KARRINGTON HEALTH INC
10-K405, 1998-03-31
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, 1997

                                     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 
13,1998 was 6,837,363.  As of March 13, 1998, the aggregate market value of 
the voting stock held by non-affiliates of the registrant was $45,887,000.

                    Documents Incorporated By Reference

The information required by Part I, Item 2 and Part II, Items 5(a), 6, 7 and 
8, of Form 10K is incorporated herein by reference to the registrant's Annual 
Report to Shareholders for the year ended December 31, 1997.  The information 
required by Part III of Form 10K is incorporated herein by reference to the 
registrant's definitive Proxy Statement relating to its 1998 Annual Meeting 
of Stockholders to be held on May 12, 1998.

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                                    PART I

ITEM 1.   BUSINESS

     The Company develops, owns and operates licensed 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 
the Company's former 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 23, 1998, the Company has developed 46 residences in its 
target markets, 32 of which are open and 14 of which are under construction 
and scheduled to open in 1998. These 46 residences are located in Ohio, 
Pennsylvania, Illinois, Minnesota, North Dakota, Iowa, Indiana, Colorado, 
North Carolina, Michigan and New Mexico. As part of its nationwide expansion 
strategy, the Company has sites for an additional 20 residences under 
contract in these states, as well as in Alabama, Mississippi, Texas, 
Nebraska, Washington, California and Tennessee. 

     Recognizing that not all seniors share the same acuity at various income 
levels, Karrington has created three standard models of residence, an 
evolution of the Company's original prototype mansion-style residence.  While 
standardization to the three models will enable the Company to get its 
product to market faster, Karrington's commitment to its residents remains 
intact.

     Along with creating three standard models, the Company has branded, or 
named, its residential products to help build Karrington's national identity. 
Karrington's original mansion-style residence, now known as K1 or the 
Karrington model, was upgraded and enhanced in 1997.  Located in established 
upper-income communities, the K1 is a 72-unit model that replaces the 
original 53-unit prototype.

     Karrington Place, or K2, is the Company's one-story, small-town solution 
to high-quality assisted living.  Karrington Place offers residents of 
smaller and rural communities access to the skilled and caring professionals, 
unique products and services, and dignified environments that enable 
Karrington residents to age-in-place gracefully.

     The Company's third residential model is the outgrowth of Karrington's 
May 1997 acquisition of Kensington Management Group, Inc. of Golden Valley, 
Minnesota.  Operating innovative Alzheimer's care communities, now known as 
Karrington Cottages or KC, the Company provides residential Alzheimer's care 
and other programs under the medical direction of geriatric and dementia 
specialists.

     The early 1998 completion of a nine-Cottage campus in Rochester, 
Minnesota will further Karrington's relationship with geriatric physicians of 
the world-famous Mayo Clinic.  The Company expects to develop future 
Karrington Cottages in conjunction with other regional health care systems 
throughout the Midwest.

     With the addition of Karrington Cottages to the Company's product mix, 
management plans to broaden the way high-acuity care and assisted living in 
general are viewed by the health care industry and the public.  Residential 
care for persons with Alzheimer's Disease and other forms of dementia will 
continue to be the focus of Karrington Cottages.  In addition, some


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residential Cottages on each campus will be devoted to other physical and 
cognitive conditions, based on the needs or specialties of the regional 
health care providers associated with Karrington.

     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 joint development relationships with health care providers, including 
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 67 hospitals and 48 long-term care facilities in 22 
states and has revenues of $4.7 billion. The Company and CHI currently intend 
to develop and operate assisted living residences with CHI's health care 
system. See "Relationship with CHI."

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


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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 pay or sources have adopted cost containment 
measures that have encouraged reduced lengths of stay in hospitals. A result 
of this trend is an 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 models 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 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 major health care systems, including CHI, pursuant 
to which the Company expects to develop and operate, and jointly own assisted 
living residences in communities where these providers or their 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. 

RELATIONSHIP WITH CHI

     In addition to its own residence development activities, the Company and 
Catholic Health Initiatives have entered into five joint venture agreements 
to develop, own and operate six assisted living residences, all of which are 
open at the end of 1997.  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


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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 located in Cincinnati and 
Dayton, Ohio and Colorado Springs, Colorado opened in 1997.

     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. 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 $137 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 basic daily suite rental rate is approximately $85, 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 care rate. Additional charges may be incurred for other services such 
as hair care and special diets. Currently, approximately 93% of all resident 
revenues are from private pay sources. 

     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 or 
wing. The Company also develops 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 seven-person management team. 
This management team includes the Resident Care Director (who supervises all 
resident support staff and care plans), a Registered Nurse/Wellness Director 
(responsible for all wellness programs, as well as medication programs), the 
Director of Administration (responsible for general administrative duties) 
and the Marketing Director.  The Activities Director, Chef and Environmental 
Services Director complete the management team.  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. 


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     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, 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 
administrator-in-training ("AIT") program which provides classroom and 
on-the-job training to develop future Karrington administrators.  The Company 
believes investment in the AIT 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) strategic market 
selection and assessment (ii) site selection and contract signing, (iii) 
zoning and site plan approval, (iv) architectural planning and design, (v) 
contractor selection and (vi) 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 K1 or K2 Karrington 
model residence, including land acquisition and construction costs, ranges 
from approximately $5.0 million to $11.0 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 18-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. 


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     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. 

ARCHITECTURAL DESIGNS

     The K1 or Karrington model residence is a freestanding, mansion-style 
building with a designed capacity of 75 to 85 residents in any of a variety 
of exterior styles. The K1 prototype averages 72 units and approximately 
50,000 square feet and is generally built on a 2.5 to 4 acre site.  The K2 or 
Karrington Place model residence averages 48 units with a designed capacity 
of 61 residences.  The KC or Karrington Cottage prototype model is 20 units 
with 36 beds.  Approximately 45-50% of the buildings are devoted to common 
areas and amenities. The Company's three basic building plan designs provide 
it with flexibility in adapting the model to a particular site and local 
zoning requirements. The building is usually two or 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 its third stand-alone Alzheimer's care 
residence in Columbus, Ohio designed specifically for residents with 
Alzheimer's disease. The Karrington Cottage or KC model residences are 
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 KC models in many of the markets it enters. 

     The architectural and interior design of the Karrington prototypes 
incorporate 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. 


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     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 six to nine months prior to opening. 

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 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 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, construct 
and operate 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. 


                                       8
<PAGE>

EMPLOYEES

     As of March 13, 1998, the Company had approximately 1,300 employees, 
including approximately 275 employed by the Company's joint ventures. 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. 

ITEM 2.   PROPERTIES

     Information required by this Item 2 is contained on page 32 of the 
Company's Annual Report to Shareholders for the year ended December 31, 1997 
and is incorporated herein by reference.

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, 1997.

                                  PART  II

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

     Information required by the first sentence of Item 5(a) is contained on 
page 30 of the Company's Annual Report to Shareholders for the year ended 
December 31, 1997 and is incorporated herein by reference.  The remaining 
portion of Item 5(a) and Item 5(b) are not applicable.

ITEM 6.   SELECTED FINANCIAL DATA

     Information required by this Item 6 is contained on page 29 of the
Company's Annual Report to Shareholders for the year ended December 31, 1997 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 14 through 16 
of the Company's Annual Report to Shareholders for the year ended December 
31, 1997 and is incorporated herein by reference.

ITEM 7A.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     Not applicable.

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.


                                       9
<PAGE>

                                   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 1998 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 1998 
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 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 1998 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 1998 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
<TABLE>
<CAPTION>
EXHIBIT NUMBER    DESCRIPTION                                       REFERENCE
- --------------    -----------                                       ---------
<C>               <S>                                               <C>
2.1               Stock Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Kensington Cottages Corporation of 
                  Minnesota and the individual shareholders 
                  of Kensington Cottages Corporation of 
                  Minnesota.                                            (2)

2.2               Agreement and Plan of Merger dated April 
                  24, 1997 by and among Karrington Health, 
                  Inc., Kensington Mergeco, Inc., Kensington 
                  Management Group, Inc. and Jon D. Rappaport.          (2)
</TABLE>


                                       10
<PAGE>

<TABLE>
<CAPTION>
EXHIBIT NUMBER    DESCRIPTION                                       REFERENCE
- --------------    -----------                                       ---------
<C>               <S>                                               <C>
2.3               Asset Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Buffalo Hills Residence and Jon D. 
                  Rappaport.                                            (2)

2.4               Asset Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Centex-Kensington (Mankato I) 
                  Partnership, Centex Senior Services 
                  Corporation, Centex Life Solutions, Inc., 
                  Kensington Cottages Corporation of Mankato 
                  and Jon D. Rappaport.                                 (2)

2.5               Asset Purchase agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Kensington Cottages Corporation of 
                  North Dakota and the individual 
                  shareholders of Kensington Cottages 
                  Corporation of North Dakota.                          (2)

2.6               Asset Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Kensington Cottages Corporation of 
                  Rochester and Jon D. Rappaport.                       (2)

2.7               Asset Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Kensington Cottages Corporation of 
                  Iowa and the individual shareholders of 
                  Kensington Cottages Corporation of Iowa.              (2)

2.8               Asset Purchase Agreement dated April 24, 
                  1997 by and among Kensington Cottages 
                  Corporation of America, Karrington Health, 
                  Inc., Bismarck Investors, Kensington Living 
                  Centers, Inc. and Jon D. Rappaport.                   (2)

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)

10.4              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                         (3)

21                Subsidiaries of the Registrant                        (3)

23.1              Consent of Ernst & Young LLP                          (3)

24.1              Power of Attorney - Richard R. Slager                 (3)

24.2              Power of Attorney - Pete A. Klisares                  (3)

24.3              Power of Attorney - Thomas J. Klimback                (3)

24.4              Power of Attorney - Mark N. Mace                      (3)

24.5              Power of Attorney - Charles S. McCreary               (3)

24.6              Power of Attorney - John S. Christie                  (3)

24.7              Power of Attorney - Bernadine P. Healy                (3)

24.8              Power of Attorney - David H. Hoag                     (3)

24.9              Power of Attorney - John H. McConnell                 (3)

24.10             Power of Attorney - James V. Pickett                  (3)
</TABLE>


                                       11
<PAGE>

<TABLE>
<CAPTION>
EXHIBIT NUMBER    DESCRIPTION                                       REFERENCE
- --------------    -----------                                       ---------
<C>               <S>                                               <C>
24.11             Power of Attorney - Harold A. Poling                  (3)

24.12             Power of Attorney - Michael H. Thomas                 (3)

24.13             Power of Attorney - Robert D. Walter                  (3)

27                Financial Data Schedule (4)                           (3)
</TABLE>

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

     (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)  Included as an exhibit by the same number in the Company's Form 
          8-K/A filed on May 21, 1997 and incorporated herein by reference.

     (3)  Filed herewith.

     (4)  No restated Financial Data Schedules are required to be filed.

      *   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 May 15, 1997 (as amended May 21, 1997 and July 
     14, 1997) reported under Item 2, Acquisition or Disposition of Assets, 
     the acquisition of Kensington Management Group, Inc. and affiliated 
     entities ("Kensington"), including audited financial statements of 
     Kensington for the years ended December 31, 1996 and 1995 and the 
     unaudited financial statements for the three month period ended March 
     31, 1997 and proforma financial information.

(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

     Financial statement schedules filed with this Annual Report on Form 10-K
     are attached hereto.  For a list of such schedules, see Item 14(a)(2).

                                        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 31, 1998

     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 and                                                March 31, 1998
- -------------------------------          Chief Executive Officer (Principal Executive Officer)
Richard R. Slager

/s/  PETE A. KLISARES                   President, Chief Operating Officer and Director                          March 31, 1998
- -------------------------------
Pete A. Klisares

/s/  THOMAS J. KLIMBACK                 Executive Vice President, Chief Financial Officer                        March 31, 1998
- -------------------------------          (Principal Financial Officer)
Thomas J. Klimback

/s/  MARK N. MACE                       Senior Vice President, Finance and Treasurer                             March 31, 1998
- -------------------------------          (Principal Accounting Officer)
Mark N. Mace

/s/  CHARLES H. MCCREARY                Secretary and Director                                                   March 31, 1998
- -------------------------------
Charles H. McCreary

/s/  JOHN S. CHRISTIE                   Director                                                                 March 31, 1998
- -------------------------------
John S. Christie

/s/ BERNADINE P. HEALY, M.D.            Director                                                                 March 31, 1998
- -------------------------------
Bernadine P. Healy, M.D.

/s/ DAVID H. HOAG                       Director                                                                 March 31, 1998
- -------------------------------
David H. Hoag

/s/ JOHN H. MCCONNELL                   Director                                                                 March 31, 1998
- -------------------------------
John H. McConnell

/s/  JAMES V. PICKETT                   Director                                                                 March 31, 1998
- -------------------------------
James V. Pickett

/s/  HAROLD A. POLING                   Director                                                                 March 31, 1998
- -------------------------------
Harold A. Poling

/s/  MICHAEL H. THOMAS                  Director                                                                 March 31, 1998
- -------------------------------
Michael H. Thomas

/s/  ROBERT D. WALTER                   Director                                                                 March 31, 1998
- -------------------------------
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

     <TABLE>
     <CAPTION>
     The following are incorporated by reference                    PAGE(S) IN 1997
     in this Annual Report on Form 10-K                            ANNUAL REPORT TO
     for the year ended December 31, 1997                            SHAREHOLDERS
                                                                   ----------------
     <S>                                                           <C>
           Report of Independent Auditors                                 17
           Consolidated Balance Sheets                                    18
           Consolidated Statements of Operations                          19
           Consolidated Statements of Equity                              20
           Consolidated Statements of Cash Flows                          21
           Notes to Consolidated Financial Statements                   22-28
     </TABLE>



2.   FINANCIAL STATEMENT SCHEDULES
     <TABLE>
     <CAPTION>
                                                                         PAGE
                                                                   ----------------
     <S>                                                           <C>
     Schedule II - Valuation and Qualifying Accounts                      F-2
</TABLE>

     All other schedules for which provision is made in the applicable 
accounting regulations of the Securities and Exchange Commission are not 
required under the related instructions or are inapplicable and therefore 
have been omitted.

                                       F-1
<PAGE>

SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------
  COL. A                COL. B                COL. C              COL. D          COL. E  
- ------------------------------------------------------------------------------------------
DESCRIPTION           BALANCE AT            ADDITIONS           DEDUCTIONS -    BALANCE AT
                      BEGINNING      ------------------------     DESCRIBE         END    
                      OF PERIOD         (1)           (2)                       OF PERIOD 
                                     CHARGED TO    CHARGED TO                             
                                     COSTS AND       OTHER                                
                                      EXPENSES     ACCOUNTS -                             
                                                   DESCRIBE                               
- ------------------------------------------------------------------------------------------
<S>                   <C>            <C>           <C>          <C>             <C>
    Reserve for
Terminated Projects
- -------------------
    Year Ended
- -------------------
December 31, 1997     $       0       1,191,909         -      (1,161,909) (1)  $  30,000
                      ---------      ----------    ----------  ----------       ----------
                      ---------      ----------    ----------  ----------       ----------
December 31, 1996     $       0           -             -           -           $       0
                      ---------      ----------    ----------  ----------       ----------
                      ---------      ----------    ----------  ----------       ----------
December 31, 1995     $       0           -             -           -           $       0
                      ---------      ----------    ----------  ----------       ----------
                      ---------      ----------    ----------  ----------       ----------
</TABLE>

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

(1)  The deduction resulted from the Company's decision to abandon certain 
     projects.  At the time a project is abandoned, all previously 
     capitalized costs are charged against the reserve.


                                       F-2
<PAGE>

                             KARRINGTON HEALTH, INC.
                                INDEX TO EXHIBITS
<TABLE>
<CAPTION>
EXHIBIT NUMBER    DESCRIPTION                                           REFERENCE
- --------------    -----------                                           ---------
<S>               <C>                                                   <C>
 2.1              Stock Purchase Agreement dated April 24, 1997 by
                  and among Kensington Cottages Corporation of
                  America, Karrington Health, Inc., Kensington
                  Cottages Corporation of Minnesota and the
                  individual shareholders of Kensington Cottages
                  Corporation of Minnesota.                                 (2)

 2.2              Agreement and Plan of Merger dated April 24, 1997 by
                  and among Karrington Health, Inc., Kensington
                  Mergeco, Inc., Kensington Management Group, Inc. and
                  Jon D. Rappaport.                                         (2)

 2.3              Asset Purchase Agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America,
                  Karrington Health, Inc., Buffalo Hills Residence and
                  Jon D. Rappaport.                                         (2)

 2.4              Asset Purchase Agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America,
                  Karrington Health, Inc., Centex-Kensington (Mankato
                  I) Partnership, Centex Senior Services Corporation,
                  Centex Life Solutions, Inc., Kensington Cottages
                  Corporation of Mankato and Jon D. Rappaport.              (2)

 2.5              Asset Purchase agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America, 
                  Karrington Health, Inc., Kensington Cottages Corporation
                  of North Dakota and the individual shareholders of 
                  Kensington Cottages Corporation of North Dakota.          (2)

 2.6              Asset Purchase Agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America,
                  Karrington Health, Inc., Kensington Cottages
                  Corporation of Rochester and Jon D. Rappaport.            (2)

 2.7              Asset Purchase Agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America,
                  Karrington Health, Inc., Kensington Cottages
                  Corporation of Iowa and the individual shareholders
                  of Kensington Cottages Corporation of Iowa.               (2)

2.8               Asset Purchase Agreement dated April 24, 1997 by and
                  among Kensington Cottages Corporation of America,
                  Karrington Health, Inc., Bismarck Investors,
                  Kensington Living Centers, Inc. and Jon D.
                  Rappaport.                                                (2)

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)

10.4              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                             (3)
</TABLE>
<PAGE>

<TABLE>
<CAPTION>
EXHIBIT NUMBER    DESCRIPTION                                           REFERENCE
- --------------    -----------                                           ---------
<S>               <C>                                                   <C>
21                Subsidiaries of the Registrant                            (3)

23.1              Consent of Ernst & Young LLP                              (3)

24.1              Power of Attorney - Richard R. Slager                     (3)

24.2              Power of Attorney - Pete A. Klisares                      (3)

24.3              Power of Attorney - Thomas J. Klimback                    (3)

24.4              Power of Attorney - Mark N. Mace                          (3)

24.5              Power of Attorney - Charles S. McCreary                   (3)

24.6              Power of Attorney - John S. Christie                      (3)

24.7              Power of Attorney - Bernadine P. Healy                    (3)

24.8              Power of Attorney - David H. Hoag                         (3)

24.9              Power of Attorney - John H. McConnell                     (3)

24.10             Power of Attorney - James V. Pickett                      (3)

24.11             Power of Attorney - Harold A. Poling                      (3)

24.12             Power of Attorney - Michael H. Thomas                     (3)

24.13             Power of Attorney - Robert D. Walter                      (3)
                                                                            
27                Financial Data Schedule (4)                               (3)
</TABLE>

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

     (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)  Included as an exhibit by the same number in the Company's Form 
          8-K/A filed on May 21, 1997 and incorporated herein by reference.

     (3)  Filed herewith.

     (4)  No restated Financial Data Schedules are required to be filed.

      *   Management contract or compensatory plan or arrangement.


<PAGE>


KARRINGTON

KARRINGTON HEALTH 

INCORPORATED

1997 ANNUAL

REPORT

                                       1997

                                                       GROWING TO MEET 

                                                       THE NEEDS OF OUR 

                                                       RESIDENTS, ASSOCIATES

                                                       AND SHAREHOLDERS

                     [PHOTO:  Female resident reading in a chair]

<PAGE>

FROM DAY ONE, SHE WATCHED OVER YOU WITH UNCONDITIONAL LOVE AND SUPPORT.  NOW 
THAT SHE NEEDS SPECIAL CARE, TAKE COMFORT IN THE KNOWLEDGE THAT THE SKILLED 
PROFESSIONALS AT KARRINGTON WILL GIVE YOUR LOVED ONE THE INDIVIDUAL ATTENTION 
YOU YOURSELF WOULD PROVIDE.

              [PHOTO:  Female resident with female caregiver on couch.]


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 individuals with Alzheimer's 
Disease and related disorders.

     Operating three standard residential models in targeted markets, 
Karrington provides high-quality, high-acuity programs and services for 
seniors -- full-time and day residents -- who need assistance with activities 
of daily living (ADLs), including eating, bathing, personal hygiene, 
dressing, grooming and walking.

     With the 1997 acquisition of Kensington Management Group, Inc.,  a 
multi-state operator of assisted living Alzheimer's care residences with ties 
to the Mayo Clinic,  Karrington expanded its residence network and 
relationships with major health care systems.  Karrington's network includes 
residences owned solely by the Company and strategic joint ventures with 
major health care systems, including Catholic Health Initiatives (CHI), a 
national, $4.7 billion, 67-hospital operation.    

     At year-end 1997, Karrington had 27 residences open, with plans to 
nearly double the number of open residences by December 1998.  As of March 
23, 1998, the Company was well on its way to achieving that goal, with 32 
residences open and 14 under construction.

     Since opening its first residence in 1992, Karrington has maintained a 
pattern of steady, system-wide revenue growth.  In 1997, the Company 
generated $25 million from its network of Karrington-operated residences and 
joint ventures.  That reflects a 107% increase over the $12 million posted in 
1996, the year in which Karrington went public, raising $28.4 million from 
the sale of 2.4 million common shares.

     Part of what distinguishes Karrington from other assisted living 
providers is the Company's board of directors, recognized as among the 
industry's strongest.  Outside directors include prominent business leaders 
and health care professionals such as Dr. Bernadine P. Healy, Dean of The 
Ohio State University 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; James V. 
Pickett, Managing Director of Banc One Capital Corporation; Harold A. Poling, 
retired Chairman of Ford; and Robert D. Walter, Chairman and CEO of Cardinal 
Health.   

     Committed to providing a supportive residential environment that enables 
residents to age-in-place, the Company's management and directors embody 
Karrington's Mission Statement:  DEDICATED TO EXCELLENCE IN PRESERVING AND 
ENHANCING PERSONAL DIGNITY, INDIVIDUALITY, INDEPENDENCE AND QUALITY OF LIFE 
FOR OUR RESIDENTS AND EMPLOYEES WHILE MAXIMIZING SHAREHOLDER VALUE.

<PAGE>

FINANCIAL 
HIGHLIGHTS
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
                                                  YEAR ENDED DECEMBER 31,
- --------------------------------------------------------------------------------
                                           1997            1996         1995
                                       -----------     ----------    -----------
<S>                                    <C>             <C>          <C>
TOTAL REVENUES . . . . . . . . . . .   $19,220,000     $9,596,000   $6,744,000

RESIDENCES (end of year)(1):
  Open . . . . . . . . . . . . . . .            27              9            5
  Under construction . . . . . . . .            19             17            5
  Under contract . . . . . . . . . .            20             10            8

NUMBER OF UNITS (end of year)(1):
  Open . . . . . . . . . . . . . . .         1,124            454          272
  Under construction . . . . . . . .         1,019          1,010          243
  Under contract . . . . . . . . . .         1,390            742          509

NUMBER OF BEDS (end of year)(1):
  Open . . . . . . . . . . . . . . .         1,371            534          316
  Under construction . . . . . . . .         1,242          1,185          289
  Under contract . . . . . . . . . .         1,612            861          583

AVERAGE OCCUPANCY PERCENTAGE(1)  . .         91.3 %          94.3%       96.4 %

</TABLE>
- --------------------------------------------------------------------------------
(1)  Includes residences jointly-owned by the Company.  Average occupancy
     percentage includes residences  open for more than one year at the
     beginning of the year presented.


[GRAPH:  Karrington's total revenues for 1993, 1994, 1995, 1996 and 1997.]

<TABLE>
<CAPTION>

TOTAL REVENUES*
($ THOUSANDS)
<S>  <C>
97   24,689
96   11,943
95    8,613
94    5,513
93    2,306

</TABLE>

*INCLUDES JOINT VENTURES


[GRAPH:  Karrington's total assets for 1993, 1994, 1995, 1996 and 1997.]

<TABLE>
<CAPTION>
TOTAL ASSETS
($ MILLIONS)
<S>  <C>
97   141,316
96    69,550
95    26,676
94    16,292
93    14,883

</TABLE>


[GRAPH:  Karrington's units open for 1993, 1994, 1995, 1996 and 1997.]

<TABLE>
<CAPTION>
KARRINGTON HEALTH, INC.
UNITS OPEN*
<S>  <C>
97   1,124
96     454
95     272
94     213
93     160

</TABLE>

*INCLUDES JOINT VENTURES


- --------------------------------------------------------------------------------
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.

- ----------------------------------------
- ----------------------------------------
CONTENTS

LETTER FROM THE                        2
CHAIRMAN
- ----------------------------------------
GROWING TO MEET                        4
THE NEEDS
- ----------------------------------------
MANAGEMENT'S DISCUSSION               14
AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS
OF OPERATIONS
- ----------------------------------------
MANAGEMENT'S STATEMENT                17
OF FINANCIAL RESPONSIBILITY
- ----------------------------------------
REPORT OF INDEPENDENT                 17
AUDITORS
- ----------------------------------------
CONSOLIDATED                          18
FINANCIAL REPORTS                       
- ----------------------------------------
COMMON SHARE                          30
INFORMATION
- ----------------------------------------
SHAREHOLDER                           30
INFORMATION
- ----------------------------------------
DIRECTORS & OFFICERS                  31
- ----------------------------------------
LISTING OF KARRINGTON                 32
PROPERTIES
- ----------------------------------------
KARRINGTON                            33
MARKET AREAS
- ----------------------------------------

                                                                      1
<PAGE>

LETTER FROM 
THE CHAIRMAN
- --------------------------------------------------------------------------------

[PHOTO:  Richard R. Slager, Chairman and CEO]

RICHARD R. SLAGER
CHAIRMAN AND CEO

     For Karrington, 1997 was a year of tremendous growth and change.  
Tripling the number of Karrington homes in operation, we grew from nine open 
residences at year-end 1996 to 27 residences in operation at December 31, 
1997, achieving record year-end revenues in the process.

     Not content to rest on our success, your Company ended the year with an 
additional 19 Karrington residences under construction and 20 sites under 
contract.   By year-end 1998 we expect to nearly double the number of 
Karrington homes open and beds filled. 

     The face of Karrington's management team changed significantly over the 
past 12 months, reflective of our evolution and growth.  With the leadership 
of President Pete Klisares, who joined Karrington during the third quarter, 
we brought together a team of sophisticated, experienced business 
professionals charged with focusing on Karrington's managed growth and 
profitability.  The financial acumen of newly appointed CFO Tom Klimback, 
coupled with the industry expertise of Executive Vice President of Operations 
John Knutson and the real estate and construction experience of Development 
Executive Vice President Robin Holderman helps position Karrington for 
continued growth within the rapidly expanding assisted living industry. 

     System-wide revenues, including jointly owned residences, increased 107% 
to $24.7 million in 1997, from $11.9 million in 1996. Year-end 1997 revenues 
for Karrington-owned and operated residences rose 100% to $19.2 million from 
$9.6 million in 1996.

     Excluding unusual and one-time charges of $.20 per share in 1997 and 
$.17 per share in 1996, our 1997 net loss was $4.3 million, or $.63 per 
share, compared to a loss of $1.7 million, or $.31 per share in 1996. 

     Per share results reflect losses consistent with multiple start-ups and 
our initial strategic commitment to own rather than lease properties.

     At year end, Karrington had investment-grade, short-term securities 
totaling $4.4 million; long-term debt of $97.5 million; and shareholders' 
equity of $26.5 million.

     Karrington's operating model, growth strategy and ownership philosophy 
remain consistent with our goal of delivering long-term sustainable value to 
our shareholders.  Mindful that start-up losses will impact earnings 
negatively in our early years, we are evaluating financial structures 
designed to improve your Company's earnings' picture over the next several 
years, while we continue to take advantage of growth opportunities.

     Working with fewer, larger strategic financing partners assures us of 
meeting our capital needs well into the future.  Abandoning one-off 
financing, which in the past placed a time-consuming burden on Karrington and 
hindered our growth, we now are in the process of identifying lenders who 
offer pools of debt and equity financing at more favorable rates, enabling us 
to develop multiple homes with fewer financial institutions.

     In addition, we are reviewing off-balance sheet financing vehicles with 
the potential for a positive impact on earnings.  Off-balance-sheet financing 
would allow your Company to continue growing toward stabilization, with less 
of the first-year $.10 per share pre-tax start-up loss we now experience with 
the opening of each new home.  We are working hard at this financing 
engineering option, knowing that it will significantly improve the immediate 
EPS picture for the Company as we continue our controlled growth plans.

     Reflective of your Company's continued growth, the year saw the opening 
of three new joint venture homes with Catholic Health Initiative (CHI), a 
$4.7 billion acute-care operator of more than 67 hospitals in 22 states.  
This brings to six the total number of open Karrington/CHI joint venture 
homes, with three more in various stages of development.


          2
<PAGE>

     Five new homes are slated to open in the second quarter on our 
Karrington Cottage campus in Rochester, Minnesota.  The success of that 
campus will continue to benefit greatly from the support and advice of Mayo 
Clinic physicians who are actively involved with the care plans and progress 
of the residents as well as education and training of staff.  We will 
continue to pursue synergistic relationships with leading acute care 
providers, as we work to position your Company to benefit fully from health 
care reform and industry consolidation. 

     On the Operating side, renown assisted living industry expert John 
Knutson celebrated his first full year at Karrington by enhancing our 
pace-setting quality assurance programs.  Karrington's commitment to 
state-of-the-art quality assurance programs, expanded in 1997, results in 
regular deficiency-free reviews from state licensing authorities, as well as 
consistent praise from residents for our product and service delivery 
programs.  Unsurpassed quality assurance helped improve operating income 
margin for stabilized residences to 35% in 1997 from 33% in 1996, excluding 
depreciation and amortization.

      Tripling our size over the past 12 months strained the personnel ranks 
at existing homes, as experienced staff members were called upon to fill 
positions in new residences, leaving some holes in the stable homes, which we 
believe we now have filled.  As a result, we experienced a slight drop in 
stable home occupancies in late 1997.  Enhanced and accelerated recruiting, 
marketing and training programs were instituted and have improved 1998 
occupancy rates.  The result:  Today our homes are operating more 
efficiently and effectively than ever, and we expect occupancy of stable 
homes to reach and exceed projected levels for the year.

     Karrington's high-acuity, aging-in-place residential model results in a 
longer length of stay, with potential add-on revenues as the health care 
needs of aging residents increase. Revenues for stabilized residences 
increased 1% in 1997, a reflection of our ability to improve same-residence 
results by capturing incremental services' revenue through our aging-in-place 
approach to assisted living.

     In 1997 we implemented significant new revenue-generating programs, 
including Day Respite, Pharmacy and outreach of local services.  These 
programs have received high marks from residents and families, and are 
expected to have a positive impact on our future census, community 
relationships and bottom line.  At the same time, we discontinued the 
consulting and third-party management programs that were distracting from 
your Company's own rapid internal growth.  

     To achieve our goal of bringing to market the highest quality product at 
the lowest possible cost, we sharpened our Construction and Development focus 
this year, concentrating on fewer, more efficient and cost-effective plans 
while implementing the principles of standardization, value engineering and 
quality initiatives.  Continuing efforts to outsource selective development 
and construction activities will further Karrington's ability to focus on our 
core mission and business, and enable us to achieve our aggressive growth 
goals in a timely cost-effective manner. 

     As part of that initiative, we refined and settled on three standard 
models of residence -- Karrington's K1, K2 and KC assisted living models -- a 
strategic evolution of your Company's original prototype residence. The 
72-unit, mansion-style K1 residence is located in established, upper-income 
communities, where land is expensive and scarce, and price of service is not 
a significant determinant.

     The one-story, 48-unit K2 model enables your Company to enter smaller, 
rural county seat communities, where sites are readily available and cost 
issues have more impact on decision-making.

     The Karrington Cottage, KC, model is a 20-unit, residential model 
located on campus-like environments.  Future plans call for the clustering of 
satellite KC residences in communities with existing K1 and K2 models, 
enabling us to continue meeting the growing and diversified needs of aging 
residents. 

     The past four quarters were an exciting period of strategic transition 
and rapid growth for your Company, reflected in an increased number of open 
homes, generation of record revenues, enhanced management team, and expansion 
of the products, services and care we offer our residents. 

     The refining of operational, development, construction and financing 
systems in 1997 better positions your Company to move forward as a leading 
provider of high-quality, high-acuity assisted living care and services in a 
timely, profitable manner.

     We appreciate your continued confidence and support, and we value your 
contribution as part of the Karrington family.  We remain focused on 
delivering unsurpassed care and services to our residents, career 
satisfaction to our associates, and value to our shareholders.  We look with 
enthusiasm toward the new year and the twenty-first century, a century that 
holds tremendous promise for your Company and the entire assisted living 
industry.
     

Sincerely,


/s/ Richard R. Slager


RICHARD R. SLAGER
Chairman and Chief Executive Officer    


                                                                      3
<PAGE>
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
GROWING TO MEET THE NEEDS OF OUR 
RESIDENTS, ASSOCIATES AND SHAREHOLDERS
- --------------------------------------------------------------------------------

[PHOTO:  Four female residents seated with standing female caregiver.]
[PHOTO:  Male resident with nurse taking blood pressure.]

AT THE HEART OF KARRINGTON ARE NATIONALLY RECOGNIZED ASSISTED LIVING 
PROFESSIONALS AND THOROUGHLY TRAINED STAFF WHO ARE COMMITTED TO HELPING YOUR 
LOVED ONE ENJOY QUALITY OF LIFE AS SHE OR HE AGES IN PLACE WITH DIGNITY AND 
GRACE.

     For Karrington Health, Inc. 1997 was a year of strategic transition and 
rapid growth.  Marking its first full year as a public company and 
celebrating five years since the opening of its first residence, Karrington 
in 1997 furthered its evolution from a leading provider of high-quality 
assisted living to a forward-looking company charting a strategic course for 
expansion, profitability and shareholder value.

     What Karrington developed over the past 12 months -- through strong 
internal growth, an expanded approach to assisted living, and a strategic 
acquisition -- is a company that is ideally positioned for continued growth.  
Growth in the number of residences open -- a 400% increase since Karrington 
went public in 1996. Growth in system-wide revenues -- up 107% from $12 
million in 1996 to $24.7 million for the year ended December 1997.  Growth in 
the scope of products and services available and the overall quality of care 
provided to Karrington residents. Growth in the assisted living industry, an 
industry expected to generate $30 billion annually by the year 2000, double 
the current $15 billion.

THE KARRINGTON TEAM: 
BUILDING A QUALITY BUSINESS 

     The challenge facing the elderly and their families, as well as 
shareholders and the investment community, is to identify well-managed,  
high-quality, professional assisted living providers --such as Karrington -- 
that are positioned to survive inevitable industry consolidation and thrive 
in the new century. 

     Karrington -- guided by Company Co-founder, Chairman and Chief Executive 
Officer Richard R. Slager, an assisted living industry pioneer who served as 
the second Chairman of the Assisted Living Federation of America 
(ALFA)--spent the past 12 months fine-tuning the internal operations and 
external relationships necessary to achieve planned and profitable growth on 
a timely basis, without losing sight of the Company's focus:  Create and 
deliver unsurpassed products and services that enable seniors to age-in-place 
with grace and dignity.  

     In 1997 management took steps to further the Company's overall 
performance, resulting in an increased number of residences open and the 
generation of record revenues.  Developing three standard residential models 
and streamlining operations enabled the Company to reduce the time it takes 
to get its product to market, from site selection through zoning and 
construction.  By systematically implementing the principles of value 
engineering, preventive maintenance and construction management outsourcing, 
Karrington lowered real estate, architecture, construction and start-up costs.

     As Karrington grew and its high-quality, high-acuity product evolved,  
the management team expanded to meet the Company's changing needs.  President 
and Chief Operating Officer Pete A. Klisares joined Karrington in August 
1997, bringing on board senior-level finance and marketing experts to 
supplement the talents and strengths of Karrington's real estate and 
development specialists, and the assisted living professionals who work with 
John Knutson, the former ALFA director and renown industry expert who serves 
as Karrington's Executive Vice President of Operations. 

     Supporting the Karrington management team is a board of directors that 
is arguably the strongest in the assisted living industry, combining health 
care know-how with acquisition expertise and experience growing public 
companies into national industry leaders.  

     Unrivaled health care expertise guided by hands-on management... That's 
doing business THE KARRINGTON WAY. 

[GRAPH: Karrington employees for 1993 and 1994, including joint ventures.]

<TABLE>
<S>                 <C>
Year 1994           230
Year 1993           170

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


          4
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>

KARRINGTON'S GROWING MANAGEMENT TEAM--GUIDED BY CHAIRMAN AND CEO RICHARD R. 
SLAGER (SEATED) AND PRESIDENT PETE A. KLISARES (STANDING)--REFLECTS THE 
EVOLUTION OF THE COMPANY'S HIGH-QUALITY, HIGH-ACUITY PRODUCT.  COMBINING 
UNRIVALED HEALTH CARE KNOW-HOW WITH HANDS-ON BUSINESS EXPERIENCE, KARRINGTON 
MANAGEMENT IS CHARTING THE COURSE FOR CONTINUED GROWTH WITHIN THE RAPIDLY 
EXPANDING ASSISTED LIVING INDUSTRY. 

[PHOTO:  Two senior Karrington officers, including Richard R. Slager and Pete A.
Klisares.]

PEOPLE

[GRAPH: Karrington employees for 1995, 1996 and 1997, including joint ventures.]

Karrington
Employees
(Including 
Joint 
Ventures)
<TABLE>
<S>            <C>
Year 1997      1,100
Year 1996        525
Year 1995        290

</TABLE>


                                                                      5
<PAGE>

GROWING TO MEET THE NEEDS OF OUR 
RESIDENTS, ASSOCIATES AND SHAREHOLDERS
- --------------------------------------------------------------------------------

KARRINGTON'S K1 AND K2 MODELS ARE DESIGNED TO ACCOMMODATE VARYING ACUITY AND 
INCOME LEVELS.  WHETHER YOU CHOOSE THE MANSION-STYLE K1 RESIDENCE OR THE 
SMALL-TOWN K2 HOME, YOUR LOVED ONE WILL HAVE ACCESS TO THE SKILLED AND CARING 
PROFESSIONALS, UNIQUE PRO-DUCTS AND SERVICES, AND DIGNIFIED ENVIRONMENTS THAT 
HELP DIFFERENTIATE KARRINGTON FROM OTHER ASSISTED LIVING PROVIDERS. 

[PHOTO:  Karrington K1 model prototype.]
[PHOTO:  Karrington K2 model prototype.]

KARRINGTON GROWTH:  APPROACHING 
STABILITY, ANTICIPATING PROFITABILITY

     Karrington tripled its size over the past 12 months, growing from nine 
open homes in 1996 to 27 assisted living residences in operation at December 
31, 1997.  Management expects to nearly double the number of homes open in 
the new year.  By December 1999, Karrington should reach a critical mass of 
46 stable homes and the point at which the Company is operating enough stable 
residences to support focused, profitable growth.

     To help bridge the gap between rapid growth and profitability, 
Karrington in 1997 underwent financial restructuring, establishing strategic 
financing partnerships with fewer financial institutions, secur-ing more 
favorable interest rates, and adopting some off-balance-sheet strategies of 
financing new residences.  The result: Karrington will reduce the start-up 
losses typically associated with opening new assisted living residences. 

     Opening the right models in the right markets at the right time, without 
depleting cash reserves or negatively impacting earnings... That's achieving 
stability and profitability THE KARRINGTON WAY.

THE KARRINGTON MODEL:  
CHANGING THE WAY PEOPLE 
VIEW ASSISTED LIVING

     As the population ages, health care needs increase.  According to the US 
Census Bureau, 7 million people over age 65 and 50% of people over 85 need 
help with at least one activity of daily living (ADL), such as eating, 
bathing, personal hygiene, dressing, grooming and walking.   By the year 
2020,  the number of over-65 seniors requiring ADL assistance will double, 
creating tremendous opportunities for the assisted living industry and 
Karrington.  

     Recognizing that not all seniors share the same acuity at various income 
levels, Karrington has created three standard models of residence, an 
evolution of the Company's original prototype mansion-style residence.  While 
standardization will enable the Company to get its product to market faster, 
Karrington's commitment to its residents remains intact.

     Along with creating three standard models, the Company has branded, or 
named,  its residential products to help build Karrington's national 
identity. Karrington's original mansion-style residence, now known as K1 or 
the Karrington model, was upgraded and enhanced in 1997.  Located in 
established upper-income communities, the K1 is a 72-unit model that replaces 
the original 53-unit prototype.

     Karrington Place, or K2, is the Company's one-story, small-town solution 
to high-quality assisted living.  Karrington Place offers residents of 
smaller and rural communities access to the skilled and caring professionals, 
unique products and services, and dignified environments that enable 
Karrington residents to age-in-place gracefully.

     The Company's third residential model is the outgrowth of Karrington's 
May 1997 acquisition of Kensington Management Group, Inc. of Golden Valley, 
Minnesota.  Operating innovative Alzheimer's care communities, now known as 
Karrington Cottages or KC, the Company provides residential Alzheimer's care 
and other programs under the medical direction of geriatric and dementia 
specialists.

     At the time of the acquisition, Kensington operated or had under 
construction 12 assisted living residences in three states.  The early 1998 
completion of a nine-Cottage campus in Rochester, Minnesota will further 
Karrington's relationship with the physicians of the world-famous Mayo Clinic.

     The Company expects to develop future Karrington Cottages in conjunction 

[GRAPH: Number of Karrington residences open for 1993 and 1994, including joint 
ventures.]

<TABLE>
<S>            <C>
Year 1994      4 Residences
Year 1993      3 Residences

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


          6
<PAGE>

[PHOTO:  Karrington of Oakwood residence.]

TRIPLING THE NUMBER OF KARRINGTON HOMES IN OPERATION OVER THE PAST 12 MONTHS, 
THE COMPANY GREW TO 27 OPEN RESIDENCES AT YEAR-END 1997. KARRINGTON'S 
HIGH-ACUITY, AGING-IN-PLACE MODEL PROVIDES EACH AGING RESIDENT WITH THE EXTRA 
CARE NEEDED TO MAKE KARRINGTON HIS OR HER FINAL HOME--A COMFORT TO RESIDENTS 
AND THEIR FAMILIES.

POSITIONING

[GRAPH: Number of Karrington residences open for 1995, 1996 and 1997, including 
joint ventures.]

Number Of Karrington
Residences
(Including 
Joint 
Ventures)

<TABLE>
<S>            <C>
Year 1997      27 Residences
Year 1996       9 Residences
Year 1995       5 Residences

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


                                                                      7
<PAGE>

GROWING TO MEET THE NEEDS OF OUR 
RESIDENTS, ASSOCIATES AND SHAREHOLDERS
- --------------------------------------------------------------------------------


[PHOTO:  Rochester, Minnesota campus of nine Kensington Cottages.]

PROVIDING RESIDENTIAL ALZHEIMER'S CARE AND OTHER HIGH-ACUITY PROGRAMS, THE 
COMPANY'S KARRINGTON COTTAGES OR KC MODEL OFFERS COGNITIVELY IMPAIRED 
RESIDENTS SPECIAL CARE UNTIL THE END OF THEIR LIVES, OFTEN PRECLUDING THE 
NEED FOR HOSPITALIZATION OR NURSING CARE.  WHETHER YOUR LOVED ONE LIVES IN A 
KC, K1 OR K2 MODEL, KARRINGTON HELPS SET THE PACE FOR ALZHEIMER'S CARE, WHILE 
ENHANCING DIGNITY, PROMOTING INDIVIDUALITY AND ENCOURAGING INDEPENDENCE.



with other regional health care systems throughout the Midwest.

     With the addition of Karrington Cottages to the Company's product mix, 
management plans to broaden the way high-acuity care and assisted living in 
general are viewed by the health care industry and the public.  Residential 
care for persons with Alzheimer's Disease and other forms of dementia will 
continue to be the focus of Karrington Cottages.  In addition, some 
residential Cottages on each campus will be devoted to other physical and 
cognitive conditions, based on the needs or specialties of the regional 
health care providers associated with Karrington.

     Providing high-acuity, broad-based, lower-cost, 24-hour care in a 
dignified, non-hospital, non-nursing-facility setting...That's broadening the 
scope of assisted living THE KARRINGTON WAY. 

THE KARRINGTON ADVANTAGE:  AGING-IN-
PLACE WITH DIGNITY, INDEPENDENCE AND 
QUALITY OF LIFE      

     At the heart of Karrington are the dedicated professionals, proven 
products and services, and supportive environments that enable Karrington 
residents to enjoy quality of life as they age-in-place. The Company delivers 
unsurpassed care at each of its residences, including innovative Alzheimer's 
and related special care programs that help differentiate Karrington from 
other assisted living companies.

     According to the Alzheimer's Association, dementia affects 4 million 
Americans, a number that will increase to 14 million by the year 2040. In the 
past, persons suffering from Alzheimer's Disease would have been 
institutionalized in hospitals or nursing facilities for the balance of their 
lives, which could last 20 years from the onset of symptoms.  

     Karrington residents who are cognitively impaired or have Alzheimer's 
Disease benefit from unique, safe and inviting residences that look and feel 
like hometown neighborhoods, complete with cheerful common areas and secure 
outdoor walking paths.  Caregivers are specially trained to assist residents 
facing the challenges of communication, nutrition, wandering and sleep.  
Sensory therapy rooms, standard in new models, help set the pace for 
long-term Alzheimer's care, while enhancing dignity, promoting individuality 
and encouraging independence.

     Karrington's residential alternative to institutionalization has proven 
so successful at delivering high-quality, high-acuity care that the Company 
plans to open several more free-standing Alzheimer's residences. Providing 
each aging resident with the extra care needed to make Karrington his or her 
final home...That's aging-in-place THE KARRINGTON WAY. 

KARRINGTON'S COMMUNITY CONCEPT:  
CLUSTERING PRODUCTS, CAPTURING MARKET SHARE

     In 1997 Karrington focused its marketing efforts more sharply, making 
the strategic decision to concentrate most future development east of the 
Mississippi.  The Karrington priority market stretches from Rochester, 
Minnesota 

[GRAPH: Karrington revenues for 1993 and 1994 (thousands of dollars).]

<TABLE>
<S>            <C>
Year 1994      $5,264
Year 1993      $2,306
</TABLE>
- --------------------------------------------------------------------------------


          8
<PAGE>
- --------------------------------------------------------------------------------

FOR OVERBURDENED CAREGIVERS NOT QUITE READY FOR FULL-TIME ASSISTED LIVING, 
KARRINGTON'S DAY RESIDENT PROGRAM IS THE IDEAL SOLUTION.  WITH FLEXIBLE 
SERVICE AND STAY OPTIONS, INCLUDING DAY-CARE FOR LOVED ONES WITH ALZHEIMER'S 
DISEASE, THE DAY RESIDENT PROGRAM GIVES FAMILY MEMBERS A BRIEF RESPITE FROM 
CARE-GIVING DUTIES AND A HANDS-ON INTRODUCTION TO KARRINGTON'S PEOPLE, 
PRODUCTS AND SERVICES.  

[PHOTO:  Female resident and female caregiver walking down stairs.]

PROFITABILITY

[GRAPH: Karrington revenues for 1995, 1996 and 1997 (thousands of dollars).]

Karrington
Revenues
(Thousands
Of Dollars)

<TABLE>
<S>            <C>
Year 1997      $19,220
Year 1996      $ 9,596
Year 1995      $ 6,744
</TABLE>
- --------------------------------------------------------------------------------


                                                                      9
<PAGE>

GROWING TO MEET THE NEEDS OF OUR 
RESIDENTS, ASSOCIATES AND SHAREHOLDERS
- --------------------------------------------------------------------------------

[PHOTO:  Two female residents with young child.]
[PHOTO:  Male resident with young children.]

KARRINGTON IS COMMITTED TO HELPING 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.  FEW ASSISTED LIVING 
OPERATORS PROVIDE THE COMPREHENSIVE RANGE OF HIGH-QUALITY CARE--FROM SOCIAL 
ACTIVITIES SUCH AS INTER-GENERATIONAL PROGRAMS AND AEROBICS, TO SPECIAL CARE 
AND ALZHEIMER'S PROGRAMS--THAT KARRINGTON DELIVERS.



- -- site of the newest Karrington Cottages campus -- to New York in the 
Northeast and Florida in the South.  At the geographic center of Karrington's 
development and marketing activity is the Company's Columbus, Ohio 
headquarters.

     The Karrington Total Community Plan serves as the foundation for the 
Company's marketing efforts. Designed to enhance market penetration and 
increase occupancy, the Total Community Plan calls for the clustering of two 
or more residential models in each of the Company's targeted communities.  
Once established in a market, the Company will integrate ancillary products 
and innovative services, designed to generate revenue while introducing 
prospective residents and their families to Karrington.

     The Day Resident Program is a prime example of successful vertical 
integration.  Expanded in 1997, the Day Resident Program gives family members 
the opportunity to experience Karrington, while enjoying temporary relief 
from caregiving duties.  The Program offers flexible service and stay 
options, including a secure day-care environment for people with Alzheimer's 
Disease and other cognitive disorders.  A hit with overburdened caregivers, 
The Day Resident Program grew substantially in 1997, increasing from 12 hours 
of weekly utilization early in the year to 400 hours at year end.  Management 
expects many Day Resident Program participants will become full-time 
residents in 1998.

     Also successful  was the 1997 introduction of the Live Well Program, a 
joint effort of Karrington and NCS Pharmacy, providing quality, on-site 
pharmaceutical services.  An optional service enjoyed by 99% of residents, 
Live Well offers convenience and competitive pricing, while simplifying the 
tracking of medication. Pioneered by Karrington, the successful Live Well 
Program is now being imitated by competitors. 

     Creating innovative programs to introduce staff and services to 
caregivers and seniors who may one day choose assisted living, capture 
incremental revenue, and support the Company's aging-in-place 
philosophy...That's marketing THE KARRINGTON WAY.

KARRINGTON PEOPLE, PRODUCTS AND SERVICES:  
MAINTAINING QUALITY WHILE ENHANCING LIFE 

     Karrington's goal in developing new products and services is to enhance 
the quality of residents' lives, for the duration of their lives.  Few 
assisted living operators provide the comprehensive range of high-quality 
care -- including Alzheimer's programs and other special services -- that 
Karrington delivers. 

     Encouraged to stay active, Karrington residents have access to aerobics, 
transportation, inter-generational programs, aviaries, mobile x-ray, 
laboratory and rehabilitation services, and other activities, services and 
programs designed to enhance the quality of life, as opposed to the 
institutional, isolating approach of nursing facilities.

     Karrington's ability to provide high-quality, innovative products and 
services is directly linked to the Company's nationally recognized assisted 
living professionals and thoroughly trained staff. 

     Karrington Kollege, a mandatory, week-long training program for 
administrators, helps ensure consistent delivery of quality care.  During the 
intense five-day session, operations are reviewed, training manuals are 
distributed, and Karrington's commitment to helping its 1,000 residents 
age-in-place with dignity and grace is stressed.

[GRAPH: U.S. population 85 years and older for 1990 and 2000.]

<TABLE>
<S>            <C>
Year 2000      4.3 Million
Year 1990      3.2 Million
</TABLE>
- --------------------------------------------------------------------------------


          10
<PAGE>

AS THE BABY BOOMER GENERATION AGES, THE DEMAND FOR HIGH-QUALITY ASSISTED 
LIVING RESIDENCES WILL EXPLODE.  BY THE YEAR 2030, THE SENIOR POPULATION 
SHOULD REACH 60 MILLION, WITH NEARLY A QUARTER AFFECTED BY ALZHEIMER'S 
DISEASE. IN LIGHT OF CHANGING DEMOGRAPHICS AND GOVERNMENT ESTIMATES THAT HALF 
THE NATION'S CURRENT 1.6 MILLION NURSING FACILITY 

[PHOTO:  Female resident with young child.]

RESIDENTS WOULD BE WELL SERVED BY ASSISTED LIVING, ALFA PREDICTS THE NEED FOR 
NEW ASSISTED LIVING UNITS WILL HIT 50,000 ANNUALLY WITHIN A DOZEN YEARS. 
KARRINGTON IS POSITIONING ITSELF TODAY TO ACCOMMODATE INTERNAL AND 
INDUSTRY-WIDE GROWTH TOMORROW.  

POTENTIAL

[GRAPH: U.S. population 85 years and older for 2010, 2020 and 2030.]

Population
85 Years 
And Older
<TABLE>
<S>            <C>
Year 2030      8.0 Million
Year 2020      6.3 Million
Year 2010      6.0 Million
</TABLE>


                                                                      11
<PAGE>

GROWING TO MEET THE NEEDS OF OUR 
RESIDENTS, ASSOCIATES AND SHAREHOLDERS
- --------------------------------------------------------------------------------

[PHOTO:  Three administrators and an instructor in classroom.]
[PHOTO:  One administrator and an instructor.]

RESIDENTS' NEEDS ARE KARRINGTON'S NUMBER-ONE PRIORITY, AND NO JOB THAT 
BENEFITS RESIDENTS IS TOO SMALL FOR KARRINGTON'S ASSOCIATES.   THAT IS THE 
UNDERLYING PHILOSOPHY OF KARRINGTON KOLLEGE, A WEEK-LONG, INTENSIVE TRAINING 
PROGRAM FOR ADMINISTRATORS AND DEPARTMENT SUPERVISORS.  ENTERING ITS THIRD 
YEAR, KARRINGTON KOLLEGE HELPS ENSURE THAT EACH KARRINGTON HOME OPERATES AS A 
CENTER OF QUALITY LIVING FOR RESIDENTS AND A SOURCE OF SUPPORT FOR CAREGIVERS.

     In 1997 staff education included training teams assigned to visit new 
residences to ensure that human resources, marketing, wellness and 
hospitality support the Company's aging-in-place philosophy and make each 
Karrington residence a center of quality living.

     Karrington's commitment to quality assurance -- recognized by state 
inspectors and competitors as among the best in the assisted living industry 
- -- pays tremendous dividends to residents and the Company.   Quality assurance 
survey scores -- historically high -- increased significantly in 1997, as did 
resident satisfaction surveys.  In a competitive environment in which food 
service and health care programs help distinguish providers, Karrington 
consistently impresses residents. To ensure continued quality, the Company 
this year added quality assurance and training professionals to its highly 
respected operations team.

     Superior high-acuity care, a commitment to training and quality, and 
innovative product delivery...That's assisted living THE KARRINGTON WAY.

KARRINGTON'S FUTURE...CREATING QUALITY 
RESIDENCES, DELIVERING SHAREHOLDER VALUE

     The elderly are the nation's fastest growing population segment, with 
the number of individuals age 65-plus expected to double to 60 million by the 
year 2030, according to US Census Bureau figures.

     Changing demographics, coupled with the fact that the elderly are often 
incapable of independent living, have created tremendous opportunities for 
Karrington and the entire assisted living industry.  

     In the past, female family members usually provided assistance for the 
elderly.  With 57% of women now working outside the home, however, their 
ability to fill the traditional caregiver role has declined.  Single parents, 
growing numbers of Americans living alone, and a transient society have 
further reduced the number of adult children able to care for elderly parents 
and relatives.

     With 30% of seniors currently living alone and the over-85 population 
expected to double to 5.6 million by the year 2010, ALFA predicts the demand 
for new assisted living units will grow to 50,000 a year within a dozen 
years.   Couple that with the US Department of Health and Human Services' 
estimate that about half of the nation's 1.6 million nursing facility 
residents are viable assisted living candidates, and it's no surprise that 
the industry is expected to soar to $30 billion by the year 2000.

     Karrington is positioning itself today to accommodate certain growth 
tomorrow.  Management's decision to take the Company public in July 1996 
provided Karrington with capital to support its immediate growth goals, 
leading to 27 open residences by year-end 1997, including the strategic 
acquisition of Kensington Management Group.

     Short-term, Karrington's goal is to increase residences and beds by 
nearly 100% over the next 12 months, operating enough stable residences to 
support profitable growth by year-end 1999. 

     Long-term, the Company plans to continue developing and operating 
superior-quality residences that provide quality of life for residents, 
deliver career satisfaction for employees, and perform favorably for 
shareholders.  

     Poised to meet the needs and challenges of the growing assisted living 
industry...That's visionary thinking THE KARRINGTON WAY. 

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


          12
<PAGE>

KARRINGTON 
HEALTH, INC.
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>

FINANCIAL CONTENTS
- ----------------------------------------
<S>                                  <C>
MANAGEMENT'S DISCUSSION               14
AND ANALYSIS OF FINANCIAL 
CONDITION AND RESULTS 
OF OPERATIONS
- ----------------------------------------
MANAGEMENT'S STATEMENT                17
OF FINANCIAL RESPONSIBILITY
- ----------------------------------------
REPORT OF INDEPENDENT                 17
AUDITORS
- ----------------------------------------
CONSOLIDATED BALANCE                  18
SHEETS
- ----------------------------------------
CONSOLIDATED STATEMENTS               19
OF OPERATIONS
- ----------------------------------------
CONSOLIDATED STATEMENTS               20
OF EQUITY
- ----------------------------------------
CONSOLIDATED STATEMENTS               21
OF CASH FLOWS
- ----------------------------------------
NOTES TO CONSOLIDATED                 22
FINANCIAL STATEMENTS
- ----------------------------------------
SELECTED CONSOLIDATED                 29
FINANCIAL DATA
- ----------------------------------------
</TABLE>

FINANCIALS


                                                                      13
<PAGE>

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. Resident fees are 
paid monthly by residents, their families or other responsible parties and, 
prior to the Kensington acquisition, were derived 100% from private pay 
sources. Currently, approximately 93% of resident fees are derived from 
private pay sources.  Resident fees include revenue derived 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 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 promotions 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; (iii) depreciation and 
amortization; and (iv) rent expense. In anticipation of its growth plans, the 
Company made significant investments in the number of management and staff at 
its headquarters in 1996 and 1997. 

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

RESULTS OF OPERATIONS

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

<TABLE>
<CAPTION>

                                                  YEAR ENDED DECEMBER 31,
                                             ---------------------------------
                                              1997           1996        1995
                                             ------         ------      ------
<S>                                          <C>            <C>         <C>
Total revenues . . . . . . . . . . . . .     100.0%         100.0%      100.0%
Expenses:
  Residence operations . . . . . . . . .      71.2           67.6        64.3
  General and administrative . . . . . .      23.1           28.9        25.3
  Depreciation and amortization. . . . .      14.0           14.4        14.5
  Rent expense . . . . . . . . . . . . .       1.3            0.9         0.7
  Unusual charges. . . . . . . . . . . .       7.2             --         7.3
                                             -----          -----       -----
    Total expenses . . . . . . . . . . .     116.8          111.8       112.1
                                             -----          -----       -----

Operating income (loss)  . . . . . . . .     (16.8)%        (11.8)%     (12.1)%
                                             -----          -----       -----
                                             -----          -----       -----
End of year(1):
  Number of residences . . . . . . . . .        21              6           4
  Number of units. . . . . . . . . . . .       803            312         219

</TABLE>
- --------------------------------------------------------------------------------
(1)  Excludes residences jointly-owned by the Company accounted for by the
     equity method. 


          14
<PAGE>
- --------------------------------------------------------------------------------

YEAR ENDED DECEMBER 31, 1997 COMPARED 
TO YEAR ENDED DECEMBER 31, 1996

     Total revenue increased $9.6 million, or 100%, to $19.2 million in 1997 
from $9.6 million in 1996 primarily due to the growth in resident revenues. 
Resident revenues increased $9.6 million, or 107%, primarily due to the 
acquisition of Kensington Management Group, Inc. and affiliates 
("Kensington") on April 30, 1997 ($5.2 million), opening of new residences in 
1997 ($1.3 million) and a full year of operations of residences opened or in 
fill-up in 1996.

     Residence operations expense increased $7.2 million, or 111%, to $13.7 
million in 1997 from $6.5 million in 1996.  As a percentage of residence 
operating revenues, residence operations expense increased to 73.8% in 1997 
from 72.4% in 1996. This increase is primarily attributable to an increase in 
the number of residences in the fill-up phase as operations expenses are 
historically higher as a percent of operating revenues during the first year 
of operation of a residence. 

     General and administrative expenses increased $1.6 million, or 59.9%, to 
$4.4 million in 1997 from $2.8 million in 1996, primarily due to increased 
compensation, payroll taxes and related benefits as a result of hiring 
additional management and staff at the Company's headquarters as a result of 
the Company's growth plans.  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 $1.3 million, or 94.6%, to $2.7 
million in 1997 from $1.4 million in 1996 primarily due to the opening of 
new residences in 1997 and 1996.

     See Note 2 to Consolidated Financial Statements for discussion on the 
unusual charges in 1997 and 1995.

     Interest expense increased $1.4 million, or 116%, to $2.7 million in 
1997 from $1.3 million in 1996 primarily due to the opening of new residences 
in 1997 and 1996.

- --------------------------------------------------------------------------------
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.

     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 
process under the relationship with CHI. 

     Residence operations expenses increased $2.2 million, or 49.6%, to $6.5 
million in 1996 from $4.3 million in 1995.  As a percentage of residence 
operating revenues, residence operations expense increased from 69.7% in 1995 
to 72.4% 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 operating revenues during 
the first year of operation of a residence. Excluding these three residences, 
operations expenses were 64.7% of residence operating revenues in 1996 
compared to 65.6% 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.  

     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.

- --------------------------------------------------------------------------------
LIQUIDITY AND CAPITAL RESOURCES

     The Company has financed its initial growth through a combination of 
mortgage financing, sale/leasebacks, subordinated borrowings from JMAC and 
its affiliates, equity contributions and proceeds from the initial public 
offering in 1996.  The Company's mortgage and construction mortgage 
financings mature in the next three to thirteen years, bear interest at 
various fixed and fluctuating rates (ranging from 8.5% to 10.0% at December 
31, 1997), 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 (3.83% at December 31, 1997).

     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).

                                                                      15
<PAGE>

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

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). To date, the Company has completed 
mortgage agreements for four residences and six lease transactions totaling 
$68.5 million.

     In February 1997, the Company entered into a $3 million revolving credit 
agreement expiring on March 31, 1998.  The Company is currently negotiating 
an extension and increase in the committment which it expects to accomplish 
in April 1998.  In March 1997, the Company entered into a $5 million line of 
credit expiring in May 1999.  At December 31, 1997, there was $6 million 
outstanding under these agreements.

     On April 30, 1997, the Company entered into a $27.6 million promissory 
note in conjunction with its acquisition of Kensington Management Group, Inc. 
and affiliates ("Kensington") and the build out of nine Kensington cottages 
on the Rochester, Minnesota campus.  The amount outstanding under the 
agreement was approximately $19.9 million as of December 31, 1997.  The 
remaining funds will be disbursed in two phases at such time that the nine 
cottages achieve certain debt service coverage ratios.

     In September 1997, the Company entered into a $7.5 million promissory 
note with JMAC, Inc., a 34% shareholder of the Company.  The note expires on 
January 2, 2000.  At December 31, 1997, $7.5 million was outstanding under 
this agreement.

     In October 1997, the Company entered a $14 million construction loan 
agreement for the development and construction of four assisted living 
residences. In October 1999, the Company may elect, at its option, to convert 
the construction loan into a term loan maturing in October 2004.  As of 
December 31, 1997, there was $4.6 million outstanding under this agreement.

     At December 31, 1997, the Company had $98.5 million of outstanding debt 
(at a weighted average interest rate of 9.1%).  At that date, the Company had 
equity of $26.5 million, which resulted from inception-to-date net capital 
contributions of $39.1 million (including $27.5 million in net proceeds from 
the July 1996 public offering) and net operating losses of $12.6 million. The 
working capital deficiency at December 31, 1997 was $6.7 million. 

     During the years ended December 31, 1997, 1996 and 1995, the Company 
used $57.4 million, $28.5 million, and $10.7 million, respectively, in cash 
to acquire property and equipment and other assets, and received $49.6 
million, $40.8 million and $10.9 million, respectively, in cash from 
financing activities. 

     In 1998 and 1999, the Company plans to open approximately 47 new Company 
and jointly-owned residences.  To date, the Company has opened 5 of these 
residences, has 14 residences under construction, has obtained zoning 
approval for an additional 13 residences and has entered into contracts to 
purchase 7 additional sites. 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 $5.0 to $11.0 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 eight months.

     Additional financing will be required to complete the Company's growth 
plans and to refinance certain existing indebtedness.  As of March 13, 1998, 
the Company had unused commitments of approximately $35 million from existing 
debt and lease agreements which have not been specifically committed to a 
residence. The Company is currently evaluating and negotiating with various 
lenders with respect to traditional mortgages, sale/leaseback transactions 
and other forms of off-balance-sheet financing.  The Company has existing 
loans or leases in place for the 14 residences currently under construction 
and expected to open in 1998. In addition to financing ongoing development 
and construction costs, the Company will require capital resources to meet 
its operating and working capital needs incurred through the start-up losses 
associated with the opening of new residences.

     The Company believes its existing financing commitments, together with 
additional financing the Company anticipates will be available, will be 
sufficient to fund its development, construction and working capital needs 
through 1998.

- --------------------------------------------------------------------------------
IMPACT OF YEAR 2000

     The impact of the year 2000 to the Company varies, and from our initial 
investigation, ranges from insignificant matters to a probable failure of the 
current accounting system.  The Company's computer programs were written 
using two digits rather than four to define the applicable year.  As a 
result, those computer programs have time-sensitive software that recognize a 
date using "00" as the year 1900 rather than the year 2000.  This could cause 
a system failure or miscalculations causing disruptions of operations, 
including, among other things, a temporary inability to process transactions, 
send invoices, or engage in similar normal business activities.

     Further assessment is necessary to determine the cost of eliminating the 
year 2000 issue.  The Company will have to replace portions of its software 
so that its computer systems will function properly with respect to dates in 
the year 2000 and thereafter.  All vendors of integrated hardware and 
software systems must be contacted to ensure that their product is year 2000 
compliant. The Company expects to replace its current accounting system in 
1998.

          16
<PAGE>

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/ Pete A. Klisares      /s/ Thomas J. Klimback
                              
RICHARD R. SLAGER        PETE A. KLISARES         THOMAS J. KLIMBACK
Chairman and Chief       President and Chief      Executive Vice President,
Executive Officer        Operating Officer        and Chief Financial Officer


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") as of December 
31, 1997 and 1996, and the related consolidated statements of operations, 
equity, and cash flows for each of the three years in the period ended 
December 31, 1997. 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.

     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 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, 1997 and 
1996, and the consolidated results of their operations and their cash flows 
for each of the three years in the period ended December 31, 1997 in 
conformity with generally accepted accounting principles.


                                                  /s/ Ernst & Young LLP

Columbus, Ohio
March 6, 1998


                                                                      17
<PAGE>

CONSOLIDATED BALANCE 
SHEETS
- --------------------------------------------------------------------------------
       K A R R I N G T O N  H E A L T H,  I N C.  A N D  S U B S I D I A R I E S

<TABLE>
<CAPTION>


ASSETS                                                      DECEMBER 31,
                                                     -------------------------
                                                          1997         1996
                                                     ------------  -----------
<S>                                                  <C>           <C>
Current assets:
  Cash and cash equivalents. . . . . . . . . . . .   $  4,370,488  $12,283,185
  Receivables:
    Trade. . . . . . . . . . . . . . . . . . . . .        482,597      105,315
    Due from REIT. . . . . . . . . . . . . . . . .      4.330,981           --
    Affiliates . . . . . . . . . . . . . . . . . .        649,172      678,893
  Prepaid expenses . . . . . . . . . . . . . . . .        281,722      170,254
                                                     ------------  -----------
     Total current assets. . . . . . . . . . . . .     10,114,960   13,237,647
Property and equipment -net (Note 2) . . . . . . .    115,983,043   52,011,748
Cost in excess of net assets 
  acquired - net (Note 3). . . . . . . . . . . . .      8,231,073           --
Other assets -net (Note 4) . . . . . . . . . . . .      6,986,724    4,300,546
                                                     ------------  -----------
     Total assets. . . . . . . . . . . . . . . . .   $141,315,800  $69,549,941
                                                     ------------  -----------
                                                     ------------  -----------


LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
  Accounts payable and accrued liabilities . . . .   $  2,535,969  $   788,981
  Construction payables. . . . . . . . . . . . . .      4,717,230    3,181,560
  Notes payable - banks. . . . . . . . . . . . . .      6,000,000           --
  Payroll and related taxes. . . . . . . . . . . .      1,080,884      735,337
  Unearned resident fees . . . . . . . . . . . . .        861,266      325,111
  Interest payable . . . . . . . . . . . . . . . .        614,919      158,103
  Current portion of long-term obligations . . . .        998,523      242,211
                                                     ------------  -----------
     Total current liabilities . . . . . . . . . .     16,808,791    5,431,303
Long-term obligations (Note 6) . . . . . . . . . .     97,507,467   32,758,692
Deferred income taxes. . . . . . . . . . . . . . .        493,000      683,000
Shareholders' equity (Note 9):
  Common shares, without par value . . . . . . . .     33,484,712   31,984,712
  Accumulated deficit. . . . . . . . . . . . . . .     (6,978,170)  (1,307,766)
                                                     ------------  -----------
     Total shareholders' equity. . . . . . . . . .     26,506,542   30,676,946
                                                     ------------  -----------
     Total liabilities and shareholders' 
        equity . . . . . . . . . . . . . . . . . .   $141,315,800  $69,549,941
                                                     ------------  -----------
                                                     ------------  -----------

</TABLE>

See accompanying notes.


          18
<PAGE>

CONSOLIDATED STATEMENTS 
OF OPERATIONS
- --------------------------------------------------------------------------------
       K A R R I N G T O N  H E A L T H,  I N C.  A N D  S U B S I D I A R I E S

<TABLE>
<CAPTION>

                                                              YEAR ENDED DECEMBER 31,
                                                     ---------------------------------------------
                                                        1997            1996              1995
                                                     ------------   ------------     -------------
<S>                                                  <C>            <C>               <C>
Revenues:
  Residence operations . . . . . . . . . . . . . .   $ 18,538,832   $  8,952,759     $  6,219,465
  Development and project management fees. . . . .        681,051        642,803          524,391
                                                     ------------   ------------     ------------
    Total revenues . . . . . . . . . . . . . . . .     19,219,883      9,595,562        6,743,856

Expenses:
  Residence operations . . . . . . . . . . . . . .     13,683,245      6,485,837        4,335,792
  General and administrative . . . . . . . . . . .      4,432,635      2,772,727        1,704,694
  Depreciation and amortization. . . . . . . . . .      2,684,297      1,379,060          979,797
  Rent expense . . . . . . . . . . . . . . . . . .        259,114         89,121           44,520
  Unusual charges (Note 2) . . . . . . . . . . . .      1,380,000             --          492,288
                                                     ------------   ------------     ------------
    Total expenses . . . . . . . . . . . . . . . .     22,439,291     10,726,745        7,557,091
                                                     ------------   ------------     ------------
Operating income (loss). . . . . . . . . . . . . .     (3,219,408)    (1,131,183)        (813,235)

Interest expense . . . . . . . . . . . . . . . . .     (2,743,353)    (1,271,561)      (1,022,516)
Interest income. . . . . . . . . . . . . . . . . .        348,711        470,065               --
Equity in net loss of unconsolidated 
  entities (Note 7). . . . . . . . . . . . . . . .       (246,354)        (7,157)        (105,529)
                                                     ------------   ------------     ------------
Loss before income taxes . . . . . . . . . . . . .     (5,860,404)    (1,939,836)      (1,941,280)
Deferred income tax benefit (provision). . . . . .        190,000       (683,000)              --
                                                     ------------   ------------     ------------
Net loss . . . . . . . . . . . . . . . . . . . . .   $ (5,670,404)  $ (2,622,836)    $ (1,941,280)
                                                     ------------   ------------     ------------
                                                     ------------   ------------     ------------

Net loss per common share - basic and diluted:
  Actual . . . . . . . . . . . . . . . . . . . . .   $       (.83)            --               --
  Proforma . . . . . . . . . . . . . . . . . . . .             --   $       (.48)    $       (.45)

Weighted average number of common shares outstanding:
  Actual . . . . . . . . . . . . . . . . . . . . .      6,792,200             --               --
  Proforma . . . . . . . . . . . . . . . . . . . .             --      5,415,800        4,350,000

</TABLE>

See accompanying notes.


                                                                      19
<PAGE>

CONSOLIDATED STATEMENTS 
OF EQUITY
- --------------------------------------------------------------------------------
       K A R R I N G T O N  H E A L T H,  I N C.  A N D  S U B S I D I A R I E S

<TABLE>
<CAPTION>

                                                            COMMON SHARES 
                                                      --------------------------   ACCUMULATED       PARTNERS' 
                                                        SHARES         AMOUNT        DEFICIT          EQUITY          TOTAL
                                                      -----------    -----------   -----------     -----------    -----------
<S>                                                   <C>            <C>           <C>             <C>            <C>
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

    Net loss . . . . . . . . . . . . . . . . . .                                     (5,670,404)                   (5,670,404)
    Common shares issued . . . . . . . . . . . .          137,363      1,500,000             --             --      1,500,000
                                                      -----------    -----------    -----------    -----------    -----------
Balance at December 31, 1997 . . . . . . . . . .        6,837,363    $33,484,712    $(6,978,170)   $         0    $26,506,542
                                                      -----------    -----------    -----------    -----------    -----------
                                                      -----------    -----------    -----------    -----------    -----------

</TABLE>

See accompanying notes.


          20
<PAGE>

CONSOLIDATED STATEMENTS 
OF CASH FLOWS
- --------------------------------------------------------------------------------
       K A R R I N G T O N  H E A L T H,  I N C.  A N D  S U B S I D I A R I E S


<TABLE>
<CAPTION>

                                                              YEAR ENDED DECEMBER 31,
                                                     ---------------------------------------------
                                                        1997            1996              1995
                                                     ------------   ------------     -------------
<S>                                                  <C>            <C>              <C>
OPERATING ACTIVITIES
Net loss . . . . . . . . . . . . . . . . . . . . .   $ (5,670,404)  $ (2,622,836)    $ (1,941,280)
Adjustments to reconcile net loss to 
  net cash provided by (used in) 
  operating activities:
  Provision for terminated projects 
    and unusual charges. . . . . . . . . . . . . .      1,191,909             --          587,288
  Depreciation and amortization. . . . . . . . . .      2,684,297      1,379,060          979,797
  Deferred income taxes. . . . . . . . . . . . . .       (190,000)       683,000               --
  Loss on disposal of assets . . . . . . . . . . .             --         10,060            6,938
  Equity in net loss of unconsolidated entities. .        246,354          7,157          105,529
  Change in operating assets and liabilities:
     Receivables . . . . . . . . . . . . . . . . .     (4,370,716)       (17,016)        (659,317)
     Prepaid expenses. . . . . . . . . . . . . . .         15,167        (71,433)          22,197
     Accounts payable and accrued liabilities. . .      5,445,275        174,268          198,573
     Other liabilities . . . . . . . . . . . . . .        485,794        263,441          451,231
                                                     ------------   ------------     ------------
  Net cash provided by (used in) 
     operating activities. . . . . . . . . . . . .       (162,324)      (194,299)        (249,044)
INVESTING ACTIVITIES
Purchases of property and equipment. . . . . . . .    (56,234,016)   (25,670,838)     (10,023,395)
Decrease (increase) in escrow balances . . . . . .        587,811     (1,146,004)        (239,000)
Equity contributions to unconsolidated entities. .             --     (1,347,753)              --
Distributions from unconsolidated entity . . . . .        225,000        339,767               --
Acquisition of Kensington - net of cash acquired .     (4,182,733)            --               --
Proceeds from sale of assets . . . . . . . . . . .      6,010,832        101,202               --
Payments of pre-opening costs. . . . . . . . . . .     (1,316,495)      (639,908)        (314,592)
Payments for prepaid rent and other. . . . . . . .     (2,461,648)       (96,571)         (50,320)
                                                     ------------   ------------     ------------
  Net cash used in investing activities. . . . . .    (57,371,249)   (28,460,105)     (10,627,307)
FINANCING ACTIVITIES
Net proceeds from public offering. . . . . . . . .             --     27,458,875               --
Proceeds from notes payable - banks. . . . . . . .      6,000,000             --               --
Proceeds from mortgages. . . . . . . . . . . . . .     37,516,826     21,744,390       14,336,639
Repayment of mortgages . . . . . . . . . . . . . .     (1,258,852)    (7,165,025)      (7,491,258)
Proceeds from affiliated entity. . . . . . . . . .      7,500,000      5,501,535           40,855
Repayment of amounts due affiliated entity . . . .             --     (5,535,375)              --
Payments of financing fees . . . . . . . . . . . .       (137,098)    (1,211,644)        (217,114)
Proceeds from partner's capital contribution . . .             --             --        5,000,000
Payment of partner distributions . . . . . . . . .             --             --         (785,000)
                                                     ------------   ------------     ------------
  Net cash provided by financing activities. . . .     49,620,876     40,792,756       10,884,122
                                                     ------------   ------------     ------------
Increase (decrease) in cash and 
  cash equivalents . . . . . . . . . . . . . . . .     (7,912,697)    12,138,352            7,771
Cash and cash equivalents at 
  beginning of year. . . . . . . . . . . . . . . .     12,283,185        144,833          137,062
                                                     ------------   ------------     ------------
Cash and cash equivalents at end of year . . . . .   $  4,370,488   $ 12,283,185     $    144,833
                                                     ------------   ------------     ------------
                                                     ------------   ------------     ------------

Supplemental disclosure of cash flow information
Cash paid for interest . . . . . . . . . . . . . .   $  4,653,534   $  2,280,810     $  1,399,347

</TABLE>

See accompanying notes.


                                                                      21
<PAGE>

NOTES TO CONSOLIDATED 
FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

FOR THE YEARS ENDED 
DECEMBER 31, 1997, 1996 AND 1995
- --------------------------------------------------------------------------------
1. DESCRIPTION OF THE BUSINESS

     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 its joint ventures and others 
in the long-term care industry.  As of December 31, 1997, the Company, 
including joint ventures, had 27 residences open in Ohio, Pennsylvania, 
Indiana, Minnesota, North Dakota, Iowa, Colorado and New Mexico and 19 
residences under construction in Ohio, Indiana, Minnesota, Pennsylvania, 
North Carolina and Illinois.

     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 the effective date of the registration statement (see Note 9). 
Hereinafter, all references to the "Company" encompass Karrington Operating 
and Karrington Health, Inc.  Karrington Operating was 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).  Effective December 31, 1996, the 
net assets of Karrington Operating and three other related partnerships were 
distributed to new subsidiary corporations of Karrington Health, Inc. The 
trade name "Karrington Communities," a Registered Trademark, is the operating 
name of all residences owned and operated by the Company. 

- --------------------------------------------------------------------------------
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

BASIS OF PRESENTATION

     The consolidated financial statements reflect the operations and 
development activities of the Company and all 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 
its 19.9%-50% jointly-owned ventures, which were formed to operate assisted 
living residences (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 its joint ventures 
and others and recognizes revenue for these fees as the services are 
provided. 

CASH EQUIVALENTS

     The Company considers all liquid investments purchased with a maturity 
of three months or less to be cash equivalents.  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 allocated to 
projects and also are capitalized. Depreciation 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: 
      
<TABLE>
<S>                                <C>
- -----------------------------------------------
Land improvements                      15 years
- -----------------------------------------------
Buildings                              40 years
- -----------------------------------------------
Furnishings and equipment          3 - 10 years
- -----------------------------------------------
</TABLE>

Property and equipment consists of the following: 

<TABLE>
<CAPTION>

                                                         DECEMBER 31,
                                               -------------------------------
                                                    1997              1996
                                               -------------     -------------
<S>                                            <C>               <C>
Land and land improvements . . . . . . . . .   $   7,346,278     $   2,927,878
Buildings. . . . . . . . . . . . . . . . . .      56,038,464        23,242,775
Furnishings and equipment. . . . . . . . . .       7,099,275         3,862,650
Construction-in-progress . . . . . . . . . .      49,425,405        24,147,397
                                                ------------     -------------
   Total . . . . . . . . . . . . . . . . . .     119,909,422        54,180,700
Accumulated depreciation . . . . . . . . . .      (3,926,379)       (2,168,952)
                                                ------------     -------------
Property and equipment - net . . . . . . . .    $115,983,043     $  52,011,748
                                                ------------     -------------
                                                ------------     -------------

</TABLE>


          22
<PAGE>

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

UNUSUAL CHARGES

     During the third quarter of 1997, the Company recorded an unusual charge 
of approximately $1.4 million which primarily related to a $1.2 million 
charge as a result of a decision to abandon certain projects. The Company's 
property and equipment includes costs related to acquisition and development 
of projects in process, including capitalized costs associated with the 
Company's development department.  At the time a project is abandoned, all 
previously capitalized costs are expensed. The remaining charges primarily 
relate to severance costs associated with third quarter resignations.

     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. 

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 $709,000, $424,000 and $276,000 for 1997, 1996 and 1995, 
respectively.

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).

NET LOSS PER COMMON SHARE

     In February 1997, the FASB issued Statement No. 128, "Earnings Per 
Share," which eliminates the presentation of primary earnings per share (EPS) 
and requires the presentation of basic EPS (the principal difference being 
that common stock equivalents are not considered in the computation of basic 
EPS).  It also requires dual presentation of basic and diluted EPS on the 
face of the income statement for all entities with complex capital 
structures.  The Company was required to adopt Statement No. 128 for its year 
ended December 31, 1997.

     Net loss per common share - basic and diluted for 1997 is computed based 
on the weighted average number of shares outstanding during the period as the 
effect of including any common share equivalents would be antidilutive.  
Common share equivalents are comprised of outstanding stock options.  For 
1996 and 1995, a proforma net loss per share calculation is presented.  The 
proforma net loss per share - basic and diluted is computed based on the 
weighted average number of shares outstanding during 1996 and 1995 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.

- --------------------------------------------------------------------------------
3. ACQUISITION

     On April 30, 1997, the Company completed the acquisition, except for one 
entity which was completed on July 1, 1997, of Kensington Management Group, 
Inc. and affiliates (Kensington) of Golden Valley, Minnesota.  Kensington 
operates innovative Alzheimer's care communities under the name Kensington 
Cottages which provide Alzheimer's care programs using medical directors with 
geriatric and dementia specialties.  As of December 31, 1997, Kensington had 
11 residences open and five residences under construction for a total of 515 
beds in three states. 

     The aggregate purchase price approximated $28 million, including cash, 
the issuance of  137,363 of the Company's common shares, and approximately 
$22 million in new and assumed bank debt financing. The transaction was 
accounted for using the purchase method of accounting.  Accordingly, the 
Company began including the operating results of Kensington in its 
consolidated statement of operations subsequent to April 30, 1997 for seven 
of the entities and after July 1, 1997 for the remaining entity.

     As a result of the Kensington acquisition, certain accounts in the 
December 31, 1997 consolidated balance sheet increased significantly as 
compared to December 31, 1996.  These increases included approximately $23 
million in property and equipment, other asset increases of approximately 
$8.7 million related to costs 


                                                                      23
<PAGE>

NOTES TO CONSOLIDATED 
FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

in excess of net assets acquired and deferred financing costs, increases in 
long-term obligations of approximately $25 million and the issuance of $1.5 
million of common shares of the Company.  Goodwill related to the acquisition 
is being amortized using the straight-line method over 40 years.

     The following unaudited proforma consolidated results of operations for 
the years ended December 31, 1997 and 1996 reflect the proforma effects of 
the Kensington acquisition as if such transaction had occurred at the 
beginning of the years presented below.  The unaudited proforma information 
does not purport to be indicative of the Company's results of operations that 
actually would have occurred had the acquisition of Kensington taken place at 
the beginning of the years presented below, or that may be expected to occur 
in the future.

<TABLE>
<CAPTION>
                                   1997                    1996
                              ---------------          ------------
<S>                           <C>                      <C>
Revenues . . . . . . . . .    $    21,916,000          $ 16,230,000
                              ---------------          ------------
Net loss . . . . . . . . .    $    (6,426,000)         $ (3,884,000)
                              ---------------          ------------
Net loss per share - 
  basic and diluted. . . .    $         (0.94)         $      (0.70)
                              ---------------          ------------
</TABLE>

- --------------------------------------------------------------------------------
4. OTHER ASSETS

     Other assets consist of the following: 

<TABLE>
<CAPTION>

                                                     DECEMBER 31, 
                                        ----------------------------------
                                               1997               1996    
                                        --------------      ---------------
<S>                                     <C>                 <C>
Pre-opening costs, less accumulated 
  amortization of $428,390 and 
  $180,663 at December 31,  
  1997 and 1996, respectively . . . . . $    1,194,496      $      497,298
Deferred financing costs, less 
  accumulated amortization of 
  $225,967 and $114,845 at 
  December 31, 1997 and 1996, 
   respectively . . . . . . . . . . . .      1,959,407           1,430,096
Organization costs and 
  other, less accumulated 
  amortization of $111,506 and 
  $169,236 at December 31,  
   1997 and 1996, respectively  . . . .        113,001              46,509
Prepaid rent  . . . . . . . . . . . . .      2,432,500                  --
Escrow balance (see Note 6) . . . . . .        797,193           1,385,004
Equity in joint ventures 
 (see Note 7) . . . . . . . . . . . . .        384,141             852,503
Deposits and other  . . . . . . . . . .        105,986              89,136
                                        --------------      --------------
                                        $    6,986,724      $    4,300,546
                                        --------------      --------------
                                        --------------      --------------
</TABLE>

5. LEASE COMMITMENTS

     The Company has entered into operating lease arrangements expiring in 
2010 to 2026 for six residences that are expected to open in 1998 with 
Meditrust (see Note 6) and two additional land leases related to other 
residences.  These leases provide for renewal periods. Additional lease 
payments for certain leases are based on increased revenues during specified 
periods. Certain lessors require the respective residences to maintain 
specific debt service coverage ratios and consolidated minimum current ratios 
and net worth requirements.  The Company is responsible for the payment of 
real estate taxes, site maintenance, and access road maintenance. The Company 
also leases vehicles and certain office equipment for periods up to five 
years.  Future minimum lease payments under noncancellable operating leases 
are as follows: 

<TABLE>
<S>                      <C>
1998 . . . . . . . .     $ 5,265,758
1999 . . . . . . . .       5,143,117
2000 . . . . . . . .       5,092,937
2001 . . . . . . . .       4,999,889
2002 . . . . . . . .       4,920,323
THEREAFTER . . . . .      44,730,623
                         -----------
TOTAL  . . . . . . .     $70,152,647
                         -----------
                         -----------

</TABLE>

     Total rental costs incurred were $423,000, $221,000 and $104,000 for the 
years ended December 31, 1997, 1996 and 1995, respectively.

- --------------------------------------------------------------------------------
6. NOTES PAYABLE AND LONG-TERM OBLIGATIONS

     In February 1997, the Company entered into a $3 million revolving credit 
agreement expiring on March 31, 1998.  The Company is currently negotiating 
an extension and increase in the committment which it expects to accomplish 
in April 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.  In March 1997, the Company entered into a 
$5 million line of credit expiring in May 1999. Interest is payable monthly 
and, at the Company's option, accrues at the bank's prime rate or LIBOR rate 
plus .75%.  At December 31, 1997, there was $6 million outstanding under 
these agreements.  The weighted average interest rate for these agreements 
was 7.8% for 1997.


          24
<PAGE>

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

Long-term obligations consist of the following:
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                                                                           DECEMBER 31,
                                                                                                  ----------------------------
                                                                                                      1997            1996
                                                                                                  ------------   -------------
<S>                                                                                               <C>            <C>
$67,735,000 mortgages payable, due from 2001 through 2006; interest rates ranging from 
   8.9% to 10.0% at December 31, 1997  . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 58,056,901   $ 18,360,794
$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 (3.8% at December 31, 1997) . . . . . . . . . . . . . . . . .       5,800,000      5,800,000
$45,460,000 construction mortgages payable, interest fluctuates from LIBOR plus 2.75%
   to prime plus 1.25% (8.5% to 9.75% at December 31, 1997). . . . . . . . . . . . . . . . . .      26,449,498      8,751,835
$7,500,000 promissory note payable to JMAC, Inc.; interest at prime 
   (8.5% at December 31, 1997). Balance due in January 2000. . . . . . . . . . . . . . . . . .       7,500,000             --
Other long-term obligations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         699,591         88,274
                                                                                                  ------------   ------------
   Total long-term obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      98,505,990     33,000,903
Less current portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        (998,523)      (242,211)
                                                                                                  ------------   ------------
Long term obligations, less current position . . . . . . . . . . . . . . . . . . . . . . . . .    $ 97,507,467   $ 32,758,692
                                                                                                  ------------   ------------
                                                                                                  ------------   ------------

</TABLE>

     The mortgage and construction mortgage loans are collateralized by 
substantially all the assets of each residence. Certain of the mortgage 
agreements require the respective residences to maintain specified debt 
service coverage ratios and consolidated minimum current ratios and net worth 
requirements. 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. 

     In May 1996, 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 accrues 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 four residences totaling $22.4 million and 
six operating lease transactions for residences expected to open in 1998 
totaling $46.2 million.

     On April 30, 1997, the Company entered into a $27.6 million promissory 
note in conjunction with its acquisition of Kensington (see Note 3) and the 
build out of nine Kensington cottages on the Rochester, Minnesota campus.  
Interest accrues at 10% and is payable monthly.   Principal and interest 
installments are payable monthly (based on a 25-year amortization period) 
beginning in September 1999 through April 2007 at which time the entire 
outstanding principal balance becomes due.  The amount outstanding under the 
agreement was approximately $19.9 million as of December 31, 1997.  The 
remaining amount will be disbursed in two phases at such time that the nine 
cottages achieve certain debt service coverage ratios.

     In October 1997, the Company entered a $14 million con-struction loan 
agreement for the development and construction of four assisted living 
residences. Interest is payable monthly and accrues at the bank's prime rate 
plus 11/2% during construction.  In October 1999, the Company may elect, at 
its option, to convert the construction loan into a term loan maturing in 
October 2004.  Principal and interest payments under the term loan would be 
based on a 25-year amortization schedule with interest accruing at either 
prime plus 11/2% or an amount equal to 3.0% over the yield at the time on 
five-year U.S. Treasury notes.  The Company is required to maintain minimum 
net worth and current ratio amounts and, if the term loan is elected, to 
maintain debt service coverage ratios with respect to individual residences.  
At December 31, 1997, the company was in violation of certain covenants which 
the lender has waived through the end of 1998.  As of December 31, 1997, 
there was $4.6 million outstanding under this agreement.

     In December 1997, the Company entered into construction loan agreements 
totaling $19 million.  Interest is payable monthly and accrues at LIBOR plus 
2.75% or prime plus 1/2%.  In December 2000, the Company may elect, at its 
option, to extend the agreements up to two additional years.  Principal and 
interest payments under the extension periods would be based on 25-year 
amortization schedules with interest accruing at variable rates on the debt 
service coverage ratio with respect to the individual residences.

     In September 1997, the Company entered into a $7.5 million promissory 
note with JMAC, Inc., a 34% shareholder of the Company.  Interest is payable 
monthly and accrues at a bank's prime rate.  


                                                                      25
<PAGE>

NOTES TO CONSOLIDATED 
FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

     Interest costs incurred were $5,110,000, $2,309,000 and $1,433,000 for 
the years ended December 31, 1997, 1996 and 1995, respectively.  Of these 
amounts $2,367,000, $1,038,000 and $411,000 were capitalized to 
construction-in-progress in the respective periods.  Interest cost incurred 
includes amounts due under obligations to JMAC and amounted to $190,000 and 
$175,000 in 1997 and 1996, 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, 1997, the long-term obligations mature as follows: 

<TABLE>
<S>                             <C>
1998 . . . . . . . .            $     998,523
1999 . . . . . . . .                3,458,080
2000 . . . . . . . .               29,023,319
2001 . . . . . . . .                4,740,407
2002 . . . . . . . .                  960,981
Thereafter . . . . .               59,324,680
                                -------------
Total  . . . . . . .            $  98,505,990
                                -------------
                                -------------
</TABLE>

     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. 

     In January 1998, the Company entered into two additional construction 
mortgages totaling $13.6 million at a variable interest rate of LIBOR plus 
2.75%.

- --------------------------------------------------------------------------------
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 jointly owned 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.  As of December 31, 1997, 
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 $241,000, $464,000 and $363,000 in 1997, 1996 and 
1995, respectively.  The Company serves as manager for each of the residences 
and receives management fees upon commencement of operations.  Management 
fees of $305,000, $149,000 and $112,000 have been recorded as revenues for 
the years ended December 31, 1997, 1996 and 1995, respectively.

     As of December 31, 1997, 1996 and 1995, six, three and one residences 
were open, respectively.  Summarized unaudited financial information of joint 
ventures is presented below.

<TABLE>
<CAPTION>

                                                            DECEMBER 31,
                                                     -------------------------
                                                          1997         1996
                                                     ------------  -----------
<S>                                                  <C>           <C>
BALANCE SHEETS
Current assets . . . . . . . . . . . . . . . . . .    $ 1,269,109  $ 1,386,751
Property . . . . . . . . . . . . . . . . . . . . .     29,140,618   20,173,572
Other assets . . . . . . . . . . . . . . . . . . .        946,972      656,715
                                                      -----------  -----------
  Total assets . . . . . . . . . . . . . . . . . .    $31,356,699  $22,217,038
                                                      -----------  -----------
                                                      -----------  -----------

Current liabilities  . . . . . . . . . . . . . . .    $ 1,919,471  $ 2,489,313
Long-term obligations. . . . . . . . . . . . . . .     26,662,372   15,364,102
Joint venture equity . . . . . . . . . . . . . . .      2,774,856    4,363,623
                                                      -----------  -----------
  Total liabilities and joint 
   venture equity. . . . . . . . . . . . . . . . .    $31,356,699  $22,217,038
                                                      -----------  -----------
                                                      -----------  -----------

</TABLE>

<TABLE>
<CAPTION>

                                                       DECEMBER 31,
                                         --------------------------------------
                                             1997         1996        1995
                                         -----------  -----------  ------------
<S>                                      <C>          <C>          <C>
STATEMENTS 
OF OPERATIONS
Residence 
    revenues  . . . . . . . . . . . . .  $ 5,468,781   $ 2,347,278  $ 1,868,618

Operating 
   expenses . . . . . . . . . . . . . .    4,690,309     1,809,886    1,333,203
Depreciation and 
   amortization 
   expense. . . . . . . . . . . . . . .      979,746       308,589      281,684
Interest 
   expense. . . . . . . . . . . . . . .      977,490       436,646      464,788
                                         -----------   -----------  -----------
    Total 
       expenses . . . . . . . . . . . .    6,647,545     2,555,121    2,079,675
                                         -----------   -----------  -----------
Net loss  . . . . . . . . . . . . . . .  $(1,178,764)    $(207,843)  $ (211,057)
                                         -----------   -----------  -----------
                                         -----------   -----------  -----------

</TABLE>

     The Company's equity in net loss of unconsolidated entities included in 
its accumulated deficit at December 31, 1997 was $270,000.


          26
<PAGE>
- --------------------------------------------------------------------------------

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 balance sheet and 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.   

     Significant components of income tax expense for the year ended December 
31, 1997 and for the period from July 18, 1996 to December 31, 1996 are as 
follows:

<TABLE>
<CAPTION>
                                                          1997         1996
                                                     ------------  -----------
<S>                                                  <C>           <C>
Current:
      Federal. . . . . . . . . . . . . . . . . . .    $        --   $       --
      State. . . . . . . . . . . . . . . . . . . .             --           --
                                                      -----------   ----------
            Total current. . . . . . . . . . . . .             --           --
                                                      -----------   ----------

Deferred:
      Federal. . . . . . . . . . . . . . . . . . .     (1,977,000)     580,000
      State. . . . . . . . . . . . . . . . . . . .       (343,000)     103,000
      Increase in valuation 
         allowance . . . . . . . . . . . . . . . .      2,130,000           --
                                                      -----------   ----------
            Total deferred . . . . . . . . . . . .       (190,000)     683,000
                                                      -----------   ----------
Total provision (benefit). . . . . . . . . . . . .    $  (190,000)  $  683,000
                                                      -----------   ----------
                                                      -----------   ----------

</TABLE>

     A reconciliation of the recorded benefit based on the Federal statutory 
income tax rate to the Company's income tax provision for 1997 and the period 
from July 18, 1996 to December 31, 1996 is as follows:

<TABLE>
<CAPTION>
                                                          1997         1996
                                                     ------------  -----------
<S>                                                  <C>           <C>
Benefit at Federal statutory rate. . . . . . . . .          (34.0)%      (34.0)%
State income taxes, net of 
   Federal benefit . . . . . . . . . . . . . . . .           (5.9)        (5.9)
Nondeductible expenses . . . . . . . . . . . . . .            0.3          0.9
Valuation allowance. . . . . . . . . . . . . . . .           36.4           --
Other  . . . . . . . . . . . . . . . . . . . . . .             --         (1.8)
                                                      -----------   ----------
   Effective income tax rate . . . . . . . . . . .           (3.2)%      (40.8)%
                                                      -----------   ----------
                                                      -----------   ----------

</TABLE>

     Deferred income taxes arise from temporary differences between financial 
reporting and tax reporting bases of assets and liabilities, and operating 
loss carryforwards for tax purposes.

The components of the deferred income tax assets and liabilities are as follows:

<TABLE>
<CAPTION>

                                                            DECEMBER 31,
                                                     -------------------------
                                                          1997         1996
                                                     ------------  -----------
<S>                                                  <C>           <C>
Deferred income tax assets:
  Accrued liabilities . . . . . . . . . . . . .      $     58,000   $   38,000
  Asset amortization. . . . . . . . . . . . . .           327,000      216,000
  Operating loss 
    carryforwards . . . . . . . . . . . . . . .         2,778,000      322,000
  Other . . . . . . . . . . . . . . . . . . . .            10,000       20,000
                                                     ------------   ----------
Total deferred income 
  tax assets. . . . . . . . . . . . . . . . . .         3,173,000      596,000
Valuation allowance . . . . . . . . . . . . . .        (2,130,000)          --
                                                     ------------   ----------
Net deferred income tax assets. . . . . . . . .         1,043,000      596,000
                                                     ------------   ----------

Deferred income tax liabilities:
  Property related. . . . . . . . . . . . . . .        (1,534,000)  (1,262,000)
  Other . . . . . . . . . . . . . . . . . . . .            (2,000)     (17,000)
                                                     ------------   ----------
Total deferred income 
  tax liabilities . . . . . . . . . . . . . . .        (1,536,000)  (1,279,000)
                                                     ------------   ----------
Net deferred income 
  tax liabilities . . . . . . . . . . . . . . .      $   (493,000)  $ (683,000)
                                                     ------------   ----------
                                                     ------------   ----------

</TABLE>

     Net deferred income tax assets, including net operating loss 
carry-forwards, represent the amounts of tax assets that the company could 
realize if certain tax planning strategies were employed.  No valuation 
allowance for deferred tax assets was recorded at December 31, 1996 as all 
tax assets could be realized via tax planning strategies.  The Company's net 
operating loss carryforwards of $6.9 million expire from 2011 through 2012.

- --------------------------------------------------------------------------------
9. EQUITY

     At December 31, 1997, the Company's authorized capital shares consisted 
of (a) 28,000,000 common shares, without par value, of which 6,837,363 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 
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 was used to finance the develop-


                                                                      27
<PAGE>

NOTES TO CONSOLIDATED 
FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

ment and acquisition of additional assisted living residences and for working 
capital and general corporate purposes.

     Immediately prior to July 18, 1996, the shareholders 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 owned 100% of the equity interests of Karrington Operating. 

     As part of the consideration for the Kensington acquisition (see Note 3) 
the Company issued 137,363 common shares on April 30, 1997.

- --------------------------------------------------------------------------------
10. INCENTIVE STOCK AND 401(k) PLANS

     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.  

     The Company has granted non-qualified options to certain officers, key 
employees and non-employee directors. The  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 director options are 
exercisable beginning six months after the effective date of grant with a 
ten-year term.  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.

     Stock option activity for 1997 and 1996 is as follows:

<TABLE>
<CAPTION>

                                                      WEIGHTED
                                                       AVERAGE    RANGE OF
                                                       EXERCISE   EXERCISE 
                                           SHARES       PRICE      PRICES
                                          --------     --------  ------------
<S>                                       <C>         <C>       <C>
Balance December 31, 1995. . . . . . . .        --
  Granted. . . . . . . . . . . . . . . .   169,000      $13.00         $13.00
                                          --------      ------  -------------
Balance December 31, 1996. . . . . . . .   169,000       13.00          13.00
  Granted. . . . . . . . . . . . . . . .   215,500       12.25  $ 11.00-12.88
  Forfeited. . . . . . . . . . . . . . .   (27,000)      13.00          13.00
                                          --------      ------  -------------
Balance December 31, 1997. . . . . . . .   357,500       12.55    11.00-13.00
                                          --------      ------  -------------
                                          --------      ------  -------------

</TABLE>

     At December 31, 1997, the average remaining contractual life was 9.2 
years and 72,000 non-employee director options were exercisable at a weighted 
average exercise price of $12.88.

     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 net loss per common share - 
basic and diluted would have increased by $295,000 and $.04, respectively, 
for 1997 and $291,000 and $.05, respectively, for 1996.  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 .47 in 1997 and 
 .34 in 1996, a risk-free interest rate of 6.0% in 1997 and 6.5% in 1996, and 
an expected life of the options of 2 or 7 years in 1997 and 10 years in 1996. 
 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.

     In 1997, the Company established the Karrington Health, Inc. and 
Affiliates 401(k) Plan (the "401(k) Plan") for the benefit of eligible 
full-time employees of the Company and its joint ventures. Eligible 
participants may contribute up to 10% of their compensation to the 401(k) 
Plan and self-direct such contributions. The Company may, in its discretion, 
make annual matching and/or discretionary contributions on behalf of each 
eligible participant which vest over a six year period.  No Company matching 
or discretionary contributions were expensed in 1997.
     
- --------------------------------------------------------------------------------
11. COMMITMENTS

     The Company has commitments totaling approximately $10,926,000 at 
December 31, 1997 for various land purchase contracts and $38,284,000 for 
various construction contracts. 

- --------------------------------------------------------------------------------
12. SUPPLEMENTAL PROFORMA LOSS PER SHARE

     Supplemental proforma net loss and net loss per share (basic and 
diluted) 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 (basic and diluted) 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.


          28
<PAGE>

SELECTED CONSOLIDATED 
FINANCIAL DATA
- --------------------------------------------------------------------------------

          (AMOUNTS IN THOUSANDS, EXCEPT OTHER OPERATING DATA AND PER SHARE DATA)
<TABLE>
<CAPTION>

                                                                      YEAR ENDED DECEMBER 31,
                                                    -------------------------------------------------------------
                                                      1997         1996         1995         1994          1993
                                                    --------     --------    ---------     --------      --------  
<S>                                                 <C>          <C>         <C>           <C>           <C>
STATEMENT OF OPERATIONS DATA:
Revenues:
  Residence operations . . . . . . . . . . . . .    $ 18,539     $  8,953    $  6,220     $  4,977      $  2,288
  Development and project 
    management fees. . . . . . . . . . . . . . .         681          643         524          287            18
                                                    --------     --------    --------    ---------      --------
      Total. . . . . . . . . . . . . . . . . . .      19,220        9,596       6,744        5,264         2,306
Expenses:
  Residence operations . . . . . . . . . . . . .      13,683        6,486       4,335        3,409         1,908
  General and administrative . . . . . . . . . .       4,433        2,773       1,705          634           170
  Depreciation and amortization. . . . . . . . .       2,684        1,379         980          844           505
  Rent expense . . . . . . . . . . . . . . . . .         259           89          45           45            --
  Unusual charges. . . . . . . . . . . . . . . .       1,380           --         492           --            --
                                                    --------     --------    --------    ---------      --------
      Total. . . . . . . . . . . . . . . . . . .      22,439      10,727        7,557        4,932         2,583
                                                    --------     --------    --------    ---------      --------
Operating income (loss). . . . . . . . . . . . .      (3,219)      (1,131)       (813)         332          (277)

Interest expense . . . . . . . . . . . . . . . .      (2,743)      (1,272)     (1,023)      (1,350)         (707)
Interest income. . . . . . . . . . . . . . . . .         349          470          --           --            --
Equity in net loss of unconsolidated entities. .        (247)          (7)       (105)         (17)           --
                                                    --------     --------    --------    ---------      --------
Loss before income taxes . . . . . . . . . . . .      (5,860)      (1,940)     (1,941)      (1,035)         (984)
Deferred income tax benefit (provision). . . . .         190         (683)         --          --             --
                                                    --------     --------    --------    ---------      --------
Net loss   . . . . . . . . . . . . . . . . . . .    $ (5,670)    $ (2,623)   $ (1,941)   $  (1,035)     $   (984)
                                                    --------     --------    --------    ---------      --------
                                                    --------     --------    --------    ---------      --------

Net loss per common share - basic and diluted:
  Actual . . . . . . . . . . . . . . . . . . . .    $   (.83)          --          --           --            --
  Proforma . . . . . . . . . . . . . . . . . . .          --     $   (.48)   $   (.45)   $    (.24)     $   (.23)

Weighted average number of common shares outstanding:
  Actual . . . . . . . . . . . . . . . . . . . .       6,792           --          --           --            --
  Proforma . . . . . . . . . . . . . . . . . . .          --        5,416       4,350        4,350         4,350

OTHER OPERATING DATA:
Residences (end of year) (1):
  Open   . . . . . . . . . . . . . . . . . . . .          27            9           5            4             3
  Under construction . . . . . . . . . . . . . .          19           17           5            1             1
  Under contract . . . . . . . . . . . . . . . .          20           10           8            2             1
Number of units (end of year) (1):
  Open   . . . . . . . . . . . . . . . . . . . .       1,124          454         272          213           160
  Under construction . . . . . . . . . . . . . .       1,019        1,010         243           59            53
  Under contract . . . . . . . . . . . . . . . .       1,390          742         509          128            59

BALANCE SHEET DATA:
Working capital (deficit). . . . . . . . . . . . .  $ (6,694)    $  7,806    $ (1,575)   $    (911)     $   (702)
Total assets . . . . . . . . . . . . . . . . . . .   141,316       69,550      26,676       16,292        14,883
Long-term obligations, less current portion. . . .    97,507       32,759      18,250       16,778        14,472
Equity (deficit) . . . . . . . . . . . . . . . . .    26,507       30,677       5,841       (1,763)         (728)

</TABLE>


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


                                                                      29
<PAGE>

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 16, 1998. 

     According to the records of the Company's transfer agent, the Company 
had 102 shareholders of record as of March 13, 1998.  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: Quarter Ended
     March 31, 1997. . . . . . . . . . . . . . . . . .   $12.75         $10.50
     June 30, 1997 . . . . . . . . . . . . . . . . . .    16.00          10.25
     September 30, 1997. . . . . . . . . . . . . . . .    16.50          11.50
     December 31, 1997 . . . . . . . . . . . . . . . .    14.50          10.50
- -------------------------------------------------------------------------------- 
1998: Through March 16, 1998 . . . . . . . . . . . . .   $13.63         $11.00
- --------------------------------------------------------------------------------

</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 as follows:

National City Bank
Corporate Trust Operations
P.O. Box 92301
Cleveland, OH  44193-0900
1-800-622-6757

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.
Salomon Smith Barney Inc.

ANNUAL MEETING
The 1998 Annual Meeting of Shareholders will be held at 11:00 a.m.  (EST)
Tuesday, May 12, 1998 at the Wyndham Dublin Hotel. 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.


[LOGO]

          30
<PAGE>

DIRECTORS AND 
OFFICERS
- --------------------------------------------------------------------------------

BOARD OF DIRECTORS
- --------------------------------------------------------------------------------

JOHN S. CHRISTIE
President, JMAC, Inc.     

JOHN H. MCCONNELL
Founder and Chairman 
Emeritus, Worthington 
Industries, Inc.    

HAROLD  A. POLING
Retired, former Chairman,     
Ford Motor Company 

DAVID H.  HOAG
Chairman, President and 
Chief  Executive Officer, 
The LTV Corporation 

CHARLES H. MCCREARY, III
Partner, Bricker & Eckler     

MICHAEL H. THOMAS
Executive Vice President
and Treasurer, JMAC, Inc.

BERNADINE P. HEALY, M.D.
Dean, College of Medicine,
The Ohio State University      

JAMES V. PICKETT
Vice Chairman, 
Banc One Capital Corporation

ROBERT D. WALTER
Chairman and Chief Executive
Officer, Cardinal Health, Inc.


CORPORATE OFFICERS
- --------------------------------------------------------------------------------

RICHARD R. SLAGER
Chairman and Chief 
Executive Officer

PETE A. KLISARES
President and Chief 
Operating Officer   

THOMAS J. KLIMBACK
Executive Vice President and 
Chief Financial Officer

ROBIN V. HOLDERMAN
Executive Vice President of
Corporate Development

JOHN K. KNUTSON
Executive Vice President 
of Operations  

MARK N. MACE
Senior Vice President of 
Finance, Treasurer, Principal
Accounting Officer

STEPHEN LEWIS
Senior Vice President of 
Development, General Counsel 
and Assistant Secretary

                                      31
<PAGE>

LISTING OF KARRINGTON PROPERTIES 
(AS OF MARCH 23, 1998)

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

<TABLE>
<CAPTION>

                              TYPE OF          METRO         OPENED OR   NUMBER   NUMBER
                             OWNERSHIP       LOCATION        ACQUIRED   OF UNITS  OF BEDS
- -----------------------------------------------------------------------------------------
<S>                          <C>         <C>                <C>         <C>       <C>
OPEN RESIDENCES
- -----------------------------------------------------------------------------------------
Karrington of Bexley              O         Columbus, OH       10/92       53       62
- -----------------------------------------------------------------------------------------
Karrington on the Scioto          O         Columbus, OH        3/93       53       63
- -----------------------------------------------------------------------------------------
Karrington at Tucker Creek        O         Columbus, OH       12/93       54       62
- -----------------------------------------------------------------------------------------
Karrington of Oakwood             J          Dayton, OH        11/94       53       62
- -----------------------------------------------------------------------------------------
Karrington of 
  Shaker Heights                  O        Cleveland, OH       10/95       59       67
- -----------------------------------------------------------------------------------------
Karrington Place 
  (Alz. Residence)                O         Columbus, OH        2/96       26       31
- -----------------------------------------------------------------------------------------
Karrington of South Hills         O        Pittsburgh, PA       8/96       67       81
- -----------------------------------------------------------------------------------------
Karrington of Albuquerque         J       Albuquerque, NM      10/96       61       74
- -----------------------------------------------------------------------------------------
St. Francis Place 
  (Alz. Residence)                J       Albuquerque, NM      10/96       28       32
- -----------------------------------------------------------------------------------------
Karrington at Fall Creek          O       Indianapolis, IN      3/97       61       71
- -----------------------------------------------------------------------------------------
Karrington Commons of 
  Buffalo                         O         Buffalo, MN         5/97       72       75
- -----------------------------------------------------------------------------------------
Karrington Commons of 
  Bismarck                        O         Bismarck, ND        5/97       72       81
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Bismarck                        O         Bismarck, ND        5/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Waterloo                        O         Waterloo, IA        5/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Mankato                         O         Mankato, MN         5/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Rochester I                     O        Rochester, MN        5/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of
  Rochester II                    O        Rochester, MN        5/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Rochester III                   O        Rochester, MN        5/97       16       28
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Rochester IV                    O        Rochester, MN        5/97       16       28
- -----------------------------------------------------------------------------------------
Karrington of Kenwood             J        Cincinnati, OH       6/97       67       77
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Buffalo I                       O         Buffalo, MN         7/97       12       20
- -----------------------------------------------------------------------------------------
Karrington Cottages of 
  Buffalo II                      O         Buffalo, MN         7/97       12       20
- -----------------------------------------------------------------------------------------
Karrington of  Willow Lake        O       Indianapolis, IN      8/97       61       72
- -----------------------------------------------------------------------------------------
Karrington of  Fort Wayne         O        Fort Wayne, IN       8/97       61       72
- -----------------------------------------------------------------------------------------
Karrington of  Englewood          J          Dayton, OH         9/97       48       61
- -----------------------------------------------------------------------------------------
Karrington of                                 Colorado 
  Colorado Springs                J         Springs, CO        12/97       64       71
- -----------------------------------------------------------------------------------------
Karrington of Findlay             O         Findlay, OH        12/97       48       61
- -----------------------------------------------------------------------------------------
Karrington of Fremont             O         Fremont, OH         2/98       48       61
- -----------------------------------------------------------------------------------------
Karrington of Wooster             O         Wooster, OH         2/98       48       61
- -----------------------------------------------------------------------------------------
Karrington of Bath                L          Akron, OH          2/98       67       75
- -----------------------------------------------------------------------------------------
Karrington of Gahanna 
  (Alz. Residence)                L         Columbus, OH        2/98       50       54
- -----------------------------------------------------------------------------------------
Karrington of Carmel              L       Indianapolis, IN      3/98       57       72
- -----------------------------------------------------------------------------------------

TOTAL                                                                   1,394    1,694

</TABLE>

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

KEY:
- --------------------------------------------------------------------------------
O = OWNED                I = IN ZONING
- --------------------------------------------------------------------------------
L = LEASED               J = JOINTLY OWNED
- --------------------------------------------------------------------------------
M = MAJORITY OWNED       Z = ZONED
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------


<TABLE>
<CAPTION>

                                 TYPE OF          METRO         PLANNED   PLANNED  PLANNED
                                 OWNERSHIP       LOCATION       OPENING    UNITS     BEDS
- --------------------------------------------------------------------------------------------
<S>                              <C>          <C>               <C>       <C>      <C>
RESIDENCES UNDER CONSTRUCTION
- --------------------------------------------------------------------------------------------
Karrington Cottages of 
Rochester V                          O          Rochester, MN      4/98        16       28
- --------------------------------------------------------------------------------------------
Karrington Cottages of 
Rochester VI                         O          Rochester, MN      4/98        20       36
- --------------------------------------------------------------------------------------------
Karrington of Rocky River            O          Cleveland, OH      4/98        64       72
- --------------------------------------------------------------------------------------------
Karrington of 
South Charlotte                      O          Charlotte, NC      4/98        74       84
- --------------------------------------------------------------------------------------------
Karrington Cottages of 
Rochester VII                        O          Rochester, MN      4/98        20       36
- --------------------------------------------------------------------------------------------
Karrington Cottages of 
Rochester VIII                       O          Rochester, MN      4/98        20       36
- --------------------------------------------------------------------------------------------
Karrington of 
Presque Isle Bay                     O           Erie, PA          5/98        69       80
- --------------------------------------------------------------------------------------------
Karrington Cottages of 
Rochester IX                         O          Rochester, MN      5/98        15       27
- --------------------------------------------------------------------------------------------
Karrington of Ann Arbor              L          Ann Arbor, MI      6/98        67       75
- --------------------------------------------------------------------------------------------
Karrington of Poland                 L        Youngstown, OH       7/98        67       75
- --------------------------------------------------------------------------------------------
Karrington of Eastover               L          Charlotte, NC      8/98        88      100
- --------------------------------------------------------------------------------------------
Karrington of Park Ridge             M           Chicago, IL       8/98       111      132
- --------------------------------------------------------------------------------------------
Karrington at The Shawhan            O          Tiffin, OH         9/98        54       66
- --------------------------------------------------------------------------------------------
Karrington of Monroeville            O        Pittsburgh, PA       9/98        64       72
- --------------------------------------------------------------------------------------------

TOTAL                                                                         749      919

</TABLE>

<TABLE>
<CAPTION>

                                STAGE OF        METRO         PLANNED       PLANNED   PLANNED
                                DEVELOPMENT     LOCATION      OPENING        UNITS     BEDS
- --------------------------------------------------------------------------------------------
<S>                             <C>           <C>             <C>        <C>       <C>
RESIDENCES IN DEVELOPMENT
Karrington at the 
Highlands                            Z          Mobile, AL    2Q, 1999         68       77
- --------------------------------------------------------------------------------------------
Karrington of 
Northpointe                          Z           Jackson, MS  2Q, 1999         68       77
- --------------------------------------------------------------------------------------------
Karrington of Northwood              Z          Dallas, TX    2Q, 1999         68       78
- --------------------------------------------------------------------------------------------
Karrington of Hamilton               Z         Hamilton, OH   2Q, 1999         48       61
- --------------------------------------------------------------------------------------------
Karrington of Finneytown             Z        Cincinnati, OH  2Q, 1999         67       75
- --------------------------------------------------------------------------------------------
Karrington of 
Pleasant Valley                      Z          Cleveland, OH 2Q, 1999         72       82
- --------------------------------------------------------------------------------------------
Karrington of 
Farmington Hills                     Z           Detroit, MI  2Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of Millcreek              Z           Erie, PA     3Q, 1999         48       61
- --------------------------------------------------------------------------------------------
Karrington of Edina                  Z        Minneapolis, MN 3Q, 1999         93      105
- --------------------------------------------------------------------------------------------
Karrington of Naperville             I           Chicago, IL  3Q, 1999         93      105
- --------------------------------------------------------------------------------------------
Karrington of Kearney                Z           Kearney, NE  3Q, 1999         48       61
- --------------------------------------------------------------------------------------------
Karrington of Mansfield              I          Mansfield, OH 3Q, 1999         48       61
- --------------------------------------------------------------------------------------------
Karrington of Tacoma                 Z          Tacoma, WA    4Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of Grand Rapids           I       Grand Rapids, MI 4Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of Forest Acres           I         Columbia, SC   4Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of 
Cuyahoga Falls                       I            Akron, OH   4Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of 
Audobon Park                         I           Memphis, TN  4Q, 1999         93      105
- --------------------------------------------------------------------------------------------
Karrington of Bethel Park            I        Pittsburgh, PA  4Q, 1999         72       83
- --------------------------------------------------------------------------------------------
Karrington of Santa Rosa             Z        Santa Rosa, CA  1Q, 2000         72       83
- --------------------------------------------------------------------------------------------
Karrington of Novato                 Z          Novato, CA    1Q, 2000         72       83
- --------------------------------------------------------------------------------------------

TOTAL                                                                       1,390    1,612

</TABLE>


          32
<PAGE>

     KARRINGTON MARKET AREAS*

     KARRINGTON 

     RESIDENCES WHICH 

     ARE CURRENTLY OPEN

     (TOTAL 32)

- -    OPEN RESIDENCES         


     KARRINGTON 

     RESIDENCES WHICH 

     ARE CURRENTLY OPEN OR 

     UNDER CONSTRUCTION

     (TOTAL 46)

- -    RESIDENCES UNDER CONSTRCTION         

     KARRINGTON 

     RESIDENCES WHICH 

     ARE CURRENTLY OPEN, 

     UNDER CONSTRUCTION 

     OR UNDER CONTRACT

     (TOTAL 66)

- -    RESIDENCES IN DEVELOPMENT

                                    *INFORMATION IS CURRENT AS OF MARCH 23, 1998

[MAP:  Three maps of United States showing (1) Karrington locations open, (2) 
Karrington locations open or under construction and (3) Karrington locations 
open, under construction or under contract.]


                                                                      33
<PAGE>

KARRINGTON HEALTH, INC.


919 OLD HENDERSON ROAD

COLUMBUS, OHIO  43220

TEL: 614.451.5151

FAX: 614.451.5199

http://www.karrington.com

<PAGE>

                                                                      EXHIBIT 21

                        SUBSIDIARIES OF THE REGISTRANT


Karrington Health, Inc. ("KHI")

- - DevelopMed Associates, Inc. ("DMA") (an Ohio corporation owned 100% by KHI)

- - JMAC Properties, Inc. ("JMAC") (an Ohio corporation owned 100% by KHI)

- - Karrington Operating Company, Inc. ("KOC") (an Ohio corporation owned 100% by
     KHI) (dba Karrington Communities)

          - Karrington Acquisition, Inc. (An Ohio corporation owned 100% by
               KOC)
          - Karrington Acquisition II, Inc. (An Ohio corporation owned 100% by
               KOC)
          - Karrington of Park Ridge LLC (an Ohio LLC owned 80% by KOC)
          - Karrington of Millcreek LLC (an Ohio LLC owned 80% by KOC)
          - Kensington Cottages Corporation of America ("KCCA") (a Minnesota
               corporation owned 100% by KOC)
                     - Kensington Cottages Corporation of Minnesota (a Minnesota
                          corporation owned 100% by KCCA)
                     - Kensington Management Group, Inc. (a Minnesota
                          corporation owned 100% by KCCA)


<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 March 6, 1998, included 
in the 1997 Annual Report to Shareholders of Karrington Health, Inc.

Our audit also included the financial statement schedule of Karrington 
Health, Inc. listed in Item 14(a).  This schedule is the responsibility of 
the Company's management.  Our responsibility is to express an opinion based 
on our audits.  In our opinion, the financial statement schedule referred to 
above, when considered in relation to the basic financial statements taken as 
a whole, presents fairly in all material respects the information set forth 
therein.

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 March 6, 1998, with respect to the consolidated 
financial statements incorporated herein by reference, and our report 
included in the preceding paragraph with respect to the financial statement
schedule included in this Annual Report (Form 10-K) of Karrington Health, Inc.



                                             Ernst & Young LLP

Columbus, Ohio
March 30, 1998



<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 Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 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 Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including 
specifically but without limitation, power and authority to sign for me in my 
name, in the capacity indicated above, the 1997 Form 10-K and any and all 
amendments to such 1997 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/ PETE A. KLISARES
                                        Pete A. Klisares
                                        President and Chief Operating Officer




<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 Pete A. 
Klisares, 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, 1997 (the "1997 Form 10-K"), including 
specifically but without limitation, power and authority to sign for me in my 
name, in the capacity indicated above, the 1997 Form 10-K and any and all 
amendments to such 1997 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/ THOMAS J. KLIMBACK
                                        Thomas J. Klimback
                                        Executive Vice President,
                                        Chief Financial Officer



                                       
  
<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 Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including 
specifically but without limitation, power and authority to sign for me in my 
name, in the capacity indicated above, the 1997 Form 10-K and any and all 
amendments to such 1997 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 24.5
                                                                               
                                                                               
                                                                            
                               POWER OF ATTORNEY                         
                                                                           

The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.6
                                                                              
                                                                              
                                                                              
                               POWER OF ATTORNEY
                                                                             

The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.7



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.8



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.9



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.10



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.11



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.12



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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 24.13



                               POWER OF ATTORNEY


The undersigned director and/or officer of Karrington Health, Inc. (the 
"Company"), does hereby constitute and appoint Richard R. Slager and Thomas 
J. Klimback, 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, 1997 (the "1997 Form 10-K"), including specifically but 
without limitation, power and authority to sign for me in my name, in the 
capacity indicated above, the 1997 Form 10-K and any and all amendments to 
such 1997 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, 1997 and is qualified in its entirety by reference to such
financial statements.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                          DEC-31-1997
<PERIOD-END>                               DEC-31-1997
<CASH>                                       4,370,488
<SECURITIES>                                         0
<RECEIVABLES>                                5,462,750
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                            10,114,960
<PP&E>                                     119,909,422
<DEPRECIATION>                               3,926,379
<TOTAL-ASSETS>                             141,315,800
<CURRENT-LIABILITIES>                       16,808,791
<BONDS>                                              0
                                0
                                          0
<COMMON>                                    33,484,712
<OTHER-SE>                                 (6,978,170)
<TOTAL-LIABILITY-AND-EQUITY>               141,315,800
<SALES>                                              0
<TOTAL-REVENUES>                            19,219,883
<CGS>                                                0
<TOTAL-COSTS>                               13,683,245
<OTHER-EXPENSES>                             7,273,689
<LOSS-PROVISION>                             1,380,000
<INTEREST-EXPENSE>                           2,743,353
<INCOME-PRETAX>                            (5,860,404)
<INCOME-TAX>                                   190,000
<INCOME-CONTINUING>                        (5,670,404)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                               (5,670,404)
<EPS-PRIMARY>                                    (.83)
<EPS-DILUTED>                                    (.83)
        

</TABLE>


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