INTENSIVA HEALTHCARE CORP
10-Q, 1998-08-11
SKILLED NURSING CARE FACILITIES
Previous: XOMED SURGICAL PRODUCTS INC, 10-Q, 1998-08-11
Next: TRANSACT TECHNOLOGIES INC, 10-Q, 1998-08-11



                                    Form 10-Q
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------

              [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                  For the quarterly period ended June 30, 1998

                                       OR

              [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                For the transition period from _______ to _______

                        Commission file number 000-21505

                        INTENSIVA HEALTHCARE CORPORATION
             (Exact name of registrant as specified in its charter)

                               DELAWARE 43-1690769
                (State or other jurisdiction of (I.R.S. Employer
               incorporation or organization) Identification No.)

            7733 FORSYTH BLVD., 8TH FLOOR, ST. LOUIS, MISSOURI 63105
               (Address of principal executive offices) (Zip Code)
                                 (314) 725-0112
              (Registrant's telephone number, including area code)

- --------------------
Indicate by check mark whether the registrant (1) has filed all reports required
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 [  ]

The number of shares  outstanding of the  registrant's  Common Stock,  par value
$0.001 per share, at July 31, 1998, was 10,078,838 shares.

                                                                          Page 1

<PAGE>



                         PART I -- FINANCIAL INFORMATION

Item 1.  Financial Statements

                        INTENSIVA HEALTHCARE CORPORATION
                                AND SUBSIDIARIES

                      Condensed Consolidated Balance Sheets

<TABLE>
<CAPTION>

                                                       June 30,
                                                        1998       December 31,
                            Assets                   (Unaudited)       1997
                                                     -----------    -----------
<S>                                                  <C>            <C>           
Current assets:
    Cash and cash equivalents                        $     334,593  $    247,943
    Accounts receivable, less allowance for doubtful                            
        accounts of $2,721,000 and $1,736,000,                                  
        respectively                                    43,837,938    31,376,641
    Inventories                                          1,149,389       781,317
    Prepaid expenses                                       645,294       855,429
                                                     -------------- ------------
                  Total current assets                  45,967,214    33,261,330
Property and equipment, net                              8,444,490     6,882,957
Organizational and preopening costs, net                   627,756       382,777
Other assets                                               963,237     1,047,842
                                                     -------------- ------------
                                                     $  56,002,697  $ 41,574,906
                                                     =============  ============
             Liabilities and Stockholders' Equity                               
                                                                                
Current liabilities:                                                            
    Current portion of long-term obligations         $     877,166  $    781,315
    Current portion of revolving credit facility         8,404,950       463,525
    Accounts payable and accrued expenses                6,775,176     7,589,180
    Accrued salaries, wages and benefits                 2,202,957     2,245,741
    Accrued third-party payor settlements                6,362,418     2,152,911
                                                     -------------  ------------
         Total current liabilities                      24,622,667    13,232,672
Long-term obligations, less current portion              1,434,880     1,312,234
Revolving credit facility, less current portion          3,024,301     1,935,575
Deferred rent expense                                    1,398,548     1,301,984
Stockholders' equity:                                                           
    Common stock, $0.001 par value, 70,000,000                                  
        shares authorized, 9,980,021 and 9,969,045                              
        shares issued and outstanding, respectively          9,980         9,969
    Additional paid-in capital                          30,204,434    30,193,647
    Accumulated deficit                                (4,692,113)   (6,411,175)
                                                     -------------  ------------
         Total stockholders' equity                     25,522,301    23,792,441
                                                     -------------  ------------
                                                     $  56,002,697  $ 41,574,906
                                                     =============  ============
</TABLE>                                                              

     See accompanying notes to condensed consolidated financial statements.

                                                                          Page 2

<PAGE>





<TABLE>
<CAPTION>

                                                                Three Months Ended                      Six Months Ended
                                                                     June 30,                               June 30,

                                                            1998                  1997                1998              1997
                                                      ----------------     ----------------     ----------------  ----------------  


<S>                                                   <C>                  <C>                <C>                <C>             
Net patient service revenues                          $    $26,350,145     $     14,258,880   $     52,083,662   $     26,659,263


Costs and expenses:
    Operating expenses                                      21,899,840           12,437,232         44,060,176         22,895,616
    General and administrative                               1,365,975            1,187,837          2,648,535          2,200,560
    Provision for doubtful accounts                            651,162              195,624          1,168,908          1,058,958
    Depreciation and amortization                              684,871              313,302          1,227,504            606,512
                                                      ----------------     ----------------   ----------------   ----------------
         Total costs and expenses                           24,601,848           14,133,995         49,105,123         26,761,646
                                                      ----------------     ----------------   ----------------   ----------------
         Operating income (loss)                             1,748,297              124,885          2,978,539          (102,383)
Interest income                                                      -              122,531                  -            325,258
Interest expense                                             (355,085)             (49,902)          (522,735)          (110,911)
                                                      ---------------      ---------------    ---------------    ----------------
         Income before income taxes                          1,393,212              197,514          2,455,804            111,964
Provision for income taxes                                     417,964                 -               736,742                 -
                                                      ----------------     ----------------   ----------------   ----------------
         Net income                                   $        975,248     $        197,514   $      1,719,062   $        111,964
                                                      ================     ================   ================   ================
Basic income per share                                $           0.10     $           0.02   $           0.17   $           0.01
                                                      ================     ================   ================   ================
Diluted income per share                              $           0.09     $           0.02   $           0.16   $           0.01
                                                      ================     ================   ================   ================

     See accompanying notes to condensed consolidated financial statements.

</TABLE>


                                                                          Page 3

<PAGE>



                        INTENSIVA HEALTHCARE CORPORATION
                                AND SUBSIDIARIES

                 Condensed Consolidated Statements of Cash Flows
                 For the Six Months Ended June 30, 1998 and 1997
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                         1998            1997
                                                         ----            ----
<S>                                                 <C>            <C>        
Cash flows from operating activities:
    Net income                                      $  1,719,062   $   111,964
    Adjustments to reconcile net income to net cash
     used in operating activities:
        Depreciation and amortization                  1,227,504       606,512
        Provision for doubtful accounts                1,168,908     1,058,958
        Increase in accounts receivable              (13,630,205)   (8,779,920)
        Decrease (increase) in inventories,
          prepaid expenses and other assets             (209,131)      266,204
        Increase (decrease) in accounts
          payable and accrued expenses                  (814,004)    1,176,251
        Increase (decrease) in accrued 
          salaries, wages and benefits                   (42,784)      322,168
        Increase in accrued third-party
          payor settlements                            4,209,507      (295,604)
        Increase (decrease) in
          deferred rent expense                           96,564        (4,328)
                                                   --------------  ------------
     Net cash used in operating activities            (6,274,579)   (5,537,795)
                                                   -------------   ------------
Cash flows from investing activities:
    Additions to property and equipment               (1,692,102)   (1,413,285)
    Organizational and preopening costs                 (483,573)     (268,516)
    Maturities of short-term investments                  -          6,458,746
                                                   --------------  ------------
     Net cash provided by (used in)
       investing activities                           (2,175,675)    4,776,945
                                                   --------------  ------------
Cash flows from financing activities:
   Proceeds from issuance of stock options                10,798             -
   Net borrowings under revolving credit facility      9,030,151             -
   Debt issuance costs incurred                          (81,702)            -
   Payments on long-term obligations                    (422,343)     (336,452)
                                                   --------------  ------------
     Net cash provided by (used in)
       financing activities                            8,536,904      (336,452)
                                                   --------------  ------------
     Increase (decrease) in cash and
       cash equivalents                                   86,650    (1,097,302)
Cash and cash equivalents, beginning of period           247,943     2,884,977
                                                   --------------  ------------
Cash and cash equivalents, end of period            $    334,593   $ 1,787,675
                                                   ==============  ============
Supplemental cash flow information:
     Cash paid for interest                         $    522,735   $   110,911
     Cash paid for income taxes                          355,641             -
Supplemental information - noncash activity:
    Acquisition of equipment through capital leases $    640,840   $ 1,217,456
                                                   ==============  ============
</TABLE>

     See accompanying notes to condensed consolidated financial statements.

                                                                         Page 4

<PAGE>




                        INTENSIVA HEALTHCARE CORPORATION
                                AND SUBSIDIARIES

              Notes to Condensed Consolidated Financial Statements
                                   (Unaudited)


(1)  Basis of Presentation

     The  condensed  consolidated  balance  sheet  as of June  30,  1998 and the
     related condensed consolidated  statements of operations and cash flows for
     the three and six month periods  ended June 30, 1998 and 1997  contained in
     this Form 10-Q,  which are  unaudited,  include the  accounts of  Intensiva
     HealthCare  Corporation and its wholly-owned  subsidiaries  ("Intensiva" or
     the "Company").  All significant intercompany accounts have been eliminated
     in consolidation. In the opinion of management, all adjustments, consisting
     of  normal  recurring  items,  necessary  for a fair  presentation  of such
     financial statements have been included.  The results of operations for the
     three  and six  month  periods  ended  June 30,  1998  are not  necessarily
     indicative  of the results to be expected  for the year ended  December 31,
     1998.

     The  condensed   consolidated  financial  statements  do  not  include  all
     information  and  footnotes  necessary  for  a  complete   presentation  of
     financial position, results of operations and cash flows in conformity with
     generally  accepted  accounting  principles.   Reference  is  made  to  the
     Company's audited financial  statements and the related notes,  included in
     the registrant's annual report on Form 10-K for the year ended December 31,
     1997.

(2)  Net Income Per Share

     Basic and diluted  income per share was  computed  using net income and the
     weighted  average  number  of  shares of  common  stock  and  common  stock
     equivalents.  The  weighted  average  numbers of shares of common stock and
     common stock  equivalents  used in the  computation of income per share for
     each of the periods presented is as follows:
<TABLE>
<CAPTION>

                             Three Months Ended              Six Months Ended
                                  June 30,                       June 30,
 Shares Used in
 Computation of                 1998        1997          1998         1997
- ------------------------ --------------- ------------ ------------- -----------
<S>                         <C>          <C>            <C>          <C>      
Basic income per share       9,978,344    9,905,062      9,973,720    9,905,062

Diluted income per share    10,496,676   10,455,335     10,485,368   10,458,483
</TABLE>

     For each of the  periods  presented,  the  difference  between  the amounts
     relates to the effect of dilutive stock options and warrants.

(3)  Comprehensive Earnings

     The Company  adopted the  provisions  of Statement of Financial  Accounting
     Standards No. 130,  "Reporting  Comprehensive  Income", on January 1, 1998,
     which  requires  reporting  of  comprehensive  income  (earnings)  and  its
     components  in  the  statement  of  operations  and  statement  of  equity,
     including net income as a component.  Comprehensive income is the change in
     equity of a business from  transactions and other events and  circumstances
     from non-owner sources.



                                                                          Page 5

<PAGE>



(4)  Start-Up Activities

     In April 1998,  the  American  Institute of  Certified  Public  Accountants
     issued  Statement  of  Position  (SOP)  98-5,  "Reporting  on the  Costs of
     Start-Up  Activities".  SOP 98-5 requires costs of start-up  activities and
     organizational costs to be expensed as incurred. The Company is required to
     adopt SOP 98-5 on  January  1, 1999 as a  cumulative  effect of a change in
     accounting  principle.  The total amount of unamortized  organizational and
     preopening costs at June 30, 1998 was $627,756.

(5)  Reclassifications

     Certain prior year amounts have been  reclassified  to conform with current
     year presentation.

                                                                          Page 6
 
<PAGE>



Item 2. Management's  Discussion and Analysis of Financial Condition and Results
     of Operations

Overview

    Intensiva provides highly  specialized,  acute long-term care for critically
ill or injured patients who require intensive medical  monitoring and treatment,
and who often have multiple medical conditions and are medically  unstable.  The
Company  provides  high  quality,  cost  effective,  specialized  care  for  its
patients,  who  typically  require an average  length of stay of greater than 25
days in an intensive  inpatient  setting.  Intensiva's  medical  staffs  provide
specialized  medical services,  as well as nursing and respiratory care, and the
Company is expanding disease-specific pathways to treat pulmonary, cancer, renal
and cardiac  conditions,  among others.  The Company's clinical programs utilize
specialized staff, equipment and protocols for the treatment of its patients.

    Intensiva  leases  underutilized  space from  general  acute care  hospitals
("Host Hospitals") in underserved markets,  creating a separate "hospital within
a  hospital."  By leasing  space from the Host  Hospital,  Intensiva  is able to
minimize capital and overhead costs, including the costs to purchase and operate
the physical plant and expensive medical and diagnostic  equipment.  The Company
is able to purchase certain services from its Host Hospitals, such as laboratory
and radiology (MRI, CAT Scan, X-Ray), as well as hotel services such as laundry,
housekeeping,  dietary and property  management.  The Company's  business  model
contemplates  for each of its  specialized  hospitals  to  become  certified  by
Medicare as  "long-term  care  hospitals"  exempt from the  Prospective  Payment
System ( PPS) after  approximately  seven months of  operations.  This exemption
will  enable the  hospitals  to receive  cost-based  reimbursement  (subject  to
certain caps),  which the Company believes is more appropriate given the medical
condition of its patients.  In addition,  the Company's  business model seeks to
maintain the  anticipated  payor mix which  includes both  non-governmental  and
governmental payors. The Company is reimbursed by non-governmental payors on per
diem or per discharge basis,  through fee for service  arrangements,  or through
negotiated discounts from established charges.

    Operations  begin  approximately  four to five months  after an agreement is
executed  (and a  Certificate  of Need is approved,  if  necessary)  with a Host
Hospital.  During the qualification period, the Company spends approximately one
million  dollars  per  facility  on  renovation  costs,   equipment   purchases,
pre-opening  costs and working capital before the facility  becomes eligible for
certification as a long-term care hospital. Patient volumes are lower during the
qualification phase while physicians,  case managers, and payors are educated as
to the benefits of the Company's clinical services.

    The Company currently operates 20 facilities in nine states. In addition, as
of June 30,  1998,  the  Company  had signed  agreements  involving  seven other
facilities.



                                                                         Page 7

<PAGE>



Sources of Revenues

    The Company  receives  payment for health care services  primarily  from the
federal government and state governments under the Medicare,  Medicaid and other
governmental  programs  and from  non-governmental  payors such as managed  care
organizations (e.g. preferred provider and health maintenance organizations) and
other commercial health insurance carriers (e.g. traditional indemnity insurance
plans).  Consistent with  initiatives to control health care costs,  the Company
generally negotiates payments with  non-governmental  payors based upon the type
and extent of  services to be provided to  individual  patients.  The  following
table  sets forth the  approximate  percentages  of the  Company's  net  patient
service revenues derived from the specified payor sources indicated:

<TABLE>
<CAPTION>
                                Three Months Ended   Six Months Ended
                                      June 30,            June 30,
                                  1998      1997     1998       1997
                                  ----      ----     ----       ----

<S>                               <C>      <C>      <C>        <C>  
Medicare                           62.0%    74.0%    64.9%      77.3%
Medicaid                            9.0      2.5      8.6        1.6
HMO                                 4.7      4.1      4.0        2.7
PPO                                 4.3      8.9      3.8        9.6
Other negotiated arrangements      20.0     10.5     18.7        8.8
                                  ------   ------  -------    -------
                                  100.0%   100.0%   100.0%     100.0%
                                  ======   ======  =======    =======
</TABLE>


    The level of Medicare net revenues as a percentage  of total net revenues is
a reflection of the  maturation of a number of the  Company's  hospitals.  Other
consists of  traditional  indemnity  insurance and all other  arrangements  with
third-party payors (primarily those negotiated on a case by case basis).

Results of Operations

    Net  Revenues.  Net revenues for the three and six month  periods ended June
30,  1998  increased  $12.1  million,  or 84.8%,  and $25.4  million,  or 95.4%,
respectively,  from the comparable  periods in 1997.  This growth is primarily a
result of the increase in the number of operational  facilities,  as the Company
had 20  operational  facilities  at June 30, 1998 as compared to 13  operational
facilities  at  June  30,  1997.  In  addition,  increased  census  at  maturing
facilities  has been a significant  factor in the increase in net revenues.  The
thirteen facilities in operation at June 30, 1997 had patient days of 22,301 and
13,689 during the second quarters of 1998 and 1997, respectively.

    Operating  Expenses.  Operating expenses for the three and six month periods
ended June 30, 1998 increased  $9.5 million,  or 76.1%,  and $21.2  million,  or
92.4%,  respectively,  from the  comparable  periods in 1997.  This  increase is
attributable  to the same factors as those relating to the net revenues  growth.
As a percentage of net revenues,  operating  expenses for the three months ended
June 30, 1998  decreased to 83% from 86% during the three months ended March 31,
1998 and 87% during the three months ended June 30,  1997.  The Company  expects
this  percentage  to  continue  to  decline  as more of its  facilities  mature,
although at a slower rate.

    General and  Administrative.  General and  administrative  expenses  for the
three and six month periods ended June 30, 1998  increased  $178,000,  or 15.0%,
and $448,000, or 20.4%,  respectively,  from the comparable periods in 1997. The
increase in expenses was primarily  attributable  to salaries,  related  payroll
taxes,  and  employee  benefits  relating to  additional  personnel  retained to
support the Company's growth

                                                                         Page 8
                    
<PAGE>



strategy. As a percentage of net revenues,  general and administrative  expenses
for the three months ended June 30, 1998 were 5%, consistent with the percentage
for the three months ended March 31, 1998, and down from 8% for the three months
ended June 30, 1997.  The Company  expects  that its general and  administrative
expenses  will  continue  to  decrease as a  percentage  of net  revenues as the
Company  grows and achieves  certain  economies  of scale,  although at a slower
rate.

     Provision for Doubtful  Accounts.  The provision for doubtful  accounts for
the three and six month  periods  ended June 30,  1998  increased  $456,000,  or
232.9%,  and $110,000,  or 10.4%,  respectively,  from the comparable periods in
1997. As a percentage of net revenues,  the provision for doubtful  accounts for
the three months ended June 30, 1998 was 2.5%, up from 2.0% for the three months
ended  March 31, 1998 and 1.4% for the three  months  ended June 30,  1997.  The
increase has resulted primarily from the growth of non-Medicare net revenues.

    Depreciation and  Amortization.  Depreciation and amortization for the three
and six month periods ended June 30, 1998  increased  $372,000,  or 118.6%,  and
$621,000,  or 102.4%,  respectively,  from the  comparable  periods in 1997. The
increase  relates  primarily to  depreciation  and  amortization  related to the
property and equipment  acquired for the seven facilities opened between July 1,
1997 and June 30, 1998.

    Income Taxes. The Company's income tax provision for the three and six month
periods ended June 30, 1998 contemplates the utilization of substantially all of
the Company's  available federal net operating loss  carryforwards  during 1998.
Such net operating loss carryforwards offset all of the Company's taxable income
for the three and six month periods ended June 30, 1997.

Selected Quarterly Financial Results

    The following table presents unaudited  quarterly operating results for each
of the eight quarters in the period from July 1, 1996 through June 30, 1998. The
Company  believes  that all  necessary  adjustments  have been  included  in the
amounts  stated  below  to  present  fairly  the  following  selected  quarterly
information  when read in  conjunction  with the financial  statements  included
elsewhere in this Form 10-Q.

<TABLE>
<CAPTION>
                                                                Three Months Ended
                          ---------------------------------------------------------------------------------------------
                              Sept 30,     Dec 31,     Mar 31,     June 30,    Sept 30,  Dec 31,     Mar 31,    June 30,
                                1996        1996        1997         1997        1997      1997       1998        1998
                                ----        ----        ----         ----        ----      ----       ----        ----
                                                              (dollars in thousands)
<S>                            <C>         <C>         <C>         <C>         <C>       <C>        <C>         <C>    
Net revenues                   $4,663      $8,009      $12,400     $14,259     $19,495   $23,435    $25,734     $26,350
Operating income (loss)        (1,623)     (1,780)        (227)        125         687       968      1,230       1,748
Income (loss) before
    income taxes               (1,597)     (1,639)         (86)        198         701       918      1,063       1,393
Provision for income taxes          -           -            -           -           -        94        319         418
Net income (loss)              (1,597)     (1,639)         (86)        198         701       824        744         975

</TABLE>



                                                                         Page 9

<PAGE>




Liquidity and Capital Resources

    Since  November  1997,  the Company has  financed its  operations  primarily
through  borrowings under its $20 million  revolving  credit facility.  In April
1998,  the Company  terminated  its  existing  Loan and Security  Agreement  and
entered into a Loan and Security  Agreement  with another lender to obtain a $20
million  revolving  credit  facility  with a term of three  years.  Although the
Company has begun to  generate  positive  cash flows from  certain of its mature
facilities,  overall  cash flows from  operations  have not been  sufficient  to
support  ongoing  operations  primarily  due to the time lag that is required to
obtain  Medicare   provider   numbers  at  new  facilities  and  the  continuing
development of new facilities in accordance with the Company's growth strategy.

    Cash flows used in investing  activities have consisted primarily of capital
renovations,  equipment  purchases  and  organizational  and  pre-opening  costs
incurred prior to providing patient services at each new facility.

    The Company  made  capital  expenditures  of  approximately  $1,692,000  and
$1,413,000  during the six months  ended June 30,  1998 and 1997,  respectively.
Additional   equipment  was  acquired  through  capital  leases,   amounting  to
approximately $641,000 and $1,217,000 for the six months ended June 30, 1998 and
1997, respectively.

    During March 1996, the Company entered into a sale-leaseback  agreement with
a  third-party  to take  advantage  of  favorable  borrowing  rates and maintain
liquidity.  As  part  of this  agreement,  the  Company  obtained  a $1  million
commitment from the third-party to finance additional capital  expenditures.  In
May 1997,  this  agreement  was amended to extend an  additional  commitment  of
$500,000  through  January 1998  (subsequently  extended  through  August 1998).
Unutilized borrowing capacity under the commitment was approximately $310,000 at
June 30, 1998.

    The accounts  receivable  balance at June 30, 1998  increased  $12.5 million
from December 31, 1997, and decreased  $700,000 from March 31, 1998. The accrued
third-party  payor  settlements  balance at June 30, 1998 increased $4.2 million
from  December  31, 1997.  The  majority of the increase in accounts  receivable
since December 31, 1997 relates to increased census at the Company's  facilities
and the time  required in  obtaining  new  Medicare  provider  numbers  from the
Medicare fiscal  intermediaries once a facility opens and upon completion of the
qualification period. The time lag can result in initial Medicare payments being
received in excess of six months after a facility  opens.  Of the 20  facilities
operating as of June 30, 1998, 14 have received  certification as long-term care
hospitals  and have received  long-term  care  provider  numbers.  Two of the 14
received  provider  numbers  during the second quarter of 1998 and therefore did
not begin receiving  payments until July 1998.  These  facilities had a combined
Medicare  accounts  receivable  balance  of $5.3  million  at June 30,  1998 and
received  payments of approximately  $2.3 million in July 1998. Of the remaining
six facilities, two have received initial provider numbers by June 30, 1998. The
combined accounts  receivable  balance for these facilities at June 30, 1998 was
$3.3 million.  In addition,  two facilities  received  Medicaid provider numbers
during the second  quarter,  and have begun to receive  payments on the Medicaid
accounts.  The Medicaid accounts  receivable balance for these two facilities at
June 30, 1998 was $5.2 million.  Approximately  $1 million was received on these
accounts  during July 1998.  The  Company  anticipates  that it will  ultimately
receive  long-term  care  certification  and  provider  numbers for all existing
facilities.


                                                                        Page 10

<PAGE>




    Working  capital at June 30,  1998 was $21.3  million,  representing  a $1.3
million increase from December 31, 1997. This increase  resulted  primarily from
the  utilization  of  borrowings  under the  revolving  credit  facility to fund
operations.

    The  Company  leases  space  from  Host  Hospitals   under  operating  lease
agreements  having  initial  terms of five or more  years.  The  Company  leases
corporate office space under a  noncancellable  operating lease which expires in
the year 2002. Minimum annual lease payments on noncancellable  operating leases
with maturities in excess of one year are as follows: $3.8 million in 1998, $8.0
million in 1999,  $8.0 million in 2000,  $7.7  million in 2001,  $5.9 million in
2002 and $2.5 million thereafter.

    The Company  estimates that borrowings  under the revolving  credit facility
will be sufficient to fund its continued  development and meet  anticipated cash
needs of the Company for at least the next 12 months.

Health Care Legislation

    In recent years,  an increasing  number of  legislative  proposals have been
introduced  or proposed in Congress and in some state  legislatures  which could
result in major changes in the health care system.  Management cannot predict to
what extent such proposed  legislation  would affect  long-term care  hospitals,
whether such proposed  legislation will be adopted, or if adopted,  what effect,
if any, such proposed legislation would have on the operations of the Company.

Forward Looking Statements

    Certain of the statements  made herein are forward  looking  statements,  as
that term is defined under Section 27(a) of the Securities Exchange Act of 1933,
Section 21(e) of the  Securities  Exchange Act of 1934,  the Private  Securities
Litigation  Reform Act of 1995,  and  releases by the  Securities  and  Exchange
Commission. The Company cautions readers that actual results could be materially
different  as  a  result  of  various   possibilities  and  differences  between
anticipated and actual developments.  Factors that could cause actual results to
differ  from  anticipated  results  include,  but are not  limited to changes in
health care regulation  and/or health care reform,  changes in the regulation of
relationships  among health care  providers,  difficulty in obtaining  necessary
licenses or certifications,  ability to collect accounts receivable,  changes in
reimbursement policies or procedures,  changes in payor mix, changes in referral
source practices, changes in relationships with Host Hospitals and/or the leases
with  such  Host  Hospitals,  competition,  and  the  adequacy  of  professional
liability insurance. Additional information concerning such factors is set forth
under "Risk  Factors" in the  Company's  Annual Report on Form 10-K for the year
ended  December 31,  1997,  which  information  is  incorporated  herein by this
reference.  The Company undertakes no obligation to publicly release the results
of any revisions to any forward looking statements contained herein which may be
made to reflect events or circumstances  after the date hereof or to reflect the
occurrence of unanticipated events.


Item 2. Quantitative and Qualitative Disclosures About Market Risk

Not applicable.

                                                                        Page 11

<PAGE>




                          PART II -- OTHER INFORMATION


Item 1.     Legal Proceedings

            There are no reportable proceedings.

Item 2.     Change in Securities

    (a)     Not applicable.

    (b)     Not applicable.

    (c)     Not applicable.

    (d)     Not applicable.

Item 3.     Defaults Upon Senior Securities

    (a)     Not applicable.

    (b)     Not applicable.

Item 4.     Submission of Matters to Vote of Security Holders

    (a)     The Annual Meeting of the Stockholders of the Company was held
            on May 22, 1998. Of the 9,969,045  shares  entitled to vote at
            such meeting, 9,180,609 were represented by proxy.

    (b)     Mr. David W. Cross and Mr.  Jeffrey J.  Collinson were elected
            as Class II Directors of the Company. Mr. Phillip M. Nudelman,
            Ph.D., and Mr. James B. Tananbaum,  M.D.,  continue as Class I
            Directors.  Mr.  Wilfred E.  Jaeger,  M.D.,  and Mr.  David L.
            Steffy continue as Class III Directors.

    (c)     The results of the voting for Class I Directors were as follows:

                                             Number of Shares Voted
            Nominee                         For             Withheld
            ---------------------------     ---             --------
            Mr. David W. Cross            9,127,859          52,750
            Mr. Jeffrey J. Collinson      9,127,859          52,750

            The Stockholders  approved the adoption of an amendment to the
            Intensiva HealthCare  Corporation Stock Option Plan increasing
            the  number of shares  subject  to the  Stock  Option  Plan by
            500,000  shares of Common  Stock,  and the  reservation  of an
            additional  500,000  shares of Common Stock for issuance under
            the Stock Option Plan.  7,658,830 shares voted in favor of the
            resolution,  103,342 shares voted against the resolution,  and
            484,936 shares abstained.

            The Stockholders approved the appointment of KPMG Peat Marwick
            LLP as independent auditors for the Company.  8,842,247 shares
            voted in favor of the  resolution,  3,525 shares voted against
            the resolution, and 334,837 shares abstained.

    (d)     Not applicable.

                                                                        Page 12

<PAGE>



Item 5.     Other Information

            Not  applicable.

Item 6.     Exhibits and Reports on Form 8-K

     (a)    See Exhibit Index for list of Exhibits.

     (b)    Not applicable.



                                                                        Page 13

<PAGE>




                                   SIGNATURES


         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
the  registrant  has duly  caused  this report to be signed on its behalf by the
undersigned thereunto duly authorized.

                                        INTENSIVA HEALTHCARE CORPORATION


Date:   August 11, 1998             By   /s/ JOHN P. KEEFE
                                       John P.  Keefe, Chief Financial Officer
                                    (Principal Financial and Accounting Officer)


















                                                                        Page 14
                                   
<PAGE>


                                  EXHIBIT INDEX



     Exhibit
      Number        Exhibit

      10.31    Revolving   Credit   Facility   Between   Intensiva    HealthCare
               Corporation  and Its  Subsidiary  Corporations  and HCFP Funding,
               Inc. in the amount of $20,000,000, dated April 21, 1998

      27.1     Financial Data Schedule



















                                                                        Page 15
     

                                 $20,000,000.00


                           LOAN AND SECURITY AGREEMENT

                                 by and between

                        INTENSIVA HEALTHCARE CORPORATION
                        INTENSIVA HOSPITAL OF AKRON, INC.
                      INTENSIVA HOSPITAL OF COLUMBUS, INC.
                   INTENSIVA HOSPITAL OF CORPUS CHRISTI, INC.
                  INTENSIVA HOSPITAL OF EASTERN OKLAHOMA, INC.
                     INTENSIVA HOSPITAL OF EVANSVILLE, INC.
                        INTENSIVA HOSPITAL OF FLINT, INC.
                     INTENSIVA HOSPITAL OF FORT WAYNE, INC.
                  INTENSIVA HOSPITAL OF GREATER ST. LOUIS, INC.
                    INTENSIVA HOSPITAL OF INDIANAPOLIS, INC.
                     INTENSIVA HOSPITAL OF KANSAS CITY, INC.
                      INTENSIVA HOSPITAL OF KNOXVILLE, INC.
                    INTENSIVA HOSPITAL OF MACOMB COUNTY, INC.
                  INTENSIVA HOSPITAL OF WESTERN MICHIGAN, INC.
                  INTENSIVA HOSPITAL OF NORTHWEST INDIANA, INC.
                    INTENSIVA HOSPITAL OF OKLAHOMA CITY, INC.
                     INTENSIVA HOSPITAL OF PITTSBURGH, INC.
                     INTENSIVA HOSPITAL OF SOUIX FALLS, INC.
                       INTENSIVA HOSPITAL OF TACOMA, INC.
                       INTENSIVA HOSPITAL OF TOPEKA, INC.
                     INTENSIVA HOSPITAL OF CINCINNATI, INC.
                      INTENSIVA HOSPITAL OF ANN ARBOR, INC.
                    INTENSIVA HOSPITAL OF BATTLE CREEK, INC.
                  INTENSIVA HOSPITAL OF PHILADELPHIA/AEMC, INC.
                       INTENSIVA HOSPITAL OF PONTIAC, INC.
                        INTENSIVA HOSPITAL OF RENO, INC.
                       INTENSIVA HOSPITAL OF WICHITA, INC.

                                  ("Borrower")

                                       and

                               HCFP FUNDING, INC.

                                   ("Lender")



                                 April 21, 1998


<PAGE>



                           LOAN AND SECURITY AGREEMENT


         THIS LOAN AND SECURITY  AGREEMENT (the "Agreement") is made as of April
21, 1998, by and among INTENSIVA HEALTHCARE CORPORATION, a Delaware corporation,
INTENSIVA HOSPITAL OF AKRON, INC., a Missouri corporation, INTENSIVA HOSPITAL OF
COLUMBUS,  INC., a Missouri  corporation,  INTENSIVA HOSPITAL OF CORPUS CHRISTI,
INC., a Missouri  corporation,  INTENSIVA HOSPITAL OF EASTERN OKLAHOMA,  INC., a
Missouri  corporation,  INTENSIVA  HOSPITAL  OF  EVANSVILLE,  INC.,  a  Missouri
corporation,   INTENSIVA  HOSPITAL  OF  FLINT,  INC.,  a  Missouri  corporation,
INTENSIVA  HOSPITAL  OF FORT  WAYNE,  INC.,  a Missouri  corporation,  INTENSIVA
HOSPITAL OF GREATER ST. LOUIS, INC., a Missouri corporation,  INTENSIVA HOSPITAL
OF  INDIANAPOLIS,  INC., a Missouri  corporation,  INTENSIVA  HOSPITAL OF KANSAS
CITY, INC., a Missouri  corporation,  INTENSIVA  HOSPITAL OF KNOXVILLE,  INC., a
Missouri  corporation,  INTENSIVA  HOSPITAL OF MACOMB  COUNTY,  INC., a Missouri
corporation,   INTENSIVA   HOSPITAL  OF  WESTERN  MICHIGAN,   INC.,  a  Missouri
corporation,   INTENSIVA  HOSPITAL  OF  NORTHWEST  INDIANA,   INC.,  a  Missouri
corporation,  INTENSIVA HOSPITAL OF OKLAHOMA CITY, INC., a Missouri corporation,
INTENSIVA  HOSPITAL  OF  PITTSBURGH,  INC.,  a Missouri  corporation,  INTENSIVA
HOSPITAL OF SOUIX FALLS,  INC., a Missouri  corporation,  INTENSIVA  HOSPITAL OF
TACOMA,  INC., a Missouri  corporation,  INTENSIVA  HOSPITAL OF TOPEKA,  INC., a
Missouri  corporation,  INTENSIVA  HOSPITAL  OF  CINCINNATI,  INC.,  a  Missouri
corporation,  INTENSIVA  HOSPITAL OF ANN ARBOR,  INC.,  a Missouri  corporation,
INTENSIVA  HOSPITAL OF BATTLE  CREEK,  INC., a Missouri  corporation,  INTENSIVA
HOSPITAL OF PHILADELPHIA/AEMC,  INC., a Missouri corporation, INTENSIVA HOSPITAL
OF PONTIAC,  INC., a Missouri  corporation,  INTENSIVA HOSPITAL OF RENO, INC., a
Missouri  corporation,  and  INTENSIVA  HOSPITAL  OF WICHITA,  INC.,  a Missouri
corporation  ("collectively,  "Borrower"),  and HCFP  FUNDING,  INC., a Delaware
corporation ("Lender").

                                    RECITALS

         A. Borrower desires to establish  certain  financing  arrangements with
and  borrow  funds  from  Lender,  and  Lender  is  willing  to  establish  such
arrangements  for and make loans and  extensions  of credit to Borrower,  on the
terms and conditions set forth below.

         B . The  parties  desire to define  the terms and  conditions  of their
relationship and to reduce their agreements to writing.

         NOW,  THEREFORE,   in  consideration  of  the  promises  and  covenants
contained  in this  Agreement,  and for other  consideration,  the  receipt  and
sufficiency of which are acknowledged, the parties agree as follows:



                                        1

<PAGE>



                                    ARTICLE I

                                   DEFINITIONS

         As used in this Agreement, the following terms shall have the following
meanings:

     Section 1.1.  Account.  "Account" means any right to payment for goods sold
or leased or services  rendered,  whether or not  evidenced by an  instrument or
chattel paper, and whether or not earned by performance.

     Section 1.2. Account Debtor. "Account Debtor" means any Person obligated on
any  Account of  Borrower,  including  without  limitation,  any Insurer and any
Medicaid/Medicare Account Debtor.

     Section  1.3.  Affiliate.  "Affiliate"  means,  with respect to a specified
Person, any Person directly or indirectly  controlling,  controlled by, or under
common control with the specified  Person,  including  without  limitation their
stockholders and any Affiliates  thereof.  A Person shall be deemed to control a
corporation or other entity if the Person possesses, directly or indirectly, the
power to direct or cause the  direction  of the  management  and business of the
corporation or other entity, whether through the ownership of voting securities,
by contract, or otherwise.

     Section 1.4. Agreement. "Agreement" means this Loan and Security Agreement,
as it may be amended or supplemented from time to time.

     Section 1.5. Base Rate.  "Base Rate" means a rate of interest  equal to one
percent  (1.0%) above the Prime Rate of Interest;  provided,  however,  that the
Base Rate for borrowings  against Qualified Unbilled Accounts shall be at a rate
of interest equal to two percent (2.0%) above the Prime Rate of Interest.

     Section 1.6. Borrowed Money. "Borrowed Money" means any obligation to repay
money,  any  indebtedness  evidenced  by notes,  bonds,  debentures  or  similar
obligations,  any obligation  under a conditional  sale or other title retention
agreement and the net  aggregate  rentals under any lease which under GAAP would
be capitalized on the books of Borrower or which is the  substantial  equivalent
of the financing of the property so leased.

     Section  1.7.  Borrower.  "Borrower"  has  the  meaning  set  forth  in the
Preamble.

     Section 1.8. Borrowing Base.  "Borrowing Base" has the meaning set forth in
Section 2.1(d).

     Section 1.9. Business Day.  "Business Day" means any day on which financial
institutions are open for business in the State of Maryland, excluding Saturdays
and Sundays.

                                        2

<PAGE>




     Section 1.10. Closing;  Closing Date. "Closing" and "Closing Date" have the
meanings set forth in Section 5.3.

     Section 1.11. Collateral. "Collateral" has the meaning set forth in Section
3.1.

     Section 1.12. Commitment Fee. "Commitment Fee" has the meaning set forth in
Section 2.4(a).

     Section  1.13.  Concentration  Account.  "Concentration  Account"  has  the
meaning set forth in Section 2.3.

     Section  1.14.  Controlled  Group.  "Controlled  Group" means a "controlled
group" within the meaning of Section 4001(b) of ERISA.

     Section  1.15.  Cost Report  Settlement  Account.  "Cost Report  Settlement
Account"  means an  "Account"  owed to Borrower by a  Medicaid/Medicare  Account
Debtor  pursuant to any cost report,  either interim,  filed or audited,  as the
context may require.

     Section 1.16. Default Rate.  "Default Rate" means a rate per annum equal to
three percent (3%) above the then applicable Base Rate.

     Section 1.17. ERISA. "ERISA" has the meaning set forth in Section 4.12.

     Section 1.18. Event of Default.  "Event of Default" and "Events of Default"
have the meanings set forth in Section 8.1.

     Section 1.19. GAAP. "GAAP" means generally accepted  accounting  principles
applied in a manner  consistent  with the  financial  statements  referred to in
Section 4.7.

     Section 1.20.  Governmental Authority.  "Governmental  Authority" means and
includes any federal, state, District of Columbia,  county,  municipal, or other
government  and  any   department,   commission,   board,   bureau,   agency  or
instrumentality thereof, whether domestic or foreign.

     Section 1.21. Hazardous Material. "Hazardous Material" means any substances
defined or designated as hazardous or toxic waste,  hazardous or toxic material,
hazardous or toxic  substance,  or similar term, by any  environmental  statute,
rule or regulation or any Governmental Authority.

     Section 1.22. Highest Lawful Rate.  "Highest Lawful Rate" means the maximum
lawful rate of interest  referred to in Section 2.7 that may accrue  pursuant to
this Agreement.


                                        3

<PAGE>



     Section  1.23.  Insurer.  "Insurer"  means a Person that  insures a Patient
against  certain of the costs incurred in the receipt by such Patient of Medical
Services,  or that has an agreement  with  Borrower to  compensate  Borrower for
providing services to a Patient.

     Section 1.24. Lender. "Lender" has the meaning set forth in the Preamble.

     Section 1.25. Loan. "Loan" has the meaning set forth in Section 2.1(a).

     Section 1.26.  Loan  Documents.  "Loan  Documents"  means and includes this
Agreement,  the  Note,  and each  and  every  other  document  now or  hereafter
delivered in connection therewith,  as any of them may be amended,  modified, or
supplemented from time to time.

     Section 1.27. Loan  Management  Fee. "Loan  Management Fee" has the meaning
set forth in Section 2.4(c).

     Section 1.28. Lockbox. "Lockbox" has the meaning set forth in Section 2.3.

     Section  1.28 a.  Lockbox  Account.  "Lockbox  Account"  means  an  account
maintained  by  Borrower  at the  Lockbox  Bank into  which all  collections  of
Accounts are paid directly.

     Section  1.29.  Lockbox Bank.  "Lockbox  Bank" has the meaning set forth in
Section 2.3.

     Section  1.30.  Maximum Loan Amount.  "Maximum Loan Amount" has the meaning
set forth in Section 2.1(a).

     Section 1.31. Medicaid/Medicare Account Debtor. "Medicaid/ Medicare Account
Debtor"  means any  Account  Debtor  which is (i) the  United  States of America
acting under the  Medicaid/Medicare  program established  pursuant to the Social
Security  Act, (ii) any state or the District of Columbia  acting  pursuant to a
health plan  adopted  pursuant to Title XIX of the Social  Security Act or (iii)
any agent, carrier, administrator or intermediary for any of the foregoing.

     Section 1.32.  Medical Services.  Medical and health care services provided
to a Patient,  including,  but not limited to,  medical and health care services
provided to a Patient and performed by Borrower which are covered by a policy of
insurance  issued by an Insurer,  and  includes  physician  services,  nurse and
therapist services, dental services, hospital services, skilled nursing facility
services,  comprehensive  outpatient  rehabilitation  services, home health care
services,  residential  and  out-patient  behavioral  healthcare  services,  and
medicine  or health  care  equipment  provided  by  Borrower  to a Patient for a
necessary or specifically requested valid and proper medical or health purpose.

     Section 1.33. Note. "Note" has the meaning set forth in Section 2.1(c).

                                        4

<PAGE>



     Section  1.34.  Obligations.  "Obligations"  has the  meaning  set forth in
Section 3.1.

     Section  1.35.  Patient.  "Patient"  means  any  Person  receiving  Medical
Services from Borrower and all Persons  legally  liable to pay Borrower for such
Medical Services other than Insurers.

     Section 1.36. Permitted Liens. "Permitted Liens" means: (a) liens for taxes
not  delinquent,  or which are being  contested in good faith and by appropriate
proceedings  which  suspend  the  collection  thereof  and in  respect  of which
adequate  reserves have been made  (provided  that such  proceedings  do not, in
Lender's sole  discretion,  involve any substantial  danger of the sale, loss or
forfeiture of such property or assets or any interest therein);  (b) deposits or
pledges to secure obligations under workmen's  compensation,  social security or
similar laws, or under unemployment insurance; (c) deposits or pledges to secure
bids,  tenders,  contracts  (other  than  contracts  for the  payment of money),
leases, statutory obligations,  surety and appeal bonds and other obligations of
like  nature  arising  in the  ordinary  course  of  business;  (d)  mechanic's,
workmen's,  materialmen's  or other like liens arising in the ordinary course of
business  with  respect  to  obligations  which are not due,  or which are being
contested in good faith by appropriate  proceedings which suspend the collection
thereof and in respect of which adequate  reserves have been made (provided that
such  proceedings do not, in Lender's sole  discretion,  involve any substantial
danger  of the  sale,  loss or  forfeiture  of such  property  or  assets or any
interest  therein);  (e) liens and  encumbrances  in favor of Lender;  (f) liens
granted in connection  with the lease or purchase of property or assets financed
by  borrowings  permitted  by  Section  7.1  (provided,  however,  that  no such
borrowings  permitted  by  Section  7.1 may be  secured  by  liens on any of the
Collateral); and (g) liens set forth on Schedule 1.36.

     Section  1.37.   Person.   "Person"  means  an   individual,   partnership,
corporation,  trust,  joint  venture,  joint stock  company,  limited  liability
company,  association,  unincorporated organization,  Governmental Authority, or
any other entity.

     Section 1.38. Plan. "Plan" has the meaning set forth in Section 4.12.

     Section  1.39.  Premises.  "Premises"  has the meaning set forth in Section
4.15.

     Section 1.40.  Prime Rate of Interest.  "Prime Rate of Interest" means that
rate of interest designated as such by Fleet National Bank of Connecticut, N.A.,
or any successor thereto, as the same may from time to time fluctuate.

     Section 1.41.  Prohibited  Transaction.  "Prohibited  Transaction"  means a
"prohibited  transaction"  within the meaning of Section 406 of ERISA or Section
4975(c)(1) of the Internal Revenue Code.

     Section 1.42.  Qualified Account.  "Qualified  Account" means an Account of
Borrower  generated in the ordinary course of Borrower's  business from the sale
of goods or rendition of

                                        5

<PAGE>



medical  services  which  Lender,  in its sole  credit  judgment,  deems to be a
Qualified Account.  Without limiting the generality of the foregoing, no Account
shall be a  Qualified  Account  if: (a) the  Account or any  portion  thereof is
payable by an individual  beneficiary,  recipient or subscriber individually and
not directly to Borrower by a  Medicaid/Medicare  Account  Debtor or  commercial
medical insurance carrier  acceptable to Lender in its sole discretion;  (b) the
Account remains unpaid more than one hundred twenty (120) days past the claim or
invoice date; (c) the Account is subject to any defense, set-off,  counterclaim,
deduction, discount, credit, chargeback, freight claim, allowance, or adjustment
of any kind;  (d) any part of any goods the sale of which has given  rise to the
Account has been returned, rejected, lost, or damaged; (e) if the Account arises
from the sale of goods by  Borrower,  such sale was not an  absolute  sale or on
consignment or on approval or on a sale-or-return  basis or subject to any other
repurchase  or return  agreement,  or such  goods  have not been  shipped to the
Account Debtor or its designee;  (f) if the Account arises from the  performance
of  services,  such  services  have not been  actually  been  performed  or were
undertaken  in  violation of any law; (g) the Account is subject to a lien other
than  a  Permitted  Lien;  (h)  Borrower  knows  or  should  have  known  of the
bankruptcy,  receivership,  reorganization, or insolvency of the Account Debtor;
(i) the Account is evidenced by chattel  paper or an  instrument of any kind, or
has been reduced to judgment; (j) the Account is an Account of an Account Debtor
having its principal  place of business or executive  office  outside the United
States;  (k) the Account  Debtor is an Affiliate or Subsidiary of Borrower;  (l)
more than fifty  percent (50%) of the  aggregate  balance of all Accounts  owing
from the Account Debtor  obligated on the Account are outstanding  more than one
hundred  fifty (150) days past their  invoice  date;  (m) fifty percent (50%) or
more of the aggregate unpaid Accounts from any individual Account Debtor are not
deemed  Qualified  Accounts  hereunder;  (n) the total  unpaid  Accounts  of the
Account Debtor,  except for a  Medicaid/Medicare  Account Debtor,  exceed twenty
percent  (20%)  of  the  net  amount  of  all  Qualified   Accounts   (including
Medicaid/Medicare Account Debtors); (o) any covenant, representation or warranty
contained in the Loan  Documents with respect to such Account has been breached;
or (p) the  Account  fails to meet such other  specifications  and  requirements
which may from time to time be established by Lender.

     Section 1.42a.  Qualified  Unbilled Account.  "Qualified  Unbilled Account"
means any Account  that would  otherwise  qualify as a Qualified  Account in all
other  respects,  but for the fact that the  particular  Borrower that generated
such  Account  has not yet been  issued a Medicare  provider  number;  provided,
however,  that at no time during the term of this Agreement  shall the aggregate
amount of Revolving Credit Loans outstanding with respect to Qualified  Unbilled
Accounts  exceed fifteen  percent (15%) of the aggregate  outstanding  Revolving
Credit Loans. Any Account that would otherwise qualify as a Qualified Account in
all other respects except that such Account remains unbilled shall  nevertheless
be considered a Qualified  Account at such time as the particular  Borrower that
generated such Account has been issued a Medicare provider number.

     Section  1.43.  Reportable  Event.  "Reportable  Event" means a "reportable
event" as defined in Section 4043(b) of ERISA.

                                        6

<PAGE>



     Section  1.44.  Revolving  Credit  Loan.  "Revolving  Credit  Loan" has the
meaning set forth in Section 2.1(b).

     Section 1.45. Term. "Term" has the meaning set forth in Section 2.8.


                                   ARTICLE II

                                      LOAN

     Section 2.1. Terms.

     (a) The maximum aggregate  principal amount of credit extended by Lender to
Borrower  hereunder  (the "Loan") that will be outstanding at any time is Twenty
Million  and  No/100  Dollars  ($20,000,000.00)  (the  "Maximum  Loan  Amount").
Notwithstanding  the  above,  until  such  time  as  the  aggregate  outstanding
Revolving   Credit   Loans   equals   or   exceeds   Fifteen   Million   Dollars
($15,000,000.00)  (the "Loan  Sublimit")  the Usage Fee under Section 2.4(b) and
the termination fee under Section 2.8(c) shall be calculated on the basis of the
Loan Sublimit.

     (b) The Loan shall be in the  nature of a  revolving  line of  credit,  and
shall  include sums  advanced and other credit  extended by Lender to or for the
benefit of Borrower  from time to time under this  Article II (each a "Revolving
Credit Loan") up to the Maximum Loan Amount  depending upon the  availability in
the  Borrowing  Base,  the  requests  of  Borrower  pursuant  to the  terms  and
conditions  of  Section  2.2  below,  and on such  other  basis  as  Lender  may
reasonably  determine.  The  outstanding  principal  balance  of  the  Loan  may
fluctuate from time to time, to be reduced by repayments made by Borrower (which
may be made without penalty or premium), and to be increased by future Revolving
Credit Loans,  advances and other  extensions of credit to or for the benefit of
Borrower,  and shall be due and payable in full upon the expiration of the Term.
For purposes of this Agreement, any determination as to whether there is ability
within the Borrowing  Base for advances or extensions of credit shall be made by
Lender in its sole discretion and is final and binding upon Borrower.

     (c) At Closing,  Borrower  shall execute and deliver to Lender a promissory
note  evidencing  Borrower's   unconditional  obligation  to  repay  Lender  for
Revolving Credit Loans,  advances, and other extensions of credit made under the
Loan, in the form of Exhibit A to this  Agreement  (the "Note"),  dated the date
hereof, payable to the order of Lender in accordance with the terms thereof. The
Note shall bear  interest  from the date thereof  until  repaid,  with  interest
payable  monthly in arrears on the first  Business Day of each month,  at a rate
per annum (on the basis of the actual  number of days elapsed over a year of 360
days) equal to the Base Rate,  provided that after an Event of Default such rate
shall be equal to the Default  Rate.  Each  Revolving  Credit Loan,  advance and
other extension of credit shall be deemed evidenced by the Note, which is deemed
incorporated by reference herein and made a part hereof.


                                        7

<PAGE>



     (d) Subject to the terms and conditions of this  Agreement,  advances under
the Loan shall be made  against a borrowing  base equal to  twenty-five  percent
(25%) of Qualified  Unbilled  Accounts  plus ninety  percent  (90%) of Qualified
Accounts  due and owing from any  Medicaid/Medicare,  Insurer  or other  Account
Debtor (the "Borrowing Base").

     Section 2.2.  Loan  Administration.  Borrowings  under the Loan shall be as
follows:

     (a) A request for a Revolving Credit Loan shall be made, or shall be deemed
to be made, in the following manner:  (i) Borrower may give Lender notice of its
intention to borrow,  in which notice  Borrower  shall specify the amount of the
proposed  borrowing and the proposed  borrowing  date,  not later than 2:00 p.m.
Eastern  time one (1)  Business  Days  prior  to the  proposed  borrowing  date;
provided,  however, that no such request may be made at a time when there exists
an Event of Default; and (ii) the becoming due of any amount required to be paid
under this Agreement,  whether as interest or for any other Obligation, shall be
deemed  irrevocably to be a request for a Revolving  Credit Loan on the due date
in the amount required to pay such interest or other Obligation.

     (b) Borrower hereby irrevocably  authorizes Lender to disburse the proceeds
of each Revolving Credit Loan requested,  or deemed to be requested, as follows:
(i) the  proceeds of each  Revolving  Credit  Loan  requested  under  subsection
2.2(a)(i)  shall be disbursed by Lender by wire transfer to such bank account as
may be agreed upon by  Borrower  and Lender  from time to time or  elsewhere  if
pursuant  to written  direction  from  Borrower;  and (ii) the  proceeds of each
Revolving Credit Loan requested under  subsection  2.2(a)(ii) shall be disbursed
by Lender by way of direct payment of the relevant interest or other Obligation.

     (c) All Revolving Credit Loans,  advances and other extensions of credit to
or for the benefit of  Borrower  shall  constitute  one  general  Obligation  of
Borrower, and shall be secured by Lender's lien upon all of the Collateral.

     (d)  Lender  shall  enter all  Revolving  Credit  Loans as debits to a loan
account in the name of Borrower  and shall also record in said loan  account all
payments  made by Borrower on any  Obligations  and all  proceeds of  Collateral
which are  indefeasibly  paid to Lender,  and may record therein,  in accordance
with customary accounting practice, other debits and credits, including interest
and all charges and expenses  properly  chargeable to Borrower.  All collections
into the Concentration Account pursuant to Section 2.3 shall be applied first to
fees,  costs and  expenses  due and  owing  under  the Loan  Documents,  then to
interest  due and  owing  under  the  Loan  Documents,  and  then  to  principal
outstanding with respect to Revolving Credit Loans.

     (e) Lender will  account to Borrower  monthly with a statement of Revolving
Credit Loans,  charges and payments made  pursuant to this  Agreement,  and such
accounting rendered by Lender shall be deemed final, binding and conclusive upon
Borrower unless Lender is notified by Borrower in writing to the contrary within
thirty (30) days of the date each

                                        8

<PAGE>



accounting  is mailed to  Borrower.  Such notice shall be deemed an objection to
those items specifically objected to therein.

     Section  2.3.  Collections,   Disbursements,  Borrowing  Availability,  and
Lockbox  Account.  Borrower shall maintain one or more lockbox  accounts (each a
"Lockbox")  with  NationsBank,   N.A.  (the  "Lockbox  Bank"),  subject  to  the
provisions of this Agreement,  and shall execute with the Lockbox Bank a Lockbox
Agreement  in  substantially  the form  attached  as  Exhibit  B, and such other
agreements related thereto as Lender may require. Borrower shall ensure that all
collections of Accounts are paid directly from Account Debtors into the Lockbox,
and that all funds paid into the  Lockbox  are  immediately  transferred  into a
depository account  maintained by Lender at Bank One Arizona,  N.A. or U.S. Bank
N.A.,  as  determined  by  Lender in its sole  discretion  and  communicated  to
Borrower (the  "Concentration  Account").  Lender shall apply, on a daily basis,
all funds  transferred into the  Concentration  Account pursuant to this Section
2.3 to reduce the  outstanding  indebtedness  under the Loan (in accordance with
Section  2.2(d))  with  future  Revolving  Credit  Loans,   advances  and  other
extensions of credit to be made by Lender under the conditions set forth in this
Article II. To the extent that any  collections of Accounts or proceeds of other
Collateral  are not sent  directly to the Lockbox but are  received by Borrower,
such  collections  shall  be held  in  trust  for  the  benefit  of  Lender  and
immediately  remitted, in the form received, to the Lockbox Bank for transfer to
the  Concentration  Account  immediately  upon  receipt  by  Borrower.  Borrower
acknowledges  and agrees that its compliance  with the terms of this Section 2.3
is  essential,  and that upon its failure to comply  with any such terms  Lender
shall be entitled to assess a non-compliance fee which shall operate to increase
the Base Rate by two percent (2%) per annum during any period of non-compliance;
provided, however, that such non-compliance fee shall not apply unless and until
any  collections  not sent  directly to the Lockbox  exceeds  $25,000.00  in the
aggregate for any  particular  day.  Lender shall be entitled to assess such fee
whether or not an Event of Default is declared or  otherwise  occurs.  All funds
transferred  from  the  Concentration  Account  for  application  to  Borrower's
indebtedness  to Lender  shall be applied to reduce  the Loan  balance,  but for
purposes of  calculating  interest  shall be subject to a five (5)  Business Day
clearance  period.  If as the result of collections of Accounts  pursuant to the
terms and conditions of this Section 2.3 a credit balance exists with respect to
the  Concentration  Account,  such credit  balance shall not accrue  interest in
favor of  Borrower,  but shall be available to Borrower at any time or times for
so long as no Event of Default exists.

     Section 2.4. Fees.

     (a) At Closing,  Borrower shall  unconditionally pay to Lender a commitment
fee  equal  to  Fifty  Six  Thousand  Two  Hundred  Fifty  and  No/100   Dollars
($56,250.00) (the "Commitment Fee").

     (b)  For  so  long  as  the  Loan  is  available   to  Borrower,   Borrower
unconditionally  shall pay to Lender a monthly usage fee (the "Usage Fee") equal
to two one hundredths of one percent  (0.02%) of the average amount by which the
Maximum Loan Amount

                                        9

<PAGE>



exceeds the average amount of the outstanding principal balance of the Revolving
Credit Loans during the preceding  month. The Usage Fee shall be payable monthly
in arrears on the first Business Day of each successive calendar month.

     (c)  For  so  long  as  the  Loan  is  available   to  Borrower,   Borrower
unconditionally  shall pay to Lender a monthly loan  management fee of $2,000.00
(the "Loan Management Fee"). The Loan Management Fee shall be payable monthly in
arrears on the first day of each successive calendar month.

     (d) Borrower shall pay to Lender all out-of-pocket audit and appraisal fees
in connection  with audits and  appraisals  of Borrower's  books and records and
such other  matters as Lender  shall deem  appropriate,  which  shall be due and
payable on the first Business Day of the month following the date of issuance by
Lender of a request for payment thereof to Borrower.

     (e) Borrower  shall pay to Lender,  on demand,  any and all fees,  costs or
expenses  which  Lender  or any  participant  pays  to a bank or  other  similar
institution  (including,  without  limitation,  any fees  paid by  Lender to any
participant) arising out of or in connection with (i) the forwarding to Borrower
or any other Person on behalf of Borrower,  by Lender,  of proceeds of Revolving
Credit Loans made by Lender to Borrower pursuant to this Agreement, and (ii) the
depositing for collection, by Lender or any participant, of any check or item of
payment  received  or  delivered  to Lender or any  participant  on  account  of
Obligations.

     Section 2.5.  Payments.  Principal  payable on account of Revolving  Credit
Loans shall be payable by Borrower to Lender  immediately  upon the  earliest of
(i) the  receipt by Borrower of any  proceeds of any of the  Collateral,  to the
extent  of such  proceeds,  (ii)  the  occurrence  of an  Event  of  Default  in
consequence of which the Loan and the maturity of the payment of the Obligations
are accelerated,  or (iii) the termination of this Agreement pursuant to Section
2.8 hereof;  provided,  however, that if any advance made by Lender in excess of
the Borrowing Base shall exist at any time,  Borrower  shall,  immediately  upon
demand,  repay such overadvance.  Interest accrued on the Revolving Credit Loans
shall be due on the  earliest of (i) the first  Business  Day of each month (for
the  immediately  preceding  month),  computed on the last  calendar  day of the
preceding  month,  (ii) the  occurrence of an Event of Default in consequence of
which  the  Loan  and  the  maturity  of  the  payment  of the  Obligations  are
accelerated,  or (iii) the termination of this Agreement pursuant to Section 2.8
hereof. Except to the extent otherwise set forth in this Agreement, all payments
of  principal  and of  interest  on the Loan,  all other  charges  and any other
obligations of Borrower hereunder,  shall be made to Lender to the Concentration
Account, in immediately available funds.

     Section 2.6. Use of Proceeds.  The proceeds of Lender's  advances under the
Loan shall be used  solely for  working  capital and for other costs of Borrower
arising in the ordinary course of Borrower's business.


                                       10

<PAGE>



     Section  2.7.  Interest  Rate  Limitation.  The  parties  intend to conform
strictly  to the  applicable  usury laws in effect  from time to time during the
term of the Loan. Accordingly,  if any transaction  contemplated hereby would be
usurious under such laws, then  notwithstanding  any other provision hereof: (i)
the aggregate of all interest that is contracted for, charged, or received under
this  Agreement  or under any other Loan  Document  shall not exceed the maximum
amount of interest  allowed by applicable law (the "Highest  Lawful Rate"),  and
any excess  shall be promptly  credited to Borrower by Lender (or, to the extent
that such  consideration  shall have been paid,  such  excess  shall be promptly
refunded to Borrower by Lender);  (ii) neither Borrower nor any other Person now
or  hereafter  liable  hereunder  shall be  obligated  to pay the amount of such
interest  to the extent  that it is in excess of the Highest  Lawful  Rate;  and
(iii) the  effective  rate of interest  shall be reduced to the  Highest  Lawful
Rate.  All sums paid, or agreed to be paid, to Lender for the use,  forbearance,
and detention of the debt of Borrower to Lender shall,  to the extent  permitted
by  applicable  law,  be  allocated  throughout  the full term of the Note until
payment is made in full so that the actual rate of interest  does not exceed the
Highest  Lawful  Rate in  effect at any  particular  time  during  the full term
thereof.  If at any time the rate of interest under the Note exceeds the Highest
Lawful Rate, the rate of interest to accrue  pursuant to this Agreement shall be
limited,  notwithstanding anything to the contrary herein, to the Highest Lawful
Rate,  but any  subsequent  reductions  in the Base Rate  shall not  reduce  the
interest to accrue  pursuant  to this  Agreement  below the Highest  Lawful Rate
until the total amount of interest  accrued  equals the amount of interest  that
would have accrued if a varying rate per annum equal to the interest  rate under
the Note had at all times been in effect.  If the total amount of interest  paid
or accrued  pursuant to this  Agreement  under the foregoing  provisions is less
than the total amount of interest  that would have accrued if a varying rate per
annum  equal to the  interest  rate  under  the Note  had been in  effect,  then
Borrower  agrees to pay to Lender an amount equal to the difference  between (i)
the lesser of (x) the amount of interest  that would have accrued if the Highest
Lawful Rate had at all times been in effect,  or (y) the amount of interest that
would have accrued if a varying rate per annum equal to the interest  rate under
the Note had at all  times  been in  effect,  and (ii) the  amount  of  interest
accrued in accordance with the other provisions of this Agreement.

     Section 2.8. Term.

     (a) Subject to Lender's  right to cease  making  Revolving  Credit Loans to
Borrower upon or after any Event of Default,  this Agreement  shall be in effect
for a period of three (3) years from the  Closing  Date,  unless  terminated  as
provided in this Section 2.8 (the "Term"),  and this Agreement  shall be renewed
for  one-year  periods  thereafter  upon the  mutual  written  agreement  of the
parties.

     (b) Notwithstanding  anything herein to the contrary,  Lender may terminate
this  Agreement  without  notice  upon or after  the  occurrence  of an Event of
Default.

     (c) Upon at least thirty (30) days prior written notice to Lender, Borrower
may  terminate  this  Agreement  prior to the third  annual  anniversary  of the
Closing Date, provided

                                       11

<PAGE>



that, at the effective  date of such  termination,  Borrower shall pay to Lender
(in  addition to the then  outstanding  principal,  accrued  interest  and other
Obligations  owing  under  the  terms  of  this  Agreement  and any  other  Loan
Documents) as  liquidated  damages for the loss of bargain and not as a penalty,
an amount  equal to: (i) three  percent  (3%) of the Maximum  Loan Amount if the
effective  date of such  termination  by  Borrower  is on or prior to the  first
annual  anniversary  of the Closing  Date,  (ii) two percent (2%) of the Maximum
Loan Amount if the effective  date of such  termination by Borrower is after the
first  annual  anniversary  of the Closing  Date and prior to the second  annual
anniversary  of the Closing Date, and (iii) one percent (1%) of the Maximum Loan
Amount if the effective date of such termination by Borrower is after the second
annual anniversary of the Closing Date and prior to the third annual anniversary
of the Closing Date.

     (d) All of the  Obligations  shall be immediately  due and payable upon the
termination  date stated in any notice of  termination  of this  Agreement.  All
undertakings, agreements, covenants, warranties, and representations of Borrower
contained in the Loan Documents  shall survive any such  termination  and Lender
shall  retain its liens in the  Collateral  and all of its  rights and  remedies
under the Loan Documents  notwithstanding  such  termination  until Borrower has
paid the Obligations to Lender, in full, in immediately available funds.

     (e)  Notwithstanding  any provision of this Agreement which makes reference
to the  continuance of an Event of Default,  nothing in this Agreement  shall be
construed to permit Borrower to cure an Event of Default  following the lapse of
the  applicable  cure  period,  and  Borrower  shall  have no such  right in any
instance unless specifically granted in writing by Lender.

     Section 2.9. Joint and Several Liability; Binding Obligations.  Each entity
comprising  Borrower and executing this Agreement on behalf of Borrower shall be
jointly and  severally  liable for all of the  Obligations.  In  addition,  each
entity  comprising  Borrower  hereby  acknowledges  and  agrees  that all of the
representations,  warranties, covenants, obligations, conditions, agreements and
other terms  contained in this  Agreement  shall be  applicable  to and shall be
binding upon each individual  entity comprising  Borrower,  and shall be binding
upon all such entities when taken together.


                                   ARTICLE III

                                   COLLATERAL

     Section 3.1.  Generally.  As security for the payment of all liabilities of
Borrower to Lender,  including without  limitation:  (i) indebtedness  evidenced
under  the  Note,  repayment  of  Revolving  Credit  Loans,  advances  and other
extensions  of credit,  all fees and charges  owing by  Borrower,  and all other
liabilities  and  obligations of every kind or nature  whatsoever of Borrower to
Lender, whether now existing or hereafter incurred, joint or several, matured or
unmatured,  direct or indirect, primary or secondary,  related or unrelated, due
or to become due,

                                       12

<PAGE>



including  but not  limited  to any  extensions,  modifications,  substitutions,
increases  and  renewals  thereof,  (ii) the payment of all amounts  advanced by
Lender to preserve, protect, defend, and enforce its rights hereunder and in the
following property in accordance with the terms of this Agreement, and (iii) the
payment  of  all   expenses   incurred   by  Lender  in   connection   therewith
(collectively, the "Obligations").  Borrower hereby assigns and grants to Lender
a continuing  first priority lien on and security  interest in, upon, and to the
following property (the "Collateral"):

     (a) All of Borrower's now-owned and hereafter acquired or arising Accounts,
accounts receivable and rights to payment of every kind and description, and any
contract rights, chattel paper, documents and instruments with respect thereto;

     (b) All of Borrower's now owned and hereafter  acquired or arising  general
intangibles of every kind and description  pertaining to its Accounts,  accounts
receivable  and other  rights to  payment,  including,  but not  limited to, all
existing and future customer lists, choses in action,  claims,  books,  records,
contracts,  licenses,  formulae,  tax and other types of refunds,  returned  and
unearned insurance  premiums,  rights and claims under insurance  policies,  and
computer information, software, records, and data;

     (c) All of Borrower's now or hereafter acquired deposit accounts into which
Accounts are deposited, including the Lockbox Account;

     (d) All of  Borrower's  monies and other  property of every kind and nature
now or at any time or times  hereafter in the possession of or under the control
of Lender or a bailee or Affiliate of Lender;

     (e) All of Borrower's  now owned or hereafter  acquired  inventory of every
description  which is held by  Borrower  for sale or  lease or is  furnished  by
Borrower  under any contract of service or is held by Borrower as raw materials,
work in process or materials used or consumed in a business,  wherever  located,
and as the same may now and hereafter from time to time be constituted, together
with all cash and non-cash proceeds and products thereof;

     (f) All of Borrower's now owned or hereafter acquired machinery,  equipment
(other than leased equipment),  computer equipment,  tools, tooling,  furniture,
fixtures,  goods,  supplies,  materials,  work in process,  whether now owned or
hereafter acquired, together with all additions,  parts, fittings,  accessories,
special tools,  attachments,  and accessions now and hereafter  affixed  thereto
and/or used in connection therewith,  all replacements thereof and substitutions
therefor, and all cash and non-cash proceeds and products thereof; and

     (g) The proceeds (including, without limitation, insurance proceeds) of all
of the foregoing.



                                       13

<PAGE>



     Section 3.2.  Lien  Documents.  At Closing and  thereafter  as Lender deems
necessary in its sole discretion,  Borrower shall execute and deliver to Lender,
or have executed and delivered (all in form and substance satisfactory to Lender
in its sole discretion):

     (a) UCC-1 Financing  statements  pursuant to the Uniform Commercial Code in
effect in the jurisdiction(s) in which Borrower operates,  which Lender may file
in any  jurisdiction  where any Collateral is or may be located and in any other
jurisdiction   that  Lender   deems   appropriate;   provided   that  a  carbon,
photographic,  or other  reproduction  or other copy of this  Agreement  or of a
financing  statement  is  sufficient  as and may be filed in lieu of a financing
statement; and

     (b) Any other  agreements,  documents,  instruments,  and  writings  deemed
necessary by Lender or as Lender may otherwise  request from time to time in its
sole  discretion  to evidence,  perfect,  or protect  Lender's lien and security
interest in the Collateral required hereunder.

     Section 3.3. Collateral Administration.

     (a) All Collateral  (except deposit  accounts) will at all times be kept by
Borrower at its  principal  office(s)  as set forth on Schedule  4.15 hereto and
shall not, without the prior written approval of Lender, be moved therefrom.

     (b) Borrower  shall keep accurate and complete  records of its Accounts and
all payments and collections thereon and shall submit to Lender on such periodic
basis as Lender shall request a sales and  collections  report for the preceding
period, in form satisfactory to Lender. In addition, if Accounts in an aggregate
face amount in excess of $250,000.00  become ineligible because they fall within
one of the specified  categories of ineligibility set forth in the definition of
Qualified Accounts or otherwise, Borrower shall notify Lender of such occurrence
on the first Business Day following such occurrence and the Borrowing Base shall
thereupon  be adjusted  to reflect  such  occurrence.  If  requested  by Lender,
Borrower shall execute and deliver to Lender formal  written  assignments of all
of its Accounts weekly or daily, which shall include all Accounts that have been
created since the date of the last  assignment,  together with copies of claims,
invoices or other information related thereto.

     (c)  Whether  or not an Event of  Default  has  occurred,  any of  Lender's
officers,  employees  or  agents  shall  have  the  right,  at any time or times
hereafter,  in the name of Lender, any designee of Lender or Borrower, to verify
the  validity,  amount or any other  matter  relating  to any  Accounts by mail,
telephone, telegraph or otherwise. Borrower shall cooperate fully with Lender in
an effort to facilitate and promptly conclude such verification process.

     (d) To expedite  collection,  Borrower shall endeavor in the first instance
to make  collection of its Accounts for Lender.  Lender retains the right at all
times after the  occurrence of an Event of Default,  subject to  applicable  law
regarding Medicaid/Medicare

                                       14

<PAGE>



Account  Debtors,  to notify Account Debtors that Accounts have been assigned to
Lender  and to  collect  Accounts  directly  in its own name and to  charge  the
collection costs and expenses, including attorneys' fees, to Borrower.

     Section 3.4.  Other  Actions.  In addition to the  foregoing,  Borrower (i)
shall provide prompt written notice to each private  indemnity,  managed care or
other  Insurer who either is currently  an Account  Debtor or becomes an Account
Debtor at any time  following  the date hereof  that  Lender has been  granted a
first  priority  lien  and  security  interest  in,  upon  and to  all  Accounts
applicable to such  Insurer,  and hereby  authorizes  Lender to send any and all
similar notices to such Insurers by Lender,  and (ii) shall do anything  further
that may be lawfully  required  by Lender to secure  Lender and  effectuate  the
intentions  and  objects of this  Agreement,  including  but not  limited to the
execution  and  delivery  of  lockbox   agreements,   continuation   statements,
amendments to financing statements,  and any other documents required hereunder.
At Lender's request, Borrower shall also immediately deliver to Lender all items
for  which  Lender  must  receive  possession  to  obtain a  perfected  security
interest.  Borrower  shall,  on  Lender's  demand,  deliver to Lender all notes,
certificates,  and  documents  of  title,  chattel  paper,  warehouse  receipts,
instruments, and any other similar instruments constituting Collateral.

     Section  3.5.  Searches.  Prior to  Closing,  and  thereafter  (as and when
requested by Lender in its sole  discretion),  Borrower shall obtain and deliver
to Lender the following  searches  against Borrower (the results of which are to
be  consistent  with  Borrower's   representations  and  warranties  under  this
Agreement), all at its own expense:

     (a) Uniform  Commercial Code searches with the Secretary of State and local
filing  offices of each  jurisdiction  where  Borrower  maintains  its executive
offices, a place of business, or assets;

     (b)  Judgment,  federal tax lien and  corporate  and  partnership  tax lien
searches, in each jurisdiction searched under clause (a) above; and

     (c) Good standing  certificates  showing Borrower to be in good standing in
its  state of  formation  and in each  other  state  in  which  it is doing  and
presently intends to do business for which qualification is required.

     Section 3.6.  Power of  Attorney.  Each of the officers of Lender is hereby
irrevocably  made,  constituted  and appointed the true and lawful  attorney for
Borrower  (without  requiring  any of them to act as such)  with  full  power of
substitution to do the following:  (i) endorse the name of Borrower upon any and
all checks, drafts, money orders, and other instruments for the payment of money
that are payable to Borrower and constitute  collections on Borrower's Accounts;
(ii)  execute  in the name of  Borrower  any  financing  statements,  schedules,
assignments,  instruments,  documents, and statements that Borrower is obligated
to give Lender hereunder;  and (iii) do such other and further acts and deeds in
the name of Borrower that Lender

                                       15

<PAGE>



may deem  necessary or desirable to enforce any Account or other  Collateral  or
perfect Lender's security interest or lien in any Collateral.


                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

     Each entity  comprising  Borrower  represents  and warrants to Lender,  and
shall be deemed to  represent  and warrant on each day on which any  Obligations
shall be outstanding hereunder, that:

     Section 4.1.  Subsidiaries.  Except as set forth in Schedule 4.1, Intensiva
HealthCare Corporation has no subsidiaries.

     Section 4.2. Organization and Good Standing. Borrower is a corporation duly
organized, validly existing, and in good standing under the laws of its state of
formation,  is in good standing as a foreign corporation in each jurisdiction in
which the  character  of the  properties  owned or leased by it  therein  or the
nature of its business  makes such  qualification  necessary,  has the corporate
power and  authority  to own its assets and transact the business in which it is
engaged, and has obtained all certificates, licenses and qualifications required
under  all laws,  regulations,  ordinances,  or  orders  of  public  authorities
necessary  for  the  ownership  and  operation  of  all of  its  properties  and
transaction of all of its business.

     Section 4.3. Authority.  Borrower has full corporate power and authority to
enter into,  execute,  and deliver this Agreement and to perform its obligations
hereunder, to borrow the Loan, to execute and deliver the Note, and to incur and
perform the obligations  provided for in the Loan  Documents,  all of which have
been duly authorized by all necessary  corporate  action. No consent or approval
of shareholders of, or lenders to, Borrower and no consent,  approval, filing or
registration  with any Governmental  Authority is required as a condition to the
validity of the Loan Documents or the performance by Borrower of its obligations
thereunder.

     Section 4.4. Binding Agreement. This Agreement and all other Loan Documents
constitute,  and the Note,  when issued and delivered  pursuant hereto for value
received,  will  constitute,  the  valid  and  legally  binding  obligations  of
Borrower,  enforceable  against  Borrower in  accordance  with their  respective
terms.

     Section 4.5. Litigation.  Except as disclosed in Schedule 4.5, there are no
actions,  suits,  proceedings or  investigations  pending or threatened  against
Borrower  before  any  court or  arbitrator  or  before  or by any  Governmental
Authority which, in any one case or in the aggregate, if determined adversely to
the interests of Borrower, could have a material adverse effect on the business,
properties,  condition  (financial  or  otherwise)  or  operations,  present  or
prospective,  of Borrower,  or upon its ability to perform its obligations under
the Loan Documents. Borrower is

                                       16

<PAGE>



not  in  default  with  respect  to  any  order  of any  court,  arbitrator,  or
Governmental Authority applicable to Borrower or its properties.

     Section 4.6. No  Conflicts.  The execution and delivery by Borrower of this
Agreement  and the other  Loan  Documents  do not,  and the  performance  of its
obligations  thereunder will not, violate,  conflict with,  constitute a default
under,  or result in the creation of a lien or encumbrance  upon the property of
Borrower under:  (i) any provision of Borrower's  articles of  incorporation  or
bylaws,  (ii) any  provision  of any law,  rule,  or  regulation  applicable  to
Borrower, or (iii) any of the following: (A) any indenture or other agreement or
instrument to which  Borrower is a party or by which Borrower or its property is
bound; or (B) any judgment,  order or decree of any court, arbitration tribunal,
or Governmental  Authority having jurisdiction over Borrower which is applicable
to Borrower.

     Section  4.7.  Financial  Condition.  The annual  financial  statements  of
Borrower  as of  December  31,  1996 and  December  31,  1997,  which  have been
delivered to Lender,  fairly present the financial condition of Borrower and the
results of its operations and changes in financial condition as of the dates and
for the periods  referred to, and have been  prepared in  accordance  with GAAP.
There are no material unrealized or anticipated liabilities, direct or indirect,
fixed or contingent,  of Borrower as of the dates of such  financial  statements
which  are not  reflected  therein  or in the notes  thereto.  There has been no
adverse change in the business,  properties,  condition (financial or otherwise)
or operations  (present or prospective) of Borrower since December 31, 1997. The
federal tax identification number and fiscal year end for each entity comprising
Borrower is set forth on Schedule 4.7.

     Section 4.8. No Default.  Borrower is not in default  under or with respect
to any  obligation  in any  respect  which  could be  adverse  to its  business,
operations, property or financial condition, or which could adversely affect the
ability of Borrower  to perform its  obligations  under the Loan  Documents.  No
Event of Default or event which,  with the giving of notice or lapse of time, or
both, could become an Event of Default, has occurred and is continuing.

     Section 4.9. Title to Properties. Borrower has good and marketable title to
its  properties  and assets,  including the  Collateral  and the  properties and
assets reflected in the financial  statements  described in Section 4.7, subject
to no lien,  mortgage,  pledge,  encumbrance  or charge of any kind,  other than
Permitted  Liens.  Borrower  has not  agreed  or  consented  to cause any of its
properties or assets  whether  owned now or hereafter  acquired to be subject in
the future  (upon the  happening of a  contingency  or  otherwise)  to any lien,
mortgage, pledge, encumbrance or charge of any kind other than Permitted Liens.

     Section 4.10. Taxes. Borrower has filed, or has obtained extensions for the
filing of, all  federal,  state and other tax returns  which are  required to be
filed, and has paid all taxes shown as due on those returns and all assessments,
fees  and  other  amounts  due as of the date  hereof.  All tax  liabilities  of
Borrower were, as of December 31, 1996 and are now, adequately provided for

                                       17

<PAGE>



on Borrower's  books. No tax liability has been asserted by the Internal Revenue
Service or other taxing authority  against Borrower for taxes in excess of those
already paid.

     Section 4.11. Securities and Banking Laws and Regulations.

     (a) The use of the proceeds of the Loan and Borrower's issuance of the Note
will not  directly  or  indirectly  violate  or  result  in a  violation  of the
Securities  Act of 1933 or the Securities  Exchange Act of 1934, as amended,  or
any  regulations   issued  pursuant  thereto,   including   without   limitation
Regulations  U, T, G, or X of the  Board of  Governors  of the  Federal  Reserve
System.  Borrower is not engaged in the  business  of  extending  credit for the
purpose of the purchasing or carrying "margin stock" within the meaning of those
regulations.  No part of the  proceeds  of the  Loan  hereunder  will be used to
purchase  or carry  any  margin  stock or to extend  credit  to others  for such
purpose.

     (b)  Borrower  is not an  investment  company  within  the  meaning  of the
Investment  Company Act of 1940, as amended,  nor is it, directly or indirectly,
controlled by or acting on behalf of any Person which is an  investment  company
within the meaning of that Act.

     Section 4.12.  ERISA.  No employee  benefit plan (a "Plan")  subject to the
Employee Retirement Income Security Act of 1974 ("ERISA") and regulations issued
pursuant  thereto that is maintained by Borrower or under which  Borrower  could
have any liability under ERISA (a) has failed to meet minimum funding  standards
established  in  Section  302 of  ERISA,  (b) has  failed  to  comply  with  all
applicable requirements of ERISA and of the Internal Revenue Code, including all
applicable  rulings  and  regulations  thereunder,  (c) has  engaged  in or been
involved in a prohibited  transaction (as defined in ERISA) under ERISA or under
the Internal Revenue Code, or (d) has been terminated. Borrower has not assumed,
or  received  notice  of a  claim  asserted  against  Borrower  for,  withdrawal
liability (as defined in the Multi-Employer Pension Plan Amendments Act of 1980,
as amended) with respect to any multi-employer  pension plan and is not a member
of any Controlled Group (as defined in ERISA). Borrower has timely made when due
all contributions  with respect to any  multi-employer  pension plan in which it
participates  and no event has occurred  triggering a claim against Borrower for
withdrawal  liability with respect to any  multi-employer  pension plan in which
Borrower participates.

     Section 4.13.  Compliance  with Law.  Except as described in Schedule 4.13,
Borrower  is  not in  violation  of  any  statute,  rule  or  regulation  of any
Governmental  Authority  (including,  without limitation,  any statute,  rule or
regulation  relating to employment  practices or to environmental,  occupational
and health standards and controls). Borrower has obtained all licenses, permits,
franchises, and other governmental authorizations necessary for the ownership of
its  properties  and the conduct of its  business.  Borrower is current with all
reports and documents  required to be filed with any state or federal securities
commission or similar Governmental  Authority and is in full compliance with all
applicable rules and regulations of such commissions.


                                       18

<PAGE>



     Section 4.14.  Environmental  Matters. To the best of Borrower's knowledge,
no  use,  exposure,  release,  generation,   manufacture,   storage,  treatment,
transportation or disposal of Hazardous Material has occurred or is occurring on
or from any real property on which the  Collateral is located or which is owned,
leased or otherwise  occupied by Borrower (the "Premises"),  or off the Premises
as a result of any action of Borrower, except as described in Schedule 4.14. All
Hazardous Material used, treated,  stored,  transported to or from, generated or
handled on the Premises,  or off the Premises by Borrower,  has been disposed of
on or off the  Premises by or on behalf of Borrower in a lawful  manner.  To the
best of Borrower's knowledge,  there are no underground storage tanks present on
or under the Premises  owned or leased by Borrower  and no other  environmental,
public health or safety hazards exist with respect to the Premises.

     Section 4.15. Places of Business.  The only places of business of Borrower,
and the places  where it keeps and  intends to keep the  Collateral  and records
concerning  the  Collateral,  are at the addresses  set forth in Schedule  4.15.
Schedule 4.15 also lists the owner of record of each such property.

     Section 4.16. Intellectual Property. Borrower exclusively owns, is licensed
to use or otherwise has the right to use, all  intellectual  property used in or
necessary for the conduct of its business as currently conducted.  A list of all
such intellectual  property (indicating the nature of Borrower's  interest),  as
well as all outstanding franchises and licenses given by or held by Borrower, is
attached as Schedule 4.16.

     Section 4.17. Stock  Ownership.  The identity of the stockholders of record
of all  classes of the  outstanding  stock of  Borrower  (other  than  Intensiva
HealthCare Corporation), together with the respective ownership percentages held
by such stockholders, are as set forth on Schedule 4.17.

     Section 4.18.  Material  Facts.  Neither this  Agreement nor any other Loan
Document nor any other agreement, document,  certificate, or statement furnished
to Lender  by or on  behalf of  Borrower  in  connection  with the  transactions
contemplated  hereby contains any untrue  statement of material fact or omits to
state a material fact necessary in order to make the statements contained herein
or therein not  misleading.  There is no fact known to Borrower  that  adversely
affects or in the future may adversely affect the business,  operations, affairs
or financial condition of Borrower, or any of its properties or assets.

     Section 4.19. Investments, Guarantees, and Certain Contracts. Borrower does
not  own or  hold  any  equity  or  long-term  debt  investments  in,  have  any
outstanding advances to, have any outstanding guarantees for the obligations of,
or have any  outstanding  borrowings  from,  any Person,  except as described on
Schedule 4.19. Borrower is not a party to any contract or agreement,  or subject
to any corporate restriction, which adversely affects its business.


                                       19

<PAGE>



     Section 4.20. Business  Interruptions.  Within five years prior to the date
hereof, neither the business,  property or assets, or operations of Borrower has
been adversely affected in any way by any casualty, strike, lockout, combination
of  workers,  or order of the United  States of  America  or other  Governmental
Authority,  directed against Borrower.  There are no pending or threatened labor
disputes,  strikes,  lockouts,  or similar  occurrences  or  grievances  against
Borrower or its business.

     Section 4.21. Names.  Within five years prior to the date hereof,  Borrower
has not  conducted  business  under or used any other name  (whether  corporate,
partnership or assumed)  other than as shown on Schedule  4.21.  Borrower is the
sole owner of all names listed on that  Schedule  and any and all business  done
and invoices issued in such names are Borrower's sales,  business, and invoices.
Each trade name of Borrower  represents a division or trading  style of Borrower
and not a separate Person or independent Affiliate.

     Section 4.22 Joint  Ventures.  Borrower is not engaged in any joint venture
or partnership with any other Person, except as set forth on Schedule 4.22.

     Section 4.23 Accounts.  Lender may rely, in determining  which Accounts are
Qualified Accounts,  on all statements and representations made by Borrower with
respect to any Account or  Accounts.  Unless  otherwise  indicated in writing to
Lender, with respect to each Account:

     (a) It is genuine  and in all  respects  what it purports to be, and is not
evidenced by a judgment;

     (b) It arises out of a  completed,  bona fide sale and delivery of goods or
rendition of services by Borrower in the ordinary  course of its business and in
accordance  with the terms and  conditions  of all purchase  orders,  contracts,
certification,  participation,  certificate of need, or other documents relating
thereto  and forming a part of the  contract  between  Borrower  and the Account
Debtor;

     (c) It is for a liquidated  amount  maturing as stated in a duplicate claim
or invoice covering such sale or rendition of services, a copy of which has been
furnished or is available to Lender;

     (d) Such Account,  and Lender's security interest therein, is not, and will
not (by voluntary act or omission by Borrower), be in the future, subject to any
offset, lien,  deduction,  defense,  dispute,  counterclaim or any other adverse
condition,  and each such  Account is  absolutely  owing to Borrower  and is not
contingent in any respect or for any reason;

     (e) There are no facts,  events or occurrences  which in any way impair the
validity or  enforceability of any Accounts or tend to reduce the amount payable
thereunder from the face amount of the claim or invoice and statements delivered
to Lender with respect thereto;


                                       20

<PAGE>



     (f) To the best of Borrower's knowledge,  (i) the Account Debtor thereunder
had the capacity to contract at the time any contract or other  document  giving
rise to the Account was executed and (ii) such Account Debtor is solvent;

     (g) To the  best of  Borrower's  knowledge,  there  are no  proceedings  or
actions which are threatened or pending  against any Account  Debtor  thereunder
which might  result in any  material  adverse  change in such  Account  Debtor's
financial condition or the collectibility of such Account;

     (h) It has been billed and forwarded (or otherwise  meets the  requirements
as a  Qualified  Account in  accordance  with the  provisions  of Section  1.42a
hereof) to the Account Debtor for payment in accordance with applicable laws and
compliance and conformance with any and requisite  procedures,  requirements and
regulations  governing  payment  by such  Account  Debtor  with  respect to such
Account,  and such  Account if due from a  Medicaid/Medicare  Account  Debtor is
properly payable directly to Borrower; and

     (i)  Borrower  has obtained and  currently  has all  certificates  of need,
Medicaid and Medicare provider numbers,  licenses, permits and authorizations as
necessary in the generation of such Accounts.

     Section  4.24.  Solvency.  Both  before  and  after  giving  effect  to the
transactions  contemplated  by the terms and provisions of this  Agreement,  (i)
Borrower  (taken as a whole) owns property  whose fair saleable value is greater
than  the  amount  required  to pay all of  Borrower's  Indebtedness  (including
contingent  debts),  (ii) Borrower (taken as a whole) was and is able to pay all
of its Indebtedness as such Indebtedness matures, and (iii) Borrower (taken as a
whole) had and has capital  sufficient to carry on its business and transactions
and all  business  and  transactions  in which it about to engage.  For purposes
hereof, the term "Indebtedness"  means,  without duplication (a) all items which
in accordance  with GAAP would be included in determining  total  liabilities as
shown on the  liability  side of a balance sheet of such Borrower as of the date
on which  Indebtedness  is to be  determined,  (b) all  obligations of any other
person or entity which such Borrower has guaranteed, and (c) the Obligations.


                                    ARTICLE V

                        CLOSING AND CONDITIONS OF LENDING

        Section 5.1. Conditions Precedent to Agreement. The obligation of
Lender to enter into and perform this  Agreement  and to make  Revolving  Credit
Loans is subject to the following conditions precedent:

     (a) Lender shall have received two (2) originals of this  Agreement and all
other Loan  Documents  required  to be  executed  and  delivered  at or prior to
Closing (other than

                                       21

<PAGE>



the Note,  as to which Lender  shall  receive  only one  original),  executed by
Borrower and any other required Persons, as applicable.

     (b) Lender shall have received all searches and good standing  certificates
required by Section 3.5.

     (c) Borrower  shall have complied and shall then be in compliance  with all
the terms, covenants and conditions of the Loan Documents.

     (d) There shall have occurred no Event of Default and no event which,  with
the giving of notice or the lapse of time,  or both,  could  constitute  such an
Event of Default.

     (e) The  representations  and  warranties  contained in Article IV shall be
true and correct.

     (f) Lender shall have received copies of all board of directors resolutions
of Borrower,  and other  corporate  action  taken by Borrower to  authorize  the
execution,  delivery and  performance of the Loan Documents and the borrowing of
the Loan  thereunder,  as well as the names and  signatures  of the  officers of
Borrower  authorized to execute documents on its behalf in connection  herewith,
all as also  certified  as of the date  hereof  by  Borrower's  chief  financial
officer, and such other papers as Lender may require.

     (g) Lender  shall have  received  copies,  certified  as true,  correct and
complete  by  a  corporate  officer  of  each  Borrower,   of  the  articles  of
incorporation of each Borrower, with any amendments to any of the foregoing, and
all other  documents  necessary for  performance of the  obligations of Borrower
under this Agreement and the other Loan Documents.

     (h) Lender shall have  received a written  opinion of counsel for Borrower,
dated the date hereof, substantially in the form of Exhibit C.

     (i)  Lender  shall  have  received  such  financial  statements,   reports,
certifications,  and other  operational  information  required  to be  delivered
hereunder,  including  without  limitation an initial borrowing base certificate
calculating the Borrowing Base.

     (j) Lender shall have received the Commitment Fee.

     (k) The Lockbox and the Concentration Account shall have been established.

     (l) Lender shall have received a certificate of Borrower's  chief financial
officer, dated the Closing Date, certifying that all of the conditions specified
in this Section have been fulfilled.


                                       22

<PAGE>



     Section 5.2.  Conditions  Precedent to Advances.  Notwithstanding any other
provision of this Agreement, no Loan proceeds,  Revolving Credit Loans, advances
or other extensions of credit under the Loan shall be disbursed hereunder unless
the following conditions have been satisfied or waived immediately prior to such
disbursement:

     (a) The representations and warranties on the part of Borrower contained in
Article IV of this Agreement shall be true and correct in all respects at and as
of the date of  disbursement  or advance,  as though made on and as of such date
(except to the extent that such  representations and warranties expressly relate
solely to an  earlier  date and except  that the  references  in Section  4.7 to
financial  statements  shall be deemed to be a reference to the then most recent
annual and interim financial statements of Borrower furnished to Lender pursuant
to Section 6.1 hereof).

     (b) No Event of  Default or event  which,  with the giving of notice or the
lapse of time, or both, could become an Event of Default shall have occurred and
be continuing or would result from the making of the disbursement or advance.

     (c)  No  adverse   change  in  the  condition   (financial  or  otherwise),
properties,  business,  or  operations  of Borrower  shall have  occurred and be
continuing with respect to Borrower since the date hereof.

     Section 5.3. Closing. Subject to the conditions of this Article V, the Loan
shall be made  available  on the date as is mutually  agreed by the parties (the
"Closing  Date") at such time as may be mutually  agreeable  to the parties upon
the  execution  hereof  (the  "Closing")  at such place as may be  requested  by
Lender.

     Section 5.4. Waiver of Rights. By completing the Closing  hereunder,  or by
making  advances  under  the  Loan,  Lender  does  not  waive  a  breach  of any
representation  or  warranty  of  Borrower  hereunder  or under any  other  Loan
Document,  and all of Lender's  claims and rights  resulting  from any breach or
misrepresentation by Borrower are specifically reserved by Lender.


                                   ARTICLE VI

                              AFFIRMATIVE COVENANTS

     Each entity constituting  Borrower covenants and agrees that for so long as
Borrower  may  borrow  hereunder  and  until  payment  in full of the  Note  and
performance of all other obligations of Borrower under the Loan Documents:

     Section 6.1.  Financial  Statements and Collateral  Reports.  Borrower will
furnish to Lender (i) a sales and  collections  report and  accounts  receivable
aging schedule on a form acceptable to Lender within fifteen (15) days after the
end of each calendar month, which shall

                                       23

<PAGE>



include,  but not be  limited  to,  a  report  of  sales,  credits  issued,  and
collections  received;  (ii) payable aging  schedules  within  fifteen (15) days
after  the end of each  calendar  month;  (iii)  internally  prepared  quarterly
financial  statements for Borrower,  certified by the chief financial officer of
Borrower,  within  forty-five  (45)  days of the end of each  calendar  quarter,
accompanied by management analysis and actual vs. budget variance reports;  (iv)
to the  extent  prepared  by  Borrower,  annual  projections,  profit  and  loss
statements,  balance sheets, and cash flow reports (prepared on a monthly basis)
for the succeeding fiscal year within thirty (30) days before the end of each of
Borrower's fiscal years; (v) internally prepared annual financial statements for
Borrower  within  sixty  (60) days  after the end of each of  Borrower's  fiscal
years;  (vi) annual audited  financial  statements for Borrower prepared by KPMG
Peat  Marwick,  or a firm of  independent  public  accountants  satisfactory  to
Lender,  within  one  hundred  thirty-five  (135)  days after the end of each of
Borrower's  fiscal years;  (vii)  promptly upon receipt  thereof,  copies of any
reports submitted to Borrower by the independent  accountants in connection with
any interim audit of the books of Borrower and copies of each management control
letter  provided  to  Borrower  by  independent  accountants;  (viii) as soon as
available,  copies of all financial  statements and notices provided by Borrower
to all of its  stockholders;  and (ix) such additional  information,  reports or
statements as Lender may from time to time request.  Annual financial statements
shall set forth in comparative form figures for the corresponding periods in the
prior fiscal year.  All financial  statements  shall include a balance sheet and
statement of earnings and shall be prepared in accordance with GAAP.

     Section  6.2.  Payments  Hereunder.  Borrower  will  make all  payments  of
principal,  interest, fees, and all other payments required hereunder, under the
Loan, and under any other  agreements  with Lender to which Borrower is a party,
as and when due.

     Section 6.3. Existence,  Good Standing,  and Compliance with Laws. Borrower
will do or cause to be done all things  necessary (a) to obtain and keep in full
force and effect all corporate  existence,  rights,  licenses,  privileges,  and
franchises of Borrower necessary to the ownership of its property or the conduct
of its  business,  and comply  with all  applicable  present  and  future  laws,
ordinances, rules, regulations, orders and decrees of any Governmental Authority
having or claiming  jurisdiction over Borrower;  and (b) to maintain and protect
the properties used or useful in the conduct of the operations of Borrower, in a
prudent  manner,  including  without  limitation the maintenance at all times of
such insurance upon its insurable  property and operations as required by law or
by Section 6.7 hereof.

     Section  6.4.  Legality.  The making of the Loan and each  disbursement  or
advance under the Loan shall not be subject to any penalty or special tax, shall
not  be  prohibited  by any  governmental  order  or  regulation  applicable  to
Borrower,  and shall not  violate  any rule or  regulation  of any  Governmental
Authority,   and  necessary  consents,   approvals  and  authorizations  of  any
Governmental Authority to or of any such disbursement or advance shall have been
obtained.


                                       24

<PAGE>



     Section 6.5. Lender's Satisfaction. All instruments and legal documents and
proceedings in connection with the  transactions  contemplated by this Agreement
shall be  satisfactory  in form and  substance  to Lender and its  counsel,  and
Lender  shall have  received  all  documents,  including  records  of  corporate
proceedings  and  opinions  of  counsel,  which  Lender  may have  requested  in
connection therewith.

     Section 6.6.  Taxes and Charges.  Borrower will timely file all tax reports
and pay and discharge all taxes,  assessments and governmental charges or levies
imposed upon  Borrower,  or its income or profits or upon its  properties or any
part thereof, before the same shall be in default and prior to the date on which
penalties  attach  thereto,  as well as all lawful  claims for labor,  material,
supplies or otherwise  which, if unpaid,  might become a lien or charge upon the
properties  or any part thereof of Borrower;  provided,  however,  that Borrower
shall not be required to pay and  discharge  or cause to be paid and  discharged
any such  tax,  assessment,  charge,  levy or claim so long as the  validity  or
amount thereof shall be contested in good faith and by  appropriate  proceedings
by Borrower,  and Borrower shall have set aside on their books adequate  reserve
therefor;  and provided  further,  that such deferment of payment is permissible
only so long as Borrower's title to, and its right to use, the Collateral is not
adversely  affected thereby and Lender's lien and priority on the Collateral are
not adversely affected, altered or impaired thereby.

     Section 6.7.  Insurance.  Borrower will carry adequate public liability and
professional  liability  insurance with  responsible  companies  satisfactory to
Lender in such amounts and against such risks as is  customarily  maintained  by
similar businesses and by owners of similar property in the same general area.

     Section  6.8.  General  Information.  Borrower  will furnish to Lender such
information  as Lender  may,  from time to time,  request  with  respect  to the
business or financial affairs of Borrower,  and permit any officer,  employee or
agent of Lender to visit and  inspect  any of the  properties,  to  examine  the
minute books, books of account and other records,  including  management letters
prepared  by  Borrower's  auditors,  of  Borrower,  and make  copies  thereof or
extracts therefrom, and to discuss its and their business affairs,  finances and
accounts with, and be advised as to the same by, the accountants and officers of
Borrower, all at such times and as often as Lender may require.

     Section 6.9.  Maintenance  of Property.  Borrower will  maintain,  keep and
preserve all of its  properties in good repair,  working order and condition and
from time to time make all needful and proper repairs,  renewals,  replacements,
betterments  and  improvements  thereto,  so that  the  business  carried  on in
connection therewith may be properly and advantageously conducted at all times.

     Section 6.10.  Notification of Events of Default and Adverse  Developments.
Borrower  promptly will notify Lender upon the  occurrence  of: (i) any Event of
Default;  (ii) any event which,  with the giving of notice or lapse of time,  or
both, could constitute an Event of

                                                        25

<PAGE>



Default;  (iii) any event,  development  or  circumstance  whereby the financial
statements  previously  furnished  to Lender  fail in any  material  respect  to
present fairly, in accordance with GAAP, the financial condition and operational
results of Borrower; (iv) any judicial, administrative or arbitration proceeding
pending against Borrower, and any judicial or administrative proceeding known by
Borrower  to be  threatened  against  it  which,  if  adversely  decided,  could
adversely affect its condition  (financial or otherwise) or operations  (present
or  prospective)  or  which  may  expose  Borrower  to  uninsured  liability  of
$25,000.00 or more;  (v) any default  claimed by any other creditor for Borrowed
Money of  Borrower  other than  Lender;  and (vi) any other  development  in the
business or affairs of Borrower  which may be adverse;  in each case  describing
the nature thereof and (in the case of notification  under clauses (i) and (ii))
the action Borrower proposes to take with respect thereto.

     Section 6.11.  Employee  Benefit  Plans.  Borrower will (i) comply with the
funding  requirements  of ERISA with respect to the Plans for its employees,  or
will  promptly  satisfy any  accumulated  funding  deficiency  that arises under
Section 302 of ERISA; (ii) furnish Lender,  promptly after filing the same, with
copies  of all  reports  or  other  statements  filed  with  the  United  States
Department of Labor, the Pension Benefit Guaranty  Corporation,  or the Internal
Revenue Service with respect to all Plans, or which Borrower, or any member of a
Controlled Group, may receive from such  Governmental  Authority with respect to
any such  Plans,  and (iii)  promptly  advise  Lender of the  occurrence  of any
Reportable Event or Prohibited Transaction with respect to any such Plan and the
action which Borrower proposes to take with respect thereto.  Borrower will make
all contributions  when due with respect to any  multi-employer  pension plan in
which it participates  and will promptly advise Lender:  (i) upon its receipt of
notice of the assertion  against  Borrower of a claim for withdrawal  liability;
(ii) upon the  occurrence  of any event which could  trigger the  assertion of a
claim for withdrawal  liability against Borrower;  and (iii) upon the occurrence
of any event  which would place  Borrower in a  Controlled  Group as a result of
which any  member  (including  Borrower)  thereof  may be subject to a claim for
withdrawal liability, whether liquidated or contingent.

     Section  6.12.  Financing  Statements.  Borrower  shall  provide  to Lender
evidence  satisfactory  to  Lender  as  to  the  due  recording  of  termination
statements,  releases  of  collateral,  and Forms  UCC-3,  and shall cause to be
recorded  financing  statements  on Form UCC-1,  duly  executed by Borrower  and
Lender, in all places necessary to release all existing  security  interests and
other liens in the  Collateral  (other than as permitted  hereby) and to perfect
and  protect  Lender's  first  priority  lien  and  security   interest  in  the
Collateral, as Lender may request.

     Section 6.13.  Financial Records.  Borrower shall keep current and accurate
books of records and accounts in which full and correct  entries will be made of
all of its business  transactions,  and will reflect in its financial statements
adequate accruals and appropriations to reserves, all in accordance with GAAP.

     Section 6.14.  Collection of Accounts.  Borrower  shall continue to collect
its Accounts in the ordinary course of business.

                                       26

<PAGE>



     Section  6.15.  Places of Business.  Borrower  shall give thirty (30) days'
prior  written  notice  to Lender of any  change in the  location  of any of its
places of business,  of the places where its records concerning its Accounts are
kept, of the places where the Collateral is kept, or of the establishment of any
new, or the discontinuance of any existing, places of business.

     Section 6.16. Business  Conducted.  Borrower shall continue in the business
presently  conducted by it using its best efforts to maintain its  customers and
goodwill.  Borrower  shall not engage,  directly or  indirectly,  in any line of
business  substantially  different from the business conducted by it immediately
prior to the Closing Date, or engage in business or lines of business  which are
not reasonably related thereto.

     Section 6.17. Litigation and Other Proceedings.  Borrower shall give prompt
notice to Lender of any litigation,  arbitration, or other proceeding before any
Governmental  Authority  against or affecting  Borrower if the amount claimed is
more than $25,000.00.

     Section 6.18.  Bank  Accounts.  Borrower shall assign all of its depository
and disbursement accounts to Lender.

     Section 6.19. Submission of Collateral Documents.  Borrower will, on demand
of Lender,  make  available to Lender  copies of shipping and delivery  receipts
evidencing the shipment of goods that gave rise to an Account,  medical records,
insurance  verification  forms,  assignment of benefits,  in-take forms or other
proof of the satisfactory  performance of services that gave rise to an Account,
a copy of the claim or  invoice  for each  Account  and  copies  of any  written
contract or order from which the Account arose.  Borrower shall promptly  notify
Lender if an Account  becomes  evidenced or secured by an  instrument or chattel
paper and upon request of Lender,  will promptly  deliver any such instrument or
chattel paper to Lender.

     Section 6.20.  Licensure;  Medicaid/Medicare  Cost  Reports.  Borrower will
maintain all certificates of need,  provider  numbers and licenses  necessary to
conduct its  business as  presently  conducted,  and take any steps  required to
comply  with any such new or  additional  requirements  that may be  imposed  on
providers of medical products and services.  If required,  all Medicaid/Medicare
cost reports will be properly filed.

     Section 6.21. Officer's Certificates. Together with the quarterly financial
statements  delivered pursuant to clause (iii) of Section 6.1, and together with
the audited annual  financial  statements  delivered  pursuant to clause (vi) of
that  Section,  Borrower  shall  deliver  to Lender a  certificate  of its chief
financial officer, in form and substance satisfactory to Lender:

     (a)  Setting  forth  the  information   (including  detailed  calculations)
required to establish whether Borrower is in compliance with the requirements of
Articles  VI and  VII as of the  end of  the  period  covered  by the  financial
statements then being furnished; and


                                       27

<PAGE>



     (b)  Stating  that the  signer  has  reviewed  the  relevant  terms of this
Agreement, and has made (or caused to be made under his supervision) a review of
the transactions and conditions of Borrower from the beginning of the accounting
period  covered  by the income  statements  being  delivered  to the date of the
certificate,  and that such review has not disclosed  the existence  during such
period of any condition or event which  constitutes an Event of Default or which
is then,  or with the passage of time or giving of notice or both,  could become
an Event of Default,  and if any such  condition  or event  existed  during such
period or now exists,  specifying the nature and period of existence thereof and
what action Borrower has taken or proposes to take with respect thereto.

     Section  6.22.   Visits  and   Inspections.   Borrower   agrees  to  permit
representatives  of  Lender,  from time to time,  as often as may be  reasonably
requested,  but only  during  normal  business  hours,  to visit and inspect the
properties of Borrower,  and to inspect,  audit and make extracts from its books
and records,  and discuss with its officers,  its employees and its  independent
accountants,  Borrower's  business,  assets,  liabilities,  financial condition,
business prospects and results of operations.


                                   ARTICLE VII

                               NEGATIVE COVENANTS

     Each  entity  constituting  Borrower  covenants  and agrees that so long as
Borrower  may  borrow  hereunder  and  until  payment  in full of the  Note  and
performance of all other obligations of Borrower under the Loan Documents:

     Section 7.1. Borrowing.  Borrower will not create,  incur, assume or suffer
to exist any liability for Borrowed Money except:  (i)  indebtedness  to Lender;
(ii)  indebtedness  of  Borrower  secured by  mortgages,  encumbrances  or liens
expressly  permitted  by Section 7.3  hereof;  (iii)  accounts  payable to trade
creditors and current  operating  expenses (other than for borrowed money) which
are not aged more than one hundred  twenty  (120) days from the billing  date or
more than  thirty  (30) days from the due  date,  in each case  incurred  in the
ordinary  course of business and paid within such time  period,  unless the same
are being contested in good faith and by appropriate and lawful proceedings, and
Borrower shall have set aside such reserves, if any, with respect thereto as are
required  by  GAAP  and  deemed   adequate  by  Borrower  and  its   independent
accountants; (iv) borrowings incurred in the ordinary course of its business and
not exceeding  $150,000.00  in the aggregate  outstanding  at any one time;  (v)
borrowings  or  indebtedness  under  capital  leases or loans for the purpose of
financing  leasehold  improvements  and equipment at hospital  facilities not to
exceed  $2,500,000.00  in the  aggregate  outstanding  at  any  time;  and  (vi)
indebtedness  existing  on the Closing  Date and  identified  on  Schedule  7.1.
Borrower will not make  prepayments on any existing or future  indebtedness  for
Borrowed Money to any Person (other than Lender, to the extent permitted by this
Agreement or any subsequent agreement between Borrower and Lender).

                                       28

<PAGE>



     Section  7.2.  Joint  Ventures.   Borrower  will  not  invest  directly  or
indirectly in any joint venture for any purpose without the prior written notice
to, and the express written consent of, Lender, which consent may be withheld in
Lender's sole discretion.

     Section  7.3.  Liens and  Encumbrances.  Borrower  will not create,  incur,
assume or suffer to exist any mortgage, pledge, lien or other encumbrance of any
kind (including the charge upon property  purchased under a conditional  sale or
other title retention  agreement) upon, or any security  interest in, any of its
Collateral, whether now owned or hereafter acquired, except for Permitted Liens.

     Section 7.4.  Merger,  Acquisition,  or Sale of Assets.  Borrower  will not
enter into any merger or consolidation  with or acquire all or substantially all
of the assets of any Person,  and will not sell,  lease, or otherwise dispose of
any of its assets except in the ordinary course of its business.

     Section 7.5. Sale and Leaseback. Borrower will not, directly or indirectly,
enter into any arrangement  whereby  Borrower sells or transfers all or any part
of its assets and thereupon and within one year  thereafter  rents or leases the
assets so sold or  transferred  without  the prior  written  notice  to, and the
express  written  consent of, Lender,  which consent may be withheld in Lender's
sole discretion.

     Section 7.6. Dividends, Distributions and Management Fees. Upon notice from
Lender to Borrower of the existence of an Event of Default  hereunder,  Borrower
will not declare or pay any  dividends or other  distributions  with respect to,
purchase, redeem or otherwise acquire for value any of its outstanding stock now
or hereafter outstanding,  or return any capital of its stockholders,  nor shall
Borrower pay management fees or fees of a similar nature to any Person.

     Section 7.7. Loans. Borrower will not make loans or advances to any Person,
other than (i) trade credit extended in the ordinary course of its business, and
(ii) advances for business travel and similar temporary advances in the ordinary
course of business to officers, stockholders, directors, and employees.

     Section 7.8. Contingent Liabilities.  Borrower will not assume,  guarantee,
endorse,  contingently  agree to purchase or  otherwise  become  liable upon the
obligation of any Person,  except by the  endorsement of negotiable  instruments
for deposit or  collection  or similar  transactions  in the ordinary  course of
business.

     Section 7.9. Subsidiaries.  Borrower will not form any subsidiary,  or make
any  investment  in or any loan in the  nature of an  investment  to,  any other
Person without prior written notice to Lender.

     Section 7.10.  Compliance with ERISA. Borrower will not permit with respect
to any Plan  covered  by Title IV of ERISA  any  Prohibited  Transaction  or any
Reportable Event.

                                       29

<PAGE>



     Section  7.11.  Certificates  of Need.  Borrower  will not amend,  alter or
suspend or terminate or make provisional in any material way, any certificate of
need or provider number without the prior written consent of Lender.

     Section 7.12.  Transactions  with Affiliates.  Borrower will not enter into
any transaction, including without limitation the purchase, sale, or exchange of
property,  or the  loaning or giving of funds to any  Affiliate  or  subsidiary,
except in the  ordinary  course  of  business  and  pursuant  to the  reasonable
requirements of Borrower's business and upon terms substantially the same and no
less  favorable  to Borrower as it would  obtain in a  comparable  arm's  length
transaction  with any Person not an Affiliate or subsidiary,  and so long as the
transaction  is  not  otherwise  prohibited  hereunder.   For  purposes  of  the
foregoing, Lender consents to the transactions described on Schedule 7.12.

     Section 7.13. Use of Lender's Name. Borrower will not use Lender's name (or
the name of any of Lender's  affiliates) in connection  with any of its business
operations. Borrower may disclose to third parties that Borrower has a borrowing
relationship  with  Lender.  Nothing  herein  contained is intended to permit or
authorize Borrower to make any contract on behalf of Lender.

     Section 7.14. Change in Capital  Structure.  There shall occur no change in
Borrower's capital structure as set forth in Schedule 4.17.

     Section 7.15.  Contracts and  Agreements.  Borrower will not become or be a
party to any contract or agreement which would breach this Agreement,  or breach
any other instrument,  agreement, or document to which Borrower is a party or by
which it is or may be bound.

     Section 7.16. Margin Stock. Borrower will not carry or purchase any "margin
security"  within  the  meaning  of  Regulations  U, G, T or X of the  Board  of
Governors of the Federal Reserve System.

     Section  7.17.  Truth of  Statements  and  Certificates.  Borrower will not
furnish to Lender any  certificate  or other  document  that contains any untrue
statement of a material fact or that omits to state a material fact necessary to
make  it not  misleading  in  light  of the  circumstances  under  which  it was
furnished.



                                  ARTICLE VIII

                                EVENTS OF DEFAULT

     Section 8.1.  Events of Default.  Each of the following  (individually,  an
"Event of Default" and  collectively,  the "Events of Default") shall constitute
an event of default hereunder:

                                       30

<PAGE>



     (a) A  default  in the  payment  of any  installment  of  principal  of, or
interest upon, the Note when due and payable,  whether at maturity or otherwise,
or any breach of Section  2.3 of this  Agreement,  which  default or breach,  as
applicable,  shall have continued unremedied for a period of five (5) days after
written notice thereof from Lender to Borrower;

     (b) A default in the payment of any other charges,  fees, or other monetary
obligations  owing to Lender arising out of or incurred in connection  with this
Agreement  when such  payment  is due and  payable,  which  default  shall  have
continued  unremedied  for a period of five (5) days after  written  notice from
Lender;

     (c) A default in the due observance or performance by Borrower of any other
term,  covenant  or  agreement  contained  in any of the Loan  Documents,  which
default shall have  continued  unremedied for a period of twenty (20) days after
written notice from Lender;

     (d) If any  representation or warranty made by Borrower herein or in any of
the  other  Loan  Documents,  any  financial  statement,  or  any  statement  or
representation  made in any other  certificate,  report or opinion  delivered in
connection  herewith or therewith proves to have been incorrect or misleading in
any material  respect when made,  which default shall have continued  unremedied
for a period of ten (10) days after written notice from Lender;

     (e) If any obligation of Borrower  (other than its  Obligations  hereunder)
for the payment of Borrowed  Money is not paid when due or within any applicable
grace period,  or such  obligation  becomes or is declared to be due and payable
prior to the expressed  maturity thereof,  or there shall have occurred an event
which, with the giving of notice or lapse of time, or both, would cause any such
obligation to become, or allow any such obligation to be declared to be, due and
payable;

     (f) If Borrower makes an assignment for the benefit of creditors,  offers a
composition  or extension to creditors,  or makes or sends notice of an intended
bulk sale of any business or assets now or hereafter conducted by Borrower;

     (g) If Borrower files a petition in bankruptcy, is adjudicated insolvent or
bankrupt,  petitions  or  applies to any  tribunal  for any  receiver  of or any
trustee  for  itself or any  substantial  part of its  property,  commences  any
proceeding   relating   to  itself   under  any   reorganization,   arrangement,
readjustment  or  debt,  dissolution  or  liquidation  law  or  statute  of  any
jurisdiction,  whether now or hereafter in effect, or there is commenced against
Borrower any such  proceeding  which remains  undismissed  for a period of sixty
(60) days, or any Borrower by any act indicates its consent to,  approval of, or
acquiescence  in, any such  proceeding or the  appointment of any receiver of or
any trustee for a Borrower or any substantial  part of its property,  or suffers
any such  receivership or trusteeship to continue  undischarged  for a period of
sixty (60) days;


                                       31

<PAGE>



     (h) If one or more final judgments against Borrower or attachments  against
its  property  not fully  and  unconditionally  covered  by  insurance  shall be
rendered  by a court of record  and shall  remain  unpaid,  unstayed  on appeal,
undischarged, unbonded and undismissed for a period of twenty (20) days;

     (i) A Reportable  Event which might  constitute  grounds for termination of
any Plan covered by Title IV of ERISA or for the  appointment by the appropriate
United States District Court of a trustee to administer any such Plan or for the
entry of a lien or  encumbrance  to secure any  deficiency,  has occurred and is
continuing  thirty  (30)  days  after  its  occurrence,  or  any  such  Plan  is
terminated,  or a trustee is appointed by an appropriate  United States District
Court to administer any such Plan, or the Pension Benefit  Guaranty  Corporation
institutes  proceedings  to  terminate  any such Plan or to appoint a trustee to
administer  any such  Plan,  or a lien or  encumbrance  is entered to secure any
deficiency or claim;

     (j) If any outstanding stock of any entity  comprising  Borrower is sold or
otherwise  transferred  by the Person  owning  such stock on the date hereof and
such transfer results in more than fifty percent (50%) of all outstanding shares
of such Borrower's  stock becoming owned by a Person who is not a shareholder of
Borrower as of the Closing Date;

     (k) If  there  shall  occur  any  uninsured  damage  to or  loss,  theft or
destruction of any portion of the Collateral;

     (l) If Borrower  breaches  or violates  the terms of, or if a default or an
event  which  could,  whether  with  notice  or the  passage  of time,  or both,
constitute  a  default,  occurs  under any other  existing  or future  agreement
(related or unrelated) between Borrower and Lender;

     (m) Upon  the  issuance  of any  execution  or  distraint  process  against
Borrower or any of its property or assets;

     (n) If Borrower ceases any material  portion of its business  operations as
presently conducted;

     (o) If any  indication  or evidence is received by Lender that Borrower may
have  directly or  indirectly  been  engaged in any type of activity  which,  in
Lender's discretion,  might result in the forfeiture of any property of Borrower
to any Governmental Authority, which default shall have continued unremedied for
a period of ten (10) days after written notice from Lender;

     (p) Borrower or any Affiliate of Borrower,  shall challenge or contest,  in
any  action,  suit  or  proceeding,  the  validity  or  enforceability  of  this
Agreement,   or  any  of  the  other  Loan   Documents,   the  legality  or  the
enforceability  of any of the  Obligations  or the perfection or priority of any
Lien granted to Lender;

                                       32

<PAGE>



     (q) Borrower shall be criminally  indicted or convicted  under any law that
could lead to a forfeiture of any Collateral.

     (r) There shall occur a material adverse change in the financial  condition
or business  prospects  of  Borrower,  or if Lender in good faith  deems  itself
insecure as a result of acts or events  bearing upon the financial  condition of
Borrower  or the  repayment  of the Note,  which  default  shall have  continued
unremedied for a period of ten (10) days after written notice from Lender.

     Section 8.2.  Acceleration.  Upon the  occurrence  of any of the  foregoing
Events of Default, the Note shall become and be immediately due and payable upon
declaration to that effect delivered by Lender to Borrower;  provided that, upon
the happening of any event specified in Section 8.1(g) hereof, the Note shall be
immediately due and payable without declaration or other notice to Borrower.

     Section 8.3. Remedies.

     (a) In addition  to all other  rights,  options,  and  remedies  granted to
Lender under this  Agreement,  upon the occurrence of an Event of Default Lender
may (i)  terminate  the Loan,  whereupon all  outstanding  Obligations  shall be
immediately  due and  payable,  (ii)  exercise  all other  rights  granted to it
hereunder  and all rights  under the  Uniform  Commercial  Code in effect in the
applicable  jurisdiction(s)  and  under  any  other  applicable  law,  and (iii)
exercise all rights and remedies  under all Loan  Documents  now or hereafter in
effect,  including the following rights and remedies (which list is given by way
of example and is not intended to be an  exhaustive  list of all such rights and
remedies):

          (i) The right to take  possession  of,  send  notices  regarding,  and
     collect directly the Collateral,  with or without judicial process,  and to
     exercise  all rights and  remedies  available to Lender with respect to the
     Collateral   under   the   Uniform   Commercial   Code  in  effect  in  the
     jurisdiction(s) in which such Collateral is located;

          (ii) The right to (by its own means or with judicial assistance) enter
     any of Borrower's premises and take possession of the Collateral, or render
     it unusable,  or dispose of the  Collateral  on such premises in compliance
     with subsection (b), without any liability for rent, storage, utilities, or
     other sums, and Borrower shall not resist or interfere with such action;

          (iii) The right to require Borrower at Borrower's  expense to assemble
     all or any part of the  Collateral  and make it  available to Lender at any
     place designated by Lender;


                                       33

<PAGE>



          (iv)  The  right to  reduce  the  Maximum  Loan  Amount  or to use the
     Collateral and/or funds in the  Concentration  Account in amounts up to the
     Maximum Loan Amount for any reason; and

          (v) The right to relinquish or abandon any  Collateral or any security
     interest therein.

     (b)  Borrower  agrees  that a notice  received by it at least five (5) days
before the time of any intended public sale, or the time after which any private
sale or other disposition of the Collateral is to be made, shall be deemed to be
reasonable notice of such sale or other disposition.  If permitted by applicable
law, any perishable  Collateral  which threatens to speedily decline in value or
which is sold on a recognized  marked may be sold  immediately by Lender without
prior notice to Borrower.  At any sale or disposition of Collateral,  Lender may
(to the extent  permitted  by  applicable  law)  purchase all or any part of the
Collateral, free from any right of redemption by Borrower, which right is hereby
waived and  released.  Borrower  covenants  and agrees not to interfere  with or
impose any obstacle to Lender's exercise of its rights and remedies with respect
to the Collateral.

     Section  8.4.  Nature of  Remedies.  Lender shall have the right to proceed
against all or any portion of the  Collateral  to satisfy  the  liabilities  and
Obligations of Borrower to Lender in any order.  All rights and remedies granted
Lender  hereunder  and under any  agreement  referred  to herein,  or  otherwise
available at law or in equity,  shall be deemed  concurrent and cumulative,  and
not alternative remedies,  and Lender may proceed with any number of remedies at
the same time until the Loans, and all other existing and future liabilities and
obligations  of Borrower to Lender,  are satisfied in full.  The exercise of any
one right or remedy  shall not be deemed a waiver or release of any other  right
or remedy, and Lender,  upon the occurrence of an Event of Default,  may proceed
against Borrower,  and/or the Collateral, at any time, under any agreement, with
any available remedy and in any order.


                                   ARTICLE IX

                                  MISCELLANEOUS

     Section 9.1. Expenses and Taxes.

     (a) Borrower agrees to pay, whether or not the Closing occurs, a reasonable
documentation preparation fee, together with actual audit and appraisal fees and
all other  out-of-pocket  charges and expenses  incurred by Lender in connection
with the  negotiation,  preparation  and execution of each of the Loan Documents
and preparation for Closing;  provided,  however,  that the aggregate  amount of
such fees and expenses shall not exceed $20,000.00. In addition,  Borrower shall
pay all fees  associated  with any  amendments to the Loan  Documents  following
Closing.  Borrower  also agrees to pay all  out-of-pocket  charges and  expenses
incurred by Lender

                                       34

<PAGE>



(including  the fees and expenses of Lender's  counsel) in  connection  with the
enforcement,  protection or preservation of any right or claim of Lender and the
collection of any amounts due under the Loan Documents.

     (b)  Borrower  shall pay all taxes (other than taxes based upon or measured
by  Lender's  income or  revenues  or any  personal  property  tax),  if any, in
connection  with the  issuance  of the Note and the  recording  of the  security
documents  therefor.  The  obligations  of Borrower  under this clause (b) shall
survive the payment of Borrower's  indebtedness hereunder and the termination of
this Agreement.

     Section 9.2.  Entire  Agreement;  Amendments.  This Agreement and the other
Loan Documents  constitute the full and entire understanding and agreement among
the parties with regard to their subject  matter and supersede all prior written
or oral  agreements,  understandings,  representations  and warranties made with
respect thereto. No amendment,  supplement or modification of this Agreement nor
any waiver of any provision  thereof shall be made except in writing executed by
the party against whom enforcement is sought.

     Section 9.3. No Waiver; Cumulative Rights. No waiver by any party hereto of
any one or more  defaults  by the other party in the  performance  of any of the
provisions  of this  Agreement  shall operate or be construed as a waiver of any
future default or defaults, whether of a like or different nature. No failure or
delay on the  part of any  party  in  exercising  any  right,  power  or  remedy
hereunder  shall  operate as a waiver  thereof,  nor shall any single or partial
exercise  of any such  right,  power or remedy  preclude  any  other or  further
exercise  thereof or the  exercise  of any other  right,  power or  remedy.  The
remedies  provided  for  herein  are  cumulative  and are not  exclusive  of any
remedies  that may be  available  to any  party  hereto  at law,  in  equity  or
otherwise.

     Section  9.4.  Notices.  Any  notice  or other  communication  required  or
permitted  hereunder  shall be in writing and  personally  delivered,  mailed by
registered or certified  mail (return  receipt  requested and postage  prepaid),
sent by telecopier  (with a confirming  copy sent by regular  mail),  or sent by
prepaid  overnight  courier service,  and addressed to the relevant party at its
address set forth below,  or at such other address as such party may, by written
notice, designate as its address for purposes of notice hereunder:

                  (a)      If to Lender, at:

                           HCFP Funding, Inc.
                           2 Wisconsin Circle, 4th floor
                           Chevy Chase, Maryland 20815
                           Attention:  Ethan D. Leder, President
                           Telephone:  (301) 961-1640
                           Telecopier:  (301) 664-9860


                                       35

<PAGE>



                  (b)      If to Borrower, at:

                           Intensiva HealthCare Corporation
                           7733 Forsyth Blvd., 8th Floor
                           St. Louis, Missouri 63105
                           Attention: John P. Keefe, CFO
                           Telephone:  (314) 725-0112
                           Telecopier:  (314) 725-0443

If mailed, notice shall be deemed to be given five (5) days after being sent, if
sent by personal delivery or telecopier, notice shall be deemed to be given when
delivered, and if sent by prepaid courier, notice shall be deemed to be given on
the next Business Day following deposit with the courier.

     Section  9.5.  Severability.  If any term,  covenant or  condition  of this
Agreement,  or the application of such term,  covenant or condition to any party
or  circumstance  shall be found by a court of competent  jurisdiction to be, to
any extent,  invalid or  unenforceable,  the remainder of this Agreement and the
application  of such term,  covenant,  or condition to parties or  circumstances
other than those as to which it is held invalid or  unenforceable,  shall not be
affected  thereby,  and each  term,  covenant  or  condition  shall be valid and
enforced to the fullest  extent  permitted by law. Upon  determination  that any
such term is invalid,  illegal or unenforceable,  the parties hereto shall amend
this Agreement so as to effect the original  intent of the parties as closely as
possible in an acceptable manner.

     Section 9.6.  Successors  and Assigns.  This  Agreement,  the Note, and the
other Loan Documents  shall be binding upon and inure to the benefit of Borrower
and Lender and their  respective  successors  and assigns.  Notwithstanding  the
foregoing,  Borrower  may not assign any of its  rights or  delegate  any of its
obligations  hereunder without the prior written consent of Lender, which may be
withheld  in  its  sole  discretion.  Lender  may  sell,  assign,  transfer,  or
participate any or all of its rights or obligations  hereunder without notice to
or consent of Borrower.

     Section 9.7. Counterparts.  This Agreement may be executed in any number of
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall constitute but one instrument.

     Section 9.8.  Interpretation.  No provision of this  Agreement or any other
Loan Document shall be  interpreted or construed  against any party because that
party or its legal  representative  drafted  that  provision.  The titles of the
paragraphs of this  Agreement are for  convenience of reference only and are not
to be  considered  in  construing  this  Agreement.  Any  pronoun  used  in this
Agreement shall be deemed to include singular and plural and masculine, feminine
and  neuter  gender  as the case  may be.  The  words  "herein,"  "hereof,"  and
"hereunder"  shall be deemed to refer to this  entire  Agreement,  except as the
context otherwise requires.

                                       36

<PAGE>



     Section 9.9. Survival of Terms. All covenants, agreements,  representations
and  warranties  made in this  Agreement,  any other Loan  Document,  and in any
certificates and other  instruments  delivered in connection  therewith shall be
considered  to have been relied  upon by Lender and shall  survive the making by
Lender of the Loans herein contemplated and the execution and delivery to Lender
of the Note, and shall  continue in full force and effect until all  liabilities
and obligations of Borrower to Lender are satisfied in full.

     Section 9.10.  Release of Lender.  Borrower releases Lender,  its officers,
employees,  and agents, of and from any claims for loss or damage resulting from
acts or conduct of any or all of them,  unless caused by Lender's  recklessness,
gross negligence, or willful misconduct.

     Section 9.11.  Time.  Whenever  Borrower is required to make any payment or
perform any act on a Saturday,  Sunday, or a legal holiday under the laws of the
State of Maryland (or other  jurisdiction where Borrower is required to make the
payment or perform the act), the payment may be made or the act performed on the
next Business Day. Time is of the essence in Borrower's  performance  under this
Agreement and all other Loan Documents.

     Section 9.12. Commissions.  The transaction  contemplated by this Agreement
was brought about by Lender and Borrower  acting as  principals  and without any
brokers,  agents,  or finders  being the  effective  procuring  cause.  Borrower
represents that it has not committed Lender to the payment of any brokerage fee,
commission, or charge in connection with this transaction.  If any such claim is
made on Lender by any broker,  finder,  or agent or other person,  Borrower will
indemnify,  defend, and hold Lender harmless from and against the claim and will
defend any action to recover on that  claim,  at  Borrower's  cost and  expense,
including  Lender's  counsel fees.  Borrower  further agrees that until any such
claim or demand is adjudicated in Lender's  favor,  the amount  demanded will be
deemed a liability of Borrower under this Agreement, secured by the Collateral.

     Section 9.13. Third Parties. No rights are intended to be created hereunder
or under any other  Loan  Document  for the  benefit of any third  party  donee,
creditor,  or  incidental  beneficiary  of Borrower.  Nothing  contained in this
Agreement  shall be construed as a delegation  to Lender of  Borrower's  duty of
performance, including without limitation Borrower's duties under any account or
contract in which Lender has a security interest.

     Section 9.14.  Discharge of  Borrower's  Obligations.  Lender,  in its sole
discretion,  shall  have the right at any time,  and from time to time,  without
prior  notice to Borrower if Borrower  fails to do so, to: (i) obtain  insurance
covering  any  of the  Collateral  as  required  hereunder;  (ii)  pay  for  the
performance of any of Borrower's obligations  hereunder;  (iii) discharge taxes,
liens, security interests, or other encumbrances at any time levied or placed on
any of the Collateral in violation of this Agreement  unless Borrower is in good
faith with due diligence by appropriate  proceedings contesting those items; and
(iv) pay for the maintenance and preservation of any of the Collateral. Expenses
and advances shall be added to the Loan, until reimbursed to Lender

                                       37

<PAGE>



and shall be secured by the Collateral. Any such payments and advances by Lender
shall not be construed as a waiver by Lender of an Event of Default.

     Section  9.15.  Information  to  Participants.  Lender  may  divulge to any
participant it may obtain in the Loan, or any portion thereof,  all information,
and  furnish  to such  participant  copies  of  reports,  financial  statements,
certificates,  and documents  obtained  under any provision of this Agreement or
any other Loan Document.

     Section  9.16.  Indemnity.  Borrower  hereby  agrees to indemnify  and hold
harmless Lender,  its partners,  officers,  agents and employees  (collectively,
"Indemnitee")  from and against  any  liability,  loss,  cost,  expense,  claim,
damage,  suit,  action  or  proceeding  ever  suffered  or  incurred  by  Lender
(including  reasonable  attorneys'  fees and expenses)  arising from  Borrower's
failure to observe,  perform or  discharge  any of its  covenants,  obligations,
agreements or duties hereunder, or from the breach of any of the representations
or warranties contained in Article IV hereof. In addition, Borrower shall defend
Indemnitee  against  and save it  harmless  from all claims of any  Person  with
respect  to the  Collateral.  Notwithstanding  any  contrary  provision  in this
Agreement,  the obligation of Borrower under this Section 9.16 shall survive the
payment in full of the Obligations and the termination of this Agreement.

     Section 9.17.  Choice of Law; Consent to  Jurisdiction.  THIS AGREEMENT AND
THE NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE
STATE OF MARYLAND,  WITHOUT  REGARD TO ANY  OTHERWISE  APPLICABLE  PRINCIPLES OF
CONFLICTS OF LAWS.  IF ANY ACTION  ARISING OUT OF THIS  AGREEMENT OR THE NOTE IS
COMMENCED  BY LENDER IN THE STATE COURTS OF THE STATE OF MARYLAND OR IN THE U.S.
DISTRICT  COURT FOR THE DISTRICT OF MARYLAND,  BORROWER  HEREBY  CONSENTS TO THE
JURISDICTION  OF ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN
THE STATE OF  MARYLAND.  ANY PROCESS IN ANY SUCH ACTION  SHALL BE DULY SERVED IF
MAILED BY REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER AT ITS ADDRESS DESCRIBED
IN SECTION 9.4 HEREOF.

     Section 9.18.  Waiver of Trial by Jury.  BORROWER  HEREBY (A) COVENANTS AND
AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY, AND
(B) WAIVES  ANY RIGHT TO TRIAL BY JURY  FULLY TO THE EXTENT  THAT ANY SUCH RIGHT
SHALL  NOW OR  HEREAFTER  EXIST.  THIS  WAIVER  OF  RIGHT  TO  TRIAL  BY JURY IS
SEPARATELY  GIVEN,  KNOWINGLY AND VOLUNTARILY,  BY BORROWER,  AND THIS WAIVER IS
INTENDED TO ENCOMPASS  INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS TO WHICH THE
RIGHT TO A JURY TRIAL WOULD OTHERWISE  ACCRUE.  LENDER IS HEREBY  AUTHORIZED AND
REQUESTED TO SUBMIT THIS  AGREEMENT TO ANY COURT  HAVING  JURISDICTION  OVER THE
SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE

                                       38

<PAGE>



EVIDENCE  OF  BORROWER'S  WAIVER OF THE RIGHT TO JURY TRIAL.  FURTHER,  BORROWER
HEREBY CERTIFIES THAT NO REPRESENTATIVE  OR AGENT OF LENDER (INCLUDING  LENDER'S
COUNSEL) HAS REPRESENTED,  EXPRESSLY OR OTHERWISE,  TO BORROWER THAT LENDER WILL
NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO JURY TRIAL PROVISION.

     Section 9.19. Intentionally Deleted.







                                       39

<PAGE>



     IN WITNESS  WHEREOF,  the parties have caused this Agreement to be executed
as of the date first written above.

                                             LENDER:

ATTEST:                                      HCFP FUNDING, INC.
                                             a Delaware corporation


By:  /s/ Dwayne O. Leslie                    By:  /s/ Howard Widra      [SEAL]
      Name:                                        Name: Howard Widra
      Title:                                       Title:Vice President


                                             BORROWER:

ATTEST:                                      INTENSIVA HEALTHCARE CORPORATION
                                              a Delaware corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF AKRON, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF COLUMBUS,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer



                                                40

<PAGE>



ATTEST:                                      INTENSIVA HOSPITAL OF CORPUS
                                               CHRISTI, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF EASTERN
                                               OKLAHOMA, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF FLINT, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF EVANSVILLE,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF FORT WAYNE,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

                                       41

<PAGE>



ATTEST:                                      INTENSIVA HOSPITAL OF GREATER ST.
                                               LOUIS, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF INDIANAPOLIS,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF KANSAS CITY,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF KNOXVILLE,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer








                                       42

<PAGE>



ATTEST:                                      INTENSIVA HOSPITAL OF MACOMB
                                               COUNTY, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF WESTERN
                                               MICHIGAN, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF NORTHWEST
                                               INDIANA, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF OKLAHOMA
                                               CITY, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


                                       43

<PAGE>




ATTEST:                                      INTENSIVA HOSPITAL OF PITTSBURGH,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF SOUIX FALLS,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF TACOMA, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF TOPEKA, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


                                       44

<PAGE>




ATTEST:                                      INTENSIVA HOSPITAL OF CINCINNATI,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF ANN ARBOR,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF BATTLE CREEK,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF
                                               PHILADELPHIA/AEMC, INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer



                                       45

<PAGE>




ATTEST:                                      INTENSIVA HOSPITAL OF PONTIAC,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


ATTEST:                                      INTENSIVA HOSPITAL OF RENO,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer

ATTEST:                                      INTENSIVA HOSPITAL OF WICHITA,
                                               INC.
                                             a Missouri corporation


By:  /s/ Mike Oligschlaeger                  By: /s/ John P. Keefe      [SEAL]
                                             Name: John P. Keefe
                                             Title:Treasurer


                                       46

<PAGE>




                                LIST OF EXHIBITS


Exhibit A - Form of Revolving Credit Note

Exhibit B - Form of Lockbox Agreement

Exhibit C - Form of Legal Opinion






























                                       47

<PAGE>



                                LIST OF SCHEDULES


Schedule 1.36     -        Permitted Liens

Schedule 4.1      -        Subsidiaries

Schedule 4.5      -        Litigation

Schedule 4.7   -           Tax Identification Numbers/Fiscal Year End

Schedule 4.13     -        Non-Compliance with Law

Schedule 4.14     -        Environmental Matters

Schedule 4.15     -        Places of Business

Schedule 4.16     -        Licenses

Schedule 4.17     -        Stock Ownership

Schedule 4.19     -        Borrowings and Guarantees

Schedule 4.21     -        Trade Names

Schedule 4.22     -        Joint Ventures

Schedule 7.12     -        Transactions with Affiliates











                                       48


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
This  schedule  contains  summary  financial   information  extracted  from  the
Registrant's interim unaudited  consolidated  financial statements as of and for
the six  months  ended  June 30,  1998,  and is  qualified  in its  entirety  by
reference to such financial statements.
</LEGEND>
<MULTIPLIER>                    1
       
<S>                             <C>
<PERIOD-TYPE>                   6-mos
<FISCAL-YEAR-END>               Dec-31-1998
<PERIOD-START>                  Jan-01-1998
<PERIOD-END>                    Jun-30-1998
<CASH>                          334,593   
<SECURITIES>                    0        
<RECEIVABLES>                   43,837,938
<ALLOWANCES>                    2,721,000 
<INVENTORY>                     1,149,389 
<CURRENT-ASSETS>                45,967,214
<PP&E>                          10,725,827
<DEPRECIATION>                  2,281,337 
<TOTAL-ASSETS>                  56,002,697
<CURRENT-LIABILITIES>           24,622,667
<BONDS>                         0         
           0         
                     0
<COMMON>                        9,980          
<OTHER-SE>                      25,512,321     
<TOTAL-LIABILITY-AND-EQUITY>    56,002,697     
<SALES>                         0              
<TOTAL-REVENUES>                52,083,662     
<CGS>                           0              
<TOTAL-COSTS>                   44,060,176     
<OTHER-EXPENSES>                2,648,535      
<LOSS-PROVISION>                1,168,908      
<INTEREST-EXPENSE>              522,735        
<INCOME-PRETAX>                 2,455,804      
<INCOME-TAX>                    736,742        
<INCOME-CONTINUING>             1,719,062      
<DISCONTINUED>                  0              
<EXTRAORDINARY>                 0              
<CHANGES>                       0              
<NET-INCOME>                    1,719,062      
<EPS-PRIMARY>                   0.17           
<EPS-DILUTED>                   0.16           
                                

</TABLE>


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission