) 451-5151.

RESEARCH COVERAGE
J. C. Bradford & Co.
Smith Barney Inc.

ANNUAL MEETING
The 1997 Annual Meeting of Shareholders will be held at
11:00 a.m.  (EST) Tuesday, May 13, 1997 at the 
Da Vinci Ristorante. Shareholders are cordially invited to attend.

Form 10-K
THE COMPANY'S ANNUAL REPORT ON FORM 10-K WILL BE SENT FREE
OF CHARGE TO SHAREHOLDERS UPON WRITTEN REQUEST TO THE
INVESTOR RELATIONS DEPARTMENT AT KARRINGTON HEALTH, INC.'S
CORPORATE OFFICE.


                                                              FOUNDING MEMBER
                                                                    ALFA     
                                                              ASSISTED LIVING
                                                               FOUNDATION OF 
                                                                  AMERICA    

                                   27
<PAGE>
- -------------------------------------------------------------------------------

DIRECTORS AND OFFICERS

<TABLE>
<CAPTION>

BOARD OF DIRECTORS
- --------------------------------------------------------------------------------------------------------
<S>                             <C>                                   <C>                      
JOHN S. CHRISTIE                   DAVID H. HOAG                        BERNADINE P. HEALY, M.D.        
President, JMAC, Inc.              Chairman, President and              Dean, College of Medicine,      
                                   Chief  Executive Officer,            The Ohio State University       
JOHN H. MCCONNELL                  The LTV Corporation                                                 
Founder and Chairman                                                    JAMES V. PICKETT                
Emeritus, Worthington              CHARLES H. MCCREARY, III             Managing Director,              
Industries, Inc.                   Partner, Bricker & Eckler            Banc One Capital Corporation    
                                                                                                       
HAROLD A. POLING                   MICHAEL H. THOMAS                    ROBERT D. WALTER                
Retired, former Chairman,          Executive Vice President             Chairman and Chief Executive    
Ford Motor Company                 and Treasurer, JMAC, Inc.            Officer, Cardinal Health, Inc.  




CORPORATE OFFICERS
- --------------------------------------------------------------------------------------------------------
RICHARD R. SLAGER                  ROBIN V. HOLDERMAN                   ANTHONY E. DIBLASI          
Chairman, President and Chief      Executive Vice President of          Senior Vice President of    
Executive Officer                  Corporate Development                Construction                
                                                                                                    
ALAN B. SATTERWHITE                MARK N. MACE                         STEPHEN LEWIS               
Chief Financial Officer,           Senior Vice President of             Senior Vice President of    
Chief Operating Officer and        Finance, Treasurer, Principal        Development, General        
Director                           Accounting Officer                   Counsel and Assistant       
                                                                        Secretary                   
                                   JOHN K. KNUTSON                
                                   Senior Vice President of       
                                   Operations                     


</TABLE>
                                      28
- --------------------------------------------------------------------------------

                                 KARRINGTON HEALTH, INC.

<PAGE>


                               1996 ANNUAL REPORT


KARRINGTON MARKET AREAS


[MAP: United States and the State of Ohio showing Karrington locations open 
(10 residences), residences under construction (16 residences), sites under 
contract (14 sites) and the pending acquisition locations (12 residences).]



<PAGE>









                                     [LOGO]

                             KARRINGTON HEALTH, INC.



                             919 Old Henderson Rd.
                             Columbus, Ohio  43220
                                 614.451.5151
                              Fax:  614.451.5199
                           http://www.karrington.com





<PAGE>

                                                                   EXHIBIT 23.1




                       CONSENT OF INDEPENDENT AUDITORS

We consent to the incorporation by reference in this Annual Report (Form 
10-K) of Karrington Health, Inc. of our report dated February 14, 1997, 
included in the 1996 Annual Report to Shareholders of Karrington Health, Inc.

We also consent to the incorporation by reference in the Registration 
Statement (Form S-8 No. 333-16971) pertaining to the 1996 Incentive Stock 
Plan of our report dated February 14, 1997, with respect to the consolidated 
financial statements incorporated herein by reference.




                                            Ernst & Young LLP


Columbus, Ohio
March 27, 1997


<PAGE>

                                                                   EXHIBIT 23.2




INDEPENDENT AUDITORS' CONSENT

We consent to the incorporation by reference in Registration Statement No. 
333-16971 of Karrington Health, Inc. on Form S-8 of our report on Karrington 
Operating Company (a partnership) dated January 24, 1995, appearing in the 
Annual Report on Form 10-K of Karrington Health, Inc. for the year ended 
December 31, 1996.




DELOITTE & TOUCHE LLP

Columbus, Ohio
March 27, 1997
<PAGE>



<PAGE>
                                                                   EXHIBIT 24.1



                                   POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.




                                        /S/ RICHARD R. SLAGER              
                                        ------------------------------------
                                        Richard R. Slager
                                        Chairman of the Board, President and
                                        Chief Executive Officer




<PAGE>
                                                                 EXHIBIT 24.2



                             POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ ALAN B. SATTERWHITE            
                                        --------------------------
                                       Alan B. Satterwhite
                                       Chief Operating Officer, Chief Financial
                                       Officer and Director


<PAGE>

                                                                   EXHIBIT 24.3



                              POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director and/or officer of the Company 
and to execute any and all instruments for me and in my name in the capacity 
indicated above, which said attorneys or agents, or either of them, may deem 
necessary or advisable to enable the Company to comply with the Securities 
Exchange Act of 1934, as amended, and any rules, regulations and requirements 
of the Securities and Exchange Commission thereunder, in connection with the 
filing requirements of the Company's Annual Report on Form 10-K for the 
fiscal year ended December 31, 1996 (the "1996 Form 10-K"), including 
specifically but without limitation, power and authority to sign for me in my 
name, in the capacity indicated above, the 1996 Form 10-K and any and all 
amendments to such 1996 Form 10-K; and I do hereby ratify and confirm all 
that the said attorneys and agents, or their substitute or substitutes, or 
either of them, shall do or cause to be done by virtue hereof.

                                            /S/  MARK N. MACE             
                                            ----------------------------------
                                            Mark N. Mace
                                            Senior Vice President, Finance and
                                            Treasurer


<PAGE>

                                                                   EXHIBIT 24.4



                           POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ CHARLES H. MCCREARY             
                                        ------------------------------------
                                        Charles H. McCreary
                                        Director and Secretary



<PAGE>

                                                                   EXHIBIT 24.5



                           POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ JOHN S. CHRISTIE             
                                        ------------------------------
                                        John S. Christie
                                        Director


<PAGE>

                                                                   EXHIBIT 24.6



                          POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ BERNADINE P. HEALY              
                                        ------------------------------------
                                        Bernadine P. Healy
                                        Director


<PAGE>

                                                                    EXHIBIT 24.7



                            POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ DAVID H. HOAG              
                                        ---------------------------------
                                        David H. Hoag
                                        Director


<PAGE>                                                                  
                                                                    EXHIBIT 24.8



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ JOHN H. MCCONNELL           
                                        ---------------------
                                        John H. McConnell
                                        Director


<PAGE>                                                        
                                                                    EXHIBIT 24.9



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ JAMES V. PICKETT            
                                        ---------------------
                                        James V. Pickett
                                        Director


<PAGE>
                                                                   EXHIBIT 24.10



                              POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ HAROLD A. POLING          
                                        ----------------------
                                        Harold A. Poling
                                        Director


<PAGE>

                                                                  EXHIBIT 24.11



POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ MICHAEL H. THOMAS             
                                        Michael H. Thomas
                                        Director


<PAGE>

                                                                 EXHIBIT 24.12



POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Alan B. 
Satterwhite, or either of them, my true and lawful attorneys and agents, each 
with full power of substitution, to do any and all acts and things in my name 
and on my behalf in my capacity as a director of the Company and to execute 
any and all instruments for me and in my name in the capacity indicated 
above, which said attorneys or agents, or either of them, may deem necessary 
or advisable to enable the Company to comply with the Securities Exchange Act 
of 1934, as amended, and any rules, regulations and requirements of the 
Securities and Exchange Commission thereunder, in connection with the filing 
requirements of the Company's Annual Report on Form 10-K for the fiscal year 
ended December 31, 1996 (the "1996 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1996 Form 10-K and any and all amendments to 
such 1996 Form 10-K; and I do hereby ratify and confirm all that the said 
attorneys and agents, or their substitute or substitutes, or either of them, 
shall do or cause to be done by virtue hereof.

                                        /S/ ROBERT D. WALTER              
                                        Robert D. Walter
                                        Director


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
KARRINGTON HEALTH, INC. ANNUAL REPORT TO SHAREHOLDERS FOR THE YEAR ENDED
DECEMBER 31, 1996 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH
FINANCIAL STATEMENTS.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-END>                               DEC-31-1996
<CASH>                                      12,283,185
<SECURITIES>                                         0
<RECEIVABLES>                                  784,208
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                            13,237,647
<PP&E>                                      54,180,700
<DEPRECIATION>                               2,168,952
<TOTAL-ASSETS>                              69,549,941
<CURRENT-LIABILITIES>                        5,431,303
<BONDS>                                              0
                                0
                                          0
<COMMON>                                    31,984,712
<OTHER-SE>                                 (1,307,766)
<TOTAL-LIABILITY-AND-EQUITY>                69,549,941
<SALES>                                              0
<TOTAL-REVENUES>                             9,595,562
<CGS>                                                0
<TOTAL-COSTS>                                6,574,958
<OTHER-EXPENSES>                             4,158,944
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                             801,496
<INCOME-PRETAX>                            (1,939,836)
<INCOME-TAX>                                   683,000
<INCOME-CONTINUING>                        (2,622,836)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                               (2,622,836)
<EPS-PRIMARY>                                    (.48)
<EPS-DILUTED>                                    (.48)
        

</TABLE>


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