NEW YORK HEALTH CARE INC
SB-2, 1996-07-16
Previous: HIBBETT SPORTING GOODS INC, S-1/A, 1996-07-16
Next: ALLIANCE REAL ESTATE INVESTMENT FUND INC, N-8A, 1996-07-16



     As filed with the Securities and Exchange Commission on July 16, 1996.


                                               Registration No. 333-

                       SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                    Form SB-2

             REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

                           NEW YORK HEALTH CARE, INC.
                 (Name of small business issuer in its charter)

         New York                           7373                  11-2636089
(State or jurisdiction of      (Primary Standard Industrial   (I.R.S. Employer
incorporation or organization)  Classification Code Number)  Identification No.)

             1667 Flatbush Avenue, Brooklyn, NY 11210 (718) 421-0500
          (Address and telephone number of principal executive offices)

             1667 Flatbush Avenue, Brooklyn, NY 11210 (718) 421-0500
     (Address of principal place of business or intended place of business)

                             JERRY BRAUN, PRESIDENT
                           New York Health Care, Inc.
                              1667 Flatbush Avenue
                               Brooklyn, NY 11210
                            Telephone: (718) 421-0500
                            Facsimile: (718) 421-4365
            (Name, address and telephone number of agent for service)

                                   Copies to:
WILLIAM J. DAVIS, ESQ.                                 FRAN M. STOLLER, ESQ.
Scheichet & Davis, P.C.                                Bachner, Tally, Polevoy &
505 Park Avenue, 20th Floor                                     Misher LLP
New York, NY 10022                                     380 Madison Avenue
(212) 688-3200                                         New York, NY  10017
                                                       (212) 687-7000

Approximate  date of proposed sale to the public:  As soon as practicable  after
the effective date of this Registration Statement.

<PAGE>

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, check the following box. |X|

     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. |_|

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering. |_|

     If delivery of the  prospectus is expected to be made pursuant to Rule 434,
please check the following box. |_|

The registrant hereby amends this  Registration  Statement on such date or dates
as may be necessary to delay its effective date until the registrant  shall file
a further amendment which specifically  states that this Registration  Statement
shall  thereafter  become  effective  in  accordance  with  Section  8(a) of the
Securities  Act of 1933,  or until  this  Registration  Statement  shall  become
effective on such date as the Commission,  acting pursuant to said Section 8(a),
may determine.

                                       ii
<PAGE>

<TABLE>
<CAPTION>
                                                   CALCULATION OF REGISTRATION FEE
<S>                                                    <C>                                          <C>   
- ------------------------------------------------------------------------------------------------------------------------------------
Title of each class of securities to                   Proposed maximum                             Amount of registration fee
be registered                                          aggregate offering price (1)
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock, $.01 par value                           $6,037,500                                   $2,082
- ------------------------------------------------------------------------------------------------------------------------------------
Redeemable Warrants, exercisable                       $  120,750                                      -0-(2)
for one share of Common Stock
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock issuable upon                             $7,245,000                                   $2,498
exercise of Redeemable Warrants
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock issuable upon                             $  630,000                                   $  217
exercise of the Representative's
Warrants
- ------------------------------------------------------------------------------------------------------------------------------------
Redeemable Warrants issuable upon                      $   12,600                                      -0-(2)
exercise of the Representative's
Warrants
- ------------------------------------------------------------------------------------------------------------------------------------
Common Stock issuable upon                             $  756,000                                   $  261
exercise of the Redeemable
Warrants issuable upon exercise of
the Representative's Warrants
- ------------------------------------------------------------------------------------------------------------------------------------
TOTAL                                                                                               $5,508
                                                                                                    ======
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>


(1)  Estimated  solely  for the  purpose of  calculating  the  registration  fee
     pursuant to Rule 457(a) under the  Securities  Act of 1933, as amended (the
     "Securities Act").

(2)  No fee pursuant to Rule 457(g) under the Securities Act.

     Pursuant  to rule 416(a)  under the  Securities  Act,  there are also being
registered  such  additional  securities  as  may  be  issued  pursuant  to  the
antidilution  provisions  of the  Redeemable  Warrants and the  Representative's
Warrants.

                                       iii
<PAGE>

- --------------------------------------------------------------------------------
Information contained herein is subject to completion or amendment. A
registration statement relating to these securities has been filed with the
Securities and Exchange Commission. These securities may not be sold nor may
offers to buy be accepted prior to the time the registration statement becomes
effective. This prospectus supplement shall not constitute an offer to sell or
the solicitation of an offer to buy nor shall there be any sale of these
securities in any State in which such offer, solicitation or sale would be
unlawful prior to registration or qualification under the securities laws of any
such State.
- --------------------------------------------------------------------------------

                   SUBJECT TO COMPLETION, DATED JULY 16, 1996
PROSPECTUS
                           NEW YORK HEALTH CARE, INC.
                      1,050,000 Shares of Common Stock and
                          1,050,000 Redeemable Warrants

     New York Health Care, Inc., (the "Company")  hereby offers 1,050,000 shares
(the  "Shares")  of  Common  Stock,  $.01 par value  (the  "Common  Stock")  and
1,050,000  redeemable  warrants  (the  "Warrants").  The Shares and the Warrants
(collectively,  the "Securities") may only be purchased together on the basis of
one Share and one Warrant until  completion of the initial  distribution  of the
Securities  and  will be  separately  tradeable  immediately  thereafter.  It is
currently  anticipated that the initial public offering prices of the Securities
will be $5.00  per  Share  and $.10  per  Warrant.  Each  Warrant  entitles  the
registered  holder  thereof  to  purchase  one (1) share of  Common  Stock at an
exercise  price of $6.00 per share,  subject to  adjustment,  commencing  on the
first  anniversary of the date of this Prospectus  through the fifth anniversary
of the date of this  Prospectus.  The Warrants are  redeemable by the Company at
any time  commencing  _____________,  1998,  at a  redemption  price of $.05 per
Warrant,  provided that the average  closing bid price of the Common Stock shall
equal or exceed  $7.50 per share for 20  consecutive  trading days ending on the
tenth day prior to the date of the notice of  redemption.  See  "Description  of
Securities - Redeemable Warrants."

                                                  (cover continued on next page)

                                   ----------

           THE SECURITIES OFFERED HEREBY INVOLVE A HIGH DEGREE OF RISK
             AND IMMEDIATE SUBSTANTIAL DILUTION. SEE "RISK FACTORS"
                      COMMENCING ON PAGE 9 AND "DILUTION."

                                   ----------

          THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE
           SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES
             COMMISSION NOR HAS THE SECURITIES AND EXCHANGE COMMIS-
             SION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE
               ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRE-
                SENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.


<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------------
                                            Price to Public           Underwriting Discounts        Proceeds to Company (2)
                                                                        and Commissions (1)
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                     <C>                           <C>                           <C>          
Per Share ........................      $                             $                             $
- ------------------------------------------------------------------------------------------------------------------------------------
Per Redeemable Warrant ...........      $                             $                             $
- ------------------------------------------------------------------------------------------------------------------------------------
Total  (3) .......................      $                             $                             $
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>

(footnotes on following page)

     The Securities are being offered by the Underwriters  subject to prior sale
when,  as and if delivered to and  accepted by the  Underwriters  and subject to
approval  of  certain  legal  matters  by their  counsel  and to  certain  other
conditions.  The  Underwriters  reserve the right to withdraw,  cancel or modify
this  offering and to reject any order in whole or in part.  It is expected that
delivery of the  certificates  representing the Shares and Warrants will be made
against payment at the offices of the  Representative,  RAS Securities  Corp., 2
Broadway, New York, New York 10004-2801, on or about _______________, 1996.

                              RAS SECURITIES CORP.
            The date of this Prospectus is __________________ , 1996

<PAGE>

(cover continued from previous page)

(1)  Does not include additional compensation to RAS Securities Corp., acting as
     representative  (the  "Representative")  of the several  underwriters  (the
     "Underwriters")  in the  form of a (i)  non-accountable  expense  allowance
     equal to 3% of the gross proceeds of this offering;  and (ii) warrants (the
     "Representative's  Warrants")  to purchase  up to 105,000  shares of Common
     Stock  and/or  105,000  Warrants.  In  addition,  the Company has agreed to
     indemnify the Underwriters against certain liabilities under the Securities
     Act of 1933, as amended. See "Underwriting."

(2)  Before deducting estimated expenses of approximately $__________ payable by
     the Company, including the non-accountable expense allowance payable to the
     Representative.

(3)  The Company has granted to the Underwriters an option exercisable within 30
     days after the date of this  Prospectus  to  purchase  up to an  additional
     157,500 shares of Common Stock and/or up to an additional  157,500 Warrants
     upon the same  terms and  conditions  as set forth  above,  solely to cover
     over-allotments,  if any. If such option is  exercised  in full,  the total
     Price to Public,  Underwriting  Discounts and  Commissions  and Proceeds to
     Company  will  be  $   __________  ,  $  __________   and  $  __________  ,
     respectively. See "Underwriting."

     Prior to this offering,  there has been no public market for the Securities
and  there  can be no  assurance  that  such a market  will  develop  after  the
completion of this offering or, if a market develops, that it will be sustained.
The initial public  offering prices of the Securities and the exercise price and
other terms of the Warrants have been  arbitrarily  determined  by  negotiations
between the  Company  and the  Representative  and do not  necessarily  bear any
relationship  to the Company's asset value,  book value,  net worth or any other
recognized  criterion of value. See "Risk Factors -- Arbitrary  Determination of
Offering  Prices;  Possible  Volatility of Common Stock and Warrant  Prices" and
"Underwriting."  Application has been made for quotation of the Common Stock and
the  Warrants on the Nasdaq  SmallCap  Market  ("Nasdaq")  and the Boston  Stock
Exchange under the symbols NYHC and NYHW, and NYH and NYW, respectively.

     IN CONNECTION WITH THIS OFFERING, THE UNDERWRITERS MAY OVER ALLOT OR EFFECT
TRANSACTIONS  WHICH  STABILIZE  OR MAINTAIN THE MARKET PRICE OF THE COMMON STOCK
AND/OR WARRANTS AT A LEVEL ABOVE THAT WHICH MIGHT OTHERWISE  PREVAIL IN THE OPEN
MARKET. SUCH STABILIZING, IF COMMENCED, MAY BE DISCONTINUED AT ANY TIME.

     The  Company  intends to furnish  the  holders of the Common  Stock and the
Warrants,  annual reports containing audited  consolidated  financial statements
with a report thereon by independent  certified public accountants and quarterly
reports containing unaudited  consolidated  financial  information for the first
three quarters of each fiscal year.

                                        2
<PAGE>

                               PROSPECTUS SUMMARY

     The  following  summary  information  is  qualified in its entirety by, and
should be read in conjunction with, the more detailed  information and financial
statements, including the notes thereto, appearing elsewhere in this Prospectus.
Unless the context  otherwise  requires,  all share and per share information in
this Prospectus gives effect to a 56,625-for-1 stock split effected on March 26,
1996,  but  does  not  give  effect  to the  exercise  of (i) the  Underwriters'
over-allotment  option to purchase up to 157,500  shares of Common  Stock and/or
157,500 Warrants;  (ii) the  Representative's  Warrant to purchase up to 105,000
shares of Common Stock and/or  105,000  Redeemable  Warrants;  (iii)  options to
purchase up to 210,000 shares of Common Stock reserved for issuance  pursuant to
the  Company's  Stock Option Plan;  or (iv) an option to purchase  75,000 shares
outstanding  on the date  hereof.  See  "Management  - Savings and Stock  Option
Plans" and "Underwriting."

                                   The Company

     New York Health Care,  Inc. (the  "Company") is a licensed home health care
agency  engaged  primarily in supplying  the services of  paraprofessionals  who
provide a broad range of health care  support  services  to  patients'  in their
homes.  The  Company  operates  in all five  boroughs  of New York  City and the
counties of Nassau,  Westchester,  Rockland, Orange, Duchess, Ulster, Putnam and
Sullivan,  in the  State  of New  York.  The  Company's  services  are  supplied
principally  pursuant to contracts  with health care  institutions  and agencies
such as the Mt. Sinai Medical Center in Manhattan,  New York Methodist  Hospital
in Brooklyn,  Beth Abraham Health Services in the Bronx and  Westchester  County
and the New York State Department of Social Services.

     The Company operates 24 hours a day, seven days a week to receive referrals
and  coordinate  services with  physicians,  case  managers,  patients and their
families. It offers a broad range of support services, including assistance with
personal hygiene, dressing and feeding; meal preparation, light housekeeping and
shopping;  and, to a limited extent,  standard  skilled nursing services such as
the changing of dressings,  injections,  catheterizations  and administration of
medications and physical therapy. The Company's personnel also train patients in
their own care, monitor patient compliance with treatment plans, make reports to
the physicians and process reimbursement claims to third-party payors. Among the
paraprofessionals  and  nurses  supplied  by the  Company  are  those  fluent in
Spanish,  Yiddish  and  Russian  as  well  as  personnel  knowledgeable  in  the
requirements and practices of Kosher homes.

     In August 1993,  the Company  established a  maternal/child  care division,
called "Special  Deliveries,"  which presently  accounts for approximately 5% of
the Company's  business and which supplies  comprehensive  nursing  services for
women  during  pregnancy,   and  for  them  and  their  newborn  children  after
childbirth.  The  Company  provides  its  skilled  nursing  staff  with  special
additional  training  in this  division,  which  offers a wide  range of quality
health services to patients at home through the provision of Registered  Nurses,
including  those with at least two years of experience  in maternal  child care,
Neonatal  Intensive  Care  Unit  ("NICU")  Nurses,  Maternal/Newborn  Registered
Nurses,  Certified  Childbirth  Educators and Certified  Lactation  Consultants.
Referral  services are also  available  for support  programs  providing  social
workers, bereavement counselors and

                                        3
<PAGE>

nutritionists.  Each patient's  individual treatment plan and insurance coverage
is  reviewed  prior to  commencement  of  services  being  rendered,  except for
childbirth education, which is privately contracted.

     High quality service is emphasized  throughout the various divisions of the
Company,  both in hiring,  Company  training and testing of its personnel and in
the manner in which services are  delivered.  The Company is approved by the New
York  Department  of Health and the New York  Department  of Social  Services to
train  its   paraprofessional   Home  Health  Aides  and  Personal  Care  Aides,
respectively. Training and quality assurance programs are regularly reviewed and
directed by management  and corporate  support staff  consisting of  experienced
health  care   professionals.   The   Company   received   "Accreditation   with
Commendation"  from  the  Joint  Commission  on  Accreditation  of  Health  Care
Organizations  ("JCAHO")  after its initial and only  review,  in 1994,  and, in
February 1996, was selected by the University of Colorado Health Sciences Center
as one of only 22 home health care agencies participating in a two to three year
study known as the Outcome-Based Quality Improvement in Home Care New York State
Demonstration  Project being funded by the New York State  Department of Health,
by reason of the Company's commitment to both quality assurance and improvement.
The Company  believes that its reputation for quality  patient care has been and
will continue to be a significant factor in its success.

     The Company  believes  that cost  containment  pressures in the health care
industry,  together with the  development of new technology,  have  increasingly
shifted the provision of many health care services  from  institutions,  such as
hospitals  and  nursing  homes,  to home  care.  As a result  of the  continuing
pressure to restrain  costs,  the  structure  of health care  payments  has been
shifting  from  the  traditional  fee-for-service  reimbursement  model  to  the
contract  care  reimbursement  model,  and this has  resulted in patients  being
released from hospitals  earlier and, often,  sicker.  The earlier  detection of
cancer  and the  incidence  of  AIDS,  together  with the  general  aging of the
American  population,  have increased the opportunities  for home treatment,  as
opposed to  institutionalization,  resulting  in growth in the home  health care
industry.

     The  Company's  primary  objective  is to enhance its  position in the home
health care market by increasing the promotion of its full service and specialty
health  care  capabilities  to existing  and new  referral  sources;  expand its
markets  and enter new markets by  establishing  additional  branch  offices and
acquiring other related health care businesses;  expand its provision of skilled
nursing  services,  principally  infusion  therapy and the care of women  during
pregnancy and their newborn  children;  and develope  complimentary  home health
care  products and services,  as well as  maintaining  its regular  training and
testing programs, and recruitment activities.

     The Company has been treated as an "S  Corporation"  under  Subchapter S of
the Internal  Revenue  Code since its  inception.  As a result,  the Company was
exempt from federal and certain state income taxes  attributable to its earnings
and such income taxes were instead the obligation of the Company's stockholders.
The Company is terminating  its S Corporation  status prior to the completion of
this offering.  As a result of the  termination,  the Company will be subject to
federal  income  taxes  at  rates  of up to  35  percent  and  may,  in  certain
circumstances,  become subject to the federal alternative minimum tax imposed on
corporations. The Company is also subject to state and local income taxes.

                                        4
<PAGE>

     The  Company  was  incorporated  under the laws of the State of New York in
February  1983 and maintains  its  principal  offices at 1667  Flatbush  Avenue,
Brooklyn, NY 11210, telephone (718) 421-0500.

                                        5
<PAGE>

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

                                  The Offering

Securities Offered by the Company ...   1,050,000  shares  of  Common  Stock and
                                        1,050,000 Warrants.

Terms of the Redeemable Warrants ....   Each Warrant entitles the holder thereof
                                        to purchase one share of Common Stock at
                                        a price of $6.00 per  share,  subject to
                                        adjustment, at any time commencing ____,
                                        1997    through    ____,    2001.    See
                                        "Description of Securities."

Common Stock Outstanding
   Before the Offering (1) ..........   2,340,000 shares

Common Stock Outstanding
   After the Offering(1) (2) ........   3,390,000 shares

Use of Proceeds .....................   Acquisitions,      establishment      of
                                        additional   offices,    expansion   and
                                        upgrading of computer systems, expansion
                                        of pediatric  services  division,  sales
                                        and marketing and working  capital.  See
                                        "Use of Proceeds."

Risk Factors ........................   The Securities  offered hereby involve a
                                        high   degree  of  risk  and   immediate
                                        substantial dilution. See "Risk Factors"
                                        and "Dilution."

Proposed Nasdaq and Boston Stock
Exchange Symbols:
   Nasdaq
         Common Stock ...............   NYHC
         Warrants ...................   NYHW
   Boston Stock Exchange
         Common Stock ...............   NYH
         Warrants ...................   NYW

- ----------

(1)  Includes  75,000  shares of  Common  Stock  issuable  upon  exercise  of an
     outstanding  option,  exercisable at $3.75 per share, held by the Company's
     President.  See  "Capitalization,"  "Management  - Savings and Stock Option
     Plans, "Principal Stockholders" and "Certain Transactions."

(2)  Excludes 1,050,000 shares issuable upon the exercise of the Warrants.

                                        6

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

<PAGE>

<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------------
                                                    Summary Financial Information

                                                                 Years Ended December 31,               Three Months Ended March 31,
                                                               ----------------------------            -----------------------------
                                                                 1994                1995                1995                1996
                                                               --------            --------            --------            --------
                                                                              (In thousands, except per share data)
<S>                                                            <C>                 <C>                 <C>                 <C>     
Statement of Income Data:
Net patient service revenue                                    $  8,981            $ 11,810            $  2,621            $  2,987
                                                               --------            --------            --------            --------
Professional care of patients                                     6,301               8,128               1,782               2,062
General and administrative
      expenses                                                    1,793               2,391                 580                 691
                                                               --------            --------            --------            --------
   Income from operations                                           887               1,291                 259                 234
Interest expense, net                                               (85)                (82)                (27)                (28)
Other income                                                          6                  --                  --                   4
Provision for income taxes(1)                                       (37)                (81)                 (9)                 38
                                                               --------            --------            --------            --------
Net income                                                     $    771            $  1,128            $    223            $    248
                                                               ========            ========            ========            ========
Pro Forma Data:(2)(3)
Income before provision
      for income taxes                                         $    808            $  1,209            $    232            $    210
Pro forma provision for
      income taxes                                                  353                 520                 101                  91
                                                               --------            --------            --------            --------
Pro forma net income                                           $    455            $    689            $    131            $    119
                                                               ========            ========            ========            ========

Pro forma net income per common
   share and common share
   equivalents outstanding(1)(3)                                                   $    .25                                $    .04
                                                                                   ========                                --------

Pro forma weighted average number of
   common shares and common
   share equivalents outstanding (2)                                                  2,743                                   2,743
                                                                                   ========                                ========
</TABLE>


<TABLE>
<CAPTION>
                                    At December 31, 1995              At March 31, 1996        Pro forma at March 31, 1996(3)
                                    --------------------              -----------------        ------------------------------
                                                                        (In thousands) 
<S>                                       <C>                               <C>                           <C>        
Balance Sheet Data:                                                                                                  
Working capital (deficit)                 $2,775                            $2,186                        $  (14)    
Total assets                               4,840                             4,001                         4,001     
Total liabilities                          1,799                             1,500                         3,700     
Retained earnings                          3,011                             2,471                           271     
Stockholders' equity                       3,041                             2,501                           301     
                                                                                                    
- ---------------------

                                                                  7

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

<PAGE>

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

(1)  The Company has been an S  Corporation  under  Subchapter S of the Internal
     Revenue Code of 1986,  as amended (the  "Internal  Revenue  code") for U.S.
     federal and New York State income tax purposes since its inception. As an S
     Corporation,  the  Company  was not  subject to  federal  income  tax,  but
     remained  subject to a reduced New York State  income tax. The Company will
     terminate  its S  Corporation  status  prior  to  the  completion  of  this
     offering.  See "The  Company."  Pro forma amounts give effect to additional
     income taxes that would have been reported  assuming that the Company was a
     C  Corporation  for years  ended  December  31, 1994 and 1995 and the three
     months  ended  March 31,  1995 and 1996.  See  "Former  S  Corporation  Tax
     Treatment" and "Management's Discussion and Analysis of Financial Condition
     and Results of Operations."

(2)  Pro forma weighted average number of common share  equivalents  outstanding
     includes  459,725  shares  whose  proceeds  would be necessary to pay the S
     Corporation  distribution  and 18,750  shares  relating to the stock option
     grant.   See  "Former  S  Corporation  Tax  Treatment,"   "Capitalization,"
     "Management's Discussion and Analysis of Financial Condition and Results of
     Operations -- Liquidity and Capital Resources,"  "Principal  Stockholders,"
     "Certain Transactions" and Financial Statements.

(3)  Pro forma summary financial information includes $2,200,000 of bank debt to
     be  incurred  by the  Company  after  March 31, 1996 to fund the payment of
     undistributed S Corporation  earnings to current shareholders prior to this
     offering.  See  "Former S  Corporation  Tax  Treatment,"  "Capitalization,"
     "Management's Discussion and Analysis of Financial Condition and Results of
     Operations   -   Liquidity,"   "Principal    Stockholders"   and   "Certain
     Transactions."

                                        8

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

<PAGE>

                                  RISK FACTORS

     An investment in the securities  offered  hereby  involves a high degree of
risk and prospective investors, prior to making an investment in the Securities,
should carefully consider the following risk factors relating to the Company and
this offering.

     Indirect Dependence Upon Reimbursement by Third-Party Payors; Potential for
Health  Care  Reform.  More than 90% of the  revenues of the Company are paid by
Certified  Home  Health  Agencies  ("CHHA's")  and  Long-Term  Home  Health Care
Programs ("LTHHCP's"),  as well as other clients who receive their payments from
"third-party   payors,"  such  as  private  insurance  companies,   self-insured
employers,  HMOs  and  governmental  payors  under  the  Medicare  and  Medicaid
programs. The levels of revenues and profitability of the Company, like those of
other  health  care  companies,  are  affected  by  the  continuing  efforts  of
third-party  payors to contain or reduce  the costs of health  care by  lowering
reimbursement  or payment rates,  increasing case management  review of services
and negotiating  reduced contract  pricing.  Because home care is generally less
costly to third-party  payors than  hospital-based  care,  home nursing and home
care  providers  have  benefited  from  cost  containment  initiatives  aimed at
reducing the costs of medical care.  However, as expenditures in the home health
care market continue to grow, cost containment initiatives aimed at reducing the
costs of delivering  services at  non-hospital  sites are likely to increase.  A
significant  reduction  in  coverage  or  payment  rates of  public  or  private
third-party  payors  would  have a  material  adverse  effect  on the  Company's
revenues and profit  margins.  While the Company is not aware of any substantive
changes in the Medicare or Medicaid  reimbursement  systems for home health care
which  are  about to be  implemented,  a number  of  proposals  have  been  made
including,  but not limited to,  revised budget plans of New York State Governor
George Pataki and in President Bill Clinton's federal budget proposal for fiscal
year 1996-1997,  which could result in significant  limitations or reductions in
the reimbursement of home care costs and in the imposition of limitations on the
provision of services  which will be  reimbursed.  As a result,  there can be no
assurance that government  regulations  concerning Medicare or Medicaid will not
change in the  future in a manner  detrimental  to the  Company.  Under  certain
circumstances, third party payors, particularly private insurance companies, may
negotiate fee discounts and  reimbursement  caps for services  which the Company
provided.  At this time, the Company can neither estimate the frequency or rates
of the  negotiated  discounts or the maximum  reimbursement  amounts nor predict
whether the Company's  revenues will be thereby materially  adversely  affected.
Recently, attention has also been focused on reform of the health care system in
the United  States.  However,  until  specific  legislation  is  proposed to the
Congress, the Company cannot accurately predict what additional legislation,  if
any,  may be adopted  relating  to the  Company's  business  or the health  care
industry.  See "Management's  Discussion and Analysis of Financial Condition and
Results of Operations,"  "Business - Third-Party  Reimbursement" and "Business -
Government Regulation."

     Delays in Reimbursement; Bad Debts. The Company generally collects payments
from its contractors  within one to six months after services are rendered,  but
pays its accounts payable and employees  currently.  This timing delay may cause
working  capital  shortages from time to time. In the past, the Company has been
able to obtain financing to cover these shortages through bank

                                        9
<PAGE>

borrowings  guaranteed  by the current  stockholders.  There can be no assurance
that bank borrowings or other methods of financing will be available when needed
or, if available,  will be on terms  acceptable to the Company.  The Company has
established  a bad debt  reserve for  uncollectible  accounts.  Any  significant
increase  in bad debts may  adversely  affect  the  Company.  See  "Management's
Discussion  and  Analysis of  Financial  Condition  and Results of  Operations,"
"Business - Third-Party  Reimbursement,"  "Certain  Transactions"  and Financial
Statements.

     Adequacy  and  Availability  of  Professional   Liability  Insurance.   The
administration  of home care and therapy and the  provision of nursing  services
entails certain  liability risks. The Company maintains  professional  liability
insurance  coverage with limits of $1,000,000  per claim and  $3,000,000  annual
aggregate,  with an  umbrella  policy  providing  an  additional  $5,000,000  of
coverage. Although the Company believes the insurance it maintains is sufficient
for its present  operations,  professional  liability insurance is expensive and
becoming  increasingly  difficult to obtain.  There can be no assurance that the
Company's present coverage will continue to be adequate or that the Company will
be able to maintain the current levels of such insurance in the future or secure
additional  insurance  on  terms  satisfactory  to  the  Company  or at  all.  A
successful  claim  against  the  Company  in excess of, or not  covered  by, the
Company's  insurance  coverage  could  have a  material  adverse  effect  on the
Company's  business  and  financial  condition.   Claims  against  the  Company,
regardless  of their  merit or  eventual  outcome,  also  could  have a material
adverse  effect on the  Company's  reputation  and  business.  See  "Business  -
Insurance."

     State and  Federal  Regulation.  The  Company's  operations  are subject to
substantial  regulation  at the state level and also under the federal  Medicare
and Medicaid laws. In particular, the Company is subject to state laws governing
home care, nursing services, health planning and professional ethics, as well as
state and federal laws  regarding  fraud and abuse in  government  funded health
programs. Changes in the law or new interpretations for existing laws can have a
material adverse effect on permissible  activities,  the relative costs of doing
business and the amount of reimbursement  by government and private  third-party
payors.  The  establishment of additional  branch offices by the Company and any
future  acquisitions  will be subject to compliance  with all  applicable  laws,
rules and  regulations.  If any person  should  become  the owner or holder,  or
acquire  control of or the right to vote ten (10%) percent or more of the issued
and  outstanding  Common  Stock of the  Company,  such person could not exercise
control of the Company  until an  application  for  approval of such  ownership,
control or  holding  has been  submitted  to the New York  State  Public  Health
Council and approved.  In the event such an  application  is not approved,  such
owner or holder may be required  to reduce  their  ownership  or holding to less
than 10% of the Company's  issued and  outstanding  Common  Stock.  Although the
Company has not experienced any  difficulties to date complying with any of such
laws,  rules or  regulations,  the  failure of the  Company to obtain,  renew or
maintain any required  regulatory  approvals or licenses could adversely  affect
the Company and could prevent it from offering its existing services to patients
or from further expansion.

     Competition.  The home health  care  industry  is highly  competitive.  The
Company competes with hospitals, nursing homes and other businesses that provide
home  health  care  services,  most of which  are  larger  and more  established
companies with significantly greater resources and access to

                                       10
<PAGE>

capital  and greater  name  recognition  than the  Company.  Among the  national
companies  with which the Company  competes are Olsten  Kimberly  Quality  Care,
Inc., Staff Builders Inc.,  Coram Health Care Corp.,  Interim  Personnel,  Inc.,
Transworld  Home Health Care,  Inc. and Health Force,  Inc.  Additionally,  as a
regional  rather  than  a  national  provider  of  home  health  care  services,
competition in the Company's markets as well as general economic  conditions may
be more acutely felt than if the Company's  operations were spread over a larger
market area. Among the Company's  competitors in the New York  metropolitan area
are U.S. Home Care,  Inc.,  Star  Multicare,  Inc., VIP Home Health Care,  Inc.,
Patient  Care,  Inc.,  Plaza Nurses  Agency,  Inc. and Personal  Touch Home Care
Services,   Inc.   Moreover,   other   companies,   hospitals  and  health  care
organizations  may elect to enter the home care and home  nursing  markets,  and
existing  and future  competitors  can be  expected to expand the  varieties  of
therapies and nursing services that they offer. See "Business - Competition."

     Relationship  with Referral Sources and Dependence on Major Customers.  The
development and growth of the Company's home care and nursing businesses depends
to a significant extent on its ability to establish close working  relationships
with hospitals,  clinics,  nursing homes, physician groups, HMO's,  governmental
health care agencies and other health care providers.  There can be no assurance
that existing  relationships  can be successfully  maintained or that additional
relationships  can be successfully  developed and maintained in existing and any
future markets.  The Company's ten largest customers accounted for approximately
76% and 74% of  revenues  during the years  ended  December  31,  1994 and 1995,
respectively.  One  referral  source,  the New York State  Department  of Social
Services,  was responsible for  approximately 36% and 27% of the Company's gross
revenues for the years ended December 31, 1994 and 1995,  respectively.  Another
referral source,  Beth Abraham Medical Center, was responsible for approximately
18% and 13% of gross  revenues  for the years ended  December 31, 1994 and 1995,
respectively.  The loss of or a significant  reduction in referrals by either of
such  sources,  as well as  certain  other key  sources,  could  have a material
adverse  effect on the Company's  results of  operations.  Many of the Company's
contractual   arrangements  with  its  customers  are  renewable  annually.  See
"Business."

     Control by Officers and Directors.  Upon  completion of this offering,  the
officers and directors of the Company will control the vote of approximately 68%
of the  outstanding  shares of Common  Stock.  The  Company's  stock option plan
provides  210,000 shares of Common Stock  regarding which options may be granted
to key employees of the Company.  Moreover, the Company's Board of Directors has
approved a resolution which proposes to provide for an increase in the number of
shares of Common Stock  available for options  under the Company's  Stock Option
Plan equal to an additional  210,000  shares for each of two  additional  years,
subject to approval by the Company's shareholders at the first annual meeting of
shareholders  which is held after the completion of this offering.  As a result,
the officers and  directors  of the  Company,  alone or together  with a limited
number  of other  shareholders,  will  control  the  election  of the  Company's
Directors  and will have the  ability to  control  the  affairs of the  Company.
Furthermore,  such  persons  will,  by virtue  of such  vote,  have  significant
influence over, among other things,  the ability to amend the Company's Restated
Certificate  of  Incorporation  and  By-Laws or effect or  preclude  fundamental
corporate  transactions  involving  the Company,  including  the  acceptance  or
rejection of any proposals relating

                                       11
<PAGE>

to a merger of the Company or an acquisition  of the Company by another  entity.
See "Management" and "Principal Stockholders."

     Dependence on Key Personnel. The Company's success will, to a large extent,
depend upon the continued  services of Jerry Braun, the Company's  President and
Chief Executive Officer,  and Jacob Rosenberg,  the Company's Vice President and
Chief  Operating  Officer.  Although the Company has employment  agreements with
Messrs.  Braun and Rosenberg  expiring in 1999 and is the sole  beneficiary of a
$2,000,000  life  insurance  policy  covering Mr.  Braun and a  $1,000,000  life
insurance  policy  covering  Mr.  Rosenberg,  the loss of the services of either
executive officer could have a materially  adverse effect upon the Company.  The
success of the Company will also depend, in part, upon its ability in the future
to attract and retain  additional  qualified  licensed  health care,  operating,
marketing and financial personnel.  Competition in the home health care industry
for such qualified personnel is often intense and there can be no assurance that
the  Company  will be able  to  retain  or hire  the  necessary  personnel.  See
"Business - Government Regulation" and "Management."

     Acquisition and Expansion Strategy. The Company has allocated $2,600,000 of
the net  proceeds of this  offering for  expansion  through the  acquisition  of
health care related  businesses and opening of additional  branch  offices.  The
Company's  ability to expand  its  operations  depends  on a number of  factors,
including the availability of desirable locations for additional facilities, the
availability of acquisition candidates and the ability of the Company to finance
such expansion. To date, the Company has not determined the specific location of
any  additional  branch  offices.  Although  the  Company  continually  explores
acquisition possibilities,  it is not currently negotiating any acquisitions and
has no agreements,  arrangements or understandings regarding acquisitions. There
can be no assurance  that the Company will open any additional  branch  offices,
or, if opened,  that the Company can profitably  manage such offices or that the
Company will make any acquisitions or, if made, that such  acquisitions  will be
successful.  The  establishment  of  additional  branch  offices  and any future
acquisitions  by the  Company  may  involve  the use of  cash,  debt  or  equity
securities,   or  a  combination  thereof.  A  Company  decision  to  utilize  a
substantial  portion  of the net  proceeds  of this  offering  for  acquisitions
reduces the  resources  available  to complete  its other  expansion  and growth
objectives.  In such event,  the  Company  may be required to obtain  additional
financing  to  achieve  such  objectives.  There can be no  assurance  that such
financing will be available,  or, if available,  will be on terms  acceptable to
the Company.  In addition,  the Company may explore the  potential for expanding
its operations into health care businesses not related to the Company's  current
operations on an opportunistic  basis, and if the Company's  management deems it
appropriate, a portion of the net proceeds of this offering may be used for such
purposes.  The Company is not  experienced in operating any health care business
unrelated to its current businesses and, accordingly,  no assurance can be given
that the  Company  could  successfully  operate any such  unrelated  health care
business.  Thus,  purchasers of the securities will be entrusting their funds to
the Company's  management,  upon whose judgment the investors must depend,  with
only limited information concerning  management's specific intentions.  See "Use
of Proceeds" and "Business -- Expansion Strategy."

                                       12
<PAGE>

     Charge to Earnings Resulting from Sale of Accounts Receivable. By reason of
an  agreement  entered  into by the  Company on July 8, 1996 with 1667  Flatbush
Avenue LLC, a limited  liability  company  organized under New York Law which is
owned by the Company's current shareholders,  pursuant to which the Company sold
$3,500,000 of its accounts  receivable for a purchase  price of $3,150,000,  the
Company  expects to record a net charge to its  earnings  for the third  quarter
ended  September 30, 1996 in the amount of $170,000.  The  recognition of such a
charge will  substantially  reduce net income  during such period and may have a
depressive  effect  on  the  market  price  of  the  Company's  securities.  See
"Management's  Discussion  and  Analysis of Financial  Condition  and Results of
Operations - Liquidity  and Capital  Resources,"  "Principal  Stockholders"  and
"Certain Transactions."

     Dilution.  Purchasers  of the Shares  offered  hereby will incur  immediate
dilution  of  approximately  $3.62 (or 72%) in the net  tangible  book value per
share of Common Stock. See "Dilution."

     Arbitrary  Determination of Public Offering Prices;  Possible Volatility of
Common  Stock and Warrant  Prices.  The initial  public  offering  prices of the
Shares and Warrants and the exercise  price and other terms of the Warrants were
arbitrarily   determined   by   negotiations   between   the   Company  and  the
Representative  and do not  necessarily  bear any  relationship to the Company's
asset value,  book value, net worth or any other  recognized  criteria of value.
The  trading  price of the  Common  Stock or  Warrants  could also be subject to
significant  fluctuations  in response to  variations  in  quarterly  results of
operations,  announcements  of new  contracts  or services by the Company or its
competitors,  governmental regulatory action, general trends in the industry and
other factors,  including extreme price and volume  fluctuations which have been
experienced  by the  securities  markets from time to time in recent years.  See
"Underwriting."

     No Assurance of Public Trading Market or Continued Nasdaq  Inclusion;  Risk
of Low-  Priced  Securities.  Prior to the  offering,  there  has been no public
market for the  Securities  and there can be no assurance  that an active public
market will develop or, if developed, be sustained. The Company anticipates that
the Securities  will be eligible for listing on Nasdaq.  In order to qualify for
continued listing on Nasdaq,  however, a company,  among other things, must have
$2,000,000  in total  assets,  $ 1,000,000 in capital and  surplus,  $200,000 in
market value of the public  float,  a minimum bid price of $1.00 per share and a
minimum of 300 shareholders. If the Company is unable to satisfy the maintenance
requirements for quotation on Nasdaq, of which there can be no assurance,  it is
anticipated that the Securities would be quoted in the  over-the-counter  market
National  Quotation  Bureau  ("NQB") "pink sheets" or on the NASD OTC Electronic
Bulletin Board. As a result,  the liquidity of the Securities could be impaired,
not only in the number of  securities  which could be bought and sold,  but also
through delays in the timing of  transactions,  reduction in security  analyst's
and news  media's  coverage of the Company  and lower  prices for the  Company's
securities than might otherwise be attained.  In addition, if the Securities are
delisted  from  Nasdaq  they  might be  subject to the  low-priced  security  or
so-called "penny stock" rules that impose additional sales practice requirements
on  broker-dealers  who sell such  securities.  For any transaction  involving a
penny stock the rules require,  among other things,  the delivery,  prior to the
transaction,  of a disclosure  schedule  required by the Securities and Exchange
Commission  (the   "Commission")   relating  to  the  penny  stock  market.  The
broker-dealer   also  must  disclose  the   commissions   payable  to  both  the
broker-dealer and the registered representative

                                       13
<PAGE>

and current quotations for the securities.  Finally,  monthly statements must be
sent  disclosing  recent  price  information  for the penny  stocks  held in the
customer's account.

     In the event the Securities  subsequently  become  characterized as a penny
stock, the market liquidity for the Securities  could be severely  affected.  In
such an event, the regulations  relating to penny stocks could limit the ability
of broker-dealers to sell the Securities and, thus, the ability of purchasers in
this offering to sell their Securities in the secondary market.

     Current  Prospectus and State  Registration  Required To Exercise Warrants.
The Warrants are not exercisable  unless,  at the time of exercise,  the Company
has a current  prospectus  covering  the shares of Common  Stock  issuable  upon
exercise of the  Warrants  and such shares have been  registered,  qualified  or
deemed to be  exempt  under the  securities  or "blue  sky" laws of the state of
residence of the  exercising  holder of the  Warrants.  Although the Company has
undertaken  to use its best  efforts to have all of the  shares of Common  Stock
issuable upon exercise of the Warrants  registered or qualified on or before the
exercise date and to maintain a current  prospectus  relating  thereto until the
expiration of the Warrants, there is no assurance that it will be able to do so.
The  value of the  Warrants  may be  greatly  reduced  if a  current  prospectus
covering the Common Stock issuable upon the exercise of the Warrants is not kept
effective or if such Common Stock is not qualified or exempt from  qualification
in the states in which the holders of the  Warrants  then  reside.  The Warrants
will be  separately  tradeable  immediately  upon  issuance and may be purchased
separately from the Common Stock.  Although the Securities will not knowingly be
sold to purchasers in  jurisdictions  in which the Securities are not registered
or  otherwise  qualified  for sale,  investors  may purchase the Warrants in the
secondary market or may move to jurisdictions in which the shares underlying the
Warrants are not registered or qualified during the period that the Warrants are
exercisable.  In such event, the Company will be unable to issue shares to those
persons  desiring to  exercise  their  Warrants  unless and until the shares are
qualified  for sale in  jurisdictions  in which such  purchasers  reside,  or an
exemption from such qualification  exists in such jurisdictions,  and holders of
the  Warrants  would have no choice but to  attempt  to sell the  Warrants  in a
jurisdiction where such sale is permissible or allow them to expire unexercised.
See "Description of Securities -- Redeemable Warrants."

     Adverse Effect of Possible Redemption of Warrants. The Warrants are subject
to  redemption  by the Company at a price of $0.05 per  Warrant,  commencing  24
months following the date of this  Prospectus,  on 30 days prior written notice,
if the average  closing bid price for the Common Stock  equals or exceeds  $7.50
per share for 20 consecutive  trading days ending on the tenth trading day prior
to the date of the notice of redemption.  Redemption of the Warrants could force
the holders  thereof to exercise the  Warrants  and pay the exercise  price at a
time  when it may be  disadvantageous  for such  holders  to do so,  to sell the
Warrants at the current market price when they might  otherwise wish to hold the
Warrants or to accept the redemption price,  which is likely to be substantially
less  than the  market  value of the  Warrants  at the time of  redemption.  The
holders of the  Warrants  will  automatically  forfeit  their rights to purchase
shares of Common  Stock  issuable  upon  exercise  of the  Warrants  unless  the
Warrants are exercised before they are redeemed.  See "Description of Securities
- -- Redeemable Warrants."

                                       14
<PAGE>

     Shares Eligible for Future Sale. The sale of substantial  amounts of Common
Stock in the public market  following this offering could  adversely  affect the
market  price of the  Securities.  Upon the  completion  of this  offering,  all
2,265,000 of the shares of Common Stock  outstanding prior to this offering will
be  "restricted  securities"  as that  term is  defined  in Rule 144  under  the
Securities  Act of 1933, as amended (the  "Securities  Act") and,  under certain
circumstances,  will be eligible for sale without  registration  pursuant to the
provisions of such rule. An additional  75,000 shares  underlying an option will
be eligible  for sale under Rule 701 of the Act.  Holders of all such shares and
the  option,  however,  have agreed that they will not sell any shares of Common
Stock for a period of 24 months  from the date of this  Prospectus  without  the
prior written  consent of the  Representative.  See "Shares  Eligible for Future
Sale" and "Underwriting."

     Possible   Restrictions  on  Market-Making   Activities  in  the  Company's
Securities. The Representative has advised the Company that it may make a market
in the Company's securities.  Rule 10b-6 under the Exchange Act may prohibit the
Representative from engaging in any market-making  activities with regard to the
Company's  securities  for the  period  from nine  business  days (or such other
applicable  period as Rule 10b-6 may provide) prior to any  solicitation  by the
Representative of the exercise of Warrants until the later of the termination of
such  solicitation  activity or the  termination (by waiver or otherwise) of any
right  that the  Representative  may have to receive a fee for the  exercise  of
Warrants  following such  solicitation.  As a result,  the Representative may be
unable to provide a market for the Company's  securities  during certain periods
while  the  Warrants  are   exercisable.   Any   temporary   cessation  of  such
market-making activities could have an adverse effect on the market price of the
Securities. See "Underwriting."

     Possible Adverse Effects of Authorization of Preferred Stock; Anti-Takeover
Effects. The Company's Certificate of Incorporation authorizes the issuance of a
maximum of  2,000,000  shares of  preferred  stock,  $.01 par value  ("Preferred
Stock"), on terms which may be fixed by the Company's Board of Directors without
further  stockholder  action.  The terms of any series of Preferred Stock, which
may include priority claims to assets and dividends,  and special voting rights,
could adversely  affect the rights of holders of the Common Stock.  The issuance
of  Preferred  Stock  could make the  possible  takeover  of the  Company or the
removal of management of the Company more difficult, discourage hostile bids for
control of the  Company in which  stockholders  may receive  premiums  for their
shares of Common  Stock,  or  otherwise  dilute  the rights of holders of Common
Stock and the market price of the Common Stock. See "Description of Securities -
Preferred Stock."

     Representative's  Warrants and Registration  Rights. The Company has agreed
to sell to the  Representative  for an  aggregate  purchase  price  of  $210.00,
Representative's  Warrants to purchase an aggregate of 105,000  shares of Common
Stock and/or 105,000  Warrants at an exercise price equal to 120% of the initial
public offering price. The shares of Common Stock and the Warrants issuable upon
exercise of the Representative's Warrants are identical to those offered hereby.
The  Representative's  Warrants  are  exercisable  for a  period  of four  years
commencing one year from the date hereof.  The exercise of the  Representative's
Warrants  will dilute the value of the shares of Common Stock and may  adversely
affect the Company's ability to obtain equity capital.  Moreover,  if the Common
Stock issuable upon the exercise of the Representative's Warrants is sold in the
public

                                       15
<PAGE>

market,  it may  adversely  affect the market  price of the  Common  Stock.  The
holders of the  Representative's  Warrants have been granted certain "piggyback"
registration rights for a period of seven years from the date of this Prospectus
and demand  registration rights for a period of five years from the date of this
Prospectus,  with respect to the  registration  under the  Securities Act of the
securities issuable upon exercise of the Representative's Warrants. The exercise
of  such  rights  could  result  in  substantial  expense  to the  Company.  See
"Underwriting."

     Absence of  Dividends.  The  Company  does not  anticipate  paying any cash
dividends on the Common Stock in the foreseeable future. See "Dividend Policy."

                                 USE OF PROCEEDS

     The net  proceeds  from  the  sale of the  Securities  offered  hereby  are
estimated  to be  approximately  $_________  ($_________  if the  over-allotment
option is  exercised in full) after  deducting  the  Underwriters'  discount and
non-accountable  expense allowance and other estimated expenses of the offering.
The Company intends to use the net proceeds as follows:

<TABLE>
<CAPTION>
                                                                        Approximate               Approximate
                                                                          Amount of             Percentage of
                                                                       Net Proceeds              Net Proceeds
                                                                       ------------              ------------
<S>                      <C>                                             <C>                            <C>  
Acquisition of businesses(1)                                             $2,100,000                     48.1%
Establishment of new branch offices                                         500,000                     11.5%
Funding of Infusion Therapy
   and Pediatric Divisions                                                  500,000                     11.5%
Sales and marketing                                                         300,000                      6.9%
Establishment of new principal
   office, upgrade of facilities and computer systems                       300,000                      6.9%
Working capital                                                                                             %
                                                                         ----------                     ---- 

TOTAL                                                                    $                               100%
                                                                         ==========                     ==== 
</TABLE>

- ----------

(1)  The  Company  may,  when  and  if the  opportunity  arises,  acquire  other
     businesses  which are related to the  Company's  business with a portion of
     the net proceeds.  The Company has no specific arrangements with respect to
     any such  acquisition at the present time and is not presently  involved in
     any  negotiations  with  respect to any such  acquisition.  There can be no
     assurance that any such acquisition will be made.

     The Company  anticipates  that the net proceeds of this offering,  together
with  the  funds  anticipated  to be  generated  from  its  operations,  will be
sufficient to fund the Company's  contemplated cash requirements for at least 12
months following the consummation of the offering.  While the initial allocation
of the net  proceeds  of this  offering,  as set  forth  above,  represents  the
Company's  best estimates of their use, the amounts  actually  expended for each
purpose may vary significantly from

                                       16
<PAGE>

the  specific  allocation  of the net  proceeds  set forth  above,  depending on
numerous factors, including changes in the economic,  regulatory and competitive
climates for the Company's business operations. The Company, therefore, reserves
the right to  reallocate  the net  proceeds of this  offering  among the various
categories  set forth above as it, in its sole  discretion,  deems  necessary or
advisable.  Depending  upon the  timing  of the  proposed  expenditures  for the
purposes  described  in the  table  set  forth  above,  the  Company  may  use a
substantial  portion of the proceeds to reduce or repay in full its current bank
credit lines. In such event,  borrowings  under the bank credit lines would then
be used to finance the expenditures described in the table set forth above.

     Pending use of the proceeds for the purposes  described  above, the Company
intends  to  invest  the  net   proceeds  in   short-term,   investment   grade,
interest-bearing  obligations.  Any  proceeds  received  upon  exercise  of  the
Underwriters'  over-allotment  option,  the  Warrants  or  the  Representative's
Warrants, as well as income from investments, will be added to working capital.

                                    DILUTION

     The  Company  had a pro forma  net  tangible  book  value of  $224,132,  or
approximately  $.10 per share of Common Stock as of March 31, 1996. Net tangible
book value per share is equal to the net tangible  assets of the Company  (total
assets less total liabilities and intangible  assets),  divided by the number of
shares outstanding.  After giving effect to the issuance of the 1,050,000 shares
of Common Stock and the 1,050,000  Warrants  offered hereby (after  deduction of
estimated  offering  expenses and the  underwriting  discounts  and  commissions
estimated at $996,150),  the pro forma net tangible book value of the Company at
March 31, 1996 would have been  $4,582,982 or  approximately  $1.30 per share of
Common Stock  representing  an immediate  dilution to new investors of $3.62 per
share as illustrated by the following table:

<TABLE>
<S>                                                                                             <C>  
     Assumed initial public offering price per share of Common Stock ......................     $5.00

     Pro forma net tangible book value per share of
     Common Stock before offering .........................................................     $ .10

     Increase per share of Common Stock
     attributable to public investors .....................................................     $1.28

     Pro forma net tangible book value per share of Common Stock after offering ...........     $1.38

     Dilution per share of Common Stock to new investors ..................................     $3.62
</TABLE>

     If the  Underwriters'  over-allotment  option is exercised in full, the pro
forma net  tangible  book value per share of Common  Stock  after this  offering
would be  $5,281,809  which would  result in dilution to new  investors  in this
offering of $3.48 per share.

                                       17
<PAGE>

     The  following  table sets forth the number of shares of Common Stock owned
by the current stockholders of the Company, the number of shares to be purchased
from the Company by the  purchasers of the shares of Common Stock offered hereby
and  the  respective  aggregate  cash  consideration  paid  or to be paid to the
Company and the average price per share:

<TABLE>
<CAPTION>
                                        Shares Purchased                            Total Consideration
                                        ----------------                            -------------------
                                                                                               Average Price
                             Number        Percent      Amount               Percent             Per Share
                             ------        -------      ------               -------             ---------
<S>                        <C>                <C>    <C>                     <C>                  <C>  
Present
Stockholders(1)            2,265,000          68%    $     30,000                   %             $  .013
New Investors              1,050,000          32%    $                              %             $5.00
                           ---------        ----     ------------            -------

TOTAL                      3,315,000        100.0%   $                           100.0%
</TABLE>

- ----------

(1)  Excludes  75,000  shares of  Common  Stock  issuable  upon  exercise  of an
     outstanding  option,  exercisable at $3.75 per share, held by the Company's
     President.  See  "Capitalization,"  "Management  - Savings and Stock Option
     Plans, "Principal Stockholders" and "Certain Transactions."

                                       18
<PAGE>

                                 DIVIDEND POLICY

     The Company has operated as an S Corporation prior to this offering and has
paid out a substantial portion of its earnings to its current shareholders.  See
"Former S Corporation Tax Treatment." The Board of Directors  currently  intends
to retain and reinvest any future earnings into the development and expansion of
the business and  therefore  does not intend to pay cash  dividends.  Any future
payment of dividends will be subject to the discretion of the Board of Directors
and will depend upon, among other things, future earnings, if any, the operating
and financial  condition of the Company,  its capital  requirements  and general
business conditions.

                       FORMER S CORPORATION TAX TREATMENT

     The  Company  has been  treated  for  federal  income tax  purposes as an S
Corporation under Subchapter S of the Internal Revenue Code of 1986, as amended,
and under  Section 660 of the New York State Tax Law.  As a result,  earnings of
the Company were  declared,  for federal and New York State income tax purposes,
by  the  current  shareholders  of the  Company.  In  past  years,  the  Company
distributed a substantial  portion of its earnings to its current  shareholders.
These  distributions  aggregated  $100,230  and  $840,032  for the  years  ended
December  31, 1994 and 1995,  respectively.  Prior to the  consummation  of this
offering,  additional  distributions  of previously  earned and  undistributed S
Corporation  earnings in the aggregate  amount of $2,200,000 will be made to the
current  shareholders.  The  Company  is  funding  the  distribution  to current
shareholders  utilizing  $2,200,000  out of its  $3,500,000  aggregate  lines of
credit,  which bear interest at a rate equal to the prime rate  published in the
Wall Street Journal,  plus .75%,  payable monthly,  and which are for a one-year
term  renewable  in April,  1997.  The Company will no longer be treated as an S
Corporation  prior to the  completion  of this offering  and,  accordingly,  the
Company  will be  subject  to  federal  and New York  State  income  taxes.  See
"Capitalization,"  "Certain  Transactions" and Notes 1, 2 and 4 to the Financial
Statements.

                                 CAPITALIZATION

     The  following  table sets forth the  capitalization  of the Company (i) at
March 31, 1996 and (ii) as adjusted to give effect to the sale by the Company of
the  Securities  offered hereby at an assumed  initial public  offering price of
$5.00 per share of Common  Stock  and $.10 per  Warrant,  respectively,  and the
initial application of the net proceeds therefrom.  The information below should
be read in  conjunction  with the  Financial  Statements  and the notes  thereto
included elsewhere in this Prospectus, which should be read in their entirety.

                                       19
<PAGE>

<TABLE>
<CAPTION>
                                                            March 31, 1996
                                                     ---------------------------
                                                        Actual           Pro forma (2)    Pro forma As Adjusted
                                                     ----------          -------------    ---------------------
<S>                                                  <C>                   <C>                  <C>       
Short-term debt
  Note Payable --
    Bank ........................................    $  900,000(1)         $3,100,000           $3,100,000
    Long-term debt - current portion ............         6,355                 6,355                6,355
                                                     ----------            ----------           ----------
      Total short-term debt .....................       906,355             3,106,355            3,106,355
                                                     ==========            ==========           ==========

Long-term debt
  Collateralized capital leases .................         5,137                 5,137                5,137

Stockholders' equity (deficit):
  Preferred Stock, $.01 par value,
    authorized 2,000,000 shares,
    no shares issued and outstanding ............          --                    --                   --
  Common stock, $.01 par value,
    authorized 10,000,000 shares;
    2,265,000 shares issued and outstanding,
    actual; 3,315,000 shares issued and
    outstanding as adjusted(3) ..................        22,650                22,650               35,650
  Additional paid-in capital ....................         7,350                 7,350            4,355,700
  Retained earnings .............................     2,471,406               271,406              271,406
                                                     ----------            ----------           ----------
    Total stockholders' equity ..................     2,501,406               301,406            4,660,256
                                                     ----------            ----------           ----------
    Total capitalization ........................    $3,412,898            $3,412,898           $7,771,748
                                                     ==========            ==========           ==========
</TABLE>
- ----------

(1)  Excludes  $2,200,000 in bank debt incurred  subsequent to March 31, 1996 to
     fund  payment  of S  Corporation  dividends  to current  stockholders.  See
     "Dividend  Policy,"  "Former S Corporation  Tax  Treatment,"  "Management's
     Discussion and Analysis of Financial  Condition and Results of Operations -
     Liquidity  and  Capital  Resources,"  "Principal   Stockholders,"  "Certain
     Transactions" and Financial Statements.

(2)  Pro forma weighted average number of common share  equivalents  outstanding
     includes  459,725  shares  whose  proceeds  would be necessary to pay the S
     Corporation  distribution  and 18,750  shares  relating to the stock option
     grant.   See  "Former  S  Corporation  Tax  Treatment,"   "Capitalization,"
     "Management's Discussion and Analysis of Financial Condition and Results of
     Operations -- Liquidity and Capital Resources,"  "Principal  Stockholders,"
     "Certain Transactions" and Financial Statements.

(3)  Does not include (i) 1,050,000  shares  reserved for issuance upon exercise
     of the Warrants;  (ii) an aggregate of 210,000 shares reserved for issuance
     upon exercise of the  Representative's  Warrants and the Warrants  included
     therein;  and (iii) 75,000 shares reserved for issuance upon exercise of an
     option granted prior to the date of this Prospectus and shares reserved for
     issuance  upon  exercise of options  available  for future  grant under the
     Company's Stock Option Plan. See  "Management's  Discussion and Analysis of
     Financial  Condition  and Results of  Operations  -  Liquidity  and Capital
     Resources,"  "Management  - Stock Option Plan,"  "Principal  Stockholders,"
     "Description of Securities," "Certain Transactions" and "Underwriting."

                                       20
<PAGE>

                             SELECTED FINANCIAL DATA

     The following  table  presents  selected  financial data of the Company for
each of the two years ended  December 31, 1994 and 1995 and for the three months
ended  March  31,  1995 and 1996.  Except  for pro  forma  data,  the data as of
December  31,  1994 and 1995 and for each of the two years in the  period  ended
December 31, 1995 have been derived from the financial statements of the Company
appearing  elsewhere in this Prospectus which have been audited by M.R. Weiser &
Co. LLP The data for the three month  periods  ended March 31, 1995 and 1996 was
derived  from  unaudited  financial  statements  included  herein,  which in the
opinion of management of the Company contain all adjustments (consisting only of
normal recurring  adjustments)  necessary for a fair presentation  thereof.  The
results  of  operations  for the  three  months  ended  March  31,  1996 are not
necessarily  indicative  of results to be  expected  for the  entire  year.  The
selected  financial data set forth below should be read in conjunction  with the
Financial  Statements of the Company and related notes thereto and "Management's
Discussion  and  Analysis of  Financial  Condition  and  Results of  Operations"
appearing elsewhere in this Prospectus.

<TABLE>
<CAPTION>
                                                                 Years Ended December 31,              Three Months Ended March 31,
                                                               ----------------------------            -----------------------------
                                                                 1994                1995                 1995               1996
                                                               --------            --------            --------            --------
                                                                               (In thousands, except per share data)
<S>                                                            <C>                 <C>                 <C>                 <C>     
Statement of Income Data:
Net patient service revenue                                    $  8,981            $ 11,810            $  2,621            $  2,987
                                                               --------            --------            --------            --------
Professional care of patients                                     6,301               8,128               1,782               2,062
General and administrative
      expenses                                                    1,793               2,391                 580                 691
                                                               --------            --------            --------            --------
   Income from operations                                           887               1,291                 259                 234
Interest expense, net                                               (85)                (82)                (27)                (28)
Other income                                                          6                                                           4
Provision for income taxes(1)                                       (37)                (81)                 (9)                 38
                                                               --------            --------            --------            --------
Net income                                                     $    771            $  1,128            $    223            $    248
                                                               ========            ========            ========            ========
Pro Forma Data:(2)(3)
Income before provision
      for income taxes                                         $    808            $  1,209            $    232            $    210
Pro forma provision for
      income taxes                                                  353                 520                 101                  91
                                                               --------            --------            --------            --------
Pro forma net income                                           $    455            $    689            $    131            $    119
                                                               ========            ========            ========            ========

Pro forma net income per common
   share and common share
   equivalents outstanding(1)(3)                                                   $    .25                                $    .04
                                                                                   ========                                --------

Pro forma weighted average number of
   common shares and common
   share equivalents outstanding(2)                                                   2,743                                   2,743
                                                                                   ========                                ========
</TABLE>

<TABLE>
<CAPTION>
                             At December 31, 1995        At March 31, 1996        Pro forma at March 31, 1996
                             --------------------        -----------------        ---------------------------
                                                                                         (In thousands)
<S>                                <C>                       <C>                           <C>               
Balance Sheet Data:
Working capital (deficit)          $2,775                    $2,186                        $  (14)
Total assets                        4,840                     4,001                         4,001
Total liabilities                   1,799                     1,500                         3,700
Retained earnings                   3,011                     2,471                           271
Stockholders' equity                3,041                     2,501                           301
</TABLE>                                         

- ----------

(1)  The Company has been an S  Corporation  under  Subchapter S of the Internal
     Revenue Code of 1986,  as amended (the  "Internal  Revenue  code") for U.S.
     federal and New York State income tax purposes since its inception. As an S
     Corporation,  the  Company  was not  subject to  federal  income  tax,  but
     remained  subject to a reduced New York State  income tax. The Company will
     terminate  its S  Corporation  status  prior  to  the  completion  of  this
     offering.  See "The  Company."  Pro forma amounts give effect to additional
     income taxes that would have been reported  assuming that the Company was a
     C  Corporation  for years  ended  December  31, 1994 and 1995 and the three
     months  ended  March 31,  1995 and 1996.  See  "Former  S  Corporation  Tax
     Treatment" and "Management's Discussion and Analysis of Financial Condition
     and Results of Operations."

(2)  Pro forma weighted average number of common share  equivalents  outstanding
     includes  459,725  shares  whose  proceeds  would be necessary to pay the S
     Corporation  distribution  and 18,750  shares  relating to the stock option
     grant.   See  "Former  S  Corporation  Tax  Treatment,"   "Capitalization,"
     "Management's Discussion and Analysis of Financial Condition and Results of
     Operations -- Liquidity and Capital Resources,"  "Principal  Shareholders,"
     "Certain Transactions" and Financial Statements.

(3)  Pro forma summary information  includes $2,200,000 of bank debt incurred by
     the Company after December 31, 1995 to fund the payment of  undistributed S
     Corporation  earnings to current  shareholders prior to this offering.  See
     "Former  S  Corporation  Tax  Treatment,"  "Capitalization,"  "Management's
     Discussion and Analysis of Financial  Condition and Results of Operations -
     Liquidity," "Principal Shareholders" and "Certain Transactions."

                                       21
<PAGE>

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


Results of Operations

     Three  Months  Ended March 31, 1996  Compared  with the Three  Months Ended
March 31, 1995

     Revenues for the quarter ended March 31, 1996 (the "first quarter of 1996")
increased 14% to approximately  $2,987,000 from approximately $2,621,000 for the
quarter  ended  March 31,  1995 (the  "first  quarter  of 1995").  The  increase
resulted primarily from new business.

     Cost  of  professional  care of  patients  for the  first  quarter  of 1996
increased 15.7% to approximately  $2,062,000 from  approximately  $1,782,000 for
the first quarter of 1995.  The increase  resulted  primarily from the hiring of
additional home health care personnel to service the increased new business.

     Selling,  general and administrative expenses for the first quarter of 1996
increased 19.1% to approximately  $691,000 from  approximately  $580,000 for the
first quarter of 1995. The increase  resulted  primarily from an increase in the
reserve for doubtful  accounts and from the hiring of additional office staff to
support the growth in the Company's business.

     Interest  expense  for  the  first  quarter  of  1996  increased  14.8%  to
approximately $31,000 as compared to approximately $27,000 for the first quarter
of 1995,  primarily  as a result of an  increase  in  borrowings  to  finance an
increase in accounts receivable that occurred during the month of December 1995.

     The  provision  for New York State and New York City  income  taxes for the
first  quarter of 1996  decreased to a credit of  $(38,000)  from $9,000 for the
first quarter of 1995,  because a $50,000 credit for deferred New York State and
New York City  taxes was  recorded  in the first  quarter of 1996 as a result of
timing differences due to the cash basis of accounting for income tax purposes.

     In  view  of the  foregoing,  net  income  for the  first  quarter  of 1996
increased 11.2% to approximately $248,000, as compared to approximately $223,000
for the first quarter of 1995.

     Year Ended  December  31, 1995  compared  with the Year Ended  December 31,
1994.

     Revenues for the year ended December 31, 1995 ("1995")  increased  31.5% to
approximately  $11,810,000  from  approximately  $8,981,000  for the year  ended
December 31, 1994 ("1994"). The

                                       22
<PAGE>

increase  resulted  primarily from an increase in services  provided to existing
clients and increased new business.

     Cost  of   professional   care  of  patients  for  1995  increased  29%  to
approximately  $8,127,000 from  approximately  $6,301,000 for 1994. The increase
resulted  primarily from the hiring of additional  home health care personnel to
service the increased new business and increase in services rendered to existing
clients.

     Selling,  general and  administrative  expenses for 1995 increased 33.4% to
approximately  $2,391,000 from  approximately  $1,793,000 for 1994. The increase
resulted primarily from the hiring of additional office support staff to support
the growth in the Company's business.

     Interest  expense for 1995  decreased  3.7% to  approximately  $82,000,  as
compared to approximately $85,000 for 1994, primarily as a result of a reduction
in borrowings resulting from the Company's increased cash flow.

     In  view  of  the  foregoing,  net  income  for  1995  increased  46.3%  to
approximately $1,128,000, as compared to approximately $771,000 for 1994.

                                       23
<PAGE>

Liquidity and Capital Resources

     The  Company  has  required  cash to fund  the  growth  of its  operations,
particularly to finance expansion of accounts  receivable and the opening of new
branch offices. Historically, the Company's internally generated funds have been
insufficient to meet all of its cash needs. To satisfy these  requirements,  the
Company has  supplemented  its internally  generated funds with borrowings under
bank lines of credit.  The Company presently has a credit facility with UMB Bank
and Trust Company in the amount of $3,500,000, which is secured by substantially
all of the  Company's  assets.  Repayment  of  outstanding  amounts  under  such
facility  is  guaranteed   by  all  of  the  Company's   directors  and  current
stockholders.  This  credit  facility  provides  for  interest at the prime rate
published  in the Wall  Street  Journal,  plus  .75%,  payable  monthly,  and is
renewable  in July  1997.  At  March  31,  1996,  the  Company  had  outstanding
borrowings  of $900,000.  Subsequent to March 31, 1996, a total of $2,200,000 of
the  $3,500,000  credit  facility  will  be  used  by  the  Company  to  fund  a
distribution  to  its  current   stockholders  of  previously   undistributed  S
Corporation  earnings.  See "Former S Corporation  Tax  Treatment"  and "Certain
Transactions."

     For the  first  quarter  of  1996,  net cash  provided  by  operations  was
approximately  $1,265,000,  as compared to approximately  $627,000 for the first
quarter of 1995.  This  increase  in net cash from  operations  was  primarily a
result  of a  decrease  in  accounts  receivable  and  unbilled  receivables  of
approximately  $841,000  and a decrease  in loans to  stockholders  of  $145,000
during the first quarter of 1996. Net cash used in financing  activities for the
first quarter of 1996 totalled approximately  $1,115,000,  primarily as a result
of the payment of S  Corporation  distributions  to the  Company's  stockholders
which aggregated  approximately $788,000 and repayments under its line of credit
totalling  $325,000 during the period.  See "Former S Corporation Tax Treatment"
and "Certain Transactions."

     As of March 31, 1996, approximately $3,270,000 (approximately 81.7%) of the
Company's total assets  consisted of accounts  receivable  derived from payments
made to  contractors  by  third-party  payors.  Such  payors  generally  require
substantial documentation in order to process claims.

     On July 8, 1996,  the Company  entered into an agreement with 1667 Flatbush
L.L.C.  ("1667 Flatbush"),  a limited liability company organized under the laws
of the State of New York which is owned by the Company's officers and directors,
pursuant to which 1667 Flatbush  purchased  $3,500,000 of the Company's accounts
receivable for a purchase price of $3,150,000, payable at the rate of $1,100,000
on August 1, 1996,  $1,100,000  on September 1, 1996 and $950,000 on the earlier
of October 1, 1996 or the date of this Prospectus. Each payment is to be made

                                       24
<PAGE>

together with accrued interest,  in arrears. The payments due to the Company are
reflected  in a promissory  note bearing  interest at the rate of 12% per annum,
are secured by a lien on the accounts  receivable  purchased from the Company by
1667  Flatbush  and are  personally  guaranteed  by each of the  members of 1667
Flatbush.  The promissory note permits prepayments of principal without penalty,
such  prepayment to be credited  against the next due payment  obligation.  As a
result of the  Company's  sale of accounts  receivable  for less than their face
value,  the Company expects to recognize a net charge to its earnings during the
third quarter ended September 30, 1996 in the amount of $170,000. See "Principal
Stockholders" and "Certain Transactions."

     Days Sales  Outstanding  ("DSO") is a measure of the average number of days
taken by the Company to collect its  accounts  receivable,  calculated  from the
date services are performed.  For the years ended December 31, 1994 and December
31,  1995,  the  Company's  DSO's  were 152 days and 130 days,  respectively,  a
reduction  of  approximately   14.5%,   primarily  as  a  result  of  additional
concentration  on  collection of accounts  receivable.  For the first quarter of
1995 and 1996, the Company's DSO's were 119 days and 101 days,  respectively,  a
reduction of approximately 15.1%.

     The Company has allocated a portion of the net proceeds of this offering to
upgrade its computer systems,  one of the results of which is expected to be the
expediting of its internal billing  procedures which can be expected to have the
effect of generally  decreasing  the  Company's  DSO's.  See "Use of  Proceeds."
However,  there can be no assurance  that any expected  decrease in DSO's due to
computer  upgrades will not be offset by an increase in DSO's resulting from the
efforts of third-party  payors to increase their audit and review facilities and
reduce costs.

     The Company's  liquidity and long-term capital  requirements  depend upon a
number of factors,  including the rate at which new offices and  facilities  are
established and  acquisitions,  if any, are made. The Company  believes that the
development and start-up costs for a new branch office  aggregate  approximately
$100,000,  including leasehold improvements,  lease deposits,  office equipment,
marketing,  recruiting,  labor and operating  costs during the  pre-opening  and
start-up  phase,  and also the  provision  of working  capital to fund  accounts
receivable.  Such costs will vary  depending  upon the size and location of each
facility and, accordingly, may vary substantially from these estimates.

     Although  the  Company  does  not  have any  pending  material  commitments
regarding  capital  expenditures,   it  anticipates  making  additional  capital
expenditures  in connection  with the acquisition of home health care companies,
development of a new principal  office and improved branch  facilities,  and the
improvement of its management systems.  See "Use of Proceeds." Further expansion
of the Company's business  (particularly  through  acquisitions) may require the
Company  to incur  additional  debt or offer  additional  equity  if  internally
generated  funds,  cash on hand and  amounts  available  under  its bank  credit
facilities  are  inadequate to meet such needs.  There can be no assurance  that
such  additional  debt or  equity  will  be  available  to the  Company  or,  if
available, will be on terms acceptable to the Company.

                                       25
<PAGE>

Inflation

     Inflation has not had a significant  impact on the Company's  operations to
date.

Recent Pronouncements of the Financial Accounting Standards Board

     Recent pronouncements of the Financial Accounting Standards Board ("FASB"),
which  include  Statement of Financial  Accounting  Standards  ("SFAS") No. 121,
"Accounting for Impairment of Long-Lived  Assets and for Long-Lived Assets to be
Disposed Of" and SFAS No. 123,  "Accounting for Stock-Based  Compensation,"  are
effective for fiscal years  beginning  after  December 15, 1995. The adoption of
SFAS 121 and SFAS 123 does not have a material impact on the Company's financial
statements.

                                    BUSINESS

General

     The Company is a licensed  home health care  agency  engaged  primarily  in
supplying the services of paraprofessionals  who provide a broad range of health
care  services to  patients' in their  homes.  The Company  operates in all five
boroughs  of New York City and the  counties of Nassau,  Westchester,  Rockland,
Orange,  Duchess,  Ulster,  Putnam and Sullivan,  in the State of New York.  The
Company's  services are supplied  principally  pursuant to contracts with health
care  institutions  and  agencies  such  as the  Mt.  Sinai  Medical  Center  in
Manhattan, New York Methodist Hospital in Brooklyn, Beth Abraham Health Services
in the Bronx and Westchester  County and the New York State Department of Social
Services.

     When the Company was  initially  organized,  in February  1983,  it engaged
principally in the business of providing nursing staff in nursing homes.

     In 1988, the Company  purchased the equipment,  fixtures,  client lists and
paraprofessional  aide lists of  National  Medical  Home Care,  Inc.  located in
Brooklyn,  Queens  Village,   Rockville  Centre  and  Mount  Vernon,  New  York.
Thereafter,  the Company  maintained  offices in Brooklyn,  Hempstead  and Mount
Vernon,  New York and shifted the focus of its business to the provision of home
health care support services.

     In 1992,  the Company opened a fourth  office,  in Spring Valley,  New York
and,  in 1993,  opened its fifth  office,  in  Newburgh,  New York.  Each of the
Company's five offices are  responsible for the sales and health care operations
within  their  respective   territories  and  maintain  their  own  recruitment,
scheduling,  training and quality assurance  programs.  The Brooklyn office also
serves  as  the  Company's  central   administrative  and  financial  operations
location.

                                       26
<PAGE>

     In 1993, the Company opened its maternal/child services division,  "Special
Deliveries",  providing both pre- and post-delivery  care for pregnant women and
their newborn children, which operates out of the Hempstead office.

     The Company currently offers a broad range of support  services,  including
assistance with personal hygiene, dressing and feeding; meal preparation,  light
housekeeping  and shopping;  and, to a limited extent,  standard skilled nursing
services such as the changing of  dressings,  injections,  catheterizations  and
administration  of medications;  and physical therapy.  The Company's  personnel
also train patients in their own care, monitor patient compliance with treatment
plans,  make  reports to the  physicians  and  process  reimbursement  claims to
third-party  payors.  Among the  paraprofessionals  and nurses  supplied  by the
Company are those  fluent in Spanish,  Yiddish and Russian as well as  personnel
knowledgeable in the requirements and practices of Kosher homes.

Industry Background

     The home health care industry has grown  substantially over the past decade
according to published industry  information.  The New York State Association of
Home Care Providers  estimates (from annual reports  submitted by agencies) that
Medicaid and Medicare spending on home health care has grown from  approximately
$2.9 billion in 1985 to in excess of  approximately  $19.4 billion in 1994.  The
Company believes that the primary reasons for the growth in the home health care
market include the aging of the U.S. population;  the realization of substantial
cost savings  through  treatment at home as an alternative  to  hospitalization;
advances in medical technology which have enabled a growing number of treatments
to be provided in the home rather than  requiring  hospitalization;  the general
preference  of  patients  to  receive  treatment  in  a  familiar   environment;
reductions  in the  length  of  hospital  stays as a result of  increasing  cost
containment  efforts in the health care industry;  growing acceptance within the
medical  profession of home health care and the rapid  increase in the incidence
of AIDS-related diseases and cancer.

     Aging  Population.  The  number of  individuals  over age 65 in the  United
States is  estimated  to have grown from 25.7  million in 1980,  or 11.3% of the
population,  to approximately  34.1 million in 1996, or 12.9% of the population,
and is  projected  to  increase  to  more  than  35  million,  or  12.8%  of the
population,  by the year 2000. The elderly have traditionally  accounted for two
to three times the average per capita share of health care expenditures.  As the
number  of  Americans  over age 65  increases,  the need  for home  health  care
services is also expected to increase.

     Cost  Effectiveness  of Home Health  Care  Services.  National  health care
expenditures  increased  from  approximately  $697 billion in 1990 (12.6% of the
United States gross national  product) to  approximately  $1,008 billion in 1995
(14.2% of the  United  States  gross  national  product),  and is  projected  to
increase to more than $1,481  billion (15.9% of the United States gross national
product) by the year 2000. In response to rapidly rising costs, governmental and
private payors have adopted cost  containment  measures that  encourage  reduced
hospital  admissions,  reduced  lengths of stay in hospitals and delayed nursing
home admissions. Changes in hospital reimbursement methods under Medicare from a
cost-based  method  to a  fixed  reimbursement  method  based  on the  patient's
diagnosis

                                       27
<PAGE>

have created an incentive  for earlier  discharge  of patients  from  hospitals.
These measures have in turn fostered an increase in home health care which, when
appropriate,  provides  medically  necessary care at significantly  less expense
than similar care provided in an institutional setting.

     Advances  in  Technology.  Advances  in  technology  in the past decade now
enable patients who previously  required  hospitalization to be treated at home.
For example,  the  development  of a compact and portable  phototherapy  blanket
performing the same functions as bilirubin lighting systems in hospitals for the
treatment of newborn children with jaundice,  a common condition,  permits these
infants to be treated at home.  Prior to the  development of this device,  these
infants were kept in the neonatal  unit of a hospital  even after the mother was
discharged.  This practice delayed  mother-infant  bonding,  made breast-feeding
difficult and otherwise caused substantial inconvenience and concern to families
at a time when the mother was in a weakened  state.  Similar  advances have been
made in home infusion  therapy (which is presently  provided by the Company only
on a limited basis) and rehabilitation  equipment permitting  treatments at home
which used to require hospital settings.

     Patient Preference and Physician Acceptance.  The Company believes that, if
possible in any given case,  a patient  will prefer to be treated at home rather
than in an  institutional  setting.  Further,  in the last  decade,  the medical
profession  has shown  greater  acceptance  of home health care in the  clinical
management  of patients.  As evidence of this greater  acceptance,  the American
Medical  Association  Councils on Scientific  Affairs and Medical  Education has
recommended  that training in the principles and practice of home health care be
incorporated  into the  undergraduate,  graduate  and  continuing  education  of
physicians.

     Incidences  of AIDS and  Cancer.  Increases  in the  incidence  of AIDS/HIV
infections and cancer have also been  responsible  for a significant  portion of
the growth in the home care market. As of December 1995, more than 513,486 cases
of AIDS had been reported to the Center for Disease Control (not including those
with less  advanced HIV who could still  benefit from  treatment).  During their
treatment,  AIDS/HIV  patients may receive several courses of infusion and other
therapies typically  administered by infusion therapy companies,  including AZT,
aerosolized  Pentamidine(TM),  antibiotics and nutritional  support. The Company
presently  provides a limited  amount of infusion  therapy with  pharmaceuticals
provided by licensed suppliers. The Company plans to expand its infusion therapy
operations during the next year. See "- Home Health Care Services."

     The American Cancer Society estimates that 83 million (or 33%) of Americans
now living will eventually be diagnosed with cancer.  Approximately  one million
new  cases are  reported  annually.  At the same  time,  improvements  in cancer
diagnosis and treatment have caused mortality rates to increase more slowly than
the increase in incidence rates.  Cancer treatment is one of the fastest growing
segments of outpatient  infusion  therapy due to increasing  numbers of patients
and  new   technologies   that  allow  for  the  therapy's  safe  and  effective
administration  in the home and at alternate site locations.  Over the course of
their  treatment,  cancer  patients  may require a range of infusion  therapies,
including chemotherapy, pain management and nutritional support.

                                       28
<PAGE>

Home Health Care Services

     The  Company's  home health care services are provided  principally  by its
paraprofessional  staff,  who provide personal care to patients and, to a lesser
extent,  by its skilled nursing staff, who provide various  therapies  employing
medical  supplies  and  equipment  and, to a lesser  extent,  infusion  therapy.
Personal  care and nursing  services for a particular  patient can extend from a
few visits to years of service and can involve  intermittent or continuous care.
Approximately  95% of the Company's total net revenues in 1995 were attributable
to services by its paraprofessional staff.

Certified Paraprofessionals

     The Company's  certified  paraprofessional  staff provide a combination  of
unskilled nursing and personal care services to patients,  as well as assistance
with daily living tasks such as hygiene and feeding.  Consistent with applicable
regulations,  all of the  Company's  aides  are  certified  and work  under  the
supervision of a licensed  professional nurse. Certain aides have been specially
trained by the Company to work with patients with particular  needs, such as new
mothers and their newborn  infants,  patients with  particular  diseases such as
cancer, AIDS or Alzheimer's  Disease, and particular classes of patients such as
the developmentally disabled and terminal.

     The Company is approved by the New York State Department of Health to train
"Home Health Aides" and by the New York  Department of Social  Services to train
"Personal Care Aides." Medicaid provides reimbursement for services performed by
both  Home  Health  Aides and  Personal  Care  Aides,  while  Medicare  provides
reimbursement  only for the services  provided by Home Health Aides. In order to
provide a qualified  and  reliable  staff,  the Company  continuously  recruits,
trains,  provides  continuing  education  for,  and  offers  benefits  and other
programs to encourage retention of its staff.  Recruiting is conducted primarily
through  advertising,  direct  contact  with  community  groups  and  employment
programs,  and the use of benefits  programs  designed to encourage new employee
referrals by existing employees.

     All  paraprofessional  personnel  must  pass a  written  exam  and a skills
competency test prior to employment, with all certificates having been validated
by the issuing  agency.  The  Director of Nursing or Director of  Maternal/Child
Health  in each of the  Company's  branch  offices  validates  the  professional
competency  of all new hires.  Newly  hired  employees  are  re-evaluated  as to
competency  within  six  months  of  their  employment  and  all  employees  are
re-evaluated  on an on-going  basis at least  semi-annually.  In addition,  they
undergo an orientation  program which includes material  regarding HIV patients,
Hepatitis  B,  essential  precautions  which  must be taken  with all  patients,
patient's  rights  issues,  and  the  Company's  policies  and  procedures.   An
orientation manual is also provided to each employee.

     High quality service is emphasized  throughout the various divisions of the
Company, both in hiring,  Company training and testing of its personnel,  and in
the manner in which  services  are  delivered.  Training  and quality  assurance
programs are regularly reviewed and directed by

                                       29
<PAGE>

management and corporate  support staff  consisting of  experienced  health care
professionals.  The Company received  "Accreditation with Commendation" from the
Joint Commission on Accreditation of Health Care  Organizations  ("JCAHO") after
its initial and only review, in 1994, and, in February 1996, was selected by the
University of Colorado Health Sciences Center as one of only 22 home health care
agencies  participating in a two to three year study known as the  Outcome-Based
Quality Improvement in Home Care New York State Demonstration  Project funded by
the New York State Department of Health,  by reason of the Company's  commitment
to both  quality  assurance  and  improvement.  The  Company  believes  that its
reputation  for  quality  patient  care  has  been  and  will  continue  to be a
significant factor in its success.

     Competition  for  qualified  staff has been  intense in recent  years.  The
Company  competes to attract and retain  personnel on the basis of  compensation
and working  conditions.  Among the benefits  which the Company  provides to its
staff are competitive salaries, a 401(k) Plan and unlimited  Company-paid visits
to a walk-in clinic.  The Company has generally not experienced  difficulties in
the past in attracting and retaining  personnel.  It believes it will be able to
compete effectively in this area and satisfy its overall staffing  requirements.
However,  there can be no assurance that shortages of health care  professionals
in the future  will not occur and such  shortages  could  materially  effect the
Company's ability to maintain or increase its current obligations.

Licensed Professional Nurses

     The Company employs licensed  professional  nurses (both registered  nurses
and  licensed  practical  nurses) who provide  special and general  professional
nursing  services  (these nurses are employed on a per diem basis).  The Company
also employs  registered nurses who are responsible for training and supervising
the Company's  paraprofessional  staff, as well as providing backup in the field
for the nursing  staff which is providing  care (these  nurses are employed on a
salaried  basis).  General  nursing care is provided by registered  and licensed
practical nurses and includes  periodic  assessments of the  appropriateness  of
home  care,  the  performance  of therapy  procedures,  and  patient  and family
instruction.  Patients  receiving  such care include  stabilized  post-operative
patients  recovering at home, patients who, although acutely ill, do not need to
be cared for in an acute care  facility  and  patients  who are  chronically  or
terminally ill.

     Specialty nurses are registered  nurses with experience or certification in
particular  specialties,  such as emergency service,  intensive care,  oncology,
intravenous  therapy  or infant  and  pediatric  nursing.  The  Company  employs
specialty  nurses to provide a variety of therapies  and special care regimes to
patients in their homes. These specialty nurses also instruct patients and their
families  in the self  administration  of  certain  therapies  and in  infection
control,  emergency procedures and the proper handling and usage of medications,
medical supplies and equipment.

     In August 1993,  the Company  established a  maternal/child  care division,
called "Special  Deliveries," which provides  comprehensive nursing services for
women  during  pregnancy,   and  for  them  and  their  newborn  children  after
childbirth.  The  Company  provides  its  skilled  nursing  staff  with  special
additional  training  in this  division,  which  offers a wide  range of quality
health services to

                                       30
<PAGE>

patients at home through the provision of  Registered  Nurses,  including  those
with at least two years of experience in maternal child care, Neonatal Intensive
Care  Unit  ("NICU")  Nurses,   Maternal/Newborn  Registered  Nurses,  Certified
Childbirth Educators and Certified Lactation Consultants.  Referral services are
also  available  for support  programs  providing  social  workers,  bereavement
counselors  and  nutritionists.  Each  patient's  individual  treatment plan and
insurance coverage is reviewed prior to commencement of services being rendered,
except for childbirth education, which is privately contracted.

     The  Company's  licensed  professional  nurses also  provide a very limited
amount of in-home administration to patients of nutrients, antibiotics and other
medications  intravenously  (into a vein),  subcutaneously  (under  the skin) or
through feeding tubes,  utilizing supplies provided by licensed suppliers.  Such
intravenous therapy is used for antibiotic treatment,  parenteral nutrition (the
administration of nutrients), enteral nutrition (the administration of nutrients
directly into the digestive tract), growth hormone therapy, pain management, and
chemotherapy.  The duration,  progression and complexity of infusion  therapy is
governed by the patient's  disease and  condition and can range  anywhere from a
few weeks to many years.

     All nurses  hired by the  Company  must have at least one year of  current,
verifiable   experience,   including   references   and  license   verification.
Maternal/Child care nurses must have at least two years of experience.

     While the provision of licensed professional nursing services accounted for
less than 5% of the  Company's  net  revenues in 1995,  the  Company  intends to
expand its  maternal/child  care and infusion therapy operations in its existing
markets  as well as new  geographic  locations.  See "Use of  Proceeds"  and " -
Company Strategy."

Company Strategy

     The Company's objective is to become a comprehensive  provider of efficient
and high quality home health care to an  increased  share of expanding  markets.
The primary  elements of the  Company's  strategy to achieve this  objective are
geographic  expansion of its branch  office  network by investment in additional
branch offices and by the acquisition of other home health care  companies,  and
by  expansion  of the services  provided by its  licensed  professional  nurses,
principally  in the areas of infusion  therapy,  pediatrics  and  maternal/child
care. The Company intends to initially  concentrate its expansion efforts in its
current  market  areas and the  counties  surrounding  those  market  areas.  In
addition to  expansion  into  geographic  areas in  proximity  to the  Company's
current branch offices, the Company will generally seek to enter and expand into
new  metropolitan  areas in the Northeast  and  Southeast  regions of the United
States  which  have large  patient  populations  and,  in  particular,  patients
traveling between these regions.

                                       31
<PAGE>

     Acquisitions

     A major  element of the  Company's  strategy is to acquire home health care
companies  in order to  diversify  into  additional  geographic  markets  and to
increase market share in the Company's current markets, in order to add patients
and referral  sources to existing  branch  offices  without  adding  substantial
overhead  cost.  The Company  will also seek to expand  into other  metropolitan
areas through acquisition,  if it can identify  appropriate  opportunities which
make an acquisition more  cost-effective than a direct investment for facilities
and personnel in areas outside of its current  branch office  network.  However,
the Company has not yet  identified  any particular  potential  acquisition  and
there can be no assurance that any such acquisition which may be consistent with
the Company's strategy will be available or, if available,  that it will be at a
price which the Company deems to be favorable.

     Branch Offices

     The home health care industry is, fundamentally,  a local one in which both
the patients and the referral sources (such as hospitals,  home health agencies,
social service agencies and physicians) are located in the local geographic area
in which the  services  are  provided.  The Company  seeks to serve local market
needs  through  its  branch  office  network,  run by  branch  managers  who are
responsible  for  all  aspects  of  local  office   decision-making,   including
recruiting,  training,  staffing  and  marketing.  The  Company  intends to open
additional branch offices with a portion of the net proceeds of this offering in
the Counties of Suffolk,  Putnam, Ulster and Duchess, in New York State, subject
to entering  required  agreements  with the local New York  Department of Social
Services  Agencies.  In addition,  the Company  hopes to expand into New Jersey,
Pennsylvania  and Connecticut in order to offer a wider  geographic  coverage to
the  health  maintenance  organizations  ("HMO's")  and  health  care  insurance
organizations  with which it deals,  and to add additional  organizations.  This
further  expansion is subject to the completion of market surveys in the various
locations to ascertain the extent to which  existing home care medical needs are
not being met as well as competition and recruitment issues.

     Expansion of Infusion Therapy

     The Company presently provides a limited amount of infusion therapy service
to  patients,   utilizing   pharmaceuticals   provided  by  licensed  suppliers.
Management  believes  that  the  total  market  for  home  infusion  therapy  is
continuing its growth and that increasing the provision of infusion therapy will
build on the  Company's  strength in providing  nursing  services,  because such
therapies generally require administration by specialty nurses. The Company will
also seek to supply  infusion  therapy  patients with the other home health care
services  and  therapies  which they often  require and which are offered by the
Company.  While the Company has no current  commitments  to  establish  infusion
therapy  facilities,  it intends to pursue the  establishment of such facilities
during the next 18 months in order to increase its very small market share.  See
"Use of  Proceeds."  However,  there can be no  assurance  that the Company will
succeed in expanding an infusion therapy business or, if expanded,  that it will
conduct such a business on a profitable basis.

                                       32
<PAGE>

     Professional Care Resources

     The Company  intends to expand its  maternal/child  care division,  Special
Deliveries,  as well as its  pediatric  care programs in order to meet the needs
which  management  believes are being created by early discharge  programs.  The
existing referral base utilized by the Company from the various agencies, social
workers,  case  managers  and  positions  will be used to meet  what  management
perceives  to be a need not being met by the  current  pool of home  health care
agencies.  The Company  expects that the  expansion of this program will require
the hiring of an additional  services  director with an extensive  background in
pediatrics to assist the  Directors of Nursing in each of the  Company's  branch
offices. Additional support staff will also be required, as well as new training
materials,  assistant  directors,  coordinators and marketing staff. The Company
also expects that  expansion of the Special  Deliveries  division will result in
the acquisition of additional office facilities.

Organization and Operations

     The  Company  operates  24  hours  a day,  seven  days a week,  to  receive
referrals and coordinate services with physicians,  case managers,  patients and
their families.  The Company  provides  services  through its five principal and
branch offices and one  recruitment  and training  office.  The Company seeks to
achieve  economies of scale by having each branch  office serve a large  patient
population. Each office conducts its own marketing efforts, negotiates contracts
with referral sources,  recruits and trains professionals and  paraprofessionals
and coordinates  patient care and care givers.  Each office is typically staffed
with a branch manager,  director of nursing,  home care  coordinators,  clerical
staff and nursing services staff.

     The Company's  principal  office retains all functions  necessary to ensure
quality of patient care and to maximize financial efficiency. Services performed
at the principal  office  include  billing and  collection,  quality  assurance,
financial and accounting  functions,  policy and procedure  development,  system
design and development,  corporate  development and marketing.  The Company uses
financial  reporting  systems  through  which it  monitors  data for each branch
office, including patient mix, volume,  collections,  revenues and staffing. The
Company's systems also provide monthly budget analysis, financial comparisons to
prior periods and comparisons  among the Company's  branch offices.  The Company
has committed a portion of the proceeds to this offering to acquire new computer
hardware  and upgrade its  software  and other  systems  with the  intention  of
increasing  its processing  capacity,  enhancing its database  capabilities  and
clinical   management   capacities  and  improving   collections  and  financial
management. See "Use of Proceeds."

     Work Flow

     A case is initiated by one of the Company's  referral sources  contacting a
branch  office and advising it of the  patient's  general  location,  diagnosis,
types of services  required,  hours of service required and the time of day when
the services are to be rendered. The branch office then contacts the

                                       33
<PAGE>

referral  source as promptly as possible  with the  identification  of the staff
person who will be  rendering  the  service,  after  which the  referral  source
transmits  to the branch  office a detailed  copy of the plan for the  patient's
home care,  which includes the type of care to be rendered,  the method by which
it should be rendered, the precise location and hours.

     The supervisory  staff at the branch office then reviews the care plan with
the staff member(s) who will be providing the care and then dispatches the staff
member(s) to begin rendering the care, usually the next day.

     The  clerical  staff at the branch  office  enters  all of the  information
regarding  the case into the local area computer  network of the branch  office,
which then generates the work schedule for the staff member(s), which provides a
detailed  description  of the services to be  rendered,  the hours and number of
days  during  which  the  care is to be  provided.  All of this  information  is
spontaneously received by the Company's principal office by way of the wide area
computer  network  linking the principal  office to each of the branch  offices.
This  information is then processed by the principal office computer system on a
weekly basis to generate the documentation of the services being provided.  Such
documentation  is then used to  generate  the billing for the service as well as
process the payroll for the staff member(s) providing the service.

     Referral Sources

     The Company obtains patients  primarily  through  referrals from hospitals,
community-based health care institutions and social service agencies.  Referrals
from these sources accounted for substantially all of the Company's net revenues
in 1995. The Company generally  conducts business with most of its institutional
referral sources,  including those referred to below,  under one-year  contracts
which fix the rates and terms of all future  referrals  but do not require  that
any  referrals  be made.  Under these  contracts,  the  referral  sources  refer
patients to the Company and the Company bills the referral  sources for services
provided to patients.  These  contracts  also  generally  designate the kinds of
services  to  be  provided  by  the  Company's  employees,  liability  insurance
requirements, billing and recordkeeping responsibilities,  complaint procedures,
compliance with applicable  laws, and rates for employee hours or days depending
on the services to be provided.  A total of 45 such  contracts were in effect as
of March 31, 1996.

     One or more referring  institutions  have accounted for more than 5% of the
Company's net revenues  during the Company's last two fiscal years, as set forth
in the following table:

                                                     Percentage of Net Revenues
- --------------------------------------------------------------------------------
Referring Institution                                   1994           1995
- --------------------------------------------------------------------------------
New York State Department                               27.5%          26.8%
of Social Services
- --------------------------------------------------------------------------------

                                       34
<PAGE>

- --------------------------------------------------------------------------------
Beth Abraham Health                                     15.38%         12.5%
Services
- --------------------------------------------------------------------------------
Kingsbridge Medical Center                               6.9%           6.1%
- --------------------------------------------------------------------------------
Mt. Sinai Medical Center1                                  0              6%
- --------------------------------------------------------------------------------
Methodist Medical Center                                 5.1%           3.1%
- --------------------------------------------------------------------------------
Center for Nursing                                       4.6%           5.6%
- --------------------------------------------------------------------------------
Franklin Medical Center                                  3.1%           6.4%
- --------------------------------------------------------------------------------

- ----------

1/   The Mount Sinai Medical Center contract was established in March 1995.

     Overall,  the Company's ten largest  referring  institutions  accounted for
approximately 73% of net revenues for 1995 and 76% of net revenues for 1994.

     Billing and Collection

     The  Company   screens  each  new  case  to  determine   whether   adequate
reimbursement  will be  available  and has  developed  substantial  expertise in
processing  claims. The Company makes a concerted effort to provide complete and
accurate  claims data to the relevant  payor sources in order to accelerate  the
collectibility of its accounts receivable. For the years ended December 31, 1994
and 1995,  the Company's  days' sales  outstanding,  which are measured from the
date services are performed,  were 153 days and 130 days, respectively.  For the
three months ended March 31, 1995 and March 31, 1996,  the Company's  DSO's were
119 days and 101 days, respectively. Certain accounts receivable are outstanding
for more than 90 days,  particularly  where the  agreement  provides for payment
terms of 90 days or more,  the  services  relate to new  patients,  or  existing
patients receive additional  services requiring medical review. The Company does
not expect a material change in its DSO during the current year. However,  there
can be no  assurance  that the  Company's  DSO will not  increase in  subsequent
fiscal periods.

     The Company licenses the Dataline Home Care System, a computerized  payroll
system  designed to produce  invoices for services  rendered as a by-product  of
employee  compensation.   Automated  schedules  and  staffing  requirements  are
maintained  in the  Company's  offices,  with the ability to enter all  relevant
patient and employee demographic information. The payroll is processed weekly at
the Company's  principal office in Brooklyn.  This office is responsible for the
processing  of  data,   ensuring  the   availability  of  all  required  billing
documentation and its accuracy, and the printing and distributing of payments.

                                       35
<PAGE>

     Once  payroll  processing  is  completed,  the  Company's  computer  system
generates the resulting invoices  automatically.  The necessary documentation is
attached to all invoices that are mailed to clients.

     Management  reviews  reports  for all  phases of the  billing  process  and
prepares reconciliations for the purpose of ensuring accuracy and maintenance of
controls. When errors are found, new processes are developed, as appropriate, to
ensure  and  improve  the  quality  and  accuracy  of the  billing  process  and
responsiveness to clients' needs and requirements.

     Accounts  receivable  reports  are  produced  weekly and are  analyzed  and
reviewed by staff and management to locate negative trends or emerging  problems
which would require  immediate  attention.  All unpaid invoices are reviewed and
telephone  contacts  established  for invoices  over 90 days old. The  Company's
experience with collection of accounts receivable has been quite favorable, with
uncollectible accounts remaining negligible.

     Private  patients are required to pay the one week fee for their service in
advance,  as a deposit for services to be provided.  For patients with insurance
covering home health services,  the Company accepts  assignment of the insurance
and submits  claims if the carrier  first  verifies  coverage  and  eligibility.
Payments from private  patients are required to be made weekly,  as invoices are
submitted and, if unpaid over three weeks,  result in follow-up  telephone calls
to ensure prompt payment. Requests for terms from private patients are generally
honored and payment  arrangements  structured  based on the patient's  financial
resources  and ability to pay.  Unresponsive  accounts  are  referred to outside
collection agencies.

     Reimbursement

     The  Company  is  reimbursed  for  its  services,  primarily  by  referring
institutions,  such as health care  institutions  and social  service  agencies,
which in turn receive their reimbursement from Medicaid, Medicare and, to a much
lesser  extent,  through  direct  payments by  insurance  companies  and private
payors.  New York State  Medicaid  programs  constitute  the  Company's  largest
reimbursement  source,  when including both direct  Medicaid  reimbursement  and
indirect Medicaid payments through many of the Company's referring institutions.
For 1994 and 1995,  payments from  referring  institutions  which receive direct
payments  from  Medicare  and New York  State  Medicaid,  together  with  direct
reimbursement  to the  Company  from  New York  State  Medicaid,  accounted  for
approximately 89% and 92%, respectively,  of net revenues. For the same periods,
a significant  number of referring  institutions  (which are  primarily  private
not-for-profit  organizations)  with home health care  programs that the Company
believes are reimbursed to varying extents by New York State Medicaid  accounted
for  approximately  74%  and  76%,   respectively,   of  net  revenues.   Direct
reimbursements from private insurers,  prepaid health plans,  patients and other
private sources  accounted for approximately  11% and 8%,  respectively,  of net
revenues for the calendar years 1994 and 1995.

     The New  York  State  Department  of  Health,  in  conjunction  with  local
Departments  of Social  Services,  promulgates  annual  reimbursement  rates for
patients covered by Medicaid. These rates are

                                       36
<PAGE>

generally established on a county-by-county basis, using a complex reimbursement
formula  applied to cost reports filed by  providers.  The Company has filed all
required  annual cost reports for each of its offices which provide  services to
Medicaid  recipients.  Generally,  the first report  filed  (called a "budgeted"
report)  uses  projections  to develop the current  year's  reimbursement  rate,
subject to  retroactive  recapture  of any monies paid by local  Departments  of
Social Services for budgeted expenses which are greater than the actual expenses
incurred.  The Company's  expenses have always  equaled or exceeded the budgeted
amounts.

     Third party payors, including Medicaid, Medicare and private insurers, have
taken extensive steps to contain or reduce the costs of health care. These steps
include reduced  reimbursement rates,  increased utilization review of services,
negotiated  prospective or discounted  pricing and adoption of a competitive bid
approach to service contracts.  Home health care, which is generally less costly
to third party payors than hospital-based care, has benefited from many of these
cost containment measures.

     The New York State  Department  of Health issues  Certificates  of Need for
Certified Home Health Agencies  ("CHHA'S"),  which provide  post-acute home care
services  for people who have just been  discharged  from a hospital but are not
yet fully recovered, and Long-Term Home Health Care Programs ("LTHHCP'S"),  also
known as the "Nursing Home Without  Walls," which is intended to provide elderly
people with an  alternative  for long-term care other than by entering a nursing
home at less than the cost of nursing  home care.  The  Company  negotiates  its
contracts  with CHHA's and LTHHCP's on the basis of services to be provided,  in
connection  with contracts  either  currently in effect with the Company or with
other agencies.  Prevailing market conditions are such that,  despite escalating
operating expenses,  reduced contract rates are regularly "demanded" as a result
of internal budget restraints and reductions  mandated by managed care contracts
between the  Company's  clients and HMO's and other third party  administrators.
While  management  anticipates  that this  trend is likely to  continue  for the
foreseeable  future,  it  does  not  expect  the  impact  on the  Company  to be
significant,  since its rates are competitive and, therefore, are expected to be
subject to only minor  reductions.  However,  as expenditures in the home health
care market continue to grow,  initiatives aimed at reducing the costs of health
care delivery at  non-hospital  sites are  increasing.  A significant  change in
coverage or a reduction in payment rates by third party payors, particularly New
York State  Medicaid,  would have a material  adverse  effect upon the Company's
business.

Quality Assurance

     The Company has established a quality  assurance program to ensure that its
service standards are implemented and that the objectives of those standards are
met.  The  Company  believes  that  it has  developed  and  implemented  service
standards  that comply with or exceed the service  standards  required by JCAHO.
The Company  received  "Accreditation  with  Commendation"  from JCAHO after its
initial, and only, review in 1994. In February 1996, the Company was selected by
the University of Colorado  Health Sciences Center as one of only 22 home health
care agencies  participating  in a two to three year study known as the New York
State Outcome-Based Quality Improvement in Home Care Demonstration

                                       37
<PAGE>

project being funded by the New York State  Department  of Health,  by reason of
the Company's commitment to both quality assurance and improvement.  The Company
believes that its reputation for quality patient care has been and will continue
to be a significant  factor in its success.  An adverse  determination  by JCAHO
regarding the Company on any branch office could adversely  affect the Company's
reputation and competitive position.

     The Company's quality assurance program includes the following:

     Quality Advisory Boards. The Company maintains two Quality Advisory Boards,
one for its  northern  group of branch  offices  and the other for the  southern
offices.   Each  Quality  Advisory  Board  consists  of  a  physician,   nursing
professionals and  representatives  of branch  management.  The Quality Advisory
Boards  identify  problems  and suggest  ways to improve  patient  care based on
internal quality compliance audits and clinical and personnel record reviews.

     Internal Quality  Compliance Review Process.  Periodic internal reviews are
conducted  by  the   Company's   management  to  ensure   compliance   with  the
documentation  and operating  procedures  required by state law, JCAHO standards
and internal  standards.  Written reports are forwarded to branch managers.  The
Company  believes that the internal  review  process is an effective  management
tool for branch managers.

     Case Conferences.  Staff  professionals  regularly hold case conferences to
review  problem and high risk  cases,  the  physician's  plan of  treatment  and
Company services  provided for such cases in order to ensure  appropriate,  safe
patient care and to evaluate patient progress and plans for future care.

     Clinical Record Review.  Clinical record review is the periodic  evaluation
of the  documentation in patient clinical records.  In this review process,  the
Company  evaluates the performance of the nursing  services staff to ensure that
professional  and patient care  policies  are followed in providing  appropriate
care and that the  needs of  patients  are being  met.  Clinical  record  review
findings are documented and reviewed by the  applicable  Quality  Advisory Board
for recommendations.

Sales and Marketing

     The Company's  executive  officers,  Jerry Braun and Jacob  Rosenberg,  are
principally responsible for the marketing of the Company's services. Each branch
office director is also  responsible for sales activities in the branch office's
local  market  area.  The  Company  attempts  to  cultivate  strong,   long-term
relationships  with referral  sources through high quality service and education
of local health care personnel about the appropriate role of home health care in
the clinical management of patients.

                                       38
<PAGE>

Government Regulation

     The  federal  government  and the  State of New  York,  where  the  Company
currently operates,  regulate various aspects of the Company's business. Changes
in the law or new interpretations of existing laws can have a material effect on
permissible  activities of the Company, the relative costs associated with doing
business and the amount of  reimbursement  by government  and other  third-party
payors.

     The Company is licensed by New York State as a home care  services  agency.
The  State  requires  approval  by the New  York  State  Public  Health  Council
("Council")  of any  change in "the  controlling  person"  of an  operator  of a
licensed  home  care  services  agency ( a  "LHCSA").  Control  of an  entity is
presumed to exist if any person owns, controls or holds the power to vote 10% or
more of the voting  securities  of the LHCSA.  A person  seeking  approval  as a
controlling  person of a LHCSA, or of an entity that is the operator of a LHCSA,
must file an  application  for  Council  approval  within 30 days of  becoming a
controlling  person and, pending a decision by the Council,  such person may not
exercise  control of the LHCSA. If any person should become the owner or holder,
or  acquire  control  of or the  right  to vote  10% or more of the  issued  and
outstanding Common Stock of the Company,  such person could not exercise control
of the  Company's  LHCSA until an  application  for approval of such  ownership,
control or holding has been submitted to the Council and approved.  In the event
such an  application  is not  approved,  such owner or holder may be required to
reduce their  ownership or holding to less than 10% of the Company's  issued and
outstanding Common Stock.

     The Company is also subject to federal and state laws prohibiting  payments
for patient  referrals and  regulating  reimbursement  procedures  and practices
under Medicare,  Medicaid and state programs.  The federal Medicare and Medicaid
legislation contains anti-kickback provisions which prohibit any remuneration in
return for the referral of Medicare and Medicaid patients. Courts have, to date,
interpreted  these  anti-kickbacks  laws to apply to a broad range of  financial
relationships.  Violations of these  provisions may result in civil and criminal
penalties,  including fines of up to $15,000 for each separate service billed to
Medicare  in  violation  of  the   anti-kickback   provisions,   exclusion  from
participation  in the Medicare and state  health  programs  such as Medicaid and
imprisonment for up to five years.

     The Company's healthcare operations  potentially subject it to the Medicare
and  Medicaid  anti-kickback  provisions  of  the  Social  Security  Act.  These
provisions are broadly worded and often vague, and the future  interpretation of
these provisions and their  applicability to the Company's  operations cannot be
fully predicted with certainty.  There can be no assurance that the Company will
be able to arrange its  acquisitions or business  relationships  so as to comply
with these laws or that the Company's  present or future  operations will not be
accused of violating,  or be determined to have violated,  such provisions.  Any
such result could have a material adverse effect on the Company.

     Various Federal and state laws regulate the relationship among providers of
healthcare services,  including employment or service contracts,  and investment
relationships. These laws include

                                       39
<PAGE>

the broadly  worded fraud and abuse  provisions of the Social  Security Act that
are applicable to the Medicare and Medicaid  programs,  which  prohibit  various
transactions involving Medicare or Medicaid covered patients or services.  Among
other things,  these provisions restrict referrals for certain designated health
services by physicians  to entities with which the physician or the  physician's
immediate  family  member  has a  "financial  relationship"  and the  receipt of
remuneration  by anyone in return for, or to induce,  the  referral of a patient
for treatment or purchasing or leasing  equipment or services that are paid for,
in whole or in part, by Medicare or Medicaid. Violations of these provisions may
result  in civil or  criminal  penalties  for  individuals  or  entities  and/or
exclusion from participation in the Medicare and Medicaid  programs.  The future
interpretation  of these  provisions  and their  applicability  to the Company's
operations cannot be fully predicted with certainty.

     In May 1991,  the United  States  Department  of Health and Human  Services
adopted  regulations  creating  certain "safe harbors" from federal criminal and
civil  penalties by  identifying  certain types of joint venture and  management
arrangements  that would not be treated as violating  the federal  anti-kickback
laws  relating to referrals  of patients  for services  paid by the Medicare and
Medicaid programs.  It is not possible to accurately predict the ultimate impact
of these regulations on the Company's business.

     New York and other states also have  statutes and  regulations  prohibiting
payments for patient  referrals and other types of financial  arrangements  with
health  care  providers  which,  while  similar in many  respects to the federal
legislation,  vary from state to state,  are often  vague and have  infrequently
been  interpreted by courts or regulatory  agencies.  Sanctions for violation of
these state  restrictions  may include loss of licensure  and civil and criminal
penalties.  In addition,  the  professional  conduct of  physicians is regulated
under  state  law.  Under  New York  law,  it is  unprofessional  conduct  for a
physician to receive, directly or indirectly, any fee or other consideration for
the  referral  of a patient.  Finally,  under New York law, a  physician  with a
financial  interest in a health care provider must disclose such  information to
the patients and advise them of alternative providers.

     The Company believes that the foregoing  arrangements in particular and its
operations in general comply in all material  respects with  applicable  federal
and state laws relating to  anti-kickbacks,  and that it will be able to arrange
its  future  business  relationships  so as to  comply  with the fraud and abuse
provisions.

     Management  believes that the trend of federal and state  legislation is to
subject  the  home  health  care  and  nursing  services   industry  to  greater
regulation,  particularly  in  connection  with  third-party  reimbursement  and
arrangements  designed  to induce or  encourage  the  referral  of patients to a
particular  provider  of  medical  services.  The  Company is  attempting  to be
responsive  to such  regulatory  climate.  However,  the  Company  is  unable to
accurately  predict  the  effect,  if any,  of  such  regulations  or  increased
enforcement activities on the Company's future results of operations.

     In addition, the Company is subject to laws and regulations which relate to
business corporations in general,  including antitrust laws, occupational health
and safety laws and environmental laws (which relate, among other things, to the
disposal, transportation and handling of

                                       40
<PAGE>

hazardous and infectious wastes).  None of these laws and regulations have had a
material  adverse effect on the Company's  business or  competitive  position or
required material expenditures on the part of the Company, although no assurance
can be given that such will continue to be the case in the future.

     The Company is unable to accurately predict what additional legislation, if
any,  may be enacted in the future  relating  to the  Company's  business or the
health care industry,  including third-party  reimbursement,  or what effect any
such legislation may have on the Company.

     The Company has never been denied any license it has sought to obtain.  The
Company  believes that its operations are in material  compliance with all state
and federal regulations and licensing requirements.

Competition

     The  home  health  care  market  is  highly  fragmented,   and  significant
competitors  are  often  localized  in  particular   geographical  markets.  The
Company's  largest  competitors  include U.S. Home Care,  Inc.,  Star Multicare,
Inc.,  TransWorld  Home Health Care,  Inc.,  Patient  Care,  Inc.,  Plaza Nurses
Agency,  Inc. and Personal Touch Home Care  Services,  Inc. The home health care
business is marked by low entry  costs.  The Company  believes  that,  given the
increasing  level  of  demand  for  nursing  services,   significant  additional
competition can be expected to develop in the future. Some of the companies with
which the Company  presently  competes  in home  health care have  substantially
greater  financial  and human  resources  than the  Company.  The  Company  also
competes with many other small temporary medical staffing agencies.

     The home infusion  therapy  market is highly  competitive,  and the Company
expects that the competition will intensify.  As the Company seeks to expand its
provision of infusion therapy  services,  it will compete with a large number of
companies and programs in the areas in which its facilities are located. Many of
these are local operations servicing a single area; however,  there are a number
of large national and regional companies, including Olsten Kimberly QualityCare,
Inc., Coram Health Care Corp., Staff Builders, Inc. and Interim Personnel,  Inc.
In addition,  certain hospitals,  clinics and physicians,  who traditionally may
have been referral sources for the Company, have entered or may enter the market
with local programs.

     The Company believes that the principal competitive factors in its industry
are  quality  of care,  including  responsiveness  of  services  and  quality of
professional  personnel;  breadth of  therapies  and nursing  services  offered;
successful referrals from referring  government  agencies,  hospitals and health
maintenance  organizations;  general reputation with physicians,  other referral
sources  and  potential  patients;  and price.  The  Company  believes  that its
competitive  strengths have been the quality,  responsiveness,  flexibility  and
breadth of services and staff it offers,  and to some extent price  competition,
as well as its reputation with physicians, referral sources and patients.

                                       41
<PAGE>

     The United  States  health  care  industry  generally  faces a shortage  of
qualified  personnel.  Accordingly,  the Company experiences intense competition
from other companies in recruiting  qualified health care personnel for its home
health  care  operations.  The  Company's  success  to date has  depended,  to a
significant  degree,  on its ability to recruit and retain qualified health care
personnel.   Most  of  the  registered  and  licensed  nurses  and  health  care
paraprofessionals  who are employed by the Company are also registered with, and
may accept placements from time to time through, competitors of the Company. The
Company   believes  it  is  able  to  compete   successfully   for  nursing  and
paraprofessional   personnel  by  aggressive   recruitment   through   newspaper
advertisements,   flexible   work   schedules   and   competitive   compensation
arrangements.  There can be no assurance, however, that the Company will be able
to continue to attract and retain qualified  personnel.  The inability to either
attract or retain such qualified  personnel would have a material adverse effect
on the Company's business.

Insurance Coverage

     The Company maintains a policy of insurance covering the acts and omissions
of its health care personnel.  This policy, which is renewable by the carrier at
the  beginning  of each  policy  year,  provides  coverage  of $3 million in the
aggregate or $1 million per  occurrence  for each policy year.  The Company also
maintains  umbrella insurance which provides an addition $5 million in coverage.
The Company believes that the insurance coverage which it maintains is customary
in the home health care and infusion therapy industry.  However, there can be no
assurance   that  such  insurance  will  be  adequate  to  cover  the  Company's
liabilities  or that the Company will be able to continue its present  insurance
coverage  on  satisfactory  terms,  if at all. A  successful  claim  against the
Company in excess of, or not covered by, the Company's  insurance coverage could
have  a  material  adverse  effect  on  the  Company's  business  and  financial
condition.  Claims  against the Company,  regardless  of their merit or eventual
outcome could also have a material  adverse  effect on the Company's  reputation
and business.

Employees

     At June 30, 1996, the Company had 650  employees,  of whom 42 are salaried,
including  three  executive  officers,  one director of operations,  five branch
managers,  five directors of nursing, one director of maternal/child health, six
accounting/clerical  staff,  and 21 field staff  supervisors.  The remaining 608
employees  are  paid  on  an  hourly  basis  and  consist  of  professional  and
paraprofessional  employees.  None of the Company's employees are compensated on
an  independent  contractor  basis.  The  Company  believes  that  its  employee
relations are good.  None of the Company's  employees is  represented by a labor
union.

Litigation

     To the knowledge of the Company,  there are no material  legal  proceedings
pending or threatened against the Company,  other than legal proceedings pending
in the ordinary course of business which are fully covered by insurance.

                                       42
<PAGE>

Properties

     The  Company's  principal  place of  business  is located at 1667  Flatbush
Avenue, Brooklyn, New York 11210 and consists of approximately 2,000 square feet
on two of the three  floors  of a  commercial  building,  which is owned by 1667
Flatbush  Ave.,  L.L.C.,  a New  York  limited  liability  company  owned by the
Company's current stockholders.  See "Certain  Transactions." The lease is for a
period ending October 31, 2000 and is subject to a renewal option for five years
in favor of the  Company.  The rent is $3,000 a month and is  subject  to annual
increases,  beginning  November 1, 1996,  equal to 5% of the total prior  year's
monthly  rent for the  original  term and all  renewal  terms of the lease.  The
Company  intends to use a portion of the proceeds of this  offering to move to a
new and larger  principal  office  facility,  as well as to upgrade its existing
branch  office  facilities  and its  computer  management  systems.  See "Use of
Proceeds."

     The table below sets forth certain  information with respect to each of the
Company's  existing  branch  office  locations,  all of which  are  leased  from
non-affiliated lessors:

<TABLE>
<CAPTION>
                                                                                             Lease Terms         
                                                    Approx. Square              -------------------------------------
                                  Opening            Footage of                 Expiration                   Annual
         Location                   Date             Sales Area                  Date                      Rental(1)
<S>                                <C>                  <C>                     <C>                        <C>    
Nassau County
Branch Office
175 Fulton Avenue
Hempstead, NY  11550                9/93                1,600                   10/31/98                   $20,187
                                                     
Westchester County                                   
Branch Office                                        
105 Stevens Avenue                                   
Mt. Vernon, NY  10550               1/93                1,600                   12/31/96                   $20,400
                                                     
Rockland County                                      
Branch Office                                        
49 South Main Street                                 
Spring Valley, NY  10977           10/94                1,500                    9/30/98                   $15,600(2)
                                                     
Orange County                                        
Branch Office                                        
45 Grand Street                                      
Newburgh, NY  11250                 9/92                1,500                    8/31/97                   $10,800(3)
                                                     
Queens Recruitment and                               
Training Office                                      
91-31 Queens Blvd.                                   
Elmhurst, NY  11373                10/95                  750                    9/30/97                   $17,400
</TABLE>

- ----------

(1)  The leases  provide for  additional  rentals  based upon  increases in real
     estate taxes and other cost escalations.

(2)  Until 10/1/96; thereafter, the rent is at the rate of $16,200 per year.

(3)  Until 8/31/96; thereafter, the rent is $12,000 per year.

                                       43
<PAGE>

                                   MANAGEMENT

Executive Officers and Directors

     The executive officers and directors of the Company are as follows:

            Name         Age             Position
            ----         ---             --------

     Jerry Braun         39     President, Chief Executive Officer and Director

     Jacob Rosenberg     38     Vice President, Chief Operating Officer,
                                Secretary and Director

     Gilbert Barnett     51     Chief Financial Officer and Chief Accounting
                                Officer

     Samson Soroka       40     Director

     Hirsch Chitrik      68     Director

     Sid Borenstein      42     Director

     Jerry  Braun has been the  President,  Chief  Executive  Officer  and Chief
Operating Officer of the Company since its inception in 1983.

     Jacob  Rosenberg  has been  Secretary  and a Director  since the  Company's
inception in 1983, and Vice President and Chief Operating Officer since February
1995.

     Gilbert Barnett has been the Chief  Accounting  Officer and Chief Financial
Officer of the Company  since April 1995.  From 1989 to 1995, he was Director of
Finance for the Mt. Sinai Medical Center in New York,  where he was  responsible
for the Patient  Accounting  Department.  From 1981 to 1988, Mr. Barnett was the
President of Grand Graham Medical Center,  a shared health  facility  located in
Brooklyn,  New York. In 1981, he was the treasurer of Accredited  Care,  Inc., a
licensed home care company in White Plains, New York. Mr. Barnett is a Certified
Public Accountant,  a Fellow of the Health Care Financial Management Association
and a Certified Manager of Patient Accounts.

     Samson  Soroka has been a Director of the Company  since its  inception  in
1983.  From 1988 to February 1995, Mr. Soroka was employed by the Company as its
Chief  Financial  Officer.  Since  then,  Mr.  Soroka  has been  employed  as an
independent consultant. Mr. Soroka is a graduate of Brooklyn College of the City
University of New York (BS, Accounting and Computer Science, 1979).

     Hirsch  Chitrik has been a Director of the Company since May 1995. For more
than the last five years,  Mr.  Chitrik has been the  President of Citra Trading
Corporation,  a  privately-held  company  in New  York  engaged  in the  jewelry
business.

                                       44
<PAGE>

     Sid Borenstein has been a Director of the Company since May, 1995. For more
than the last five years, Mr. Borenstein, a Certified Public Accountant has been
a General Partner in Sid Borenstein & Co., CPAs, in Brooklyn, New York.

     There are no  committees of the Board of  Directors.  Directors  hold their
offices until the next annual meeting of the  stockholders  and thereafter until
their  successors have been duly elected and qualified.  Executive  officers are
elected by the Board of Directors on an annual basis and serve at the  direction
of the Board. All of the executive  officers devote  approximately  90% of their
time to the business  affairs of the Company.  See "Certain  Transactions."  The
Company intends to appoint a Compensation Committee after the completion of this
offering.

Employment Agreements

     On March 26, 1996,  the Company  entered into  employment  agreements  with
Jerry Braun and Jacob Rosenberg, each of which is for a term ending December 31,
1999.  The Company  expects to enter into an employment  agreement  with Gilbert
Barnett,  its Chief  Financial and Accounting Officer, prior to the date of this
Prospectus.

     Mr.  Braun's  agreement  provides that he will serve as President and Chief
Executive  Officer  in  consideration  of (i)  initial  annual  compensation  of
$175,000;  (ii)  reimbursement  of  authorized  business  expenses  incurred  in
connection with the conduct of the Company's  business;  (iii)  participation in
the   Company's   401(k)  Plan  and  stock  option  plan;   (iv)  an  automobile
reimbursement  allowance  of $500 per month toward  automobile  leasing cost and
reimbursement of automobile  insurance cost; (v) an allowance of $3,500 per year
towards the cost of $500,000 of term life insurance,  and disability  insurance;
(vi) four weeks paid  vacation;  and (vii) annual  increase in salary of 10% for
each year.  He is  required  to devote a majority  of his  business  time to the
Company's  affairs and is permitted  to devote a limited  amount of his business
time to the affairs of Heart to Heart,  provided those activities do not compete
with the Company's business. See "Certain Transactions."

     Mr. Rosenberg's  agreement has the same general terms and conditions as Mr.
Braun's,  except that he will serve as Chief Operating  Officer,  and the annual
compensation is $140,000.

     Mr. Braun and Mr. Rosenberg also  participate,  together with all employees
of the Company,  in a bonus plan pursuant to which 10% of the  Company's  annual
pre-tax net income is contributed to the bonus pool which is distributed to such
persons  and in such  amounts  as  decided  upon by the  Company's  Compensation
Committee.

                                       45
<PAGE>

Executive Compensation

                           Summary Compensation Table

     The following  table sets forth,  for the year ended December 31, 1995, the
cash  compensation  paid by the Company,  as well as certain other  compensation
paid with respect to those years,  to its President,  Chief  Executive  Officer,
Chief Operating Officer and Chief Financial Officer (the "Named  Executives") in
all capacities in which they served.

                                          Annual Compensation
                                          -------------------
                                                                    Other Annual
Name and Principal Position               Year         Salary       Compensation
- ---------------------------               ----         ------       ------------

Jerry Braun
President and Chief Executive 
Officer                                   1995        $116,177       $18,294(1)

Jacob Rosenberg
Chief Operating Officer                   1995        $100,096       $19,480(2)

Gilbert Barnett(3)
Chief Financial Officer                   1995        $ 57,692       $   851

- ----------

(1)  Includes  $10,412  of  medical  insurance  premiums  paid on behalf of such
individual  and $7,882 for automobile and  automobile-related  costs,  including
insurance, incurred on behalf of such individual.

(2)  Includes  $10,412  of  medical  insurance  premiums  paid on behalf of such
individual  and $9,068 for automobile and  automobile-related  costs,  including
insurance, incurred on behalf of such individual.

(3) Mr. Barnett joined the Company in April 1995.

Directors Compensation

     The Company  currently  reimburses  each  non-employee  director  for their
expenses in connection with attending meetings.

Savings and Stock Option Plans

     401(k) Plan

     The Company  maintains  an Internal  Revenue  Code  Section  401(k)  salary
deferral  savings plan (the "Plan") for all of its eligible  employees  who have
been employed for at least one year and are at

                                       46
<PAGE>

least 21 years  old  (effective  July 1,  1996,  field  staff  employees  at the
Company's  Orange  County branch  office,  in Newburgh,  New York,  ceased being
eligible to participate in the Plan). Subject to certain  limitations,  the Plan
allows  participants  to  voluntarily  contribute  up to 15% of  their  pay on a
pre-tax basis.  Under the Plan, the Company may make matching  contributions  on
behalf of the pre-tax  contributions made by participants.  For 1995 and for the
first half of 1996, the Company  contributed  50% of each dollar  contributed to
the Plan by participants up to a maximum of 6% of the participant's  salary. All
participants  are fully  vested in their  accounts  in the Plan with  respect to
their  salary  deferral   contributions  and  are  vested  in  Company  matching
contributions  at the rate of 20% per year for two years  through  four years of
service,  with 100% vesting after five years of service.  However,  participants
who are first  hired after  December  31, 1994 will not be vested in the Company
matching  contributions  until the completion of five years  service,  when they
become 100%  vested.  The Company has agreeed  with the  Representative  that no
discretionary contributions to the Plan may be made for officers or stockholders
of the Company.

     Stock Option Plan

     In March 1996, the Company's Board of Directors and  stockholders  approved
and adopted the New York  Health  Care,  Inc.  Performance  Incentive  Plan (the
"Option  Plan").  Under the terms of the Option Plan,  options to purchase up to
210,000  shares of Common Stock may be granted to key  employees of the Company.
Moreover,  the  Company's  Board of Directors  has  approved a resolution  which
proposes  to provide  for an  increase  in the number of shares of Common  Stock
available  for  options  under the Option  Plan equal to an  additional  210,000
shares for each of two  additional  years,  subject to approval by the Company's
shareholders at the first annual meeting of shareholders which is held after the
completion  of  this  offering.  The  Option  Plan  is to be  administered  by a
Compensation   Committee  to  be  appointed  by  the  Board  of  Directors  (the
"Committee"),   which  is  authorized  to  grant  incentive  stock  options  and
non-qualified  stock  options  to  selected  employees  of  the  Company  and to
determine the participants,  the number of options to be granted and other terms
and provisions of each option.

     The exercise  price of any incentive  stock option or  nonqualified  option
granted under the Option Plan may not be less than 100% of the fair market value
of the shares of Common  Stock of the  Company at the time of the grant.  In the
case of  incentive  stock  options  granted  to  holders of more than 10% of the
voting power of the Company, the exercise price may not be less than 110% of the
fair market value.

     Under the  terms of the  Option  Plan,  the  aggregate  fair  market  value
(determined  at the time of grant) of shares  issuable to any one recipient upon
exercise of incentive  stock options  exercisable  for the first time during any
one calendar year may not exceed $100,000. Options granted under the Option Plan
become  exercisable  in whole or in part from time to time as  determined by the
Committee,  but in no event may a stock option granted in conjunction  therewith
be  exercisable  prior to the  expiration  of six months from the date of grant,
unless the grantee dies or becomes disabled prior thereto. Stock options granted
under the  Option  Plan have a maximum  term of 10 years from the date of grant,
except that with respect to incentive  stock options granted to an employee who,
at the time of the grant,  is a holder of more than 10% of the  voting  power of
the  Company,  the stock  option  shall expire not more than five years from the
date of the grant. The option price must be paid

                                       47
<PAGE>

in full on the date of  exercise  and is  payable in cash or in shares of Common
Stock having a fair market  value on the date the option is  exercised  equal to
the option price.

     If a grantee's  employment  by, or  provision  of services  to, the Company
shall be terminated,  the Committee may, in its discretion,  permit the exercise
of stock options for a period not to exceed one year following such  termination
of  employment  with respect to incentive  stock options and for a period not to
extend beyond the expiration date with respect to non-qualified options,  except
that no incentive stock option may be exercised after three months following the
grantee's  termination  of  employment,  unless it is due to death or  permanent
disability,  in which case they may be exercised  for a period of up to one year
following such termination.

     The  Underwriting  Agreement  between the  Company  and the  Representative
provides  that  for a period  of three  years  from the  effective  date of this
Prospectus,  the Company will not adopt, propose to adopt or otherwise permit to
exist any  employee,  officer,  director  or  compensation  plan or  arrangement
permitting  the  grant,  issue or sale of any  shares of  Common  Stock or other
securities of the Company in an amount greater than 210,000  shares,  other than
the  proposed  increase in the Option Plan  described  above.  The  Underwriting
Agreement  also  provides  that,  (i) for the 12 month period  commencing on the
effective  date of this  Prospectus,  the exercise  price for any option granted
pursuant to the Option Plan or otherwise  during such period cannot be less than
the fair  market  value per share of the  Common  Stock on the date of grant and
(ii) if the Company's  shareholders approve an increase of an additional 210,000
shares for each of two additional years, then any option granted in the first 12
months  following such an increase will have an exercise price no lower than the
fair  market  value per share of the  Common  Stock  upon the date of the option
grant.

     Other than a stock option which has been issued  outside of the Option Plan
to Jerry Braun for 75,000  shares of the  Company's  Common Stock at an exercise
price of $3.75 per share,  the  Company  has not issued  any  options  under the
Option Plan, or otherwise,  as of the date of this Prospectus.  The Company does
not have any other existing stock option or other deferred  compensation  plans,
but may adopt such plans in the future. However, the Company has agreed with the
Representative  not to adopt any other  stock  option or  deferred  compensation
plans during the  three-year  period  commencing on the  effective  date of this
Prospectus without the written consent of the Representative.

                                       48
<PAGE>

                             PRINCIPAL STOCKHOLDERS

     The following table sets forth certain information  regarding shares of the
Common Stock  beneficially  owned as of the date of this  Prospectus by (i) each
person,  known to the Company,  who beneficially owns more than 5% of the Common
Stock, (ii) each of the Company's directors,  (iii) each of the Named Executives
and (iv) all officers and directors as a group:

<TABLE>
<CAPTION>
                                                                                        Percentage(1)
                                                                                        -------------
Name and Address of                         Shares                             Prior to                   After
Beneficial Owner                            Beneficially Owned(1)              Offering                  Offering
- ----------------                            ---------------------              --------                  --------
<S>                                          <C>                                <C>                       <C>
Jerry Braun(2)                                 924,374                           39.5%                    27.27%
929 East 28th Street
Brooklyn, NY  11210

Jacob Rosenberg                                424,688                           18.75%                   12.81%
932 East 29th Street
Brooklyn, NY  11210

Samson Soroka                                  424,688                           18.75%                   12.81%
1228 East 22nd Street
Brooklyn, NY  11210

Hirsch Chitrik                                 453,000                           20%                      13.67%
1401 President Street
Brooklyn, NY  11213

Sid Borenstein(3)                              113,250                            5%                       3.42%
1246 East 10th Street
Brooklyn, NY  11230

All officers and directors                   2,340,000                          100%                      68%
as a group (5 persons)(1)(2)
</TABLE>

- ----------

(1)  The shares of Common  Stock owned by each  person or by the group,  and the
     shares included in the total number of shares of Common Stock  outstanding,
     have been  adjusted  in  accordance  with Rule 13d-3  under the  Securities
     Exchange  Act of 1934,  as  amended,  to reflect  the  ownership  of shares
     issuable upon  exercise of  outstanding  options,  warrants or other common
     stock equivalents which are exercisable within 60 days. As provided in such
     Rule,  such shares  issuable to any holder are deemed  outstanding  for the
     purpose of calculating such holder's beneficial ownership but not any other
     holder's beneficial ownership.

(2)  Includes  75,000  shares of Common  Stock  issuable  upon the exercise of a
     stock option  granted to Mr. Braun at an exercise price of $3.75 per share.
     See "Management" and "Certain Transactions."

(3)  Mr. Borenstein is a subordinated lender to, and participates in the profits
     of, RAS Securities Corp., the Representative. See "Underwriting."

                                       49
<PAGE>

                              CERTAIN TRANSACTIONS

     The Company  operated as an S  Corporation  prior to this  offering and has
paid out a  substantial  portion of its  earnings to the  current  stockholders.
These  distributions  aggregated  $100,230  and  $840,302  for the  years  ended
December  31, 1994 and 1995,  respectively,  and  $787,638  for the three months
ended March 31, 1996.  Prior to the  consummation  of this offering,  additional
distributions of previously earned  undistributed S Corporation  earnings in the
aggregate  amount of $2,200,000  will be made to the current  stockholders.  The
Company is funding the distribution  utilizing  $2,200,000 out of its $3,500,000
aggregate   lines  of  credit.   See  "Former  S  Corporation   Tax  Treatment",
"Capitalization" and Notes 1, 2 and 4 to the Financial Statements.

     The  Company's  directors  are  the  sole  stockholders  of  a  New  Jersey
corporation named Heart to Heart Health Care Services,  Inc. ("Heart to Heart"),
with offices located at 7 Glenwood Avenue,  East Orange, New Jersey 07017. Heart
to Heart,  which began its  operations in 1995,  engages in the home health care
business in northern New Jersey,  but not in the State of New York,  and had net
revenues of $288,948 in the year ended  December 31, 1995.  Since its inception,
Heart to Heart has utilized Company personnel for its  administrative  functions
regarding  payroll,  benefits  management and data  processing.  The Company and
Heart to Heart have  entered  into a Service  Agreement,  pursuant  to which the
Company  will  provide  administrative  services  relating to payroll,  benefits
management and data  processing for a term of 18 months ending June 30, 1997 for
which the Company  will be  reimbursed  for all  expenses  attributable  to such
operations,  presently totalling  approximately $15,000 per year. The Company is
not a guarantor of any  obligations of Heart to Heart,  nor is it engaged in any
business or financing  transactions with Heart to Heart, other than as described
herein.

     On February 13, 1995,  Samson Soroka resigned as Chief Financial Officer of
the Company.  Mr. Soroka entered into a Settlement Agreement and General Release
with the Company on September 28, 1995 (the "Settlement Agreement"), pursuant to
which the  Company  agreed to pay his base  salary of $85,000  per year  through
August 13, 1995 and continue his medical insurance coverage through February 13,
1996.  In  addition,  the  Company  agreed to  advance  to Mr.  Soroka,  without
interest,  the sum of  $25,000  against  the cash  distributions  payable to the
Company's  current  stockholders  and loaned to Mr.  Soroka the sum of $125,000.
Such loan  bears  interest  at the same rate  charged to the  Company  under its
credit  lines and is repayable  to the Company  within 30 days after Mr.  Soroka
receives  notice  of the  filing of the  registration  statement  of which  this
Prospectus  forms a part,  but in no event later than  September  28, 1997.  Mr.
Soroka  agreed to keep  confidential  all  commercial,  financial  or  technical
information  concerning the Company which he learned during his employment.  The
Company and Mr.  Soroka also  entered  into mutual  releases of all claims which
they might have had against each other.

     On May 8, 1995, Jerry Braun,  Jacob Rosenberg and Samson Soroka contributed
back to the  Company  an  aggregate  of 566,250  shares of Common  Stock and the
Company  issued 453,000 shares of its Common Stock to Hirsch Chitrik and 113,250
shares of Common Stock to Sid Borenstein

                                       50
<PAGE>

in consideration for their having obtained a bank line of credit for the Company
of not less than  $800,000 at an interest rate no greater than 2% over the prime
rate of Citibank  N.A. The credit line was obtained in 1988  pursuant to a March
31, 1988 agreement between Jerry Braun, Jacob Rosenberg,  Samson Soroka,  Hirsch
Chitrik,  Sid Borenstein and the Company,  in which they  subscribed to purchase
shares of Common  Stock,  subject  to New York  State  Department  of Health and
Public Health Council  approval (which was granted on March 24, 1995), and which
provided to Messrs.  Chitrik and Borenstein  non-voting equity  distributions of
20% and 5%, respectively.

     On November 1, 1995, the Company  transferred the land and building located
at 1667 Flatbush Avenue, Brooklyn, New York, which houses its principal offices,
to 1667 Flatbush. This transfer,  which relieved the Company of a first mortgage
obligation  aggregating  $146,250,  was a non-cash  distribution  to the current
stockholders  of S Corporation  earnings in the  aggregate sum of $144,927.  The
Company now leases its  principal  offices from 1667 Flatbush for a term of five
years  ending  October 31,  2000,  which term is subject to a five-year  renewal
option in favor of the  Company.  The rent is $3,000 per month and is subject to
annual increases equal to 5% of the prior year's monthly rent beginning November
1, 1996 for each year of the original and any renewal term.  Management believes
that the terms of the lease were and are no less  favorable  to the Company than
could be obtained  from  unaffiliated  third  parties.  See "S  Corporation  Tax
Treatment" and "Business -- Properties."

     On March 26, 1996,  the Company  issued a stock option to its President and
Chief Executive  Officer,  Jerry Braun, for the purchase of 75,000 shares of the
Company's Common Stock at an exercise price of $3.75 per share during the period
ending March 31, 2001. See "Management -- Savings and Stock Option Plans."

     On March 26, 1996,  the Company  entered into  employment  agreements  with
Jerry Braun and Jacob Rosenberg. See "Management -- Employment Agreements."

     On July 8, 1996,  the Company  entered into an agreement with 1667 Flatbush
pursuant to which 1667 Flatbush  purchased  $3,500,000 of the Company's accounts
receivable for a purchase price of $3,150,000, payable at the rate of $1,100,000
on August 1, 1996,  $1,100,000  on September 1, 1996 and $950,000 at the earlier
of October 1, 1996 or the date of this Prospectus,  whichever comes first.  Each
payment is to be made together with accrued interest,  in arrears.  The payments
due to the  Company  are  reflected  in a  negotiable  promissory  note  of 1667
Flatbush bearing interest at the rate of 12% per annum, are secured by a lien on
the  accounts  receivable  purchased  from the Company by 1667  Flatbush and are
personally  guaranteed by each of the members of 1667  Flatbush.  The promissory
note permits prepayments of principal without penalty. Each such prepayment will
be credited  against  the next due payment  obligation  of 1667  Flatbush.  As a
result of the  Company's  sale of accounts  receivable  for less than their face
value,  the Company expects to recognize a net charge to its earnings during the
third  quarter  ended  September  30,  1996  in  the  amount  of  $170,000.  See
"Management's  Discussion  and Analysis of Financial  Conditions  and Results of
Operations - Liquidity and Capital Resources."

                                       51
<PAGE>

     The transactions  described above involve actual or potential  conflicts of
interest  between the Company and its officers or directors.  In order to reduce
the potential for conflicts of interest between the Company and its officers and
directors,  prior to entering into any transaction in which a potential material
conflict  of  interest  might  exist,  the  Company's  policy  has been and will
continue to be that the Company does not enter into  transactions with officers,
directors or other  affiliates  unless the terms of the transaction are at least
as  favorable to the Company as those which would have been  obtainable  from an
unaffiliated source.

                            DESCRIPTION OF SECURITIES

     The Company's  authorized  capital stock  consists of 10,000,000  shares of
Common Stock,  par value $.01 per share and 2,000,000 shares of Preferred Stock,
par value $.01 per share. Prior to this offering, there were 2,265,000 shares of
Common Stock issued and outstanding held by five holders of record.

Common Stock

     The holders of Common Stock are entitled to one vote for each share held of
record on all  matters to be voted on by  stockholders.  There is no  cumulative
voting  with  respect to the  election  of  directors  with the result  that the
holders  of more than 50% of the  shares  of  Common  Stock can elect all of the
directors.  The holders of Common Stock are entitled to receive  dividends when,
as and if  declared by the Board of  Directors  out of funds  legally  available
therefor.  In the event of the  liquidation,  dissolution  or  winding up of the
Company, the holders of Common Stock are entitled to share ratably in all assets
remaining  available for  distribution  to them after payment of liabilities and
after provision has been made for each class of stock, if any, having preference
over the  Common  Stock,  as such,  having no  conversion,  preemptive  or other
subscription  rights, and there are no redemption  provisions  applicable to the
Common Stock.

Preferred Stock

     The  Board  of  Directors  of the  Company  is  authorized  to  issue up to
2,000,000 shares of preferred stock in one or more series and to fix the rights,
preferences, privileges and restrictions thereof, including the dividend rights,
dividend rate,  conversion rights, voting rights, terms of redemption (including
sinking fund provisions),  redemption price or prices,  liquidations preferences
and the number of shares  constituting  any series or the  designations  of such
series,  without any  further  vote or action by the  stockholders.  It would be
possible for the Board of Directors to issue shares of such preferred stock in a
manner which would make  acquisition  of control of the  Company,  other than as
approved by the Board, exceedingly difficult.

     The Company currently has no plans to issue any shares of Preferred Stock.

                                       52
<PAGE>

Redeemable Warrants

     Each Warrant  entitles the holder thereof,  upon exercise,  to purchase one
share of Common  Stock at a price of $6.00 per  share,  subject  to  adjustment,
exercisable  for a period of four  years,  commencing  one year from the date of
this Prospectus.

     The  exercise  price of the  Warrants  and the number and kind of shares of
Common Stock issuable upon the exercise of Warrants are subject to adjustment in
certain  circumstances,  including a stock split of, or stock  dividend  on, the
Common Stock, all as set forth in the Warrant Agreement relating to the issuance
of the Warrants.  There will be no adjustment for the payment of cash dividends,
if any,  by the Company on its Common  Stock.  Holders of the  Warrants  have no
voting  power  and  are not  entitled  to any  dividends.  In the  event  of any
dissolution  or winding up of the Company,  the holders of the Warrants will not
be entitled to participate in a distribution of the Company's assets.

     In the event that the Company adopts a resolution to merge, consolidate, or
sell all or  substantially  all of its  assets  prior to the  expiration  of the
Warrants,  each  Warrant  holder,  upon the  exercise of his  Warrant,  would be
entitled to receive the same  treatment as other  holders of any other shares of
Common Stock. In the event the Company adopts a resolution for the  liquidation,
dissolution  or  winding-up  of the  Company's  business,  the Company will give
written notice of the adoption of such  resolution to the registered  holders of
the  Warrants.  Thereupon,  all  liquidation  and  dissolution  rights under the
Warrants will terminate at the end of 30 days from the date of the notice to the
extent not exercised within those 30 days.

     The  Warrants  are  subject  to  redemption  by the  Company,  at any time,
commencing  24 months  following the date of this  Prospectus,  on 30 days prior
written notice,  at a price of $.05 per Warrant if the average closing bid price
for the  Common  Stock  equals or  exceeds  $7.50  per share for 20  consecutive
trading days ending on the tenth  trading day prior to the date of the notice of
redemption.

     The Warrant may be exercised upon  surrender of the Warrant  certificate on
or prior to the expiration date (or earlier  redemption  date, if applicable) of
such Warrants at the offices of the warrant agent, with the form of "Election to
Purchase" on the reverse side of the Warrant certificate  completed and executed
as indicated,  accompanied  by payment of the full exercise price (in cash or by
certified  check  payable to the order of the  warrant  agent,  as agent for the
Company) for the number of Warrants being exercised.

     No  Warrant  will be  exercisable  or  redeemable  unless,  at the  time of
exercise or  redemption,  the Company  has filed a current  Prospectus  with the
Commission  covering  the shares of Common  Stock to be issued or redeemed  upon
exercise or redemption  of such Warrant and such shares have been  registered or
qualified  or  deemed to be exempt  under  the  securities  laws of the state of
residence of the holder of such  Warrant.  The Company will use its best efforts
to have all such shares so  registered or qualified on or before the exercise or
redemption  date of the Warrants and to maintain a current  Prospectus  relating
thereto  until  the  expiration  of the  Warrants,  subject  to the terms of the
Warrant  Agreement.  While it is the  Company's  intention to do so, there is no
assurance that it will be able to do so.

                                       53
<PAGE>

Transfer Agent and Warrant Agent

     Continental  Stock  Transfer & Trust  Company,  New York,  New York, is the
transfer  agent and  registrar  for the shares of Common  Stock and the  warrant
agent for the Warrants.

                         SHARES ELIGIBLE FOR FUTURE SALE

     Upon completion of this offering,  there will be 2,265,000 shares of Common
Stock  outstanding  that are "restricted  securities" as that term is defined in
Rule 144  promulgated  under the Act. In general,  under Rule 144, and providing
the  Company is current in all  reports  which are  required  to be filed by the
Securities  Exchange  Act of  1934,  a  person  (or  persons  whose  shares  are
aggregated)  who has  satisfied a two-year  holding  period may,  under  certain
circumstances,  sell within any  three-month  period that number of shares which
does not exceed the greater of one percent of the then outstanding shares or the
average weekly trading volume during the four calendar weeks prior to such sale.
Rule 144 also permits, under certain  circumstances,  the sale of shares without
any  quantity  limitation  by a person who has  satisfied a  three-year  holding
period  and who is not,  and has not been for the  preceding  three  months,  an
affiliate of the Company.  Under the provisions of Rule 144, 1,698,750 shares of
such  restricted  securities may be sold  immediately  and 566,250 shares may be
sold beginning in May,  1997. The Warrants being offered by the Company  entitle
the holders of such Warrants to purchase up to an aggregate of 1,050,000  shares
of Common Stock at any time during the period  beginning  one year from the date
of this  Prospectus  and expiring  five years from the date of this  Prospectus.
Sales of either the Warrants or underlying  shares of Common Stock,  or even the
existence  of the  Warrants,  may depress  the price of the Common  Stock or the
Warrants in any market which may develop for such securities. Holders of 100% of
the Common Stock  (including  shares  issuable in connection  with  pre-offering
transactions  and upon  exercise  of  outstanding  options)  have  agreed not to
directly or indirectly  sell any shares of Common Stock or any other  securities
of the  Company  owned by them for a period of two  years  from the date of this
Prospectus without the prior written consent of the Representative.

                                  UNDERWRITING

     Subject  to  the  terms  and  conditions  set  forth  in  the  Underwriting
Agreement,  which is filed as an  exhibit  to the  Registration  Statement,  the
Underwriters  have  agreed to  purchase,  and the  Company  has  agreed to sell,
1,050,000 shares of Common Stock and 1,050,000 Warrants as follows:

                  Name                                  Shares          Warrants

RAS Securities Corp.........................
**** ******** *** ..........................
Total.......................................          1,050,000        1,050,000

     The Underwriting Agreement provides that the Underwriters will be obligated
to purchase all the Securities  offered hereby on a "firm commitment"  basis, if
any are purchased.  The Company has been advised by the  Underwriters  that they
propose to offer the  Shares and the  Warrants  to the public  initially  at the
offering  prices  set  forth  on the  cover  page of this  Prospectus;  that the
Underwriters may

                                       54
<PAGE>

allow to selected  dealers a concession  of $.** per Share and $.** per Warrant;
and that such  dealers may reallow a  concession  of $.** per Share and $.** per
Warrant to certain other dealers.

     The Company has granted to the  Representative an over-allotment  option to
purchase up to 157,500 shares of Common Stock and/or 157,500 Warrants during the
30 day  period  commencing  with the date of this  Prospectus,  solely  to cover
over-allotments in the sale of the Shares and the Warrants. The Company has also
agreed  to  sell  to  the   Representative   for   nominal   consideration   the
Representative's  Warrants to purchase an aggregate of 105,000  shares of Common
Stock and 105,000 Warrants.  The Representative's  Warrants are exercisable at a
price equal to 120% of the initial  offering  price,  for a period of four years
commencing  one  year  from the date of this  Prospectus.  The  Representative's
Warrants grant to the holder thereof certain "piggyback" registration rights for
a period of seven years from the date of this Prospectus and demand registration
rights for a period of five years from the date of this  Prospectus with respect
to the  registration  under the Securities  Act of the securities  issuable upon
exercise of the Representative's Warrants.

     During the term of the Representative's Warrants, the holders are given the
opportunity to profit from a rise in the market price of the Common Stock with a
resulting dilution in the interest of other stockholders.  Moreover, the holders
may exercise the  Representative's  Warrants at a time when the Company would in
all  likelihood be able to obtain equity  capital on terms more  favorable  than
those provided in the Representative's Warrants.

     In accordance with the Underwriting Agreement,  the Representative has been
granted the option of designating an individual to serve on the Company's  Board
of Directors for a period of three years after completion of this offering.  The
Representative  has not advised the Company whether it will exercise such option
or, if so, who it will designate.

     The   Underwriting   Agreement   provides  that  the  Company  will  pay  a
nonaccountable expense allowance of 3% of the gross proceeds of this offering to
the  Underwriters,  $50,000  of  which  has  been  paid  as of the  date of this
Prospectus.  The Company also has agreed to pay all expenses in connection  with
qualifying the Shares and the Warrants offered hereby for sale under the laws of
such states as the  Underwriters  may designate,  including fees and expenses of
counsel retained for such purposes,  certain costs of investigatory  searches of
the  Company's  executive  officers and other  expenses in  connection  with the
Offering.

     The  Underwriters  have informed the Company that the  Underwriters  do not
intend to confirm sales to any accounts  over which they exercise  discretionary
authority.

     All of the Company's other stockholders, officers and directors have agreed
not to sell their shares without the consent of the  Representative for a period
of 24 months. The Underwriting  Agreement provides that, other than the issuance
of options pursuant to the Option Plan, the Company will not offer any shares of
Common Stock, options to purchase Common Stock,  Warrants or any other equity or
debt security within three years after the date of this  Prospectus  without the
consent of the  Representative.

                                       55
<PAGE>

     The Underwriting  Agreement  provides that the Company will neither solicit
the exercise of the Warrants  nor  authorize  any other dealer to engage in such
solicitation without the consent of the Representative. Upon the exercise of the
Warrants, the Company has agreed to pay to the Representative a commission equal
to 5% of the aggregate  exercise  price.  The commission will be payable only if
(i) the  Warrant  is  exercised  at  least  12  months  after  the  date of this
Prospectus;  (ii) the  market  price of the  Common  Stock on the date  that the
Warrant is exercised is greater than the exercise  price of the Warrants;  (iii)
the  exercise  of  the  Warrant  was  solicited  by a  member  of  the  National
Association  of  Securities  Dealers,  Inc.;  (iv) the  Warrant is not held in a
discretionary  account; (v) disclosure of the compensation  arrangements is made
at the time of the exercise of the  Warrant;  (vi) the holder of the Warrant has
stated in writing that the exercise was solicited and  designated in writing the
soliciting broker-dealer;  and (vii) solicitation of exercise of the Warrant was
not in violation of Rule l0b-6 promulgated  under the Exchange Act. However,  no
fees  will  be  payable  to  the  Representative  in  connection  with  Warrants
voluntarily exercised without solicitation by the Representative.

     The  Underwriting  Agreement  provides  that, on the effective date of this
Prospectus,  the Company shall enter into a non-exclusive  financial  consulting
agreeement   with  the   Representative   providing   for  the  payment  to  the
Representative  of certain  success fees upon the completion of future  services
after  the  completion  of  the  offering,  such  as  mergers  and  acquisitions
originated by the Representative.

     Prior to this  offering,  there  has been no public  market  for any of the
Company's  securities.  Accordingly,  the initial public  offering prices of the
Securities  was   determined  by   negotiation   between  the  Company  and  the
Representative.  Factors  considered in  determining  such prices and terms,  in
addition  to  prevailing  market  conditions,  included  the  history of and the
prospects of the industry in which the Company intends to compete, an assessment
of the Company's management, the prospects of the Company, its capital structure
and such other factors as were deemed relevant.

     The Underwriting Agreement provides for reciprocal  indemnification between
the Company and the Underwriters  against certain liabilities in connection with
the Registration  Statement,  including liabilities under the Securities Act. To
the extent that the  Underwriting  Agreement may purport to provide  exculpation
from possible  liabilities  arising under the federal securities laws, it is the
opinion of the Commission that such indemnification is contrary to public policy
and unenforceable.

     In  December  1994,  Sid  Borenstein,  a director  of the  Company,  made a
subordinated loan to the Representative in the principal amount of $490,000, due
in December  1996. In connection  with such loan,  Mr.  Borenstein  received the
right to participate in certain profits of the Representative.

                                  LEGAL MATTERS

     The validity of the issuance of the Securities  will be passed upon for the
Company by Scheichet & Davis, P.C., New York, New York. Bachner,  Tally, Polevoy
& Misher LLP, New York,  New York has acted as counsel for the  Underwriters  in
connection with this offering. The statements

                                       56
<PAGE>

under the captions  "Risk Factors - State and Federal  Regulation",  "Business -
Reimbursement"  and "Business - Government  Regulation" and other  references in
this Prospectus to health care  regulations and third party  reimbursement  have
been reviewed for the Company by Halpern & Pasternack,  P.C.,  Garden City,  New
York.

                                     EXPERTS

     The historical  financial statements of the Company as of December 31, 1994
and  December  31, 1995  included in this  Prospectus  have been audited by M.R.
Weiser & Co.,  LLP,  independent  certified  public  accountants.  Their  report
appears  elsewhere  in this  Prospectus  and is included  in  reliance  upon the
authority of that firm as experts in auditing and accounting.

                             ADDITIONAL INFORMATION

     The Company has filed with the  Securities  and  Exchange  Commission  (the
"Commission"),  in Washington, D.C., a Registration Statement on Form SB-2 under
the Securities Act with respect to the Securities. This Prospectus omits certain
information  contained in said Registration  Statement as permitted by the rules
and regulations of the Commission.  For further  information with respect to the
Company and the  Securities,  reference is made to the  Registration  Statement,
including the exhibits  thereto.  Statements  contained  herein  concerning  the
contents of any contract or any other document are not necessarily complete, and
in each  instance,  reference is made to such contract or other  document  filed
with the Commission as an exhibit to the Registration  Statement,  or otherwise,
each such  statement  being  qualified  in all respects by such  reference.  The
Registration  Statement,  including  exhibits  and  schedules  thereto,  may  be
inspected  and  copied at the  public  reference  facilities  maintained  by the
Commission at Room 1024,  Judiciary Plaza, 450 Fifth Street,  N.W.,  Washington,
D.C. 20549, at the Chicago  Regional Office,  Citicorp Center,  500 West Madison
Street,  Suite 1400, Chicago,  Illinois 60661-2511 and at the Northeast Regional
Office,  Seven World Trade Center,  13th Floor, New York, New York 10048. Copies
of such  materials  can be  obtained  from the Public  Reference  Section of the
Commission, 450 Fifth Street, N.W., Washington, D.C. 20549, at prescribed rates.

                                       57
<PAGE>



                           NEW YORK HEALTH CARE, INC.

                          INDEX TO FINANCIAL STATEMENTS



NEW YORK HEALTH CARE, INC.:

<TABLE>
<S>                                                                                                        <C>
Independent Auditors' Report                                                                               F-1

Balance Sheets at December 31, 1995 and March 31, 1996                                                     F-2

Statements of Income for the Years Ended December 31, 1994 and 1995
    and for the Three Months Ended March 31, 1995 and 1996                                                 F-3

Statements of Shareholders' Equity for the Years Ended December 31, 1994
    and 1995, and for the Three Months Ended March 31, 1995 and 1996                                       F-4

Statements of Cash Flows for the Years Ended December 31, 1994 and 1995,
    and for the Three Months Ended March 31, 1995 and 1996                                                 F-5

Notes to Financial Statements                                                                              F-6 - F16
</TABLE>

                                       58

<PAGE>

                          INDEPENDENT AUDITORS' REPORT


To the Board of Directors
New York Health Care, Inc.

We have audited the  accompanying  balance  sheet of New York Health Care,  Inc.
(the  "Corporation")  as of December 31,  1995,  and the related  statements  of
income,  shareholders'  equity and cash flows for the years ended  December  31,
1994  and  1995.  These  financial  statements  are  the  responsibility  of the
Corporation's  management.  Our responsibility is to express an opinion on these
financial statements based on our audits.

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

In our opinion,  the financial  statements  referred to above present fairly, in
all material  respects,  the financial position of New York Health Care, Inc. as
of December 31, 1995,  and the results of its  operations and its cash flows for
the years ended December 31, 1994 and 1995 in conformity with generally accepted
accounting principles.


                                   ----------------------------------
                                          M.R. WEISER & CO. LLP
                                      Certified Public Accountants


New York, NY
January 26, 1996

                                       F-1
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                                 BALANCE SHEETS

                                                       A S S E T S

<TABLE>
<CAPTION>
                                                                                                                          Pro Forma
                                                                                                                           March 31,
                                                                                           December 31,     March 31,        1996
                                                                                               1995           1996          Note 2
                                                                                            ----------     ----------     ----------
                                                                                                           (Unaudited)   (Unaudited)
<S>                                                                                         <C>            <C>            <C>       
Current assets:
   Cash (Notes 2 and 8)                                                                     $  177,688     $  318,541     $  318,541
   Accounts receivable, net of allowance for uncollectible
     amounts of $44,000 and $74,000 in 1995 and 1996,
     respectively (Notes 4, 8 and 14)                                                        4,089,198      3,269,520      3,269,520
   Unbilled services (Note 2)                                                                  109,314         57,478         57,478
   Advances to shareholders                                                                    145,000
   Prepaid expenses                                                                             46,867         34,619         34,619
                                                                                            ----------     ----------     ----------
         Total current assets                                                                4,568,067      3,680,158      3,680,158

Property and equipment, net (Notes 2 and 3)                                                     96,431         98,729         98,729
Note receivable - shareholder (Note 9)                                                         125,000        125,000        125,000
Acquisition costs, net (Note 2)                                                                 30,757         27,274         27,274
Deferred registration costs, net (Note 2)                                                                      50,000         50,000
Deposits                                                                                        19,819         19,819         19,819
                                                                                            ----------     ----------     ----------
         Total assets                                                                       $4,840,074     $4,000,980     $4,000,980
                                                                                            ==========     ==========     ==========

                                           LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
   Note payable - bank (Note 4)                                                             $1,225,000     $  900,000     $3,100,000
   Accrued payroll                                                                             288,023        290,495        290,495
   Deferred income taxes (Note 2)                                                              184,000        134,000        134,000
   Accounts payable and accrued expenses                                                        59,138        163,587        163,587
   Income taxes payable (Note 2)                                                                29,737
   Current maturities of long term debt (Note 6)                                                 6,980          6,355          6,355
                                                                                            ----------     ----------     ----------
         Total current liabilities                                                           1,792,878      1,494,437      3,694,437

Long-term debt, less current maturities (Note 6)                                                 6,502          5,137          5,137

Commitments and contingencies (Note 8)

Shareholders' equity (Notes 7 and 10):
   Preferred stock $.01 par value, 2,000,000 shares
     authorized; no shares issued or outstanding
   Common stock, $.01 par value, 10,000,000 shares
     authorized; 2,265,000 shares issued and outstanding                                        22,650         22,650         22,650
   Additional paid-in capital                                                                    7,350          7,350          7,350
   Retained earnings                                                                         3,010,694      2,471,406        271,406
                                                                                            ----------     ----------     ----------
         Total shareholders' equity                                                          3,040,694      2,501,406        301,406
                                                                                            ----------     ----------     ----------
         Total liabilities and shareholders' equity                                         $4,840,074     $4,000,980     $4,000,980
                                                                                            ==========     ==========     ==========

                                      See accompanying notes to financial statements

</TABLE>

                                       F-2
<PAGE>

                                                NEW YORK HEALTH CARE, INC.
                                                   STATEMENTS OF INCOME

<TABLE>
<CAPTION>
                                                                                                                For The
                                                                    For the Years Ended                   Three Months Ended
                                                                        December 31,                            March 31,
                                                              -------------------------------       -------------------------------
                                                                  1994               1995               1995               1996
                                                              ------------       ------------       ------------       ------------
                                                                                                     (Unaudited)        (Unaudited)
<S>                                                           <C>                <C>                <C>                <C>         
Net patient service revenue (Note 2)                          $  8,981,301       $ 11,809,728       $  2,621,331       $  2,987,065
                                                              ------------       ------------       ------------       ------------
Expenses:
   Professional care of patients                                 6,301,138          8,127,447          1,781,837          2,062,483
   General and administrative                                    1,719,220          2,358,487            571,588            653,429
   Bad debts expense                                                50,000                                                   30,359
   Depreciation                                                     23,940             32,455              8,100              6,886
                                                              ------------       ------------       ------------       ------------
         Total operating expenses                                8,094,298         10,518,389          2,361,525          2,753,157
                                                              ------------       ------------       ------------       ------------
Income from operations                                             887,003          1,291,339            259,806            233,908
                                                              ------------       ------------       ------------       ------------
Nonoperating income (expenses):
   Interest income                                                                                                            3,073
   Other income                                                      5,940                                                    4,766
   Interest expense                                                (84,931)           (82,328)           (27,368)           (31,397)
                                                              ------------       ------------       ------------       ------------
         Nonoperating expenses, net                                (78,991)           (82,328)           (27,368)           (23,558)
                                                              ------------       ------------       ------------       ------------
Income before provision for income taxes                           808,012          1,209,011            232,438            210,350
                                                              ------------       ------------       ------------       ------------
Provision (credit) for income taxes (Note 2):
   Current                                                             666             35,000              9,000             12,000
   Deferred                                                         36,000             46,000                               (50,000)
                                                              ------------       ------------       ------------       ------------
                                                                    36,666             81,000              9,000            (38,000)
                                                              ------------       ------------       ------------       ------------
Net income                                                    $    771,346       $  1,128,011       $    223,438       $    248,350
                                                              ============       ============       ============       ============
Pro forma (unaudited) (See Note 2):
    Historical income before provision
       for income taxes                                       $    808,012       $  1,209,011       $    232,438       $    210,350
    Pro forma provision for income taxes                           353,000            520,000            101,000             91,000
                                                              ------------       ------------       ------------       ------------
    Pro forma net income                                      $    455,012       $    689,011       $    131,438       $    119,350
                                                              ============       ============       ============       ============
    Pro forma net income per common share
       and common share equivalents                                              $        .25                          $        .04
                                                                                 ============                          ============
    Pro forma weighted average number of
       common shares and common share equivalents                                   2,743,475                             2,743,475
                                                                                 ============                          ============

                                     See accompanying notes to financial statements.

</TABLE>

                                       F-3

<PAGE>

<TABLE>
<CAPTION>
                                                NEW YORK HEALTH CARE, INC.
                                            STATEMENTS OF SHAREHOLDERS' EQUITY

                                  For The Years Ended December 31, 1994 and 1995 And For
                                  The Three Months Ended March 31, 1996 (Unaudited) (a)

                                                                        Additional
                                              Common Stock                Paid-In         Retained
                                           Shares       Amount            Capital         Earnings          Total
                                         ---------      -------           ------         ----------       ----------
<S>                                      <C>            <C>               <C>            <C>              <C>       
Balance at January 1, 1994               2,265,000      $22,650           $7,350         $2,051,599       $2,081,599

Net income                                                                                  771,346          771,346

Distributions ($.04 per share)                                                             (100,230)        (100,230)
                                         ---------      -------           ------         ----------       ----------

Balance at December 31, 1994             2,265,000       22,650            7,350          2,722,715        2,752,715

Net income                                                                                1,128,011        1,128,011

Distributions ($.37 per share)                                                             (840,032)        (840,032)
                                         ---------      -------           ------         ----------       ----------

Balance at December 31, 1995             2,265,000       22,650            7,350          3,010,694        3,040,694

Net income (unaudited)                                                                      248,350          248,350

Distributions ($.35 per share)
   (unaudited)                                                                             (787,638)        (787,638)
                                         ---------      -------           ------         ----------       ----------

Balance at March 31, 1996
  (unaudited)                            2,265,000      $22,650           $7,350         $2,471,406       $2,501,406
                                         =========      =======           ======         ==========       ==========
</TABLE>


(a)  Retroactive  effect has been given to the March 26,  1996  recapitalization
     referred to in Note 10.

                 See accompanying notes to financial statements.

                                       F-4
<PAGE>

                                               NEW YORK HEALTH CARE, INC.
                                                STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>
                                                                                                                For The
                                                                         For the Years Ended              Three Months Ended
                                                                             December 31,                       March 31,
                                                                     ----------------------------     -----------------------------
                                                                         1994             1995            1995             1996
                                                                     -----------      -----------      -----------      -----------
                                                                                                       (Unaudited)      (Unaudited)
<S>                                                                  <C>              <C>              <C>              <C>        
Cash flows from operating activities:
   Net income                                                        $   771,346      $ 1,128,011      $   223,438      $   248,350
   Adjustments to reconcile net income to net cash
     provided by (used in) operating activities:
       Depreciation and amortization                                      42,827           59,403           11,539           10,369
       Bad debts expense                                                  50,000                                             30,359
       Deferred tax expense (credit)                                      36,000           46,000                           (50,000)
       Changes in operating assets and liabilities:
         (Increase) decrease in accounts receivable
            and unbilled receivables                                  (1,033,667)        (453,893)         295,945          841,155
         (Increase) decrease in due from affiliate                       (68,149)          68,149           68,149
         (Increase) decrease in due from shareholders                                    (145,000)                          145,000
         (Increase) decrease in prepaid expenses                         (43,308)           7,159           35,600           12,248
         Increase in deferred charges                                    (21,514)                                           (50,000)
         (Increase) decrease in deposits                                  28,499           (3,600)           6,000
         (Increase) decrease in sundry assets                              5,460            2,000          (11,926)
         Increase (decrease) in accounts payable
            and accrued expenses                                          50,009         (135,563)         (34,228)         104,449
         Increase in accrued payroll                                      72,333           95,374           32,527            2,472
         Increase (decrease) in income taxes payable                                       29,737                           (29,737)
                                                                     -----------      -----------      -----------      -----------
              Net cash provided by (used in)
                operating activities                                    (110,164)         697,777          627,044        1,264,665
                                                                     -----------      -----------      -----------      -----------

Cash flows from investing activities:
   Acquisition of fixed assets                                          (327,916)         (27,416)         (47,070)          (9,184)
   Proceeds from sale of investment                                       18,112
   Increase in note receivable - shareholder                                             (125,000)
                                                                     -----------      -----------      -----------      -----------
              Net cash used in investing activities                     (309,804)        (152,416)         (47,070)          (9,184)
                                                                     -----------      -----------      -----------      -----------

Cash flows from financing activities:
   Net borrowings (repayments) under note payable                        350,000          325,000                          (325,000)
   Borrowing of long-term debt                                           176,498
   Repayment of long-term debt                                           (32,210)         (18,887)          (7,893)          (1,990)
   Distributions                                                        (100,230)        (695,105)        (153,933)        (787,638)
                                                                     -----------      -----------      -----------      -----------
              Net cash provided by (used in)
                financing activities                                     394,058         (388,992)        (161,826)      (1,114,628)
                                                                     -----------      -----------      -----------      -----------

Net increase (decrease) in cash and
   cash equivalents                                                      (25,910)         156,369          418,148          140,853

Cash and cash equivalents at beginning of period                          47,229           21,319           21,319          177,688
                                                                     -----------      -----------      -----------      -----------

Cash and cash equivalents at end of period                           $    21,319      $   177,688      $   439,467      $   318,541
                                                                     ===========      ===========      ===========      ===========
   (See Note 13)

                                      See accompanying notes to financial statements
</TABLE>

                                                           F-5
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

1.   THE COMPANY:

     New York Health Care, Inc. (the "Corporation") was incorporated in February
     1983  under  the  laws  of the  State  of New  York  and  has  elected  "S"
     corporation  status under provisions of the Internal  Revenue Service.  The
     Corporation  was formed to provide the  services of  registered  nurses and
     nurses aides to  hospitals,  nursing homes and other  healthcare  providers
     within the New York metropolitan area.

2.   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

     Interim Financial Information (Unaudited):

     The financial statements and accompanying financial information as of March
     31,  1996,  and for the three  months  ended March 31,  1995 and 1996,  are
     unaudited  but  include  all  adjustments   (consisting  solely  of  normal
     recurring  accruals) which the Corporation  considers  necessary for a fair
     presentation of the financial position at March 31, 1996, and the operating
     results and cash flows for the three month periods ended March 31, 1995 and
     1996. Results for interim periods are not necessarily indicative of results
     for the entire year.

     Estimates:

     The  preparation  of financial  statements  in  conformity  with  generally
     accepted  accounting  principles  requires management to make estimates and
     assumptions  that affect the reported amounts of assets and liabilities and
     disclosure  of  contingent  assets  and  liabilities  at  the  date  of the
     financial  statements  and the  reported  amounts of revenues  and expenses
     during  the  reporting  period.  Actual  results  could  differ  from those
     estimates.

     Revenue Recognition:

     The Corporation  recognizes net patient service revenue based upon the date
     services  are  rendered.  Net  patient  service  revenue is reported at the
     estimated net  realizable  amounts from  patients,  third-party  payers and
     others. Unbilled services represent amounts due for services rendered which
     were not billed at the end of each period.

                                       F-6
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

     Property, Plant and Equipment:

     Property,  plant and equipment is carried at cost and is being  depreciated
     under the straight-line method over the following estimated useful lives of
     the assets or the life of the lease, whichever is shorter.

          Machinery and equipment                           5 years
          Furniture and fixtures                            7 years
          Transportation equipment                          5 years

     Acquisition Costs:

     On March 17, 1988, the Corporation  purchased the customer lists,  employee
     lists and other  intangible  assets of National Medical Home Care at a cost
     of $139,273.  This cost is being amortized using the  straight-line  method
     over a period of ten years.  At December 31, 1995 and March 31,  1996,  the
     accumulated amortization was $108,516 and $111,999, respectively.

     Deferred Registration Costs:

     Costs relating to the Corporation's  efforts to obtain additional financing
     through a proposed  public  offering  have been deferred and will be offset
     against  the  proceeds  of a  successful  offering  or, if the  offering is
     unsuccessful, charged to operations.

     Income Taxes:

     The accompanying  historical  financial  statements exclude a provision for
     Federal income taxes because the Corporation  elected to be treated as an S
     corporation  under the applicable  provisions of the Internal Revenue Code.
     Accordingly,  the  operations  of  the  Corporation  are  included  in  the
     individual income tax returns of the shareholders.

     The Corporation uses the asset and liability  method to calculate  deferred
     tax assets and  liabilities.  Deferred  state and city taxes are recognized
     based on the differences  between financial  reporting and income tax bases
     of assets and  liabilities  using enacted income tax rates.  Deferred state
     and city income  taxes  arise from the use of the cash basis of  accounting
     for income tax purposes.

                                       F-7
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

     Pro forma Information (Unaudited):

     a.   Pro forma Net Income Per Common Share and Common Share Equivalents:

          Pro forma net income per common share and common share equivalents has
          been  computed  based upon the weighted  average  number of shares and
          common share equivalents  outstanding during each period. Common share
          equivalents  recognize the potential  dilutive effects of the exercise
          of  outstanding  options and  warrants to acquire  common  stock.  The
          Corporation has used the anticipated  initial public offering price of
          $5.00 per common  share for all  periods  presented  for  purposes  of
          computing the potential  dilutive effects of common share equivalents.
          The  issuance  of a stock  option  had the  effect of  increasing  the
          weighted  average shares  outstanding for all periods by 18,750 shares
          calculated by using the treasury stock method.

          Pursuant  to the  rules of the  Securities  and  Exchange  Commission,
          dividends  declared in the latest  twelve month period would be deemed
          to be in contemplation of the offering with the intention of repayment
          out of  offering  proceeds to the extent  that the  dividend  exceeded
          earnings during the previous twelve months.  The shares whose proceeds
          would be necessary to pay the S-Corporation  distribution declared and
          paid during the three month period ended March 31, 1996 ($787,638) and
          the dividend  declared on July 10, 1996 ($2,200,000) has the pro forma
          effect of increasing the weighted  average shares  outstanding for all
          periods by 459,725 shares.

     b.   Pro Forma Balance Sheet:

          The pro forma  balance  sheet as of March 31,  1996  presents  the pro
          forma effects of the S-Corporation distribution of $2,200,000 declared
          on July 10, 1996.

     c.   Pro Forma Statement of Income Adjustment:

          The pro forma statement of income  information  presents the pro forma
          effects on the historical  financial  information of the Corporation's
          termination  of its  S-Corporation  status  upon  consummation  of the
          planned initial public  offering.  The unaudited  proforma  adjustment
          included in the  statements of income gives effect to a charge in lieu
          of income  taxes that would have been  included in the  provision  for
          income taxes had the Corporation been taxed as a C Corporation.

     Cash Equivalents:

     For purposes of the statement of cash flows, the Corporation  considers all
     highly  liquid  investments  with  maturities  of three months or less when
     purchased to be cash equivalents.

                                       F-8
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

     Stock Based Compensation:

     In October 1995, the FASB issued SFAS No. 123,  "Accounting for Stock-Based
     Compensation",  which  requires  adoption of the  disclosure  provisions no
     later than fiscal years  beginning  after December 15, 1995 and adoption of
     the measurement and recognition provisions for non-employee transactions no
     later than after December 15, 1995.  The new standard  defines a fair value
     method of  accounting  for the  issuance of stock  options and other equity
     instruments.  Under the fair value method, compensation cost is measured at
     the grant date based on the fair value of the award and is recognized  over
     the service period,  which is usually the vesting period.  Pursuant to SFAS
     No. 123, the  Corporation is not required to adopt the fair value method of
     accounting  for  employee  stock-based  transactions.  The  Corporation  is
     permitted  to continue to account for such  transactions  under  Accounting
     Principles  Board Opinion  ("APB") No. 25,  "Accounting for Stock Issued to
     Employees",  but  is  required  to  disclose  in a note  to  the  financial
     statements  pro  forma  net  income,  and  per  share  amounts  as  if  the
     corporation  had  applied  the new  method  of  accounting.  In  1996,  the
     Corporation adopted the disclosure provisions of SFAS No. 123. However, due
     to the minimal impact, no disclosures were required.

     Accounting  for the  Impairment  of  Long-Lived  Assets and for  Long-Lived
     Assets to be Disposed Of:

     The Company has adopted Statement of Financial Accounting Standards ("FAS")
     No.  121,  "Accounting  for the  Impairment  of  Long-Lived  Assets and for
     Long-Lived Assets to be Disposed Of," in the first quarter of 1996. FAS No.
     121  establishes  new accounting  standards for measuring the impairment of
     long-lived  assets.  The  adoption  of this  new  standard  does not have a
     significant effect on the Corporation's financial statements.

3.   PROPERTY AND EQUIPMENT:

     Property and equipment consist of the following:

<TABLE>
<CAPTION>
                                                                           December 31,             March 31,
                                                                              1995                    1996
                                                                           ------------            -----------
                                                                                                   (Unaudited)
<S>                                                                         <C>                      <C>     
         Machinery and equipment                                            $150,058                 $154,711
         Furniture and fixtures                                               47,215                   51,747
         Transportation equipment                                              5,000                    5,000
                                                                            --------                 --------
                                                                             202,273                  211,458
         Less accumulated depreciation and amortization                      105,842                  112,729
                                                                            --------                 --------

                                                                            $ 96,431                 $ 98,729
                                                                            ========                 ========
</TABLE>

                                       F-9
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

4.   NOTE PAYABLE - BANK:

     The  Corporation  had arranged for a $1,300,000  line of credit with a bank
     during 1994. In October 1995, the available line of credit was increased to
     $2,000,000.  The line of  credit  is  collateralized  by the  Corporation's
     accounts receivable and is guaranteed by certain shareholders.  Interest is
     payable  monthly at 1.5% above the prime rate  published by Chemical  Bank.
     The  amount  outstanding  at  December  31,  1995  and  March  31,  1996 is
     $1,225,000  and $900,000,  respectively.  On May 9, 1996,  the  Corporation
     entered into a promissory  note with its bank which  increased  the line of
     credit to  $3,500,000  and adjusted the interest  payable to .75% above the
     market  prime as posted in the Wall Street  Journal.  The line of credit is
     renewable in May 1997.

5.   THIRD-PARTY RATE ADJUSTMENTS AND REVENUE:

     Approximately  26% and 27% of net patient service revenue was derived under
     New York State  third-party  reimbursement  programs during the years ended
     December 31, 1994 and 1995, respectively,  and approximately 34% and 27% of
     net patient  service  revenue was derived under New York State  third-party
     reimbursement  programs  during the three  months  ended March 31, 1995 and
     1996,   respectively.   These   revenues  are  based,   in  part,  on  cost
     reimbursement   principles  and  are  subject  to  audit  and   retroactive
     adjustment by the respective third-party fiscal  intermediaries.  Provision
     for  estimated  amounts due to/from  the  Corporation  has been made in the
     financial  statements.  Differences  between  estimated  revised  rates and
     subsequent  revisions  will be reflected in the  statement of income in the
     year revisions are calculated.

6.   LONG-TERM DEBT:

     Long-term debt consists of the following:

<TABLE>
<CAPTION>
                                                                               December 31,         March 31,
                                                                                  1995                1996
                                                                               ------------        ----------
                                                                                                   (Unaudited)
<S>                                            <C>                               <C>                 <C>    
     Capital leases collateralized by various machinery
       and equipment are payable through April 1998.                             $13,482             $11,492

     Less current maturities                                                      (6,980)             (6,355)
                                                                                 -------            --------

                                                                                 $ 6,502            $  5,137
                                                                                 =======            ========
</TABLE>

                                      F-10
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

7.   PERFORMANCE INCENTIVE PLAN AND 401(K) PLAN:

     Performance Incentive Plan:

     On March  26,  1996,  the  Corporation's  Board of  Directors  adopted  the
     Performance  Incentive  Plan (the  "Option  Plan").  Under the terms of the
     Option Plan, 210,000 shares of common stock may be granted. The Option Plan
     will be  administered  by a Committee  appointed by the Board of Directors.
     The Committee will determine which key employee, officer or director on the
     regular  payroll of the  Company,  shall  receive  stock  options.  Granted
     options are exercisable in three equal annual installments,  commencing six
     months  after the date of grant,  and  expire  ten years  after the date of
     grant. No options have been granted under the Option Plan.

     401 (K) Plan:

     The Corporation  maintains an Internal  Revenue Code Section 401 (k) salary
     deferred  savings plan (the "Plan") for all of its  employees who have been
     employed  for at least 1 year and are at least  21 years  old.  Subject  to
     certain limitations, the Plan allows participants to voluntarily contribute
     up to 15% of  their  pay on a  pre-tax  basis.  The  Corporation  currently
     contributes  50% of each dollar  contributed to the Plan by participants up
     to a maximum of 6% of the participants  salary.  The Plan also provides for
     certain discretionary contributions by the Corporation as determined by the
     Board of Directors. The Corporation's contributions amounted to $21,200 and
     $41,900  for the years  ended  December  31,  1994 and 1995 and  $7,500 and
     $6,900 for the three months ended March 31, 1995 and 1996, respectively.

                                      F-11
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

8.   COMMITMENTS, CONTINGENCIES AND OTHER COMMENTS:

     Lease Commitments:

     The Corporation leases office space under  noncancellable  operating leases
     in the New York  metropolitan  area that expire  between  December 1996 and
     November 2000.

     At December 31, 1995  (substantially  the same at March 31,  1996),  future
     minimum lease payments due under operating and capital leases approximate:

<TABLE>
<CAPTION>
                                                                       Operating               Capital
                                                                        Leases                  Leases
                                                                       ---------               -------
          <S>                                                          <C>                     <C>    
          1997                                                         $  93,000               $ 8,204
          1998                                                            75,000                 6,354
          1999                                                            69,000
          2000                                                            42,000
          2001                                                            38,000  
                                                                       ---------               -------

          Total minimum future payments                                $ 317,000                14,558
                                                                       =========
          Less amounts representing interest                                                    (3,066)
                                                                                               -------

          Present value of net minimum lease payments                                          $11,492
                                                                                               =======
</TABLE>

     Rental expense charged to operations was approximately  $66,000 and $86,000
     for the years ended  December 31, 1994 and 1995 and $20,400 and $33,100 for
     the three months ended March 31, 1995 and 1996, respectively.

     Employment Agreements:

     On March 26, 1996, the Corporation entered into employment  agreements with
     two officers of the Corporation,  with terms expiring on December 31, 1999.
     The agreements  call for aggregate  annual  compensation  of  approximately
     $315,000 with annual  increases of 10%, and provide for certain  additional
     benefits.  Aggregate  compensation  paid to these two officers  amounted to
     $217,000 during the year ended December 31, 1995.

                                      F-12
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

     Concentrations of Credit Risk:

     Financial   instruments  which  potentially   subject  the  Corporation  to
     concentrations   of  credit  risk  consist   primarily  of  temporary  cash
     investments and commercial  accounts  receivable.  The Corporation has cash
     investment  policies  that  restrict  placement  of  these  investments  to
     financial  institutions  evaluated as highly creditworthy.  The Corporation
     does not  require  collateral  on  commercial  accounts  receivable  as the
     customer  base  consists of large,  well  established  institutions.  As of
     December 31, 1995, accounts receivable include $1,326,000 or 32% from three
     hospitals, and as of March 31, 1996, accounts receivable include $1,442,000
     or 44% from three hospitals.

     Major Customers:

     One  major  customer  accounted  for  approximately  15.4% and 12.5% of net
     patient  service  revenue for the years ended  December  31, 1994 and 1995,
     respectively.

     One major customer accounted for approximately 11.4% and 10% of net patient
     service  revenue  for the  three  months  ended  March  31,  1995 and 1996,
     respectively.

     Business Risks:

     Certain factors relating to the industry in which the Corporation  operates
     and  the  Corporation's  business  should  be  carefully  considered.   The
     Company's primary business,  offering home health care services, is heavily
     regulated at both the federal and state levels.  While the  Corporation  is
     unable to predict  what  regulatory  changes may occur or the impact on the
     Corporation  of any particular  change,  the  Corporation's  operations and
     financial results could be negatively affected.

     Further,  the Corporation  operates in a highly competitive  industry which
     may limit the  Corporation's  ability to price its  services at levels that
     the  Corporation  believes  appropriate.   These  competitive  factors  may
     adversely affect the Corporation's financial results.

     Reference  is  made  to  "Risk  Factors"  elsewhere  in  this  registration
     statement.

                                      F-13
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

9.   RELATED PARTY TRANSACTIONS:

     In September  1995,  the  Corporation  entered into a loan agreement with a
     shareholder wherein the Corporation lent the shareholder $125,000. The note
     is due at the  earlier  of (i) 30 days  after  notice  of the  filing  of a
     registration  statement,  or (ii)  September 28, 1997.  Interest is payable
     monthly at the rate charged by the Corporation's  lender. (See Note 4). The
     shareholder's stock certificates are being held as collateral for the note.

     In January 1996, the  Corporation  entered into a Service  Agreement with a
     company affiliated through common ownership.  The Corporation has agreed to
     provide  administrative  services relating to payroll,  benefits management
     and data  processing to the company through June 30, 1997. The Company will
     be reimbursed for all expenses  attributable to such operations,  presently
     totaling $15,000 per year.

     On November 1, 1995,  the  Corporation  transferred  the land and  building
     which it had acquired on April 18, 1994 to a company related through common
     ownership. As a result of the transaction,  the Corporation was relieved of
     its  mortgage  obligation  of  $146,250  and the  shareholders  received  a
     non-cash  distribution  in 1995 of $144,927 which  represented the net book
     value of the land and  building.  No gain or loss was  recognized  upon the
     transfer.

10.  SHAREHOLDERS' EQUITY:

     Common Stock and Recapitalization:

     As effected on March 26,  1996,  the  shareholders  and Board of  Directors
     authorized an increase in the number of  authorized  shares of common stock
     from 200 to 10,000,000, an increase in par value to $.01 per share, a stock
     split of 56,625 for 1 of the Corporation's common stock outstanding,  and a
     stock split of 48,343.75 for 1 of the Corporation's  unissued common stock.
     As a result,  all  historic  share  amounts  and per share  amounts  in the
     accompanying  financial  statements and notes have been adjusted to reflect
     the stock split and increase in par value.

     Preferred Stock:

     On March 26, 1996,  the  shareholders  and Board of Directors  approved the
     authorization  of a total of 2,000,000  shares of preferred stock which may
     be  issued  in one  or  more  series  with  rights  and  preferences  to be
     determined by the Board of Directors.

                                      F-14
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

     Options:

     On March 26,  1996,  the  Corporation  issued an option to purchase  75,000
     shares of common stock to the President of the  Corporation  at an exercise
     price of $3.75 per share.  The option may be  exercised at any time through
     March 26, 2006.

     Dividend Policy:

     The  Corporation  has  operated as an S  Corporation  prior to the proposed
     public  offering and has paid out a substantial  portion of its earnings to
     its current shareholders as S Corporation distributions.  On July 10, 1996,
     the  Board  of  Directors   declared  an  S  Corporation   distribution  of
     $2,200,000.  The Board of  Directors  intends  to retain and  reinvest  any
     future earnings into the development of the business. Any future payment of
     dividends will be subject to the discretion of the Board of Directors.

11.  FAIR VALUE OF FINANCIAL INSTRUMENTS:

     The amounts  included in the balance  sheets at December 31, 1995 and March
     31, 1996 for cash,  accounts  receivable,  unbilled  services,  advances to
     shareholders,  line of credit,  and accounts  payable and accrued  expenses
     approximate   fair  value  because  of  the  short-term   nature  of  these
     instruments.

12.  OTHER MATTERS:

     Proposed Public Offering:

     On March 6,  1996,  the  Corporation  signed a  letter  of  intent  with an
     investment  banker  for a proposed  public  offering  of the  Corporation's
     common stock and warrants.  The letter specifies that the investment banker
     will  underwrite,  on a firm commitment  basis,  1,050,000 shares of common
     stock  anticipated  to be  offered  at $5.00  per share  and  1,050,000  of
     redeemable warrants at $.10 per redeemable warrant. The redeemable warrants
     will be  exercisable  at any time during a period of four years  commencing
     one year after the effective date of the Prospectus at an exercise price of
     $6.00 per share. The redeemable  warrants will include an option,  whereby,
     under certain conditions, the Corporation can redeem the warrants.

                                      F-15
<PAGE>

                           NEW YORK HEALTH CARE, INC.
                          NOTES TO FINANCIAL STATEMENTS

      (Amounts And Disclosures As Of March 31, 1996 And Subsequent Thereto
      And For The Three Months Ended March 31, 1995 And 1996 Are Unaudited)

13.  SUPPLEMENTAL CASH FLOW DISCLOSURES:

<TABLE>
<CAPTION>
                                                                    For the Years Ended             Three Months Ended
                                                                        December 31,                     March 31,
                                                                 -------------------------        ----------------------
                                                                  1994              1995            1995          1996
                                                                 -------          --------        -------        -------
                                                                                                (Unaudited)    (Unaudited)
<S>                                                              <C>              <C>             <C>            <C>    
       Cash paid during the period for:
          Interest                                               $76,607          $ 93,439        $29,411        $30,930
                                                                 =======          ========        =======        =======

          Income taxes                                           $12,379          $    --         $   --         $12,262
                                                                 =======          ========        =======        =======

       Supplemental disclosure of non-cash investing and 
         financing activities:

       Transfer of ownership of building to a 
         separate corporation:
         Decrease in fixed assets                                                 $291,177

         Decrease in long-term debt                                                146,250
                                                                                  --------
         Non-cash distribution to shareholders                                    $144,927
                                                                                  ========
</TABLE>

14.  SUBSEQUENT EVENT (UNAUDITED):

     On July 8,  1996,  the  Corporation  entered  into an  agreement  with 1667
     Flatbush LLC ("1667  Flatbush") a limited  liability  company  owned by the
     Corporation's  officers  and  directors,  whereby 1667  Flatbush  purchased
     $3,500,000 of the Corporation's accounts receivable for a purchase price of
     $3,150,000.  As a result of the Corporation's  sale of accounts  receivable
     for less than their face value, the Corporation  expects to recognize a net
     charge to its earnings during the third quarter ended September 30, 1996 in
     the amount of $170,000.  The purchase  price,  represented  by a negotiable
     promissory  note bearing  interest at the rate of 12% per annum, is payable
     $1,100,000 on August 1, 1996, $1,100,000 on September 1, 1996, and $950,000
     at the  earlier  of October 1, 1996 or the  effective  date of the  initial
     public  offering.  The  note is  collateralized  by a lien on the  accounts
     receivable purchased from the Corporation,  and is personally guaranteed by
     each of the  members of 1667  Flatbush.  The note  permits  prepayments  of
     principal without penalty.

                                      F-16


<PAGE>



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

No dealer,  sales representative or other individual has been authorized to give
any information or to make any  representation  not contained in this Prospectus
in connection  with this offering other than those  contained in this Prospectus
and if given or made, such information or representation must not be relied upon
as having been  authorized by the Company or the  Underwriter.  This  Prospectus
does not  constitute  an offer  to sell or  solicitation  of an offer to buy the
Common Stock by anyone in any  jurisdiction  in which such offer or solicitation
is not  authorized or in which the person making such offer or  solicitation  is
not  qualified  to do so or to any  person to whom it is  unlawful  to make such
offer or solicitation. Neither the delivery of this Prospectus nor any sale made
hereunder  shall  under  any  circumstances   create  an  implication  that  the
information contained herein is correct as of any time subsequent to its date.

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

                                TABLE OF CONTENTS
                                                                           Page
Prospectus Summary ......................................................    3
Risk Factors ............................................................    9
Use of Proceeds .........................................................   16
Dilution ................................................................   17
Dividend Policy .........................................................   19
Former S Corporation Tax Treatment ......................................   19
Capitalization ..........................................................   19
Selected Financial Data .................................................   21
Management's Discussion and Analysis
    of Financial Condition and Results
   of Operations ........................................................   22
Business ................................................................   26
Management ..............................................................   44
Principal Stockholders ..................................................   49
Certain Transactions ....................................................   50
Description of Securities ...............................................   52
Shares Eligible for Future Sale .........................................   54
Underwriting ............................................................   54
Legal Matters ...........................................................   56
Experts .................................................................   57
Additional Information ..................................................   57
Index to Financial Statements ...........................................   58
Financial Statements ....................................................   F-1

Until  _____,  1996 (25 days  after the date of this  Prospectus),  all  dealers
effecting   transactions   in  the   registered   securities,   whether  or  not
participating  in this  distribution,  may be required to deliver a  Prospectus.
This delivery requirement is in addition to the obligation of dealers to deliver
a  Prospectus  when  acting as  Underwriter  and with  respect  to their  unsold
allotments or subscriptions.

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



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

                               1,050,000 Shares of

                                  Common Stock

                                       and

                               1,050,000 Warrants


                           NEW YORK HEALTH CARE, INC.




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

                               P R O S P E C T U S

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




                              RAS SECURITIES CORP.








                              ______________, 1996

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

<PAGE>

                                     PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS

               ITEM 24. INDEMNIFICATION OF DIRECTORS AND OFFICERS

     Article Third of the Certificate of  Incorporation of New York Health Care,
Inc.  (the  "Registrant")  provides  with  respect  to  the  indemnification  of
directors and officers,  among other things, that (a) the Registrant may, to the
fullest  extent  permitted by Sections 721 through 726 of the New York  Business
Corporation  Law,  as  amended,  indemnify  all  persons  whom it may  indemnify
pursuant  thereto,  (b) a director  of the  Registrant  shall not be  personally
liable to the Registrant or its  stockholders for monetary damages for breach of
fiduciary duty as a director,  except for liability for certain  transactions or
events as set forth in such Article Third,  (c) each person who was or is made a
party,  or is  threatened  to be made a party,  to or is involved in any action,
suit or proceeding, by reason of the fact that he or she is or was a director or
officer  of the  Registrant,  shall  be  indemnified  and held  harmless  by the
Registrant to the fullest extent authorized by the New York Business Corporation
Law, against all expense,  liability and loss reasonably incurred or suffered by
such person in connection therewith and (d) the right to indemnification and the
payment of expenses  incurred in defending a proceeding  in advance of its final
disposition  conferred in such Article Third shall not be exclusive of any other
right  which  any  person  may have or  hereafter  acquire  under  any  statute,
provision  of the  Certificate  of  Incorporation,  by-law,  agreement,  vote of
stockholders and disinterested directors or otherwise.

              ITEM 25. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

     The  following   table  sets  forth  various   expenses,   other  than  the
Underwriters'  fees and  commissions,  which will be incurred in connection with
the public offering to which this Registration Statement relates. Other than the
SEC  registration  fee and the NASD and Nasdaq  filing  fees,  amounts set forth
below are estimates:

     SEC registration fee .......................................    $  5,508
     NASD Filing Fee ............................................       1,980
     Nasdaq Filing Fee ..........................................      10,000
     Boston Stock Exchange Filing Fee ...........................         250
     Printing and engraving expenses ............................      50,000
     Legal fees and expenses ....................................     110,000
     Blue Sky fees and expenses .................................      30,000
     Accounting fees and expenses ...............................      50,000
     Transfer Agent fees ........................................       3,000
     Miscellaneous expenses .....................................      39,262
                                                                     --------
                                                                     $300,000
                                                                     ========

                                      II-1
<PAGE>

                ITEM 26. RECENT SALES OF UNREGISTERED SECURITIES

     Securities  which  were  issued or sold by the  Registrant  within the past
three years and which were not  registered  under the Securities Act of 1933, as
amended (the "Act"), are as follows:

     1. On May 8, 1995, the Company issued 453,000 shares of its Common Stock to
Hirsch  Chitrik  and  113,250  shares  of  Common  Stock  to Sid  Borenstein.

     2. On March 26, 1996,  the Company  issued a stock option to its  President
and Chief Executive  Officer,  Jerry Braun, for the purchase of 75,000 shares of
Common Stock at an exercise  price of $3.75 per share  during the period  ending
March 31, 1999.

     Exemption  from  registration  under  the Act is  claimed  for the sales of
Common  Stock  referred  to above in  reliance  upon the  exemption  afforded by
Section 4(2) of the Act for transactions  not involving a public offering.  Each
certificate  evidencing  such  shares  of  Common  Stock  bears  an  appropriate
restrictive  legend,  and "stop transfer" orders are maintained on the Company's
stock  transfer  records  against each holder  named above.  None of these sales
involved participation by an underwriter or a broker-dealer.

                                ITEM 27. EXHIBITS

     The  following  is a list  of the  Exhibits  which  comprise  a part of the
Registration Statement:

<TABLE>
<CAPTION>
Exhibit
Number                     Description of Exhibit                                                         Page
- ------                     ----------------------                                                         ----
<S>               <C>                                                                                     <C>
1.1               Form of Underwriting Agreement.

3.1               Certificate of Incorporation of the Company.

3.2               Restated Certificate of Incorporation of the Company.

3.3               Certificate of Correction of Restated Certificate of Incorporation
                  of New York Health Care, Inc.

3.4               By-laws of the Company.

4.1               Form of certificate evidencing shares of Common Stock.*

4.2               Underwriter's Warrant Agreement and Form of Underwriter's Warrant.

4.3               Form of Warrant Agreement between the Company and the Warrant
                  Agent, including Form of Warrant.

5                 Opinion of Scheichet & Davis, P.C. on legality of securities being
                  registered.*
</TABLE>

                                      II-2
<PAGE>

<TABLE>
<S>               <C>                                                                                     <C>
10.1              Purchase and Sale Agreement by and between the Company, National
                  Medical Homecare, Inc., Jerry Braun and Sam Soroka dated March 18,
                  1988.

10.2              Lease for 105 Stevens Avenue, White Plains, New York by and
                  between the Company and Vincent Rippa as receiver dated  October
                  30, 1992.

10.3              Lease for 175 Fulton Avenue, Suite 301A, Hempstead, New York by
                  and between and the Company and Hempstead Associates Limited
                  Partnership dated July 22, 1993.

10.4              Deed for 1667 Flatbush Avenue, Brooklyn, New York from Tiara
                  Realty Co. to the Company dated April 22, 1994.

10.5              Agreement between Jerry Braun, Jacob Rosenberg, Samson Soroka,
                  Hirsch Chitrik, Sid Borenstein and the Company dated March 31,
                  1988.

10.6              Lease for 49 South Main Street, Spring Valley, New York by and
                  between the Company and Joffe Management dated  November 1,
                  1994.

10.7              Agreement for Provisions of Home Health Aide and Personal Care
                  Worker Services by and between the Company and Kingsbridge
                  Heights Health Facilities Long Term Home Health Care Program dated
                  November 2, 1994.

10.8              State of New York Department of Health Office of Health Systems
                  Management Home Care Service Agency License for the Company
                  doing business in Rockland, Westchester and Bronx Counties dated
                  May 8, 1995.

10.9              State of New York Department of Health Office of Health Systems
                  Management Home Care Service Agency License for the Company
                  doing business in Dutchess, Orange, Putnam, Sullivan and Ulster
                  Counties dated May 8, 1995.
</TABLE>

                                      II-3
<PAGE>

<TABLE>
<S>               <C>                                                                                     <C>
10.10             State of New York Department of Health Office of Health Systems
                  Management Home Care Service Agency License for the Company
                  doing business in Nassau, Suffolk and Queens Counties dated May 8,
                  1995.

10.11             State of New York Department of Health Office of Health Systems
                  Management Home Care Service Agency License for the Company
                  doing business in Orange and Rockland Counties dated July 1, 1995.

10.12             Lease Renewal for 45 Grand Street, Newburgh, New York by and
                  between the Company and Educational and Charitable Foundation of
                  Eastern Orange County , Inc. dated July 12, 1995.

10.13             Lease for 91-31 Queens Boulevard, Elmhurst, New York by and
                  between the Company and Expressway Realty Company dated
                  September 15, 1995.

10.14             Settlement  Agreement  and General  Release by and between the
                  Company and Samson Soroka dated September 28, 1995.

10.15             Personal Care Aide Agreement by and between the Company and
                  Nassau County Department of Social Services dated October 18, 1995.

10.16             Lease for 1667 Flatbush Avenue, Brooklyn, New York by and between
                  the Company and 1667 Flatbush Avenue LLC dated November 1,
                  1995.

10.17             State of New York Department of Health Office of Health Systems
                  Management Home Care Service Agency License for the Company
                  doing business in Bronx, Kings, New York, Queens and Richmond
                  Counties dated December 29, 1995.

10.18             Home Health  Agency  Agreement  by and between the Company and
                  the Center for Nursing  and  Rehabliltation  dated  January 1,
                  1996.

10.19             Homemaker and Personal Care Agreements by and between the
                  Company and the County of Rockland Department of Social Services
                  dated January 1, 1996

10.20             Home Health Aide/ Personal Care Worker Services Agreement by and
                  between the Company and Beth Abraham Hospital dated January 12,
                  1996.
</TABLE>

                                      II-4
<PAGE>

<TABLE>
<S>               <C>                                                                                     <C>
10.21             Homemaker  Services Agreement by and between the Company and
                  the Orange County Department of Social Services dated  February 16,
                  1996

10.22             Personal Care Service Agreement by and between the Company and
                  the Orange County Department of Social Services dated  February 16,
                  1996

10.23             Certified Home Health Agency Agreement by and between the
                  Company and New York Methodist Hospital dated February 28, 1996.

10.24             Employment Agreement by and between the Company and Jacob
                  Rosenberg dated March 26, 1996

10.25             Employment Agreement by and between the Company and Jerry Braun
                  dated March 26, 1996

10.26             Stock Option Agreement by and between the Company and Jerry
                  Braun dated March 26, 1996

10.27             Home Health Agency Agreement by and between the Company and the
                  Mount Sinai Hospital Home Health Agency dated April 1, 1996.

10.28             Absolute, Unconditional, Irrevocable and Limited Continuing
                  Guaranty of Payment by and between Jacob Rosenberg and United
                  Mizrahi Bank and Trust Company dated May 9, 1996.

10.29             Absolute, Unconditional, Irrevocable and Limited Continuing
                  Guaranty of Payment by and between Jerry Braun and United Mizrahi
                  Bank and Trust Company dated May 9, 1996.

10.30             Continuing General Security Agreement by and between the Company
                  and United Mizrahi  Bank and Trust Company dated May 9, 1996.

10.31             Agreement for the Purchase of Accounts  Receivable between the
                  Company and 1667 Flatbush Avenue LLC dated July 8, 1996.

10.32             401(k) Plan for the Company

10.33             Performance Incentive Plan for the Company

10.34             Services Agreement between the Company and Heart to Heart Health
                  Care Services, Inc., dated January 1, 1996.
</TABLE>

                                      II-5
<PAGE>

<TABLE>
<S>               <C>                                                                                     <C>
11                Computation of Earnings Per Common Share of the Company.

23.1              Consent of Scheichet & Davis, P.C.

23.2              Consent of Halpern & Pasternack, P.C.

23.3              Consent of M.R. Weiser & Co. LLP.

24                Power of Attorney (included on page II-5).
</TABLE>

- ----------

*    To be filed by Amendment

     (b) Financial Statement Schedules. (none).

                              ITEM 28. UNDERTAKINGS

     The Registrant hereby undertakes:

     (1) That for the purpose of determining  any liability under the Act, treat
the  information  omitted  from  the  form of  Prospectus  filed as part of this
Registration  Statement  in reliance  upon Rule 430A and  contained in a form of
Prospectus  filed by the Registrant  pursuant to Rule 424(b)(1) or (4) or 497(h)
under  the Act as  part  of  this  Registration  Statement  as of the  time  the
Commission declared it effective.

     (2) That for the purpose of determining  any liability under the Act, treat
each  post-effective  amendment  that  contains  a form of  Prospectus  as a new
registration statement for the securities offered in the registration statement,
and that  offering  of the  securities  at that  time as the  initial  bona fide
offering of those securities.

     (3) To file,  during any period in which  offers or sales are being made, a
post-effective amendment to this Registration Statement:

          (a) To include any Prospectus required by Section 10(a)(3) of the Act;

          (b) To reflect in the Prospectus any facts or events arising after the
     effective  date  of  the   Registration   Statement  (or  the  most  recent
     post-effective amendment thereof) which,  individually or in the aggregate,
     represent  a  fundamental  change  in  the  information  set  forth  in the
     Registration Statement;

          (c) To include any additional or changed  material  information or the
     plan of distribution.

                                      II-6
<PAGE>

     (4) That, for the purpose of determining any liability under the Act, treat
each posteffective  amendment as a new Registration  Statement of the securities
offered,  and the offering of the securities at that time to be the initial bona
fide offering.

     (5) To file a post-effective  amendment to remove from  registration any of
the securities that remain unsold at the end of the offering.

     (6) Insofar as indemnification for liabilities arising under the Act may be
permitted to  directors,  officers  and  controlling  persons of the  Registrant
pursuant to the foregoing  provisions,  or otherwise,  the  Registrant  has been
advised  that in the opinion of the  Securities  and  Exchange  Commission  such
indemnification  is  against  public  policy as  expressed  in the Act,  and is,
therefore,  unenforceable. In the event that a claim for indemnification against
such liabilities  (other than the payment by the Registrant of expenses incurred
or paid by a director,  officer or  controlling  person of the Registrant in the
successful  defense of any  action,  suit or  proceeding)  is  asserted  by such
director,  officer or controlling person in connection with the securities being
registered,  the Registrant will unless in the opinion of its counsel the matter
has been  settled by  controlling  precedent,  submit to a court of  appropriate
jurisdiction  the  question  whether such  indemnification  by it is against the
public  policy  as  expressed  in the Act  and  will be  governed  by the  final
adjudication of such issue.

     The Registrant will provide to the Underwriter at the closing  specified in
the underwriting agreement, certificates in such denominations and registered in
such names as required by the  Representative  to permit prompt delivery to each
Purchaser.

                                      II-7
<PAGE>

                                POWER OF ATTORNEY

     We the  undersigned  officers and  directors of New York Health Care,  Inc.
(the "Company"),  do hereby constitute and appoint each of Jerry Braun and Jacob
Rosenberg  as our true and lawful  attorneys  and agents to sign a  Registration
Statement on Form SB-2 to be filed with the Securities  and Exchange  Commission
("SEC")  and to do any  and all  acts  and  things  and to  execute  any and all
instruments  for us and in our names in the capacities  indicated  below,  which
said  attorneys and agents may deem necessary or advisable to enable the Company
to  comply  with  the  Securities  Act of  1933,  as  amended,  and  any  rules,
regulations and  requirements  of the SEC in connection  with such  Registration
Statement including,  specifically,  but without limitation, power and authority
to sign for us or any of us in our names and in the capacities  indicated below,
any and all amendments (including  post-effective  amendments) hereto; and we do
hereby  ratify and confirm all that the said  attorneys  and agents  shall do or
cause to be done by virtue of this Power of Attorney.

                                   SIGNATURES

     Pursuant to the  requirements of the Securities Act of 1933, the Registrant
certifies  that it has  reasonable  grounds to believe  that it meets all of the
requirements  for  filing on Form  SB-2 and has duly  caused  this  Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of New York,  and State of New York, on the 16th day of
July, 1996.


                                              New York Health Care, Inc.



                                     By:  /s/ Jerry Braun
                                         ----------------------------------
                                              Jerry Braun, President and
                                              Chief Executive Officer

                                      II-8
<PAGE>

     Pursuant  to  the   requirements  of  the  Securities  Act  of  1933,  this
Registration  Statement  has been signed below by the  following  persons in the
capacities and on the dates indicated.


/s/ Jerry Braun              President,
- ---------------------        Chief Executive Officer,
Jerry Braun                  and Director
                                               July 16, 1996


/s/ Jacob Rosenberg          Vice President, Chief Operating
- ---------------------        Officer, Secretary and Director
Jacob Rosenberg                                                    July 16, 1996


/s/ Gilbert Barnett          Chief Financial Officer
- ---------------------        and Chief Accounting
Gilbert Barnett              Officer                               July 16, 1996



/s/ Samson Soroka            Director                              July 16, 1996
- ---------------------
Samson Soroka



/s/ Hirsch Chitrik           Director                              July 16, 1996
- ---------------------
Hirsch Chitrik



/s/ Sid Borenstein           Director                              July 16, 1996
- ---------------------
Sid Borenstein

                                      II-9


                                 1,050,000 Units

                           NEW YORK HEALTH CARE, INC.

                             UNDERWRITING AGREEMENT

                                                   , 1996

RAS Securities Corp.
As Representative of the
Several Underwriters listed on Schedule A hereto
2 Broadway
New York, New York   10004

Ladies and Gentlemen:

     New York Health Care, Inc., a New York corporation (the "Company") confirms
its agreement with RAS  Securities  Corp.  ("RAS") and each of the  underwriters
named in Schedule A hereto  (collectively,  the "Underwriters," which term shall
also include any underwriter substituted as hereinafter provided in Section 11),
for  whom  RAS  is  acting  as  representative  (in  such  capacity,  RAS  shall
hereinafter  be referred to as "you" or the  "Representative"),  with respect to
the sale by the Company and the purchase by the  Underwriters,  acting severally
and not jointly,  of the respective  numbers of units set forth in said Schedule
A, each unit consisting of one share  ("Shares") of the Company's  common stock,
$..01 par value per share  ("Common  Stock"),  and one  warrant to  acquire  one
additional share of Common Stock ("Public Warrant").  The shares of Common Stock
and Public  Warrants  comprising  the units will be  immediately  separable  and
tradeable  upon  issuance  and will not trade as units.  Each Public  Warrant is
exercisable from , 1997 until, , 2001, at an initial exercise price of $5.00 for
one share of Common  Stock,  subject to prior  redemption by the Company as more
fully described in the Registration  Statement and Prospectus referred to below.
Such 1,050,000 units are hereinafter  referred to as the "Firm Units." Upon your
request,  as provided in Section 2(b) of this Agreement,  the Company shall also
issue and sell to you up to an additional  157,500  Shares and/or 157,500 Public
Warrants for the purpose of covering over-allotments, if any, in the sale of the
Firm Units.  Such 157,500 Shares and/or 157,500 Public  Warrants are hereinafter
referred to as the "Option Securities" The Firm Units and the Options Securities
are  hereinafter  collectively  referred to as the  "Units."  The  Company  also
proposes to issue and sell to you  warrants  (the  "Representative's  Warrants")
pursuant to the  Representative's  Warrant  Agreement  dated , 1996  between the
Representative and the Company (the  "Representative's  Warrant  Agreement") for
the purchase of an additional 105,000 Shares and/or 105,000 Public Warrants. The
Shares and/or  Public  Warrants  issuable upon exercise of the  Representative's
Warrants are hereinafter referred to

                                        1


<PAGE>



as the  "Representative's  Securities." The shares of Common Stock issuable upon
exercise of the Public  Warrants  (including the Public  Warrants  issuable upon
exercise of the Representative's Warrants) are hereinafter sometimes referred to
as the  "Warrant  Shares."  The Units,  the  Shares,  the Public  Warrants,  the
Representative's  Warrants,  the  Representative's  Securities  and the  Warrant
Shares are more fully described in the Registration Statement and the Prospectus
referred to below.

     1. Representations and Warranties.  (a) The Company represents and warrants
to, and agrees with, each of the  Underwriters as of the date hereof,  and as of
the Closing Date (hereinafter  defined) and the Option Closing Date (hereinafter
defined), if any, as follows:

          (i) The  Company  has  prepared  and  filed  with the  Securities  and
Exchange  Commission  (the  "Commission")  a  registration  statement,   and  an
amendment or amendments thereto, on Form SB-2 (No.  333-_______ ), including any
related preliminary prospectus ("Preliminary Prospectus"),  for the registration
of the Shares,  the Public  Warrants,  the  Representative's  Securities and the
Warrant Shares under the  Securities Act of 1933, as amended (the "Act"),  which
registration  statement and  amendment or  amendments  have been prepared by the
Company  in  conformity  with the  requirements  of the Act,  and the  Rules and
Regulations  of the  Commission  thereunder.  The Company will  promptly  file a
further  amendment  to  said  registration  statement  in  the  form  heretofore
delivered to the Underwriters  and will not file any other amendment  thereto to
which the  Underwriters  shall  have  objected  in  writing  after  having  been
furnished with a copy thereof. Except as the context may otherwise require, such
registration  statement, as amended, on file with the Commission at the time the
registration  statement becomes effective  (including the prospectus,  financial
statements,   schedules,   exhibits  and  all  other  documents  or  information
incorporated  by  reference  therein)  and all  information  deemed to be a part
thereof as of such time  pursuant to  paragraph  (b) of Rule 430(A) of the rules
and regulations) is hereinafter  called the  "Registration  Statement",  and the
form of prospectus in the form first filed with the Commission  pursuant to Rule
424(b) of the rules and regulations is hereinafter  called the "Prospectus." For
purposes hereof,  "Rules and Regulations" mean the rules and regulations adopted
by the Commission  under either the Act or the Securities  Exchange Act of 1934,
as amended (the "Exchange Act"), as applicable.

          (ii) Neither the  Commission  nor any state  regulatory  authority has
issued any order preventing or suspending the use of any Preliminary Prospectus,
the  Registration  Statement  or  Prospectus  or any part of any  thereof and no
proceedings for a stop order  suspending the  effectiveness  of the Registration
Statement or any of the Company's securities have been instituted or are pending
or threatened.  Each of the Preliminary  Prospectus,  the Registration Statement
and Prospectus at the time of filing thereof  conformed with the requirements of
the Acts and the Rules and Regulations,  and none of the Preliminary Prospectus,
the Registration Statement or Prospectus at the time of filing thereof contained
an untrue  statement  of a material  fact or  omitted  to state a material  fact
required to be stated therein and necessary to make the statements  therein,  in
light of the  circumstances  under which they were made, not misleading,  except
that this  representation  and  warranty  does not apply to  statements  made in
reliance  upon and in  conformity  with  written  information  furnished  to the
Company with  respect to the  Underwriters  by or on behalf of the  Underwriters
expressly  for use in such  Preliminary  Prospectus,  Registration  Statement or
Prospectus  or any amendment or supplement  thereto.  It is understood  that the
statements set forth in the

                                        2


<PAGE>



Prospectus  on  page  2  with  respect  to  stabilization,   under  the  heading
"Underwriting" and the identity of counsel to the Underwriters under the heading
"Legal Matters"  constitute the only  information  furnished in writing by or on
behalf of the several  Underwriters for inclusion in the Registration  Statement
and Prospectus, as the case may be.

          (iii) When the  Registration  Statement  becomes  effective and at all
times subsequent  thereto up to the Closing Date (hereinafter  defined) and each
Option Closing Date (hereinafter defined), if any, and during such longer period
as the  Prospectus  may be required to be delivered in connection  with sales by
the Underwriters or a dealer, the Registration Statement and the Prospectus will
contain all  statements  which are required to be stated  therein in  accordance
with the Act and the Rules and Regulations, and will conform to the requirements
of the Act and the Rules and Regulations; neither the Registration Statement nor
the  Prospectus,  nor any  amendment  or  supplement  thereto,  contains or will
contain any untrue  statement  of a material  fact or omit to state any material
fact required to be stated therein or necessary to make the statements  therein,
in light of the  circumstances  under  which  they were  made,  not  misleading,
provided,  however,  that this  representation  and  warranty  does not apply to
statements  made or statements  omitted in reliance upon and in conformity  with
information  furnished  to  the  Company  in  writing  by or on  behalf  of  any
Underwriter (as set forth in paragraph 1(a)(ii) hereof) expressly for use in the
Preliminary  Prospectus,  Registration  Statement or Prospectus or any amendment
thereof or supplement thereto.

          (iv) The Company has been duly organized and is validly  existing as a
corporation in good standing  under the laws of the state of its  incorporation.
The Company  does not own an equity  interest in any  corporation,  partnership,
trust, joint venture or other business entity. The Company is duly qualified and
licensed and in good standing as a foreign  corporation in each  jurisdiction in
which its  ownership  or  leasing  of any  properties  or the  character  of its
operations  require such  qualification or licensing except where the failure(s)
to be so  qualified,  licensed  and in  good  standing,  individually  or in the
aggregate, would not materially and adversely affect the condition, financial or
otherwise,  or the  earnings,  business  affairs,  position,  prospects,  value,
operation,  properties,  business or results of operations  of the Company.  The
Company has all requisite  power and authority  (corporate  and other),  and has
obtained any and all authorizations,  approvals, orders, licenses, certificates,
franchises and permits of and from all governmental or regulatory  officials and
bodies  (including,   without   limitation,   those  having   jurisdiction  over
environmental or similar matters),  necessary to own or lease its properties and
conduct its business as described in the Prospectus; the Company is and has been
doing business in compliance with all such  authorizations,  approvals,  orders,
licenses, certificates, franchises and permits and all federal, state, local and
foreign laws,  rules and regulations and the Company has not received any notice
of  proceedings   relating  to  the  revocation  or  modification  of  any  such
authorization,  approval,  order,  license,  certificate,  franchise,  or permit
which,  singly or in the aggregate,  if the subject of an unfavorable  decision,
ruling  or  finding,  would  materially  and  adversely  affect  the  condition,
financial or otherwise, or the earnings,  business affairs,  position prospects,
value,  operations,  properties,  business,  or  results  of  operations  of the
Company. The disclosures in the Registration Statement concerning the effects of
federal,  state, local, and foreign laws, rules and regulations on the Company's
business as currently  conducted and as contemplated are correct in all material
respects  and do not  omit to  state  a  material  fact  necessary  to make  the
statements contained therein not

                                        3


<PAGE>



misleading in light of the circumstances in which they were made.

          (v)  The  Company  has  a  duly  authorized,  issued  and  outstanding
capitalization  as set  forth  in the  Prospectus,  and will  have the  adjusted
capitalization  set forth therein on the Closing Date (hereinafter  defined) and
the  Option  Closing  Date  (hereinafter   defined),  if  any,  based  upon  the
assumptions set forth therein, and the Company is not a party to or bound by any
instrument, agreement or other arrangement providing for it to issue any capital
stock, rights, warrants, options or other securities,  except for this Agreement
and as described in the  Prospectus.  The Common Stock,  the Shares,  the Public
Warrants, the Representative's Warrants, the Representative's Securities and the
Warrant  Shares   (collectively,   hereinafter  sometimes  referred  to  as  the
"Securities") and all other securities issued or issuable by the Company conform
or, when issued and paid for, will conform,  in all respects,  to all statements
with respect thereto contained in the Registration Statement and the Prospectus.
All issued and  outstanding  securities of the Company have been duly authorized
and validly issued and are fully paid and non-assessable and the holders thereof
have no rights  of  rescission  with  respect  thereto  and are not  subject  to
personal liability by reason of being such holders;  and none of such securities
were issued in violation of the preemptive rights of any holders of any security
of the  Company or  similar  contractual  rights  granted  by the  Company.  The
Securities  are not and will not be subject to any  preemptive  or other similar
rights of any stockholder,  have been duly authorized and, when issued, paid for
and delivered in accordance with the terms hereof, will be validly issued, fully
paid and non-assessable and will conform to the description thereof contained in
the Prospectus;  the holders thereof will not be subject to any liability solely
as  such  holders;   all  corporate   action   required  to  be  taken  for  the
authorization, issue and sale of the Securities has been duly and validly taken;
and the  certificates  representing  the  Securities are in due and proper form.
Upon the issuance and delivery pursuant to the terms hereof of the Securities to
be sold by the Company hereunder, the Underwriters or the Representative, as the
case may be, will acquire good and marketable  title to such Securities free and
clear of any lien, charge, claim, encumbrance, pledge, security interest, defect
or other restriction or equity of any kind whatsoever.

          (vi) The financial statements of the Company together with the related
notes and schedules (if any) thereto,  included in the  Registration  Statement,
each  Preliminary  Prospectus  and the  Prospectus  fairly present the financial
position,  income, changes in cash flow, changes in stockholders' equity and the
results  of  operations  of the  Company  at the  respective  dates  and for the
respective  periods to which they apply and the pro forma financial  information
included in the  Registration  Statement,  each  Preliminary  Prospectus and the
Prospectus  presents  fairly  on a basis  consistent  with  that of the  audited
financial  statements  included  therein,  the Company's pro forma net income or
loss per share,  as the case may be, pro forma net tangible book value,  and the
pro forma  capitalization  and such financial  statements  have been prepared in
conformity  with  generally  accepted  accounting  principles  and the Rules and
Regulations,  consistently  applied  throughout the periods involved.  There has
been no material  adverse change or development  involving a material  change in
the condition,  financial or otherwise,  or in the earnings,  business  affairs,
position,  prospects,  value,  operation,  properties,  business  or  results of
operation  of the  Company  whether  or not  arising in the  ordinary  course of
business,   since  the  date  of  the  financial   statements  included  in  the
Registration  Statement  and the  Prospectus,  and  the  outstanding  debt,  the
property, both tangible

                                        4


<PAGE>



and  intangible,  and the  business  of the  Company  conforms  in all  material
respects to the descriptions thereof contained in the Registration Statement and
the Prospectus.

          (vii) The Company (A) has paid all federal,  state, local, and foreign
taxes for which it is liable,  including,  but not limited to, withholding taxes
and amounts payable under Chapters 21 through 24 of the Internal Revenue Code of
1986, as amended (the "Code"),  and has furnished all information  returns it is
required to furnish pursuant to the Code, (B) has established  adequate reserves
for such  taxes  which  are not due and  payable,  and (C) does not have any tax
deficiency or claims outstanding, proposed or assessed against it.

          (viii) No transfer tax,  stamp duty or other similar tax is payable by
or on behalf of the  Underwriters  in  connection  with (A) the  issuance by the
Company of the  Securities,  (B) the purchase by the  Underwriters of the Units,
the Shares,  the Public  Warrants and the Warrant Shares and the purchase by the
Representative  of the  Representative's  Warrants  from  the  Company,  (C) the
consummation by the Company of any of its obligations  under this Agreement,  or
(D) resales of the Securities in connection with the  distribution  contemplated
hereby.

          (ix) The Company  maintains  insurance  policies,  including,  but not
limited to, general liability,  product liability and property insurance,  which
insures the Company and its employees,  against such losses and risks  generally
insured against by comparable businesses. The Company (A) has not failed to give
notice or present any insurance claim with respect to any matter,  including but
not  limited  to the  Company's  business,  property  or  employees,  under  the
insurance  policy or surety bond in a due and timely  manner,  (B) does not have
any disputes or claims against any  underwriter  of such  insurance  policies or
surety bonds or has not failed to pay any  premiums due and payable  thereunder,
or (C) has not failed to comply with all conditions  contained in such insurance
policies and surety bonds.  There are no facts or  circumstances  under any such
insurance  policy  or  surety  bond  which  would  relieve  any  insurer  of its
obligation to satisfy in full any valid claim of the company.

          (x)  There  is no  action,  suit,  proceeding,  inquiry,  arbitration,
investigation,   litigation  or  governmental  proceeding  (including,   without
limitation,  those having  jurisdiction over  environmental or similar matters),
domestic or foreign,  pending or threatened  against (or circumstances  that may
give rise to the same),  or involving the  properties or business of the Company
which (A)  questions  the  validity of the capital  stock of the Company or this
Agreement,  the  Representative's  Warrant Agreement,  the Warrant Agreement (as
defined in Section 1(xxxiii) below) or of any action taken or to be taken by the
Company pursuant to or in connection with this Agreement,  the  Representative's
Warrant Agreement, or the Warrant Agreement,  (B) is required to be disclosed in
the  Registration  Statement which is not so disclosed (and such  proceedings as
are summarized in the  Registration  Statement are accurately  summarized in all
material  respects),  or (C)  if  adversely  determined,  might  materially  and
adversely affect the condition,  financial or otherwise, or the business affairs
or business prospects, earnings, liabilities,  prospects,  stockholders' equity,
value, properties, business or assets of the Company.

          (xi)  The  Company  has full  legal  right,  power  and  authority  to
authorize, issue, deliver and

                                        5


<PAGE>



sell the Securities,  enter into this Agreement,  the  Representative's  Warrant
Agreement and the Warrant Agreement and to consummate the transactions  provided
for herein and therein; and each of this Agreement, the Representative's Warrant
Agreement  and the Warrant  Agreement  have been duly and  properly  authorized,
executed and  delivered by the Company.  This  Agreement,  the  Representative's
Warrant Agreement and the Warrant  Agreement each constitute a legal,  valid and
binding agreement of the Company  enforceable  against the Company in accordance
with its terms,  and neither the Company's  issue and sale of the  Securities or
execution or delivery of this Agreement,  the Representative's Warrant Agreement
and the Warrant  Agreement or its  performance  hereunder  and  thereunder,  its
consummation of the transactions contemplated herein and therein, or the conduct
of its business as described in the Registration Statement, the Prospectus,  and
any amendments or supplements  thereto,  conflicts with or will conflict with or
results  or will  result  in any  breach  or  violation  of any of the  terms or
provisions of, or constitutes or will  constitute a default under,  or result in
the creation or  imposition of any lien,  charge,  claim,  encumbrance,  pledge,
security interest,  defect or other restriction or equity of any kind whatsoever
upon, any property or assets (tangible or intangible) of the Company pursuant to
the terms of, (A) the  certificate of  incorporation  or by-laws of the Company,
(B) any license,  contract,  indenture,  mortgage,  deed of trust,  voting trust
agreement,  stockholders agreement,  note, loan or credit agreement or any other
agreement or instrument to which the Company is a party or by which it is or may
be bound or the which is properties or assets (tangible or intangible) is or may
be subject, or any indebtedness,  or (C) any statute,  judgment,  decree, order,
rule  or  regulation  applicable  to  the  Company  of  any  arbitrator,  court,
regulatory body or administrative  agency or other  governmental  agency or body
(including,  without limitation, those having jurisdiction over environmental or
similar matters),  domestic or foreign,  having jurisdiction over the Company or
any of its  activities  or  properties,  in  each  case  except  for  conflicts,
breaches, violations,  defaults, creations or impositions which do not and would
not have a material adverse effect on the condition,  financial or otherwise, or
the  earnings,   business  affairs,   position,   shareholder's  equity,  value,
operation, properties, business or results of operations of the Company.

          (xii) Other than as set forth in the Prospectus, no consent, approval,
authorization  or order of,  and no filing  with,  any court,  regulatory  body,
government  agency or other  body,  domestic or  foreign,  is  required  for the
issuance of the  Securities  pursuant  to the  Prospectus  and the  Registration
Statement,  the  issuance  of  the  Representative's  Warrants,  the  execution,
delivery  or  performance  of  this  Agreement,   the  Representative's  Warrant
Agreement and the Warrant Agreement,  and the transactions  contemplated  hereby
and thereby, including,  without limitation, any waiver of any preemptive, first
refusal or other  rights that any entity or person may have for the issue and/or
sale of any of the Securities, except such as have been or may be obtained under
the Act or may be required under state securities or Blue Sky laws in connection
with the  Underwriters'  purchase and  distribution  of the  Securities  and the
Representative's  purchase  of the  Representative's  Warrants to be sold by the
Company hereunder and thereunder.

          (xiii) All executed agreements, contracts or other documents or copies
of executed  agreements,  contracts or other  documents filed as exhibits to the
Registration  Statement  to which the  Company  is a party or by which it may be
bound or to which its assets,  properties  or business  may be subject have been
duly and validly authorized, executed and delivered by the Company and

                                        6


<PAGE>



constitute the legal, valid and binding  agreements of the Company,  enforceable
against the Company, in accordance with their respective terms. The descriptions
in the Registration  Statement of agreements,  contracts and other documents and
statutes  and  regulations  are  accurate  and fairly  present  the  information
required  to be shown  with  respect  thereto  by Form  SB-2,  and  there are no
contracts  or other  documents  which are required by the Act to be described in
the Registration  Statement or filed as exhibits to the  Registration  Statement
which are not described or filed as required,  and the exhibits  which have been
filed are complete and correct  copies of the documents of which they purport to
be copies.

          (xiv)  Subsequent to the respective  dates as of which  information is
set  forth in the  Registration  Statement  and  Prospectus,  and  except as may
otherwise be indicated or  contemplated  herein or therein,  the Company has not
(A) issued any  securities  or incurred any liability or  obligation,  direct or
contingent,  for borrowed money, (B) entered into any transaction  other than in
the ordinary  course of  business,  or (C) declared or paid any dividend or made
any other  distribution on or in respect of its capital stock of any class,  and
there has not been any change in the  capital  stock,  or any change in the debt
(long or short term) or  liabilities  or  material  change in or  affecting  the
business affairs or prospects,  management,  stockholders'  equity,  properties,
business, financial operations or assets of the Company.

          (xv) No default  exists in the due  performance  and observance of any
term,  covenant or  condition  of any license,  contract,  indenture,  mortgage,
installment  sale  agreement,  lease,  deed of trust,  voting  trust  agreement,
stockholders agreement,  partnership agreement,  note, loan or credit agreement,
purchase  order,  or any other  material  agreement or instrument  evidencing an
obligation for borrowed money, or any other material  agreement or instrument to
which the  Company is a party or by which the  Company  may be bound or to which
the  property or assets  (tangible or  intangible)  of the Company is subject or
affected,  which default would have a material  adverse effect on the condition,
financial or otherwise,  earnings,  business  affairs,  position,  shareholder's
equity, value, operation,  properties,  business or results of operations of the
Company.

          (xvi)   The   Company   has   generally    enjoyed   a    satisfactory
employer-employee  relationship  with its  employees and is in compliance in all
material  respects  with  all  federal,  state,  local,  and  foreign  laws  and
regulations respecting employment and employment practices, terms and conditions
of employment and wages and hours. There are no pending investigations involving
the Company,  by the U.S.  Department of Labor, or any other governmental agency
responsible for the enforcement of such federal,  state,  local, or foreign laws
and regulations.  There is no unfair labor practice charge or complaint  against
the Company  pending  before the National Labor  Relations  Board or any strike,
picketing,  boycott, dispute, slowdown or stoppage pending or threatened against
or involving the Company, or any predecessor entity, and none has ever occurred.
No representation question exists respecting the employees of the Company and no
collective  bargaining  agreement or  modification  thereof is  currently  being
negotiated  by the Company.  No grievance or  arbitration  proceeding is pending
under any expired or existing collective  bargaining  agreements of the Company.
No labor dispute with the employees of the Company exists,  or, to the knowledge
of the Company is imminent.

                                        7


<PAGE>



          (xvii)  Except as  described in the  Prospectus,  the Company does not
maintain,  sponsor  or  contribute  to any  program  or  arrangement  that is an
"employee  pension  benefit  plan," an  "employee  welfare  benefit  plan," or a
"multiemployer plan" as such terms are defined in Sections 3(2), 3(1) and 3(37),
respectively, of the Employee Retirement Income Security Act of 1974, as amended
("ERISA") ("ERISA Plans").  The Company does not maintain or contribute,  now or
at any time  previously,  to a defined benefit plan, as defined in Section 3(35)
of ERISA.  No ERISA  Plan (or any trust  created  thereunder)  has  engaged in a
"prohibited  transaction"  within the meaning of Section 406 of ERISA or Section
4975 of the  Code,  which  could  subject  the  Company  to any tax  penalty  on
prohibited transactions and which has not adequately been corrected.  Each ERISA
Plan  is in  compliance  with  all  material  reporting,  disclosure  and  other
requirements  of the  Code and  ERISA as they  relate  to any such  ERISA  Plan.
Determination  letters have been received from the Internal Revenue Service with
respect to each ERISA Plan which is intended to comply with Code Section 401(a),
stating that such ERISA Plan and the attendant  trust are qualified  thereunder.
The Company has never  completely or partially  withdrawn from a  "multiemployer
plan."

          (xviii)  Neither  the  Company  nor any of its  employees,  directors,
stockholders, or affiliates (within the meaning of the Rules and Regulations) of
any of the foregoing has taken or will take, directly or indirectly,  any action
designed  to or which has  constituted  or which  might be  expected to cause or
result in, under the Exchange Act, or otherwise,  stabilization  or manipulation
of the price of any security of the Company to facilitate  the sale or resale of
the Securities or otherwise.

          (xix) None of the patents,  patent applications,  trademarks,  service
marks,  trade names and  copyrights,  and licenses  and rights to the  foregoing
presently  owned or held by the  Company  are in dispute or are in any  conflict
with the right of any other  person or entity.  The  Company (A) owns or has the
license or other  right to use,  free and clear of all liens,  charges,  claims,
encumbrances,  pledges,  security  interests,  defects or other  restrictions or
equities of any kind whatsoever, all patents,  trademarks,  service marks, trade
names and  copyrights,  technology  and  licenses and rights with respect to the
foregoing,  used in the conduct of its business as now  conducted or proposed to
be conducted without  infringing upon or otherwise acting adversely to the right
or  claimed  right of any  person,  corporation  or other  entity  under or with
respect to any of the foregoing  and (B) except as set forth in the  Prospectus,
is not obligated or under any  liability  whatsoever to make any payments by way
of royalties,  fees or otherwise to any owner or licensee of, or other  claimant
to,  any  patent,  trademark,  service  mark,  tradename,  copyright,  know-how,
technology  or other  intangible  asset,  with  respect to the use thereof or in
connection with the conduct of its business or otherwise.

          (xx) The Company has not  received  any notice of  infringement  of or
conflict with asserted  rights of others with respect to any trademark,  service
mark,  trade name or copyright or other intangible asset used or held for use by
it in  connection  with the conduct of its  businesses  which,  singly or in the
aggregate,  if the subject of an unfavorable decision,  ruling or finding, might
have a material adverse effect on the condition,  financial or otherwise, or the
business  affairs,   position,   properties,   stockholder's  equity,  financial
operations or assets of the Company.

          (xxi)  The  Company  has good and  marketable  title  to, or valid and
enforceable leasehold

                                        8


<PAGE>



estates in, all items of real and personal property stated in the Prospectus, to
be  owned  or  leased  by it free  and  clear  of all  liens,  charges,  claims,
encumbrances,  pledges,  security  interest,  defects,  or other restrictions or
equities of any kind whatsoever,  other than those referred to in the Prospectus
and liens for taxes not yet due and payable.

          (xxii) M. R. Weiser & Co. LLP.,  Certified Public  Accountants,  whose
report is filed with the Commission as a part of the Registration Statement, are
independent  certified  public  accountants as required by the Act and the Rules
and Regulations.

          (xxiii) The Company has caused to be duly executed legally binding and
enforceable agreements pursuant to which each of its officers,  directors or any
person or entity  deemed to be an affiliate of the Company and any  stockholders
of the Company has agreed not to, directly or indirectly,  sell of any shares of
Common  Stock  (either  pursuant  to Rule 144 of the  Rules and  Regulations  or
otherwise)  or dispose of any  beneficial  interest  therein for a period of not
less than 24 months following the effective date of the  Registration  Statement
without  the prior  written  consent of the  Representative  and that any Common
Stock  which has been issued and is  outstanding  on the  effective  date of the
Registration  Statement  and is to be sold or otherwise  disposed of pursuant to
such  Rule 144 with the  consent  of the  Representative  shall  only be sold or
otherwise  disposed of through the  Representative.  The Company  will cause the
Transfer Agent,  as defined below, to mark an appropriate  legend on the face of
stock  certificates  representing  all of such  securities  and to  place  "stop
transfer" orders on the Company's stock ledgers.

          (xxiv)  There are no  claims,  payments,  issuances,  arrangements  or
understandings,  whether  oral or  written,  for  services  in the  nature  of a
finder's or origination fee with respect to the sale of the Securities hereunder
or any other arrangements, agreements, understandings, payments or issuance with
respect  to  the  Company,  or any of  its  officers,  directors,  stockholders,
partners,   employees   or   affiliates   that  may  affect  the   Underwriters'
compensation,  as determined by the National  Association of Securities Dealers,
Inc. ("NASD") and the Company is aware that the  Representative  and each of the
Underwriter's  shall compensate any of their  respective  personnel who may have
acted in such capacities as they shall determine in their sole discretion.

          (xxv) The Shares,  the Common Stock and the Public  Warrants have been
approved  for  quotation  on the Nasdaq  SmallCap  Market  and,  upon  notice of
issuance, listing on the Boston Stock Exchange ("BSE").

          (xxvi) Neither the Company, nor any of its officers, employees, agents
or any other person acting on behalf of the Company has, directly or indirectly,
given or agreed to give any money,  gift or similar  benefit  (other  than legal
price  concessions  to  customers  in the  ordinary  course of  business) to any
customer,  supplier, employee or agent of a customer or supplier, or official or
employee of any governmental  agency (domestic or foreign) or instrumentality of
any  government  (domestic or foreign) or any  political  party or candidate for
office  (domestic  or  foreign)  or other  person  who was,  is,  or may be in a
position to help or hinder the business of the Company (or assist the Company in
connection with any actual or proposed  transaction) which (A) might subject the
Company, or any

                                        9


<PAGE>



other  such  person  to  any  damage  or  penalty  in  any  civil,  criminal  or
governmental litigation or proceeding (domestic or foreign), (B) if not given in
the past,  might have had a materially  adverse effect on the assets,  business,
operations  or prospects of the Company,  or (C) if not continued in the future,
might  adversely  affect the assets,  business,  operations  or prospects of the
Company.  The Company's internal accounting controls are sufficient to cause the
Company to comply with the Foreign Corrupt Practices Act of 1977, as amended.

          (xxvii) Except as set forth in the Prospectus,  no officer,  director,
or stockholder of the Company, or any "affiliate" or "associate" (as these terms
are defined in Rule 405 promulgated  under the Rules and  Regulations) of any of
the foregoing persons or entities has or has had, either directly or indirectly,
(A) an interest in any person or entity which (1) furnishes or sells services or
products  which are furnished or sold or are proposed to be furnished or sold by
the  Company,  or (2)  purchases  from or sells or  furnishes to the Company any
goods or services, or (B) a beneficiary interest in any contract or agreement to
which the Company is a party or by which it may be bound or affected.  Except as
set forth in the Prospectus under "Certain  Transactions," there are no existing
agreements,   arrangements,   understandings   or   transactions,   or  proposed
agreements,  arrangements,  understandings or transactions, between or among the
Company, and any officer,  director,  Principal Security Holder (as such term is
defined  in  the  Prospectus)  of the  Company,  or any  partner,  affiliate  or
associate of any of the foregoing persons or entities.

          (xxviii)  Any  certificate  signed by any  officer of the  Company and
delivered  to the  Underwriters  or to Bachner,  Tally,  Polevoy & Misher LLP ("
Underwriters'  Counsel")  shall be deemed a  representation  and warranty by the
Company to the Underwriters as to the matters covered thereby.

          (xxix) The minute books of the Company have been made available to the
Underwriters  and contain a complete  summary of all meetings and actions of the
directors and stockholders of the Company,  since the time of its  incorporation
and reflects all  transactions  referred to in such  minutes  accurately  in all
material respects.

          (xxx) Except and to the extent described in the Prospectus, no holders
of  any  securities  of  the  Company  or of  any  options,  warrants  or  other
convertible or exchangeable  securities of the Company have the right to include
any  securities  issued by the  Company  in the  Registration  Statement  or any
registration  statement  under  the  Act  and no  person  or  entity  holds  any
anti-dilution rights with respect to any securities of the Company.

          (xxxi) The Company has as of the  effective  date of the  Registration
Statement  (A) entered  into  employment  agreements  with Jerry Braun and Jacob
Rosenberg  providing for annual salaries of $175,000 and $140,000  respectively,
each  on  terms  and  conditions  satisfactory  to the  Representative,  and (B)
purchased  "key-man"  insurance on the lives of Jerry Braun and Jacob  Rosenberg
which  name  the  Company  as the  sole  beneficiary  on  terms  and  conditions
satisfactory to the Representative.

          (xxxii) The Company has entered into a warrant  agreement with respect
to the Public

                                       10


<PAGE>



Warrants,  substantially  in  the  form  filed  as  Exhibit  __________  to  the
Registration Statement ("Warrant Agreement") with Continental Stock Transfer and
Trust Company in form and substance satisfactory to the Representative.

          (xxxiii)  Immediately  prior to the effective date of the Registration
Statement there shall be no more than an aggregate of 2,265,000 shares of Common
Stock  issued  and  outstanding  (including  any  and all  (A)  securities  with
equivalent  rights as the  Common  Stock,  (B) Common  Stock or such  equivalent
securities,  issuable upon the exercise of options,  warrants and other contract
rights, and (C) securities  convertible directly or indirectly into Common Stock
or such equivalent securities, and excluding the Representative's Warrants).

     2. Purchase, Sale and Delivery of the Securities.

          (a) On the basis of the  representations,  warranties,  covenants  and
agreements herein contained,  but subject to the terms and conditions herein set
forth,  the Company agrees to sell to each  Underwriter,  and each  Underwriter,
severally  and not  jointly,  agrees to purchase  from the Company at a price of
$4.59 per Unit,  that number of Firm Units set forth in Schedule A opposite  the
name of such  Underwriter,  subject to such adjustment as the  Representative in
its sole discretion shall make to eliminate any sales or purchases of fractional
shares,  plus any  additional  number of Firm Units which such  Underwriter  may
become obligated to purchase pursuant to the provisions of Section 11 hereof.

          (b) In  addition,  on the  basis of the  representations,  warranties,
covenants  and  agreements,  herein  contained,  but  subject  to the  terms and
conditions  herein  set  forth,  the  Company  hereby  grants  an  option to the
Underwriters,  severally  and not  jointly,  to  purchase  all or any part of an
additional  157,500  Shares at a price of $4.50 per Share and/or  157,500 Public
Warrants at a price of $.09 per Public  Warrant.  The option granted hereby will
expire 45 days after the date the Registration  Statement  becomes effective and
may be  exercised  in whole or in part  from  time to time  upon  notice  by the
Representative  to the Company setting forth the number of Option  Securities as
to which the several  Underwriters  are then  exercising the option and the time
and date of payment and delivery for any such Option  Securities.  Any such time
and date of delivery  (an "Option  Closing  Date")  shall be  determined  by the
Representative,  but shall not be later than seven full  business days after the
exercise of said option, nor in any event prior to the Closing Date (hereinafter
defined),  unless otherwise agreed upon by the  Representative  and the Company.
Nothing  herein   contained   shall  obligate  the   Underwriters  to  make  any
over-allotments.  No Option  Securities shall be delivered unless the Firm Units
shall be  simultaneously  delivered or shall  theretofore have been delivered as
herein provided.

          (c) Payment of the purchase  price for,  and delivery of  certificates
evidencing the Firm Units shall be made at the offices of RAS  Securities  Corp.
at 2  Broadway,  New York,  New York  10004,  or at such other place as shall be
agreed upon by the  Representative  and the Company.  Such  delivery and payment
shall be made at 10:00 a.m. (New York City time) on , 1996 or at such other time
and date as shall be agreed upon by the Representative  and the Company,  but no
less  than  three  (3) nor more  than ten (10)  full  business  days  after  the
effective date of the Registration

                                       11


<PAGE>



Statement  (such time and date of  payment  and  delivery  being  herein  called
"Closing  Date").  In  addition,  in the  event  that  any or all of the  Option
Securities are purchased by the Underwriters, payment of the purchase price for,
and delivery of certificates  for, such Option  Securities  shall be made at the
above mentioned office of the  Representative or at such other place as shall be
agreed upon by the Representative and the Company on each Option Closing Date as
specified in the notice from the Representative to the Company.  Delivery of the
certificates for the Firm Units and the Option  Securities if any, shall be made
to the  Underwriters  against  payment by the  Underwriters,  severally  and not
jointly,  of the purchase price for the Firm Units and the Option  Securities if
any, to the order of the Company by New York Clearing House Funds.  In the event
such option is exercised,  each of the  Underwriters,  acting  severally and not
jointly, shall purchase that proportion of the total number of Option Securities
then being  purchased  which the  number of Firm  Units set forth in  Schedule A
hereto opposite the name of such  Underwriter  bears to the total number of Firm
Units,  subject in each case to such  adjustments as the  Representative  in its
discretion shall make to eliminate any sales or purchases of fractional  shares.
Certificates  for the Firm Units and the Option  Securities if any,  shall be in
definitive,  fully registered form, shall bear no restrictive  legends and shall
be in such  denominations  and registered in such names as the  Underwriters may
request in writing at least two (2)  business  days prior to Closing Date or the
relevant Option Closing Date, as the case may be. The  certificates for the Firm
Units  and  the  Option  Securities  if any,  shall  be  made  available  to the
Representative  at such  office or such other  place as the  Representative  may
designate for inspection,  checking and packaging no later than 9:30 a.m. on the
last business day prior to Closing Date or the relevant  Option Closing Date, as
the case may be.

          (d) On the  Closing  Date,  the  Company  shall  issue and sell to the
Representative the  Representative's  Warrants at a purchase price of $.0001 per
warrant,  which  warrants  shall  entitle  the  holders  thereof to  purchase an
aggregate of 105,000 Shares and/or 105,000 Public Warrants. The Representative's
Warrants shall be exercisable for a period of four (4) years  commencing one (1)
year from the  Closing  Date at a price of $6.00  per Share and $.12 per  Public
Warrant. The Representative's Warrant Agreement and form of Warrant Certificates
with respect to each of the (i) Representative's Warrants to purchase Shares and
(ii)   Representative's   Warrants  to  purchase  Public   Warrants,   shall  be
substantially  in the  form  filed as  Exhibit  __________  to the  Registration
Statement.  Payment  for  the  Representative's  Warrants  shall  be made on the
Closing Date.

     3. Public Offering of the Units. As soon after the  Registration  Statement
becomes effective as the Representative deems advisable,  the Underwriters shall
make a public  offering of the Firm Units and such of the Option  Securities  as
they may determine  (other than to residents of or in any  jurisdiction in which
qualification  of the Shares and Public Warrants are required and has not become
effective)  at the price and upon the other  terms set forth in the  Prospectus.
The  Representative  may from  time to time  increase  or  decrease  the  public
offering price after distribution of the Units has been completed to such extent
as the Representative,  in its sole discretion deems advisable. The Underwriters
may enter into one or more agreements as the Underwriters, in each of their sole
discretion,  deem  advisable  with one or more  broker-dealers  who shall act as
dealers  in  connection  with such  public  offering.  Investors  in the  public
offering will be required to purchase one Share and one Public Warrant  together
or multiples  thereof.  Such units of  Securities  will  however be  immediately
separable and tradeable upon issuance and will not be registered or listed

                                       12


<PAGE>



on any exchange for trading as units.

     4.  Covenants  and  Agreements  of the Company.  The Company  covenants and
agrees with each of the Underwriters as follows:

          (a) The Company  shall use its best efforts to cause the  Registration
Statement  and any  amendments  thereto  to  become  effective  as  promptly  as
practicable   (such   Registration   Statement  to  be  in  form  and  substance
satisfactory to the  Representative  and Underwriters'  Counsel) and will not at
any  time,  whether  before  or after  the  effective  date of the  Registration
Statement, file any amendment to the Registration Statement or supplement to the
Prospectus or file any document under the Act or Exchange Act before termination
of the  offering of the Units by the  Underwriters  of which the  Representative
shall not  previously  have been advised and furnished  with a copy, or to which
the  Representative  shall have objected or which is not in compliance  with the
Act, the Exchange Act or the Rules and Regulations.

          (b) As soon as the  Company is advised or obtains  knowledge  thereof,
the Company will advise the Representative and confirm by notice in writing, (i)
when  the  Registration  Statement,  as  amended,   becomes  effective,  if  the
provisions of Rule 430A promulgated  under the Act will be relied upon, when the
Prospectus  has been  filed  in  accordance  with  said  Rule  430A and when any
post-effective  amendment to the Registration Statement becomes effective,  (ii)
of the issuance by the Commission of any stop order or of the initiation, or the
threatening, of any proceeding, suspending the effectiveness of the Registration
Statement  or any order  preventing  or  suspending  the use of the  Preliminary
Prospectus or the  Prospectus,  or any amendment or supplement  thereto,  or the
institution  of  proceedings  for  that  purpose  (iii) of the  issuance  by the
Commission  or by any state  securities  commission of any  proceedings  for the
suspension of the qualification of any of the Securities for offering or sale in
any jurisdiction or of the initiation, or the threatening, of any proceeding for
that purpose,  (iv) of the receipt of any comments from the Commission;  and (v)
of any request by the Commission for any amendment to the Registration Statement
or any amendment or supplement to the Prospectus or for additional  information.
If the Commission or any state  securities  commission  authority  shall enter a
stop order or suspend  such  qualification  at any time,  the Company  will make
every effort to obtain promptly the lifting of such order.

          (c) The  Company  shall  file the  Prospectus  (in form and  substance
satisfactory to the  Representative  and Underwriters'  Counsel) or transmit the
Prospectus  by a means  reasonably  calculated  to  result  in  filing  with the
Commission pursuant to Rule 424 (b)(1) (or, if applicable and if consented to by
the Representative, pursuant to Rule 424 (b)(47) not later than the Commission's
close of business on the earlier of (i) the second  business day  following  the
execution and delivery of this  Agreement and (ii) the fifth  business day after
the effective date of the Registration Statement.

          (d) The Company will give the  Representative  notice of its intention
to file or prepare any amendment to the  Registration  Statement  (including any
post-effective  amendment)  or any  amendment or  supplement  to the  Prospectus
(including  any revised  prospectus  which the Company  proposes  for use by the
Underwriters in connection with the offering of the Securities which differs

                                       13


<PAGE>



from the  corresponding  prospectus  on file at the  Commission  at the time the
Registration Statement becomes effective, whether or not such revised prospectus
is required to be filed  pursuant to Rule 424(b) of the Rules and  Regulations),
and will  furnish  the  Representative  with  copies  of any such  amendment  or
supplement a reasonable  amount of time prior to such proposed filing or use, as
the  case  may  be,  and  will  not  file  any  such  prospectus  to  which  the
Representative or Underwriters' Counsel, shall reasonably object.

          (e) The  Company  shall  take  all  action,  in  cooperation  with the
Representative,  at or  prior to the time  the  Registration  Statement  becomes
effective,  to qualify the Units for offering and sale under the securities laws
of  such  jurisdictions  as the  Representative  may  designate  to  permit  the
continuance  of sales and  dealings  therein for as long as may be  necessary to
complete the distribution, and shall make such applications, file such documents
and furnish  such  information  as may be required for such  purpose;  provided,
however,  the Company shall not be required to qualify as a foreign  corporation
or file a  general  or  limited  consent  to  service  of  process  in any  such
jurisdiction.  In each jurisdiction where such qualification  shall be effected,
the Company will,  unless the  Representative  agrees that such action is not at
the time  necessary or advisable,  use all  reasonable  efforts to file and make
such statements or reports at such times as are or may reasonably be required by
the laws of such jurisdiction to continue such qualification.  It is agreed that
Underwriters'  Counsel (or its  designees)  shall perform all such required Blue
Sky legal services.

          (f) During the time when a  prospectus  is  required  to be  delivered
under the Act, the Company shall use all  reasonable  efforts to comply with all
requirements  imposed  upon  it by the  Act and  the  Exchange  Act,  as now and
hereafter  amended  and by the  Rules and  Regulations,  as from time to time in
force,  so far as necessary to permit the continuance of sales of or dealings in
the Securities in accordance with the provisions  hereof and the Prospectus,  or
any amendments or supplements thereto. If at any time when a prospectus relating
to the  Securities  is required to be  delivered  under the Act, any event shall
have occurred as a result of which, in the reasonable opinion of counsel for the
Company  or  Underwriters'   Counsel,   the  Prospectus,   as  then  amended  or
supplemented,  includes an untrue statement of a material fact or omits to state
any  material  fact  required  to be stated  therein  or  necessary  to make the
statements  therein,  in the light of the  circumstances  under  which they were
made, not misleading,  or if it is necessary at any time to amend the Prospectus
to comply with the Act and the Rules and  Regulations,  the Company  will notify
the  Representative  promptly  and  prepare  and  file  with the  Commission  an
appropriate  amendment or supplement  in accordance  with Section 10 of the Act,
each such amendment or supplement to be satisfactory to  Underwriters'  Counsel,
and the Company will  furnish to the  Underwriters  copies of such  amendment or
supplement as soon as available and in such quantities as the  Underwriters  may
request.

          (g) As soon as  practicable,  but in any event not later  than 45 days
after the end of the 12- month period  beginning on the day after the end of the
fiscal   quarter  of  the  Company  during  which  the  effective  date  of  the
Registration  Statement occurs (90 days in the event that the end of such fiscal
quarter  is the end of the  Company's  fiscal  year),  the  Company  shall  make
generally  available to its security  holders,  in the manner  specified in Rule
158(b) of the Rules and  Regulations,  and to the  Representative,  an  earnings
statement which will be in the detail required by, and will otherwise

                                       14


<PAGE>



comply with,  the  provisions of Section 11(a) of the Act and Rule 158(a) of the
Rules and  Regulations,  which  statement need not be audited unless required by
the Act, covering a period of at least 12 consecutive months after the effective
date of the Registration Statement.

          (h) During a period of seven years after the date hereof,  the Company
will  furnish  to its  stockholders,  as soon  as  practicable,  annual  reports
(including  financial  statements audited by independent public accountants) and
unaudited quarterly reports of earnings, and will deliver to the Representative:

          (i)  concurrently  with  furnishing  such  quarterly  reports  to  its
     stockholders,  statements  of income of the Company for each quarter in the
     form furnished to the Company's stockholders and certified by the Company's
     principal financial or accounting officer;

          (ii)   concurrently   with  furnishing  such  annual  reports  to  its
     stockholders, a balance sheet of the Company as at the end of the preceding
     fiscal year, together with statements of operations,  stockholders' equity,
     and cash flows of the Company for such fiscal year,  accompanied  by a copy
     of the certificate thereon of independent certified public accountants;

          (iii) as soon as they are available,  copies of all reports (financial
     or other) mailed to stockholders;

          (iv)  as soon  as  they  are  available,  copies  of all  reports  and
     financial statements furnished to or filed with the Commission, the NASD or
     any securities exchange;

          (v) every  press  release and every  material  news item or article of
     interest  to the  financial  community  in  respect  of the  Company or its
     affairs which was released or prepared by or on behalf of the Company; and

          (vi) any  additional  information  of a public nature  concerning  the
     Company  (and  any  future   subsidiaries)  or  its  businesses  which  the
     Representative may reasonably request.

     During such seven-year period, if the Company has active subsidiaries,  the
foregoing  financial  statements  will be on a consolidated  basis to the extent
that the accounts of the Company and its subsidiaries are consolidated, and will
be accompanied by similar  financial  statements for any significant  subsidiary
which is not so consolidated.

          (i) The Company will maintain a Transfer  Agent,  counsel,  accounting
firm,   financial   printer  and,  if  necessary   under  the   jurisdiction  of
incorporation  of the Company,  a Registrar (which may be the same entity as the
Transfer  Agent) for its Units,  Common  Stock and Public  Warrants  all of whom
shall be reasonably acceptable to the Representative. Such Transfer Agent shall,
for a  period  of  five  years  following  the  Closing  Date,  deliver  to  the
Representative the monthly securities position of the Company's  stockholders of
record.

          (j)  The  Company  will  furnish  to  the  Representative  or  on  the
Representative's order, without

                                       15


<PAGE>



charge,  at such  place as the  Representative  may  designate,  copies  of each
Preliminary   Prospectus,   the  Registration  Statement  any  pre-effective  or
post-effective  amendments  thereto (two of which copies will be signed and will
include  all  financial  statements  and  exhibits),  the  Prospectus,  and  all
amendments and supplements thereto,  including any Prospectus prepared after the
effective date of the Registration  Statement, in each case as soon as available
and in such quantities as the Representative may reasonably request.

          (k) On or before the effective date of the Registration Statement, the
Company  shall  provide the  Representative  with true copies of duly  executed,
legally binding and enforceable agreements pursuant to which for a period of not
less than 24 months after the effective date of the Registration Statement, each
holder of securities issued by the Company and outstanding at the effective date
of the  Registration  Statement  (including  securities  convertible into Common
Stock  of the  Company)  agrees  that  it or he or she  will  not,  directly  or
indirectly, issue, offer to sell, sell, grant an option for the sale of, assign,
transfer,  pledge,  hypothecate or otherwise  encumber or dispose of any of such
securities  (either  pursuant  to  Rule  144 of the  Rules  and  Regulations  or
otherwise)  or dispose of any  beneficial  interest  therein  without  the prior
written consent of the Representative (collectively,  the "Lock-up Agreements").
The Lock-up  Agreements  shall also provide that any such securities that may be
sold pursuant to Rule 144 (with the Representative's  consent) shall be executed
through the Representative. The commission for any such open market transactions
shall not  exceed 5% and the sales  price  shall be  reasonably  related  to the
market.  During the three year period  commencing with the effective date of the
Registration  Statement,  the  Company  shall  not issue  any  securities  under
Regulation S and not,  without the prior written consent of the  Representative,
sell, contract or offer to sell, issue, transfer, assign, pledge, distribute, or
otherwise  dispose of, directly or indirectly,  any debt security of the Company
or any shares of Common Stock or any issue of preferred stock of the Company, or
any  options,  rights or warrants  with respect to any shares of Common Stock or
any issue of preferred  stock of the Company,  (other than upon  exercise of (i)
the Representative's Warrants (ii) options granted to Jerry Braun to purchase up
to 75,000  shares of Common  Stock at $3.75  per  share  (iii)  options  granted
pursuant to an incentive stock option plan of the Company in effect prior to the
filing of the  initial  Registration  Statement,  such plan to provide  that the
Board of  Directors  of the  Company  shall  have the  power  to  grant,  at its
discretion,  options to eligible  individuals,  to  purchase up to an  aggregate
amount of 210,000 shares of Common Stock at an exercise price per share equal to
the market price of a share of Common Stock at the close of business on the date
of any such option  grant,  such plan to  otherwise  be on terms and  conditions
satisfactory  to the  Representative  and (iv) options  granted  pursuant to any
further  qualified  option  plan  of the  Company,  approved  by  the  Company's
shareholders  pursuant  to a proxy after the  Closing  Date,  which in any event
shall not provide for options to  purchase  more than  210,000  shares of Common
Stock per year and shall  otherwise be on terms and conditions  satisfactory  to
the  Representative).  On or before the Closing Date,  the Company shall deliver
instructions to the Transfer Agent authorizing it to place  appropriate  legends
on the certificates representing the securities subject to the Lock-up Agreement
and to place appropriate stop transfer orders on the Company's ledgers.

          (l)  Neither  the  Company,  nor  any  of  its  officers,   directors,
stockholders  or  affiliates  (within the meaning of the Rules and  Regulations)
will take, directly or indirectly, any action designed to,

                                       16


<PAGE>



or which  might in the  future  reasonably  be  expected  to cause or result in,
stabilization or manipulation of the price of any securities of the Company.

          (m) The  Company  shall  apply the net  proceeds  from the sale of the
Securities in the manner, and subject to the conditions, set forth under "Use of
Proceeds"  in the  Prospectus.  No  portion  of the net  proceeds  will be used,
directly or indirectly, to acquire any securities issued by the Company.

          (n) The Company  shall  timely file all such  reports,  forms or other
documents as may be required (including, but not limited to, a Form SR as may be
required  pursuant to Rule 463 under the Act) from time to time,  under the Act,
the Exchange Act and the Rules and Regulations,  and all such reports, forms and
documents  filed  shall  comply  as to form and  substance  with the  applicable
requirements under the Act, the Exchange Act and the Rules and Regulations.

          (o) The  Company  shall  furnish  to the  Representative  as  early as
practicable  prior to each of the date hereof,  the Closing Date and each Option
Closing  Date,  if any,  but no  later  than two (2) full  business  days  prior
thereto, a copy of the latest available  unaudited interim financial  statements
of the  Company  (which in no event  shall be as of a date more than thirty (30)
days prior to the date of the  Registration  Statement)  which have been read by
the Company's  independent public accountants,  as stated in their letters to be
furnished pursuant to Section 6(j) hereof.

          (p) The  Company  shall  cause the  Shares,  the Common  Stock and the
Public  Warrants to be listed on the Nasdaq SmallCap Market and upon the request
of the  Representative  to be listed  on the BSE,  and for a period of seven (7)
years from the date hereof,  use its best efforts to maintain  such  listings of
the Shares, the Common Stock and the Public Warrants to the extent outstanding.

          (q) For a period of five (5) years from the Closing Date,  the Company
shall furnish to the Representative at the  Representative's  request and at the
Company's  sole  expense,  (i)  the  list  of  holders  of all of the  Company's
securities  and (ii) a Blue Sky  "Trading  Survey"  for  secondary  sales of the
Company's securities prepared by counsel to the Company.

          (r) The Company shall as soon as practicable, (i) but in no event more
than five business days before the effective date of the Registration Statement,
file a Form 8-A with the  Commission  providing for the  registration  under the
Exchange Act of the  Securities  and (ii) but in no event more than 30 days from
the  effective  date of the  Registration  Statement,  take  all  necessary  and
appropriate   actions  to  be  included  in  Standard  and  Poor's   Corporation
Descriptions and Moody's Manual in order to satisfy the requirements for "manual
exemption" in those states where available and to maintain such inclusion for as
long as the Securities are outstanding.

          (s) Until the completion of the  distribution of the  Securities,  the
Company shall not without the prior written  consent of the  Representative  and
Underwriters' Counsel,  issue, directly or indirectly any press release or other
communication  or hold any press  conference  with respect to the Company or its
activities or the offering contemplated hereby, other than trade releases issued
in the ordinary course of the Company's business  consistent with past practices
with respect to the Company's operations.

                                       17


<PAGE>



          (t) For a period of three (3) years  after the  effective  date of the
Registration Statement, the Representative shall have the right to designate one
(1)  individual for election to the Company's  Board of Directors  ("Board") and
the Company shall cause such individual to be elected to the Board. In the event
the Representative  shall not have designated such individual at the time of any
meeting of the Board or such person is unavailable  to serve,  the Company shall
notify  the  Representative  of each  meeting  of the  Board  and an  individual
designated  by the  Representative  shall be permitted to attend all meetings of
the Board and to receive all notices and other correspondence and communications
sent by the Company to members of the Board. Such individual shall be reimbursed
for all  out-of-pocket  expenses  incurred in connection with his or her service
on, or  attendance  at meetings  of, the Board.  The Company  shall  provide its
outside  directors with  compensation  in the form of cash and/or options on its
Common Stock as deemed appropriate and customary for similar companies.

          (u) For a period  equal to the  lesser of (i) seven (7) years from the
date  hereof,  and (ii) the date of the  sale to the  public  of the  securities
issuable upon exercise of the Representative's  Securities, the Company will not
take any action or actions which may prevent or disqualify  the Company's use of
any  form  otherwise  available  for  the  registration  under  the  Act  of the
securities issuable upon exercise of the Representative's Securities.

          (v)  Commencing  one year from the date hereof,  the Company shall pay
the Representative a commission equal to five percent (5%) of the exercise price
of the Public  Warrants,  payable on the date of the  exercise  thereof on terms
provided for in the Warrant Agreement. The Company will not solicit the exercise
of the  Public  Warrants  other than  through  the  Representative  and will not
authorize  any  other  dealer  or  engage  in  such  solicitation   without  the
Representative's prior written consent.

                                       18


<PAGE>



          (w) On or before the effective date of the Registration Statement, the
Company  shall have  retained  a  financial  public  relations  firm  reasonably
satisfactory to the  Representative,  which shall be  continuously  engaged from
such engagement date to a date twelve (12) months from the Closing Date.

     5.  Payment of Expenses.

          (a) The Company  hereby  agrees to pay on each of the Closing Date and
the  Option  Closing  Date (to the  extent  not paid at the  Closing  Date)  all
expenses and fees (other than fees of Underwriters' Counsel,  except as provided
in (iv) below)  incident to the  performance  of the  obligations of the Company
under this Agreement,  the  Representative's  Warrant  Agreement and the Warrant
Agreement  including,   without  limitation,   (i)  the  fees  and  expenses  of
accountants and counsel for the Company, (ii) all costs and expenses incurred in
connection with the preparation,  duplication,  printing, (including mailing and
handling charges) filing, delivery and mailing (including the payment of postage
with respect thereto) of the  Registration  Statement and the Prospectus and any
amendments  and  supplements  thereto and the printing,  mailing  (including the
payment of postage with respect  thereto)  and delivery of this  Agreement,  the
Representative's   Warrant  Agreement,   the  Warrant  Agreement,   and  related
documents,  including  the cost of all  copies  thereof  and of the  Preliminary
Prospectuses  and of the Prospectus  and any  amendments  thereof or supplements
thereto  supplied to the  Underwriters  and such dealers as the Underwriters may
request,  in quantities as hereinabove  stated,  (iii) the printing,  engraving,
issuance and delivery of the Securities,  including, but not limited to, (x) the
purchase  by  the  Underwriters  of  the  Securities  and  the  purchase  by the
Representative  of the  Representative's  Warrants  from  the  Company,  (y) the
consummation by the Company of any of its obligations under this Agreement,  the
Representative's Warrant Agreement, and the Warrant Agreement, and (z) resale of
the  Securities  by  the   Underwriters  in  connection  with  the  distribution
contemplated  hereby,  (iv) the  qualification  of the Securities under state or
foreign  securities or "Blue Sky" laws and  determination  of the status of such
securities  under legal  investment  laws,  including  the costs of printing and
mailing  the  "Preliminary  Blue Sky  Memorandum",  the  "Supplemental  Blue Sky
Memorandum" and "Legal  Investments  Survey," if any, and disbursements and fees
of  counsel in  connection  therewith,  provided,  however,  that the  Company's
obligation  with  respect to such "Blue  Sky" fees and  disbursement  of counsel
shall not exceed $30,000 (v) advertising  costs and expenses,  including but not
limited to costs and expenses in  connection  with the "road show",  information
meetings and presentations, bound volumes and prospectus memorabilia, tombstones
in the Wall Street Journal and other appropriate publications,  (vi) costs, fees
and expenses in connection with due diligence investigations,  including but not
limited to the costs of background  checks on key management and/or personnel of
the  Company and the fees of any  independent  counsel or  consultant  retained,
(vii) fees and expenses of the transfer agent,  warrant agent,  escrow agent, if
any, and  registrar,  (viii)  applications  for  assignments  of a rating of the
Securities  by  qualified  rating  agencies,   (ix)  the  fees  payable  to  the
Commission,  Nasdaq  and the NASD,  and (x) the fees and  expenses  incurred  in
connection with the listing of the Securities on the Nasdaq SmallCap Market, the
BSE and any other exchange.

         (b) If this Agreement is terminated by the  Underwriters  in accordance
with the provisions of Section 6, Section 10(a) or Section 12, the Company shall
reimburse and indemnify the

                                       19


<PAGE>



Representative for all of its actual out-of-pocket expenses,  including the fees
and disbursements of Underwriters' Counsel (and in addition to fees and expenses
of Underwriter's  Counsel incurred  pursuant to Section 5(a)(iv) above for which
the Company  shall remain  liable),  provided,  however,  that in the event of a
termination  pursuant to Section  10(a)  hereof such  obligation  of the Company
shall not exceed $50,000.

          (c) The Company  further  agrees  that,  in  addition to the  expenses
payable  pursuant  to  subsection  (a) of this  Section  5,  it will  pay to the
Representative  on the Closing Date by certified or bank cashier's  check or, at
the  election  of the  Representative,  by  deduction  from the  proceeds of the
offering contemplated herein a non-accountable  expense allowance equal to three
percent (3%) of the gross proceeds  received by the Company from the sale of the
Firm  Units.   In  the  event  the   Representative   elects  to  exercise   the
over-allotment  option  described in Section 2(b)  hereof,  the Company  further
agrees to pay to the Representative on each Option Closing Date (by certified or
bank cashier's check or, at the Representative's election, by deduction from the
proceeds of the offering) a  non-accountable  expense  allowance  equal to three
percent (3%) of the gross proceeds  received by the Company from the sale of the
relevant Option Securities.

          (d) The  Underwriters  shall not be responsible for any expense of the
Company  or  others  or  for  any  charge  or  claim  related  to  the  offering
contemplated  by  hereunder  in the  event  that the sale of the  Securities  as
contemplated hereunder is not consummated.

     6.  Conditions of the  Underwriters'  Obligations.  The  obligations of the
Underwriters  hereunder  shall be  subject  to the  continuing  accuracy  of the
representations  and  warranties of the Company herein as of the date hereof and
as of the Closing Date and each Option Closing Date, if any, as if they had been
made on and as of the Closing Date or each Option  Closing Date, as the case may
be; the accuracy on and as of the Closing Date or Option  Closing  Date, if any,
of the statements of the officers of the Company made pursuant to the provisions
hereof;  and the  performance  by the Company on and as of the Closing  Date and
each Option Closing Date, if any, of its covenants and obligations hereunder and
to the following further conditions:

          (a) The Registration  Statement,  which shall be in form and substance
satisfactory to the Representative and Underwriter's  Counsel, shall have become
effective no later than 12:00 p.m., New York time, on the date of this Agreement
or such  later  date  and  time as  shall  be  consented  to in  writing  by the
Representative and, at the Closing Date and each Option Closing Date, if any, no
stop order suspending the effectiveness of the Registration Statement shall have
been issued and no  proceedings  for that purpose shall have been  instituted or
shall be pending or  contemplated  by the Commission and any request on the part
of the Commission for  additional  information  shall have been complied with to
the reasonable satisfaction of Underwriters' Counsel. If the Company has elected
to rely upon Rule 430A of the Rules and Regulations,  the price of the Units and
any price-related information previously omitted from the effective Registration
Statement  pursuant  to such  Rule  430A  shall  have  been  transmitted  to the
Commission  for  filing  pursuant  to Rule  424(b) of the Rules and  Regulations
within the  prescribed  time  period,  and prior to the Closing Date the Company
shall have provided evidence  satisfactory to the  Representative of such timely
filing, or a post-effective amendment providing such information shall have been
promptly filed and declared

                                       20


<PAGE>



effective  in  accordance  with the  requirements  of Rule 430A of the Rules and
Regulations.

          (b) The  Representative  shall not have  advised the Company  that the
Registration Statement,  or any amendment thereto,  contains an untrue statement
of fact which, in the Representative's opinion, is material, or omits to state a
fact which, in the  Representative's  opinion, is material and is required to be
stated therein or is necessary to make the statements therein not misleading, or
that the Prospectus,  or any supplement thereto, contains an untrue statement of
fact which, in the  Representative's  opinion, is material and is required to be
stated therein or is necessary to make the statements  therein,  in light of the
circumstances under which they were made, not misleading.

          (c) On or prior to the Closing  Date,  the  Representative  shall have
received from  Underwriters'  Counsel,  such opinion or opinions with respect to
the  organization  of  the  Company,   the  validity  of  the  Securities,   the
Representative's  Warrants, the Registration Statement, the Prospectus and other
related  matters as the  Representative  may request and  Underwriters'  Counsel
shall have received such papers and  information  as they request to enable them
to pass upon such matters.

          (d) On the Closing  Date,  the  Underwriters  shall have  received the
favorable opinion of Scheichet & Davis, P.C., counsel to the Company,  dated the
Closing  Date,   addressed  to  the  Underwriters  and  in  form  and  substance
satisfactory to Underwriters' Counsel, to the effect that:

          (i) the Company (A) has been duly organized and is validly existing as
     a corporation in good standing under the laws of its jurisdiction,  and (B)
     has all requisite  corporate power and authority,  and has obtained any and
     all authorizations,  approvals, orders, licenses, certificates,  franchises
     and permits of and from all governmental or regulatory officials and bodies
     (including,    without   limitation,   those   having   jurisdiction   over
     environmental  or  similar  matters),  to own or lease its  properties  and
     conduct its business as described  in the  Prospectus;  the Company is duly
     qualified  and licensed and in good  standing as a foreign  corporation  in
     each  jurisdiction  in which its ownership or leasing of any  properties or
     the character of its operations  requires such  qualification or licensing;
     to such  counsel's  knowledge,  the Company has not  received any notice of
     proceedings  relating  to  the  revocation  or  modification  of  any  such
     authorization,  approval, order, license, certificate, franchise, or permit
     which,  singly  or in the  aggregate,  if  the  subject  of an  unfavorable
     decision,   ruling  or  finding,  would  materially  adversely  affect  the
     business,  operations,  condition, financial or otherwise, or the earnings,
     business affairs or prospects,  properties,  business, assets or results of
     operations of the Company.  The disclosures in the  Registration  Statement
     concerning  the  effects  of  federal,  state  and  local  laws,  rules and
     regulations  on  the  Company's  business  as  currently  conducted  and as
     contemplated are correct in all material  respects and do not omit to state
     a fact necessary to make the statements contained therein not misleading in
     light of the circumstances in which they were made.

          (ii) to such counsel's  knowledge,  the Company does not own an equity
     interest in any other  corporation,  partnership,  joint venture,  trust or
     other business entity;

          (iii)  the  Company  has a duly  authorized,  issued  and  outstanding
     capitalization as set forth

                                       21


<PAGE>



     in  the  Prospectus,   and  any  amendment  or  supplement  thereto,  under
     "Capitalization",  and, to such counsel's knowledge, after due inquiry, the
     Company is not a party to or bound by any  instrument,  agreement  or other
     arrangement providing for it to issue any capital stock, rights,  warrants,
     options   or   other   securities,   except   for   this   Agreement,   the
     Representative's  Warrant Agreement, the Warrant Agreement and as described
     in the  Prospectus.  The  Securities,  and all other  securities  issued or
     issuable by the Company, conform in all material respects to all statements
     with  respect  thereto  contained  in the  Registration  Statement  and the
     Prospectus.  All issued and outstanding securities of the Company have been
     duly  authorized and validly issued and are fully paid and  non-assessable;
     the holders thereof have no rights of rescission with respect thereto,  and
     are not  subject to personal  liability  under the laws of the State of New
     York as  currently in effect by reason of being such  holders;  and none of
     such  securities  were issued in violation of the preemptive  rights of any
     holders of any security of the Company.  The  Securities  to be sold by the
     Company hereunder and under the Representative's  Warrant Agreement are not
     and will not be subject to any  preemptive or other  similar  rights of any
     stockholder,  have been duly  authorized  and,  when  issued,  paid for and
     delivered in  accordance  with the terms  hereof,  will be validly  issued,
     fully  paid and  non-assessable  and  conform  to the  description  thereof
     contained in the Prospectus; the holders thereof will not be subject to any
     liability solely as such holders; all corporate action required to be taken
     for the  authorization,  issue and sale of the Securities has been duly and
     validly taken; and the certificates  representing the Securities are in due
     and proper  form.  The Public  Warrants and the  Representative's  Warrants
     constitute valid and binding  obligations of the Company to issue and sell,
     upon  exercise  thereof  and  payment  therefore  the  number  and  type of
     securities  of the  Company  called  for  thereby.  Upon the  issuance  and
     delivery  pursuant to this  Agreement of the  Securities  to be sold by the
     Company,  the  Underwriters  and the  Representative  will acquire good and
     marketable  title to the  Securities  free and clear of any  pledge,  lien,
     charge, claim, encumbrance, pledge, security interest, or other restriction
     or equity of any kind  whatsoever.  No  transfer  tax is  payable  by or on
     behalf of the  Underwriters  in  connection  with (A) the  issuance  by the
     Company of the  Securities,  (B) the purchase by the  Underwriters  and the
     Representative of the Securities from the Company,  (C) consummation by the
     Company of any of its obligations  under this Agreement,  or (D) resales of
     the Securities in connection with the distribution contemplated hereby.

          (iv) the  Registration  Statement is effective  under the Act, and, if
     applicable,  filing of all pricing  information has been timely made in the
     appropriate form under Rule 430A, and, to such counsel's  knowledge,  after
     due inquiry no stop order suspending the use of the Preliminary Prospectus,
     the  Registration  Statement  or  Prospectus  or any part of any thereof or
     suspending the effectiveness of the Registration  Statement has been issued
     and no  proceedings  for that purpose have been  instituted or are pending,
     threatened or contemplated under the Act;

          (v) each of the Preliminary  Prospectus,  the Registration  Statement,
     and the Prospectus and any amendments or supplement thereto (other than the
     financial  statements  and other  financial and  statistical  data included
     therein,  as to which no opinion need be rendered) comply as to form in all
     material  respects  with  the  requirements  of the Act and the  Rules  and
     Regulations.

          (vi)  to the  best of  such  counsel's  knowledge,  (A)  there  are no
     agreements,  contracts  or  other  documents  required  by  the  Act  to be
     described in the Registration Statement and the Prospectus and

                                       22


<PAGE>



     filed as exhibits to the Registration  Statement other than those described
     in the  Registration  Statement (or required to be filed under the Exchange
     Act if upon such filing they would be incorporated, in whole or in part, by
     reference  therein) and the Prospectus and filed as exhibits  thereto,  and
     the exhibits  which have been filed are correct  copies of the documents of
     which they purport to be copies;  (B) the  descriptions in the Registration
     Statement and the  Prospectus  and any  supplement or amendment  thereto of
     contracts  and other  documents to which the Company is a party or by which
     it is bound,  including  any document to which the Company is a party or by
     which it is bound,  incorporated  by reference  into the Prospectus and any
     supplement or amendment thereto,  are accurate in all material respects and
     fairly represent the information required to be shown under the Act and the
     Rules  and  Regulations  of the  Commission  thereunder;  (C)  there is not
     pending or threatened  against the Company any action,  arbitration,  suit,
     proceeding,  inquiry,  investigation,  litigation,  governmental  or  other
     proceeding (including,  without limitation,  those having jurisdiction over
     environmental  or  similar  matters),   domestic  or  foreign,  pending  or
     threatened  against (or  circumstances  that may give rise to the same), or
     involving  the  properties or business of the Company which (1) is required
     to be disclosed  in the  Registration  Statement  which is not so disclosed
     (and such proceedings as are summarized in the  Registration  Statement are
     accurately  summarized in all respects),  (2) questions the validity of the
     capital stock of the Company or this Agreement or of any action taken or to
     be  taken  by the  Company  pursuant  to or in  connection  with any of the
     foregoing; (D) no statute or regulation or legal or governmental proceeding
     required to be described in the  Prospectus  is not  described as required;
     and (E) except as disclosed in the Prospectus,  there is no action, suit or
     proceeding pending, or threatened,  against or affecting the Company before
     any court or arbitrator or  governmental  body,  agency or official (or any
     basis thereof known to such counsel) in which an adverse decision which may
     result  in a  material  adverse  change  in  the  condition,  financial  or
     otherwise,  or the earnings,  position,  prospects,  stockholders'  equity,
     value,  operation,  properties,  business or results of  operations  of the
     Company,  could adversely affect the present or prospective  ability of the
     Company  to   perform   its   obligations   under   this   Agreement,   the
     Representative's Warrant Agreement or the Warrant Agreement or which in any
     manner  draws  into  question  the  validity  or   enforceability  of  this
     Agreement, the Representative's Warrant Agreement or the Warrant Agreement;

          (vii) the Company has full legal right,  power and  authority to enter
     into this Agreement, the Representative's Warrant Agreement and the Warrant
     Agreement and to consummate the transactions provided for therein; and this
     Agreement, the Representative's Warrant Agreement and the Warrant Agreement
     has been duly  authorized,  executed and  delivered  by the  Company.  This
     Agreement, the Representative's Warrant Agreement and the Warrant Agreement
     assuming  due  authorization,  execution  and  delivery by each other party
     hereto and thereto  constitutes a legal, valid and binding agreement of the
     Company  enforceable  against  the  Company  in  accordance  with its terms
     (except as such  enforceability  may be limited by  applicable  bankruptcy,
     insolvency, reorganization, moratorium or other laws of general application
     relating  to  or  affecting   enforcement  of  creditors'  rights  and  the
     application of equitable principles in any action, legal or equitable,  and
     except as rights to indemnity or contribution  may be limited by applicable
     law),  and neither the Company's  execution or delivery of this  Agreement,
     the  Representative's  Warrant  Agreement  and the Warrant  Agreement,  its
     performance  hereunder or thereunder,  its consummation of the transactions
     contemplated herein or therein, or the conduct of its business as described
     in the

                                       23


<PAGE>



     Registration Statement,  the Prospectus,  and any amendments or supplements
     thereto,  conflicts with or will conflict with or results or will result in
     any  breach  or  violation  of  any of  the  terms  or  provisions  of,  or
     constitutes or will  constitute a default under,  or result in the creation
     or imposition of any lien, charge,  claim,  encumbrance,  pledge,  security
     interest,  defect or other  restriction  or  equity of any kind  whatsoever
     upon,  any  property  or assets  (tangible  or  intangible)  of the Company
     pursuant to the terms of, (A) the certificate of  incorporation  or by-laws
     of the Company, (B) any license,  contract,  indenture,  mortgage,  deed of
     trust, voting trust agreement, stockholders agreement, note, loan or credit
     agreement or any other  agreement or  instrument  to which the Company is a
     party or by which it is or may be bound or to which  any of its  properties
     or  assets  (tangible  or  intangible)  is  or  may  be  subject,   or  any
     indebtedness,  or  (C)  any  statute,  judgment,  decree,  order,  rule  or
     regulation applicable to the Company of any arbitrator,  court,  regulatory
     body  or  administrative  agency  or  other  governmental  agency  or  body
     (including,    without   limitation,   those   having   jurisdiction   over
     environmental or similar matters), domestic or foreign, having jurisdiction
     over  the  Company  or any of its  activities  or  properties,  except  for
     conflicts, breaches,  violations,  defaults, creations or impositions which
     do not and  would not have a  material  adverse  effect  on the  condition,
     financial  or  otherwise,  or the  earnings,  business  affairs,  position,
     shareholder's equity, value, operations, properties, business or results of
     operations of the Company.

          (viii) except as described in the  Prospectus,  no consent,  approval,
     authorization  or order,  and no filing with, any court,  regulatory  body,
     government  agency or other body (other than such as may be required  under
     Blue Sky laws,  as to which no opinion  need be  rendered)  is  required in
     connection  with the issuance of the Securities  pursuant to the Prospectus
     and  the  Registration  Statement,  the  issuance  of the  Representative's
     Warrants, the performance of this Agreement,  the Representative's  Warrant
     Agreement  and the  Warrant  Agreement  and the  transactions  contemplated
     hereby and thereby;

          (ix)  the  properties  and  business  of the  Company  conform  to the
     description  thereof  contained  in  the  Registration  Statement  and  the
     Prospectus;

          (x) the Company is not in breach of, or in default under,  any term or
     provision of any license, contract, indenture,  mortgage,  installment sale
     agreement,  deed of trust,  lease,  voting trust  agreement,  stockholders'
     agreement,  partnership  agreement,  note, loan or credit  agreement or any
     other agreement or instrument  evidencing an obligation for borrowed money,
     or any other  agreement or instrument to which the Company is a party or by
     which the Company may be bound or to which the property or assets (tangible
     or  intangible)  of  the  Company  is  subject  or  affected,  which  could
     materially  adversely  affect  the  Company;  and  the  Company  is  not in
     violation of any term or provision of its Certificate of  Incorporation  or
     By-Laws,  or in  violation of any  franchise,  license,  permit,  judgment,
     decree,  order,  statute,  rule or  regulation  the  result of which  would
     materially and adversely affect the condition,  financial or otherwise,  or
     the earnings,  business  affairs,  position,  shareholders'  equity,  value
     operation, properties, business or results of operations of the Company.

          (xi) the  Company  owns or  possesses,  free and clear of all liens or
     encumbrances and rights thereto or therein by third parties,  the requisite
     licenses or other rights to use all trademarks,  service marks, copyrights,
     service  names,  trade names,  patents,  patent  applications  and licenses
     necessary

                                       24


<PAGE>



     to conduct its business (including, without limitation any such licenses or
     rights  described  in the  Prospectus  as being owned or  possessed  by the
     Company),  and to the best of such  counsel's  knowledge  after  reasonable
     investigation,  there is no claim or action by any person pertaining to, or
     proceeding,  pending, or threatened,  which challenges the exclusive rights
     of the Company with respect to any trademarks,  service marks,  copyrights,
     service names, trade names, patents,  patent applications and licenses used
     in the conduct of the Company's business  (including,  without limitations,
     any such licenses or rights  described in the  Prospectus as being owned or
     possessed by the Company).

          (xii) except as described in the Prospectus,  the Company does not (A)
     maintain,  sponsor,  or  contribute  to any ERISA  Plans,  (B)  maintain or
     contribute  now or at any time  previously,  to a defined  benefit plan, as
     defined  in  Section  3(35)  of  ERISA,  and (C) has  never  completely  or
     partially withdrawn from a "multiemployer plan"; and

          (xiii) the  Securities  have been  approved  for listing on the Nasdaq
     SmallCap  Market and the BSE, and the Company's  Registration  Statement on
     Form 8-A under the Exchange Act has become effective.

          (xiv) to such  counsel's  knowledge,  the  persons  listed  under  the
     caption  "PRINCIPAL  SECURITY HOLDERS" in the Prospectus are the respective
     "beneficial  owners" (as such phrase is defined in  regulation  13d-3 under
     the Exchange Act) of the securities  set forth  opposite  their  respective
     names thereunder as and to the extent set forth therein;

          (xv)  to  such  counsel's  knowledge,   except  as  described  in  the
     Prospectus,  no person,  corporation,  trust,  partnership,  association or
     other entity has the right to include and/or register any securities of the
     Company in the  Registration  Statement,  require  the  Company to file any
     registration  statement  or, if filed,  to  include  any  security  in such
     registration statement;

          (xvi)  to  such  counsel's  knowledge,  except  as  described  in  the
     Prospectus,  there are no  claims,  payments,  issuances,  arrangements  or
     understandings  for services in the nature of a finder's or origination fee
     with respect to the sale of the Units hereunder or the financial consulting
     arrangement  between the  Representative  and the  Company,  if any, or any
     other arrangements, agreements, understandings,  payments or issuances that
     may affect the Underwriters' compensation, as determined by the NASD;

          (xvii) the Lock-up Agreements are legal, valid and binding obligations
     of the  parties  thereto,  enforceable  against  each  such  party  and any
     subsequent holder of the securities  subject thereto in accordance with its
     terms  (except  as  such   enforceability  may  be  limited  by  applicable
     bankruptcy, insolvency, reorganization, moratorium or other laws of general
     application  relating to or affecting  enforcement of creditors' rights and
     the application of equitable principles in any action, legal or equitable);
     and

          (xviii) all action under the Act necessary to make the public offering
     and consummate the sale of the Securities as provided in this Agreement has
     been taken by the Company. The provisions

                                       25


<PAGE>



     of the Certificate of Incorporation and By-laws of the Company comply as to
     form in all material respects with the Act and the Rules and Regulations.

     Such counsel shall state that such counsel has  participated in conferences
with officers and other  representatives  of the Company and  representatives of
the independent  public  accountants for the Company,  at which conferences such
counsel made inquiries of such officers,  representatives  and  accountants  and
discussed  the  contents  of  the  Preliminary   Prospectus,   the  Registration
Statement, the Prospectus, and related matters were discussed and, although such
counsel  is not  passing  upon and does not assume  any  responsibility  for the
accuracy,   completeness  or  fairness  of  the  statements   contained  in  the
Preliminary Prospectus,  the Registration Statement and Prospectus, on the basis
of the  foregoing,  no facts have come to the  attention of such  counsel  which
leads counsel to believe that either the Registration Statement or any amendment
thereto,  at the time such Registration  Statement or amendment became effective
or the Preliminary  Prospectus or Prospectus or amendment or supplement  thereto
as of the date of such opinion contained any untrue statement of a material fact
or omitted to state a material fact  required to be stated  therein or necessary
to make the statements  therein not misleading  (it being  understood  that such
counsel need express no opinion with  respect to the  financial  statements  and
schedules and other financial and  statistical  data included in the Preliminary
Prospectus, the Registration Statement or Prospectus).

     In  rendering  such  opinion,  such  counsel  may  rely  (A) as to  matters
involving the  application  of laws other than the laws of the United States and
jurisdictions  in which they are  admitted,  to the extent  such  counsel  deems
proper and to the extent  specified in such opinion,  if at all, upon an opinion
or opinions (in form and substance  satisfactory  to  Underwriters'  Counsel) of
other counsel acceptable to Underwriters' Counsel,  familiar with the applicable
laws; (B) as to matters of fact, to the extent they deem proper, on certificates
and written  statements of responsible  officers of the Company and certificates
or other written statements of officers of departments of various  jurisdictions
having custody of documents  respecting the corporate existence or good standing
of the Company,  provided  that copies of any such  statements  or  certificates
shall  be  delivered  to  Underwriters'  Counsel  if  requested;  and  (C) as to
regulatory  matters,  to the extent  specified in such opinion and to the extent
reliance  is  reasonable,  on the opinion of special  regulatory  counsel to the
Company.  The  opinion of such  counsel  for the  Company  shall  state that the
opinion of any such other  counsel is in form  satisfactory  to such counsel and
that the Representative and they are justified in relying thereon.

     At each Option Closing Date, if any, the  Underwriters  shall have received
the favorable opinion of Scheichet & Davis, P.C., counsel to the Company,  dated
the Option Closing Date, addressed to the Underwriters and in form and substance
satisfactory to Underwriters'  Counsel confirming as of such Option Closing Date
the statements made in its opinion delivered on the Closing Date.

          (e) On or prior to each of the  Closing  Date and the  Option  Closing
Date, if any,  Underwriters'  Counsel shall have been furnished such  documents,
certificates  and  opinions  as they may  reasonably  require for the purpose of
enabling them to review or pass upon the matters  referred to in subsection  (c)
of this  Section  6, or in order  to  evidence  the  accuracy,  completeness  or
satisfaction  of any of the  representations,  warranties  or  covenants  of the
Company herein contained.

                                       26


<PAGE>



          (f) Prior to each of Closing  Date and each Option  Closing  Date,  if
any,  (i) there shall have been no adverse  change nor  development  involving a
prospective  change  in  the  condition,  financial  or  otherwise,   prospects,
stockholders'  equity or the business activities of the Company,  whether or not
in the  ordinary  course of  business,  from the  latest  dates as of which such
condition is set forth in the Registration Statement and Prospectus;  (ii) there
shall have been no transaction,  not in the ordinary course of business, entered
into by the  Company,  (iii)  the  Company  shall  not be in  default  under any
provision of any instrument relating to any outstanding  indebtedness;  (iv) the
Company  shall not have issued any  securities  (other than the  Securities)  or
declared or paid any dividend or made any distribution in respect of its capital
stock of any class and there  shall not have been any  change in the  capital or
any change in the debt (long or short term) or liabilities or obligations of the
Company  (contingent or otherwise);  (v) no material amount of the assets of the
Company  shall  have  been  pledged  or  mortgaged,  except  as set forth in the
Registration Statement and Prospectus (vi) no action, suit or proceeding, at law
or in equity,  shall have been pending or threatened  (or  circumstances  giving
rise to same)  against  the  Company,  or  affecting  any of its  properties  or
business before or by any court or federal,  state or foreign commission,  board
or other  administrative  agency  wherein  an  unfavorable  decision,  ruling or
finding may adversely affect the business,  operations,  management prospects or
financial  condition  or  assets  of the  Company,  except  as set  forth in the
Registration  Statement and Prospectus:  and (vii) no stop order shall have been
issued  under the Act and no  proceedings  therefor  shall have been  initiated,
threatened or contemplated by the Commission.

          (g) At each of the Closing Date and each Option  Closing Date, if any,
the  Underwriters  shall have received a certificate of the principal  executive
officer and the chief  financial  or chief  accounting  officer of the  Company,
dated the Closing Date or Option Closing Date, as the case may be, to the effect
that each of such persons has carefully examined the Registration Statement, the
Prospectus and this Agreement, and that:

          (i)  The  representations  and  warranties  in this  Agreement  of the
     Company are true and  correct,  as if made on and as of the Closing Date or
     the Option  Closing  Date, as the case may be, and the Company has complied
     with all agreements and covenants and satisfied all conditions contained in
     this Agreement on its part to be performed or satisfied at or prior to such
     Closing Date or Option Closing Date, as the case may be;

          (ii) No stop order  suspending the  effectiveness  of the Registration
     Statement or any part thereof has been issued,  and no proceedings for that
     purpose  have been  instituted  or are  pending  or,  are  contemplated  or
     threatened under the Act;

          (iii) The Registration  Statement and the Prospectus and, if any, each
     amendment  and  each  supplement   thereto,   contain  all  statements  and
     information  required to be included therein,  and none of the Registration
     Statement,  the Prospectus nor any amendment or supplement thereto includes
     any untrue statement of a material fact or omits to state any material fact
     required to be stated therein or necessary to make the  statements  therein
     not  misleading  and neither the  Preliminary  Prospectus or any supplement
     thereto  included  any untrue  statement  of a material  fact or omitted to
     state any material fact required to be stated  therein or necessary to make
     the statements therein, in light of the

                                       27


<PAGE>



     circumstances under which they were made, not misleading; and

          (iv)  Since  the  dates  as of  which  information  is  given  in  the
     Registration  Statement  and the  Prospectus,  (A)  there  has not been any
     material change in the shares of Common Stock or liabilities of the Company
     except as set forth in or contemplated by the Prospectus; (B) there has not
     been any  material  adverse  change  in the  general  affairs,  management,
     business,  financial  condition  or results of  operations  of the Company,
     whether  or not  arising  from  transactions  in  the  ordinary  course  of
     business,  as set  forth  in or  contemplated  by the  Prospectus;  (C) the
     Company  has not  sustained  any  material  loss or  interference  with its
     business from any court or from legislative or other  governmental  action,
     order or decree, whether foreign or domestic, or from any other occurrence,
     not described in the Registration  Statement and Prospectus;  (D) there has
     not  occurred  any event that makes  untrue or  incorrect  in any  material
     respect  any  statement  or  information   contained  in  the  Registration
     Statement  or  Prospectus  or that  is not  reflected  in the  Registration
     Statement or  Prospectus  but should be reflected  therein in order to make
     the statements or information  therein,  in light of the  circumstances  in
     which they were made,  not  misleading  in any  material  respect;  (E) the
     Company has not incurred up to and including the Closing Date or the Option
     Closing Date, as the case may be, other than in the ordinary  course of its
     business,  any material  liabilities or obligations,  direct or contingent;
     (F)  the  Company  has  not  paid  or  declared  any   dividends  or  other
     distributions  on its capital  stock;  (G) the Company has not entered into
     any transactions not in the ordinary course of business;  (H) there has not
     been any change in the capital  stock or long-term  debt or any increase in
     the  short-term  borrowings  (other than any  increase  in the  short-terms
     borrowings  in the ordinary  course of  business)  of the Company;  (I) the
     Company has not  sustained  any material  loss or damage to its property or
     assets,  whether  or not  insured;  and (J)  there  has  occurred  no event
     required to be set forth in an amended or supplemented Prospectus which has
     not been set forth.

References to the  Registration  Statement and the Prospectus in this subsection
(g) are to such  documents  as  amended  and  supplemented  at the  date of such
certificate.

          (h) By the Closing Date, the Underwriters will have received clearance
from the NASD as to the  amount of  compensation  allowable  or  payable  to the
Underwriters, as described in the Registration Statement.

          (i) At the time this  Agreement is executed,  the  Underwriters  shall
have received a letter,  dated such date,  addressed to the Underwriters in form
and substance satisfactory  (including the non-material nature of the changes or
decreases,  if any,  referred to in clause  (iii)  below) in all respects to the
Underwriters and Underwriters' Counsel, from M. R. Weiser & Co. LLP,:

          (i) confirming that they are independent  accountants  with respect to
     the  Company  within the  meaning of the Act and the  applicable  Rules and
     Regulations;

          (ii) stating that it is their opinion that the financial statements of
     the Company included in the Registration Statement comply as to form in all
     material  respects with the applicable  accounting  requirements of the Act
     and the Rules and Regulations  thereunder and that the  Representative  may
     rely  upon the  opinion  of M.R.  Weiser & Co.  LLP,  with  respect  to the
     financial statements and

                                       28


<PAGE>



     supporting schedules included in the Registration Statement;

          (iii) stating that, on the basis of a limited  review which included a
     reading of the latest available  unaudited interim financial  statements of
     the  Company  (with  an  indication  of the  date of the  latest  available
     unaudited interim financial statements),  a reading of the latest available
     minutes  of the  stockholders  and  board  of  directors  and  the  various
     committees  of the boards of directors of the Company,  consultations  with
     officers and other  employees of the Company  responsible for financial and
     accounting  matters and other specified  procedures and inquiries,  nothing
     has come to their  attention  which would lead them to believe that (A) the
     unaudited  financial  statements,  if any, of the  Company  included in the
     Registration  Statement do not comply as to form in all  material  respects
     with the applicable  accounting  requirements  of the Act and the Rules and
     Regulations  or are not  fairly  presented  in  conformity  with  generally
     accepted accounting principles applied on a basis substantially  consistent
     with that of the audited  financial  statements of the Company  included in
     the Registration  Statement,  or (B) at a specified date not more than five
     (5) days prior to the effective date of the Registration  Statement,  there
     has been any change in the capital stock or long-term  debt of the Company,
     or any decrease in the  stockholders'  equity or net current  assets or net
     assets of the  Company  as  compared  with  amounts  shown in the [ ] 199__
     balance sheet  included in the  Registration  Statement,  other than as set
     forth in or contemplated by the  Registration  Statement,  or, if there was
     any  change  or  decrease,  setting  forth  the  amount  of such  change or
     decrease;

          (iv)  setting  forth,  at a date not later than five (5) days prior to
     the date of the  Registration  Statement,  the amount of liabilities of the
     Company  (including a breakdown of  commercial  paper and notes  payable to
     banks) ;

          (v) stating that they have compared  specific dollar amounts,  numbers
     of shares,  percentages  of revenues  and  earnings,  statements  and other
     financial information pertaining to the Company set forth in the Prospectus
     in  each  case to the  extent  that  such  amounts,  numbers,  percentages,
     statements  and  information  may be derived  from the  general  accounting
     records,  including work sheets, of the Company and excluding any questions
     requiring an  interpretation  by legal counsel,  with the results  obtained
     from the application of specified readings, inquiries and other appropriate
     procedures (which procedures do not constitute an examination in accordance
     with  generally  accepted  auditing  standards) set forth in the letter and
     found them to be in agreement;

          (vi) stating that they have in addition carried out certain  specified
     procedures,  not  constituting an audit,  with respect to certain pro forma
     financial  information which is included in the Registration  Statement and
     the Prospectus and that nothing has come to their  attention as a result of
     such  procedures  that  caused  them to believe  such  unaudited  pro forma
     financial  information  does not  comply in form in all  respects  with the
     applicable accounting  requirements of Rule 11-02 of Regulation S-X or that
     the pro forma  adjustments have not been properly applied to the historical
     amounts in the compilation of that information;

          (vii) stating that they have not during the immediately preceding five
     (5) year period brought to the attention of any of the Company's management
     any "weakness," as defined in Statement of

                                       29


<PAGE>



Auditing  Standard  No. 60  "Communication  of Internal  Control  Structure
Related Matters Noted in an Audit," in any of the Company's  internal  controls;
and

          (viii) statements as to such other matters incident to the transaction
     contemplated hereby as the Representative may request.

          (j) On or prior to the Closing Date and each Option  Closing  Date, if
any, the Underwriters  shall have received from M.R. Weiser & Co. LLP, a letter,
dated as of the Closing Date or the Option  Closing Date, as the case may be, to
the effect  that they  reaffirm  the  statements  made in the  letter  furnished
pursuant to subsection  (i) of this Section,  except that the specified  date in
the  referred  to shall be a date not more than five days  prior to the  Closing
Date or the Option  Closing  Date,  as the case may be,  and, if the Company has
elected to rely on Rule 430A of the Rules and Regulations, to the further effect
that they have carried out  procedures  as specified in clause (v) of subsection
(i) of this Section with respect to certain  amounts,  percentages and financial
information  as specified by the  Representative  and deemed to be a part of the
Registration  Statement  pursuant to Rule  430A(b) and have found such  amounts,
percentages  and  financial  information  to be in  agreement  with the  records
specified in such clause (v).

          (k) On each of Closing Date and Option  Closing  Date,  if any,  there
shall  have  been  duly   tendered  to  the   Representative   for  the  several
Underwriters' accounts the appropriate number of Securities.

          (l) No order suspending the sale of the Securities in any jurisdiction
designated by the Representative  pursuant to subsection (e) of Section 4 hereof
shall have been issued on either the Closing Date or the Option Closing Date, if
any, and no proceedings  for that purpose shall have been instituted or shall be
contemplated.

          (m) On or before  Closing Date,  the Shares,  the Common Stock and the
Public  Warrants  shall have been approved for quotation on the Nasdaq  SmallCap
Market and shall have been  authorized  upon  official  notice of  issuance  for
trading on the BSE.

          (n) On or before Closing Date,  there shall have been delivered to the
Representative the Lock-up Agreements, in form and substance satisfactory to the
Representative.

          (o) On or before the Closing Date, the Company shall have executed (i)
a financial consulting  agreement and (ii) a mergers and acquisition  agreement,
each with the Representative and each in form and substance  satisfactory to the
Representative.

          (p) On or before the Closing Date, the Company shall have executed the
Representative's  Warrant Agreement and the Warrant Agreement  together with the
applicable Warrant Certificates,  each in form and substance satisfactory to the
Representative.

          (q) On or  before  the  Closing  Date the  Representative  shall  have
received  executed  copies of the employment  agreements and insurance  policies
referred to in Section 1 (a) (xxxi) hereof, each

                                       30


<PAGE>



to the satisfaction of the Representative.

          (r) Each of the employee  bonus pool plan and  incentive  stock option
plan of the  Company  shall be in effect  as of the  Closing  Date,  shall be in
accordance  with terms of the Letter  Agreement  dated March 6, 1996 between the
Company and RAS and shall  otherwise be on terms and conditions  satisfactory to
the Representative.

     If any condition to the Underwriters' obligations hereunder to be fulfilled
prior to or at the Closing Date or the relevant Option Closing Date, as the case
may be, is not so fulfilled, the Representative may terminate this Agreement or,
if the Representative so elects, it may waive any such conditions which have not
been fulfilled or extend the time for their fulfillment.

     7.  Indemnification.

          (a) The Company  agrees to  indemnify  and hold  harmless  each of the
Underwriters  (for  purposes of this Section 7  "Underwriter"  shall include the
officers, directors, partners, employees, agents and counsel of the Underwriter,
including  specifically each person who may be substituted for an Underwriter as
provided  in Section 11 hereof),  and each  person,  if any,  who  controls  the
Underwriter  ("controlling  person") within the meaning of Section 15 of the Act
or Section  20(a) of the  Exchange  Act,  from and  against  any and all losses,
claims,  damages,  expenses or  liabilities,  joint or several  (and  actions in
respect thereof),  whatsoever (including but not limited to any and all expenses
whatsoever reasonably incurred in investigating,  preparing or defending against
any litigation,  commenced or threatened, or any claim whatsoever),  as such are
incurred, to which the Underwriter or such controlling person may become subject
under the Act,  the  Exchange  Act,  or any other  statute  or at common  law or
otherwise or under the laws of foreign  countries,  arising out of or based upon
any untrue  statement or alleged  untrue  statement of a material fact contained
(i) in any Preliminary Prospectus,  the Registration Statement or the Prospectus
(as from time to time  amended  and  supplemented);  (ii) in any  post-effective
amendment or amendments or any time new registration statement and prospectus in
which is included  securities of the Company issued or issuable upon exercise of
the  Securities;  or  (iii) in any  application  or other  document  or  written
communication (in this Section 7 collectively called "Application")  executed by
the Company or based upon  written  information  furnished by the Company in any
jurisdiction  in order to  qualify  the  Securities  under the  securities  laws
thereof or filed  with the  Commission,  any  securities  commission  or agency,
Nasdaq, the BSE or any securities exchange;  or the omission or alleged omission
therefrom of a material fact required to be stated  therein or necessary to make
the statements  therein not misleading  (in the case of the  Prospectus,  in the
light of the circumstances under which they were made), unless such statement or
omission was made in reliance  upon and in conformity  with written  information
furnished to the Company with respect to any Underwriter by or on behalf of such
Underwriter  expressly for use in any Preliminary  Prospectus,  the Registration
Statement or Prospectus,  or any amendment thereof or supplement  thereto, or in
any Application, as the case may be.

     The indemnity  agreement in this subsection (a) shall be in addition to any
liability which the Company may have at common law or otherwise.

                                       31


<PAGE>



          (b) Each of the Underwriters  agrees  severally,  but not jointly,  to
indemnify  and hold  harmless the Company,  each of its  directors,  each of its
officers who has signed the Registration  Statement,  and each other person,  if
any, who controls the Company  within the meaning of the Act, to the same extent
as the foregoing  indemnity from the Company to the  Underwriters  but only with
respect to statements or omissions,  if any, made in any Preliminary Prospectus,
the Registration  Statement or Prospectus or any amendment thereof or supplement
thereto or in any  Application  made in reliance upon, and in strict  conformity
with,  written  information  furnished  to  the  Company  with  respect  to  any
Underwriter  by  such   Underwriter   expressly  for  use  in  such  Preliminary
Prospectus, the Registration Statement or Prospectus or any amendment thereof or
supplement  thereto  or in any such  Application,  provided  that  such  written
information  or  omissions  only  pertain  to  disclosures  in  the  Preliminary
Prospectus,  the Registration  Statement or Prospectus  directly relating to the
transactions effected by the Underwriters in connection with this offering.  The
Company  acknowledges that the statements with respect to the public offering of
the Securities set forth under the heading  "Underwriting" and the stabilization
legend in the Prospectus have been furnished by the  Underwriters  expressly for
use therein and  constitute the only  information  furnished in writing by or on
behalf of the Underwriters for inclusion in the Prospectus.

          (c) Promptly after receipt by an indemnified  party under this Section
7 of  notice  of the  commencement  of any  action,  suit  or  proceeding,  such
indemnified party shall, if a claim in respect thereof is to be made against one
or more  indemnifying  parties  under this Section 7, notify each party  against
whom indemnification is to be sought in writing of the commencement thereof (but
the  failure so to notify an  indemnifying  party  shall not relieve it from any
liability  which it may have under this  Section 7 except to the extent  that it
has  been  prejudiced  in any  material  respect  by such  failure  or from  any
liability  which it may have  otherwise).  In case any such  action  is  brought
against any indemnified  party, and it notifies an indemnifying party or parties
of the commencement  thereof, the indemnifying party or parties will be entitled
to  participate  therein,  and to the  extent  it may  elect by  written  notice
delivered to the indemnified party promptly after receiving the aforesaid notice
from such  indemnified  party,  to  assume  the  defense  thereof  with  counsel
reasonably   satisfactory  to  such  indemnified  party.   Notwithstanding   the
foregoing,  the indemnified  party or parties shall have the right to employ its
or their own counsel in any such case but the fees and  expenses of such counsel
shall be at the  expense of such  indemnified  party or  parties  unless (i) the
employment  of such  counsel  shall  have  been  authorized  in  writing  by the
indemnifying  parties  in  connection  with the  defense  of such  action at the
expense of the indemnifying party, (ii) the indemnifying  parties shall not have
employed  counsel  reasonably  satisfactory  to such  indemnified  party to have
charge of the defense of such action  within a  reasonable  time after notice of
commencement  of the action,  or (iii) such  indemnified  party or parties shall
have  reasonably  concluded  that there may be defenses  available to it or them
which are different  from or additional to those  available to one or all of the
indemnifying  parties (in which case the indemnifying parties shall not have the
right to direct the defense of such action on behalf of the indemnified party or
parties),  in any of which  events  such  fees and  expenses  of one  additional
counsel  shall be borne  by the  indemnifying  parties.  In no event  shall  the
indemnifying  parties be liable for fees and  expenses  of more than one counsel
(in  addition  to any local  counsel)  separate  from their own  counsel for all
indemnified parties in connection with any one action or separate but similar or
related  actions  in the  same  jurisdiction  arising  out of the  same  general
allegations or circumstances. Anything in this Section 7 to the contrary

                                       32


<PAGE>



notwithstanding, an indemnifying party shall not be liable for any settlement of
any claim or action effected  without its written  consent;  provided,  however,
that such consent was not unreasonably withheld.

          (d) In order to provide  for just and  equitable  contribution  in any
case in which (i) an indemnified party makes claim for indemnification  pursuant
to this  Section  7, but it is  judicially  determined  (by the entry of a final
judgment or decree by a court of competent  jurisdiction  and the  expiration of
time  to  appeal  or  the  denial  of  the  last  right  of  appeal)  that  such
indemnification  may not be enforced in such case  notwithstanding the fact that
the express  provisions  of this Section 7 provide for  indemnification  in such
case,  or (ii)  contribution  under the Act may be  required  on the part of any
indemnified  party, then each indemnifying  party shall contribute to the amount
paid as a result of such losses,  claims,  damages,  expenses or liabilities (or
actions in respect  thereof) (A) in such proportion as is appropriate to reflect
the relative benefits received by each of the contributing  parties,  on the one
hand, and the party to be  indemnified  on the other hand,  from the offering of
the  Securities  or (B) if the  allocation  provided  by clause (A) above is not
permitted by applicable law, in such proportion as is appropriate to reflect not
only the relative benefits referred to in clause (i) above but also the relative
fault of each of the contributing  parties, on the one hand, and the party to be
indemnified  on the other hand in  connection  with the  statements or omissions
that resulted in such losses, claims, damages, expenses or liabilities,  as well
as any other relevant equitable considerations. In any case where the Company is
a  contributing  party  and the  Underwriters  are the  indemnified  party,  the
relative  benefits   received  by  the  Company,   on  the  one  hand,  and  the
Underwriters,  on the other, shall be deemed to be in the same proportion as the
total net proceeds  from the offering of the Units (before  deducting  expenses)
bear to the total underwriting discounts received by the Underwriters hereunder,
in each  case as set forth in the  table in the  cover  page of the  Prospectus.
Relative fault shall be determined by reference to, among other things,  whether
the untrue or alleged  untrue  statement  of a material  fact or the omission or
alleged omission to state a material fact relates to information supplied by the
Company,  or by the Underwriters,  and the parties' relative intent,  knowledge,
access to  information  and  opportunity  to  correct  or  prevent  such  untrue
statement or omission.  The amount paid or payable by an indemnified  party as a
result of the losses,  claims,  damages,  expenses or liabilities (or actions in
respect  thereof)  referred to above in this  subdivision (d) shall be deemed to
include any legal or other  expenses  reasonably  incurred  by such  indemnified
party in connection  with  investigating  or defending any such action or claim.
Notwithstanding  the provisions of this subdivision (d) the  Underwriters  shall
not be required to contribute any amount in excess of the underwriting  discount
applicable to the Securities purchased by the Underwriters  hereunder. No person
guilty of fraudulent  misrepresentation  (within the meaning of Section 11(f) of
the Act) shall be entitled to contribution from any person who was not guilty of
such fraudulent misrepresentation.  For purposes of this Section 7, each person,
if any, who controls the Company  within the meaning of the Act, each officer of
the Company who has signed the Registration Statement,  and each director of the
Company shall have the same rights to  contribution  as the Company,  subject in
each case to this  subparagraph  (d), Any party entitled to  contribution  will,
promptly  after  receipt  of  notice  of  commencement  of any  action,  suit or
proceeding  against such party in respect to which a claim for  contribution may
be made against  another party or parties under this  subparagraph  (d),  notify
such party or parties from whom contribution may be sought,  but the omission so
to notify such party or parties shall not relieve the

                                       33


<PAGE>



party or parties from whom  contribution may be sought from any obligation it or
they may have hereunder or otherwise than under this subparagraph (d), or to the
extent that such party or parties were not adversely  affected by such omission.
The  contribution  agreement  set  forth  above  shall  be in  addition  to  any
liabilities which any indemnifying party may have at common law or otherwise.

     8. Representations and Agreements to Survive Delivery. All representations,
warranties  and   agreements   contained  in  this  Agreement  or  contained  in
certificates  of officers of the Company  submitted  pursuant  hereto,  shall be
deemed to be representations,  warranties and agreements at the Closing Date and
any  Option  Closing  Date,  as the  case  may  be,  and  such  representations,
warranties and agreements of the Company and the respective indemnity agreements
contained  in Section 7 hereof,  shall  remain  operative  and in full force and
effect regardless of any investigation  made by or on behalf of any Underwriter,
the Company, any controlling person of any Underwriter or the Company, and shall
survive  termination  of this  Agreement  or the  issuance  and  deliver  of the
Securities to the Underwriters and the Representative, as the case may be.

     9. Effective Date. This Agreement shall become effective at 10:00 a.m., New
York City time, on the next full  business day following the date hereof,  or at
such  earlier time after the  Registration  Statement  becomes  effective as the
Representative, in it's discretion, shall release the Securities for the sale to
the public;  provided,  however,  that the provisions of Sections 5, 7 and 10 of
this Agreement shall at all times be effective.  For purposes of this Section 9,
the  Securities  to be  purchased  hereunder  shall be  deemed  to have  been so
released  upon the earlier of dispatch by the  Representative  of  telegrams  to
securities  dealers  releasing  such  shares for  offering or the release by the
Representative  for  publication of the first newspaper  advertisement  which is
subsequently published relating to the Securities.

     10.  Termination.

          (a) Subject to subsection  (b) of this Section 10, the  Representative
shall  have the  right to  terminate  this  Agreement,  (i) if any  domestic  or
international   event  or  act  or   occurrence   has   disrupted,   or  in  the
Representative's  opinion will in the  immediate  future  disrupt the  financial
markets; or (ii) any material adverse change in the financial markets shall have
occurred; or (iii) if trading on the New York Stock Exchange, the American Stock
Exchange,  or in the  over-the-counter  market  shall  have been  suspended,  or
minimum or maximum  prices for trading shall have been fixed,  or maximum ranges
for  prices for  securities  shall have been  required  on the  over-the-counter
market  by the  NASD or by  order  of the  Commission  or any  other  government
authority  having  jurisdiction;  or (iv) if the United States shall have become
involved  in a war  or  major  hostilities,  or if  there  shall  have  been  an
escalation in an existing war or major hostilities or a national emergency shall
have been declared in the United States; or (v) if a banking moratorium has been
declared by a state or federal  authority;  or (vi) if a  moratorium  in foreign
exchange  trading  has  been  declared;  or  (vii) if the  Company,  shall  have
sustained  a loss  material  or  substantial  to the  Company  by  fire,  flood,
accident, hurricane,  earthquake, theft, sabotage or other calamity or malicious
act  which,  whether  or not such loss shall  have been  insured,  will,  in the
Representative's  opinion,  make it  inadvisable to proceed with the delivery of
the Securities; or (vii) if there shall have been such a material adverse change
in the condition (financial or otherwise), business affairs or prospects of

                                       34


<PAGE>



the Company,  whether or not arising in the ordinary  course of business,  which
would render, in the Representative's judgment, either of such parties unable to
perform  satisfactorily  its  respective  obligations  as  contemplated  by this
Agreement or the Registration  Statement, or such material adverse change in the
general  market,  political  or  economic  conditions,  in the United  States or
elsewhere  as in the  Representative's  judgment  would make it  inadvisable  to
proceed with the offering, sale and/or delivery of the Securities.

          (b)  If  this  Agreement  is  terminated  by  the   Representative  in
accordance  with the  provisions of Section  10(a),  the Company shall  promptly
reimburse and indemnify the Representative  for all of its actual  out-of-pocket
expenses,  including the fees and  disbursements of counsel for the Underwriters
in an amount not to exceed  $50,000  (less amounts  previously  paid pursuant to
Section 5(c) above).  Notwithstanding  any contrary provision  contained in this
Agreement,  if this Agreement shall not be carried out within the time specified
herein, or any extension thereof granted to the Representative, by reason of any
failure on the part of the  Company to perform  an  undertaking  or satisfy  any
condition  of  this  Agreement  to be  performed  or  satisfied  by the  Company
(including,  without limitation,  pursuant to Section 6 or Section 12) then, the
Company shall promptly reimburse and indemnify the Representative for all of its
actual out-of-pocket  expenses,  including the fees and disbursements of counsel
for the  Underwriters  (less amounts  previously  paid pursuant to Section 5 (c)
above).  In addition,  the Company  shall remain liable for all Blue Sky counsel
fees and  expenses  and Blue  Sky  filing  fees.  Notwithstanding  any  contrary
provision contained in this Agreement, any election hereunder or any termination
of this Agreement (including, without limitation, pursuant to Sections 6, 10, 11
and 12 hereof),  and whether or not this Agreement is otherwise carried out, the
provisions  of Section 5 and Section 7 shall not be in any way  affected by such
election or  termination  or failure to carry out the terms of this Agreement or
any part hereof.

     11.  Substitution of the  Underwriters.  If one or more of the Underwriters
shall fail (otherwise than for a reason sufficient to justify the termination of
this  Agreement  under the  provisions  of Section  6,  Section 10 or Section 12
hereof) to purchase the Securities which it or they are obligated to purchase on
such date under this Agreement (the "Defaulted Securities"),  the Representative
shall have the right, within 24 hours thereafter, to make arrangement for one or
more of the non-defaulting Underwriters,  or any other underwriters, to purchase
all, but not less than all, of the  Defaulted  Securities in such amounts as may
be  agreed  upon  and  upon  the  terms  herein  set  forth;  if,  however,  the
Representative  shall not have completed such  arrangements  within such 24-hour
period, then:

          (a) if the number of Defaulted  Securities  does not exceed 10% of the
total  number of Firm Units to be  purchased  on such date,  the  non-defaulting
Underwriters  shall be  obligated  to purchase  the full  amount  thereof in the
proportions that their respective underwriting obligations hereunder bear to the
underwriting obligations of all non-defaulting Underwriters, or

          (b) if the number of  Defaulted  Securities  exceeds  10% of the total
number of Firm Units,  this Agreement shall terminate  without  liability on the
part of any non-defaulting Underwriters.

                                       35


<PAGE>



          No action taken  pursuant to this Section shall relieve any defaulting
Underwriter from liability in respect of any default by such  Underwriter  under
this Agreement.

     In the event of any such default which does not result in a termination  of
this Agreement,  the Representative shall have the right to postpone the Closing
Date for a period  not  exceeding  seven  days in order to effect  any  required
changes in the Registration Statement or Prospectus or in any other documents.

     12.  Default by the Company.  If the Company shall fail at the Closing Date
or any Option  Closing  Date, as  applicable,  to sell and deliver the number of
Units which it is obligated to sell hereunder on such date,  then this Agreement
shall  terminate  (or, if such  default  shall occur with  respect to any Option
Securities to be purchased on any Option Closing Date, the  Underwriters  may at
the  Representative's  option, by notice from the Representative to the Company,
terminate the  Underwriters'  obligation to purchase Option  Securities from the
Company on such date)  without any  liability on the part of any  non-defaulting
party  other than  pursuant to Section 5,  Section 7 and  Section 10 hereof.  No
action taken pursuant to this Section shall relieve the Company from  liability,
if any, in respect of such default.

     13. Notices.  All notices and  communications  hereunder,  except as herein
otherwise specifically provided, shall be in writing and shall be deemed to have
been  duly   given  if  mailed  or   transmitted   by  any   standard   form  of
telecommunication.  Notices  to  the  Underwriters  shall  be  directed  to  the
Representative at 2 Broadway, New York, New York 10004, Attention: Mr. Robert A.
Schneider,  Chairman  of the Board,  with a copy to  Bachner,  Tally,  Polevoy &
Misher LLP, 380 Madison  Avenue,  New York, NY 10017,  Attention:  Fran Stoller,
Esq.  Notices to the Company shall be directed to the Company at New York Health
Care, Inc. 1667 Flatbush Avenue,  Brooklyn,  New York, Attn: Jerry Braun, with a
copy to Scheichet & Davis, P.C., 505 Park Avenue, New York, NY 10022, Attention:
William Davis, Esq.

     14. Parties.  This Agreement shall inure solely to the benefit of and shall
be binding upon,  the  Underwriters,  the Company and the  controlling  persons,
directors  and officers  referred to in Section 7 hereof,  and their  respective
successors,  legal representatives and assigns and no other person shall have or
be construed to have any legal or equitable  right,  remedy or claim under or in
respect of or by virtue of this Agreement or any provisions herein contained. No
purchaser of Securities from any  Underwriter  shall be deemed to be a successor
by reason merely of such purchase.

     15.  Construction.  This  Agreement  shall be governed by and construed and
enforced in  accordance  with the laws of the State of New York  without  giving
effect to the choice of law or conflict of laws principles.

     16.  Counterparts.  This  Agreement  may  be  executed  in  any  number  of
counterparts,  each of which shall be deemed to be an original, and all of which
taken together shall be deemed to be one and the same instrument.

                                       36


<PAGE>



     17. Entire  Agreement;  Amendments.  This Agreement,  the  Representative's
Warrant Agreement and the Warrant  Agreement  constitute the entire agreement of
the  parties  hereto  and  supersede  all  prior  written  or  oral  agreements,
understandings and negotiations with respect to the subject matter hereof.  This
Agreement may not be amended except in a writing,  signed by the  Representative
and the Company.

     If the  foregoing  correctly  sets  forth  the  understanding  between  the
Underwriters and the Company, please so indicate in the space provided below for
that purpose,  whereupon this letter shall constitute a binding  agreement among
us.

                                       Very truly yours,

                                       NEW YORK HEALTH CARE, INC.


                                       By:
                                          --------------------------------------
                                          Jerry Braun, President


Confirmed and accepted as of
the date first above written

RAS SECURITIES CORP.
  For itself and as Representative of the several
  Underwriters named in Schedule A hereto

By:
   -----------------------------
   Robert A. Schneider, Chairman


                                       37


<PAGE>

                                   SCHEDULE A




Name of Underwriters                                       Number of Firm
                                                           Securities to
                                                           be purchased





TOTAL..................................................

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



                                       38



                          CERTIFICATE OF INCORPORATION

                                       OF

                           NEW YORK HEALTH CARE, INC.

                Under Section 402 of the Business Corporation Law

IT IS HEREBY CERTIFIED THAT:

(1) The name of the Corporation is:

                           NEW YORK HEALTH CARE, INC.

(2) The purpose of the Corporation is to engage in any lawful act or activity
for which corporations may be organized pursuant to the Business Corporation Law
of the State of New York. The Corporation is not to engage in any act or
activity requiring any consents or approvals by law.

     For the accomplishment of the aforesaid purposes, and in furtherance
thereof, the Corporation shall have, and may exercise, all of the powers
conferred by the Business Corporation Law upon corporations formed thereunder,
subject to any limitations contained in Article 2 of said law or in accordance
with the provisions of any other statute of the State of New York.

(3) The number of shares which the Corporation shall have the authority to issue
is 200 Shares at no par value.

(4) The principal office of the corporation is to be located in the City of New
York County of Kings State of New York.

(5) The Secretary of State is designated as agent of the Corporation upon whom
process against it may be served. The post office address to which the Secretary
of State shall mail a copy of any process against the Corporation served upon
him is:
               c/o  Sam Soroka
                    4704-13th Ave.
                    Brooklyn, NY 11219

The undersigned incorporator is of the age of eighteen years or older.

IN WITNESS WHEREOF, this certificate has been subscribed this 16th day of
February, 1983 by the undersigned who affirms that the statements made herein
are true under the penalties of perjury.

/s/ Helen C. Mlock                      170 Washington Avenue, Albany, NY 12210
- ----------------------------            ---------------------------------------
Helen C. Mlock, Incorporator            Address




State of New York   }
                    } ss:
Department of State }

I hereby certify that I have compared the annexed copy of the original document
filed by the Department of State and that the same is a correct transcript of
said original.



Witness my hand and seal of the Department of State on         MAR 26 1996

                                     [SEAL]

                               STATE OF NEW YORK
                              DEPARTMENT OF STATE


                                                   /s/ Alexander F. Treadwell
                                                       Secretary of State

DOS-200 (Rev. 1/95)




<PAGE>


                                    RESTATED

                          CERTIFICATE OF INCORPORATION             F960326000392

                                       OF

                           NEW YORK HEALTH CARE, INC.

                            Under Section 807 of the
                            Business Corporation Law
                                                                      UNI-37

     The undersigned, being, respectively, the president and secretary of the
     corporation, hereby certify as follows:

     FIRST: The name of the corporation is

                           NEW YORK HEALTH CARE, INC.

     SECOND: The date when the Certificate of Incorporation was filed by the
Department of State is the twenty-fourth day of February, 1983.

     THIRD: (a) The text of the Certificate of Incorporation is amended as
follows:

          (A) Paragraph (3) relating to the authorized shares is amended to
          change the authorized shares from 200 common shares no par value to
          10,000,000 common shares at $.01 par value; and to add a Class of
          2,000,000 preferred shares at $.01 par value; (B) Paragraph (2)
          relating to the corporate purposes; (C) Paragraph (5) relating to the
          address for process; (D) Paragraph (6) relating to indemnification is
          added;

     (b) The text of the Certificate of Incorporation, as amended heretofore, is
hereby restated as further amended to read as herein set forth in full:

     "(1): The name of the corporation is
                           NEW YORK HEALTH CARE, INC.

     (2): The corporation is formed to engage in any lawful act or activity for
which corporations may be organized under the Business Corporation Law of the
State of New York, provided that it is not formed to engage in any act or
activity which requires the consent or approval of any state official,
department, board, agency or other body, without such approval or consent first
being obtained.


                                       1


<PAGE>


     (3): (a) The corporation shall be authorized to issue the following shares:


         Class                      Number of Shares             Par Value
         -----                      ----------------             ---------
         COMMON                     10,000,000                   $.01
         PREFERRED                  2,000,000                    $.01

     (b) No holder of any shares of the corporation shall, because of his
ownership of shares of the corporation, have a pre-emptive or other right to
purchase, subscribe for, or take any part of any shares of the corporation, or
any part of any notes, debentures, bonds, or other securities convertible into
or providing for options or warrants to purchase shares of the corporation which
are issued, offered, or sold by the corporation after its incorporation, whether
the shares, notes, debentures, bonds, or other securities, be authorized by this
certificate of incorporation or by an amended certificate duly filed and in
effect at the time of the issuance, offer, or sale of such shares, notes,
debentures, bonds, or other securities. Any part of the shares authorized by
this certificate of incorporation, or by an amended certificate duly filed and
any part of any notes, debentures, bonds, or other securities convertible into
or providing for options or warrants to purchase shares of the corporation may
at any time be issued, offered for sale, and sold or disposed of by the
corporation, pursuant to a resolution of its Board of Directors and to such
persons and upon such terms and conditions as the Board of Directors may, in its
sole discretion, deem proper and advisable, without first offering to existing
shareholders any part of such shares, notes, debentures, bonds, or other
securities.

     (c) The Preferred shares shall be issued from time to time in one or more
series, with such distinctive serial designations as shall be stated and
expressed in the resolution or resolutions providing for the issue of such
shares from time to time adopted by the Board of Directors; and in such
resolution or resolutions providing for the issue of shares of each particular
series; the Board of Directors is expressly authorized to fix the annual rate or
rates of dividends for the particular series; the dividend payment dates for the
particular series and the date from which dividends on all shares of such series
issued prior to the record date for the first dividend payment date shall be
cumulative; the redemption price or prices for the particular series; the voting
powers for the particular series; the rights, if any, of holders of the shares
of the particular series to convert the same into shares of any other series or
class or other securities of the corporation, with any provisions for the
subsequent adjustment of such conversion rights; and to classify or reclassify
any unissued preferred shares by fixing or altering from time to time any of the
foregoing rights, privileges and qualifications.

     All the Preferred shares of any one series shall be identical with each
other in all respects, except that shares of any one series issued at different
times may differ as to the dates from which dividends thereon shall be
cumulative; and all preferred shares shall be of equal rank, regardless of
series, and shall be identical in all respects except as to the particulars
fixed by the Board as hereinabove provided or as fixed herein.


                                       2


<PAGE>


     (4): The principle office of the corporation in the State of New York shall
be located in the County of Kings.

     (5): The Secretary of State is designated as the agent of the corporation
upon whom process against the corporation may be served, and the address to
which the Secretary of State shall mail a copy of any process against the
corporation served upon him is c/o Scheichet & Davis, P.C., 505 Park Avenue, New
York, New York 10022.

     (6): (a) The corporation may, to the fullest extent permitted by Section
721 through 726 of the Business Corporation Law of New York, indemnify any and
all directors and officers whom it shall have power to indemnify under the said
sections from and against any and all of the expenses, liabilities or other
matters referred to in or covered by such section, and the indemnification
provided for herein shall not be deemed exclusive of any other rights to which
the persons so indemnified may be entitled under any By-Law, agreement, vote of
shareholders or disinterested directors or otherwise, both as to action in
his/her official capacity and as to action in another capacity by holding such
office, and shall continue as to a person who has ceased to be a director or
officer and shall inure to the benefits of the heirs, executors and
administrators of such a person.

     (b) A director of this Corporation shall not be personally liable to the
Corporation or its shareholders for damages for any breach of duty in his/her
capacity as a director, unless a judgement or other final adjudication adverse
to him/her establishes that (i) his/her acts or omissions were in bad faith or
involved intentional misconduct or a knowing violation of law, or (ii) he/she
personally gained in fact a financial or other advantage to which he/she was not
legally entitled or (iii) his/her acts violated Section 719 of the Business
Corporation Law."

     FOURTH: That the 40 presently issued Common shares without par value are
hereby changed, on a one for 48,500 basis, into 1,940,000 issued Common shares
par value $.01 per share.

     That the 160 presently unissued Common shares without par value are hereby
changed, on a one for 50,375 basis, into 8,060,000 unissued Common shares par
value $.01 per share.

     FIFTH: The Restated Certificate of Incorporation was authorized by the
unanimous written consent of the holders of all of the outstanding shares
entitled to vote thereon. Said authorization is subsequent to the affirmative
vote of the Board of Directors.


                                       3


<PAGE>


     IN WITNESS THEREOF, we hereunto sign our names and affirm that the
statements made herein are true under the penalties of perjury, this 21st day of
March 1996.



                                             NEW YORK HEALTH CARE, INC.


                                             S/JERRY BRAUN
                                             -----------------------------------
                                             Jerry Braun, President


                                             S/JACOB ROSENBERG
                                             -----------------------------------
                                             Jacob Rosenberg, Secretary


                                       4


<PAGE>


                                                                   F960326000392

                                    RESTATED

                          CERTIFICATE OF INCORPORATION


                                       OF

                           NEW YORK HEALTH CARE, INC.

                            Under Section 807 of the
                            Business Corporation Law




                             Scheichet & Davis, P.C.
                                 505 Park Avenue
                            New York, New York 10022


  FILED
MAR 26  3:41 PM '96


fac $50 tax


      RECEIVED

MAR 26   10 45 am '96



UNI-37

BILLED


        ICC
 STATE OF NEW YORK
DEPARTMENT OF STATE

 FILED MAR 26 1996

      TAX $ 50
    -------------

      BY: fac
    -------------
        Kings


960326000409


                                       5



 
                                                                     EXHIBIT 3.3

                            CERTIFICATE OF CORRECTION
                                       OF
                      RESTATED CERTIFICATE OF INCORPORATION
                                       OF
                           NEW YORK HEALTH CARE, INC.

                            Under Section 105 of the
                            Business Corporation Law





                            Scheichet & Davis, P. C.
                                 505 Park Avenue
                           New York, New York 10022




<PAGE>



                            CERTIFICATE OF CORRECTION
                                       OF
                      RESTATED CERTIFICATE OF INCORPORATION
                                       0F
                           NEW YORK HEALTH CARE, INC.

                            Under Section 105 of the
                            Business Corporation Law

     The  undersigned  being  respectively,  the  president and secretary of the
corporation, does hereby certify and sets forth as follows:

     FIRST: The name of the corporation is

                           NEW YORK HEALTH CARE, INC.

     SECOND: The date of the filing of Restated  Certificate of Incorporation to
be corrected was filed with the Department of State is the  twenty-sixth  day of
March, 1996.

     THIRD: The nature of the incorrect statements are as follows:

     In paragraph FOURTH the figures specifying the rate of change of issued and
unissued  shares of the  previously  existing 200 no par value Common  shares to
issued and  unissued  shares at .01 par value were  incorrectly  stated  thereby
causing the  resulting  amount of issued and  unissued  shares of the new Common
stock structure to be incorrectly stated.

     FOURTH: The provision in the certificate as corrected is as follows:

          "FOURTH:  That the 40 presently issued Common shares without par value
     are hereby changed,  on a 1 for 56,625 basis,  into 2,265,000 issued Common
     shares par value $.01 per share.

          That the 16O presently  unissued  Common shares  without par value are
     hereby changed,  on a 1 for 48,343.75 basis into 7,735,000  unissued Common
     shares par value $.01 per share."

         IN WITNESS  WHEREOF,  We hereunto sign our names this sixteenth day of
May, 1996, and affirm that the statements  contained  herein are true under the
penalties of perjury.

                                                      NEW YORK HEALTH CARE, INC.

                                                  /s/ Jerry Braun
                                                  -----------------------------
                                                      Jerry Braun, President

                                                  /s/ Jacob Rosenberg
                                                  -----------------------------
                                                      Jacob Rosenberg, Secretary

                                                            




                                     BY-LAWS
                                       of
                            NEW YORK HEALTH CARE, INC

                                ARTICLE I - OFFICES

     The principal office of the corporation shall be in the Borough of Brooklyn
County of Kings State of New York. The corporation may also have offices at such
other places within or without the State of New York as the board may from time
to time determine or the business of the corporation may require.

                            ARTICLE II - SHAREHOLDERS

1. PLACE OF MEETINGS.

      Meetings of shareholders shall be held at the principal office of the
corporation or at such place within or without the State of New York as the
board shall authorize.

2. ANNUAL MEETING.

     The annual meeting of the shareholders shall be held on the First Tuesday
of April at 10:00 a.m. in each year if not a legal holiday, and, if a legal
holiday, then on the next business day following at the same hour, when the
shareholders shall elect a board and transact such other business as may
properly come before the meeting.

3. SPECIAL MEETINGS.

       Special meetings of the shareholders may be called by the board or by the
president and shall be called by the president or the secretary at the request
in writing of a majority of the board or at the request in writing by
shareholders owning a majority in amount of the shares issued and outstanding.
Such request shall state the purpose or purposes of the proposed meeting.
Business transacted at a special meeting shall be confined to the purposes
stated in the notice.

4. FIXING RECORD DATE.

       For the purpose of determining the shareholders entitled to notice of or
to vote at any meeting of shareholders or any adjournment thereof, or to express
consent to or dissent from any proposal without a meeting, or for the purpose of
determining shareholders entitled to receive payment of any dividend or the
allotment of any rights, or for the purpose of any other

                                    By-Laws A



<PAGE>


action, the board shall fix, in advance, a date as the record date for any such
determination of shareholders. Such date shall not be more than fifty nor less
than ten days before the date of such meeting, nor more than fifty days prior to
any other action. If no record date is fixed it shall be determined in
accordance with the provisions of law.

5. NOTICE OF MEETINGS OF SHAREHOLDERS.

       Written notice of each meeting of shareholders shall state the purpose or
purposes for which the meeting is called, the place, date and hour of the
meeting and unless it is the annual meeting, shall indicate that it is being
issued by or at the direction of the person or persons calling the meeting.
Notice shall be given either personally or by mail to each shareholder entitled
to vote at such meeting, not less than ten nor more than fifty days before the
date of the meeting. If action is proposed to be taken that might entitle
shareholders to payment for their shares, the notice shall include a statement
of that purpose and to that effect. If mailed, the notice is given when
deposited in the United States mail, with postage thereon prepaid, directed to
the shareholder at his address as it appears on the record of shareholders, or,
if he shall have filed with the secretary a written request that notices to him
be mailed to some other address, then directed to him at such other address.

6. WAIVERS.

       Notice of meeting need not be given to any shareholder who signs a waiver
of notice, in person or by proxy, whether before or after the meeting. The
attendance of any shareholder at a meeting, in person or by proxy, without
protesting prior to the conclusion of the meeting the lack of notice of such
meeting, shall constitute a waiver of notice by him.

7. QUORUM OF SHAREHOLDERS.

       When a quorum is once present to organize a meeting, it is not broken by
the subsequent withdrawal of any shareholders.

       The shareholders present may adjourn the meeting despite the absence of a
quorum.

                                    By-Laws B



<PAGE>


action, the board shall fix, in advance, a date as the record date for any such
determination of shareholders. Such date shall not be more than fifty nor less
than ten days before the date of such meeting, nor more than fifty days prior to
any other action. If no record date is fixed it shall be determined in
accordance with the provisions of law.

5. NOTICE OF MEETINGS OF SHAREHOLDERS.

      Written notice of each meeting of shareholders shall state the purpose or
purposes for which the meeting is called, the place, date and hour of the
meeting and unless it is the annual meeting, shall indicate that it is being
issued by or at the direction of the person or persons calling the meeting.
Notice shall be given either personally or by mail to each shareholder entitled
to vote at such meeting, not less than ten nor more than fifty days before the
date of the meeting. If action is proposed to be taken that might entitle
shareholders to payment for their shares, the notice shall include a statement
of that purpose and to that effect. If mailed, the notice is given when
deposited in the United States mail, with postage thereon prepaid, directed to
the shareholder at his address as it appears on the record of shareholders, or,
if he shall have filed with the secretary a written request that notices to him
be mailed to some other address, then directed to him at such other address.

6. WAIVERS.

       Notice of meeting need not be given to any shareholder who signs a waiver
of notice, in person or by proxy, whether before or after the meeting. The
attendance of any shareholder at a meeting, in person or by proxy, without
protesting prior to the conclusion of the meeting the lack of notice of such
meeting, shall constitute a waiver of notice by him.

7. QUORUM OF SHAREHOLDERS.

       Unless the certificate of incorporation provides otherwise, the holders
of a majority of the shares entitled to vote thereat shall constitute a quorum
at a meeting of shareholders for the transaction of any business, provided that
when a specified item of business is required to be voted on by a class or
classes, the holders of a majority of the shares of such class or classes shall
constitute a quorum for the transaction of such specified item of business.

       When a quorum is once present to organize a meeting, it is not broken by
the subsequent withdrawal of any shareholders.

       The shareholders present may adjourn the meeting despite the absence of a
quorum.

                                    By-Laws B



<PAGE>


8. PROXIES. 

      Every shareholder entitled to vote at a meeting of shareholders or to
express consent or dissent without a meeting may authorize another person or
persons to act for him by proxy.

      Every proxy must be signed by the shareholder or his attorney-in-fact. No
proxy shall be valid after expiration of eleven months from the date thereof
unless otherwise provided in the proxy. Every proxy shall be revocable at the
pleasure of the shareholder executing it, except as otherwise provided by law.

9. QUALIFICATION OF VOTERS.

       Every shareholder of record shall be entitled at every meeting of
shareholders to one vote for every share standing in his name on the record of
shareholders, unless otherwise provided in the certificate of incorporation.

10. VOTE OF SHAREHOLDERS.

       Except as otherwise required by statute or by the certificate of
incorporation;

       (a) directors shall be elected by a plurality of the votes cast at a
meeting of shareholders by the holders of shares entitled to vote in the
election;

       (b) all other corporate action shall be authorized by a majority of the
votes cast.

11. WRITTEN CONSENT OF SHAREHOLDERS.

      Any action that may be taken by vote may be taken without a meeting on
written consent, setting forth the action so taken, signed by the holders of all
the outstanding shares entitled to vote thereon or signed by such lesser number
of holders as may be provided for in the certificate of incorporation.

                           ARTICLE III - DIRECTORS

1. BOARD OF DIRECTORS.

       Subject to any provision in the certificate of incorporation the business
of the corporation shall be managed by its board of directors, each of whom
shall be at least 18 years of age and shall be shareholders.

2. NUMBER OF DIRECTORS.

       The number of directors shall be Three. When all of the shares are owned
by less than three shareholders, the number of directors may be less than three
but not less than the number of shareholders.

                                   By-Laws C



<PAGE>


3. ELECTION AND TERM OF DIRECTORS.

      At each annual meeting of shareholders, the shareholders shall elect
directors to hold office until the next annual meeting. Each director shall hold
office until the expiration of the term for which he is elected and until his
successor has been elected and qualified, or until his prior resignation or
removal.

4. NEWLY CREATED DIRECTORSHIPS AND VACANCIES.

      Newly created directorships resulting from an increase in the number of
directors and vacancies occurring in the board for any reason except the removal
of directors without cause may be filled by a vote of a majority of the
directors then in office, although less than a quorum exists, unless otherwise
provided in the certificate of incorporation. Vacancies occurring by reason of
the removal of directors without cause shall be filled by vote of the
shareholders unless otherwise provided in the certificate of incorporation. A
director elected to fill a vacancy caused by resignation, death or removal shall
be elected to hold office for the unexpired term of his predecessor.

5. REMOVAL OF DIRECTORS.

      Any or all of the directors may be removed for cause by vote of the
shareholders or by action of the board. Directors may be removed without cause
only by vote of the shareholders.

6. RESIGNATION.

      A director may resign at any time by giving written notice to the board,
the president or the secretary of the corporation. Unless otherwise specified in
the notice, the resignation shall take effect upon receipt thereof by the board
or such officer, and the acceptance of the resignation shall not be necessary to
make it effective.

7. QUORUM OF DIRECTORS.

       Unless otherwise provided in the certificate of incorporation, a majority
of the entire board shall constitute a quorum for the transaction of business or
of any specified item of business.

8. ACTION OF THE BOARD.

       Unless otherwise required by law, the vote of a majority of the directors
present at the time of the vote, if a quorum is present at such time, shall be
the act of the board. Each director present shall have one vote regardless of
the number of shares, if any, which he may hold.

                                  By-Laws D



<PAGE>


9. PLACE AND TIME OF BOARD MEETINGS.

       The board may hold its meetings at the office of the corporation or at
such other places, either within or without the State of New York, as it may
from time to time determine.

10. REGULAR ANNUAL MEETING.

      A regular annual meeting of the board shall be held immediately following
the annual meeting of shareholders at the place of such annual meeting of
shareholders.

11. NOTICE OF MEETINGS OF THE BOARD, ADJOURNMENT.

       (a) Regular meetings of the board may be held without notice at such time
and place as it shall from time to time determine. Special meetings of the board
shall be held upon notice to the directors and may be called by the president
upon three days notice to each director either personally or by mail or by wire;
special meetings shall be called by the president or by the secretary in a like
manner on written request of two directors. Notice of a meeting need not be
given to any director who submits a waiver of notice whether before or after the
meeting or who attends the meeting without protesting prior thereto or at its
commencement, the lack of notice to him.

       (b) A majority of the directors present, whether or not a quorum is
present, may adjourn any meeting to another time and place. Notice of the
adjournment shall be given all directors who were absent at the time of the
adjournment and, unless such time and place are announced at the meeting, to the
other directors.

12. CHAIRMAN.

      At all meetings of the board the president, or in his absence, a chairman
chosen by the board shall preside.

13. EXECUTIVE AND OTHER COMMITTEES.

       The board, by resolution adopted by a majority of the entire board, may
designate from among its members an executive committee and other committees,
each consisting of three or more directors. Each such committee shall serve at
the pleasure of the board.

14. COMPENSATION.

       No compensation shall be paid to directors, as such, for their services,
but by resolution of the board a fixed sum and expenses for actual attendance,
at each regular or special meeting of the board may be author-

                                By-Laws E



<PAGE>


ized. Nothing herein contained shall be construed to preclude any director from
serving the corporation in any other capacity and receiving compensation
therefor.

                             ARTICLE IV - OFFICERS

1. OFFICES, ELECTION, TERM.

      (a) Unless otherwise provided for in the certificate of incorporation, the
board may elect or appoint a president, one or more vice-presidents, a secretary
and a treasurer, and such other officers as it may determine, who shall have
such duties, powers and functions as hereinafter provided.

      (b) All officers shall be elected or appointed to hold office until the
meeting of the board following the annual meeting of shareholders.

      (c) Each officer shall hold office for the term for which he is elected or
appointed and until his successor has been elected or appointed and qualified.

2. REMOVAL, RESIGNATION, SALARY, ETC.

      (a) Any officer elected or appointed by the board may be removed by the
board with or without cause.

      (b) In the event of the death, resignation or removal of an officer, the
board in its discretion may elect or appoint a successor to fill the unexpired
term.

      (c) Any two or more offices may be held by the same person, except the
offices of president and secretary. When all of the issued and outstanding stock
of the corporation is owned by one person, such person may hold all or any
combination of offices.

     (d) The salaries of all officers shall be fixed by the board.

     (e) The directors may require any officer to give security for the faithful
performance of his duties.

3. PRESIDENT.

      The president shall be the chief executive officer of the corporation; he
shall preside at all meetings of the shareholders and of the board; he shall
have the management of the business of the corporation and shall see that all
orders and resolutions of the board are carried into effect.

4. VICE-PRESIDENTS.

     During the absence or disability of the president, the vice-president, or
if there are more than one, the executive vice-president, shall have all

                                    By-Laws F



<PAGE>


the powers and functions of the president. Each vice-president shall perform
such other duties as the board shall prescribe.

5. SECRETARY.

The secretary shall:

     (a) attend all meetings of the board and of the shareholders;

     (b) record all votes and minutes of all proceedings in a book to be kept
for that purpose;

     (c) give or cause to be given notice of all meetings of shareholders and of
special meetings of the board;

     (d) keep in safe custody the seal of the corporation and affix it to any
instrument when authorized by the board;

     (e) when required, prepare or cause to be prepared and available at each
meeting of shareholders a certified list in alphabetical order of the names of
shareholders entitled to vote thereat, indicating the number of shares of each
respective class held by each;

     (f) keep all the documents and records of the corporation as required by
law or otherwise in a proper and safe manner.

     (g) perform such other duties as may be prescribed by the board.

6. ASSISTANT-SECRETARIES.

     During the absence or disability of the secretary, the assistant-secretary,
or if there are more than one, the one so designated by the secretary or by the
board, shall have all the powers and functions of the secretary.

7. TREASURER.

The treasurer shall:

     (a) have the custody of the corporate funds and securities;

     (b) keep full and accurate accounts of receipts and disbursements in the
corporate books;

     (c) deposit all money and other valuables in the name and to the credit of
the corporation in such depositories as may be designated by the board;

     (d) disburse the funds of the corporation as may be ordered or authorized
by the board and preserve proper vouchers for such disbursements;

       (e) render to the president and board at the regular meetings of the
board, or whenever they require it, an account of all his transactions as

                                  By-Laws G




<PAGE>


treasurer and of the financial condition of the corporation;

     (f) render a full financial report at the annual meeting of the
shareholders if so requested;

     (g) be furnished by all corporate officers and agents at his request, with
such reports and statements as he may require as to all financial transactions
of the Corporation;

     (h) perform such other duties as are given to him by these by-laws or as
from time to time are assigned to him by the board or the president.

8. ASSISTANT-TREASURER.

       During the absence or disability of the treasurer, the
assistant-treasurer, or if there are more than one, the one so designated by the
secretary or by the board, shall have all the powers and functions of the
treasurer.

9. SURETIES AND BONDS.

       In case the board shall so require, any officer or agent of the
corporation shall execute to the corporation a bond in such sum and with such
surety or sureties as the board may direct, conditioned upon the faithful
performance of his duties to the corporation and including responsibility for
negligence and for the accounting for all property, funds or securities of the
corporation which may come into his hands.

                      ARTICLE V - CERTIFICATES FOR SHARES

1. CERTIFICATES.

       The shares of the corporation shall be represented by certificates. They
shall be numbered and entered in the books of the corporation as they are
issued. They shall exhibit the holder's name and the number of shares and shall
be signed by the president or a vice-president and the treasurer or the
secretary and shall bear the corporate seal.

2. LOST OR DESTROYED CERTIFICATES.

       The board may direct a new certificate or certificates to be issued in
place of any certificate or certificates theretofore issued by the corporation,
alleged to have been lost or destroyed, upon the making of an affidavit of that
fact by the person claiming the certificate to be lost or destroyed. When
authorizing such issue of a new certificate or certificates, the board may, in
its discretion and as a condition precedent to the issuance thereof, require the
owner of such lost or destroyed certificate or certificates, or his legal
representative, to advertise the same in such manner as it shall

                                 By-Laws H



<PAGE>


require and/or give the corporation a bond in such sum and with such surety or
sureties as it may direct as indemnity against any claim that may be made
against the corporation with respect to the certificate alleged to have been
lost or destroyed.

3. TRANSFERS OF SHARES.

       (a) Upon surrender to the corporation or the transfer agent of the
corporation of a certificate for shares duly endorsed or accompanied by proper
evidence of succession, assignment or authority to transfer, it shall be the
duty of the corporation to issue a new certificate to the person entitled
thereto, and cancel the old certificate; every such transfer shall be entered on
the transfer book of the corporation which shall be kept at its principal
office. No transfer shall be made within ten days next preceding the annual
meeting of shareholders.

       (b) The corporation shall be entitled to treat the holder of record of
any share as the holder in fact thereof and, accordingly, shall not be bound to
recognize any equitable or other claim to or interest in such share on the part
of any other person whether or not it shall have express or other notice
thereof, except as expressly provided by the laws of New York.

4. CLOSING TRANSFER BOOKS.

       The board shall have the power to close the share transfer books of the
corporation for a period of not more than ten days during the thirty day period
immediately preceding (1) any shareholders' meeting, or (2) any date upon which
shareholders shall be called upon to or have a right to take action without a
meeting, or (3) any date fixed for the payment of a dividend or any other form
of distribution, and only those shareholders of record at the time the transfer
books are closed, shall be recognized as such for the purpose of (1) receiving
notice of or voting at such meeting, or (2) allowing them to take appropriate
action, or (3) entitling them to receive any dividend or other form of
distribution.

                            ARTICLE VI - DIVIDENDS

       Subject to the provisions of the certificate of incorporation and to
applicable law, dividends on the outstanding shares of the corporation may be
declared in such amounts and at such time or times as the board may determine.
Before payment of any dividend, there may be set aside out of the net profits of
the corporation available for dividends such sum or sums as the board from time
to time in its absolute discretion deems proper as a reserve fund to meet
contingencies, or for equalizing dividends, or for repairing or maintaining any
property of the corporation, or for such other

                                  By-Laws I




<PAGE>


purpose as the board shall think conducive to the interests of the corporation,
and the board may modify or abolish any such reserve.

                          ARTICLE VII - CORPORATE SEAL

       The seal of the corporation shall be circular in form and bear the name
of the corporation, the year of its organization and the words "Corporate Seal,
New York." The seal may be used by causing it to be impressed directly on the
instrument or writing to be sealed, or upon adhesive substance affixed thereto.
The seal on the certificates for shares or on any corporate obligation for the
payment of money may be a facsimile, engraved or printed.

                     ARTICLE VIII - EXECUTION OF INSTRUMENTS

       All corporate instruments and documents shall be signed or countersigned,
executed, verified or acknowledged by such officer or officers or other person
or persons as the board may from time to time designate.

                             ARTICLE IX - FISCAL YEAR

       The fiscal year shall begin the first day of January in each year.

            ARTICLE X - REFERENCES TO CERTIFICATE OF INCORPORATION

      Reference to the certificate of incorporation in these by-laws shall
include all amendments thereto or changes thereof unless specifically excepted.

                           ARTICLE XI - BY-LAW CHANGES

AMENDMENT, REPEAL, ADOPTION, ELECTION OF DIRECTORS.

       (a) Except as otherwise provided in the certificate of incorporation the
by-laws may be amended, repealed or adopted by vote of the holders of the shares
at the time entitled to vote in the election of any directors. By-laws may also
be amended, repealed or adopted by the board but any by-law adopted by the board
may be amended by the shareholders entitled to vote thereon as hereinabove
provided.

       (b) If any by-law regulating an impending election of directors is
adopted, amended or repealed by the board, there shall be set forth in the
notice of the next meeting of shareholders for the election of directors the
by-law so adopted, amended or repealed, together with a concise statement of the
changes made.

                                   By-Laws J


                           NEW YORK HEALTH CARE, INC.

                                       AND

                           CONTINENTAL STOCK TRANSFER
                                AND TRUST COMPANY


                                   ----------


                          REDEEMABLE WARRANT AGREEMENT

                          Dated as of __________ , 1996


<PAGE>



     AGREEMENT,  dated as of this  __________ day of __________ , 1996,  between
NEW  YORK  HEALTH  CARE,  INC.,  a New York  corporation  (the  "Company"),  and
CONTINENTAL  STOCK  TRANSFER AND TRUST  COMPANY,  as Warrant Agent (the "Warrant
Agent").

                              W I T N E S S E T H:

     WHEREAS,  in connection with (i) the offering to the public pursuant to the
Prospectus (the "Prospectus")  contained in the Company's Registration Statement
on Form SB-2  (Registration  No.__________  ) of up to  1,050,000  shares of the
Company's common stock, $.001 par value per share (the "Common Stock"), (ii) the
offering to the public pursuant to the Prospectus of up to 1,050,000  redeemable
warrants (the "Warrants"), each Warrant entitling the holder thereof to purchase
one  additional  share of  Common  Stock,  (iii)  the  over-allotment  option to
purchase up to an  additional  157,500  shares of Common  Stock  and/or  157,500
Warrants,  (the  "Over-allotment  Option"),  and (iv) the sale to RAS Securities
Corp. ("RAS"),  its successors and assigns (the  "Representative"),  of warrants
(the  "Representative's  Warrants")  to purchase up to 105,000  shares of Common
Stock and/or 105,000 Warrants,  the Company will issue up to 1,312,500  Warrants
(subject to increase as provided in the  Representative's  Warrant Agreement and
herein); and

     WHEREAS,  the Company  desires to provide for the issuance of  certificates
representing the Warrants; and

     WHEREAS,  the Company  desires  the  Warrant  Agent to act on behalf of the
Company,  and the  Warrant  Agent is willing to so act, in  connection  with the
issuance,  registration,  transfer and exchange of certificates representing the
Warrants and the exercise of the Warrants.

     NOW, THEREFORE,  in consideration of the premises and the mutual agreements
hereinafter  set forth and for the purpose of defining the terms and  provisions
of  the  Warrants  and  the  certificates  representing  the  Warrants  and  the
respective rights and obligations thereunder of the Company, RAS, the holders of
certificates representing the Warrants and the Warrant Agent, the parties hereto
agree as follows:

     SECTION 1. Definitions.  As used herein, the following terms shall have the
following

                                        1


<PAGE>



meanings, unless the context shall otherwise require:

     (a) "Common Stock" shall mean stock of the Company of any class whether now
or hereafter authorized, which has the right to participate in the voting and in
the  distribution  of  earnings  and assets of the Company  without  limit as to
amount or percentage.

     (b)  "Corporate  Office" shall mean the office of the Warrant Agent (or its
successor) at which at any particular  time its principal  business in New York,
New York, shall be administered, which office is located on the date hereof at 2
Broadway, New York, New York 10004.

     (c) "Exercise  Date" shall mean,  subject to the provisions of Section 5(b)
hereof,  as to any  Warrant,  the date on which the  Warrant  Agent  shall  have
received both (i) the Warrant  Certificate  representing such Warrant,  with the
exercise  form  thereon duly  executed by the  Registered  Holder  hereof or his
attorney duly  authorized in writing,  and (ii) payment in cash or by check made
payable to the Warrant  Agent for the account of the  Company,  of the amount in
lawful money of the United  States of America equal to the  applicable  Purchase
Price in good funds.

     (d) "Initial Warrant Exercise Date" shall mean __________ ,1997.

     (e) "Initial Warrant Redemption Date" shall mean __________ , 1998.

     (f) "Purchase Price" shall mean,  subject to modification and adjustment as
provided in Section 8, $6.00 and further subject to the Company's  right, in its
sole discretion, to decrease the Purchase Price.

     (g) "Registered Holder" shall mean the person in whose name any certificate
representing  the Warrants  shall be registered  on the books  maintained by the
Warrant Agent pursuant to Section 6.

     (h)   "Subsidiary"  or   "Subsidiaries"   shall  mean  any  corporation  or
corporations,  as the case may be, of which stock having ordinary power to elect
a majority of the Board of Directors of such corporation  (regardless of whether
or not at the time stock of any other class or classes of such corporation shall
have or may have voting power by reason of the happening of any  contingency) is
at the  time  directly  or  indirectly  owned by the  Company  or by one or more
Subsidiaries, or by the Company and one or more Subsidiaries.

     (i)  "Transfer  Agent"  shall mean  Continental  Stock  Transfer  and Trust
Company, or its

                                        2


<PAGE>



authorized successor.

     (j)  "Underwriting  Agreement" shall mean the underwriting  agreement dated
__________  , 1996  between the Company and the  Representative  relating to the
purchase  for  resale to the  public of  1,050,000,  shares of Common  Stock and
1,050,000  Warrants plus an  over-allotment  option of 157,500  shares of Common
Stock and/or 157,500 Warrants.

     (k) "Representative's  Warrant Agreement" shall mean the agreement dated as
of __________ , 1996 between the Company and the Representative  relating to and
governing the terms and provisions of the Representative's Warrants.

     (l) "Warrant Certificate" shall mean a certificate representing each of the
Warrants substantially in the form annexed hereto as Exhibit A.

     (m) "Warrant  Expiration Date" shall mean, unless the Warrants are redeemed
as provided in Section 9 hereof prior to such date,  5:00 p.m.  (New York time),
on  __________  , 2001,  or,  if such  date  shall in the State of New York be a
holiday or a day on which banks are  authorized  to close,  then 5:00 p.m.  (New
York  time) on the next  following  day  which in the State of New York is not a
holiday  or a day on  which  banks  are  authorized  to  close,  subject  to the
Company's right,  prior to the Warrant  Expiration Date, in its sole discretion,
to extend such  Warrant  Expiration  Date on five  business  days prior  written
notice to the Registered Holders.

     (n)  "Warrant  Agent"  shall  mean  Continental  Stock  Transfer  and Trust
Company, or its authorized successor.

     SECTION 2. Warrants and Issuance of Warrant Certificates.

     (a) Each  Warrant  shall  initially  entitle the  Registered  Holder of the
Warrant Certificate  representing such Warrant to purchase at the Purchase Price
therefor from the Initial  Warrant  Exercise  Date until the Warrant  Expiration
Date  one  share  of  Common  Stock  upon  the  exercise  thereof,   subject  to
modification and adjustment as provided in Section 8.

     (b) Upon execution of this  Agreement,  Warrant  Certificates  representing
1,050,000  Warrants to purchase up to an aggregate of 1,050,000 shares of Common
Stock (subject to modification and adjustment as provided in Section 8) shall be
executed by the Company and delivered to the Warrant Agent.

                                        3


<PAGE>



     (c)  Upon  exercise  of the  Over-allotment  Option,  in  whole or in part,
Warrant  Certificates  representing up to 157,500  Warrants to purchase up to an
aggregate  of  157,500  shares of Common  Stock  (subject  to  modification  and
adjustment  as  provided  in Section 8) shall be  executed  by the  Company  and
delivered to the Warrant Agent.

     (d) Upon  exercise of the  Representative's  Warrants as provided  therein,
Warrant  Certificates  representing  all or a portion  of  105,000  Warrants  to
purchase  up to an  aggregate  of 105,000  shares of Common  Stock  (subject  to
modification  and  adjustment  as  provided  in  Section  8  hereof  and  in the
Representative's  Warrant  Agreement),   shall  be  countersigned,   issued  and
delivered by the Warrant Agent upon written  order of the Company  signed by its
Chairman of the Board,  President or a Vice President and by its Treasurer or an
Assistant Treasurer or its Secretary or an Assistant Secretary.

     (e) From time to time, up to the Warrant  Expiration  Date, as the case may
be, the Warrant Agent shall  countersign  and deliver  Warrant  Certificates  in
required  denominations of one or whole number  multiples  thereof to the person
entitled  thereto in connection  with any transfer or exchange  permitted  under
this  Agreement.  No Warrant  Certificates  shall be issued  except (i)  Warrant
Certificates  initially issued hereunder,  (ii) Warrant Certificates issued upon
any  transfer or exchange of  Warrants,  (iii)  Warrant  Certificates  issued in
replacement  of  lost,  stolen,  destroyed  or  mutilated  Warrant  Certificates
pursuant  to  Section  7,  (iv)  Warrant  Certificates  issued  pursuant  to the
Representative's   Warrant  Agreement  (including  Warrants  in  excess  of  the
Representative's  Warrants to purchase  105,000  shares of Common  Stock  and/or
105,000 Warrants issued as a result of the anti-dilution provisions contained in
the Representative's  Warrant Agreement),  and (v) at the option of the Company,
Warrant  Certificates in such form as may be approved by its Board of Directors,
to reflect any adjustment or change in the Purchase Price,  the number of shares
of Common Stock  purchasable  upon  exercise of the  Warrants or the  redemption
price therefor made pursuant to Section 8 hereof.

     SECTION 3. Form and Execution of Warrant Certificates.

     (a) The Warrant  Certificates  shall be  substantially  in the form annexed
hereto as Exhibit A (the provisions of which are hereby incorporated herein) and
may have such letters, numbers or

                                        4


<PAGE>



other marks of  identification  or  designation  and such legends,  summaries or
endorsements  printed,  lithographed or engraved thereon as the Company may deem
appropriate and as are not  inconsistent  with the provisions of this Agreement,
or as may be required to comply with any law or with any rule or regulation made
pursuant  thereto or with any rule or regulation of any stock  exchange on which
Warrants may be listed, or to conform to usage. The Warrant  Certificates  shall
be dated the date of issuance thereof (whether upon initial issuance,  transfer,
exchange  or  in  lieu  of  mutilated,   lost,   stolen  or  destroyed   Warrant
Certificates).

     (b) Warrant  Certificates shall be executed on behalf of the Company by its
Chairman of the Board,  President or any Vice  President and by its Treasurer or
an Assistant  Treasurer or its  Secretary or an Assistant  Secretary,  by manual
signatures or by facsimile  signatures printed thereon, and shall have imprinted
thereon  a  facsimile  of the  Company's  seal.  Warrant  Certificates  shall be
manually countersigned. In case any officer of the Company who shall have signed
any of the Warrant  Certificates  shall cease to be such  officer of the Company
before  the  date  of   issuance   of  the   Warrant   Certificates   or  before
countersignature  by the  Warrant  Agent and issue and  delivery  thereof,  such
Warrant Certificates,  nevertheless,  may be countersigned by the Warrant Agent,
issued  and  delivered  with the same  force and effect as though the person who
signed  such  Warrant  Certificates  had not  ceased to be such  officer  of the
Company.

     SECTION 4. Exercise.

     (a) Warrants in denominations of one or whole number multiples  thereof may
be exercised at any time commencing with the Initial Warrant  Exercise Date, and
ending at the close of business on the Warrant  Expiration  Date, upon the terms
and subject to the  conditions  set forth herein  (including  the provisions set
forth in Sections 5 and 9 hereof) and in the applicable Warrant  Certificate.  A
Warrant shall be deemed to have been exercised immediately prior to the close of
business  on  the  Exercise   Date,   provided  that  the  Warrant   Certificate
representing  such Warrant,  with the exercise form thereon duly executed by the
Registered  Holder thereof or his attorney duly authorized in writing,  together
with  payment in cash or by check  made  payable  to the  Warrant  Agent for the
account of the  Company,  of an amount in lawful  money of the United  States of
America equal to the  applicable  Purchase Price has been received in good funds
by the Warrant Agent. The

                                        5


<PAGE>



person entitled to receive the securities  deliverable  upon such exercise shall
be treated for all purposes as the holder of such  securities as of the close of
business on the Exercise  Date. As soon as  practicable on or after the Exercise
Date and in any event  within five  business  days after such date,  the Warrant
Agent on behalf of the Company shall cause to be issued to the person or persons
entitled to receive the same a Common Stock  certificate or certificates for the
shares of Common Stock  deliverable  upon such  exercise,  and the Warrant Agent
shall  deliver  the same to the person or  persons  entitled  thereto.  Upon the
exercise of any Warrant,  the Warrant Agent shall promptly notify the Company in
writing  of such  fact and of the  number  of  securities  delivered  upon  such
exercise and,  subject to subsection  (b) below,  shall cause all payments of an
amount in cash or by check made  payable to the order of the  Company,  equal to
the Purchase Price, to be deposited promptly in the Company's bank account.

     (b) At any time upon the  exercise of any  Warrants  after one (1) year and
one day from the date hereof, the Warrant Agent shall, on a daily basis,  within
two  business  days after such  exercise,  notify  the  Representative,  and its
successors  or assigns,  of the exercise of any such  Warrants  and shall,  on a
weekly basis (subject to collection of funds  constituting the tendered Purchase
Price,  but in no event later than five  business days after the last day of the
calendar week in which such funds were  tendered),  remit to the  Representative
(so  long as the  Representative  solicited  the  exercise  of such  Warrant  as
indicated  upon  the  Subscription  Form  attached  to the  Warrant  Certificate
tendered  for  exercise),  an amount  equal to five percent (5%) of the Purchase
Price of such Warrants being then exercised unless (1) the Representative  shall
have  notified the Warrant Agent that the payment of such amount with respect to
such Warrant is violative of the General Rules and Regulations promulgated under
the Securities  Exchange Act of 1934, as amended,  (the "Exchange  Act"), or the
rules and regulations of the National  Association of Securities  Dealers,  Inc.
("NASD") or applicable  state securities of "blue sky" laws, or (2) the Warrants
are those underlying the Representative's  Warrants,  or (3) the market price of
the Common Stock on the subject  Exercise Date is lower than the Purchase Price,
or (4) the Warrants are held in a discretionary account, or (5) the Warrants are
exercised  in an  unsolicited  transaction,  in any of which  events the Warrant
Agent  shall pay such amount to the  Company;  provided  that the Warrant  Agent
shall not be obligated  to pay any amounts  pursuant to this Section 4(b) during
any week that such amounts  payable are less than $1,000 and the Warrant Agent's
obligation to make such payments shall be suspended until the amount payable

                                        6


<PAGE>



aggregate  $1,000,  and provided  further,  that, in any event, any such payment
(regardless of amount) shall be made not less frequently than monthly.

     (c) The Company shall not be required to issue  fractional  shares upon the
exercise of Warrants.  Warrants  may only be exercised in such  multiples as are
required to permit the issuance by the Company of one or more whole  shares.  If
one or more Warrants shall be presented for exercise in full at the same time by
the same Registered  Holder,  the number of whole shares which shall be issuable
upon such  exercise  thereof  shall be  computed  on the basis of the  aggregate
number of shares  purchasable  on exercise of the Warrants so presented.  If any
fraction  of a share  would,  except  for the  provisions  provided  herein,  be
issuable on the  exercise of any Warrant (or  specified  portion  thereof),  the
Company  shall pay an amount in cash equal to such  fraction  multiplied  by the
then current market value of a share of Common Stock, determined as follows:

          (1) If the Common  Stock is listed or  admitted  to  unlisted  trading
     privileges on the New York Stock  Exchange  ("NYSE") or the American  Stock
     Exchange ("AMEX") or is traded on The Nasdaq National Market ("Nasdaq/NM"),
     the current  market  value of a share of Common  Stock shall be the closing
     sale price of the Common Stock at the end of the regular trading session on
     the last  business  day prior to the date of  exercise  of the  Warrants on
     whichever  of such  exchanges or Nasdaq/NM  had the highest  average  daily
     trading volume for the Common Stock on such day; or

          (2) If the Common Stock is not listed or admitted to unlisted  trading
     privileges  on either the NYSE or the AMEX and is not traded on  Nasdaq/NM,
     but is quoted or reported on Nasdaq, the current market value of a share of
     Common  Stock  shall be the  average of the last  reported  closing bid and
     asked  prices (or the last sale price,  if then  reported by Nasdaq) of the
     Common Stock at the end of the regular trading session on the last business
     day prior to the date of exercise of the  Warrants as quoted or reported on
     Nasdaq, as the case may be; or

          (3) If the Common Stock is not listed or admitted to unlisted  trading
     privileges  on  either  of the  NYSE  or the  AMEX,  and is not  traded  on
     Nasdaq/NM  or quoted or  reported  on Nasdaq,  but is listed or admitted to
     unlisted  trading  privileges  on the  BSE  or  other  national  securities
     exchange  (other than the NYSE or the AMEX),  the current market value of a
     share of Common  Stock shall be the closing  sale price of the Common Stock
     at the end of the regular trading session on the last business day prior to
     the date of exercise of the Warrants on whichever of such exchanges has the
     highest average daily trading volume for the Common Stock on such day; or

                                        7


<PAGE>



          (4) If the Common Stock is not listed or admitted to unlisted  trading
     privileges on any national  securities  exchange,  or listed for trading on
     Nasdaq/NM  or  quoted  or  reported  on  Nasdaq,   but  is  traded  in  the
     over-the-counter  market,  the  current  market  value of a share of Common
     Stock shall be the average of the last reported bid and asked prices of the
     Common Stock reported by the National  Quotation  Bureau,  Inc. on the last
     business day prior to the date of exercise of the Warrants; or

          (5) If the Common Stock is not listed or admitted to unlisted  trading
     privileges on any national  securities  exchange,  or listed for trading on
     Nasdaq/NM or quoted or reported on Nasdaq,  and bid and asked prices of the
     Common Stock are not reported by the National  Quotation Bureau,  Inc., the
     current  market  value of a share of Common  Stock shall be an amount,  not
     less  than  the  book  value  thereof  as of the end of the  most  recently
     completed  fiscal  quarter  of the  Company  ending  prior  to the  date of
     exercise,  determined  in accordance  with  generally  accepted  accounting
     principles, consistently applied.

     SECTION 5. Reservation of Shares; Listing; Payment of Taxes; etc.

     (a) The  Company  covenants  that it will at all  times  reserve  and  keep
available out of its  authorized  Common Stock,  solely for the purpose of issue
upon  exercise of Warrants,  such number of shares of Common Stock as shall then
be issuable upon the exercise of all outstanding Warrants. The Company covenants
that all shares of Common  Stock which shall be  issuable  upon  exercise of the
Warrants shall, at the time of delivery thereof,  be duly and validly issued and
fully paid and  nonassessable  and free from all  preemptive or similar  rights,
taxes,  liens and  charges  with  respect  to the issue  thereof,  and that upon
issuance  such shares shall be listed on each  securities  exchange,  if any, on
which the other  shares of  outstanding  Common  Stock of the  Company  are then
listed.

     (b) The Company  covenants  that if any  securities  to be reserved for the
purpose of exercise of Warrants hereunder require registration with, or approval
of, any  governmental  authority  under any federal  securities  law before such
securities  may be validly  issued or  delivered  upon such  exercise,  then the
Company will file a registration  statement under the federal securities laws or
a post  effective  amendment,  use its best  efforts to cause the same to become
effective and use its best efforts to keep such  registration  statement current
while any of the Warrants are outstanding and

                                        8


<PAGE>



deliver a prospectus  which complies with Section 10(a)(3) of the Securities Act
of 1933,  as amended,  (the "Act"),  to the  Registered  Holder  exercising  the
Warrant (except, if in the opinion of counsel to the Company,  such registration
is not required under the federal  securities  law or if the Company  receives a
letter  from  the  staff  of  the  Securities  and  Exchange   Commission   (the
"Commission")  stating  that it would  not take any  enforcement  action if such
registration  is not effected).  The Company will use its best efforts to obtain
appropriate  approvals or registrations  under state "blue sky" securities laws.
With respect to any such securities,  however, Warrants may not be exercised by,
or shares of Common Stock issued to, any Registered Holder in any state in which
such exercise would be unlawful.

     (c) The Company shall pay all documentary, stamp or similar taxes and other
governmental  charges  that may be  imposed  with  respect  to the  issuance  of
Warrants,  or the  issuance  or  delivery  of any  shares of Common  Stock  upon
exercise of the Warrants;  provided, however, that if shares of Common Stock are
to be  delivered in a name other than the name of the  Registered  Holder of the
Warrant  Certificate  representing  any Warrant  being  exercised,  then no such
delivery  shall be made  unless the person  requesting  the same has paid to the
Warrant Agent the amount of transfer taxes or charges incident thereto, if any.

     (d) The Warrant  Agent is hereby  irrevocably  authorized  as the  Transfer
Agent to  requisition  from  time to time  certificates  representing  shares of
Common Stock or other securities required upon exercise of the Warrants, and the
Company will comply with all such requisitions.

     SECTION 6. Exchange and Registration of Transfer.

     (a) Warrant  Certificates  may be exchanged for other Warrant  Certificates
representing  an equal  aggregate  number of Warrants or may be  transferred  in
whole or in part.  Warrant  Certificates to be so exchanged shall be surrendered
to the Warrant Agent at its Corporate Office,  and the Company shall execute and
the Warrant Agent shall countersign,  issue and deliver in exchange therefor the
Warrant  Certificate  or  Certificates  which the  Register  Holder  making  the
exchange shall be entitled to receive.

     (b) The Warrant Agent shall keep, at such office,  books in which,  subject
to such reasonable  regulations as it may prescribe,  it shall register  Warrant
Certificates and the transfer thereof. Upon

                                        9


<PAGE>



due presentment for registration of transfer of any Warrant  Certificate at such
office,  the Company shall execute and the Warrant Agent shall issue and deliver
to the  transferee or  transferees  a new Warrant  Certificate  or  Certificates
representing an equal aggregate number of Warrants.

     (c) With respect to any Warrant Certificates  presented for registration of
transfer, or for exchange or exercise, the subscription or exercise form, as the
case may be, on the reverse  thereof shall be duly endorsed or be accompanied by
a written  instrument  or  instruments  or transfer  and  subscription,  in form
satisfactory  to the  Company  and  the  Warrant  Agent,  duly  executed  by the
Registered Holder thereof or his attorney duly authorized in writing.

     (d) No service  charge  shall be made for any exchange or  registration  of
transfer of Warrant Certificates.  However, the Company may require payment of a
sum sufficient to cover any tax or other governmental charge that may be imposed
in connection therewith.

     (e) All Warrant Certificates surrendered for exercise or for exchange shall
be promptly canceled by the Warrant Agent.

     (f) Prior to due presentment  for  registration  or transfer  thereof,  the
Company and the Warrant  Agent may deem and treat the  Registered  Holder of any
Warrant  Certificate as the absolute  owner thereof of each Warrant  represented
thereby  (notwithstanding  any notations of ownership or writing thereon made by
anyone  other than the Company or the Warrant  Agent) for all purposes and shall
not be affected by any notice to the contrary.

     SECTION 7. Loss or Mutilation.  Upon receipt by the Company and the Warrant
Agent of evidence  satisfactory to them of the ownership of and the loss, theft,
destruction or mutilation of any Warrant  Certificate  and (in the case of loss,
theft  or  destruction)  of  indemnity  satisfactory  to  them,  and (in case of
mutilation) upon surrender and cancellation  thereof,  the Company shall execute
and the  Warrant  Agent  shall  countersign  and  deliver in lieu  thereof a new
Warrant  Certificate   representing  an  equal  aggregate  number  of  Warrants.
Applicants  for a  substitute  Warrant  Certificate  shall also comply with such
other  reasonable  regulations  and pay such  other  reasonable  charges  as the
Warrant Agent may prescribe.

     SECTION  8.  Adjustment  of  Purchase  Price and Number of Shares of Common
Stock

                                       10


<PAGE>



Deliverable.

     (a)(i) Except as hereinafter  provided,  in the event the Company shall, at
any time or from time to time after the date hereof,  issue any shares of Common
Stock for a  consideration  per share  less than the  "Fair  Market  Value"  (as
defined in Section 8(g)) or issue any shares of Common Stock as a stock dividend
to the holders of Common Stock, or subdivide or combine the  outstanding  shares
of Common  Stock into a greater or lesser  number of shares (any such  issuance,
subdivision or combination being herein called a "Change of Shares"),  then, and
thereafter  upon each  further  Change of  Shares,  the  Purchase  Price for the
Warrants  (whether  or not the same shall be issued and  outstanding)  in effect
immediately  prior  to  such  Change  of  Shares  shall  be  changed  to a price
(including any applicable  fraction of a cent to the nearest cent) determined by
dividing  (i) the  sum of (a)  the  total  number  of  shares  of  Common  Stock
outstanding  immediately  prior to such  Change  of  Shares,  multiplied  by the
Purchase Price in effect  immediately prior to such Change of Shares and (b) the
consideration,  if any,  received  by the  Company  upon  such  sale,  issuance,
subdivision or  combination,  by (ii) the total number of shares of Common Stock
outstanding immediately after such Change of Shares; provided,  however, that in
no event shall the Purchase Price be adjusted pursuant to this computation to an
amount in  excess of the  Purchase  Price in  effect  immediately  prior to such
computation, except in the case of a combination of outstanding shares of Common
Stock.

     For the  purposes  of any  adjustment  to be made in  accordance  with this
Section 8(a), the following provisions shall be applicable:

          (A) In case of the  issuance or sale of shares of Common  Stock (or of
     other securities deemed hereunder to involve the issuance or sale of shares
     of Common  Stock) for a  consideration  part or all of which shall be cash,
     the amount of the cash portion of the consideration therefor deemed to have
     been received by the Company shall be (i) the subscription price, if shares
     of Common  Stock are offered by the Company for  subscription,  or (ii) the
     public offering price (before deducting  therefrom any compensation paid or
     discount  allowed  in  the  sale,   underwriting  or  purchase  thereof  by
     underwriters  or  dealers or others  performing  similar  services,  or any
     expenses incurred in connection therewith),  if such securities are sold to
     underwriters  or  dealers  for  public  offering   without  a  subscription
     offering,  or (iii)  the  gross  amount of cash  actually  received  by the
     Company  for such  securities,  in any other  case,  in each case,  without
     deduction for any expenses incurred by

                                       11


<PAGE>



     the Company in connection with such transaction.

          (B) In case of the issuance or sale (other than as a dividend or other
     distribution  on any stock of the Company) of shares of Common Stock (or of
     other securities deemed hereunder to involve the issuance or sale of shares
     of Common  Stock) for a  consideration  part or all of which shall be other
     than cash, the amount of the consideration  therefor other than cash deemed
     to  have  been  received  by  the  Company  shall  be  the  value  of  such
     consideration  as determined in good faith by the Board of Directors of the
     Company on the basis of a record of values of similar property or services.

          (C)  Shares of  Common  Stock  issuable  by way of  dividend  or other
     distribution  on any  stock of the  Company  shall be  deemed  to have been
     issued  immediately  after the opening of business on the day following the
     record date for the determination of shareholders  entitled to receive such
     dividend  or other  distribution  and shall be  deemed to have been  issued
     without consideration.

          (D) The  reclassification  of  securities  of the  Company  other than
     shares of Common  Stock into  securities  including  shares of Common Stock
     shall be deemed to involve the  issuance of such shares of Common Stock for
     a consideration  other than cash immediately prior to the close of business
     on the date fixed for the  determination  of security  holders  entitled to
     receive such shares,  and the value of the consideration  allocable to such
     shares of Common Stock shall be determined as provided in subsection (B) of
     this Section 8(a).

          (E) The number of shares of Common Stock at any time outstanding shall
     be  deemed to  include  the  aggregate  maximum  number of shares  issuable
     (subject  to  readjustment  upon  the  actual  issuance  thereof)  upon the
     exercise of options, rights or warrants and upon the conversion or exchange
     of convertible or exchangeable securities.

     (ii) Upon each adjustment of the Purchase Price pursuant to this Section 8,
the  number of shares of Common  Stock  purchasable  upon the  exercise  of each
Warrant  shall be the  number  derived  by  multiplying  the number of shares of
Common Stock  purchasable  immediately  prior to such adjustment by the Purchase
Price in effect prior to such adjustment and dividing the product so obtained by
the applicable adjusted Purchase Price.

     (b) In case the  Company  shall at any time  after  the date  hereof  issue
options,  rights or warrants to subscribe for shares of Common  Stock,  or issue
any securities  convertible into or exchangeable for shares of Common Stock, for
a consideration per share (determined as provided

                                       12


<PAGE>



in Section  8(a)(i)  and as provided  below) less than the Fair Market  Value in
effect immediately prior to the issuance of such options, rights or warrants, or
such convertible or exchangeable securities, or without consideration (including
the issuance of any such  securities by way of dividend or other  distribution),
the Purchase Price for the Warrants (whether or not the same shall be issued and
outstanding) in effect immediately prior to the issuance of such options, rights
or warrants, or such convertible or exchangeable securities, as the case may be,
shall be reduced to a price  determined by making the  computation in accordance
with the provisions of Section 8(a)(i) hereof, provided that:

          (A) The aggregate  maximum  number of shares of Common  Stock,  as the
     case may be,  issuable  or that may become  issuable  under  such  options,
     rights or warrants  (assuming  exercise in full even if not then  currently
     exercisable or currently  exercisable in full) shall be deemed to be issued
     and  outstanding at the time such options,  rights or warrants were issued,
     for a consideration  equal to the minimum purchase price per share provided
     for in such options,  rights or warrants at the time of issuance,  plus the
     consideration,  if any, received by the Company for such options, rights or
     warrants;  provided, however, that upon the expiration or other termination
     of such  options,  rights or warrants,  if any thereof  shall not have been
     exercised,  the  number of shares of Common  Stock  deemed to be issued and
     outstanding  pursuant  to this  subsection  (A)  (and for the  purposes  of
     subsection (E) of Section 8(a)(i) hereof) shall be reduced by the number of
     shares as to which options,  warrants and/or rights shall have expired, and
     such  number  of  shares  shall  no  longer  be  deemed  to be  issued  and
     outstanding,  and the  Purchase  Price then in effect  shall  forthwith  be
     readjusted  and  thereafter  be the  price  that it  would  have  been  had
     adjustment  been  made on the  basis  of the  issuance  only of the  shares
     actually  issued plus the shares  remaining  issuable  upon the exercise of
     those options, rights or warrants as to which the exercise rights shall not
     have expired or terminated unexercised.

          (B) The aggregate maximum number of shares of Common Stock issuable or
     that may become  issuable upon conversion or exchange of any convertible or
     exchangeable  securities  (assuming  conversion or exchange in full even if
     not then currently  convertible or exchangeable in full) shall be deemed to
     be issued and outstanding at the time of issuance of such securities, for a
     consideration  equal to the consideration  received by the Company for such
     securities,  plus the  minimum  consideration,  if any,  receivable  by the
     Company upon the conversion or exchange

                                       13


<PAGE>



     thereof;  provided,  however,  that  upon the  termination  of the right to
     convert or exchange such convertible or exchangeable securities (whether by
     reason of  redemption or  otherwise),  the number of shares of Common Stock
     deemed to be issued and  outstanding  pursuant to this  subsection (B) (and
     for the purposes of  subsection  (E) of Section  8(a)(i)  hereof)  shall be
     reduced  by the  number of shares as to which the  conversion  or  exchange
     rights shall have  expired or  terminated  unexercised,  and such number of
     shares  shall no longer be deemed  to be issued  and  outstanding,  and the
     Purchase Price then in effect shall  forthwith be readjusted and thereafter
     be the price that it would have been had adjustment  been made on the basis
     of the  issuance  only  of the  shares  actually  issued  plus  the  shares
     remaining  issuable  upon  conversion or exchange of those  convertible  or
     exchangeable securities as to which the conversion or exchange rights shall
     not have expired or terminated unexercised.

          (C) If any change  shall occur in the price per share  provided for in
     any of the options,  rights or warrants  referred to in  subsection  (A) of
     this  Section  8(b),  or in the  price  per  share or  ratio  at which  the
     securities  referred  to  in  subsection  (B)  of  this  Section  8(b)  are
     convertible or exchangeable, such options, rights or warrants or conversion
     or  exchange  rights,  as the case may be, to the  extent  not  theretofore
     exercised,  shall be deemed to have expired or  terminated on the date when
     such price change  became  effective  in respect of shares not  theretofore
     issued pursuant to the exercise or conversion or exchange thereof,  and the
     Company  shall be deemed to have issued upon such date new options,  rights
     or warrants or convertible or exchangeable securities.

     (c) In case of any  reclassification  or  change of  outstanding  shares of
Common Stock issuable upon exercise of the Warrants  (other than a change in par
value,  or from par value to no par value,  or from no par value to par value or
as a result of a subdivision or combination), or in case of any consolidation or
merger of the Company with or into another corporation (other than a merger with
a Subsidiary in which merger the Company is the continuing corporation and which
does not result in any reclassification or change of the then outstanding shares
of Common Stock or other  capital  stock  issuable upon exercise of the Warrants
(other than a change in par value, or from par value to no par value, or from no
par value to par value or as a result of subdivision or combination)) or in case
of any sale or conveyance to another  corporation of the property of the Company
as an entirety or  substantially  as an entirety,  then,  as a condition of such
reclassification,   change,  consolidation,  merger,  sale  or  conveyance,  the
Company, or such successor or purchasing corporation, as the case

                                       14


<PAGE>



may be, shall make lawful and adequate  provision  whereby the Registered Holder
of each Warrant then  outstanding  shall have the right thereafter to receive on
exercise  of such  Warrant  the kind  and  amount  of  securities  and  property
receivable upon such reclassification,  change,  consolidation,  merger, sale or
conveyance  by a holder of the number of  securities  issuable  upon exercise of
such Warrant immediately prior to such reclassification,  change, consolidation,
merger,  sale or conveyance and shall forthwith file at the Corporate  Office of
the Warrant Agent a statement signed by its President or a Vice President and by
its  Treasurer  or an  Assistant  Treasurer  or its  Secretary  or an  Assistant
Secretary evidencing such provision. Such provisions shall include provision for
adjustments  which shall be as nearly  equivalent as may be  practicable  to the
adjustments  provided for in Section 8(a) and (b). The above  provisions of this
Section 8(c) shall similarly apply to successive  reclassifications  and changes
of shares of Common Stock and to successive  consolidations,  mergers,  sales or
conveyances.

     (d) Irrespective of any adjustments or changes in the Purchase Price or the
number of shares of Common Stock purchasable upon exercise of the Warrants,  the
Warrant Certificates theretofore and thereafter issued shall, unless the Company
shall exercise its option to issue new Warrant Certificates  pursuant to Section
2(e) hereof,  continue to express the Purchase Price per share and the number of
shares purchasable  thereunder as the Purchase Price per share and the number of
shares  purchasable  thereunder were expressed in the Warrant  Certificates when
the same were originally issued.

     (e) After each adjustment of the Purchase Price pursuant to this Section 8,
the  Company  will  promptly  prepare a  certificate  signed by the  Chairman or
President, and by the Treasurer or an Assistant Treasurer or the Secretary or an
Assistant Secretary,  of the Company setting forth: (i) the Purchase Price as so
adjusted, (ii) the number of shares of Common Stock purchasable upon exercise of
each Warrant,  after such  adjustment,  and (iii) a brief statement of the facts
accounting for such adjustment.  The Company will promptly file such certificate
with the Warrant Agent and cause a brief summary  thereof to be sent by ordinary
first  class  mail to each  Registered  Holder at his last  address  as it shall
appear on the  registry  books of the  Warrant  Agent.  No  failure to mail such
notice  nor any  defect  therein  or in the  mailing  thereof  shall  affect the
validity  thereof  except as the holder to whom the Company  failed to mail such
notice, or except as to the holder whose notice was defective.  The affidavit of
an officer of the Warrant Agent or the Secretary or an Assistant Secretary

                                       15


<PAGE>



of the Company that such notice has been mailed shall,  in the absence of fraud,
be prima facie evidence of the facts stated therein.

     (f) No adjustment of the Purchase  Price shall be made as a result of or in
connection  with (A) the  issuance  of  shares of Common  Stock  underlying  the
Warrants or the units  issuable upon exercise of the  Representative's  Warrants
pursuant to the Representative's  Warrant Agreement, or (B) the issuance or sale
of shares of Common  Stock if the amount of said  adjustment  shall be less than
$.10, provided,  however, that in such case, any adjustment that would otherwise
be  required  then to be made shall be carried  forward and shall be made at the
time of and together  with the next  subsequent  adjustment  that shall  amount,
together with any adjustment so carried forward,  to at least $.10. In addition,
Registered  Holders shall not be entitled to cash  dividends paid by the Company
prior to the exercise of any Warrant or Warrants held by them.

     (g) "Fair Market  Value" shall mean the value of a share of Common Stock as
determined in accordance with the following provisions:

          (1) If the Common  Stock is listed or  admitted  to  unlisted  trading
     privileges on the NYSE or the AMEX or is traded on the Nasdaq/NM,  the Fair
     Market  Value of a share of Common  Stock  shall be equal to the average of
     the closing  sale price of the Common  Stock during the thirty (30) trading
     days  immediately  preceding  the  date of the  event  which  requires  the
     determination  of Fair  Market  Value on  whichever  of such  exchanges  or
     Nasdaq/NM had the total  highest daily trading  volume for the Common Stock
     during such thirty (30) day trading period.

          (2) If the Common Stock is not listed or admitted to unlisted  trading
     privileges  on either the NYSE or the AMEX and is not traded on  Nasdaq/NM,
     but is quoted or  reported on Nasdaq,  the Fair Market  Value of a share of
     Common  Stock  shall be the  average of the last  reported  closing bid and
     asked  prices (or the last sale price,  if then  reported on Nasdaq) of the
     Common Stock during the thirty (30) trading days immediately  preceding the
     date of event which requires the determination of Fair Market Value.

          (3) If the Common Stock is not listed or admitted to unlisted  trading
     privileges on either of the NYSE or the AMEX and is not traded on Nasdaq/NM
     or quoted or  reported  on Nasdaq,  but is listed or  admitted  to unlisted
     trading  privileges  on the BSE or  another  national  securities  exchange
     (other  than the NYSE or the  AMEX),  the Fair  Market  Value of a share of
     Common  Stock shall be the average of the closing  sale price of the Common
     Stock during the thirty (30) trading days

                                       16


<PAGE>



     immediately   preceding   the  date  of  the  event  which   requires   the
     determination of Fair Market Value.

          (4) If the Common Stock is not listed or admitted to unlisted  trading
     privileges on any national  securities  exchange,  or listed for trading on
     Nasdaq/NM  or  quoted  or  reported  on  Nasdaq,   but  is  traded  in  the
     over-the-counter  market,  the Fair Market Value of a share of Common Stock
     shall be the  average  of the  average of the last  reported  bid and asked
     prices of the Common Stock reported by the National Quotation Bureau,  Inc.
     for the thirty (30)  trading  days  immediately  preceding  the date of the
     event which requires the determination of Fair Market Value.

          (5) If the Common Stock is not listed or admitted to unlisted  trading
     privileges on any national  securities  exchange,  or listed for trading on
     Nasdaq/NM or quoted or reported on Nasdaq,  and bid and asked prices of the
     Common Stock are not reported by the National  Quotation Bureau,  Inc., the
     Fair Market Value of a share of Common  Stock shall be an amount,  not less
     than the book value  thereof as of the end of the most  recently  completed
     fiscal  quarter  of the  company  ending  prior  to the  date  requiring  a
     determination  of fair market value,  determined in accordance with general
     accepted accounting principles, consistently applied.

     SECTION 9. Redemption.

     (a) Commencing on the Initial Warrant  Redemption Date, the Company may, on
30 days' prior written  notice redeem all the Warrants,  other than the Warrants
underlying the Representative's  Warrants which shall not be redeemable, at five
cents  ($.05) per  Warrant,  provided,  however,  that  before any such call for
redemption of Warrants can take place the closing sale price of the Common Stock
as quoted on the  principal  market on which such shares  shall then be trading,
shall have, for each of the twenty (20)  consecutive  trading days ending on the
tenth (10th) day prior to the date on which the notice  contemplated  by (b) and
(c) below is given,  equalled or exceeded $7.50 per share (subject to adjustment
in the event of any stock splits or other similar  events as provided in Section
8 hereof).

     (b) In case the  Company  shall  exercise  its right to  redeem  all of the
Warrants so redeemable, it shall give or cause notice to such effect to be given
to the  Representative in the same manner that notice is required to be given by
the Representative's  Warrant Agreement.  The Representative may, at its option,
solicit exercises of the Warrants. In the event that the Representative does not

                                       17


<PAGE>



commence  solicitation  of exercises of the Warrants  within thirty (30) days of
notice  from the  Company,  the Company  may give  notice of  redemption  to the
Registered  Holders of the  Warrants  by mailing  to such  Registered  Holders a
notice of redemption,  first class,  postage  prepaid,  at their last address as
shall  appear on the  records of the  Warrant  Agent.  Any notice  mailed in the
manner provided  herein shall be  conclusively  presumed to have been duly given
whether or not the Registered  Holder  receives such notice.  Not less than five
business days prior to the mailing to the Registered  Holders of the Warrants of
the notice of redemption,  the Company shall deliver or cause to be delivered to
the  Representative  a similar  notice  telephonically  and confirmed in writing
together  with a list of the  Registered  Holders  (including  their  respective
addresses  and number of  Warrants  beneficially  owned) to whom such  notice of
redemption has been or will be given.

     (c) The notice of redemption shall specify (i) the redemption  price,  (ii)
the date fixed for redemption,  which shall in no event be less than thirty (30)
days after the date of mailing of such notice, (iii) the place where the Warrant
Certificate shall be delivered and the redemption price shall be paid, (iv) that
the  Representative is the Company's warrant  solicitation agent and may receive
the commission  contemplated  by Section 4(b) hereof,  and (v) that the right to
exercise  the  Warrant  shall  terminate  at 5:00 p.m.  (New  York  time) on the
business day immediately preceding the date fixed for redemption. The date fixed
for the redemption of the Warrants  shall be the Redemption  Date. No failure to
mail such notice nor any defect  therein or in the mailing  thereof shall affect
the validity of the proceedings for such redemption except as to a holder (a) to
whom notice was not mailed or (b) whose  notice was  defective.  An affidavit of
the Warrant  Agent or the  Secretary or Assistant  Secretary of the Company that
notice of redemption  has been mailed shall,  in the absence of fraud,  be prima
facie evidence of the facts stated therein.

     (d) Any right to exercise a Warrant shall  terminate at 5:00 p.m. (New York
time) on the  business  day  immediately  preceding  the  Redemption  Date.  The
redemption  price  payable  to the  Registered  Holders  shall be mailed to such
persons at their addresses of record.

     (e) The Company shall indemnify the Representative and each person, if any,
who controls the  Representative  within the meaning of Section 15 of the Act or
Section 20(a) of the Exchange Act against all loss,  claim,  damage,  expense or
liability   (including  all  expenses   reasonably  incurred  in  investigating,
preparing or defending  against any claim  whatsoever)  to which any of them may
become  subject under the Act, the Exchange Act or  otherwise,  arising from the
registration

                                       18


<PAGE>



statement  or  prospectus  referred to in Section 5(b) hereof to the same extent
and with the same effect  (including the provisions  regarding  contribution) as
the  provisions  pursuant  to which the  Company  has  agreed to  indemnify  the
Underwriters contained in Section 7 of the Underwriting Agreement.

     (f) Five  business  days prior to the  Redemption  Date,  the Company shall
furnish to the  Representative  (i) an opinion of counsel to the Company,  dated
such date and  addressed to  Representative,  and (ii) a "cold  comfort"  letter
dated  such date  addressed  to the  Representative,  signed by the  independent
public  accountants  who  have  issued  a  report  on  the  Company's  financial
statements  included  in such  registration  statement,  in each  case  covering
substantially the same matters with respect to such registration  statement (and
the prospectus  included therein) and, in the case of such accountants'  letter,
with respect to events subsequent to the date of such financial  statements,  as
are  customarily  covered in opinions of  issuer's  counsel and in  accountants'
letters   delivered  to  underwriters  in  underwritten   public   offerings  of
securities.

     (g) The Company shall as soon as practicable after the Redemption Date, and
in any event  within 15 months  thereafter,  make  "generally  available  to its
security  holders"  (within  the  meaning of Rule 158 under the Act) an earnings
statement  (which need not be audited)  complying  with Section 11(a) of the Act
and  covering a period of at least 12  consecutive  months  beginning  after the
Redemption Date.

     (h) The  Company  shall  deliver  within  five  business  days prior to the
Redemption  Date copies of all  correspondence  between the  Commission  and the
Company,  its counsel or auditors and all memoranda relating to discussions with
the  Commission  or its staff with respect to such  registration  statement  and
permit the  Representative  to do such  investigation,  upon reasonable  advance
notice,   with  respect  to  information   contained  in  or  omitted  from  the
registration   statement  as  it  deems  reasonably  necessary  to  comply  with
applicable  securities  laws or  rules of the  NASD.  Such  investigation  shall
include access to books, records and properties and opportunities to discuss the
business of the Company with its officers and independent auditors,  all to such
reasonable   extent  and  at  such   reasonable   times  and  as  often  as  the
Representative shall reasonably request.

     SECTION 10. Concerning the Warrant Agent.

     (a) The Warrant Agent acts hereunder as agent and in a ministerial capacity
for the Company

                                       19


<PAGE>



and the  Representative,  and its  duties  shall  be  determined  solely  by the
provisions  hereof.  The Warrant  Agent  shall not,  by issuing  and  delivering
Warrant  Certificates  or by any  other  act  hereunder,  be  deemed to make any
representations  as to the  validity  or value or  authorization  of the Warrant
Certificates or the Warrants  represented  thereby or of any securities or other
property delivered upon exercise of any Warrant or whether any stock issued upon
exercise of any Warrant is fully paid and nonassessable.

     (b)  The  Warrant  Agent  shall  not at any  time  be  under  any  duty  or
responsibility to any holder of Warrant Certificates to make or cause to be made
any adjustment of the Purchase Price provided in this Agreement, or to determine
whether any fact exists which may require any such  adjustment,  or with respect
to the nature or extent of any such  adjustment,  when made,  or with respect to
the  method  employed  in making  the same.  It shall not (i) be liable  for any
recital or statement of fact contained herein or for any action taken,  suffered
or omitted by it in  reliance on any Warrant  Certificate  or other  document or
instrument believed by it in good faith to be genuine and to have been signed or
presented by the proper party or parties, (ii) be responsible for any failure on
the part of the  Company to comply  with any of its  covenants  and  obligations
contained in this  Agreement or in any Warrant  Certificate,  or (iii) be liable
for any act or omission in  connection  with this  Agreement  except for its own
gross negligence or willful misconduct.

     (c) The Warrant Agent may at any time consult with counsel  satisfactory to
it (who  may be  counsel  for the  Company)  and  shall  incur no  liability  or
responsibility for any action taken,  suffered or omitted by it in good faith in
accordance  with  the  opinion  or  advice  of such  counsel.  

     (d) Any notice, statement, instruction, request, direction, order or demand
of the Company shall be  sufficiently  evidenced by an instrument  signed by the
Chairman of the Board of  Directors,  President  or any Vice  President  (unless
other  evidence  in respect  thereof  is herein  specifically  prescribed).  The
Warrant Agent shall not be liable for any action  taken,  suffered or omitted by
it in accordance with such notice, statement,  instruction,  request, direction,
order or demand.

     (e) The Company agrees to pay the Warrant Agent reasonable compensation for
its  services  hereunder  and  to  reimburse  it  for  its  reasonable  expenses
hereunder; the Company further agrees to indemnify the Warrant Agent and save it
harmless  against  any and  all  losses,  expenses  and  liabilities,  including
judgments, costs and counsel fees, for anything done or omitted by the Warrant

                                       20


<PAGE>



Agent in the  execution  of its  duties  and  powers  hereunder  except  losses,
expenses  and  liabilities  arising  as a result of the  Warrant  Agent's  gross
negligence or willful misconduct.

     (f) The  Warrant  Agent may resign its  duties and be  discharged  from all
further duties and liabilities hereunder (except liabilities arising as a result
of the Warrant Agent's own gross negligence or willful misconduct), after giving
30 days' prior written notice to the Company. At least 15 days prior to the date
such resignation is to become effective, the Warrant Agent shall cause a copy of
such notice of resignation to be mailed to the Registered Holder of each Warrant
Certificate at the Company's  expense.  Upon such  resignation the Company shall
appoint in writing a new warrant  agent.  If the Company shall fail to make such
appointment  within a period of 30 days after it has been notified in writing of
such resignation by the resigning  Warrant Agent,  then the Registered Holder of
any Warrant Certificate may apply to any court of competent jurisdiction for the
appointment of a new warrant agent. Any new warrant agent,  whether appointed by
the  Company  or by such a  court,  shall be a bank or  trust  company  having a
capital and surplus,  as shown by its last published report to its stockholders,
of not less than  $10,000,000  or a stock  transfer  company  doing  business in
Massachusetts  or New York.  After  acceptance in writing of such appointment by
the new warrant  agent is received by the Company,  such new warrant agent shall
be vested with the same powers, rights, duties and responsibilities as if it had
been  originally  named  herein  as  the  warrant  agent,  without  any  further
assurance,  conveyance, act or deed; but if for any reason it shall be necessary
or expedient to execute and deliver any further  assurance,  conveyance,  act or
deed,  the same shall be done at the expense of the Company and shall be legally
and validly  executed and delivered by the resigning  Warrant  Agent.  Not later
than the effective  date of any such  appointment  the Company shall file notice
thereof with the  resigning  Warrant Agent and shall  forthwith  cause a copy of
such notice to be mailed to the Registered Holder of each Warrant Certificate.

     (g) Any  corporation  into which the Warrant Agent or any new warrant agent
may be converted or merged, any corporation  resulting from any consolidation to
which  the  Warrant  Agent or any new  warrant  agent  shall be a party,  or any
corporation  succeeding to the corporate  trust business of the Warrant Agent or
any new warrant agent shall be a successor  warrant  agent under this  Agreement
without  any  further  act,  provided  that such  corporation  is  eligible  for
appointment  as  successor  to the  Warrant  Agent under the  provisions  of the
preceding paragraph. Any such

                                       21


<PAGE>



successor warrant agent shall promptly cause notice of its succession as warrant
agent to be mailed to the Company and to the Registered  Holders of each Warrant
Certificate.

     (h) The Warrant Agent, its  subsidiaries and affiliates,  and any of its or
their  officers  or  directors,  may buy and  hold or  sell  Warrants  or  other
securities of the Company and otherwise deal with the Company in the same manner
and to the same extent and with like effect as though it were not Warrant Agent.
Nothing  herein  shall  preclude  the  Warrant  Agent  from  acting in any other
capacity for the Company or for any other legal entity.

     (i) The Warrant  Agent shall retain for a period of two years from the date
of exercise any Warrant Certificate received by it upon such exercise.

     SECTION 11. Modification of Agreement.

     The Warrant Agent and the Company may by  supplemental  agreement  make any
changes or corrections in this Agreement (i) that they shall deem appropriate to
cure any  ambiguity  or to correct any  defective or  inconsistent  provision or
manifest mistake or error herein  contained;  (ii) to reflect an increase in the
number of Warrants which are to be governed by this  Agreement  resulting from a
subsequent public offering of Company  securities which includes warrants having
the  same  terms  and  conditions  as  the  Warrants  originally  covered  by or
subsequently  added to this Agreement  under this Section 11; or (iii) that they
may deem  necessary  or  desirable  and which  shall not  adversely  affect  the
interests of the holders of Warrant Certificates;  provided,  however, that this
Agreement  shall not  otherwise  be  modified,  supplemented  or  altered in any
respect  except  with  the  consent  in  writing  of  the   Registered   Holders
representing not less that 66-2/3% of the Warrants then outstanding  (including,
for  this  purpose  Warrants  issuable  to the  Representative  pursuant  to the
Representative's Warrants, whether or not then outstanding);  provided, further,
that no change in the number or nature of the  securities  purchasable  upon the
exercise of any Warrant,  or to increase the Purchase Price  therefor,  shall be
made  without  the  consent in writing of the  Registered  Holder of the Warrant
Certificate,  other than such  changes as are  specifically  prescribed  by this
Agreement  as  originally  executed.  In  addition,  this  Agreement  may not be
modified,  amended or  supplemented  without  the prior  written  consent of the
Representative,  other than to cure any  ambiguity  or to correct any  provision
which is inconsistent with any other provision of this Agreement or to make

                                       22


<PAGE>



any such change that is  necessary or  desirable  and which shall not  adversely
affect the interests of the Representative and except as may be required by law.

     SECTION 12. Notices.

     All notices, requests, consents and other communications hereunder shall be
in  writing  and shall be deemed  to have  been  made when  delivered  or mailed
first-class postage prepaid, or delivered to a telegraph office for transmission
if to the  Registered  Holder of a Warrant  Certificate,  at the address of such
holder as shown on the registry books maintained by the Warrant Agent; if to the
Company at New York Health Care, Inc., 1667 Flatbush Avenue,  Brooklyn, New York
11210,  Attention:  Jerry Braun, President, or at such other address as may have
been  furnished to the Warrant  Agent in writing by the  company;  and if to the
Warrant Agent, at its Corporate Office.  Copies of any notice delivered pursuant
to this Agreement shall be delivered to RAS at RAS Securities Corp., 2 Broadway,
New York, New York 10004-2801,  Attention:  Mr. Robert A. Schneider,  or at such
other address as may have been furnished to the Company and the Warrant Agent in
writing.

     SECTION 13. Construction.

     This  Agreement  shall be governed by and construed in accordance  with the
laws of the State of New York without giving effect to conflicts of laws.

     SECTION 14. Binding Effect.

     This  Agreement  shall be  binding  upon and  inure to the  benefit  of the
Company,  the Warrant Agent and their respective  successors and assigns and the
holders  from time to time of  Warrant  Certificates  or any of them.  Except as
hereinafter stated,  nothing in this Agreement is intended or shall be construed
to confer upon any other person any right, remedy or claim or to impose upon any
other person any duty, liability or obligation.  The Underwriters (as defined in
the Underwriting Agreement) are, and shall at all times irrevocably be deemed to
be, third-party  beneficiaries of this Agreement, with full power, authority and
standing to enforce the rights granted to it hereunder.

                                       23


<PAGE>



     SECTION 15. Counterparts.

     This  Agreement  may be  executed  in  several  counterparts,  which  taken
together shall constitute a single document.

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


NEW YORK HEALTH CARE, INC.                      CONTINENTAL STOCK TRANSFER
                                                TRUST COMPANY

By:                                             By:
   -----------------------------------             -----------------------------
      Jerry Braun, President

                                       24


<PAGE>



                                    EXHIBIT A

No. W_____                                 VOID AFTER ______________, 2001

                                                    ___________________ WARRANTS

                        REDEEMABLE WARRANT CERTIFICATE TO
                       PURCHASE ONE SHARE OF COMMON STOCK

                           NEW YORK HEALTH CARE, INC.

                                                                 CUSIP _________

THIS CERTIFIES THAT, FOR VALUE RECEIVED

or registered  assigns (the  "Registered  Holder") is the owner of the number of
Redeemable  Warrants (the "Warrants")  specified above.  Each Warrant  initially
entitles the Registered Holder to purchase,  subject to the terms and conditions
set  forth  in  this  Certificate  and the  Warrant  Agreement  (as  hereinafter
defined),  one fully paid and  nonassessable  share of Common  Stock,  $.001 par
value, of New York Health Care, Inc., a New York corporation (the "Company"), at
any time between __________, 1997 (the "Initial Warrant Exercise Date"), and the
Expiration Date (as hereinafter  defined) upon the presentation and surrender of
this Warrant  Certificate with the Subscription  Form on the reverse hereof duly
executed,  at the  corporate  office of  Continental  Stock  Transfer  and Trust
Company,  2  Broadway,  New York,  New York  10004,  as  Warrant  Agent,  or its
successor  (the  "Warrant  Agent"),  accompanied  by payment of $6.00 subject to
adjustment  (the  "Purchase  Price"),  in lawful  money of the United  States of
America in cash or by check made payable to the Warrant Agent for the account of
the Company.

     This Warrant  Certificate  and each Warrant  represented  hereby are issued
pursuant to and are  subject in all  respects  to the terms and  conditions  set
forth in the  Redeemable  Warrant  Agreement  (the "Warrant  Agreement"),  dated
__________, 1996, by and between the Company and the Warrant Agent.

     In  the  event  of  certain  contingencies  provided  for  in  the  Warrant
Agreement,  the Purchase  Price and the number of shares of Common Stock subject
to purchase upon the exercise of each Warrant  represented hereby are subject to
modification or adjustment.

     Each  Warrant  represented  hereby  is  exercisable  at the  option  of the
Registered  Holder,  but no fractional  interests will be issued. In the case of
the exercise of less than all the Warrant  represented hereby, the Company shall
cancel this Warrant Certificate upon the surrender hereof and shall

                                       25


<PAGE>



execute and deliver a new Warrant  Certificate or Warrant  Certificates  of like
tenor,  which the  Warrant  Agent  shall  countersign,  for the  balance of such
Warrants.

     The term  "Expiration  Date"  shall  mean  5:00  p.m.  (New  York  time) on
_________,  2001.  If each such date shall in the State of New York be a holiday
or a day on which the banks are authorized to close,  then the  Expiration  Date
shall mean 5:00 p.m.  (New York time) the next  following day which in the State
of New York is not a holiday or a day on which banks are authorized to close.

     The Company  shall not be obligated to deliver any  securities  pursuant to
the  exercise  of  this  Warrant  unless  a  registration  statement  under  the
Securities Act of 1933, as amended (the "Act),  with respect to such  securities
is effective or an exemption thereunder is available. The Company has covenanted
and  agreed  that  it will  file a  registration  statement  under  the  Federal
securities laws, use its best efforts to cause the same to become effective, use
its best efforts to keep such registration  statement current, if required under
the Act,  while any of the  Warrants are  outstanding,  and deliver a prospectus
which  complies  with  Section  10(a)(3)  of the  Act to the  Registered  Holder
exercising  this Warrant.  This Warrant shall not be exercisable by a Registered
Holder in any state where such exercise would be unlawful.

     This Warrant Certificate is exchangeable,  upon the surrender hereof by the
Registered  Holder at the  corporate  office  of the  Warrant  Agent,  for a new
Warrant Certificate or Warrant  Certificates of like tenor representing an equal
aggregate number of Warrants, each of such new Warrant Certificates to represent
such number of Warrants as shall be designated by such Registered  Holder at the
time of such  surrender.  Upon due  presentment  and payment of any tax or other
charge imposed in connection  therewith or incident thereto, for registration of
transfer of this Warrant  Certificate at such office, a new Warrant  Certificate
of Warrant Certificates  representing an equal aggregate number of Warrants will
be issued to the  transferee in exchange  therefor,  subject to the  limitations
provided in the Warrant Agreement.

     Prior to the exercise of any Warrant  represented  hereby,  the  Registered
Holder  shall not be entitled  to any rights of a  stockholder  of the  Company,
including,  without  limitation,  the right to vote or to receive  dividends  or
other  distributions,  and shall not be  entitled  to receive  any notice of any
proceedings of the Company, except as provided in the Warrant Agreement.

     Subject to the  provisions  of the Warrant  Agreement,  this Warrant may be
redeemed  at the  option  of the  Company,  at a  redemption  price  of $.05 per
Warrant,  at any time  commencing  one year after the Initial  Warrant  Exercise
Date,  provided  that (i) the closing bid price for the Common Stock is reported
by The Nasdaq Stock Market, Inc. ("Nasdaq"),  if the Common Stock is then traded
in the  over-the-counter  market or (ii) the closing  sale price,  if the Common
Stock is then traded on Nasdaq/NM or a national securities exchange,  shall have
equalled or exceeded for each of the twenty (20) consecutive trading days ending
on the tenth (10) day prior to the Notice of Redemption, as defined below, $7.50
per share  (subject  to  adjustment  in the  event of any stock  splits or other
similar  events).  Notice of redemption  (the "Notice of  Redemption")  shall be
given not later than the thirtieth day before the date fixed for redemption, all
as  provided  in the  Warrant  Agreement.  On  and  after  the  date  fixed  for
redemption, the Registered Holder shall have no rights with respect to the

                                       26


<PAGE>



Warrants  except to receive the $.05 per Warrant upon  surrender of this Warrant
Certificate.

     Under certain  circumstances,  RAS Securities Corp.  collectively  shall be
entitled to receive an aggregate  of five percent (5%) of the Purchase  Price of
the Warrants represented hereby.

     Prior to due presentment for registration of transfer  hereof,  the Company
and the Warrant Agent may deem and treat the  Registered  Holder as the absolute
owner  hereof  and of  each  Warrant  represented  hereby  (notwithstanding  any
notations  of  ownership  or  writing  hereon  made by anyone  other than a duly
authorized  officer of the Company or the Warrant  Agent) for all  purposes  and
shall not be affected by any notice to the  contrary,  except as provided in the
Warrant Agreement.

     This Warrant  Certificate  shall be governed by and construed in accordance
with the laws of the State of New York  without  giving  effect to  conflicts of
laws.

     This Warrant  Certificate is not valid unless  countersigned by the Warrant
Agent.

     IN WITNESS WHEREOF,  the Company has caused this Warrant  Certificate to be
duly  executed,  manually or in facsimile by two of its officers  thereunto duly
authorized and a facsimile of its corporate seal to be imprinted hereon.

Dated: __________________________, 1996

[SEAL]                                          NEW YORK HEALTH CARE, INC.



                                                By: ____________________________

                                              Jerry Braun, President

                                                By: ____________________________
                                              Jacob Rosenberg, Secretary

COUNTERSIGNED:

CONTINENTAL STOCK TRANSFER
   AND TRUST COMPANY

   as Warrant Agent


By:__________________________________

Name:________________________________

Title:_______________________________

                                       27


<PAGE>



                                SUBSCRIPTION FORM

                     To Be Executed by the Registered Holder
                          in Order to Exercise Warrants

     The undersigned  Registered  Holder hereby  irrevocably  elects to exercise
__________ Warrants represented by this Warrant Certificate, and to purchase the
securities  issuable  upon the  exercise of such  Warrants,  and  requests  that
certificates for such securities shall be issued in name of

                          PLEASE INSERT SOCIAL SECURITY
                           OR OTHER IDENTIFYING NUMBER

                          _____________________________


                          _____________________________


                          _____________________________


                          _____________________________

                     (please print or type name and address)

and be delivered to

                          _____________________________


                          _____________________________


                          _____________________________


                          _____________________________

                     (please print or type name and address)

and if such number of Warrants  shall not be all the Warrants  evidenced by this
Warrant  Certificate,  that a new  Warrant  Certificate  for the balance of such
Warrants be registered in the name of, and delivered to, the  Registered  Holder
at the address stated below.

                                       28


<PAGE>



                    IMPORTANT: PLEASE COMPLETE THE FOLLOWING:

1    The exercise of this Warrant was solicited by RAS Securities Corp.

2.   The exercise of this Warrant was not solicited.

Dated: ______________________________ X_________________________________________


                                      __________________________________________


                                      __________________________________________
                                                      Address

                                      __________________________________________
                                      Social Security or Taxpayer
                                        Identification Number


                                      __________________________________________
                                      Signature Guaranteed


                                      __________________________________________


                                       29


<PAGE>



                                   ASSIGNMENT

                     To Be Executed by the Registered Holder
                           in Order to Assign Warrants

FOR VALUE RECEIVED, __________________, hereby sells, assigns and transfers unto

                        PLEASE INSERT SOCIAL SECURITY OR
                            OTHER IDENTIFYING NUMBER

                          _____________________________


                          _____________________________


                          _____________________________


                          _____________________________
                     (please print or type name and address)

______________________________________  of  the  Warrants  represented  by  this
Warrant   Certificate,   and  hereby   irrevocably   constitutes   and  appoints
_____________________________  Attorney to transfer this Warrant  Certificate on
the of the Company, with full power of substitution in the premises.

Dated: ____________________             X__________________________
                                         Signature Guaranteed

                                        ___________________________


THE SIGNATURE TO THE ASSIGNMENT OR THE SUBSCRIPTION  FORM MUST CORRESPOND TO THE
NAME AS WRITTEN UPON THE FACE OF THIS WARRANT  CERTIFICATE IN EVERY  PARTICULAR,
WITHOUT  ALTERATION  OR  ENLARGEMENT  OR  ANY  CHANGE  WHATSOEVER  AND  MUST  BE
GUARANTEED  BY A  COMMERCIAL  BANK OR  TRUST  COMPANY  OR A  MEMBER  FIRM OF THE
CONTINENTAL  STOCK EXCHANGE,  PACIFIC STOCK EXCHANGE,  MIDWEST STOCK EXCHANGE OR
BOSTON STOCK EXCHANGE.

                                       30


                           NEW YORK HEALTH CARE, INC.

                                       AND

                              RAS SECURITIES CORP.


                                   ----------


                                REPRESENTATIVE'S

                                WARRANT AGREEMENT

                          Dated as of __________, 1996


<PAGE>




     REPRESENTATIVE'S WARRANT AGREEMENT dated as of _________,  1996 between NEW
YORK  HEALTH  CARE,  INC.,  a New  York  corporation  (the  "Company")  and  RAS
SECURITIES CORP., its successors, designees and assigns (hereinafter referred to
as the "Representative").

                              W I T N E S S E T H:

     WHEREAS,  the  Company  proposes  to issue to the  Representative  warrants
("Warrants")  to purchase up to an aggregate of 105,000  shares of common stock,
$.001 par value, of the Company's ("Common Stock") and/or up to 105,000 warrants
("Underlying  Warrants"),  each  Underlying  Warrant  entitling  the  holder  to
purchase  one  share of  Common  Stock.  (One  share  of  Common  Stock  and one
Underlying Warrant are each hereinafter  referred to as a "Warrant Security" and
more than one collectively referred to as the "Warrant Securities"); and

     WHEREAS,  the  Representative  has  agreed  pursuant  to  the  underwriting
agreement (the  "Underwriting  Agreement") dated as of the date hereof among the
underwriters  named  therein  ("Underwriters")  and  the  Company  to act as the
representative  of such  underwriters in connection with the Company's  proposed
public  offering  of up to  1,050,000  shares  of  Common  Stock  and  1,050,000
redeemable warrants ("Redeemable  Warrants") at a public offering price of $5.00
per  share of  Common  Stock  and  $.10  per  Redeemable  Warrant  (the  "Public
Offering"); and

     WHEREAS,  the  Warrants  to be issued  pursuant to this  Agreement  will be
issued  on the  Closing  Date  (as  such  term is  defined  in the  Underwriting
Agreement) by the Company to the  Representative  in  consideration  for, and as
part of the Representative's compensation in connection with, the Representative
acting as the representative pursuant to the Underwriting Agreement;

     NOW,  THEREFORE,  in  consideration  of the  premises,  the  payment by the
Representative to the Company of an aggregate  twenty-one dollars ($21.00),  the
agreements  herein  set forth and other  good and  valuable  consideration,  the
receipt and  sufficiency  of which are hereby  acknowledged,  the parties hereto
agree as follows:

                                        1


<PAGE>



     1. Grant The Representative is hereby granted the right to purchase, at any
time from __________, 1997 until 5:00 P.M., New York time, on __________,  2001,
up to an  aggregate  of 105,000  shares of Common  Stock (the  "Shares")  and/or
105,000 Underlying  Warrants at an initial exercise price (subject to adjustment
as  provided  in  Section 8 hereof)  of $6.00 per Share and $.12 per  Underlying
Warrant, subject to the terms and conditions of this Agreement.  Each Underlying
Warrant is exercisable  to purchase one  additional  share of Common Stock at an
initial exercise price of $ 6.00 from __________,  1997 until 5:00 P.M. New York
time on February  __________,  2001 at which time the  Underlying  Warrants will
expire.  Except as set forth  herein,  the  Underlying  Warrants  issuable  upon
exercise  of the  Warrants  are  in all  respects  identical  to the  Redeemable
Warrants being purchased by the  Underwriters  for resale to the public pursuant
to the terms and  provisions of the  Underwriting  Agreement and the  Redeemable
Warrant  Agreement  dated  __________  1996 between the Company and  Continental
Stock Transfer & Trust Company ("Redeemable  Warrant Agreement").  Except as set
forth  herein,  the shares  issuable  upon  exercise of the  Warrants are in all
respects  identical  to the  shares  of  Common  Stock  being  purchased  by the
Underwriters  for resale to the public  pursuant to the terms and  provisions of
the Underwriting Agreement.

     2.  Warrant   Certificates.   The  warrant   certificates   (the   "Warrant
Certificates") delivered and to be delivered pursuant to this Agreement shall be
(i) in the form set forth in Exhibit A, with  respect to  Warrants  to  purchase
Shares and (ii) in the form set forth in Exhibit B with  respect to  Warrants to
purchase Underlying Warrants,  each attached hereto and made a part hereof, with
such appropriate insertions,  omissions,  substitutions, and other variations as
required or permitted by this Agreement.

     3. Exercise of Warrant.

          3.1 Method of Exercise.  The Warrants initially are exercisable at the
initial  exercise prices (subject to adjustment as provided in Section 8 hereof)
per Share and per Underlying Warrant as set forth in Section 6 hereof payable by
certified or official  bank check in New York Clearing  House funds,  subject to
adjustment  as  provided  in  Section  8  hereof.  Upon  surrender  of a Warrant
Certificate  with the  annexed  Form of  Election  to  Purchase  duly  executed,
together with

                                        2


<PAGE>



payment  of  the  Exercise  Price  (as  hereinafter  defined)  for  the  Warrant
Securities  purchased at the Company's  principal offices  (presently located at
1667 Flatbush  Avenue,  Brooklyn,  New York,  11210) the registered  holder of a
Warrant  Certificate  ("Holder"  or  "Holders")  shall be  entitled to receive a
certificate or certificates for the shares of Common Stock so purchased and/or a
certificate  or  certificates  for the  Underlying  Warrants so  purchased.  The
purchase rights  represented by each Warrant  Certificate are exercisable at the
option of the Holders thereof, in whole or part (but not as to fractional shares
of the Common Stock and/or Underlying Warrants).  In the case of the purchase of
less than all Warrant Securities purchasable under any Warrant Certificate,  the
Company shall cancel said Warrant  Certificate  upon the  surrender  thereof and
shall  execute  and  deliver a new  Warrant  Certificate  of like  tenor for the
balance of the Warrant Securities purchasable thereunder.

          3.2  Exercise by  Surrender  of Warrant.  In addition to the method of
payment  set  forth  in  Section  3.1 and in lieu of any cash  payment  required
thereunder,  the Holder(s) of the Warrants  shall have the right at any time and
from time to time to exercise  the  Warrants in full or in part by  surrendering
the applicable Warrant  Certificates in the manner specified in Section 3.1. The
number of shares of Common Stock to be issued pursuant to this Section 3.2 shall
be equal to the  difference  between (a) the number of shares of Common Stock in
respect of which the Warrants are exercised and (b) a fraction, the numerator of
which  shall be the  number of shares of Common  Stock in  respect  of which the
Warrants are exercised multiplied by the Exercise Price (as hereinafter defined)
and the denominator of which shall be the Market Price. The number of Underlying
Warrants  to be  issued  pursuant  to this  Section  3.2  shall  be equal to the
difference between (a) the number of Underlying Warrants in respect of which the
Warrants are exercised  and (b) a fraction,  the numerator of which shall be the
number of  Underlying  Warrants in respect of which the Warrants  are  exercised
multiplied by the Exercise Price (as hereinafter defined) and the denominator of
which shall be the Market Price.

          3.3  Definition of Market Price.  As used herein,  the phrase  "Market
Price" at any date shall be deemed to be (i) when referring to the Common Stock,
the last reported  sale price,  or, in case no such reported sale takes place on
such day,  the average of the last  reported  sale prices for the last three (3)
trading days, in either case as officially reported by the principal  securities
exchange  on which the Common  Stock is listed or  admitted to trading or by the
Nasdaq  National  Market  ("NNM"),  or,  if the  Common  Stock is not  listed or
admitted to trading on any national securities

                                        3


<PAGE>



exchange or quoted by NNM,  the average  closing bid price as  furnished  by the
National  Association of Securities  Dealers,  Inc.  ("NASD")  through Nasdaq or
similar  organization if Nasdaq is no longer reporting such  information,  or if
the Common  Stock is not  quoted on  Nasdaq,  or such  similar  organization  as
determined in good faith by resolution of the Board of Directors of the Company,
based on the best  information  available  to it or (ii)  when  referring  to an
Underlying  Warrant,  the last  reported  sale  price,  or,  in the case no such
reported  sale takes place on such day,  the average of the last  reported  sale
prices  for the last  three  (3)  trading  days,  in either  case as  officially
reported by the principal  securities  exchange on which the Underlying Warrants
are listed or admitted to trading or by NNM, or, if the Underlying  Warrants are
not listed or admitted to trading on any national  securities exchange or quoted
by NNM, the average closing bid price as furnished by the NASD through Nasdaq or
similar  organization if Nasdaq is no longer reporting such  information,  or if
the Underlying Warrant is not quoted on Nasdaq or such similar organization, the
Market Price of an  Underlying  Warrant shall equal the  difference  between the
Market Price of the Common Stock and the Exercise Price (as hereinafter defined)
of the  Underlying  Warrant.  Notwithstanding  the  foregoing,  for  purposes of
Section 8, the Market Price of a share of Common Stock or an Underlying  Warrant
shall be  determined  by reference to the relevant  information  set forth above
during the thirty (30) trading days immediately  preceding the date of the event
requiring the  determination of the Market Price (except that, in the event of a
public offering of shares of Common Stock, the Market Price of a share of Common
Stock or an  Underlying  Warrant shall be determined by reference to the trading
day immediately preceding the effective date of the public offering and not such
thirty (30) trading day period).

     4.  Issuance  of  Certificates.  Upon the  exercise  of the  Warrants,  the
issuance of  certificates  for shares of Common  Stock and  Underlying  Warrants
and/or other securities, properties or rights underlying such Warrants and, upon
the exercise of the Underlying Warrants, the issuance of certificates for shares
of Common Stock and/or other  securities,  properties or rights  underlying such
Underlying  Warrants,  shall be made forthwith (and in any event within five (5)
business  days  thereafter)  without  charge to the  Holder  thereof  including,
without  limitation,  any tax which may be payable  in  respect of the  issuance
thereof, and such certificates shall (subject to the provisions

                                        4


<PAGE>



of Sections 5 and 7 hereof) be issued in the name of, or in such names as may be
directed by, the Holder thereof;  provided,  however, that the Company shall not
be  required  to pay any tax which may be payable  in  respect  of any  transfer
involved in the issuance and delivery of any such  certificates  in a name other
than  that of the  Holder  and the  Company  shall not be  required  to issue or
deliver such certificates  unless or until the person or persons  requesting the
issuance  thereof shall have paid to the Company the amount of such tax or shall
have established to the satisfaction of the Company that such tax has been paid.

     The Warrant  Certificates  and the  certificates  representing  the Shares,
Underlying  Warrants and the shares of Common Stock  underlying  such Underlying
Warrants (and/or other securities, property or rights issuable upon the exercise
of the Warrants or the Underlying  Warrants)  shall be executed on behalf of the
Company by the manual or facsimile  signature  of the then  present  Chairman or
Vice  Chairman of the Board of Directors  or President or Vice  President of the
Company under its corporate seal reproduced  thereon,  attested to by the manual
or facsimile  signature of the then present Secretary or Assistant  Secretary of
the Company.  Warrant  Certificates  shall be dated the date of execution by the
Company upon initial issuance, division, exchange, substitution or transfer.

     5.   Restriction  On  Transfer  of  Warrants.   The  Holder  of  a  Warrant
Certificate,  by its acceptance thereof,  covenants and agrees that the Warrants
are being  acquired  as an  investment  and not with a view to the  distribution
thereof; that the Warrants may not be sold, transferred,  assigned, hypothecated
or otherwise disposed of, in whole or in part, for a period of one (1) year from
the date hereof, except to officers of the Representative.

     6. Exercise Price.

          6.1 Initial and Adjusted Exercise Price.  Except as otherwise provided
in Section 8 hereof,  the  initial  exercise  price of each  Warrant to purchase
Common Stock shall be $6.00 per share of Common  Stock and the initial  exercise
price  of each  Warrant  to  purchase  Underlying  Warrants  shall  be $.12  per
Underlying  Warrant.  The adjusted exercise price shall be the price which shall
result from time to time from any and all  adjustments  of the initial  exercise
price in accordance with the provisions of Section 8 hereof and/or in accordance
with a reduction by the Company, in its sole

                                        5


<PAGE>



discretion, of the exercise price of each Warrant to purchase Common Stock.

          6.2 Exercise  Price.  The term "Exercise  Price" herein shall mean the
applicable initial exercise price or with respect to Warrants to purchase Common
Stock the adjusted exercise price, depending upon the context.

     7. Registration Rights.

          7.1  Current  Registration  Under  the  Securities  Act of  1933.  The
Warrants,  the Shares,  the  Underlying  Warrants  issuable upon exercise of the
applicable  Warrants and the shares of Common Stock  issuable  upon  exercise of
such Underlying  Warrants have been registered under the Securities Act of 1933,
as amended (the "Act"), pursuant to the Company's Registration Statement on Form
SB-2  (Registration   No.333-__________)  (the  "Registration  Statement").  The
Company   covenants  and  agrees  to  use  its  best  efforts  to  maintain  the
effectiveness of the Registration  Statement for a period of five (5) years from
its effective date.

          7.2 Contingent  Registration Rights. In the event that, for any reason
whatsoever,  the  Company  shall  fail  to  maintain  the  effectiveness  of the
registration  Statement for a period of five (5) years from its  effective  date
and, in any event,  from and after the fifth (5th)  anniversary of the effective
date of the Registration Statement, the Representative shall have commencing the
date of any such occasion,  the contingent  registration  rights  ("Registration
Rights") set forth in Sections 7.3 and 7.4 hereof.

          7.3 Piggyback  Registration.  (a) If, at any time commencing after the
effective  date of the  Registration  Rights and  expiring on the seventh  (7th)
anniversary of the effective  date of the  Registration  Statement,  the Company
proposes to register  any of its  securities  under the Act,  either for its own
account or the  account of any other  security  holder or holders of the Company
possessing  registration rights ("Other  Stockholders")  (other than pursuant to
Form S-4, Form S-8 or comparable registration statement),  it shall give written
notice,  at least thirty (30) days prior to the filing of each such registration
statement,  to the Representative and to all other Holders of Warrants,  Shares,
Underlying  Warrants and/or shares of Common Stock issuable upon exercise of the
Underlying Warrants (collectively, "Registrable Securities") of its intention to
do so. If the  Representative or other Holders of Registrable  Securities notify
the Company within twenty-one

                                        6


<PAGE>



(21) days after the receipt of any such notice of its or their desire to include
any such securities in such proposed registration  statement,  the Company shall
afford  the  Representative  and  such  other  Holders  of such  securities  the
opportunity  to have any such  securities  registered  under  such  registration
statement.

          (b) If the  registration  of which the Company  gives  notice is for a
registered  public  offering  involving an  underwriting,  the Company  shall so
advise the  Representative  and such other Holders as part of the written notice
given pursuant to Section 7.3(a) hereof.  The right of the Representative or any
such  other  Holder  to  registration  pursuant  to this  Section  7.3  shall be
conditioned upon their  participation in such  underwriting and the inclusion of
their  Registrable  Securities  in the  underwriting  to the extent  hereinafter
provided. The Representative and all other Holders proposing to distribute their
securities  through such  underwriting  shall (together with the Company and any
officer,  directors or Other Stockholders  distributing their securities through
such underwriting)  enter into an underwriting  agreement in customary form with
the  representative of the underwriter or underwriters  selected by the Company.
Notwithstanding  any other provision of this Section 7.3, if the  representative
of the underwriter or underwriters advises the Company in writing that marketing
factors  require a limitation or  elimination  of the number of shares of Common
Stock or other securities to be underwritten,  the  representative may limit the
number of  shares of Common  Stock or other  securities  to be  included  in the
registration and  underwriting.  The Company shall so advise the  Representative
and all other Holders of Registrable Securities requesting registration, and the
number of shares of Common  Stock or other  securities  that are  entitled to be
included in the  registration  and  underwriting  shall be  allocated  among the
Representative  and other  Holders  requesting  registration,  in each case,  in
proportion,  as nearly as practicable,  to the respective  amounts of securities
which they had  requested  to be  included in such  registration  at the time of
filing the registration statement.

          (c)  Notwithstanding  the  provisions of this Section 7.3, the Company
shall  have the  right at any time  after it shall  have  given  written  notice
pursuant to Section 7.3(a) hereof (irrespective of whether a written request for
inclusion of any such securities  shall have been made) to elect not to file any
such proposed registration  statement,  or to withdraw the same after the filing
but prior to the effective date thereof.

          7.4  Demand  Registration.  (a)  At  any  time  commencing  after  the
effective date of the

                                        7


<PAGE>



Registration  Rights and ending on the fifth (5th)  anniversary of the effective
date  of  the  Registration   Statement,   the  Representative  and  Holders  of
Registrable  Securities  representing a "Majority" (as  hereinafter  defined) of
such  securities  (assuming  the exercise of all of the Warrants and  Underlying
Warrants)  (the  "Initiating  Holders")  shall have the right (which right is in
addition to the  registration  rights under Section 7.3 hereof),  exercisable by
written  notice to the  Company,  to have the Company  prepare and file with the
Commission,  on one occasion, a registration statement and such other documents,
including a  prospectus,  as may be necessary in the opinion of both counsel for
the Company and counsel for the Holders,  in order to comply with the provisions
of the  Act,  so as to  permit a public  offering  and sale of their  respective
Registrable  Securities  for up to two hundred  and  seventy  (270) days by such
Holders and any other Holders of  Registrable  Securities,  as well as any other
security holders possessing similar  registration rights, who notify the Company
within  twenty-one  (21) days after  receiving  notice  from the Company of such
request.

          (b) The Company  covenants  and agrees to give  written  notice of any
registration  request  under  this  Section  7.4 by any Holder or Holders to all
other  registered  Holders  of  Registrable  Securities,  as well  as any  other
security holders possessing similar  registration  rights,  within ten (10) days
after the date of the receipt of any such registration request.

          (c) If the Initiating  Holders  intend to distribute  the  Registrable
Securities  covered by their request by means of an underwriting,  they shall so
advise the Company as a part of their  request made  pursuant to Section  7.4(a)
hereof.  The right of any Holder to  registration  pursuant to this  Section 7.4
shall be conditioned upon such Holder's  participation in such  underwriting and
the inclusion of such Holder's Registrable Securities in the underwriting to the
extent and subject to the  limitations  provided  herein.  A Holder may elect to
include in such  underwriting  all or a part of the  Registrable  Securities  it
holds.

          (d) The Company shall (together with all Holders, officers,  directors
and Other  Stockholders  proposing to distribute their  securities  through such
underwriting)  enter into an  underwriting  agreement in customary form with the
representative of the underwriter of underwriters selected for such underwriting
by the Initiating Holders,  which underwriter(s) shall be reasonably  acceptable
to the Representative.  Notwithstanding any other provision of this Section 7.4,
if the representative of the underwriter or underwriters  advises the Initiating
Holders in writing that marketing factors require a limitation or elimination of
the number of shares of Common Stock or

                                        8


<PAGE>



other securities to be underwritten,  the representative may limit the number of
shares of Common Stock or other  securities  to be included in the  registration
and underwriting. The Company shall so advise the Representative and all Holders
of Registrable Securities requesting  registration,  and the number of shares of
Common  Stock or  other  securities  that are  entitled  to be  included  in the
registration and underwriting  shall be allocated among the  Representative  and
other Holders requesting registration, in each case, in proportion, as nearly as
practicable, to the respective amounts of securities which they had requested to
be  included  in such  registration  at the  time  of  filing  the  registration
statement.  If the  Company  or any  Holder of  Registrable  Securities  who has
requested  inclusion in such  registration as provided above  disapproves of the
terms of any such underwriting, such person may elect to withdraw its securities
therefrom by written notice to the Company,  the  underwriter and the Initiating
Holders.  Any securities so excluded shall be withdrawn from such  registration.
No securities  excluded from such  registration by reason of such  underwriters'
marketing limitations shall be included in such registration.  To facilitate the
allocation  of shares in  accordance  with this Section  7.4(d),  the Company or
underwriter or  underwriters  selected as provided above may round the number of
securities  of any holder  which may be  included  in such  registration  to the
nearest 100 shares.

          (e) In the event that the Initiating Holders are unable to sell all of
the Registrable Securities for which they have requested registration due to the
provisions of Section 7.4(d) hereof and if, at that time, the Initiating Holders
are  not  permitted  to sell  Registrable  Securities  under  Rule  144(k),  the
Initiating  Holders  shall be  entitled  to  require  the  Company to afford the
Initiating  Holders an opportunity to effect one additional demand  registration
under this Section 7.4.

          (f) In  addition  to the  registration  rights  under  Section 7.3 and
subsection (a) of Section 7.4 hereof,  at any time commencing on the date hereof
and expiring  five (5) years  thereafter  any Holder of  Registrable  Securities
shall have the right, exercisable by written request to the Company, to have the
Company  prepare and file, on one occasion,  with the  Commission a registration
statement  so as to permit a public  offering  and sale for 270 days by any such
Holder of its Registrable  Securities provided,  however, that the provisions of
Section  7.5(b)  hereof,  shall not apply to any such  registration  request and
registration  and all costs  incident  thereto  shall be at the  expense  of the
Holder or Holder's making such request.

          (g) Notwithstanding  anything to the contrary contained herein, if the
Company shall not

                                        9


<PAGE>



have  filed a  registration  statement  for the  Registrable  Securities  of the
Initiating  Holders or the  Holder(s)  referred to in Section  7.5(f) above (the
"Paying Holders"), within the time period specified in Section 7.5(a) below, the
Company shall upon the written notice of election of the  Initiating  Holders or
the Paying Holders, as the case may be, repurchase (i) any and all Shares and/or
Underlying  Warrants at the higher of the Market Price per share of Common Stock
or per  Underlying  Warrant,  as the case may be, on (x) the date of the  notice
sent to the Company under Section  7.4(a) or (f), as the case may be, or (y) the
expiration  of the  period  specified  in  Section  7.5(a)  and (ii) any and all
Warrants at such Market  Price less the  Exercise  Price of such  Warrant.  Such
repurchase  shall be in immediately  available funds and shall close within five
(5)  business  days  after the  expiration  of the period  specified  in Section
7.5(a).

          7.5  Covenants  of  the  Company  With  Respect  to  Registration.  In
connection with any registration  under Sections 7.3 and 7.4 hereof, the Company
covenants and agrees as follows:

          (a) The  Company  shall use its best  efforts  to file a  registration
statement within thirty (30) days of receipt of any demand  therefor,  shall use
its best efforts to have any registration  statements  declared effective at the
earliest  possible  time,  and  shall  furnish  each  Holder  desiring  to  sell
Registrable  Securities  such  number of  prospectuses  as shall  reasonably  be
requested.

          (b) The Company  shall pay all costs  (excluding  fees and expenses of
Holder(s)'  counsel  and any  underwriting  or  selling  commissions),  fees and
expenses  in  connection  with all  registration  statements  filed  pursuant to
Sections 7.3 and 7.4 hereof including,  without limitation,  the Company's legal
and  accounting  fees,  printing  expenses,  blue sky fees and expenses.  If the
Company shall fail to comply with the provisions of Section 7.5(a),  the Company
shall,  in addition to any other  equitable  or other  relief  available  to the
Holder(s),  extend the exercise period of the Warrants by such number of days as
shall equal the delay caused by the Company's failure.

          (c) The Company will take all  necessary  action which may be required
in  qualifying  or  registering  the  Registrable   Securities   included  in  a
registration  statement  for offering and sale under the  securities or blue sky
laws of such states as reasonably are requested by the Holder(s);  provided that
the Company  shall not be  obligated  to execute or file any general  consent to
service of process or to qualify as a foreign  corporation  to do business under
the laws of any such jurisdiction.

          (d) The Company  shall  indemnify  the  Holder(s)  of the  Registrable
Securities to be sold pursuant to any registration statement and each person, if
any, who controls such Holders within the

                                       10


<PAGE>



meaning of Section 15 of the Act or Section 20(a) of the Securities Exchange Act
of 1934, as amended ("Exchange Act"), against all loss, claim,  damage,  expense
or liability  (including  all  expenses  reasonably  incurred in  investigating,
preparing or defending  against any claim  whatsoever)  to which any of them may
become  subject under the Act, the Exchange Act or otherwise,  arising from such
registration  statement  but only to the same extent and with the same effect as
the provisions pursuant to which the Company has agreed to indemnify each of the
Underwriters contained in Section 7 of the Underwriting Agreement.

          (e) The Holder(s) of the Registrable Securities to be sold pursuant to
a registration statement, and their successors and assigns, shall severally, and
not jointly,  indemnify the Company, its officers and directors and each person,
if any, who controls the Company  within the meaning of Section 15 of the Act or
Section 20(a) of the Exchange Act, against all loss, claim, damage or expense or
liability   (including  all  expenses   reasonably  incurred  in  investigating,
preparing or defending  against any claim  whatsoever)  to which they may become
subject under the Act, the exchange Act or otherwise,  arising from  information
furnished by or on behalf of such Holders,  or their successors or assigns,  for
specific  inclusion in such  registration  statement to the same extent and with
the same effect as the  provisions  contained  in Section 7 of the  Underwriting
Agreement  pursuant  to which the  Underwriters  have  agreed to  indemnify  the
Company.

          (f)  For  a  period  of  one  hundred  eighty  (180)  days  after  the
effectiveness  of any  registration  statement  filed  pursuant  to Section  7.4
hereof,  the Company shall not permit any other  registration  statement  (other
than (1) a  registration  statement  relating  to the  securities  for which the
Company has granted demand  registration  rights, as described in the Prospectus
included in the Registration Statement, (2) a registration statement relating to
the shares of Common Stock  issuable  upon exercise of the  Redeemable  Warrants
issued to the public pursuant to the Registration Statement,  (3) a registration
statement relating to the securities for which the Company has granted piggyback
registration rights, as described in the Prospectus included in the Registration
Statement and (4) a registration  statement  filed on Forms S-4 or S-8) to be or
remain  effective  during the  effectiveness  of a registration  statement filed
pursuant to Section 7.4 hereof, without the prior written consent of the Holders
of the Registrable Securities representing a Majority of such securities.

          (g) The  Company  shall  furnish to each Holder  participating  in the
offering and to each  underwriter,  if any, a signed  counterpart,  addressed to
such Holder or underwriter, of (i) an opinion

                                       11


<PAGE>



of  counsel  to the  Company,  dated  the  effective  date of such  registration
statement (and, if such registration  includes an underwritten  public offering,
an opinion dated the date of the closing under the underwriting agreement),  and
(ii) a "cold  comfort"  letter  dated the  effective  date of such  registration
statement (and, if such registration includes an underwritten public offering, a
letter dated the date of the closing under the underwriting agreement) signed by
the  independent  public  accountants  who have issued a report on the Company's
financial  statements  included  in such  registration  statement,  in each case
covering  substantially  the same  matters  with  respect  to such  registration
statement  (and  the  prospectus  included  therein)  and,  in the  case of such
accountants'  letter,  with  respect  to events  subsequent  to the date of such
financial statements, as are customarily covered in opinions of issuer's counsel
and in accountants'  letters  delivered to  underwriters in underwritten  public
offerings of securities.

          (h) The Company shall as soon as practicable  after the effective date
of any registration statement filed pursuant to Sections 7.3 and 7.4 hereof, and
in any event  within 15 months  thereafter,  make  "generally  available  to its
security  holders"  (within  the  meaning of Rule 158 under the Act) an earnings
statement  (which need not be audited)  complying  with Section 11(a) of the act
and  covering a period of at least 12  consecutive  months  beginning  after the
effective date of the registration statement.

          (i) The Company shall deliver promptly to each Holder participating in
the offering  requesting the correspondence and memoranda described below and to
the  managing  underwriters,  copies of all written  correspondence  between the
Commission and the Company,  its counsel or auditors and all memoranda  relating
to discussions with the Commission or its staff with respect to the registration
statement and permit each Holder and underwriters to do such investigation, upon
reasonable advance notice,  with respect to information  contained in or omitted
from the registration  statement as it deems reasonably necessary to comply with
applicable  securities  laws or  rules of the  NASD.  Such  investigation  shall
include access to books, records and properties and opportunities to discuss the
business of the Company with its officers and independent auditors,  all to such
reasonable  extent and at such reasonable  times and as often as any such Holder
or underwriter shall reasonably request.

          (j) With respect to any  registration  under  Section 7.4 hereof,  the
Company shall enter into an underwriting agreement with the managing underwriter
selected for such underwriting

                                       12


<PAGE>



by the Initiating  Holders or the Paying Holders,  as the case may be, which may
be the  Representative.  Such  agreement  shall  be  satisfactory  in  form  and
substance to the Company, each Holder and such managing underwriters,  and shall
contain such  representations,  warranties and covenants by the Company and such
other terms as are customarily  contained in agreements of that type used by the
managing underwriter. The Holders shall be parties to any underwriting agreement
relating to an  underwritten  sale of their  Registrable  Securities and may, at
their  option,  require  that  any or all the  representations,  warranties  and
covenants of the Company to or for the benefit of such  underwriters  shall also
be made to and for the  benefit  of such  Holders.  Such  Holders  shall  not be
required to make any  representations  or warranties  to or agreements  with the
Company or the underwriters, except as they may relate to such Holders and their
intended methods of distribution.

          (k) For purposes of this  Agreement,  the term "Majority" in reference
to the Holders of Registrable Securities,  shall mean in excess of fifty percent
(50%) of the then  outstanding  Warrants,  Shares,  Underlying  Warrants  and/or
shares of Common Stock issued upon exercise of the Underlying  Warrants that (i)
are not held by the Company, an affiliate,  officer, creditor, employee or agent
thereof or any of their respective affiliates,  members of their family, persons
acting as nominees or in conjunction  therewith and (ii) have not been resold to
the public pursuant to a registration  statement filed with the Commission under
the Act.

          (l)  Nothing  contained  in  this  Agreement  shall  be  construed  as
requiring the Holder(s) to exercise their Warrants or Underlying  Warrants prior
to  the  initial  filing  of any  registration  statement  or the  effectiveness
thereof.

          (m) In  addition  to the  Registrable  Securities,  upon  the  written
request  therefor,   by  any  Holder(s),   the  Company  shall  include  in  the
registration  statement  any  other  securities  of the  Company  held  by  such
Holder(s)  as of the date of filing of such  registration  statement,  including
without limitation restricted shares of Common Stock,  options,  warrants or any
other securities convertible into shares of Common Stock.

          7.6  Restrictive  Legends.  In the  event  that the  Company  fails to
maintain  the  effectiveness  of  the  Registration  Statement,  such  that  the
exercise,  in part or in whole, of the Warrants  and/or the Underlying  Warrants
are  not,  at  the  time  of  such  exercise,  registered  under  the  Act,  any
certificates  representing  the Shares  underlying the Warrants,  the Underlying
Warrants  underlying the Warrants  and/or the shares of Common Stock  underlying
the Underlying Warrants, and any of the other

                                       13


<PAGE>



securities  issuable  upon  exercise of the  Warrants  shall bear the  following
restrictive legend:

          The  securities   represented  by  this   certificate  have  not  been
registered under the Securities Act of 1933, as amended ("Act"),  and may not be
offered or sold except pursuant to (i) an effective registration statement under
the Act, (ii) to the extent  applicable,  Rule 144 under the Act (or any similar
rule under such Act  relating to the  disposition  of  securities),  or (iii) an
opinion ofcounsel,  if such opinion shall be reasonably  satisfactory to counsel
to the issuer, that an exemption from registration under such Act is available.

     8. Adjustments to Exercise Price and Number of Securities.

          8.1  Computation  of Adjusted  Exercise  Price.  Except as hereinafter
provided, in the event the Company shall at any time after the date hereof issue
or sell any shares of Common Stock (other than the  issuances or sales  referred
to in Section 8.7 hereof),  including shares held in the Company's  treasury and
shares of Common  Stock  issued  upon the  exercise  of any  options,  rights or
warrants  to  subscribe  for shares of Common  Stock and shares of Common  Stock
issued upon the direct or indirect  conversion  or  exchange of  securities  for
shares of Common Stock, for a consideration per share less than the Market Price
in effect  immediately  prior to the issuance or sale of such shares, or without
consideration,  then  forthwith  upon such issuance or sale,  the Exercise Price
shall (until another such issuance or sale) be reduced to the price  (calculated
to the nearest  full cent)  equal to the  quotient  derived by  dividing  (i) an
amount  equal to the sum of (a) the total  number  of  shares  of  Common  Stock
outstanding immediately prior to the issuance or sale of such shares, multiplied
by the Exercise Price in effect  immediately prior to such issuance or sale, and
(b) the aggregate of the amount of all  consideration,  if any,  received by the
Company upon such issuance or sale, by (ii) the total number of shares of Common
Stock outstanding  immediately after such issuance or sale;  provided,  however,
that  in no  event  shall  the  Exercise  Price  be  adjusted  pursuant  to this
computation to an amount in excess of the Exercise  Price in effect  immediately
prior to such  computation,  except in the case of a combination  of outstanding
shares of Common Stock, as provided by Section 8.3 hereof.

     For the purposes of this Section 8 the term  Exercise  Price shall mean the
Exercise  Price  per share of Common  Stock  set forth in  Section 6 hereof,  as
adjusted from time to time pursuant to the provisions of this Section 8.

                                       14


<PAGE>



     For the  purposes of any  computation  to be made in  accordance  with this
Section 8.1, the following provisions shall be applicable:

          (i) In case of the  issuance  or sale of shares of Common  Stock for a
consideration  part or all of  which  shall  be  cash,  the  amount  of the cash
consideration  therefor shall be deemed to be the amount of cash received by the
Company  for such  shares  (or,  if shares of Common  Stock are  offered  by the
Company  for  subscription,  the  subscription  price,  or,  if  either  of such
securities  shall be sold to underwriters or dealers for public offering without
a subscription  offering,  the initial public offering  price) before  deducting
therefrom any compensation paid or discount allowed in the sale, underwriting or
purchase  thereof  by  underwriters  or  dealers  or  other  performing  similar
services, or any expenses incurred in connection therewith.

          (ii) In case of the  issuance  or sale  (other  than as a dividend  or
other  distribution on any stock of the Company) of shares of Common Stock for a
consideration  part or all of which shall be other than cash,  the amount of the
consideration  therefor  other than cash shall be deemed to be the value of such
consideration  as  determined  in good  faith by the Board of  Directors  of the
Company  and shall  include  any  amounts  payable  to  security  holders or any
affiliates  thereof,  including without  limitation,  pursuant to any employment
agreement,  royalty,  consulting agreement,  covenant not to compete, earnout or
contingent  payment right or similar  arrangement,  agreement or  understanding,
whether oral or written;  all such amounts being valued for the purposes  hereof
at the aggregate amount payable  thereunder,  whether such payments are absolute
or contingent,  and  irrespective  of the period or uncertainty of payment,  the
rate of interest, if any, or the contingent nature thereof;  provided,  however,
that if any Holder(s) does not agree with such evaluation, a mutually acceptable
independent  appraiser  shall make such  evaluation,  the cost of which shall be
borne by the Company.

          (iii)  Shares of Common  Stock  issuable  by way of  dividend or other
distribution  on any stock of the  Company  shall be deemed to have been  issued
immediately  after the opening of business on the day  following the record date
for the determination of stockholders entitled to receive such dividend or other
distribution and shall be deemed to have been issued without consideration.

          (iv) The  reclassification  of  securities  of the Company  other than
shares of Common Stock into securities including shares of Common Stock shall be
deemed  to  involve  the   issuance  of  such  shares  of  Common  Stock  for  a
consideration  other than cash immediately prior to the close of business on the
date fixed for the  determination  of security  holders entitled to receive such
shares,

                                       15


<PAGE>



and the value of the  consideration  allocable  to such  shares of Common  Stock
shall be determined as provided in subsection (ii) of this Section 8.1.

          (v) The number of shares of Common  Stock at any one time  outstanding
shall  include the  aggregate  number of shares  issued or issuable  (subject to
readjustment  upon the actual  issuance  thereof)  upon the exercise of options,
rights,  warrants  and  upon  the  conversion  or  exchange  of  convertible  or
exchangeable securities.

          8.2  Options,   Rights,  Warrants  and  Convertible  and  Exchangeable
Securities.  In case the Company  shall at any time after the date hereof  issue
options,  rights or warrants to subscribe for shares of Common  Stock,  or issue
any securities  convertible into or exchangeable for shares of Common Stock, for
a consideration per share less than the Market Price in effect immediately prior
to the issuance of such  options,  rights or warrants,  or such  convertible  or
exchangeable securities, or without consideration,  the Exercise Price in effect
immediately prior to the issuance of such options,  rights or warrants,  or such
convertible or exchangeable securities,  as the case may be, shall be reduced to
a price  determined by making a computation in accordance with the provisions of
Section 8.1 hereof, provided that:

          (a) The aggregate  maximum  number of shares of Common  Stock,  as the
case may be, issuable under such options,  rights or warrants shall be deemed to
be issued and  outstanding  at the time such  options,  rights or warrants  were
issued,  and for a consideration  equal to the minimum  purchase price per share
provided for in such options,  rights or warrants at the time of issuance,  plus
the  consideration  (determined in the same manner as consideration  received on
the issue or sale of shares in accordance  with the terms of the  Warrants),  if
any, received by the Company for such options, rights or warrants.

          (b) The aggregate  maximum  number of shares of Common Stock  issuable
upon conversion or exchange of any convertible or exchangeable  securities shall
be  deemed  to be  issued  and  outstanding  at the  time  of  issuance  of such
securities,  and for a consideration  equal to the consideration  (determined in
the same  manner  as  consideration  received  on the issue or sale of shares of
Common  Stock in  accordance  with the terms of the  Warrants)  received  by the
Company for such securities, plus the minimum consideration,  if any, receivable
by the Company upon the conversion or exchange thereof.

          (c) If any change  shall occur in the price per share  provided for in
any of the options,

                                       16


<PAGE>



rights or warrants  referred to in subsection (a) of this Section 8.2, or in the
price per share at which the  securities  referred to in subsection  (b) of this
Section 8.2 are convertible or exchangeable, such options, rights or warrants or
conversion  or  exchange  rights,  as the case may be,  shall be  deemed to have
expired or  terminated  on the date when such price change  became  effective in
respect of shares not theretofore  issued pursuant to the exercise or conversion
or exchange  thereof,  and the Company  shall be deemed to have issued upon such
date new options,  rights or warrants or convertible or exchangeable  securities
at the new price in respect of the number of shares  issuable  upon the exercise
of such  options,  rights or  warrants  or the  conversion  or  exchange of such
convertible or exchangeable securities.

          8.3 Subdivision and Combination. In case the Company shall at any time
subdivide or combine the outstanding  shares of Common Stock, the Exercise Price
shall  forthwith  be  proportionately  decreased in the case of  subdivision  or
increased in the case of combination.

          8.4  Adjustment in Number of Securities.  Upon each  adjustment of the
Exercise  Price  pursuant  to the  provisions  of this  Section 8, the number of
Warrant Securities  issuable upon the exercise at the adjusted exercise price of
each  Warrant  shall be  adjusted to the nearest  full amount by  multiplying  a
number  equal  to the  Exercise  Price  in  effect  immediately  prior  to  such
adjustment  by the number of Warrant  Securities  issuable  upon exercise of the
Warrants  immediately  prior to such  adjustment  and  dividing  the  product so
obtained by the adjusted Exercise Price.

          8.5 Definition of Common Stock. For the purpose of this Agreement, the
term "Common Stock" shall mean (i) the class of stock designated as Common Stock
in the  Certificate  of  Incorporation  of the Company as amended as of the date
hereof,  or (ii) any other class of stock resulting from  successive  changes or
reclassifications  of such  Common  Stock  consisting  solely of  changes in par
value, or from par value to no par value, or from no par value to par value. The
Company  covenants  that so long as any of the  Warrants  are  outstanding,  the
Company shall not without the prior written consent of the Representative  issue
any securities whatsoever other than Common Stock. In the event that the Company
shall,  upon the  consent of the  Representative,  after the date  hereof  issue
securities  with  greater or  superior  voting  rights than the shares of Common
Stock outstanding as of the date hereof,  the Holder, at its option, may receive
upon  exercise of any Warrant  either shares of Common Stock or a like number of
such securities with greater or superior voting rights.

                                       17


<PAGE>



          8.6  Merger  or  Consolidation.  In case of any  consolidation  of the
Company  with,  or merger of the Company  with,  or merger of the Company  into,
another  corporation (other than a consolidation or merger which does not result
in  any  reclassification  or  change  of the  outstanding  Common  Stock),  the
corporation  formed by such consolidation or merger shall execute and deliver to
the Holder a supplemental  warrant  agreement  providing that the holder of each
Warrant then  outstanding or to be outstanding  shall have the right  thereafter
(until the  expiration  of such  Warrant)  to  receive,  upon  exercise  of such
warrant,  the kind and  amount  of shares  of stock  and  other  securities  and
property receivable upon such consolidation or merger, by a holder of the number
of shares of Common Stock of the Company for which such warrant  might have been
exercised  immediately prior to such  consolidation,  merger,  sale or transfer.
Such supplemental warrant agreement shall provide for adjustments which shall be
identical to the adjustments  provided in Section 8. The above provision of this
subsection shall similarly apply to successive consolidations or mergers.

          8.7 No Adjustment of Exercise Price in Certain Cases. No adjustment of
the Exercise Price shall be made:

          (a) Upon the issuance or sale of the  Warrants,  Underlying  Warrants,
     Redeemable  Warrants  or the  shares  of  Common  Stock  issuable  upon the
     exercise of (i) the Warrants,  (ii) the Underlying  Warrants,  or (iii) the
     Redeemable Warrants; or

          (b) If the amount of said adjustment  shall be less than two cents (2)
     per Warrant Security,  provided,  however, that in such case any adjustment
     that would  otherwise be required then to be made shall be carried  forward
     and  shall be made at the  time of and  together  with the next  subsequent
     adjustment  which,  together with any adjustment so carried forward,  shall
     amount to at least two cents (2) per Warrant Security.

          8.8 Dividends and Other  Distributions.  In the event that the Company
shall at any time  prior to the  exercise  of all  Warrants  declare a  dividend
(other than a dividend consisting solely of shares of Common Stock) or otherwise
distribute  to its  stockholders  any assets,  property,  rights,  evidences  of
indebtedness,  securities (other than shares of Common Stock), whether issued by
the  Company or by  another,  or any other  thing of value,  the  Holders of the
unexercised Warrants shall thereafter be entitled,  in addition to the shares of
Common  Stock or other  securities  and  property  receivable  upon the exercise
thereof,  to receive,  upon the exercise of such  Warrants,  the same  property,
assets,  rights,  evidences of  indebtedness,  securities  or any other thing of
value that they

                                       18


<PAGE>



would have been entitled to receive at the time of such dividend or distribution
as if the  Warrants had been  exercised  immediately  prior to such  dividend or
distribution.  At the time of any such  dividend  or  distribution,  the Company
shall  make  appropriate  reserves  to  ensure  the  timely  performance  of the
provisions of this subsection 8.8.

     9.  Exchange  and  Replacement  of  Warrant   Certificates.   Each  Warrant
Certificate is exchangeable  without expense,  upon the surrender thereof by the
registered  Holder at the principal  executive office of the Company,  for a new
Warrant  Certificate  of like tenor and date  representing  in the aggregate the
right to purchase the same number of Warrant Securities in such denominations as
shall be designed by the Holder thereof at the time of such surrender.

     Upon receipt by the Company of evidence  reasonably  satisfactory  to it of
the loss, theft,  destruction or mutilation of any Warrant Certificate,  and, in
case of  loss,  theft  or  destruction,  of  indemnity  or  security  reasonably
satisfactory to it, and reimbursement to the Company of all reasonable  expenses
incidental  thereto,  and upon surrender and  cancellation  of the Warrants,  if
mutilated,  the Company will make and deliver a new Warrant  Certificate of like
tenor, in lieu thereof.

     10. Elimination of Fractional Interests.  The Company shall not be required
to issue  fractional  shares of Common  Stock or  Underlying  Warrants  upon the
exercise of Warrants.  Warrants  may only be exercised in such  multiples as are
required to permit the  issuance  by the Company of one or more whole  shares of
Common  Stock  and/or  Underlying  Warrants.  If one or more  Warrants  shall be
presented  for exercise in full at the same time by the same Holder,  the number
of whole shares of Common Stock or Underlying  Warrants  which shall be issuable
upon such  exercise  thereof  shall be  computed  on the basis of the  aggregate
number of shares of Common  Stock  and/or  Underlying  Warrants  purchasable  on
exercise of the  Warrants  so  presented.  If any  fraction of a share of Common
Stock or Underlying  Warrants would,  except for the provisions provided herein,
be issuable on the exercise of any Warrant (or specified portion  thereof),  the
Company  shall pay an amount in cash equal to such  fraction  multiplied  by the
then current  market value of a share of Common  Stock or  Underlying  Warrants,
determined as follows:

                                       19


<PAGE>



          (1) If the Common Stock or Underlying  Warrant, as the case may be, is
listed,  or  admitted  to  unlisted  trading  privileges  on the New York  Stock
Exchange ("NYSE") or the American Stock Exchange  ("AMEX"),  or is traded on the
NNM, the current market value of a share of Common Stock or Underlying  Warrant,
as the case may be,  shall be the closing  sale price of the Common Stock or the
Underlying  Warrant,  as the  case  may be,  at the end of the  regular  trading
session on the last  business  day prior to the date of exercise of the Warrants
on whichever  of such  exchanges or NNM had the highest  average  daily  trading
volume for the Common Stock or the  Underlying  Warrant,  as the case may be, on
such day; or

          (2) If the Common Stock or the Underlying Warrant, as the case may be,
is not listed or admitted to unlisted trading privileges,  on either the NYSE or
the AMEX and is not traded on NNM,  but is quoted or  reported  on  Nasdaq,  the
current  market value of a share of Common Stock or the Underlying  Warrant,  as
the case may be,  shall be the  average of the  representative  closing  bid and
asked prices (or the last sale price,  if then reported by Nasdaq) of the Common
Stock or the Underlying  Warrant,  as the case may be, at the end of the regular
trading  session on the last  business  day prior to the date of exercise of the
Warrants as quoted or reported on Nasdaq, as the case may be; or

          (3) If the Common Stock or the Underlying Warrant, as the case may be,
is not listed, or admitted to unlisted trading privileges, on either of the NYSE
or the AMEX,  and is not traded on NNM or quoted or reported  on Nasdaq,  but is
listed or admitted to unlisted trading privileges on the BSE or another national
securities  exchange (other than the NYSE or the AMEX), the current market value
of a share of Common Stock or Underlying  Warrant,  as the case may be, shall be
the closing sale price of the Common  Stock or the  Underlying  Warrant,  as the
case may be, at the end of the regular  trading session on the last business day
prior to the date of exercise of the Warrants on whichever of such exchanges has
the highest  average daily trading volume for the Common Stock or the Underlying
Warrant, as the case may be, on such day; or

          (4) If the Common Stock or the Underlying Warrant, as the case may be,
is not  listed or  admitted  to  unlisted  trading  privileges  on any  national
securities  exchange,  or listed  for  trading on NNM or quoted or  reported  on
Nasdaq, but is traded in the  over-the-counter  market, the current market value
of a share of Common Stock or the Underlying  Warrant, as the case may be, shall
be the average of the last  reported bid and asked prices of the Common Stock or
the Underlying

                                       20


<PAGE>



Warrant,  as the case may be, reported by the National Quotation Bureau, Inc. on
the last business day prior to the date of exercise of the Warrants; or

          (5) If the Common Stock or the Underlying Warrant, as the case may be,
is  not  listed,  admitted  to  unlisted  trading  privileges  on  any  national
securities  exchange,  or listed  for  trading on NNM or quoted or  reported  on
Nasdaq, and bid and asked prices of the Common Stock or the Underlying  Warrant,
as the case may be, are not reported by the National Quotation Bureau, Inc., the
current  market value of a share of Common Stock or the Underlying  Warrant,  as
the case may be, shall be an amount,  not less than the book value thereof as of
the end of the most  recently  completed  fiscal  quarter of the Company  ending
prior  to  the  date  of  exercise,  determined  in  accordance  with  generally
acceptable accounting principles, consistently applied.

     11.  Reservation and Listing of Securities.  The Company shall at all times
reserve and keep available out of its authorized shares of Common Stock,  solely
for the purpose of issuance upon the exercise of the Warrants and the Underlying
Warrants, such number of shares of Common Stock or other securities,  properties
or rights as shall be issuable upon the exercise thereof.  The Company covenants
and agrees that, upon exercise of the Warrants and payment of the Exercise Price
therefor,  all shares of Common Stock and other  Securities  issuable  upon such
exercise shall be duly and validly issued,  fully paid,  non-assessable  and not
subject  to the  preemptive  rights  of any  stockholder.  The  Company  further
covenants and agrees that upon exercise of the  Underlying  Warrants  underlying
the Warrants and payment of the  respective  Underlying  Warrant  exercise price
therefor,  all shares of Common Stock and other  securities  issuable  upon such
exercises shall be duly and validly issued,  fully paid, non- assessable and not
subject to the  preemptive  rights of any  stockholder.  As long as the Warrants
shall be outstanding, the Company shall use its best efforts to cause all shares
of Common  Stock  issuable  upon the  exercise of the  Warrants  and  Underlying
Warrants  and all  Underlying  Warrants  underlying  the  Warrants  to be listed
(subject to official  notice of issuance) on all  securities  exchanges on which
the Common Stock or the Underlying  Warrants  issued to the public in connection
herewith may then be listed and/or quoted on NNM.

     12. Notices to Warrant Holders.  Nothing  contained in this Agreement shall
be construed

                                       21


<PAGE>



as  conferring  upon the  Holders  the right to vote or to consent or to receive
notice as a  stockholder  in respect of any  meetings  of  stockholders  for the
election of directors or any other matter, or as having any rights whatsoever as
a stockholder of the Company.  If, however,  at any time prior to the expiration
of the Warrants and their exercise, any of the following events shall occur:

          (a) the  Company  shall take a record of the  holders of its shares of
Common  Stock  for the  purpose  of  entitling  them to  receive a  dividend  or
distribution  payable  other than in cash,  or a cash  dividend or  distribution
payable  other than out of current or retained  earnings,  as  indicated  by the
accounting  treatment  of such  dividend  or  distribution  on the  books of the
Company; or

          (b) the Company shall offer to all the holders of its Common Stock any
additional shares of capital stock of the Company or securities convertible into
or exchangeable for shares of capital stock of the Company, or any option, right
or warrant to subscribe therefor;  or (c) a dissolution,  liquidation or winding
up of the Company (other than in connection with a consolidation or merger) or a
sale of all or  substantially  all of its  property,  assets and  business as an
entirety shall be proposed; then, in any one or more of said events, the Company
shall give written  notice of such event at least fifteen (15) days prior to the
date fixed as a record  date or the date of closing the  transfer  books for the
determination  of the  stockholders  entitled  to such  dividend,  distribution,
convertible or exchangeable  securities or subscription  rights,  or entitled to
vote on such proposed dissolution,  liquidation, winding up or sale. Such notice
shall specify such record date or the date of closing the transfer  book, as the
case may be.  Failure to give such notice or any defect therein shall not affect
the validity of any action taken in connection  with the  declaration or payment
of any  such  dividend,  or the  issuance  of any  convertible  or  exchangeable
securities,  or  subscription  rights,  options  or  warrants,  or any  proposed
dissolution, liquidation, winding up or sale.

     13. Underlying Warrants.

     The form of the certificate  representing Underlying Warrants (and the form
of election to purchase  shares of Common Stock upon the exercise of  Underlying
Warrants and the form of  assignment  printed on the reverse  thereof)  shall be
substantially  as set forth in Exhibit "A" to the Redeemable  Warrant  Agreement
provided,  however,  that the Underlying  Warrants will be subject to redemption
only after the Warrants have been exercised and the Underlying Warrants are

                                       22


<PAGE>



outstanding.  Each  Underlying  Warrant shall entitle the Holder to purchase one
fully paid and non-assessable share of Common Stock at an initial purchase price
of $6.00 from __________, 1997 until 5:00 P.M. New York time on __________, 2001
at which time the Underlying  Warrants  shall expire.  The exercise price of the
Underlying  Warrants and the number of shares of Common Stock  issuable upon the
exercise of the Underlying  Warrants are subject to  adjustment,  whether or not
the Warrants have been exercised and the  Underlying  Warrants have been issued,
in the  manner and upon the  occurrence  of the events set forth in Section 8 of
the  Redeemable  Warrant  Agreement,  which is  hereby  incorporated  herein  by
reference and made a part hereof as if set forth in its entirety herein. Subject
to the  provisions  of  this  Agreement  and  upon  issuance  of the  Underlying
Warrants, each registered holder of such Underlying Warrant shall have the right
to purchase  from the Company  (and the Company  shall issue to such  registered
holders)  up to the  number of fully  paid and  non-assessable  shares of Common
Stock (subject to adjustment as provided  herein and in the  Redeemable  Warrant
Agreement),  free and clear of all preemptive  rights of stockholders,  provided
that such registered  holder  complies with the terms governing  exercise of the
Underlying Warrant set forth in the Redeemable  Warrant Agreement,  and pays the
applicable  exercise  price,  determined  in  accordance  with the  terms of the
Redeemable  Warrant  Agreement.  Upon exercise of the Underlying  Warrants,  the
Company shall  forthwith  issue to the registered  holder of any such Underlying
Warrant in his name or in such name as may be directed by him,  certificates for
the number of shares of Common Stock so purchased.  Except as otherwise provided
herein and in Section 6.1 hereof,  the Underlying  Warrants shall be governed in
all respects by the terms of the Redeemable  Warrant  Agreement  except that any
notice of redemption  that the Company may issue with respect to the  Redeemable
Warrants  shall not be applicable to the  Underlying  Warrants.  The  Underlying
Warrants shall be transferable in the manner provided in the Redeemable  Warrant
Agreement,  and upon any such  transfer,  a new Underlying  Warrant  Certificate
shall be issued promptly to the transferee. The Company covenants to, and agrees
with,  the Holder(s)  that without the prior written  consent of the  Holder(s),
which will not be unreasonably  withheld,  the Redeemable Warrant Agreement will
not be modified,  amended, canceled, altered or superseded, and that the company
will send to each Holder,  irrespective of whether or not the Warrants have been
exercised,  any and all notices required by the Redeemable  Warrant Agreement to
be sent to holders of Underlying Warrants.

                                       23


<PAGE>



     14. Notices.

     All notices, requests, consents and other communications hereunder shall be
in writing  and shall be deemed to have been duly made and sent when  delivered,
or mailed by registered or certified mail, return receipt requested:

          (a) If to the  registered  Holder of the  Warrants,  to the address of
such Holder as shown on the books of the Company; or

          (b) If to the Company, to the address set forth in Section 3 hereof or
to such other address as the Company may designate by notice to the Holders.

     15. Supplements and Amendments. The Company and the Representative may from
time to time  supplement  or amend this  Agreement  without the  approval of any
Holders of Warrant  Certificates  in order to cure any ambiguity,  to correct or
supplement any provision contained herein which may be defective or inconsistent
with any provisions herein, or to make any other provisions in regard to matters
or questions arising hereunder which the Company and the Representative may deem
necessary or desirable and which the Company and the  Representative  deem shall
not adversely affect the interests of the Holders of Warrant Certificates.

     16. Successors. All the covenants and provisions of this Agreement shall be
binding  upon and inure to the  benefit of the  Company,  the  Holders and their
respective successors and assigns hereunder.

     17. Termination. This Agreement shall terminate at the close of business on
__________,  2003. Notwithstanding the foregoing, the indemnification provisions
of Section 7 shall  survive  such  termination  until the close of  business  on
__________, 2005.

     18.  Governing  Law;  Submission to  Jurisdiction.  This Agreement and each
Warrant Certificate issued hereunder shall be deemed to be a contract made under
the laws of the State of New York and for all  purposes  shall be  construed  in
accordance  with the laws of said State  without  giving  effect to the rules of
said State governing the conflicts of laws.

                                       24


<PAGE>



     The Company,  the  Representative  and any other registered  Holders hereby
agree  that any  action,  proceeding  or claim  against  it  arising  out of, or
relating in any way to,  this  Agreement  shall be brought  and  enforced in the
courts  of the State of New York or of the  United  States  of  America  for the
Southern  District of New York, and  irrevocably  submits to such  jurisdiction,
which jurisdiction shall be exclusive.  The Company,  the Representative and any
other  registered  Holders  hereby  irrevocably  waive  any  objection  to  such
exclusive  jurisdiction or inconvenient forum. Any such process or summons to be
served  upon any of the  Company,  the  Representative  and the  Holders (at the
option of the party bringing such action,  proceeding or claim) may be served by
transmitting  a copy thereof,  by registered or certified  mail,  return receipt
requested,  postage prepaid, addressed to it at the address set forth in Section
14 hereof.  Such mailing shall be deemed personal service and shall be legal and
binding  upon the party so  served  in any  action,  proceeding  or  claim.  The
Company,  the  Representative  and any other  registered  Holders agree that the
prevailing  party(ies)  in any such  action or  proceeding  shall be entitled to
recover from the other  party(ies) all of its'/their  reasonable legal costs and
expenses  relating to such action or  proceeding  and/or  incurred in connection
with the preparation therefor.

     19.  Entire  Agreement;   Modification.   This  Agreement   (including  the
Underwriting  Agreement  and the  Redeemable  Warrant  Agreement  to the  extent
portions  thereof are  referred  to herein)  contains  the entire  understanding
between the parties hereto with respect to the subject matter hereof and may not
be modified or amended except by a writing duly signed by the party against whom
enforcement of the modification or amendment is sought.

     20.  Severability.  If any provision of this Agreement  shall be held to be
invalid or unenforceable,  such invalidity or unenforceability  shall not affect
any other provision of this Agreement.

     21.  Captions.  The caption  headings of the Sections of this Agreement are
for  convenience  of  reference  only and are not  intended,  nor should they be
construed as, a part of this Agreement and shall be given no substantive effect.

                                       25


<PAGE>



     22.  Benefits  of this  Agreement.  Nothing  in  this  Agreement  shall  be
construed  to give to any person or  corporation  other than the Company and the
Representative and any other registered Holder(s) of the Warrant Certificates or
Warrants  Securities  any legal or equitable  right,  remedy or claim under this
Agreement;  and this Agreement  shall be for the sole benefit of the Company and
the Representative  and any other registered Holders of Warrant  Certificates or
Warrant Securities.

     23.  Counterparts.  This  Agreement  may  be  executed  in  any  number  of
counterparts and each of such  counterparts  shall for all purposes be deemed to
be an original,  and such counterparts shall together constitute but one and the
same instrument.

     IN WITNESS  WHEREOF,  the parties  hereto have caused this  Agreement to be
duly executed, as of the day and year first above written.

                                      NEW YORK HEALTH CARE, INC.



                                      By:
                                         ---------------------------------------

                                Name: Jerry Braun
                                Title:   President

Attest:

- ------------------------
Name:
Title:                          RAS SECURITIES CORP.

                                By:


                                   ---------------------------------------------
                                Name:
                                Title:

                                       26


<PAGE>



                                    EXHIBIT A

                          [FORM OF WARRANT CERTIFICATE]

THE WARRANTS  REPRESENTED BY THIS CERTIFICATE AND THE OTHER SECURITIES  ISSUABLE
UPON  EXERCISE  THEREOF  MAY NOT BE OFFERED OR SOLD  EXCEPT  PURSUANT  TO (i) AN
EFFECTIVE  REGISTRATION  STATEMENT UNDER THE SECURITIES ACT OF 1933, (ii) TO THE
EXTENT  APPLICABLE,  RULE 144 UNDER SUCH ACT (OR ANY SIMILAR RULE UNDER SUCH ACT
RELATING TO THE DISPOSITION OF SECURITIES),  OR (iii) AN OPINION OF COUNSEL,  IF
SUCH OPINION SHALL BE REASONABLY SATISFACTORY TO COUNSEL FOR THE ISSUER, THAT AN
EXEMPTION FROM REGISTRATION UNDER SUCH ACT IS AVAILABLE.

THE  TRANSFER OR EXCHANGE OF THE WARRANTS  REPRESENTED  BY THIS  CERTIFICATE  IS
RESTRICTED IN ACCORDANCE WITH THE WARRANT AGREEMENT REFERRED TO HEREIN.

                            EXERCISABLE ON OR BEFORE
                   5:00 P.M., NEW YORK TIME, __________ , 2001

No. W-                                               Warrants to Purchase
                                           _______ Shares of Common Stock

                               WARRANT CERTIFICATE

     This  Warrant  Certificate  certifies  that  ___________  ,  or  registered
assigns,  is the registered holder of __________ Warrants to purchase initially,
at any time from  __________ , 1997 until 5:00 p.m. New York time on __________,
2001 ("Expiration Date"), up to __________  fully-paid and non-assessable shares
of common stock, $.001 par value ("Common Stock") of New York Health Care, Inc.,
a New York corporation (the "Company"),  at the initial exercise price,  subject
to adjustment in certain  events (the "Exercise  Price"),  of $6.00 per share of
Common  Stock upon  surrender  of this  Warrant  Certificate  and payment of the
Exercise  Price at an  office  or  agency of the  Company,  but  subject  to the
conditions set forth herein and in the Representative's  Warrant Agreement dated
as of  __________,  1996  between  the  Company and RAS  SECURITIES  CORP.  (the
"Representative's  Warrant  Agreement").  Payment of the Exercise Price shall be
made by  certified  or  official  bank check in New York  Clearing  House  funds
payable to the order of the Company or by surrender of this Warrant Certificate.

     No  Warrant  may be  exercised  after  5:00  p.m.,  New York  time,  on the
Expiration Date, at which time all Warrants  evidenced hereby,  unless exercised
prior thereto, hereby shall thereafter be void.

     The  Warrants  evidenced  by this  Warrant  Certificate  are part of a duly
authorized  issue of Warrants  issued pursuant to the  Representative's  Warrant
Agreement, which Representative's

                                       27


<PAGE>



Warrant Agreement is hereby incorporated by reference in and made a part of this
instrument and is hereby referred to for a description of the rights, limitation
of rights, obligations,  duties and immunities thereunder of the Company and the
holders  (the words  "holders"  or "holder"  meaning the  registered  holders or
registered holder) of the Warrants.

     The Representative's Warrant Agreement provides that upon the occurrence of
certain  events the Exercise  Price and the type and/or  number of the Company's
securities issuable thereupon may, subject to certain  conditions,  be adjusted.
In such event,  the  Company  will,  at the  request of the holder,  issue a new
Warrant  Certificate  evidencing  the  adjustment in the Exercise  Price and the
number  and/or type of  securities  issuable  upon the exercise of the Warrants;
provided,  however,  that the  failure of the  Company to issue such new Warrant
Certificates shall not in any way change, alter, or otherwise impair, the rights
of the holder as set forth in the Representative's Warrant Agreement.

     Upon  due  presentment  for   registration  of  transfer  of  this  Warrant
Certificate at an office or agency of the Company, a new Warrant  Certificate of
Warrant Certificates of like tenor and evidencing in the aggregate a like number
of Warrants  shall be issued to the  transferee(s)  in exchange for this Warrant
Certificate,   subject   to  the   limitations   provided   herein  and  in  the
Representative's  Warrant  Agreement,  without any charge  except for any tax or
other governmental charge imposed in connection with such transfer.

     Upon the  exercise  of less  than  all of the  Warrants  evidenced  by this
Certificate,  the  Company  shall  forthwith  issue to the  holder  hereof a new
Warrant Certificate representing such numbered unexercised Warrants.

     The  Company  may deem and treat  the  registered  holder(s)  hereof as the
absolute owner(s) of this Warrant Certificate  (notwithstanding  any notation of
ownership  or other  writing  hereon  made by  anyone),  for the  purpose of any
exercise hereof,  and of any distribution to the holder(s)  hereof,  and for all
other  purposes,  and the  Company  shall not be  affected  by any notice to the
contrary.

     All  terms  used in this  Warrant  Certificate  which  are  defined  in the
Representative's  Warrant  Agreement shall have the meanings assigned to them in
the Representative's Warrant Agreement.

                                       28


<PAGE>



     IN WITNESS WHEREOF,  the Company has caused this Warrant  Certificate to be
duly executed under its corporate seal.


Dated as of               , 1996

                                       NEW YORK HEALTH CARE, INC.


                                       By:
                                          --------------------------------------
                                            Name:  Jerry Braun
                                            Title: President

Attest:


- -----------------------
Name:  Jacob Rosenberg
Title: Secretary

                                       29


<PAGE>



                                    EXHIBIT B

                          [FORM OF WARRANT CERTIFICATE]

THE WARRANTS  REPRESENTED BY THIS CERTIFICATE AND THE OTHER SECURITIES  ISSUABLE
UPON  EXERCISE  THEREOF  MAY NOT BE OFFERED OR SOLD  EXCEPT  PURSUANT  TO (i) AN
EFFECTIVE  REGISTRATION  STATEMENT UNDER THE SECURITIES ACT OF 1933, (ii) TO THE
EXTENT  APPLICABLE,  RULE 144 UNDER SUCH ACT (OR ANY SIMILAR RULE UNDER SUCH ACT
RELATING TO THE DISPOSITION OF SECURITIES),  OR (iii) AN OPINION OF COUNSEL,  IF
SUCH OPINION SHALL BE REASONABLY SATISFACTORY TO COUNSEL FOR THE ISSUER, THAT AN
EXEMPTION FROM REGISTRATION UNDER SUCH ACT IS AVAILABLE.

THE  TRANSFER OR EXCHANGE OF THE WARRANTS  REPRESENTED  BY THIS  CERTIFICATE  IS
RESTRICTED IN ACCORDANCE WITH THE WARRANT AGREEMENT REFERRED TO HEREIN.

                            EXERCISABLE ON OR BEFORE
                   5:00 P.M., NEW YORK TIME, __________ , 2001

No. W-                                     Warrants to Purchase______
                                           Underlying Warrants

                               WARRANT CERTIFICATE

     This Warrant Certificate certifies that __________ , or registered assigns,
is the registered holder of __________  Warrants to purchase  initially,  at any
time from  __________ , 1997 until 5:00 p.m. New York time on  __________,  2001
("Expiration  Date"), up to warrants (each such Underlying Warrant entitling the
owner to purchase one fully-paid and non-assessable share of common stock, $.001
par value ("Common Stock") of New York Health Care, Inc., a New York corporation
(the  "Company")),  at the initial  exercise  price,  subject to  adjustment  in
certain  events (the  "Exercise  Price"),  of $.12 per  Underlying  Warrant upon
surrender of this Warrant  Certificate  and payment of the Exercise  Price at an
office or agency of the Company,  but subject to the conditions set forth herein
and in the  Representative's  Warrant  Agreement  dated as of  __________,  1996
between the Company and RAS  SECURITIES  CORP.  (the  "Representative's  Warrant
Agreement").  Payment  of the  Exercise  Price  shall  be made by  certified  or
official bank check in New York Clearing House funds payable to the order of the
Company or by surrender of this Warrant Certificate.

     No  Warrant  may be  exercised  after  5:00  p.m.,  New York  time,  on the
Expiration Date, at which time all Warrants  evidenced hereby,  unless exercised
prior thereto, hereby shall thereafter be void.

                                       30


<PAGE>



     The  Warrants  evidenced  by this  Warrant  Certificate  are part of a duly
authorized  issue of Warrants  issued pursuant to the  Representative's  Warrant
Agreement,  which  Representative's  Warrant Agreement is hereby incorporated by
reference in and made a part of this  instrument and is hereby referred to for a
description  of the  rights,  limitation  of  rights,  obligations,  duties  and
immunities  thereunder  of the Company and the holders  (the words  "holders" or
"holder" meaning the registered holders or registered holder) of the Warrants.

     The Representative's Warrant Agreement provides that upon the occurrence of
certain  events the Exercise  Price and the type and/or  number of the Company's
securities issuable thereupon may, subject to certain  conditions,  be adjusted.
In such event,  the  Company  will,  at the  request of the holder,  issue a new
Warrant  Certificate  evidencing  the  adjustment in the Exercise  Price and the
number  and/or type of  securities  issuable  upon the exercise of the Warrants;
provided,  however,  that the  failure of the  Company to issue such new Warrant
Certificates shall not in any way change, alter, or otherwise impair, the rights
of the holder as set forth in the Representative's Warrant Agreement.

     Upon  due  presentment  for   registration  of  transfer  of  this  Warrant
Certificate at an office or agency of the Company, a new Warrant  Certificate of
Warrant Certificates of like tenor and evidencing in the aggregate a like number
of Warrants  shall be issued to the  transferee(s)  in exchange for this Warrant
Certificate,   subject   to  the   limitations   provided   herein  and  in  the
Representative's  Warrant  Agreement,  without any charge  except for any tax or
other governmental charge imposed in connection with such transfer.

     Upon the  exercise  of less  than  all of the  Warrants  evidenced  by this
Certificate,  the  Company  shall  forthwith  issue to the  holder  hereof a new
Warrant Certificate representing such numbered unexercised Warrants.

     The  Company  may deem and treat  the  registered  holder(s)  hereof as the
absolute owner(s) of this Warrant Certificate  (notwithstanding  any notation of
ownership  or other  writing  hereon  made by  anyone),  for the  purpose of any
exercise hereof,  and of any distribution to the holder(s)  hereof,  and for all
other  purposes,  and the  Company  shall not be  affected  by any notice to the
contrary.

     All  terms  used in this  Warrant  Certificate  which  are  defined  in the
Representative's  Warrant  Agreement shall have the meanings assigned to them in
the Representative's Warrant Agreement.

                                       31


<PAGE>



     IN WITNESS WHEREOF,  the Company has caused this Warrant  Certificate to be
duly executed under its corporate seal.


Dated as of               , 1996

                                       NEW YORK HEALTH CARE, INC.


                                       By:
                                          --------------------------------------
                                            Name:  Jerry Braun
                                            Title: President

Attest:


- -----------------------
Name:  Jacob Rosenberg
Title: Secretary

                                       32


<PAGE>



             [FORM OF ELECTION TO PURCHASE PURSUANT TO SECTION 3.1]

     The  undersigned   hereby   irrevocably   elects  to  exercise  the  right,
represented by this Warrant Certificate, to purchase:

           ___________Shares
           ___________Underlying Warrants

and herewith tenders in payment for such securities a certified or official bank
check payable in New York  Clearing  House Funds to the order of New York Health
Care,  Inc., in the amount of  $__________,  all in accordance with the terms of
Section 3.1 of the  Representative's  Warrant  Agreement dated as of __________,
1996  between  New  York  Health  Care,  Inc.,  and  RAS  Securities  Corp.  The
undersigned  request that a certificate for such Securities be registered in the
name of __________ whose address is ______________  and that such Certificate be
delivered to __________ whose address is __________ .



                              Signature_____________________
                      (Signature must conform in all respects to name
                     of holder as specified on the face of the Warrant
                                       Certificate.)

                              ______________________________
                       (Insert Social Security or Other Identifying
                                     Number of Holder)



                                       33


<PAGE>


                              [FORM OF ASSIGNMENT]

             (To be executed by the registered holder if such holder
                 desires to transfer the Warrant Certificate.)

     FOR VALUE RECEIVED ______________________________ hereby sells, assigns and

___________ unto

________________________________________________________________________________

                  (Please print name and address of transferee)

______ Warrant Certificate, together with all right, title and interest therein,
and does hereby reasonably  constitute and appoint __________,  as Attorney,  to
transfer  the  within  Warrant  Certificate  on the  books  of the  within-named
Company, with full power of substitution.

Date: _____________________             Signature: __________________________
                 (Signature must conform in all respects to name
                of holder as specified on the face of the Warrant
                                  Certificate.)

                                        _____________________________________
                  (Insert Social Security or Other Identifying
                               Number of Assignee)

                                       34





                           PURCHASE AND SALE AGREEMENT

     THIS AGREEMENT is made and entered into, effective as of the 18th day of
March, 1988, by and between NATIONAL MEDICAL HOMECARE, INC., a Delaware
corporation having a place of business at 60-71 Metropolitan Avenue, Ridgewood,
New York (the "Seller"), NEW YORK HEALTH CARE, INC., a New York corporation
having a place of business at 4211 13th Avenue, Brooklyn, New York (the
"Purchaser"), and JERRY BRAUN of 924 E. 28th Street Brooklyn, New York 11210 and
SAM SOROKA of 1422 E. 12th Street Brooklyn, New York 11230 (collectively the
"Shareholders").

     WHEREAS, the Seller owns all of the tangible and intangible assets of a
private home health agency business serving the New York City metropolitan area;
and

     WHEREAS, the Purchaser desires to purchase from the Seller, and the Seller
desires to sell, transfer and convey to the Purchaser, certain of such tangible
and intangible assets;

     WHEREAS, Shareholders own a controlling interest in Purchaser;

     NOW, THEREFORE, in consideration of the mutual promises of the parties
provided in this Agreement, and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the Seller and the
Purchaser agree as follows:


<PAGE>


     1. Definitions. Where used in this Agreement:

          (a) "Agreement" refers to this entire document including all
amendments, schedules, exhibits and other documents incorporated and/or referred
to herein.

          (b) "Closing Date" shall mean March 25, 1988.

          (c) "Facilities" shall mean the private home health agency business
operated from 2515 86th Street, Brooklyn, New York; 220-24 Jamaica Avenue,
Queens Village, New York; and 566 Merrick Road, Rockville Centre, New York.

          (d) "Purchased Assets" shall mean: (1) all of the machinery,
equipment, furniture, furnishings, fixtures, personalty, and inventory (but no
office supplies) used or useful in respect of the ownership and operation of the
Facilities as are more particularly described in Exhibit A to this Agreement;
and (2) all of the intangible assets used or useful in the ownership or
operation of the Facilities including, but not limited to copies of Seller's
school curriculum, personal care aide's exams and approval letter, active and
inactive medical and personnel records, customer lists, and all other books and
records of or in respect of the Facilities; and (3) the exclusive right of the
Purchaser to represent itself as carrying on the business of the Facilities in
continuation of or in succession to the Seller, and the right to use appropriate
words indicating that the business of the Facilities is so carried on. Anything
herein contained to the contrary notwithstanding, the personal care services


                                      -2-
<PAGE>


training plan transferred hereby that needs to be so approved is presently
approved by the New York Department of Social Services.

     The Purchased Assets shall not include the agreements, contracts or leases
described on Exhibit C hereto or any of Seller's other customer agreements or
arrangements. Seller agrees to withdraw, in favor of Buyer, from and after the
Closing Date, from the customer agreements and arrangements currently in effect
with respect to the business of the Facilities except that Seller does not agree
to withdraw from its current arrangement with Westchester County Department of
Social Services and no right to conduct business therewith is conveyed to
Purchaser hereunder. Purchaser shall make such new arrangements or agreements
with such customers of the Facilities as are appropriate for Purchaser to fully
assume and continue the business of the Facilities with such customers from and
after the Closing Date. The Purchased Assets shall also not include the cash,
accounts receivable of the Facilities as of the Closing Date, the name of the
Seller, tangible property also used in Seller's durable medical equipment
business, technology or software licensed by and for Seller or non-transferable
government licenses and permits, and Medicaid and Medicare provider numbers.
Notwithstanding the foregoing, Purchaser may announce and represent that it is
the successor to Seller with respect to the Purchased Assets.

     2. Purchase and Sale. The Seller agrees to sell, assign, transfer and
convey to the Purchaser good and merchantable 


                                      -3-
<PAGE>


right, title and interest in and to the Purchased Assets, free and clear of all
liens and encumbrances of any nature or kind, and the Purchaser agrees to
purchase the Purchased Assets from the Seller at the closing of the
purchase-and-sale transaction contemplated in this Agreement (the "Closing").
The price for such transactions shall be One Hundred Twenty-Five Thousand
Dollars ($125,000) to be paid to the Seller as follows:

          (a) Twenty Thousand Dollars ($20,000) to be paid to Seller upon the
execution of this Agreement by certified or cashier's check; 

          (b) Fifty-Five Thousand Dollars ($55,000) to be paid to the Seller at
Closing by certified or cashier's check; and

          (c) A non-negotiable Promissory Note (the "Note"), substantially in
the form attached hereto as Exhibit B-1, in the aggregate principal amount of
Fifty-Thousand Dollars ($50,000) payable on the six-month anniversary of the
Closing Date to be delivered at Closing. The Note shall be secured by (i) the
personal guarantees (the "Guarantees"), substantially in the form attached
hereto as Exhibit B-2, of Jerry Braun and Sam Soroka, and (ii) a security
interest in the accounts receivable of the Purchaser as provided in the security
agreement (the "Security Agreement"), substantially in the form attached hereto
as Exhibit F. The Note and the security interest shall be subordinate to a loan
from United Mizrachy Bank (the "Bank") in an amount not to exceed $800,000
pursuant to a loan agreement between the Bank and Purchaser as in effect on the
date of this Agreement. In agreeing to extend credit to


                                      -4-
<PAGE>


Purchaser and accepting the Guarantees as security therefor, Seller has relied
upon the personal financial statement of each of the Shareholders previously
delivered to Seller as constituting a fair and accurate reflection of the
financial position of the applicable Shareholder.

     The purchase price shall include the consideration for the restrictive
covenants contained herein and shall be allocated in accordance with Schedule 1
attached hereto.

     3. Representations, Warranties and Covenants of the Seller. The Seller
represents, warrants and covenants that:

          (a) The Seller is a corporation duly organized, validly existing and
in good standing under the laws of the State of Delaware, and has full and
complete authority, and all necessary rights and legal capacity, to enter into
and comply with each term and condition of this Agreement and to transfer and
convey the Purchased Assets to the Purchaser in accordance with the terms of
this Agreement. All corporate actions required to be taken by the Seller under
this Agreement have been or will be duly taken. This Agreement is a valid and
binding obligation of the Seller and is enforceable against the Seller in
accordance with its terms and conditions.

          (b) Except as disclosed on Exhibit C, none of the agreements and
undertakings of the Seller under this Agreement is or will be as of the Closing
Date in conflict with, in violation of, or prohibited under, the terms of any
contract, agreement or obligation of the Seller or the articles of incorporation
or by-laws of the Seller or any laws, rules,


                                      -5-
<PAGE>


regulations or judgments. The execution of this Agreement has been duly
authorized by the Seller's board of directors, and the consummation of the
transactions contemplated hereby has been or will have been duly authorized by
the Seller's board of directors prior to the Closing Date.

          (c) To the knowledge of the Seller, there is no litigation,
investigation or other proceeding pending or, threatened which would adversely
affect the Facilities, the Purchased Assets, the business operations of the
Facilities, or this Agreement or the transactions contemplated hereby, and the
Seller knows of no events, circumstances, reports or claims of any kind that
might result in, provide a basis for, or give rise to, any such litigation,
investigation or other proceeding.

          (d) The Seller has, and as of Closing will have, good and merchantable
right, title and interest to the Purchased Assets, free and clear of all liens,
encumbrances, judgments, tenancies, covenants, claims, conditions and
restrictions of any kind.

          (e) There are no oral or written contracts, leases or agreements of
any kind, which cannot be performed in less than 2 months and which are valued
at greater than $5,000, affecting or in respect of the Facilities or the
Purchased Assets, other than those described on Exhibit C, copies of which have
been previously provided to Purchaser. Nothing herein contained shall be
construed either to constitute an agreement by Seller to transfer or assign to
Purchaser the contracts, leases and agreements described on Exhibit C or to
constitute a


                                      -6-
<PAGE>


representation that the same are still in force and effect or are assignable or
transferable to Purchaser.

          (f) There are no claims, executory contracts or threatened (to
Seller's knowledge), or pending liabilities which might adversely affect the
Purchaser's title to or limit Purchaser's use of the Purchased Assets, or might
affect the transaction contemplated by this Agreement, other than those
described in Exhibit D to this Agreement.

          (g) All returns, reports and filings of any nature or kind (including,
but not limited to, federal, state and local tax filings) required to be filed
by the Facilities have been properly completed and timely filed in compliance
with all requirements applicable thereto, and all taxes or other obligations
which are due and payable with respect to the Facilities and the Purchased
Assets, and with respect to this transaction, have been or will be timely paid.

          (h) No shareholder of the Seller is, or has been, actively involved in
the day-to-day operation of the Facilities.

          (i) No representation, warranty or covenant of the Seller in this
Agreement, nor any statement, schedule or certificate furnished or to be
furnished to the Purchaser pursuant to this Agreement or in connection with the
transaction contemplated hereby, includes any misstatement of material fact or
omits to state any fact necessary to render the facts stated therein not
misleading in light of the circumstances relevant to such representation,
warranty or covenant.


                                      -7-
<PAGE>


     4. Representations, Warranties and Covenants of the Purchaser. The
Purchaser represents, warrants and covenants that:

          (a) The Purchaser is a corporation duly organized, validly existing
and in good standing under the laws of the State of New York, and has full and
complete authority, and all necessary rights and legal capacity, to enter into
and comply with each term and condition of this Agreement, the Notes, and the
Security Agreement and to purchase the Purchased Assets from the Seller in
accordance with the terms of this Agreement. All actions required to be taken by
the Purchaser under this Agreement have been or will be duly taken prior to the
Closing Date. This Agreement, the Notes, and the Security Agreement are valid
and binding obligations of the Purchaser and are enforceable against the
Purchaser in accordance with their terms and conditions.

          (b) None of the agreements and undertakings of the Purchaser under
this Agreement, the Notes, or the Security Agreement are or will be in conflict
with, in violation of, or prohibited under, the terms of any contract, agreement
or obligation of the Purchaser or the articles of incorporation or by-laws of
the Purchaser or any laws, rules, regulations or judgments. The execution of
this Agreement, the Notes, and the Security Agreement and the consummation of
the transaction contemplated hereby have been duly authorized by the Purchaser's
board of directors.

          (c) To the knowledge of the Purchaser, there is no


                                      -8-
<PAGE>


litigation, investigation or other proceeding pending or, threatened which would
adversely affect this Agreement or the transactions contemplated hereby, and the
Purchaser knows of no events, circumstances, reports or claims of any kind that
might result in, provide a basis for, or give rise to any such litigation,
investigation or other proceeding.

     The Shareholders, jointly and severally, represent, warrant and covenant
that the Guarantees are the valid and binding obligations of each of them and
are enforceable against each of them respectively in accordance with the terms
and conditions thereof.

     5. Employees. The Purchaser shall have the right to employ such employees
of Seller engaged in the operation of the agency business at the Facilities as
Purchaser shall desire. Annexed hereto as Exhibit G is a "nursing division list
of employees by location" listing various employees of Seller ("Listed
Employees"), upon which Purchaser has indicated by check mark and initialling
those persons to whom Purchaser intends to offer employment immediately after
the Closing (each an "Indicated Employee") (those Listed Employees for which no
such indication is made shall hereinafter be referred to as "Non-Indicated
Employees"). Seller shall be responsible for the payment of all wages and
benefits due to such employees through the Closing Date (together with all FICA,
unemployment and other withholding taxes payable in connection with such wages)
or otherwise on account of their employment by Seller.

     If, during the one hundred twenty (120) days following the


                                      -9-
<PAGE>


Closing Date, Purchaser directly or through an affiliated entity employs any
person who was a Non-Indicated Employee, Purchaser shall reimburse Seller for
serverance costs and expenses incurred by Seller in connection with the
termination of that person's employment with Seller. Purchaser shall hold Seller
harmless from any liabilities resulting from its employment, subsequent to the
date of Closing, of such employees. Seller shall hold Purchaser harmless from
any liabilities resulting either from Seller's employment of persons in the
Facilities prior to Closing or from Seller's termination of such employees
(except to the extent of severance to be reimbursed by Purchaser as expressly
provided above). This paragraph shall survive the Closing of this transaction.

     6. Closinq. (a) On the Closing Date, the Closing shall commence at 10:01
A.M., Eastern time, in the offices of Simon, Meyrowitz, Meyrowitz & Schlussel,
277 Broadway, New York, New York.

          (b) At the Closing the Seller will deliver a bill of sale to the
Purchased Assets substantially in the form attached hereto as Exhibit E.

     7. Conditions to Closinq.

          All of the obligations of the Purchaser under this Agreement are, at
its option, subject to the fulfillment, prior to or at the Closing, of each of
the following conditions:

          Each of the representations, warranties, covenants, agreements,
statements, schedules and certificates of the


                                      -10-
<PAGE>


Seller pursuant to this Agreement shall be true, accurate and correct as of the
Closing Date.

     8. Restrictive Covenant. Seller agrees that, for a period of three (3)
years after the Closing Date, but provided Purchaser makes all payments when due
under the Note, Seller shall not directly or indirectly through its subsidiaries
or affiliates, either as a principal, agent, employee, employer, shareholder,
partner, or otherwise, own, operate, engage in, assist, or manage an agency
business to provide temporary medical homecare personnel to home health
providers within New York City in competition with the agency business being
operated by Purchaser as acquired hereunder, except as required to conclude the
current contract with Westchester County Department of Social Services which
expires on March 31, 1988. Purchaser shall be entitled to injunctive relief to
enforce the provisions of this Section 8, and this Section shall survive the
Closing.

     9. NYDSS Approval and Facilities' Operation.

          (a) Pending the approval of the New York Department of Social Services
("NYDSS") of Purchaser's right to contract together with rate approvals with
respect to Nassau County Department of Social Services ("Nassau") or termination
pursuant to Section 9(b), the following provisions shall apply:

               (i) Purchaser shall assume the full performance of Seller's
contracts with Nassau as a subcontractor of Seller, billings for which shall
continue to be made under Seller's


                                      -11-
<PAGE>


name and using Seller's MMIS Provider Identification Number.

               (ii) Purchaser shall provide all personnel and supplies and shall
pay all expenses necessary to carry out the contractual obligations of the
service provider under the contracts with Nassau.

               (iii) Seller shall continue to collect receivables from Medicaid,
and shall pay to Purchaser all amounts received from Medicaid for services
performed under the subcontracts after the Closing Date (except as provided in
Section 9(a)(iv) below) within ten (10) days of Seller's receipt of such
payments. If such payments shall not be made when due, then such payments shall
bear interest at the rate of 18% per annum but in no event greater than the
maximum rate permitted by applicable law. In conjunction with such payment to
Purchaser, Seller shall provide Purchaser with a written statement of the total
amounts Seller has received from Medicaid since the last such statement and the
amounts of such payments to Purchaser for the same period. In addition, Seller
shall provide Purchaser with a copy of all statements received from Medicaid
and with a statement containing the method used in computing the payments due
Purchaser.

               (iv) If Purchaser continues to provide services to Nassau as
subcontractor to Seller pursuant to this Section 9(a) after ninety (90) days
from the Closing Date, Purchaser shall pay to Seller five percent (5%) of the
gross receivables attributable to services provided under such contracts on and
after such ninetieth (90th) day as additional compensation for 


                                      -12-
<PAGE>


the continued use of Seller's MMIS Provider Identification Number.

               (v) Purchaser, at its own expense, shall maintain comprehensive
liability insurance and professional malpractice insurance, insuring against
such risks and in such amounts as shall have been carried by Seller prior to the
Closing Date. Seller shall be named as an additional insured on each such policy
of insurance, which shall be subject to amendment, modification, or cancellation
only after ten (10) days' prior written notice to Seller.

          (b) The provisions of Section 9(a) shall be terminated and of no
further force or effect upon the first to occur of (i) the obtaining of the
approval referred to in Section 9(a) or (ii) one hundred eighty days from the
Closing Date unless extended by written notice from Seller to Purchaser.

          (c) If the provisions of Section 9(a) are terminated as a result of
Section 9(b)(i), the subcontract with respect to the provision of services
thereto shall terminate, and Purchaser shall cease using Seller's MMIS Provider
Identification Number with respect to future billings for Nassau, and thereafter
Purchaser shall provide services to Nassau under Purchaser's own MMIS Provider
Identification Number pursuant to a direct contract between Purchaser and
Nassau.

          (d) If the provisions of Section 9(a) are terminated as a result of
Section 9(b)(ii), then the subcontract created by Section 9(a) shall terminate
and Purchaser shall cease using


                                      -13-
<PAGE>


Seller's MMIS Provider Identification Number

     10. Indemnification. From the Closing Date, Purchaser shall indemnify,
defend and hold harmless Seller and its directors, officers, shareholders,
employees, affiliates and assigns (each an "Indemnified Party") against and in
respect of any liability, obligation, loss, damage, penalty, claim, action, cost
or expense (including but not limited to reasonable attorneys' fees and
expenses) which in any way relates to Purchaser's operation of the Facilities or
Purchaser's use of Seller's MMIS Provider Identification Number. An Indemnified
Party seeking indemnification hereunder shall, as a condition precedent thereto,
give Purchaser written notice of the claim(s) for which indemnification is
sought and tender to Purchaser the right to defend against and settle any such
claim(s). Purchaser shall reimburse an Indemnified Party on demand for any
payment made by an Indemnified Party at any time after the Closing Date in
respect of any liability or claim to which the foregoing indemnity relates. This
Section 10 survives the termination of this Agreement.

     11. Termination.

          (a) Anything herein to the contrary notwithstanding, this Agreement
may be terminated and the transactions contemplated hereby abandoned by the
applicable party as follows:

               (i) The Seller and Purchaser mutually consent to such
termination;

               (ii) By Purchaser if the conditions set forth in 


                                      -14-
<PAGE>


Section 7 shall not have been met prior to the Closing Date; or

               (iii) By the Purchaser if the Seller breaches any material
provision of this Agreement, and by the Seller if the Purchaser breaches any
material provision of this Agreement.

          (b) This Agreement shall expire if the Closing shall not have occurred
prior to or on March 25, 1988 (unless such date is extended by mutual written
agreement of the parties).

          (c) If this Agreement is terminated pursuant to Section 11, the
following provisions shall be applicable and shall survive the termination or
expiration of this Agreement:

               (i) If this Agreement is terminated pursuant to Section ll(a) or
ll(b), the Purchaser shall take all necessary steps to transfer to the Seller
the Personal Aide's training plan developed by the Seller and to terminate and
disavow any rights to or interest in such training plan, including, without
limitation, any right to have the same registered or approved in Purchaser's
name before or by any governmental agency.

               (ii) If this Agreement is terminated pursuant to Section ll(a) or
ll(b), the Purchaser shall return to the Seller all documents, records, and data
of any nature which it acquired from the Seller pertaining to the Facilities and
shall keep in confidence and trust all information acquired from such documents,
records, and data and shall not use or disclose any such information without the
prior written consent of the Seller.

               (iii) If this Agreement is terminated by Seller pursuant to
Section ll(a)(iii) for Purchaser's failure or


                                      -15-
<PAGE>


refusal to close in breach of this Agreement, the Seller shall be entitled to
retain the deposit of twenty thousand dollars ($20,000) pursuant to Section 2(a)
as liquidated damages, together with any interest accrued thereon, as Seller's
sole remedy for monetary damages for Purchaser's refusal or failure to proceed
to Closing.

               (iv) If this Agreement is terminated pursuant to Section ll(a)(i)
or ll(a)(ii) or by Purchaser pursuant to Section ll(a)(iii) for Seller's breach
prior to Closing, Seller shall return to the Purchaser the deposit made pursuant
to Section 2(a) within fifteen (15) days, and the parties shall return to the
status quo ante.

               (v) If this Agreement is terminated by Seller pursuant to Section
ll(a)(iii) for Purchaser's breach, Purchaser and Guarantors agree that, for a
period of two (2) years after such termination, they shall not, collectively or
individually, directly or indirectly, either as a principal, agent, employee,
employer, shareholder, partner, or otherwise, own, operate, engage in, assist,
or manage an agency business to provide temporary medical homecare personnel to
home health providers within New York City in competition with the agency
business being operated by Seller. This Section ll(c)(v) shall survive the
termination of this Agreement.

     12. Miscellaneous Provisions.

          (a) Interpretation and Construction. This Agreement fully integrates
all of the agreements and understandings of the parties relating to this
purchase-and-sale transaction;


                                      -16-
<PAGE>


there are no agreements, warranties, or representations, express or implied,
except those that are expressly set forth herein. All exhibits to this Agreement
are incorporated herein. This Agreement supersedes all prior agreements between
the Seller and the Purchaser. Except where the context of this Agreement clearly
requires another interpretation, plural words have been used to include the
singular and vice versa, and masculine, feminine and neuter words have been used
interchangeably.

          (b) Conduct of Business Pending Closing. Between the date of this
Agreement and the Closing Date, the Seller shall operate the Facilities in the
regular and ordinary course of business. The Seller shall maintain the Purchased
Assets in good condition and shall use its best efforts to preserve the
Facilities' good will. The inventory and consumable supplies of the Facilities
shall be maintained in amounts and types normally maintained in light of past
experience and in the ordinary course of business at the Facilities.

          (c) Record Retention. For a period of seven (7) years from the Closing
Date, the Purchaser shall retain all active and inactive medical and personnel
records which are part of the Purchased Assets to be purchased pursuant to this
Agreement. The Purchaser shall permit the Seller or its representatives to
examine and copy such records upon reasonable notice and at the Seller's
expense. If reasonably necessary to fulfill a legal requirement, the Seller
shall be entitled to obtain and use the original of any document; 


                                      -17-
<PAGE>


provided it leaves a copy of such document with the Purchaser.

          (d) Access by Purchaser. Following the execution of this Agreement,
Seller shall permit Purchaser to review all of Seller's files including
personnel files, patient files, contracts, etc., as well as to interview
personnel. Seller shall further introduce Purchaser to the appropriate parties
with whom Seller has contracts to supply services and to Seller's personnel and
to Seller's customers. Seller will execute such further documents as may be
necessary and/or convenient to facilitate the transfers contemplated hereunder.
Seller will also cooperate with Purchaser's efforts in obtaining a license to
the home health care computer software package currently used by Seller but
which Seller will not need after the Closing. All of the foregoing is to be done
in such a manner as to permit a smooth transition.

          (e) Cooperation With Collections. The Purchaser agrees to cooperate
with Seller in Seller's efforts after the Closing to collect the accounts
receivable of the Facilities retained by Seller hereunder, and to provide access
to the records of the Facilities as may be reasonably requested by Seller solely
for purposes of effecting such collection.

          (f) Riqht to Waive Conditions. The Seller and the Purchaser each
reserve the right to waive any of the rights granted to them under the terms and
conditions of this Agreement and to sell or purchase, as the case may be, the
Purchased Assets in accordance with such of the terms and conditions of this
Agreement as have not been so waived. Any 


                                      -18-
<PAGE>


such waiver must be evidenced by a writing signed by the party against whom
waiver is sought.

          (g) Binding Effect. This Agreement shall be binding upon and shall
inure to the benefit of and be enforceable by or against the Purchaser and the
Seller and their respective successors and permitted assigns.

          (h) Notices. All notices shall be in writing, shall be delivered
personally or by certified mail (return receipt requested) or by overnight mail
or courier service, and shall be effective upon the earlier of receipt or the
fifth day following posting by such certified mail, postage prepaid and
addressed as follows:

          To the Purchaser:

                      NEW YORK HEALTH CARE, INC.
                      4211 13th Avenue
                      Brooklyn, New York 11219
                      Attention: President

          To the Seller:

                      NATIONAL MEDICAL HOMECARE, INC.
                      91 Holmes Road
                      Newington, Connecticut 06111
                      Attention: Senior Vice President

          With a copy to:

                      Simon, Meyrowitz, Meyrowitz & Schlussel
                      277 Broadway
                      New York, New York 10007
                      Attention: David Meyrowitz

          (i) Amendments; Assignment. This Agreement may not be amended or
modified in any respect except by written instruments signed by the Purchaser
and the Seller. Neither party may, without the other's consent, assign its
rights and obligations hereunder.


                                      -19-
<PAGE>


          (j) Captions. Captions of this Agreement are for convenience of
reference only and shall not define or limit any of the terms or provisions
hereof.

          (k) Severability. Should any one or more of the provisions of this
Agreement be determined to be invalid, unlawful or unenforceable in any
respects, the validity, legality and enforceability of the remaining provisions
of this Agreement shall not in any way be affected or impaired thereby.

          (l) Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be an original, but such counterparts shall
together constitute but one and the same instrument.

          (m) Governinq Law. This Agreement shall be governed by, and construed
in accordance with, the laws of the State of New York.

     IN WITNESS WHEREOF, the parties have caused this Agreement to be executed,
effective the day and year first above written.


                                                 NATIONAL MEDICAL HOMECARE, INC.

                                                 /s/ Raymond H. Noeker, Jr.
                                                 --------------------------
                                                 By: Raymond H. Noeker, Jr.
                                                 Its: Senior Vice President


                                      -20-
<PAGE>


 Attest:                                          NEW YORK HEALTH CARE, INC.
                                                  /s/ Jerry Braun, Pres
- ------------------                                -----------------------------
 By: Sam Soroka                                   By: Jerry Braun
 Its: Secretary                                   Its: President


                                                  /s/ Jerry Braun
                                                  -----------------------------
                                                  Jerry Braun

                                                  -----------------------------
                                                   Sam Soroka
 STATE OF CONNECTICUT )
                      )  ss. Hartford
 COUNTY OF HARTFORD   )

     On this day of 18th day of March 1988, before me, the undersigned, a Notary
Public in and for said County, in said State, personally appeared Raymond H.
Noeker, Jr., to me personally known, who, being by me duly sworn, did say that
he is the Senior Vice President of NATIONAL MEDICAL HOMECARE, INC. and
acknowledged the execution of the foregoing instrument to be the voluntary act
and deed of such corporation, by it and by him voluntarily executed.

     WITNESS my hand and Notarial Seal the day and year first above written.

                                             /s/ Cheryl Hafey    
                                             ---------------------------  
                                             Notary Public 

                                                      CHERYL HAFEY
 My Commission Expires:                               NOTARY PUBLIC
                                           MY COMMISSION EXPIRES MARCH 31, 1989
 STATE OF NEW YORK  )
                    )   ss.
 COUNTY OF NEW YORK )




     On this 18th day of March, 1988, before me, the undersigned, a Notary
Public in and for said County, in said State, personally appeared Jerry Braun
and Sam Soroka, to me


                                      -21-
<PAGE>


personally known, who, being by me duly sworn, did say that they are the
President and Secretary, respectively, of NEW YORK HEALTH CARE, INC. and
acknowledged the execution of the foregoing instrument to be the voluntary act
and deed of such corporation, by it and by them voluntarily executed.

     WITNESS my hand and Notarial Seal the day and year first above written.

                                                          /s/ David H. Meyrowitz
                                                          ----------------------
                                                          Notary Public
My Commission Expires:



                                                     DAVID H. MEYROWITZ
                                              Notary Public, State of New York
                                                       No. 30-2686535
                                                 Qualified in Nassau County
                                            Commission Expires November 30, 1989


                                      -22-
<PAGE>


                    EXHIBITS TO PURCHASE AND SALE AGREEMENT

 Exhibit A:        Equipment and Fixtures

 Exhibit B-1:      Form of Promissory Note

 Exhibit C:        Contracts, Leases and Agreements

 Exhibit D:        Contingent Liabilities

 Exhibit E:        Form of Bill of Sale

 Exhibit F:        Form of Security Agreement

 Exhibit G:        Listed Employees


<PAGE>


                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit A

                             Equipment and Fixtures

Bensonhurst - Nursing
 
1   desk
8   tables used as desk
7   secretary chairs
3   metal chairs
3   fabric covered screen dividers
4   2 drawer cabinets
1   copy machine
3   4 drawer storage cabinets

Queens Villaqe - Nursing

7   Two pedestal desks
1   Executive desk with 7 drawers
14  swivel chairs (secretary)
3   swivel arm chairs
1   Executive arm chair
1   large arm chair
5   folding tables
1   small storage cabinet
1   large storage cabinet
3   room dividers
13  4 drawer filinq cabinets
2   5 drawer filing cabinets.
2   2 drawer filing cabinets
2   file cabinets on wheels 44 x 30
1   4 drawer filing cabinet
3   arm chairs

1   Mail scale
1   Fax machine and storage cabinet on wheels
1   Postage Meter
1   copy machine
1   typewriter and table


<PAGE>


RVC - Nursinq

1   desk - double pedestal
5   free standing desks - no drawers - attached to wall
1   folding table
7   secretary chairs
1   large push button console
1   typewriter - IBM Selectric
1   storage cabinet - 2 door, 4 shelves
4   4 drawer file cabinets
5   2 drawer file cabinets
1   brown cabinet - 2 drawers
 
1   copy machine

MT Vernon - Nursing

1   single pedestal desks
2   double pedestal desks
3   secretary chairs
9   regular chairs - no arms
2   folding tables
1   storage cabinet
1   5 drawer cabinet
2   4 drawer cabinets
1   typewriter IBM Selectric
1   copy machine
1   fax machine
1   Pitney Bowes postage meter


<PAGE>


                                   Exhibit B-1

                           NEW YORK HEALTH CARE, INC.

                         NON-NEGOTIABLE PROMISSORY NOTE

$50,000                                                     _______ ____ , 1988

     NEW YORK HEALTH CARE, INC. (the "Maker"), a New York corporation, for value
received, hereby promises to pay to the order of NATIONAL MEDICAL HOMECARE, INC.
(the "Creditor"), a Delaware corporation, the principal sum of FIFTY THOUSAND
DOLLARS ($50,000) due and payable on_____, 1988, and to pay interest (computed
on the basis of a 360-day year of twelve 30-day months) on the unpaid balance
from the date of this Note at the annual prime lending rate of Citibank, N.A. as
may be in effect from time to time, plus one and one-half percent (1.5%), such
interest payments to be made quarterly beginning_____, 1988, and to pay on
demand interest on any overdue principal at the rate of eighteen percent (18%)
per annum but in no event greater than the maximum rate allowed by applicable
law.

     Payments of principal and interest shall be made in such coin or currency
of the United States of America as at the time of payment is legal tender for
the payment of public and private debts by check mailed and addressed to the
Creditor at 91 Holmes Road, Newington, Connecticut 06111, or to such other
address designated by the Creditor or in such other manner as the Creditor shall
so designate in writing.

     This Note is non-negotiable.

     The Maker shall be entitled to prepay this Note in whole or in part without
premium or penalty. Prepayments shall be applied to the installments of
principal due hereunder in reverse chronological order (last to first) of when
due.

     This Note is secured by and subject to a Security Agreement of the Maker in
favor of the Creditor covering certain collateral, all as more particularly
described and provided in such Security Agreement, and is entitled to the
benefits thereof.

     The Maker and all guarantors hereby waive diligence, presentment, demand,
notice of non-payment, protest and all other demands and notices in connection
with the delivery, acceptance, performance or enforcement of this Note. In the
event of any default hereunder, or if Maker or any endorser hereof or any
guarantor of any obligation of Maker hereunder shall be in


<PAGE>


default under any instrument or document evidencing, governing or securing this
Note, the Maker and each and all endorsers and guarantors of this Note agree to
pay all costs of collection, including reasonable attorneys' fees. This Note
shall be the joint and several obligation of the Maker and all guarantors, and
shall be binding upon them and their successors and assigns.

     This Note shall be governed by and construed in accordance with the laws of
the State of New York. 

                                                      NEW YORK HEALTH CARE, INC.


                                                      By________________________
                                                        Its


<PAGE>


                                   Exhibit B-2

                               PERSONAL GUARANTY
                                                               _______ __ , 1988

National Medical Home Care, Inc.
91 Holmes Road
Newington, Connecticut 06111

Gentlemen:

     In connection with a Promissory Note (the "Note") issued to NATIONAL
MEDICAL HOMECARE, INC. ("NMH") by NEW YORK HEALTH CARE, INC. ("NYHC"), the
undersigned (the "Guarantor") hereby unconditionally guarantees to you full and
prompt payment when due of all amounts payable by NYHC in accordance with the
terms of the Note or any agreement, instrument, writing or arrangement relating
to the Note, irrespective of the validity or enforceability thereof. The
Guarantor will pay any such amounts promptly as if such amounts constituted the
direct and primary obligation of the undersigned. NMH shall not be required to
make any demand on, or pursue or exhaust any of its rights or remedies against,
NYHC or its property or any other guarantor of the obligations of NYHC with
respect to the payment of any such amounts.

     The Guarantor hereby waives demand, presentment, protest and notice of
non-payment or protest and of your acceptance of this Guaranty and of any loan
made, extensions granted or other actions taken in reliance hereon and all other
demands and notices of any description in connection with this Guaranty and the
liabilities assumed hereby.

     The liability of the Guarantor with respect to this Guaranty shall not be
terminated by, and the Guarantor assents to, any extension or postponement of
the time of payment of the Note, or any other indulgence, any modification,
waiver or amendment of the terms of any agreement relating to the Note, any
substitution, exchange or release of collateral, and the addition or release of
any other party guaranteeing the obligations of NYHC, whether or not notice
thereof is given to the Guarantor.

<PAGE>

     Upon any default of NYHC, the liability of the Guarantor shall be effective
immediately without any suit or action against NYHC. No delay or omission on
your part in exercising any right hereunder shall operate as a waiver of such
right or any other right, and no waiver shall be valid unless in writing signed
by NMH, and then only to the extent in such writing specifically set forth. A
waiver on one occasion shall not be a bar to or waiver of any right on any other
occasion. All remedies herein or afforded by law shall be cumulative and shall
be available to NMH until all obligations of the Guarantor hereunder have been
paid or satisfied in full.

     Notwithstanding anything herein contained to the contrary, no action shall
be taken for the enforcement of this Guaranty until Guarantor receives ten days'
written notice of the Guarantor's liability under this Guaranty. Copies of any
such notice shall be delivered by certified mail, return receipt requested.

     The obligations of the Guarantor hereunder shall not be affected by any
action taken under the Note or any agreement, instrument or other document
relating to the Note in the exercise of any right or remedy therein conferred,
or by any invalidity or unenforceability thereof, or by any other circumstance
whatsoever, whether with or without notice to or knowledge of the Guarantor,
which may in any manner vary the risk of the Guarantor under this Guaranty, it
being the the purpose and intent of the Guarantor that this Guaranty and the
obligations of the Guarantor hereunder shall be absolute and unconditional under
any and all circumstances and shall continue until the Note is fully paid or
discharged.

     The Guarantor further agrees to pay all costs and expenses, including
reasonable attorney's fees, arising out of or with respect to the enforcement,
validity, enforceability or preservation of this Guaranty.

     No amendment or supplement to or other modification of this Guaranty and no
consent or waiver hereunder shall be of any effect unless it is in writing and
executed by NMH.

     This Guaranty shall inure to the benefit of NMH, its successors and
assigns, and shall be binding upon the Guarantor, his successors and assigns.

     This Guaranty shall be governed by and construed in accordance with the
laws of the State of New York.

     IN WITNESS WHEREOF, the Guarantor has duly executed this instrument as of
this ____ day of ___________, 1988.


                                        ----------------------------------
                                        [Name of Guarantor]

<PAGE>

STATE OF NEW YORK )
                  ) ss. 
COUNTY OF ________)

     On this ____ day of ________________, 1988, before me, the undersigned, a
Notary Public in and for said County, in said State, personally appeared
_____________, to me personally known, who, being by me duly sworn, acknowledged
the execution of the foregoing instrument to be his voluntary act and deed, by
him voluntarily executed.

     WITNESS my hand and Notarial Seal the day and year first above written.


                                        ----------------------------------
                                        Notary Public

My Commission Expires:

<PAGE>

                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit C

                        Contracts, Leases and Agreements

Reference Section 3(e):

Party                                            Type of Agreement
- -----                                            -----------------
Visiting Nurse Service of                        Vendor Relationship
New York Home Care                               (Home Health Services)

Montefiore Medical Center HHA                    Vendor Relationship
                                                 (Home Health Services)

Metropolitan Jewish Geriatric                    Vendor Relationship
Center HHA                                       (Home Health Services)

Franklin General Hospital HHA                    Vendor Relationship
                                                 (Home Health Services)

Booth Memorial Medical                           Vendor Relationship
Center HHA                                       (Home Health Services)

Hebrew Hospital for Chronic                      Marketing Letter
Sick LTHHCP                                      (Home Health Services)

Metropolitan Jewish Geriatric                    Marketing Letter
Center LTHHCP                                    (Home Health Services)

Franklin General Hospital                        Marketing Letter
LTHHCP                                           (Home Health Services)

Saint Cabrini Nursing Home                       Marketing Letter
LTHHCP                                           (Home Health Services)

Visiting Nurse Association of                    Vendor Relationship
Brooklyn HHA                                     (Home Health Services)

Beth Abraham HHA                                 Vendor Relationship
Chronic Care Management                          (Home Health Services)

Nursing Sisters Home Visiting                    Vendor Relationship
Service HHA                                      (Home Health Services)

<PAGE>

                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit C

                        Contracts, Leases and Agreements
                                   (Continued)

JHMCB Center for Nursing and                     Marketing Letter
Rehab. LTHHCP                                    (Home Health Services)

Westchester County DSS PCA/                      Vendor Relationship
HHA                                              (Home Health Services)

Nassau County DSS PCA/HHA                        Vendor Relationship
                                                 (Home Health Services)

Leases for the following properties:

*    2515 86th Street, Brooklyn, New York

*    220-24 Jamaica Avenue, Queens Village, New York

**   566 Merrick Road, Rockville Centre, New York

          *    Not assigned to, or assumed by Purchaser. Seller shall indemnify
               and hold Purchaser harmless from any liability for such leases.

          **   Being subleased by Purchaser from Seller under separate letter
               agreement of even date herewith.

Reference Section 3(b):

     Seller's Subcontract with Purchaser to provide services to Nassau County
Department of Social Services requires the latter's consent, which is not being
obtained.

<PAGE>

                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit D

                             Contingent Liabilities

Reference Section 3(f): NONE

<PAGE>

                                    Exhibit E

                                  BILL OF SALE

                         NATIONAL MEDICAL HOMECARE, INC.

                                       TO

                           NEW YORK HEALTH CARE, INC.

     KNOW ALL MEN BY THESE PRESENTS, that NATIONAL MEDICAL HOMECARE, INC., a
Delaware corporation ("Seller") in consideration of the sum of SEVENTY-FIVE
THOUSAND DOLLARS ($75,000) paid to it by NEW YORK HEALTH CARE, INC. a New York
corporation ("Purchaser"), receipt of which is hereby acknowledged, and in
further consideration of the delivery to it by Purchaser of a Promissory Note
("Note") in the aggregate principal amount of FIFTY THOUSAND DOLLARS ($50,000),
does by these presents hereby grant, bargain, sell, convey, transfer, assign,
set over, and deliver unto Purchaser all right, title and interest in and to the
tangible and intangible assets ("Assets") used or useful in respect of the
ownership and operation of the private home health agency business of the Seller
operated from 2515 86th Street, Brooklyn, New York; 220-24 Jamaica Avenue,
Queens Village, New York; and 566 Merrick Road, Rockville Centre, New York
("Facilities"), such Assets being more particularly described in Schedule 1
attached hereto, as the same shall exist on the date hereof, free and clear of
all liens and encumbrances of any nature or kind.

     TO HAVE AND TO HOLD the Assets unto Purchaser, its successors and assigns
forever.

     IN WITNESS WHEREOF, Seller has caused this Bill of Sale to be executed as
of this ____ day of ____________, 1988 by its duly authorized representative.


                                        NATIONAL MEDICAL HOMECARE, INC.

                                        -------------------------------
                                        By: Raymond H. Noeker, Jr.
                                        Its: Senior Vice President

<PAGE>

                                   SCHEDULE 1

                               SCHEDULE OF ASSETS

1. Tangible Assets

     All of the machinery, equipment, furniture, furnishings, fixtures,
personally and inventory (but no office supplies) used or useful in respect of
the ownership and operation of the Facilities, as are more particularly
described in Exhibit A hereto.

2. Intangible Assets

     All of the intangible assets used or useful in the ownership or operation
of the Facilities including, but not limited to copies of Seller's school
curriculum, personal care aide's exams and approval letter, medical and
personnel records, customer lists, and all other books and records of or in
respect of the Facilities, and the exclusive right of the Purchaser to represent
itself as carrying on the business of the Facilities in continuation of or in
succession to the Seller, and the right to use appropriate words indicating that
the business of the Facilities is so carried on.

3. Exclusions

     The Assets shall not include the agreements, contracts or leases described
in Exhibit B hereto or any of Seller's other customer agreements or
arrangements. The Assets shall also not include the cash, accounts receivable of
the Facilities as of the date hereof, the name of the Seller, leased equipment,
tangible property also used in Seller's durable medical equipment business,
technology or software licensed by Seller, or non-transferable government
licenses and permits, and Medicaid and Medicare provider numbers.

<PAGE>

                                CLOSING STATEMENT



                    SIMON, MEYROWITZ, MEYROWITZ & SCHLUSSEL
                                  277 Broadway
                            New York, New York 10007



                                       1                          \r\CLOSTMT.NYH

<PAGE>

                           NEW YORK HEALTH CARE, INC.
                     WITH NATIONAL MEDICAL HEALTH CARE, INC.
                                 MARCH 18, 1988

                                      INDEX

 1.  Summary of Transaction
 2.  Purchase and Sale Agreement
 3.  Promissory Note
 4.  Personal Guarantees
 5.  Security Agreement
 6.  Bill of Sale
 7.  Assignment
 8.  Sublease Letter
 9.  Corporate Resolution
10.  Financing Statements
11.  Copies of Checks

                                        1                         \r\CLOSTMT.NYH

<PAGE>

                             SUMMARY OF TRANSACTION

PURCHASER:                         New York Health Care, Inc.

SELLER:                            National Medical Health Care, Inc.

DATE OF CLOSING:                   March 18, 1988

NATURE OF TRANSACTION:             Purchase of certain equipment and       
                                   fixtures (see Exhibit 2, Purchase and   
                                   Sale Agreement Exhibit A), the          
                                   assignment to purchaser (see Exhibit 7) 
                                   and/or withdrawal in favor of Purchaser 
                                   in connection with certain contracts,   
                                   leases and agreements (see Exhibit 2,   
                                   Purchase and Sale Agreement Exhibit C). 
                                   Certain intangible assets specifically  
                                   school curriculum, personal care aide's 
                                   exams and approval letter, medical and  
                                   personnel records, customer lists, and  
                                   all other books and records of or in    
                                   respect of the Facilities, and the      
                                   exclusive right of the Purchaser to     
                                   represent itself as carrying on the     
                                   business of the Facilities in           
                                   continuation of or in succession to the 
                                   Seller, and the right to use appropriate
                                   words indicating that the business of   
                                   the Facilities is so carried on (See    
                                   Exhibit 2, Schedule 1).                 

PURCHASE PRICE:                    $125,000.00

PAYMENT TERMS:                     (a) $20,000.00 to be paid upon execution
                                   of agreement                            
                                                                           
                                   (b) $55,000.00 to be paid at closing.   
                                                                           
                                   (c) $50,000.00 evidenced by a non-       
                                   negotiable promissory note (See Exhibit 
                                   3).                                     

TERMS OF NOTE:                     The note is due and payable on September
                                   18, 1988. The interest rate on the note 
                                   is one and one half percent above the   
                                   prime lending rate of Citibank, N.A.    
                                   Interest only payment is due June 18.   
                                   1988: the full balance together with    
                                   interest then outstanding will be due   
                                   September 18. 1988. Payments of         

                                        1                         \r\CLOSTMT.NYH

<PAGE>

TERMS OF NOTE (cont'd):            principal and interest shall be made by 
                                   check to Creditor at 91 Holmes Road,    
                                   Newington, Connecticut. This note is    
                                   guaranteed by both Sam Soroka and Jerry 
                                   Braun (See Exhibit 4). This note is     
                                   secured by and subject to a Security    
                                   Agreement of the Maker in favor of the  
                                   creditor covering certain collateral    
                                   described in the Security Agreement (See
                                   Exhibit 5).                              

RESTRICTIVE COVENANT:              Seller agrees that for a period of three
                                   (3) years after the closing date,       
                                   provided Purchaser makes all payments   
                                   when due under the note, Seller shall   
                                   not directly or indirectly, through its 
                                   subsidiaries or affiliates, either as a 
                                   principal agent, employee, employer,    
                                   shareholder, partner or otherwise, own, 
                                   operate, engage in, assist or manage an 
                                   agency business to provide temporary    
                                   medical homecare personnel to home      
                                   health providers within New York City in
                                   competition with the agency business    
                                   being operated by Purchaser as acquired 
                                   hereunder. The only exception to this   
                                   covenant will be Seller's conclusion of 
                                   his current contract with the
                                   Westchester County Department of Social 
                                   Services.                               
                                   


                                    FOOTNOTE
                                    --------

Originally, this transaction also contemplated the withdrawal by Seller in favor
of the Purchaser in connection with the Westchester County Department of Social
Services contract. Due to various problems connected with the same, withdrawal
in favor of Seller could not be accomplished and accordingly, the transaction
originally contemplated was amended to reflect a reduction of the purchase price
from $200,000.00 to $125,000.00.

                     SIMON, MEYROWITZ, MEYROWITZ & SCHLUSSEL
                                  277 Broadway
                            New York, New York 10007

                                        2                         \r\CLOSTMT.NYH

<PAGE>

                                                                       EXHIBIT F

                               SECURITY AGREEMENT

     This SECURITY AGREEMENT (this "Agreement") is made and dated as of
______________ ____, 1988 by and between New York Health Care, Inc. (the
"Company"), a New York corporation, and National Medical Homecare, Inc. (the
"Secured Party"), a Delaware corporation.

                                   BACKGROUND

     A. The Company and the Secured Party have entered into a Purchase and Sale
Agreement dated as of ________________ __, _____ (the "Purchase Agreement")
pursuant to which the Company has purchased certain assets of the Secured Party
and as part of the purchase price therefor has executed and delivered a Note in
the aggregate principal amount of Fifty Thousand Dollars ($50,000) payable to
the Secured Party.

     B. As required by the Purchase Agreement, the Company, by appropriate
corporate action, has determined to create a security interest in certain of its
property to secure to the Secured Party the repayment of all indebtedness of the
Company to the Secured Party arising under the Purchase Agreement or otherwise.

     NOW THEREFORE, in consideration for and in order to induce the Secured
Party to sell the Purchased Assets to the Company, the Company hereby agrees as
follows:

     1.   Definitions.

          All capitalized terms not otherwise defined herein shall have the
respective meanings ascribed to them in the Purchase Agreement.

     2.   Security.

          2.1 To secure the prompt payment when due of the Company's obligations
under the Purchase Agreement and the Note and all other indebtedness of the
Company to the Secured Party, including without limitation future advances made
to or on behalf of the Company and renewals or extensions of any indebtedness
(collectively, the "Indebtedness"), and the performance and observance by the
Company of its other covenants, obligations and conditions under the Purchase
Agreement and the Note, the Company hereby assigns and pledges to the Secured
Party, and grants to the Secured Party a continuing security interest in, all of
the Company's right,

<PAGE>

title and interest in the accounts receivable of the Company (the "Collateral"),
provided, however, that the Secured Party's security interest hereunder shall be
subordinate to a loan from United Mizrachy Bank (the "Bank") to the Company in
an amount not to exceed $800,000 pursuant to a loan agreement between the Bank
and the Company as in effect on the date of this Agreement.

          2.2 This Agreement is given by the Company pursuant to and is subject
to the Purchase Agreement and the Note, and all of the terms, covenants,
conditions and other provisions thereof are hereby deemed incorporated in this
Agreement with the same effect as if fully set forth herein. The Purchase
Agreement and the Note, include, and should be referred to for a more particular
description of, provisions with respect to advances and payment of the
Indebtedness.

          2.3 To protect the security afforded by this Agreement, the Company
agrees as follows:

               (a) The Company will faithfully abide by, perform and discharge
each and every obligation, covenant, condition, duty and agreement to be
performed by the Company so as to prevent the material impairment of the
Collateral.

               (b) At the Company's sole cost and expense, the Company will
appear in and defend or, in its discretion, compromise or settle, if such
compromise or settlement shall, taken as a whole, be beneficial to the Company,
any action or proceeding arising under, growing out of or in any manner
connected with the Collateral; and

               (c) Should the Company fail to make any payment, do any act or
refrain from any act which this Agreement requires the Company to make, do or
refrain from, respectively, then the Secured Party may, but shall have no
obligation to (and shall not thereby release the Company from any obligation
hereunder), make, do or prevent the same, respectively, in such manner and to
such extent as the Secured Party may deem necessary or advisable to protect the
security provided hereby, which rights of the Secured Party shall specifically
include, without limiting the Secured Party's general powers herein granted, the
right to appear in and defend any action or proceeding purporting to affect the
security hereof and the rights or powers of the Secured Party hereunder (or any
of them), and also the right to perform and discharge each and every one, or any
one or more, of the obligations, covenants, conditions, duties and agreements of
the Company concerning the Collateral; and in exercising any such powers, the
Company may pay necessary or advisable costs and expenses, employ counsel and
incur and pay reasonable attorneys' fees, and the Company will reimburse the
Secured Party for such costs, expenses and fees together with interest at the
rate set forth for the payment of interest on the Note.

<PAGE>

          2.4 The Company will, from time to time, do and perform any other act
or acts and will execute, acknowledge, deliver, file, register, record and
deposit (and will refile, reregister, rerecord and redeposit whenever required)
any and all further instruments required by law or requested by the Secured
Party in order to confirm, or further assure, the interest of the Secured Party
hereunder, including filings on Uniform Commercial Code (UCC) forms.

          2.5 The Company does hereby make, constitute and appoint any officer
or agent of the Secured Party as the Company's true and lawful attorney-in-fact,
with power to endorse the name of the Company upon any notes, checks, drafts,
money orders, or other instruments of payment with respect to the Collateral
that may come into possession of the Secured Party in full or part payment of
the Indebtedness; to sign and endorse the name of the Company upon any invoice,
freight or express bill, bill of lading, storage or warehouse receipts, drafts
against debtors, assignments, certifications and notices in connection with the
Collateral, and any instruments or documents relating thereto or to the
Company's rights therein; to give written notice to such office and officials of
the United States Post Office to effect such change or changes of address so
that all mail addressed to the Company may be delivered directly to the Secured
Party; granting unto the Company's said attorney full power to do any and all
things necessary to be done in and about the premises as fully and effectually
as the Company might or could do, and hereby ratifying all that said attorney
shall lawfully do or cause to be done by virtue hereof. This power of attorney
shall be irrevocable for the term of this Agreement and all transactions
hereunder and thereafter as long as any Indebtedness is outstanding.

     3. Default; Remedies.

          3.1 If the Company fails to make payment of any Indebtedness when due,
or otherwise fails to observe and perform any of its agreements under this
Agreement, the Purchase Agreement or the Note, the Secured Party may at any time
or from time to time, upon five (5) days' written notice to the Company,
exercise in respect of the Collateral in addition to all other rights, powers
and remedies provided for herein, therein, or otherwise available to them, all
the rights and remedies of a secured party on default under the Uniform
Commercial Code (whether or not the Uniform Commercial Code applies to the
Collateral) and under any other applicable law as in effect in any relevant
jurisdiction. The Company agrees that, to the extent notice of sale or other
disposition shall be required by applicable law, ten days' notice to the Company
of the time and place of any public sale or other disposition or the time after
which any private sale or other intended

<PAGE>

disposition may be made shall constitute reasonable notification thereof. No
notification need be given to the Company if it has signed a statement
renouncing any right to notification of sale or other intended disposition.

          3.2 The Secured Party may adjourn any public or private sale or other
disposition from time to time by announcement at the time and place fixed
therefor, and such sale or other disposition may, without further notice, be
made at the time and place to which it was so adjourned. The Secured Party shall
have the right upon any such public sale or other disposition and, to the extent
permitted by law, upon any such private sale or other disposition to purchase
the whole or any part of the Collateral so sold or disposed of.

          3.3 To the extent permitted by applicable law, the Company waives all
claims, damages and demands against the Secured Party arising out of the
exercise of its rights hereunder.

          3.4 The Company recognizes that in the event the Company fails to
perform, observe or discharge any of its obligations or liabilities under this
Agreement or the Purchase Agreement or the Note, no remedy at law will provide
adequate relief to the Secured Party, and the Company agrees that the Secured
Party shall be entitled to temporary and permanent injunctive relief in any such
case without the necessity of proving actual damages.

          3.5 The rights and remedies provided under this Agreement are
cumulative and may be exercised singly or concurrently, and are not exclusive of
any rights and remedies provided at law or in equity or in the Purchase
Agreement or Note.

          3.6 The Secured Party hereby agrees with the Company that, so long as
both (a) no Default or Event of Default shall exist under the Purchase Agreement
and (b) the Company shall not be in default of any of its obligations,
covenants, agreements or duties hereunder or under the Purchase Agreement or the
Note, the Secured Party will not exercise or enforce, or seek to exercise or
enforce, or avail itself of, any of the rights, powers, privileges,
authorizations or benefits assigned and transferred to the Secured Party
pursuant to this Agreement.

     4.   Continuing Liability.

          4.1 The Company hereby agrees that, anything herein to the contrary
notwithstanding, the Company shall remain liable under each contract, agreement,
interest or obligation assigned, or as to which a security interest has been
granted, to the Secured Party hereunder to observe and perform all the
covenants, conditions and obligations to be observed and

<PAGE>

performed by the Company thereunder, all in accordance with and pursuant to the
terms and provisions thereof. The Secured Party shall have no duty,
responsibility, obligation or liability under any such contract, agreement,
interest or obligation by reason of or arising out of this Agreement or the
granting to the Secured Party of a security interest therein or the receipt by
the Secured Party of any payment relating to any such contract, agreement,
interest or obligation pursuant hereto, nor shall the Secured Party be required
or obligated in any manner to perform or fulfill any of the obligations of the
Company thereunder or pursuant thereto, or to make any payment, or to make any
inquiry as to the nature or the sufficiency of any payment received by it or the
sufficiency of any performance by any party under any such contract, agreement,
interest or obligation, or to present or file any claim, or to take any action
to collect or enforce any performance or the payment of any amounts which may
have been assigned to it, in which it has been granted a security interest or to
which it may be entitled at any time or times.

     5.   Limitation by Law; Severability.

          5.1 All rights, remedies and powers provided in this Agreement may be
exercised only to the extent that the exercise thereof does not violate any
applicable provision of law, and all the provisions of this Agreement are
intended to be subject to all applicable mandatory provisions of law which may
be controlling and to be limited to the extent necessary so that they will not
render this Agreement illegal, invalid, unenforceable, in whole or in part, or
not entitled to be recorded, registered, or filed under the provisions of any
applicable law.

          5.2 Any provision of this Agreement which is prohibited or
unenforceable in any jurisdiction the substantive laws of which are held to be
applicable hereto shall not invalidate the remaining provisions hereof, and any
such prohibition or unenforceability in any such jurisdiction shall not
invalidate or render unenforceable such provision in any other jurisdiction.

     6.   Waivers; Amendments.

          None of the terms or provisions of this Agreement may be waived,
altered, modified or amended by any act, delay, omission or otherwise except by
an instrument in writing which is duly executed by the Company and the Secured
Party. Any such waiver, alteration, modification or amendment shall be valid
only to the extent therein set forth. A waiver by the Secured Party of any right
or remedy under this Agreement on any one occasion shall not be construed as a
bar to any right, remedy or power which the Secured Party would otherwise have
had on any future occasion. No failure to exercise nor any

<PAGE>

delay in exercising on the part of the Secured Party any right, remedy or power
under this Agreement shall operate as a waiver thereof; further, no single or
partial exercise of any right, remedy or power under this Agreement shall
preclude any other or further exercise thereof or the exercise of any other
right, remedy or power.

     7.   Binding Effect; Successors and Assigns.

          This Agreement shall be binding upon and inure to the benefit of the
parties hereto and shall inure to the benefit of their respective successors and
assigns, and nothing herein or in the Purchase Agreement or the Note is intended
or shall be construed to give any person, other than such successors or assigns,
any right, remedy or claim under, to or in respect of this Agreement or the
Collateral.

     8.   Termination of this Agreement.

          This Agreement shall continue in full force and effect so long as any
Indebtedness remains outstanding.

     9.   Notices.

          All notices or other communications hereunder shall be given in the
manner and to the addresses determined under the Purchase Agreement.

     10.  Applicable Law.

          This Agreement shall be governed by, and be construed and interpreted
in accordance with, the internal laws of the State of New York without reference
to principles of conflict of laws, except as required by mandatory provisions of
law.

     11.  THE COMPANY ACKNOWLEDGES THAT THE TRANSACTION OF WHICH THIS AGREEMENT
IS A PART IS A COMMERCIAL TRANSACTION, AND TO THE EXTENT ALLOWED BY APPLICABLE
LAW, HEREBY WAIVES ITS RIGHTS TO NOTICE AND HEARING WITH RESPECT TO ANY
PREJUDGMENT REMEDY WHICH THE SECURED PARTY OR ITS SUCCESSORS OR ASSIGNS MAY
DESIRE TO USE.

<PAGE>

                                                                       EXHIBIT G

                                LISTED EMPLOYEES

                                NURSING DIVISION

                          LIST OF EMPLOYEES BY LOCATION

                     [Check and Initial Indicated Employees]

BENSONHURST

____   Coreschi, Virginia - Manager 
____   Falcone, Ann M. - Clerk 
____   Cuadrado, Joann G. - Coordinator
____   Jenkins, Sheila - Coordinator
____   Pinto, Susan - Coordinator

QUEENS VILLAGE

____   McGinnis, Geovana - Payroll Supervisor
_X__   Vollmerding, Judith - Nurse 
____   Zavelo, Elissa H. - Coordinator 
____   Feldman, Beverly - Accounts Receivable Clerk 
____   Jocaby, Beth J. - Billing Clerk
____   Thompson, Sandra D. - Payroll and Billing Clerk

ROCKVILLE CENTER

_X__   Koren, Jennifer S. - Coordinator
_X__   Walsh, Katherine - Coordinator
____   Mollitor, Patricia T. - Coordinator (on call)
____   Sanfilippo, Margurite - Manager

WESTCHESTER

____   Essex, Dorothy G. - Coordinator
_X__   O'Neal, Joanne - Coordinator (on call)
_X__   Pacheco, Victor M. - Coordinator

<PAGE>

     IN  WITNESS  WHEREOF,  the  parties  hereto  have  executed  this  Security
Agreement or caused this  Security  Agreement  to be executed  and  delivered by
their duly authorized officers of the date first set forth above.

                                       COMPANY:

                                       NEW YORK HEALTHCARE, INC.

                                       By ______________________________________

                                          Its___________________________________

                                       SECURED PARTY:

                                       NATIONAL MEDICAL HOMECARE,
                                       INC.

                                       By_______________________________________

                                          Its___________________________________


<PAGE>

                                [NMH LETTERHEAD]

                               _________________ ___ , 1988

New York Health Care, Inc.
4211 13th Avenue
Brooklyn, New York 11219
Attention: Mr. Jerry Braun

                               RE: Sublease of Space For
                                   Home Health Agency Business

Dear Jerry:

     In connection with the sale today to New York Health Care, Inc. ("NYHC") of
the assets of National Medical Homecare, Inc.'s ("NMH") New York City private
home health agency business, NMH hereby agrees to sublease space to NYHC for the
temporary operation of such business in the following location on the terms set
forth:

Location                     Sq. ft.          Rent/Sq. ft.          Term
- --------                     -------          ------------          ----
                                                 Annual

566 Merrick Road                                  $9.00           6 months
Rockville Centre, N.Y.

     The sublease will commence today and can be terminated by you at any time
short of the specified term in each case by giving NMH two weeks prior written
notice, which need not be directed to the end of any period. The above rates
include general utilities and taxes but are exclusive of telephone usage for
which you will be required to pay a prorate portion of the basic charges, based
upon space utilization, plus the amount of any toll call or other charges fairly
allocable to your use.

     In addition, NYHC shall provide general liability insurance for itself,
naming NMH as an additional insured in such amounts as are usual and customary
for like businesses and facilities, and shall be responsible for any substantial
damage or destruction to the premises caused by its or its employees' negligence
except to the extent any required repair or replacement is adequately
compensated for by insurance proceeds.

<PAGE>

New York Health Care, Inc.
________   _ , 1988
Page Two

     In all other respects not inconsistent with the above, NYHC assumes with
respect to NMH the same obligations regarding the subleased space as NMH owes to
its landlord as provided in the applicable lease for each such space.

     Please indicate your acceptance of the foregoing by executing this letter
in the space provided below.

                                        Very truly yours,

                                        NATIONAL MEDICAL HOMECARE, INC.

                                        By ____________________________________

                                        Its ___________________________________

Acknowledged and agreed this
___ day of ___, 1988 
New York Home Health Care, Inc.

By_____________________________


Its ___________________________

9391G/0238G
JEK/88-0204


<PAGE>

                           NEW YORK HEALTH CARE, INC.

                         NON-NEGOTIABLE PROMISSORY NOTE
$50,000                                                          March 18, 1988

     NEW YORK HEALTH CARE, INC. (the "Maker"), a New York corporation, for value
received, hereby promises to pay to the order of NATIONAL MEDICAL HOMECARE, INC.
(the "Creditor"), a Delaware corporation, the principal sum of FIFTY THOUSAND
DOLLARS ($50,000) due and payable on September 18, 1988, and to pay interest
(computed on the basis of a 360-day year of twelve 30-day months) on the unpaid
balance from the date of this Note at the annual prime lending rate of Citibank,
N.A. as may be in effect from time to time, plus one and one-half percent
(1.5%), such interest payments to be made quarterly beginning June 18, 1988, and
to pay on demand interest on any overdue principal at the rate of eighteen
percent (18%) per annum but in no event greater than the maximum rate allowed
by applicable law.

     Payments of principal and interest shall be made in such coin or currency
of the United States of America as at the time of payment is legal tender for
the payment of public and private debts by check mailed and addressed to the
Creditor at 91 Holmes Road, Newington, Connecticut 06111, or to such other
address designated by the Creditor or in such other manner as the Creditor shall
so designate in writing.

     This Note is non-negotiable.

     The Maker shall be entitled to prepay this Note in whole or in part without
premium or penalty. Prepayments shall be applied to the installments of
principal due hereunder in reverse chronological order (last to first) of when
due.

     This Note is secured by and subject to a Security Agreement of the Maker in
favor of the Creditor covering certain collateral, all as more particularly
described and provided in such Security Agreement, and is entitled to the
benefits thereof.

     The Maker and all guarantors hereby waive diligence, presentment, demand,
notice of non-payment, protest and all other demands and notices in connection
with the delivery, acceptance, performance or enforcement of this Note. In the
event of any default hereunder, or if Maker or any endorser hereof or any
guarantor of any obligation of Maker hereunder shall be in

<PAGE>


default under any instrument or document evidencing, governing or securing this
Note, the Maker and each and all endorsers and guarantors of this Note agree to
pay all costs of collection, including reasonable attorneys' fees. This Note
shall be the joint and several obligation of the Maker and all guarantors, and
shall be binding upon them and their successors and assigns.

     This Note shall be governed by and construed in accordance with the laws of
the State of New York.

                                                  NEW YORK HEALTH CARE, INC.

                                                  By /s/ Jerry Braun
                                                  -----------------------------
                                                  Its President

<PAGE>


STATE OF NEW YORK  )
                   )     SS.
COUNTY OF NEW YORK )

     On this 18th day of March, 1988, before me, the undersigned, a Notary
Public in and for said County, in said State, personally appeared Jerry Braun,
to me personally known, who, being by me duly sworn, acknowledged the execution
of the foregoing instrument to be his voluntary act and deed, by him voluntarily
executed.

     WITNESS my hand and Notarial Seal the day and year first above written.


                                                 /s/ David H. Meyrowitz 
                                                 -------------------------------
                                                 Notary Public

 My Commission Expires:                          
                                                     DAVID H. MEYROWITZ
                                              Notary Public, State of New York
                                                       No. 30-2686635
                                                 Qualified in Nassau County
                                            Commission Expires November 30, 1989

<PAGE>

                               PERSONAL GUARANTY

                                                                  March 18, 1988

National Medical Home Care, Inc. 
91 Holmes Road 
Newington, Connecticut 06111

Gentlemen:

     In connection with a Promissory Note (the "Note") issued to NATIONAL
MEDICAL HOMECARE, INC. ("NMH") by NEW YORK HEALTH CARE, INC. ("NYHC"), the
undersigned (the "Guarantor") hereby unconditionally guarantees to you full and
prompt payment when due of all amounts payable by NYHC in accordance with the
terms of the Note or any agreement, instrument, writing or arrangement relating
to the Note, irrespective of the validity or enforceability thereof. The
Guarantor will pay any such amounts promptly as if such amounts constituted the
direct and primary obligation of the undersigned. NMH shall not be required to
make any demand on, or pursue or exhaust any of its rights or remedies against,
NYHC or its property or any other guarantor of the obligations of NYHC with
respect to the payment of any such amounts.
               
     The Guarantor hereby waives demand, presentment, protest and notice of
non-payment or protest and of your acceptance of this Guaranty and of any loan
made, extensions granted or other actions taken in reliance hereon and all other
demands and notices of any description in connection with this Guaranty and the
liabilities assumed hereby.

     The liability of the Guarantor with respect to this Guaranty shall not be
terminated by, and the Guarantor assents to, any extension or postponement of
the time of payment of the Note, or any other indulgence, any modification,
waiver or amendment of the terms of any agreement relating to the Note, any
substitution, exchange or release of collateral, and the addition or release of
any other party guaranteeing the obligations of NYHC, whether or not notice
thereof is given to the Guarantor.

<PAGE>

     Upon any default of NYHC, the liability of the Guarantor shall be effective
immediately without any suit or action against NYHC. No delay or omission on
your part in exercising any right hereunder shall operate as a waiver of such
right or any other right, and no waiver shall be valid unless in writing signed
by NMH, and then only to the extent in such writing specifically set forth. A
waiver on one occasion shall not be a bar to or waiver of any right on any other
occasion. All remedies herein or afforded by law shall be cumulative and shall
be available to NMH until all obligations of the Guarantor hereunder have been
paid or satisfied in full.

     Notwithstanding anything herein contained to the contrary, no action shall
be taken for the enforcement of this Guaranty until Guarantor receives ten days'
written notice of the Guarantor's liability under this Guaranty. Copies of any
such notice shall be delivered by certified mail, return receipt requested.

     The obligations of the Guarantor hereunder shall not be affected by any
action taken under the Note or any agreement, instrument or other document
relating to the Note in the exercise of any right or remedy therein conferred,
or by any invalidity or unenforceability thereof, or by any other circumstance
whatsoever, whether with or without notice to or knowledge of the Guarantor,
which may in any manner vary the risk of the Guarantor under this Guaranty, it
being the purpose and intent of the Guarantor that this Guaranty and the
obligations of the Guarantor hereunder shall be absolute and unconditional under
any and all circumstances and shall continue until the Note is fully paid or
discharged.

     The Guarantor further agrees to pay all costs and expenses, including
reasonable attorney's fees, arising out of or with respect to the enforcement,
validity, enforceability or preservation of this Guaranty.

     No amendment or supplement to or other modification of this Guaranty and no
consent or waiver hereunder shall be of any effect unless it is in writing and
executed by NMH.

     This Guaranty shall inure to the benefit of NMM, its successors and
assigns, and shall be binding upon the Guarantor, his successors and assigns.

     This Guaranty shall be governed by and construed in accordance with the
laws of the State of New York.

     IN WITNESS WHEREOF, the Guarantor has duly executed this instrument as of
this 18th day of March, 1988.


                                             /s/ Jerry Braun
                                             ----------------------------------
                                             Jerry Braun

<PAGE>

                               PERSONAL GUARANTY

                                                                  March 18, 1988

National Medical Home Care, Inc.
91 Holmes Road 
Newington, Connecticut 06111

Gentlemen:

     In connection with a Promissory Note (the "Note") issued to NATIONAL
MEDICAL HOMECARE, INC. ("NMH") by NEW YORK HEALTH CARE, INC. ("NYHC"), the
undersigned (the "Guarantor") hereby unconditionally guarantees to you full and
prompt payment when due of all amounts payable by NYHC in accordance with the
terms of the Note or any agreement, instrument, writing or arrangement relating
to the Note, irrespective of the validity or enforceability thereof. The
Guarantor will pay any such amounts promptly as if such amounts constituted the
direct and primary obligation of the undersigned. NMH shall not be required to
make any demand on, or pursue or exhaust any of its rights or remedies against,
NYHC or its property or any other guarantor of the obligations of NYHC with
respect to the payment of any such amounts.

     The Guarantor hereby waives demand, presentment, protest and notice of
non-payment or protest and of your acceptance of this Guaranty and of any loan
made, extensions granted or other actions taken in reliance hereon and all other
demands and notices of any description in connection with this Guaranty and the
liabilities assumed hereby.

     The liability of the Guarantor with respect to this Guaranty shall not be
terminated by, and the Guarantor assents to, any extension or postponement of
the time of payment of the Note, or any other indulgence, any modification,
waiver or amendment of the terms of any agreement relating to the Note, any
substitution, exchange or release of collateral, and the addition or release of
any other party guaranteeing the obligations of NYHC, whether or not notice
thereof is given to the Guarantor.

<PAGE>

     Upon any default of NYHC, the liability of the Guarantor shall be effective
immediately without any suit or action against NYHC. No delay or omission on
your part in exercising any right hereunder shall operate as a waiver of such
right or any other right, and no waiver shall be valid unless in writing signed
by NMH, and then only to the extent in such writing specifically set forth. A
waiver on one occasion shall not be a bar to or waiver of any right on any other
occasion. All remedies herein or afforded by law shall be cumulative and shall
be available to NMH until all obligations of the Guarantor hereunder have been
paid or satisfied in full.

     Notwithstanding anything herein contained to the contrary, no action shall
be taken for the enforcement of this Guaranty until Guarantor receives ten days'
written notice of the Guarantor's liability under this Guaranty. Copies of any
such notice shall be delivered by certified mail, return receipt requested.

     The obligations of the Guarantor hereunder shall not be affected by any
action taken under the Note or any agreement, instrument or other document
relating to the Note in the exercise of any right or remedy therein conferred,
or by any invalidity or unenforceability thereof, or by any other circumstance
whatsoever, whether with or without notice to or knowledge of the Guarantor,
which may in any manner vary the risk of the Guarantor under this Guaranty, it
being the the purpose and intent of the Guarantor that this Guaranty and the
obligations of the Guarantor hereunder shall be absolute and unconditional under
any and all circumstances and shall continue until the Note is fully paid or
discharged.

     The Guarantor further agrees to pay all costs and expenses, including
reasonable attorney's fees, arising out of or with respect to the enforcement,
validity, enforceability or preservation of this Guaranty.

     No amendment or supplement to or other modification of this Guaranty and no
consent or waiver hereunder shall be of any effect unless it is in writing and
executed by NMH.

     This Guaranty shall inure to the benefit of NMH, its successors and
assigns, and shall be binding upon the Guarantor, his successors and assigns.
This Guaranty shall be governed by and construed in accordance with the laws of
the State of New York.

        IN WITNESS WHEREOF, the Guarantor has duly executed this instrument as
of this 18th day of March, 1988.

                                             /s/ Sam Soroka
                                             -----------------------------------
                                             Sam Soroka

<PAGE>

STATE OF NEW YORK   )
                    )     SS.
COUNTY OF NEW YORK  )


     On this 18th day of MARCH, 1988, before me, the undersigned, a Notary
Public in and for said County, in said State, personally appeared Sam Soroka, to
me personally known, who, being by me duly sworn, acknowledged the execution of
the foregoing instrument to be his voluntary act and deed, by him voluntarily
executed.

     WITNESS my hand and Notarial Seal the day and year first above written.

                                                /s/ David H. Meyrowitz 
                                                 -------------------------------
                                                 Notary Public

 My Commission Expires:                          
                                                     DAVID H. MEYROWITZ
                                              Notary Public, State of New York
                                                       No. 30-2686635
                                                 Qualified in Nassau County
                                            Commission Expires November 30, 1989

<PAGE>

                               SECURITY AGREEMENT

     This SECURITY AGREEMENT (this "Agreement") is made and dated as of March
18, 1988 by and between New York Health Care, Inc. (the "Company"), a New York
corporation, and National Medical Homecare, Inc. (the "Secured Party"), a
Delaware corporation.

                                   BACKGROUND

     A. The Company and the Secured Party have entered into a Purchase and Sale
Agreement dated as of March 18, 1988 (the "Purchase Agreement") pursuant to
which the Company has purchased certain assets of the Secured Party and as part
of the purchase price therefor has executed and delivered a Note in the
aggregate principal amount of Fifty Thousand Dollars ($50,000) payable to the
Secured Party.

     B. As required by the Purchase Agreement, the Company, by appropriate
corporate action, has determined to create a security interest in certain of its
property to secure to the Secured Party the repayment of all indebtedness of the
Company to the Secured Party arising under the Purchase Agreement or otherwise.

     NOW THEREFORE, in consideration for and in order to induce the Secured
Party to sell the Purchased Assets to the Company, the Company hereby agrees as
follows:

     1.   Definitions.

          All capitalized terms not otherwise defined herein shall have the
respective meanings ascribed to them in the Purchase Agreement.

     2.   Security.

          2.1 To secure the prompt payment when due of the Company's obligations
under the Purchase Agreement and the Note and all other indebtedness of the
Company to the Secured Party, including without limitation future advances made
to or on behalf of the Company and renewals or extensions of any indebtedness
(collectively, the "Indebtedness"), and the performance and observance by the
Company of its other covenants, obligations and conditions under the Purchase
Agreement and the Note, the Company hereby assigns and pledges to the Secured
Party, and grants to the Secured Party a continuing security interest in, all of
the Company's right,

<PAGE>

title and interest in the accounts receivable of the Company (the "Collateral"),
provided, however, that the Secured Party's security interest hereunder shall be
subordinate to a loan from United Mizrachy Bank (the "Bank") to the Company in
an amount not to exceed $800,000 pursuant to a loan agreement between the Bank
and the Company as in effect on the date of this Agreement.

          2.2 This Agreement is given by the Company pursuant to and is subject
to the Purchase Agreement and the Note, and all of the terms, covenants,
conditions and other provisions thereof are hereby deemed incorporated in this
Agreement with the same effect as if fully set forth herein. The Purchase
Agreement and the Note, include, and should be referred to for a more particular
description of, provisions with respect to advances and payment of the
Indebtedness.

          2.3 To protect the security afforded by this Agreement, the Company
agrees as follows:

               (a) The Company will faithfully abide by, perform and discharge
each and every obligation, covenant, condition, duty and agreement to be
performed by the Company so as to prevent the material impairment of the
Collateral.

               (b) At the Company's sole cost and expense, the Company will
appear in and defend or, in its discretion, compromise or settle, if such
compromise or settlement shall, taken as a whole, be beneficial to the Company,
any action or proceeding arising under, growing out of or in any manner
connected with the Collateral; and

               (c) Should the Company fail to make any payment, do any act or
refrain from any act which this Agreement requires the Company to make, do or
refrain from, respectively, then the Secured Party may, but shall have no
obligation to (and shall not thereby release the Company from any obligation
hereunder), make, do or prevent the same, respectively, in such manner and to
such extent as the Secured Party may deem necessary or advisable to protect the
security provided hereby, which rights of the Secured Party shall specifically
include, without limiting the Secured Party's general powers herein granted, the
right to appear in and defend any action or proceeding purporting to affect the
security hereof and the rights or powers of the Secured Party hereunder (or any
of them), and also the right to perform and discharge each and every one, or any
one or more, of the obligations, covenants, conditions, duties and agreements of
the Company concerning the Collateral; and in exercising any such powers, the
Company may pay necessary or advisable costs and expenses, employ counsel and
incur and pay reasonable attorneys' fees, and the Company will reimburse the
Secured Party for such costs, expenses and fees together with interest at the
rate set forth for the payment of interest on the Note.

<PAGE>

          2.4 The Company will, from time to time, do and perform any other act
or acts and will execute, acknowledge, deliver, file, register, record and
deposit (and will refile, reregister, rerecord and redeposit whenever required)
any and all further instruments required by law or requested by the Secured
Party in order to confirm, or further assure, the interest of the Secured Party
hereunder, including filings on Uniform Commercial Code (UCC) forms.

          2.5 The Company does hereby make, constitute and appoint any officer
or agent of the Secured Party as the Company's true and lawful attorney-in-fact,
with power to endorse the name of the Company upon any notes, checks, drafts,
money orders, or other instruments of payment with respect to the Collateral
that may come into possession of the Secured Party in full or part payment of
the Indebtedness; to sign and endorse the name of the Company upon any invoice,
freight or express bill, bill of lading, storage or warehouse receipts, drafts
against debtors, assignments, certifications and notices in connection with the
Collateral, and any instruments or documents relating thereto or to the
Company's rights therein; to give written notice to such office and officials of
the United States Post Office to effect such change or changes of address so
that all mail addressed to the Company may be delivered directly to the Secured
Party; granting unto the Company's said attorney full power to do any and all
things necessary to be done in and about the premises as fully and effectually
as the Company might or could do, and hereby ratifying all that said attorney
shall lawfully do or cause to be done by virtue hereof. This power of attorney
shall be irrevocable for the term of this Agreement and all transactions
hereunder and thereafter as long as any Indebtedness is outstanding.

     3.   Default; Remedies.

          3.1 If the Company fails to make payment of any Indebtedness when due,
or otherwise fails to observe and perform any of its agreements under this
Agreement, the Purchase Agreement or the Note, the Secured Party may at any time
or from time to time, upon five (5) days' written notice to the Company,
exercise in respect of the Collateral in addition to all other rights, powers
and remedies provided for herein, therein, or otherwise available to them, all
the rights and remedies of a secured party on default under the Uniform
Commercial Code (whether or not the Uniform Commercial Code applies to the
Collateral) and under any other applicable law as in effect in any relevant
jurisdiction. The Company agrees that, to the extent notice of sale or other
disposition shall be required by applicable law, ten days' notice to the Company
of the time and place of any public sale or other disposition or the time after
which any private sale or other intended

<PAGE>

disposition may be made shall constitute reasonable notification thereof. No
notification need be given to the Company if it has signed a statement
renouncing any right to notification of sale or other intended disposition.

          3.2 The Secured Party may adjourn any public or private sale or other
disposition from time to time by announcement at the time and place fixed
therefor, and such sale or other disposition may, without further notice, be
made at the time and place to which it was so adjourned. The Secured Party shall
have the right upon any such public sale or other disposition and, to the extent
permitted by law, upon any such private sale or other disposition to purchase
the whole or any part of the Collateral so sold or disposed of.

          3.3 To the extent permitted by applicable law, the Company waives all
claims, damages and demands against the Secured Party arising out of the
exercise of its rights hereunder.

          3.4 The Company recognizes that in the event the Company fails to
perform, observe or discharge any of its obligations or liabilities under this
Agreement or the Purchase Agreement or the Note, no remedy at law will provide
adequate relief to the Secured Party, and the Company agrees that the Secured
Party shall be entitled to temporary and permanent injunctive relief in any such
case without the necessity of proving actual damages.

          3.5 The rights and remedies provided under this Agreement are
cumulative and may be exercised singly or concurrently, and are not exclusive of
any rights and remedies provided at law or in equity or in the Purchase
Agreement or Note.

          3.6 The Secured Party hereby agrees with the Company that, so long as
both (a) no Default or Event of Default shall exist under the Purchase Agreement
and (b) the Company shall not be in default of any of its obligations,
covenants, agreements or duties hereunder or under the Purchase Agreement or the
Note, the Secured Party will not exercise or enforce, or seek to exercise or
enforce, or avail itself of, any of the rights, powers, privileges,
authorizations or benefits assigned and transferred to the Secured Party
pursuant to this Agreement.

     4.   Continuing Liability.

          4.1 The Company hereby agrees that, anything herein to the contrary
notwithstanding, the Company shall remain liable under each contract, agreement,
interest or obligation assigned, or as to which a security interest has been
granted, to the Secured Party hereunder to observe and perform all the
covenants, conditions and obligations to be observed and

<PAGE>

performed by the Company thereunder, all in accordance with and pursuant to the
terms and provisions thereof. The Secured Party shall have no duty,
responsibility, obligation or liability under any such contract, agreement,
interest or obligation by reason of or arising out of this Agreement or the
granting to the Secured Party of a security interest therein or the receipt by
the Secured Party of any payment relating to any such contract, agreement,
interest or obligation pursuant hereto, nor shall the Secured Party be required
or obligated in any manner to perform or fulfill any of the obligations of the
Company thereunder or pursuant thereto, or to make any payment, or to make any
inquiry as to the nature or the sufficiency of any payment received by it or the
sufficiency of any performance by any party under any such contract, agreement,
interest or obligation, or to present or file any claim, or to take any action
to collect or enforce any performance or the payment of any amounts which may
have been assigned to it, in which it has been granted a security interest or to
which it may be entitled at any time or times.

     5.   Limitation by Law; Severability.

          5.1 All rights, remedies and powers provided in this Agreement may be
exercised only to the extent that the exercise thereof does not violate any
applicable provision of law, and all the provisions of this Agreement are
intended to be subject to all applicable mandatory provisions of law which may
be controlling and to be limited to the extent necessary so that they will not
render this Agreement illegal, invalid, unenforceable, in whole or in part, or
not entitled to be recorded, registered, or filed under the provisions of any
applicable law.

          5.2 Any provision of this Agreement which is prohibited or
unenforceable in any jurisdiction the substantive laws of which are held to be
applicable hereto shall not invalidate the remaining provisions hereof, and any
such prohibition or unenforceability in any such jurisdiction shall not
invalidate or render unenforceable such provision in any other jurisdiction.

     6.   Waivers; Amendments.

          None of the terms or provisions of this Agreement may be waived,
altered, modified or amended by any act, delay, omission or otherwise except by
an instrument in writing which is duly executed by the Company and the Secured
Party. Any such waiver, alteration, modification or amendment shall be valid
only to the extent therein set forth. A waiver by the Secured Party of any right
or remedy under this Agreement on any one occasion shall not be construed as a
bar to any right, remedy or power which the Secured Party would otherwise have
had on any future occasion. No failure to exercise nor any

<PAGE>

delay in exercising on the part of the Secured Party any right, remedy or power
under this Agreement shall operate as a waiver thereof; further, no single or
partial exercise of any right, remedy or power under this Agreement shall
preclude any other or further exercise thereof or the exercise of any other
right, remedy or power.

     7.   Binding Effect; Successors and Assigns.

          This Agreement shall be binding upon and inure to the benefit of the
parties hereto and shall inure to the benefit of their respective successors and
assigns, and nothing herein or in the Purchase Agreement or the Note is intended
or shall be construed to give any person, other than such successors or assigns,
any right, remedy or claim under, to or in respect of this Agreement or the
Collateral.

     8.   Termination of this Agreement.

          This Agreement shall continue in full force and effect so long as any
Indebtedness remains outstanding.

     9.   Notices.

          All notices or other communications hereunder shall be given in the
manner and to the addresses determined under the Purchase Agreement.

     10.  Applicable Law.

          This Agreement shall be governed by, and be construed and interpreted
in accordance with, the internal laws of the State of New York without reference
to principles of conflict of laws, except as required by mandatory provisions of
law.

     11.  THE COMPANY ACKNOWLEDGES THAT THE TRANSACTION OF WHICH THIS AGREEMENT
IS A PART IS A COMMERCIAL TRANSACTION, AND TO THE EXTENT ALLOWED BY APPLICABLE
LAW, HEREBY WAIVES ITS RIGHTS TO NOTICE AND HEARING WITH RESPECT TO ANY
PREJUDGMENT REMEDY WHICH THE SECURED PARTY OR ITS SUCCESSORS OR ASSIGNS MAY
DESIRE TO USE.

<PAGE>

     IN WITNESS WHEREOF, the parties hereto have executed this Security
Agreement or caused this Security Agreement to be executed and delivered by
their duly authorized officers of the date first set forth above.

                                             COMPANY:

                                             NEW YORK HEALTHCARE, INC.

                                             By /s/ Jerry Braun
                                             -----------------------------------
                                             Its President
                                                 -------------------------------


                                             SECURED PARTY:

                                             NATIONAL MEDICAL HOMECARE, INC.


                                             By /s/ Raymond H. Noeker, Jr.
                                             -----------------------------------
                                             Its Senior Vice President
                                                 -------------------------------

<PAGE>

                        NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit B

                        Contracts, Leases and Agreements
                                   (Continued)

 JHMCB Center for Nursing and                           Marketing Letter
 Rehab. LTHHCP                                          (Home Health Services)

 Westchester County DSS PCA/                            Vendor Relationship
 HHA                                                    (Home Health Services)

 Nassau County DSS PCA/HHA                              Vendor Relationship
                                                        (Home Health Services)

Leases for the following properties:

*  2515 86th Street, Brooklyn, New York

*  220-24 Jamaica Avenue, Queens Village, New York

** 566 Merrick Road, Rockville Centre, New York

     *    Not assigned to, or assumed by Purchaser. Seller shall indemnify and
          hold Purchaser harmless from any liability for such leases.

     **   Being subleased by Purchaser from Seller under separate letter
          agreement of even date herewith.

5805H

<PAGE>


                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit B

                        Contracts, Leases and Agreements

Party                                                 Type of Agreement
- -----                                                 -----------------

Visiting Nurse Service of                             Vendor Relationship
New York Home Care                                    (Home Health Services)
 
Montefiore Medical Center HHA                         Vendor Relationship
                                                      (Home Health Services)

Metropolitan Jewish Geriatric                         Vendor Relationship
Center HHA                                            (Home Health Services)

Franklin General Hospital HHA                         Vendor Relationship
                                                      (Home Health Services)

Booth Memorial Medical                                Vendor Relationship
Center HHA                                            (Home Health Services)

Hebrew Hospital for Chronic                           Marketing Letter
Sick LTHHCP                                           (Home Health Services)

Metropolitan Jewish Geriatric                         Marketing Letter
Center LTHHCP                                         (Home Health Services)

Franklin General Hospital                             Marketing Letter
LTHHCP                                                (Home Health Services)

Saint Cabrini Nursing Home                            Marketing Letter
LTHHCP                                                (Home Health Services)

Visiting Nurse Association of                         Vendor Relationship
Brooklyn HHA                                          (Home Health Services)

Beth Abraham HHA                                      Vendor Relationship
Chronic Care Management                               (Home Health Services)

Nursing Sisters Home Visiting                         Vendor Relationship
Service HHA                                           (Home Health Services)

<PAGE>

RVC - Nursing
1  desk - double pedestal
5  free standing desks - no drawers - attached to wall 
1  folding table 
7  secretary chairs 
1  large push button console 1 typewriter - IBM Selectric 
1  storage cabinet - 2 door, 4 shelves 
4  4 drawer file cabinets 
5  2 drawer file cabinets 
1  brown cabinet - 2 drawers 
  
1  copy machine 

MT Vernon - Nursing 

1  single pedestal desks 
2  double pedestal desks 
3  secretary chairs 
9  regular chairs - no arms 
2  folding tables 
1  storage cabinet 
1  5 drawer cabinet 
2  4 drawer cabinets 
  
1  typewriter IBM Selectric 
1  copy machine 
1  fax machine 
1  Pitney Bowes postage meter

<PAGE>

                         NATIONAL MEDICAL HOMECARE, INC.
                           NEW YORK HEALTH CARE, INC.

                                    Exhibit A

                             Equipment and Fixtures

Bensonhurst - Nursing
1  desk 
8  tables used as desk 
7  secretary chairs 
3  metal chairs
3  fabric covered screen dividers 
4  2 drawer cabinets 
1  copy machine 
3  4 drawer storage cabinets 
 
Queens Village - Nursing 

7  Two pedestal desks 
1  Executive desk with 7 drawers 
14 swivel chairs (secretary) 
3  swivel arm chairs 
1  Executive arm chair 
1  large arm chair 
5  folding tables 
1  small storage cabinet 
1  large storage cabinet 
3  room dividers  
13 4 drawer filing cabinets  
2  5 drawer filing cabinets 
2  2 drawer filing cabinets 
2  file cabinets on wheels 
1  4 drawer filing cabinet 44 x 30 
3  arm chairs 

1  Mail scale
1  Fax machine and storage cabinet on wheels
1  Postage Meter 
1  copy machine 
1  typewriter and table

<PAGE>

                                   SCHEDULE 1

                               SCHEDULE OF ASSETS

1. Tangible Assets

     All of the machinery, equipment, furniture, furnishings, fixtures,
personalty and inventory (but no office supplies) used or useful in respect of
the ownership and operation of the Facilities, as are more particularly
described in Exhibit A hereto.

2. Intangible Assets

     All of the intangible assets used or useful in the ownership or operation
of the Facilities including, but not limited to copies of Seller's school
curriculum, personal care aide's exams and approval letter, medical and
personnel records, customer lists, and all other books and records of or in
respect of the Facilities, and the exclusive right of the Purchaser to represent
itself as carrying on the business of the Facilities in continuation of or in
succession to the Seller, and the right to use appropriate words indicating that
the business of the Facilities is so carried on.

3. Exclusions

     The Assets shall not include the agreements, contracts or leases described
in Exhibit B hereto or any of Seller's other customer agreements or
arrangements. The Assets shall also not include the cash, accounts receivable of
the Facilities as of the date hereof, the name of the Seller, leased equipment,
tangible property also used in Seller's durable medical equipment business,
technology or software licensed by Seller, or non-transferable government
licenses and permits, and Medicaid and Medicare provider numbers.

<PAGE>

                                  BILL OF SALE

                         NATIONAL MEDICAL HOMECARE, INC.

                                       TO

                           NEW YORK HEALTH CARE, INC.

     KNOW ALL MEN By THESE PRESENTS, that NATIONAL MEDICAL HOMECARE, INC., a
Delaware corporation ("Seller") in consideration of the sum of SEVENTY-FIVE
THOUSAND DOLLARS ($75,000) paid to it by NEW YORK HEALTH CARE, INC. a New York
corporation ("Purchaser"), receipt of which is hereby acknowledged, and in
further consideration of the delivery to it by Purchaser of a Promissory Note
("Note") in the aggregate principal amount of FIFTY THOUSAND DOLLARS ($50,000),
does by these presents hereby grant, bargain, sell, convey, transfer, assign,
set over, and deliver unto Purchaser all right, title and interest in and to the
tangible and intangible assets ("Assets") used or useful in respect of the
ownership and operation of the private home health agency business of the Seller
operated from 2515 86th Street, Brooklyn, New York; 220-24 Jamaica Avenue,
Queens Village, New York; and 566 Merrick Road, Rockville Centre, New York
("Facilities"), such Assets being more particularly described in Schedule 1
attached hereto, as the same shall exist on the date hereof, free and clear of
all liens and encumbrances of any nature or kind.

     TO HAVE AND TO HOLD the Assets unto Purchaser, its successors and assigns
forever.

     IN WITNESS WHEREOF, Seller has caused this Bill of Sale to be executed as
of this 18th day of March, 1988 by its duly authorized representative.


                                             NATIONAL MEDICAL HOMECARE, INC.

                                             /s/ Raymond H. Noeker, Jr.
                                             ----------------------------------
                                             By: Raymond H. Noeker, Jr.
                                             Its: Senior Vice President

<PAGE>

                                   ASSIGNMENT

     National Medical Homecare, Inc. ("NMH") hereby transfers, conveys, and
assigns to New York Health Care, Inc. ("NYHC") such rights, title and interest
as NMH may have in the contracts or agreements with the parties hereinafter
listed, and NYHC hereby agrees to assume any of NMH's obligations under such
contracts and agreements:

          Montefiore Medical Center HHA, dated February 1, 1987

          Metropolitan Jewish Geriatric Center, dated February 1, 1987

          Booth Memorial Medical Center HHA, dated January 1, 1987

          Hebrew Hospital for Chronic Sick LTHHCP, dated November 1, 1986

          Saint Cabrini Nursing Home LTHHCP, dated October 7, 1987

          Nursing Sisters Home Visiting Service HHA, executed February 26, 1985

          JHMCB Center for Nursing and Rehab. LTHHCP, dated May 2, 1986

     IN WITNESS WHEREOF, the parties hereto have caused this Assignment to be
executed and delivered this 18th day of March, 1988.

                                        National Medical Homecare, Inc.
 
                                        By /s/ Raymond H. Noeker, Jr.
                                           -------------------------------------


                                        New York Health Care, Inc.

                                        By
                                           -------------------------------------
5744H

<PAGE>


        National
[LOGO]  Medical
        Homecare

        Northeast Region
        17 Market Square
        Newington, CT 06111
        (203) 666-1501


Mr. Jerry Braun, President
New York Health Care, Inc.
4211 13th Avenue
Brooklyn, New York 11219

     RE: Sublease of Space for Home Health Agency Business

Dear Jerry:

In connection with the sale of today to New York Health Care, Inc. ("NYHC") of
the assets of National Medical Homecare, Inc.'s ("NMH") New York City private
home health agency business, NMH hereby agrees to sublease space to NYHC for the
temporary operation of such business in the following location on the terms set
forth:

Location                         Sq. Ft.         Rent/Sq. Ft.         Term
- --------                         -------         ------------         ----
                                                   Annual
                                                   ------
566 Merrick Road                   368              $9.00            6 Months
Rockville, Centre, N.Y.

The sublease will commence today and can be terminated by you at any time short
of the specified term in each case by giving NMH two weeks prior written notice,
which need not be directed to the end of any period. The above rates include
general utilities and taxes but are exclusive of telephone usage for which you
will be required to pay a prorate portion of the basic charges, based upon space
utilization, plus the amount of any toll call or other charges fairly allocable
to your use.

In addition, NYHC shall provide general liability insurance for itself, naming
NMH as an additional insured in such amounts as are usual and customary for like
businesses and facilities, and shall be responsible for any substantial damage
or destruction to the premises caused by its or its employees' negligence except
to the extent any required repair or replacement is adequately compensated for
by insurance proceeds.

<PAGE>

[LOGO]   National
         Medical
         Homecare

Mr. Jerry Braun
March 14, 1988
Page 2

In all other respects not inconsistent with the above, NYHC assumes with respect
to NMH the same obligations regarding the subleased space as NMH owes to its
landlord as provided in the applicable lease for each such space.

Please indicate your acceptance of the foregoing by executing this letter in the
space provided below.

                                             Very truly yours,

                                             NATIONAL MEDICAL HOMECARE, INC.

                                             By /s/ Raymond H. Noeker, Jr.
                                                --------------------------------

                                             Its Senior Vice President
                                                --------------------------------

Acknowledged and agreed this
18th day of March, 1988 
New York Home Health Care, Inc.

By /s/ Jerry Braun
   --------------------------------
Its President
   --------------------------------


<PAGE>


                        NATIONAL MEDICAL HOMECARE, INC.

                            CERTIFICATE OF SECRETARY

     I,  James A.  Fishback,  do  hereby  certify  that I am the  duly  elected,
qualified and acting  Secretary of National Medical  Homecare,  Inc., a Delaware
corporation (the "Corporation"), that the following resolutions were unanimously
approved by the Sole Director of the  Corporation on February 12, 1988, and that
said  resolutions  have not been  rescinded  or  modified as of the date of this
Certificate:

     RESOLVED,  that the Corporation approves the sale of the assets of the
     Corporation's home health agency business in New York City to New York
     Health Care, Inc., Jerry Braun, and Sam Soroka, and

     RESOLVED  FURTHER,  that any  Officer  of the  Corporation,  including
     specifically Raymond H. Noeker, Jr., Senior Vice President, be, and he
     hereby is,  authorized  and directed on behalf of the  Corporation  to
     execute and deliver such  documents,  including  without  limitation a
     Purchase And Sale  Agreement,  and to take such action as such Officer
     may deem necessary or appropriate to carry out the foregoing.

     IN WITNESS WHEREOF, I have hereunto affixed my signature as of this 12th
day of February, 1988.

                                             /s/ James A. Fishback
                                             ----------------------------------
                                             James A. Fishback
                                             Secretary

<PAGE>

                           NEW YORK HEALTH CARE, INC.

                            CERTIFICATE OF SECRETARY

     I, Sam Soroka, do hereby certify that I am the duly elected, qualified
and action Secretary of New York Health Care, Inc., a New York Corporation
(the "Corporation"), that the following resolutions were unanimously
approved by the Directors of the Corporation on March 18, 1988, and that
said resolutions have not been rescinded or modified as of the date of this
Certificate:

     RESOLVED, that the Corporation approves the purchase of certain assets
     from National Medical Homecare, Inc., and

     RESOLVED FURTHER, that any Officer of the Corporation, including
     specifically Jerry Braun, President, be, and he hereby is, authorized
     and directed on behalf of the Corporation to execute and deliver such
     documents, including without limitation a Purchase And Sale Agreement,
     and to take such action as such Officer may deem necessary or
     appropriate to carry out the foregoing.

     IN WITNESS WHEREOF, I have hereunto affixed my signature as of this 18th
day of March, 1988.

                                             /s/ Sam Soroka
                                             ----------------------------------
                                             SAM SOROKA
                                             Secretary

<PAGE>

                                   SCHEDULE 1

       DEBTOR                                     SECURED PARTY
       ------                                     -------------
New York Health Care, Inc.                 National Medical Homecare, Inc.
4211 13th Avenue                           60-71 Metropolitan Avenue
Brooklyn, New York                         Ridgewood, New York

This Financing Statement covers the following:

     All of Company's right, title and interest in the accounts receivable of
the Company, pursuant to a Security Agreement, dated March 18, 1988 (the
"Agreement"), provided, however, that the Secured Party's security interest
hereunder shall be subordinate to a loan from United Mizrachy Bank (the "Bank")
to the Company in an amount not to exceed $800,000 pursuant to a loan agreement
between the Bank and the Company as in effect on the date of the Agreement.

5726H

<PAGE>

            Uniform Commercial Code--FINANCING STATEMENT--Form WCC-1
                                             JULIUS BLUMBER, INC. N. Y. C. 10013
          IMPORTANT-- Read instructions on back before filling out form

<TABLE>
<S>                                               <C>                          <C>   
This FINANCING STATEMENT is presented to a
Filing Officer for filing pursuant to the        |  NO. of Additional          |                                  
Uniform Commercial Code.                         |  Sheets Presented:          |  3. [ ] The Debtor is a transmitting utility.
- ------------------------------------------------------------------------------------------------------------------------------------
 1. Debtor(s) (Last Name first) and Address(es): |  2. Secured Party(ies)      |
                                                 |  Name(s) and Address(es)    |4. For Filing Officer: Date, Time, No. Filing Office
                                                 |                             |
New York Health Care, Inc.                       |  National Medical Homecare, |
4211 13th Avenue Inc.                            |  60-71 Metropolitan Avenue  |
Brooklyn, New York                               |  Ridgewood, New York        |
- ------------------------------------------------------------------------------------------------------------------------------------
5. This Financing Statement covers the following types (or items) of property: |6. Assignee(s) of Secured Party and Address(es)
 See Schedule 1 attached hereto.                                               |
                                                                               |
                                                                                ----------------------------------------------------
                                                                               |7 [ ] The described crops are growing or to 
                                                                               |       be grown on:*
                                                                               |  [ ] The described goods are or are to be 
                                                                               |      affixed to:*
[ ] Products of the Collateral are also covered.                               |  [ ] The lumber to be cut or minerals or the like
- --------------------------------------------------------------------------------      (including oil and gas) is on*
8. Describe Real Estate Here:         [ ] This statement is to be | 9. Name of        *(Describe Real Estate Below)
                                          indexed in the Real     |    a Record ----------------------------------------------------
                                          Estate Records:         |    Owner
                                                                  |              
                                                                   -----------------------------------------------------------------

No. & Street                       Town or City                        County    Section        Block          Lot
- ------------------------------------------------------------------------------------------------------------------------------------
10. This statement is filed without the debtor's signature to perfect a security interest in collateral (check appropriate box)
    [ ] under a security agreement signed by debtor authorizing secured party to file this statement, or
    [ ] which is proceeds of the original collateral described above in which a security interest was perfected, or
    [ ] acquired after a change of name, identity or corporate structure of the debtor, or [ ] as to which the filing has lapsed, or
        already subject to a security interest in another jurisdiction:
          [ ] when the collateral was brought into the state, or [ ] when the debtor's  location was charged to this state.
</TABLE>

NEW YORK HEALTH CARE. INC.               NATIONAL MEDICAL HOMECARE, INC. 
- -------------------------------------    ---------------------------------------

By /s/ Jerry Braun                       By /s/ Raymond H. Noeker, Sr. VP.
- -------------------------------------    ---------------------------------------
Signature(s) of Debtor(s)                Signature(s) of Secured Party(ies)

(1) Filing Officer Copy-Numerical
 (5/82) STANDARD FORM -- FORM UCC -- Approved by Secretary of State of New York




                          STANDARD FORM OF OFFICE LEASE

                     The Real Estate Board of New York, Inc.

AGREEMENT OF LEASE,  made as of this 30th day of October 1992,  between  Vincent
Rippa as Receiver,  having an address at 11 Martine  Avenue,  White Plains,  New
York 10606 party of the first part,  hereinafter  referred to as OWNER,  and NEW
YORK HEALTH CARE, INC. 1498 Flatbush Avenue,  Brooklyn,  NY 11210,  party of the
second part, hereinafter referred to as TENANT.

WITNESSETH:  

     Owner  hereby  leases to Tenant and Tenant  hereby  hires from Owner  Suite
501/502  1686.6 Square Feet in the building  known as 105 Stevens  Avenue in the
City of Mt. Vernon,  County of  Westchester,  for the term of Four (4) Years (or
until  such term  shall  sooner  cease and expire as  hereinafter  provided)  to
commence  on the 1st day of January  nineteen  hundred and 93, and to end on the
31st day of  December,  nineteen  hundred  and 96, both dates  inclusive,  at an
annual rental rate of From 1/1/93 to 12/31/93 = $1,300.00  per month  [Initialed
/s/ JB], From 1/1/94 to 12/31/94 = $1,500.00 per month, From 1/1//95 to 12/31/95
= $1,600.00 per month, From 1/1/96 to 12/31/96 = $1,700.00 per month.  Including
electric as set forth in paragraph  37D.  which  Tenant  agrees to pay in lawful
money of the United  States  which shall be legal tender in payment of all debts
and  dues,  public  and  private,  at the  time of  payment,  in  equal  monthly
installments  in advance on the first day of each month during said term, at the
office of Owner or such other place as Owner may designate,  without any set off
or deduction  whatsoever,  except that Tenant shall pay the  first_____  monthly
installment(s) on the execution hereof (unless this lease be a renewal).

     In the  event  that,  at the  commencement  of the term of this  lease,  or
thereafter,  Tenant shall be in default in the payment of rent to Owner pursuant
to the  terms of  another  lease  with  Owner  or with  Owner's  predecessor  in
interest,  Owner may at  Owner's  option  and  without  notice to Tenant add the
amount of such arrears to any monthly  installment of rent payable hereunder and
the same shall be payable to Owner as additional rent.

     The parties hereto, for themselves,  their heirs, distributees,  executors,
administrators,  legal representatives,  successors and assigns, hereby covenant
as follows:

Rent

1. Tenant  shall pay the rent as above and as hereinafter provided.

Occupancy

2. Tenant shall use and occupy  demised  premises for See Rider  Article #38 and
for no other purpose.

Tenant Alterations:

3.  Tenant  shall make no changes in or to the  demised  premises  of any nature
without Owner's prior written constant.  Subject to the prior written consent of
Owner, and to the provisions of this article,  Tenant, at Tenant's expense,  may
make   alterations,   installations,   additions  or   improvements   which  are
nonstructural  and  which  do  not  affect  utility  services  or  plumbing  and
electrical  lines,  in or to the  interior  of the  demised  premises  by  using
contractors or mechanics first approved in each instance by Owner. Tenant shall,
before making any alterations,  additions, installations or improvements, at its
expense,  obtain  all  permits,  approvals  and  certificates  required  by  any
governmental or quasi-governmental  bodies and (upon completion) certificates of
final  approval  thereof  and  shall  deliver  promptly  duplicates  of all such
permits, approvals and certificates to Owner and Tenant agrees to carry and will
cause  Tenant's   contractors  and   sub-contractors  to  carry  such  workman's
compensation, general liability, personal and property damage insurance as Owner
may require.  If any mechanic's lien is filed against the demised  premises,  or
the building of which the same forms a part,  for work claimed to have been done
for, or materials  furnished  to,  Tenant,  whether or not done pursuant to this
article, the same shall be discharged by Tenant within thirty days thereafter at
Tenant's  expense,  by payment or filing the bond  required by law. All fixtures
and all paneling, partitions, railings and like installations,  installed in the
premises at any time,  either by Tenant or by Owner on Tenant's  behalf,  shall,
upon  installation,  become the  property of Owner and shall  remain upon and be
surrendered with the demised premises unless Owner, by notice to Tenant no later
than  twenty  days prior to the date  fixed as the  termination  of this  lease,
elects to  relinquish  Owner's right thereto and to have them removed by Tenant,
in which event the same shall be removed  from the  premises by Tenant  prior to
the  expiration  of the lease at the Tenant's  expense.  Nothing in this Article
shall be  construed  to give Owner  title to or to prevent  Tenant's  removal of
trade fixtures, moveable office furniture and equipment, but upon removal of any
such from the premises or upon removal of other installations as may be required
by Owner,  Tenant shall  immediately and at its expense,  repair and restore the
premises to the condition  existing prior to installation  and repair any damage
to the demised  premises  or the  building  due to such  removal.  All  property
permitted  or required to be removed by Tenant at the end of the term  remaining
in the premises after Tenant's removal shall be deemed abandoned and may, at the
election of Owner, either be retained as Owner's property or may be removed from
the premises by Owner, at Tenant's expense.

Maintenance and Repairs

4.  Tenant  shall,  throughout  the term of this  lease,  take  good care of the
demised  premises and the fixtures and  appurtenances  therein.  Tenant shall be
responsible  for all damage or injury to the demised  premises or any other part
of the  building  and the  systems  and  equipment  thereof,  whether  requiring
structural or  nonstructural  repairs caused by or resulting from  carelessness,
omission,  neglect or improper conduct of Tenant,  Tenant's subtenants,  agents,
employees, invitees or licensees, or which arise out of any work, labor, service
or equipment  done for or supplied to Tenant or any  subtenant or arising out of
the installation, use or operation of the property or equipment of Tenant or any
subtenant.  Tenant shall also repair all damages to the building and the demised
premises  caused by the moving of Tenant's  fixtures,  furniture and  equipment.
Tenant  shall  promptly  make,  at Tenant's  expense,  all repairs in and to the
demised premises for which Tenant is responsible,  using only the contractor for
the  trade  or  trades  in  question,  selected  from a  list  of at  least  two
contractors  per trade  submitted  by  Owner.  Any  other  repairs  in or to the
building or the facilities  and systems  thereof for which Tenant is responsible
shall be  performed by Owner at the Tenant's  expense.  Owner shall  maintain in
good working  order and repair the exterior and the  structural  portions of the
building,  including  the  structural  portions of its demised  premises and the
public portions of the building interior and the building plumbing,  electrical,
heating and  ventilating  systems (to the extent such systems  presently  exist)
serving  the  demised  premises.  Tenant  agrees  to give  prompt  notice of any
defective  condition  in  the  premises  for  which  Owner  may  be  responsible
hereunder.  There shall be no allowance to Tenant for diminution of rental value
and no liability on the part of Owner by reason of  inconvenience,  annoyance or
injury to business  arising from Owner or others  making  repairs,  alterations,
additions  or  improvements  in or to any portion of the building or the demised
premises or in and to the fixtures,  appurtenances or equipment  thereof.  It is
specifically agreed that Tenant shall not be entitled to any setoff or reduction
of rent by reason of any failure of Owner to comply with the  covenants  of this
or any other  article of this Lease.  Tenant agrees that Tenant's sole remedy at
law in such  instance  will be by way of an action  for  damages  for  breach of
contract.  The  provisions of this Article 4 shall not apply in the case of fire
or other casualty which are dealt with in Article 9 hereof.

Window Cleaning:

5. Tenant will not clean nor require,  permit, suffer or allow any window in the
demised  premises to be cleaned  from the outside in violation of Section 202 of
the  Labor  Law or any  other  applicable  law or of the  Rules of the  Board of
Standards  and  Appeals,  or of any  other  Board or body  having  or  asserting
jurisdiction.

Requirements of Law, Fire Insurance, Floor Loads:

6. Prior to the commencement of the lease term, if Tenant is then in possession,
and at all times thereafter,  Tenant,  at Tenant's sole cost and expense,  shall
promptly comply with all present and future laws,  orders and regulations of all
state, federal,  municipal and local governments,  departments,  commissions and
boards and any direction of any public officer  pursuant to law, and all orders,
rules,  and  regulations of the New York Board of Fire  Underwriters,  Insurance
Services Office, or any similar body which shall impose any violation, order, or
duty upon Owner or Tenant with respect to the demised  premises,  whether or not
arising  out of  Tenant's  permitted  use or manner of use  thereof,  (including
Tenant's  permitted  use) or,  with  respect to the  building  if arising out of
Tenant's

<PAGE>

use or  manner  of use of the  premises  or  the  building  (including  the  use
permitted  under  the  lease).  Nothing  herein  shall  require  Tenant  to make
structural repairs or alterations unless Tenant has, by its manner of use of the
demised  premises  or method  of  operation  therein,  violated  any such  laws,
ordinances,  orders,  rules,  regulations or requirements  with respect thereto.
Tenant may, after securing  Owner to Owner's  satisfaction  against all damages,
interest,  penalties  and  expenses,  including  but not limited to,  reasonable
attorney's fees, by cash deposit or by surety bond in an amount and in a company
satisfactory  to Owner,  contest and appeal any such laws,  ordinances,  orders,
rules,  regulations  or  requirements  provided same is done with all reasonable
promptness and provided such appeal shall not subject Owner to prosecution for a
criminal offense or constitute a default under any lease or mortgage under which
Owner may be obligated  or cause the demised  premises or any part thereof to be
condemned or vacated.  Tenant shall not do or permit any act or thing to be done
in or to the demised premises which is contrary to law, or which will invalidate
or be in conflict with public liability,  fire or other policies of insurance at
any time  carried by or for the  benefit of Owner  with  respect to the  demised
premises or the  building of which the demised  premises  form a part,  or which
shall or might subject Owner to any liability or responsibility to any person or
for  property  damage.  Tenant shall not keep  anything in the demised  premises
except  as now or  hereafter  permitted  by the Fire  Department,  Board of Fire
Underwriters,  Fire Insurance  Rating  Organization  or other  authority  having
jurisdiction  and  then  only in such  manner  and  such  quantity  so as not to
increase the rate for fire  insurance  applicable to the  building,  nor use the
premises in any manner which will increase the  insurance  rate for the building
or any property located therein over that in effect prior to the commencement of
Tenant's occupancy.  Tenant shall pay all costs, expenses,  fines, penalties, or
damages which may be imposed upon Owner by reason of Tenant's  failure to comply
with the  provisions  of this  article and if by reason of such failure the fire
insurance rate shall, at the beginning of this lease or at any time  thereafter,
be higher than it otherwise  would be, then Tenant  shall  reimburse  Owner,  as
additional  rent  hereunder,  for that  portion of all fire  insurance  premiums
thereafter  paid by Owner which shall have been charged  because of such failure
by Tenant. In any action or proceeding  wherein Owner and Tenant are parties,  a
schedule or "make-up" of rate for the building or demised premises issued by the
New York Fire  Insurance  Exchange,  or other body making fire  insurance  rates
applicable  to said premises  shall be conclusive  evidence of the facts therein
stated and of the  several  items and charges in the fire  insurance  rates then
applicable to said premises. Tenant shall not place a load upon any floor of the
demised  premises  exceeding  the floor load per  square  foot area which it was
designed  to carry and which is  allowed  by law.  Owner  reserves  the right to
prescribe the weight and position of all safes, business machines and mechanical
equipment.  Such  installations  shall be placed and  maintained  by Tenant,  at
Tenant's expense,  in settings  sufficient,  in Owner's judgment,  to absorb and
prevent vibration, noise and annoyance.

Subordination:

7. This lease is subject and subordinate to all ground or underlying  leases and
to all  mortgages  which may now or  hereafter  affect  such  leases or the real
property  of  which   demised   premises  are  a  part  and  to  all   renewals,
modifications,   consolidations,   replacements   and  extensions  of  any  such
underlying  leases and  mortgages.  This clause shall be  self-operative  and no
further  instrument  of  subordination  shall  be  required  by  any  ground  or
underlying lessor or by any mortgagee,  affecting any lease or the real property
of which the demised premises are a part. In confirmation of such subordination,
Tenant shall from time to time execute  promptly any certificate  that Owner may
request.

Property -- Loss, Damage, Reimbursemen, Indemnity:

8: Owner or its agents  shall not be liable for any damage to property of Tenant
or of others  entrusted to employees of the building,  nor for loss of or damage
to any property of Tenant by theft or otherwise, nor for any injury or damage to
persons or property resulting from any cause of whatsoever nature, unless caused
by or due to negligence of Owner,  its agents,  servants or employees.  Owner or
its agents  will not be liable for any such  damage  caused by other  tenants or
persons in, upon or about said building or caused by operations in  construction
of any private, public or quasi public work.

If at any time any  windows of the  demised  premises  are  temporarily  closed,
darkened  or bricked  up (or  permanently  closed,  darkened  or bricked  up, if
required  by law) for any reason  whatsoever,  including,  but not  limited  to,
Owner's own acts,  Owner  shall not be liable for any damage  Tenant may sustain
thereby  and Tenant  shall not be  entitled  to any  compensation  therefor  nor
abatement  or  diminution  of rent nor shall the same  release  Tenant  from its
obligations  hereunder nor  constitute an eviction.  Tenant shall  indemnify and
save harmless  Owner  against and from all  liabilities,  obligations,  damages,
penalties, claims, costs and expenses for which Owner shall not be reimbursed by
insurance, including reasonable attorneys fees, paid, suffered, or incurred as a
result  of any  breach  by  Tenant,  Tenant's  agents,  contractors,  employees,
invitees,  or  licensees,  of any covenant or  condition  of this lease,  or the
carelessness,  negligence or improper  conduct of the Tenant,  Tenant's  agents,
contractors,  employees,  invitees or licensees.  Tenant's  liability under this
lease  extends  to the acts and  omissions  of any  sub-tenant,  and any  agent,
contractor, employee, invitees or licensee of any sub-tenant. In case any action
or proceeding is brought against Owner by reason of any such claim, Tenant, upon
written  notice from Owner,  will,  at Tenant's  expense,  resist or defend such
action or proceeding by counsel approved by Owner in writing,  such approval not
to be unreasonably withheld.

Destruction, Fire and Other Casualty:

9. (a) If the demised  premises or any part thereof  shall be damaged by fire or
other  casualty,  Tenant shall give  immediate  notice thereof to Owner and this
lease shall continue in full force and effect except as  hereinafter  set forth.
(b) If the demised premises are partially damaged or rendered partially unusable
by fire or other  casualty,  the damages thereto shall be repaired by and at the
expense of Owner and the rent and other  items of  additional  rent,  until such
repair  shall be  substantially  completed,  shall be  apportioned  from the day
following the casualty according to the part of the premise which is usable. (c)
If the demised  premises are totally damaged or rendered wholly unusable by fire
or  other  casualty,  then  the  rent and  other  items  of  additional  rent as
hereinafter  expressly provided shall be proportionately  paid up to the time of
the casualty and thenceforth  shall cease until the date when the premises shall
have been repaired and restored by Owner,  subject to Owner's right to elect not
to restore the same as  hereinafter  provided.  (d) If the demised  premises are
rendered wholly unusable or (whether or not the demised  premises are damaged in
whole or in part) if the building shall be so damaged that Owner shall decide to
demolish it or to rebuild it, then,  in any of such  events,  Owner may elect to
terminate  this lease by written  notice to Tenant,  given  within 90 days after
such fire or casualty,  specifying a date for the expiration of the lease, which
date shall not be more than 60 days after the  giving of such  notice,  and upon
the date  specified  in such notice the term of this lease shall expire as fully
and completely as if such date were the date set forth above for the termination
of this  lease and  Tenant  shall  forthwith  quit,  surrender,  and  vacate the
premises without  prejudice  however,  to Landlord's rights and remedies against
Tenant under the lease provisions in effect prior to such  termination,  and any
rent owing shall be paid up to such date and any payments of rent made by Tenant
which were on account of any period subsequent to such date shall be returned to
Tenant.  Unless Owner shall serve a  termination  notice as provided for herein,
Owner shall make the repairs and  restorations  under the  conditions of (b) and
(c) hereof, with all reasonable expedition,  subject to delays due to adjustment
of insurance claims, labor troubles and causes beyond Owner's control. After any
such casualty,  Tenant shall cooperate with Owner's restoration by removing from
the premises as promptly as  reasonably  possible,  all of Tenant's  salvageable
inventory  and  moveable  equipment,  furniture,  and other  property.  Tenant's
liability  for rent shall resume five (5) days after  written  notice from Owner
that the premises are substantially  ready for Tenant's  occupancy.  (e) Nothing
contained  hereinabove  shall relieve  Tenant from liability that may exist as a
result of damage from fire or other  casualty.  Notwithstanding  the  foregoing,
each party  shall look first to any  insurance  in its favor  before  making any
claim  against the other party for  recovery for loss or damage  resulting  from
fire or other  casualty  and to the extent that such  insurance  is in force and
collectible  and to the extent  permitted  by law,  Owner and Tenant each hereby
releases and waives all right of recovery  against the other or any one claiming
through or under each of them by way of subrogation or otherwise.  The foregoing
release and waiver shall be in force only if both releasors'  insurance policies
contain a clause  providing  that such a release or waiver shall not  invalidate
the insurance.  If, and to the extent,  that such waiver can be obtained only by
the payment of additional  premiums,  then the party  benefiting from the waiver
shall pay such premium  within ten days after written  demand or shall be deemed
to have agreed that the party obtaining  insurance coverage shall be free of any
further  obligation  under  the  provisions  hereof  with  respect  to waiver of
subrogation. Tenant acknowledges that Owner will not carry insurance on Tenant's
furniture  and/or  furnishings  or any fixtures or equipment,  improvements,  or
appurtenances removable by Tenant and agrees that Owner will not be obligated to
repair any damage  thereto or replace  the same.  (f) Tenant  hereby  waives the
provisions  of  Section  227 of the  Real  Property  Law  and  agrees  that  the
provisions of this article shall govern and control in lieu thereof.

Eminent Domain:

10.  If the  whole or any part of the  demised  premises  shall be  acquired  or
condemned by Eminent Domain for any public or quasi public use or purpose,  then
and in that event,  the term of this lease shall  cease and  terminate  from the
date of title vesting in such  proceeding and Tenant shall have no claim for the
value of any unexpired term of said lease and assigns to Owner,  Tenant's entire
interest in any such award.

Assignment, Mortgage, Etc.:

11. Tenant,  for itself,  its heirs,  distributees,  executors,  administrators,
legal representatives,  successor and assigns, expressly covenants that it shall
not assign,  mortgage or encumber this  agreement,  nor  underlet,  or suffer or
permit the demised  premises or any part  thereof to be used by others,  without
the prior written consent of Owner in each instance. Transfer of the majority of
the  stock of a  corporate  Tenant or the  majority  partnership  interest  of a
partnership Tenant shall be deemed an assignment.  If this lease be assigned, or
if the demised  premises or any part  thereof be underlet or occupied by anybody
other than Tenant,  Owner may,  after  default by Tenant,  collect rent from the
assignee,  under-tenant  or occupant  and apply the net amount  collected to the
rent  herein  reserved,  but no  such  assignment,  underletting,  occupancy  or
collection  shall be deemed a waiver of this covenant,  or the acceptance of the
assignee,  under-tenant  or occupant as tenant,  or a release of Tenant from the
further  performance  by  Tenant  of  covenants  on the  part of  Tenant  herein
contained.  The consent by Owner to an assignment or  underletting  shall not in
any wise be construed to relieve  Tenant from  obtaining the express  consent in
writing of Owner to any further assignment or underletting.

Electric Current: [GRAPHIC OF POINTING HAND]

12. Rates and  conditions in respect to submetering  or rent  inclusion,  as the
case may be, to be added in RIDER attached  hereto.  Tenant covenants and agrees
that at all times its use of electric  current  shall not exceed the capacity of
existing feeders to the building or the risers or wiring installation and Tenant
may not use any  electrical  equipment  which,  in Owner's  opinion,  reasonably
exercised, will overload such installations or interfere with the use thereof by
other  tenants  of the  building.  The  change at any time of the  character  of
electric  service shall in no wise make Owner liable or  responsible  to Tenant,
for any loss, damages, or expenses which Tenant may sustain.

Access to Premises:

13. Owner or Owner's agents shall have the right (but shall not be obligated) to
enter the demised premises in any emergency at any time, and at other reasonable
times,  to  examine  the  same  and  to  make  such  repairs,  replacements  and
improvements as Owner may deem necessary and reasonably desirable to the demised
premises  or to any other  portion of the  building  or which Owner may elect to
perform.  Tenant shall  permit  Owner to use and maintain and replace  pipes and
conduits in and through the demised premises and to erect new pipes and conduits
therein provided they are concealed within the walls,  floor, or ceiling.  Owner
may, during the progress of any work in the demised premises, take all necessary
materials and  equipment  into said premises  without the same  constituting  an
eviction  nor shall the tenant be entitled to any  abatement  of rent while such
work is in  progress  nor to any  damages by reason of loss or  interruption  of
business or otherwise.  Throughout the term hereof Owner shall have the right to
enter the demised  premises at  reasonable  hours for the purpose of showing the

- ----------
[GRAPHIC OF POINTING HAND]  Rider to be added if necessary.

<PAGE>

same to  prospective  purchasers or  mortgagees of the building,  and during the
last six months of the term for the purpose of showing  the same to  prospective
tenants.  If Tenant is not  present to open and permit an entry into the demised
premises,  Owner or Owner's agents may enter the same whenever such entry may be
necessary or permissible by master key or forcibly and provided  reasonable care
is exercised to safeguard Tenant's  property,  such entry shall not render Owner
or its agents liable therefor,  nor in any event shall the obligations of Tenant
hereunder  be  affected.  If during the last month of the term Tenant shall have
removed  all or  substantially  all of  Tenant's  property  therefrom  Owner may
immediately  enter,  alter,  renovate or redecorate the demised premises without
limitation  or  abatement  of rent or  incurring  liability  to  Tenant  for any
compensation  and  such act  shall  have no  effect  on this  lease or  Tenant's
obligations hereunder.

Vault, Vault Space, Area:

14. No Vaults,  vault space or area,  whether or not  enclosed  or covered,  not
within the property line of the building is leased hereunder, anything contained
in or  indicated  on any  sketch,  blueprint  or  plan,  or  anything  contained
elsewhere  in  this  lease  to the  contrary  notwithstanding.  Owner  makes  no
representation  as to the location of the  property  line of the  building.  All
vaults and vault  space and all such areas not within the  property  line of the
building,  which  Tenant may be permitted  to use and/or  occupy,  is to be used
and/or occupied under a revocable  license,  and if any such license be revoked,
or if the amount of such space or area be diminished or required by any federal,
state or municipal  authority or public  utility,  Owner shall not be subject to
any liability nor shall Tenant be entitled to any  compensation or diminution or
abatement of rent nor shall such revocation, diminution or requisition be deemed
constructive or actual eviction. Any tax, fee or charge of municipal authorities
for such vault or area shall be paid by Tenant.

Occupancy:

15. Tenant will not at any time use or occupy the demised  premises in violation
of the  certificate  of  occupancy  issued for the building of which the demised
premises are a part.  Tenant has  inspected the premises and accepts them as is,
subject to the riders  annexed  hereto with respect to Owner's  work, if any. In
any event, Owner makes no representation as to the condition of the premises and
Tenant  agrees to accept  the same  subject  to  violations,  whether  or not of
record.

Bankruptcy:

16. (a) Anything elsewhere in this lease to the contrary  notwithstanding,  this
lease may be  cancelled  by Owner by the  sending of a written  notice to Tenant
within a  reasonable  time  after  the  happening  of any one or more the of the
following events: (1) the commencement of a case in bankruptcy or under the laws
of any state  naming  Tenant as the  debtor;  or (2) the  making by Tenant of an
assignment or any other arrangement for the benefit of creditors under any state
statute.  Neither Tenant nor any person claiming through or under Tenant,  or by
reason of any  statute  or order of  court,  shall  thereafter  be  entitled  to
possession of the premises  demised but shall  forthwith  quit and surrender the
premises.  If this lease  shall be assigned in  accordance  with its terms,  the
provisions of this Article 16 shall be applicable  only to the party then owning
Tenant's interest in this lease.

     (b) It is  stipulated  and agreed that in the event of the  termination  of
this lease pursuant to (a) hereof,  Owner shall forthwith,  notwithstanding  any
other  provisions  of this lease to the  contrary,  be entitled to recover  from
Tenant as and for liquidated  damages an amount equal to the difference  between
the rent reserved  hereunder  for the unexpired  portion of the term demised and
the fair and  reasonable  rental value of the the demised  premises for the same
period.  In  the  computation  of  such  damages  the  difference   between  any
installment of rent becoming due hereunder after the date of termination and the
fair and  reasonable  rental  value of the demised  premises  for the period for
which  such  installment  was  payable  shall  be  discounted  to  the  date  of
termination at the rate of four percent (4%) per annum.  If such premises or any
part thereof be relet by the Owner for the unexpired term of said lease,  or any
part thereof,  before  presentation of proof of such  liquidated  damages to any
court,  commission or tribunal,  the amount of rent reserved upon such reletting
shall be deemed to be the fair and  reasonable  rental value for the part or the
whole of the premises to be so re-let during the term of the re-letting. Nothing
herein  contained  shall limit or prejudice  the right of the Owner to prove for
and obtain as liquidated damages by reason of such termination,  an amount equal
to the maximum allowed by any statute or rule of law in effect at the time when,
and governing the proceedings in which,  such damages are to be proved,  whether
or not such  amount  be  greater,  equal  to,  or less  than the  amount  of the
difference referred to above.

Default:

17. (1) If Tenant  defaults in  fulfilling  any of the  covenants  of this lease
other than the covenants  for the payment of rent or additional  rent; or if the
demised  premises  become vacant or deserted;  or if any execution or attachment
shall be issued against Tenant or any of Tenant's property whereupon the demised
premises  shall be taken or occupied by someone  other than  Tenant;  or if this
lease be rejected under ss.235 of Title 11 of the U.S. Code  (bankruptcy  code);
or if Tenant shall fail to move into or take  possession of the premises  within
fifteen (15) days after the commencement of the term of this lease, then, in any
one or more of such  events,  upon Owner  serving a written five (5) days notice
upon Tenant  specifying  the nature of said default and upon the  expiration  of
said five (5) days,  if Tenant  shall have  failed to comply with or remedy such
default,  or if the said default or omission  complained of shall be of a nature
that the same cannot be  completely  cured or remedied  within said five (5) day
period,  and if Tenant shall not have diligently  commenced  curing such default
within  such  five (5) day  period,  and shall not  thereafter  with  reasonable
diligence and in good faith, proceed to remedy or cure such default,  then Owner
may serve a written  three (3) days' notice of  cancellation  of this lease upon
Tenant,  and upon the expiration of said three (3) days this lease and the terms
thereunder  shall end and expire as fully and completely as if the expiration of
such three (3) day period were the day herein  definitely  fixed for the end and
expiration  of this lease and the term  thereof  and Tenant  shall then quit and
surrender  the  demised  premises  to Owner but Tenant  shall  remain  liable as
hereinafter provided.

     (2) If the notice  provided for in (1) hereof shall have been given and the
term shall expire as  aforesaid;  or if Tenant shall make default in the payment
of the rent reserved herein or any item of additional  rent herein  mentioned or
any part of either or in making any other payment herein  required;  then and in
any of such  events  Owner may without  notice,  re-enter  the demised  premises
either by force or otherwise,  and dispossess  Tenant by summary  proceedings or
otherwise,  and the legal  representative of Tenant or other occupant of demised
premises and remove their effects and hold the premises as if this lease had not
been  made,  and Tenant  hereby  waives the  service of notice of  intention  to
re-enter or to  institute  legal  proceedings  to that end. If Tenant shall make
default  hereunder prior to the date fixed as the commencement of any renewal or
extension  of this  lease,  Owner may  cancel  and  terminate  such  renewal  or
extension agreement by written notice.

Remedies of Owner and Waiver of Redemption:

18. In case of any such  default,  re-entry,  expiration  and/or  dispossess  by
summary proceedings or otherwise, (a) the rent shall become due thereupon and be
paid up to the time of such re-entry,  dispossess and/or  expiration,  (b) Owner
may re-let the premises or any part or parts thereof either in the name of Owner
or otherwise,  for a term or terms,  which may at Owner's option be less than or
exceed the period which would otherwise have constituted the balance of the term
of this lease and may grant  concessions  or free rent or charge a higher rental
than that in this  lease,  and/or  (c)  Tenant or the legal  representatives  of
Tenant shall also pay Owner as  liquidated  damages for the failure of Tenant to
observe and perform said Tenant's  covenants  herein  contained,  any deficiency
between  the  rent  hereby  reserved  and/or  covenanted  to be paid and the net
amount,  if any, of the rents collected on account of the lease or leases of the
demised  premises  for each  month of the  period  which  would  otherwise  have
constituted  the  balance  of the term of this  lease.  The  failure of Owner to
re-let the  premises  or any part or parts  thereof  shall not release or affect
Tenant's liability for damages. In computing such liquidated damages there shall
be added to the said  deficiency  such expenses as Owner may incur in connection
with  re-letting,   such  as  legal  expenses,   attorneys'   fees,   brokerage,
advertising, and for keeping the demised premises in good order or for preparing
the same for re-letting.  Any such  liquidated  damages shall be paid in monthly
installments  by Tenant  on the rent day  specified  in this  lease and any suit
brought  to  collect  the  amount  of the  deficiency  for any  month  shall not
prejudice  in any way the  rights of Owner to  collect  the  deficiency  for any
subsequent month by a similar proceeding. Owner, in putting the demised premises
in good order or preparing the same for re-rental may, at Owner's  option,  make
such  alterations,  repairs,  replacements  and/or  decorations  in the  demised
premises as Owner, in Owner's sole judgment,  considers  advisable and necessary
for the  purpose of  re-letting  the  demised  premises,  and the making of such
alterations,  repairs, replacements,  and/or decorations shall not operate or be
construed to release Tenant from liability  hereunder as aforesaid.  Owner shall
in no event be liable in any way  whatsoever  for  failure to re-let the demised
premises,  or in the event that the demised premises are re-let,  for failure to
collect the rent thereof under such re-letting,  and in no event shall Tenant be
entitled  to receive any excess,  if any, of such net rents  collected  over the
sums  payable  by  Tenant  to Owner  hereunder.  In the  event  of a  breach  or
threatened breach by Tenant of any of the covenants or provisions hereof,  Owner
shall have the right of injunction and the right to invoke any remedy allowed at
law or in equity as if re-entry, summary proceedings and other remedies were not
herein provided for. Mention in this lease of any particular  remedy,  shall not
preclude  Owner  from any  other  remedy,  in law or in  equity.  Tenant  hereby
expressly  waives  any and all  rights  of  redemption  granted  by or under any
present or future laws in the event of Tenant being evicted or dispossessed  for
any cause, or in the event of Owner obtaining possession of demised premises, by
reason of the violation by Tenant of any of the covenants and conditions of this
lease, or otherwise.

Fees and Expenses

19. If Tenant shall  default in the  observance  or  performance  of any term or
covenant on Tenant's part to be observed or performed  under or by virtue of any
of the terms or provisions in any article of this lease,  then, unless otherwise
provided  elsewhere  in  this  lease,  Owner  may  immediately  or at  any  time
thereafter and without notice  perform the obligation of Tenant  thereunder.  If
Owner,  in connection  with the  foregoing or in connection  with any default by
Tenant in the covenant to pay rent hereunder,  makes any  expenditures or incurs
any  obligations  for  the  payment  of  money,  including  but not  limited  to
reasonable attorney's fees, in instituting, prosecuting, or defending any action
or  proceeding,  then  Tenant  will  reimburse  Owner  for such  sums so paid or
obligations incurred with interest and costs. The foregoing expenses incurred by
reason of Tenant's  default shall be deemed to be additional  rent hereunder and
shall be paid by Tenant to Owner  within ten (10) days of  rendition of any bill
or statement to Tenant  therefor.  If Tenant's  lease term shall have expired at
the time of making of such expenditures or incurring of such  obligations,  such
sums shall be recoverable by Owner, as damages.

Building Alterations and Management:

20.  Owner  shall have the right at any time  without the same  constituting  an
eviction  and  without  incurring  liability  to Tenant  therefor  to change the
arrangement and/or location of public entrances,  passageways,  doors, doorways,
corridors,  elevators, stairs, toilets or other public parts of the building and
to change the name,  number or  designation  by which the building may be known.
There shall be no  allowance  to Tenant for  diminution  of rental  value and no
liability on the part of Owner by reason of  inconvenience,  annoyance or injury
to  business  arising  from Owner or other  Tenants  making  any  repairs in the
building  or any such  alterations,  additions  and  improvements.  Furthermore,
Tenant shall not have any claim against Owner by reason of Owner's imposition of
such  controls of the manner of access to the  building  by  Tenant's  social or
business  visitors  as the  Owner may deem  necessary  for the  security  of the
building and its occupants.

No Representations by Owner:

21. Neither Owner nor Owner's agents have made any  representations  or promises
with respect to the physical condition of the building, the land upon which

<PAGE>

it is erected, or the demised premises, the rents, leases, expenses of operation
or any other  matter or thing  affecting  or related to the  premises  except as
herein expressly set forth and no rights,  easements or licenses are acquired by
Tenant  by  implication  or  otherwise  except  as  expressly  set  forth in the
provisions  of this lease.  Tenant has  inspected  the  building and the demised
premises and is thoroughly  acquainted  with their  condition and agrees to take
the same "as is" and  acknowledges  that the taking of possession of the demised
premises by Tenant shall be  conclusive  evidence that the said premises and the
building of which the same form a part were in good and  satisfactory  condition
at the time such  possession  was so taken,  except  as to latent  defects.  All
understandings  and  agreements  heretofore  made between the parties hereto are
merged  in this  contract,  which  alone  fully  and  completely  expresses  the
agreement  between Owner and Tenant and any executory  agreement  hereafter made
shall be ineffective to change, modify, discharge or effect an abandonment of it
in whole or in part, unless such executory agreement is in writing and signed by
the party against whom  enforcement  of the change,  modification,  discharge or
abandonment is sought.

End of Term:

22. Upon the expiration or other  termination of the term of this lease,  Tenant
shall quit and  surrender to Owner the demised  premises,  broom clean,  in good
order and  condition,  ordinary wear and damages which Tenant is not required to
repair as provided  elsewhere in this lease excepted and Tenant shall remove all
its property.  Tenant's  obligation  to observe or perform this  covenant  shall
survive the expiration or other  termination  of this lease.  If the last day of
the term of this Lease or any renewal thereof, falls on Sunday, this lease shall
expire at noon on the preceding  Saturday  unless it be a legal holiday in which
case it shall expire at noon on the preceding business day.

Quiet Enjoyment:

23. Owner  covenants and agrees with Tenant that upon Tenant paying the rent and
additional   rent  and  observing  and  performing  all  terms,   covenants  and
conditions, on Tenant's part to be observed and performed,  Tenant may peaceably
and quietly enjoy the premises hereby  demised,  subject,  nevertheless,  to the
terms and  conditions  of this lease  including,  but not limited to, Article 31
hereof and to the ground leases,  underlying  leases and mortgages  hereinbefore
mentioned.

Failure to Give Possession:

24. If Owner is unable to give possession of the demised premised on the date of
the commencement of the term hereof, because of the holding-over or retention of
possession of any tenant,  undertenant  or occupants or if the demised  premises
are located in a building being constructed,  because such building has not been
sufficiently  completed to make the premises  ready for  occupancy or because of
the fact that a certificate  of occupancy has not been procured or for any other
reason,  Owner  shall  not be  subject  to any  liability  for  failure  to give
possession  on said date and the  validity  of the lease  shall not be  impaired
under such circumstances,  nor shall the same be construed in any wise to extend
the term of this lease, but the rent payable hereunder shall be abated (provided
Tenant is not responsible for Owner's inability to obtain possession or complete
construction)  until after Owner shall have given Tenant written notice that the
premises are substantially ready for Tenant's occupancy.  If permission is given
to Tenant to enter into the  possession  of the  demised  premises  or to occupy
premises  other than the demised  premises  prior to the date  specified  as the
commencement  of the term of this lease,  Tenant  covenants and agrees that such
possession shall be deemed to be under all the terms, covenants,  conditions and
provisions of this lease except as to the covenant to pay rent.  The  provisions
of this  article  are  intended  to  constitute  "an  express  provision  to the
contrary" within the meaning of Section 223-a of the New York Real Property Law.

No Waiver:

25. The failure of Owner to seek redress for violation of, or to insist upon the
strict  performance  of any covenant or condition of this lease or of any of the
Rules or Regulations, set forth or hereafter adopted by Owner, shall not prevent
a subsequent act which would have originally constituted a violation from having
all the force and effect of an original violation.  The receipt by Owner of rent
and/or  additional  rent with  knowledge  of the breach of any  covenant of this
lease shall not be deemed a waiver of such breach and no provision of this lease
shall be deemed to have been  waived by Owner  unless  such waiver be in writing
signed by Owner.  No payment  by Tenant or  receipt by Owner of a lesser  amount
than the  monthly  rent  herein  stipulated  shall be deemed to be other than on
account of the earliest  stipulated rent, nor shall any endorsement or statement
of any check or any letter  accompanying  any check or payment as rent be deemed
an accord and  satisfaction,  and Owner may accept such check or payment without
prejudice  to Owner's  right to recover  the  balance of such rent or pursue any
other  remedy in this lease  provided.  No act or thing done by Owner or Owner's
agents  during  the term  hereby  demised  shall be  deemed an  acceptance  of a
surrender of said premises,  and no agreement to accept such surrender  shall be
valid unless in writing  signed by Owner.  No employee of Owner or Owner's agent
shall  have  any  power  to  accept  the  keys of  said  premises  prior  to the
termination  of the lease and the delivery of keys to any such agent or employee
shall not operate as a termination of the lease or a surrender of the premises.

Waiver of Trial by Jury:

26. It is mutually  agreed by and between  Owner and Tenant that the  respective
parties  hereto  shall  and they  hereby  do waive  trial by jury in any  action
proceeding or  counterclaim  brought by either of the parties hereto against the
other (except for personal injury or property damage) on any matters  whatsoever
arising out of or in any way  connected  with this lease,  the  relationship  of
Owner  and  Tenant,  Tenant's  use of or  occupancy  of said  premises,  and any
emergency statutory or any other statutory remedy. It is further mutually agreed
that in the event Owner  commences any summary  proceeding for possession of the
premises,  Tenant will not  interpose  any  counterclaim  of whatever  nature or
description  in any such  proceeding  including a  counterclaim  under Article 4
except for statutory mandatory counterclaims.

Inability to Perform:

27. This Lease and the  obligation  of Tenant to pay rent  hereunder and perform
all of the other  covenants  and  agreements  hereunder  on part of Tenant to be
performed  shall in no wise be affected,  impaired or excused  because  Owner is
unable to  fulfill  any of its  obligations  under this lease or to supply or is
delayed in  supplying  any service  expressly  or impliedly to be supplied or is
unable to make, or is delayed in making any repair,  additions,  alterations  or
decorations  or is unable to supply or is delayed in  supplying  any  equipment,
fixtures,  or other  materials if Owner is prevented or delayed from so doing by
reason of strike or labor troubles or any cause  whatsoever  including,  but not
limited to,  government  preemption  or  restrictions  or by reason of any rule,
order or regulation of any department or  subdivision  thereof of any government
agency or by reason of the  conditions  which have been or are affected,  either
directly or indirectly, by war or other emergency.

Bills and Notices:

28. Except as otherwise in this lease  provided,  a bill,  statement,  notice or
communication which Owner may desire or be required to give to Tenant,  shall be
deemed  sufficiently  given or  rendered  if, in  writing,  delivered  to Tenant
personally or sent by registered  or certified  mail  addressed to Tenant at the
building  of  which  the  demised  premises  form a part  or at the  last  known
residence  address or business address of Tenant or left at any of the aforesaid
premises  addressed  to Tenant,  and the time of the  rendition  of such bill or
statement and of the giving of such notice or  communication  shall be deemed to
be the  time  when the  same is  delivered  to  Tenant,  mailed,  or left at the
premises  as herein  provided.  Any  notice by Tenant to Owner must be served by
registered or certified mail addressed to Owner at the address first hereinabove
given or at such other address as Owner shall designate by written notice.

Services Provided by Owners

29. As long as  Tenant is not in  default  under  any of the  covenants  of this
lease, Owner shall provide:  (a) necessary elevator  facilities on business days
from 8 a.m.  to 6 p.m.  and on  Saturdays  from 8 a.m.  to 1 p.m.  and  have one
elevator  subject to call at all other times;  (b) heat to the demised  premises
when and as  required by law,  on  business  days from 8 a.m.  to 6 p.m.  and on
Saturdays from 8 a.m. to 1 p.m.; (c) water for ordinary lavatory  purposes,  but
if Tenant uses or consumes water for any other purposes or in unusual quantities
(of which fact Owner shall be the sole  judge),  Owner may install a water meter
at Tenant's expense which Tenant shall  thereafter  maintain at Tenant's expense
in good working order and repair to register such water  consumption  and Tenant
shall pay for water  consumed as shown on said meter as  additional  rent as and
when bills are  rendered;  (d)  cleaning  service  for the  demised  premises on
business  days at Owner's  expense  provided  that the same are kept in order by
Tenant.  If, however,  said premises are to be kept clean by Tenant, it shall be
done at Tenant's  sole  expense,  in a manner  satisfactory  to Owner and no one
other than persons  approved by Owner shall be permitted to enter said  premises
of the  building  of which they are a part for such  purpose.  Tenant  shall pay
Owner  the cost of  removal  of any of  Tenant's  refuse  and  rubbish  from the
building;   (e)  If  the   demised   premises   is   serviced   by  Owner's  air
conditioning/cooling  and ventilating system, air  conditioning/cooling  will be
furnished  to tenant  from May 15th  through  September  30th on  business  days
(Mondays  through Fridays,  holidays  excepted) from 8:00 a.m. to 6:00 p.m., and
ventilation will be furnished on business days during the aforesaid hours except
when air  conditioning/cooling  is  being  furnished  as  aforesaid.  If  Tenant
requires air  conditioning/cooling  or ventilation for more extended hours or on
Saturdays,  Sundays or on  holidays,  as defined  under  Owner's  contract  with
Operating  Engineers  Local  94-94A,  Owner will  furnish  the same at  Tenant's
expense.  RIDER  to be  added  in  respect  to  rates  and  conditions  for such
additional  service;  [GRAPHIC OF POINTING HAND] (f) Owner reserves the right to
stop  services of the  heating,  elevators,  plumbing,  air-conditioning,  power
systems or cleaning  or other  services,  if any,  when  necessary  by reason of
accident or for repairs, alterations,  replacements or improvements necessary or
desirable in the judgment of Owner for as long as may be reasonably  required by
reason  thereof.  If the  building  of which  the  demised  premises  are a part
supplies  manually-operated  elevator service,  Owner at any time may substitute
automatic-control  elevator  service and upon ten days' written notice to Tenant
proceed with alterations  necessary  therefor without in any wise affecting this
lease or the  obligation  of  Tenant  hereunder.  The same  shall be done with a
minimum of  inconvenience  to Tenant and Owner shall pursue the alteration  with
due diligence.

Captions:

30. The Captions are inserted only as a matter of convenience  and for reference
and in no way define,  limit or describe  the scope of this lease nor the intent
of any provisions thereof.

Definitions:

31. The term "office",  or "offices",  wherever used in this lease, shall not be
construed to mean premises  used as a store or stores,  for the sale or display,
at any time, of goods,  wares or  merchandise,  of any kind, or as a restaurant,
shop,  booth,  bootblack  or other  stand,  barber  shop,  or for other  similar
purposes or for manufacturing.  The term "Owner" means a landlord or lessor, and
as used in this lease means only the owner, or the mortgagee in possession,  for
the time being of the land and building (or the owner of a lease of the building
or of the land the building) of which the demised  premises form a part, so that
in the event of any sale or sales of said land and building or of said lease, or
in the event of a lease of said building, or of the land and building,  the said
Owner shall be and hereby is entirely  freed and relieved of all  covenants  and
obligations  of Owner  hereunder,  and it shall be deemed and construed  without
further  agreement  between  the parties or their  successors  in  interest,  or
between the parties and the  purchaser,  at any such sale, or the said lessee of
the building,  or of the land and building,  that the purchaser or the lessee of
the  building  has  assumed  and agreed to carry out any and all  covenants  and
obligations of Owner, hereunder.  The words "re-enter" and "re-entry" as used in
this  lease  are not  restricted  to their  technical  legal  meaning.  The term
"business  days" as used in this lease  shall  exclude  Saturdays  (except  such
portioon thereof as is covered by specific hours in Article 29 hereof),  Sundays
and all days as observed by the State or Federal  Government  as legal  holidays
and those  designated  as  holidays by the  applicable  building  service  union
employees  service contract or by the applicable  Operating  Engineers  contract
with respect to HVAC service.

<PAGE>

Adjacent Excavation -- Shoring:

32. If any excavation shall be made upon land adjacent to the demised  premises,
or shall be authorized to be made,  Tenant shall afford to the person causing or
authorized to cause such excavation,  license to enter upon the demised premises
for the  purpose  of doing such work as said  person  shall  deem  necessary  to
preserve the wall or the  building of which  demised  premises  form a part from
injury or damage and to support the same by proper foundations without any claim
for damages or indemnity against Owner, or diminution or abatement of rent.

Rules and Regulations

33.  Tenant and Tenant's  servants,  employees,  agents,  visitors and licensees
shall observe  faithfully,  and comply  strictly with, the Rules and Regulations
and such other and further  reasonable Rules and Regulations as Owner or Owner's
agents  may  from  time  to  time  adopt.  Notice  of any  additional  rules  or
regulations  shall be given in such  manner as Owner may elect.  In case  Tenant
disputes the reasonableness of any additional Rule or Regulation  hereafter made
or adopted by Owner or Owner's  agents,  the parties  hereto agree to submit the
question of the  reasonableness  of such Rule or Regulation  for decision to the
New York office of the American  Arbitration  Association,  whose  determination
shall be final and conclusive upon the parties hereto.  The right to dispute the
reasonableness  of any additional Rule or Regulation upon Tenant's part shall be
deemed  waived  unless the same  shall be  asserted  by service of a notice,  in
writing  upon owner  within  ten (10) days  after the giving of notice  thereof.
Nothing in this lease contained shall be construed to impose upon Owner any duty
or  obligation  to enforce  the Rules and  Regulations  or terms,  covenants  or
conditions  in any other lease,  as against any other tenant and Owner shall not
be liable to Tenant for violation of the same by any other tenant, its servants,
employees, agents, visitors or licensees.

Security:

34.  Tenant has  deposited  with Owner the sum of  [GRAPHIC  OF  POINTING  HAND]
[Initialed in margin one month security upon lease and one month security in six
months /s/ JB] $2,800.00 as security for the faithful performance and observance
by Tenant of the terms,  provisions and  conditions of this lease;  it is agreed
that in the event Tenant defaults in respect of any of the terms, provisions and
conditions of this lease, including, but not limited to, the payment of rent and
additional  rent,  Owner may use,  apply or retain  the whole or any part of the
security so  deposited  to the extent  required  for the payment of any rent and
additional rent or any other sum as to which Tenant is in default or for any sum
which  Owner may  expend  or may be  required  to  expend by reason of  Tenant's
default in respect of any of the terms,  covenants and conditions of this lease,
including but not limited to, any damages or deficiency in the re-letting of the
premises,  whether such damages or  deficiency  accrued  before or after summary
proceedings or other re-entry by Owner.  In the event the Tenant shall fully and
faithfuly comply with all of the terms, provisions,  covenants and conditions of
this lease, the security shall be returned to Tenant after the date fixed as the
end of the Lease and after delivery of entire possession of the demised premises
to Owner.  In the event of a sale of the land and  building  or  leasing  of the
building,  of which the demised premises form a part, Owner shall have the right
to transfer  the  security to the vendee or lessee and Owner shall  thereupon be
released  by Tenant  from all  liability  for the return of such  security;  and
Tenant  agrees to look to the new Owner solely for the return of said  security,
and it is agreed that the  provisions  hereof  shall apply to every  transfer or
assignment made of the security to a new Owner. Tenant further covenants that it
will not  assign  or  encumber  or  attempt  to assign or  encumber  the  monies
deposited  herein as  security  and that  neither  Owner nor its  successors  or
assigns shall be found by any such assignment, encumbrance, attempted assignment
or attempted encumbrance.

Estoppel Certificate

35.  Tenant,  at any time,  and from time to time,  upon at least 10 days' prior
notice by Owner, shall execute,  acknowledge and deliver to Owner, and/or to any
other person,  firm or corporation  specified by Owner,  a statement  certifying
that this Lease is  unmodified  and in full force and effect  (or, if there have
been  modifications,  that the same is in full force and effect as modified  and
stating the  modifications),  stating the dates to which the rent and additional
rent have been paid,  and  stating  whether or not there  exists any  default by
Owner under this Lease, and, if so, specifying each such default.

Successors and Assigns:

36. The covenants,  conditions and agreements contained in this lease shall bind
and  inure to the  benefit  of Owner and  Tenant  and  their  respective  heirs,
distributees,  executors,  administrators,  successors,  and except as otherwise
provided in this lease, their assigns.


- ----------
[GRAPHIC OF POINTING HAND] Space to be filled in or deleted.

* See Rider to Lease - Paragraph 34B


IN WITNESS WHEREOF,  Owner and Tenant have  respectively  signed and sealed this
lease as of the day and year first above written.

                  
                                                       /s/ Vincent Rippa 
                                                   -----------------------------
                                                       Vincent Rippa as Receiver
Witness for Owner:                                 
                                                   
- ---------------------------                         ---------------------------
                                                   
                                                   
                                                   
                                                   
                                                    /s/ Jerry Braun C.E.O.
                                                    ---------------------------
                                                    New York Health Care, Inc. 
                                                   
Witness for Tenant:                                
                                                   
- ---------------------------                         ---------------------------
                                         

                                ACKNOWLEDGEMENTS

CORPORATE OWNER
STATE OF NEW YORK,  ss:
County of

     On  this  __  day  of  ______________,  19  ,  before  me  personally  came
_____________________  to me known,  who being by me duly sworn,  did depose and
say  that he  resides  in  __________  ; that he is the  _____________________of
__________________ the corporation described in and which executed the foregoing
instrument,  as  OWNER;  that he knows  the seal of said  corporation;  the seal
affixed to said  instrument is such  corporate  seal;  that it was so affixed by
order of the Board of Directors of said corporation, and that he signed his name
thereto by like order.

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


CORPORATE TENANT
STATE OF NEW YORK,  ss:
County of

     On  this  __  day  of  ______________,  19  ,  before  me  personally  came
_____________________  to me known,  who being my me duly sworn,  did depose and
say  that he  resides  in  __________  ; that he is the  _____________________of
__________________ the corporation described in and which executed the foregoing
instrument,  as  TENANT;  that he knows the seal of said  corporation;  the seal
affixed to said  instrument is such  corporate  seal;  that it was so affixed by
order of the Board of Directors of said corporation, and that he signed his name
thereto by like order.
                                                                                
                                        ---------------------------             


INDIVIDUAL OWNER
STATE OF NEW YORK,  ss:
County of

     On this __ day of _____________, 19 , before me personally came ___________
_______  to me known  and  known to me to be the  individual  __________________
described  in  and  who,  as  OWNER,   executed  the  foregoing  instrument  and
acknowledged to me that ______________________ he executed the same.




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

INDIVIDUAL TENANT
STATE OF NEW YORK,
County of

     On this __ day of _____________, 19 , before me personally came ___________
_______  to me known  and  known to me to be the  individual  __________________
described  in  and  who,  as  TENANT,  executed  the  foregoing  instrument  and
acknowledged to me that _______________________ he executed the same.



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

<PAGE>

                                    GUARANTY

     FOR VALUE RECEIVED, and in consideration for, and as an inducement to Owner
making the within  lease  with  Tenant,  the  undersigned  guarantees  to Owner,
Owner's  successors and assigns,  the full performance and observance of all the
covenants,  conditions  and  agreements,  therein  provided to be performed  and
observed by Tenant,  including the "Rules and Regulations" as therein  provided,
without requiring any notice of non-payment, non-performance, or non-observance,
or proof, or notice, or demand,  whereby to charge the undersigned therefor, all
of which the undersigned  hereby  expressly waives and expressly agrees that the
validity of this agreement and the obligations of the guarantor  hereunder shall
in no wise be  terminated,  affected or impaired by reason of the  assertion  by
Owner against Tenant of any of the rights or remedies reserved to Owner pursuant
to the provisions of the within lease.  The  undersigned  further  covenants and
agrees that this guaranty  shall remain and continue in full force and effect as
to any  renewal,  modification  or extension of this lease and during any period
when Tenant is  occupying  the  premises as a  "statutory  tenant." As a further
inducement to Owner to make this lease and in consideration  thereof,  Owner and
the undersigned  covenant and agree that in any action or proceeding  brought by
either  Owner or the  undersigned  against the other on any  matters  whatsoever
arising  out of,  under,  or by  virtue  of the  terms of this  lease or of this
guarantee  that Owner and the  undersigned  shall and do hereby  waive  trial by
jury.

     Dated New York City  ................................19.....

WITNESS:

 .................................................................


STATE OF NEW YORK)    ss:
COUNTY OF        )

On this __ day of _____________ , 19 __, before me personally came __________ to
me known and known to me to be the individual described in, and who executed the
foregoing Guaranty and acknowledged to me that he executed the same.


                                                  ------------------------------
                                                             Notary

 ..........................................................................[L.S.]

Residence.......................................................................

Business Address................................................................

Firm Name.......................................................................


[GRAPHIC OF POINTING HAND]  IMPORTANT - PLEASE READ   [GRAPHIC OF POINTING HAND]

                              RULES AND REGULATIONS
                                 ATTACHED TO AND
                            MADE A PART OF THIS LEASE
                         IN ACCORDANCE WITH ARTICLE 33.

1. The sidewalks, entrances, driveways, passages, courts, elevators, vestibules,
stairways,  corridors  or halls shall not be  obstructed  or  encumbered  by any
Tenant or used for any purpose other than for ingress or egress from the demised
premises and for delivery of merchandise and equipment in a prompt and efficient
manner using  elevators and  passageways  designated for such delivery by Owner.
There  shall not be used in any space,  or in the public  hall of the  building,
either by any  Tenant or by  jobbers  or others in the  delivery  or  receipt of
merchandise,  any hand  trucks,  except  those  equipped  with rubber  tires and
sideguards.  If said  premises are situated on the ground floor of the building,
Tenant thereof shall further, at Tenant's expense, keep the sidewalk and curb in
front of said premises clean and free from ice, snow, dirt and rubbish.

2. The water and wash  closets and plumbing  fixtures  shall not be used for any
purposes  other than those for which they were  designed or  constructed  and no
sweepings,  rubbish, rugs, acids or other substances shall be deposited therein,
and the  expense  of any  breakage,  stoppage,  or  damage  resulting  from  the
violation  of this  rule  shall be borne by the  Tenant  who,  or whose  clerks,
agents, employees or visitors, shall have caused it.

3. No carpet,  rug or other article shall be hung or shaken out of any window of
the  building  and no Tenant shall seep or throw or permit to be swept or thrown
from the demised premises any dirt or other substances into any of the corridors
of halls, elevators, or out of the doors or windows or stairways of the building
and Tenant shall not use,  keep or permit to be used or kept any foul or noxious
gas or  substance  in the  demised  p[remises,  or permit or suffer the  demised
premises to be occupied or used in a manner  offensive or objectionable to Owner
or other occupants of the building by reason of noise, odors, and/or vibrations,
or interfere in any way with other Tenants or those having business therein, nor
shall any animals or birds be kept in or about the building. Smoking or carrying
lighted cigars or cigarettes in the elevators of the building is prohibited.

4. No awnings or other projections shall be attached to the outside walls of the
building without the prior written consent of Owner.

5. No sign,  advertisement,  notice  or  other  lettering  shall  be  exhibited,
inscribed,  painted or  affixed by any Tenant on any part of the  outside of the
demised  premises or the building or on the inside of the demised premise if the
same is visible  from the  outside of the  premises  without  the prior  written
consent of Owner, except that the name of Tenant may appear on the entrance door
of the  premises.  In the event of the violation of the foregoing by any Tenant,
Owner may remove same without any liability, and may charge the expense incurred
by such  removal to Tenant or Tenants  violating  this rule.  Interior  signs on
doors and  directory  tablets  shall be  inscribed,  painted or affixed for each
Tenant by Owner at the expense of such Tenant, and shall be of a size, color and
style acceptable to Owner.

6. No Tenant shall mark, paint, drill into, or in any way deface any part of the
demised  premises or the building of which they form a part. No boring,  cutting
or stringing of wires shall be permitted,  except with the prior written consent
of  Owner,  and as Owner may  direct.  No Tenant  shall lay  linoleum,  or other
similar floor  covering,  so that the same shall come in direct contact with the
floor of the demised premises,  and, if linoleum or other similar floor covering
is desired to be used an interlining of builder's  deadening felt shall be first
affixed to the floor, by a paste or other material, soluble in water, the use of
cement or other similar adhesive material being expressly prohibited.

7. No  additional  locks or bolts of any kind  shall be  placed  upon any of the
doors or windows by any Tenant,  nor shall any changes be made in existing locks
or mechanism  thereof.  Each Tenant must,  upon the  termination of his Tenancy,
restore to Owner all keys of stores,  offices and toilet rooms, either furnished
to, or otherwise  procured by, such Tenant,  and in the event of the loss of any
keys, so furnished, such Tenant shall pay to Owner the cost thereof.

8. Freight, furniture,  business equipment,  merchandise and bulky matter of any
description  shall be delivered  to and removed  from the  premises  only on the
freight  elevators  and through the service  entrances and  corridors,  and only
during  hours and in a manner  approved by Owner.  Owner  reserves  the right to
inspect  all freight to be brought  into the  building  and to exclude  from the
building all freight which  violates any of these Rules and  Regulations  of the
lease of which these Rules and Regulations are a part.

9.  Canvassing,  soliciting  and peddling in the building is prohibited and each
Tenant shall cooperate to prevent the same.

10. Owner reserves the right to exclude from the building between the hours of 6
P.M. and 8 A.M. and at all hours on Sunday and legal holidays all persons who do
not present a pass to the building signed by Owner. Owner will furnish passes to
persons  for whom any Tenant  requests  same in writing.  Each  Tenant  shall be
responsible  for all persons for whom he requests  such pass and shall be liable
to Owner for all acts of such persons.

11. Owner shall have the right to prohibit any  advertising  by any Tenant which
in  Owner's  opinion,  tends to impair the  reputation  of the  building  or its
desirability  as a building  for offices,  and upon  written  notice from Owner,
Tenant shall refrain from or discontinue such advertising.

12.  Tenant shall not bring or permit to be brought or kept in or on the demised
premises, any inflammable, combustible or explosive fluid, material, chemical or
substance,  or cause or permit any odors of cooking or other  processes,  or any
unusual or other  objectionable odors to permeate in or emanate from the demised
premises.

13. If the building  contains central air  conditioning and ventilation,  Tenant
agrees  to keep all  windows  closed  at all times and to abide by all rules and
regulations  issued by Owner with respect to such services.  If Tenant  requires
air conditioning or ventilation after the usaual hours, Tenant shall give notice
in writing to the building superintendent prior to 3:00 P.M. on the day prior in
the case of services  required  on week days,  and prior to 3:00 P.M. on the day
prior in the case of after hours service required on weekends or on holidays.

14. Tenant shall not move any safe,  heavy  machinery,  heavy  equipment,  bulky
matter,  or fixtures into or out of the building  without  Owner's prior written
consent. If such safe, machinery,  equipment,  bulky matter or fixtures requires
special  handling,  all  work in  connection  therewith  shall  comply  with the
Administrative  Code of the City of New York and all other laws and  regulations
applicable thereto and shall be done during such hours as Owner may designate.


Address

Premises
================================================================================


                                       TO


================================================================================
                                STANDARD FORM OF


       (LOGO)                        Office                   (LOGO)
                                     Lease

                    The Real Estate Board of New York, Inc.
                    (c) Copyright 1983. All rights Reserved.
                  Reproduction in whole or in part prohibited

================================================================================
Dated                                                                    19

Rent per Year


Rent per Month



Term
From
To

Drawn by..................................Checked by............................

Entered by................................Approved by...........................

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

<PAGE>


                RIDER ANNEXED TO AND MADE A PART OF LEASE BETWEEN
                     Vincent Rippa, Receiver Lessor/Landlord
                    New York Health Care, Inc. Lessee/Tenant

     37.  Until such time as  electric  current is  furnished  on a  submetering
basis,  Lessee agrees that Lessor may furnish  electricity  to Lessee on a "rent
inclusion" basis.

     A. If and so long as  electric  current  is  supplied  by  Landlord  to the
demised  premises to service  Tenant's office equipment and the air conditioning
units  therein  contained,  if  additional  rent for such  service,  the amount,
(hereinafter  collectively  called  the  "Electricity  Additional  Rent"),  as
determined by a meter or submeter (the "Submeter") installed,  at Tenant's cost,
for the  purpose  of  measuring  such  consumption.  Each  and  every  month,  a
representative   from  the  building   management  office  shall  take  readings
registered  by the  Submeter  concurrent  with  the time Con  Edison  reads  the
building's  master meter.  The readings from the Submeter  shall then be used to
compute the  Electricity  Additional  Rent. Such service shall be computed using
the same service classification at which Landlord purchases electric current for
the  entire  building,  plus a fee (the  Overhead  Charge")  equal to five  (5%)
percent of such charge to Landlord,  representing  administrative/overhead costs
to Landlord. The Overhead Charge shall be payable as Electricity Additional Rent
herein  provided.  Landlord,  at its option may from time to time,  increase the
Electricity  Additional Rent based upon charges occurring subsequent to the date
hereof in the method,  rates  (including,  without  limitation,  time of day and
seasonal rate  differentials) or manner by which Landlord  thereafter  purchases
electricity  for the building.  Where more than one meter  measures the electric
service to Tenant,  the  electric  service  rendered  through  each meter may be
computed  above  set  forth.  Bills  for the  Electricity  Additional  Rent (the
"Bills")  shall be rendered to Tenant at such time as Landlord nay elect and the
amount, as computed from the meter,  together with the Overhead Charge, shall be
the Electricity Additional Rent.

     B. After  initial  installation  of lighting  fixtures by Landlord,  Tenant
shall purchase all replacement lighting tubes, lamps, bulbs and ballasts used in
the demised  premises and Tenant  shall pay  Landlord's  reasonable  charges for
providing and installing same, on demand, as additional rent.

     C. Notwithstanding the foregoing until such time as


<PAGE>


Submeter is installed operative, Tenant shall pay for electric current on a rent
inclusion basis pursuant to paragraph D hereof.

     D. Rent  Inclusion:  If and so long as Landlord shall furnish to Tenant the
electric  energy  which  Tenant  requires  in the  demised  premises  on a "rent
inclusion"  basis,  of $2.25 per  square  foot,  the  electric  energy  shall be
provided through the presently  installed  electrical  facilities,  for Tenant's
reasonable use in the demised premises for lighting,  light office equipment and
the usual small business  machines,  including Xerox or other copying  machines.
Subject to the following provisions of this Article 37, there shall be no charge
to Tenant  therefor  by way of  measuring  the same on any  meter or  otherwise,
electric  current being  included as an  additional  service in the fixed annual
rent payable  hereunder.  Landlord shall not in anyways be liable or responsible
to Tenant for any loss or damage or expense which Tenant may sustain or incur if
either the quantity or character of electric  service is changed or is no longer
available or suitable for Tenant's  requirements.  The Rent  inclusion  basis of
$2.25 per square foot may be increased if Landlord's electric costs increase and
Tenant agrees to pay to Landlord such increase over the base of $2.25 per square
foot.

     38. Supplementing  Article 2 hereof,  Tenant and any permitted subtenant or
assignee  shall use and  occupy  the  demised  premises  solely as an office and
training site for its home health care agency  [INITIALLED  /s/ JB] as an office
for the practice of medicine or dentistry by a physician or dentist  licensed to
practice  in the  State  of New York and for no  other  purpose.  The  foregoing
medical  practice  shall be high  quality  private  medical  practice  conducted
predominantly by appointment. In no event shall Tenant use or permit the demised
premises to be used as an abortion center or clinic, a drug or alcohol clinic or
rehabilitation  center or for a public  assistance  welfare  agency  (public  or
private) or for the operation of traditional  public clinics,  including without
limitation,  the operation of clinics for the treatment of pyschiatric disorders
or communicable  disease. In addition,  Tenant agrees not to (i) use the demised
premises  for or engage  therein,  or in any way permit  therein the practice of
diagnostic or therapeutic radiology (including but not limited to cobalt, radium
or isotope);  or (ii) install or use any x-ray equipment in the demised premises
other than superficial therapeutic x-ray units. Tenant agrees that the foregoing
provisions of this Article  constitute a material  obligation  under this Lease,
and that Landlord would not have entered into this  transaction but for Tenant's
agreement to comply with all of the foregoing. The violation by Tenant of any of
the covenants,  agreements,  terms,  provisions and conditions contained in this
Article shall be deemed a material and  substantial  default by Tenant under the
terms of this Lease giving  Landlord the right to injunctive  relief,  among any
other remedies Landlord may have.

     39. As long as Tenant is not in default  under any of the covenants of this
lease,  Landlord  shall  provide  the  following  services,  at its own cost and
expense, if and insofar as the existing facilities permit.


<PAGE>


     (A) Services furnished by the Landlord are as follows:

     (1) Elevator service,  on an unattended basis, by self-operated  elevators;
(2)  Air-conditioning  from May 1st to September 30th of each year, as required;
(3) Heat during the  heating  season of the year;  (4) Hot and cold  water,  and
electrical current throughout the year, and gas and air for dental suites.

     (B) Landlord shall also provide the following services:

     (1) Light cleaning and janitorial services, including removal of refuse and
rubbish daily, except weekends and holidays,  but not including infectious waste
as  defined  by New York State Law which must be  disposed  in  accordance  with
Article 47; at such times as specified  by the Landlord in its sole  discretion;
(2) Windows shall be cleaned every two months, weather permitting,  the date and
hour to be specified by the Landlord in its sole discretion.

     Landlord  reserves  the right to stop the  service  of the steam  sprinkler
system,  plumbing and electric systems when necessary, by reason of accident, or
of repairs,  alterations or improvements,  in the judgment of Landlord desirable
or necessary to be made, until such repairs,  alterations or improvements  shall
have been completed,  and shall further have no  responsibility or liability for
failure to supply steam elevator sprinkler,  plumbing end electric service, when
prevented  from  so  doing  by  strikes  or  accidents  or by any  cause  beyond
Landlord's reasonable control, or by order or regulations of any Federal,  State
or Municipal Authority or failure of coal, oil or other suitable fuel supply, or
inability by the exercise of reasonable  diligence to obtain coal,  oil or other
suitable fuel.

     40. Tenant represents and warrants that it neither consulted nor negotiated
with any broker or finder with regard to the demised premises, other than Perbar
Sales Corporation. Tenant agrees to indemnify, defend and save Landlord harmless
from and against any claims for fees or commissions from anyone with whom Tenant
has dealt in connection with the leasing of the demised premises.

     41.  Tenant  expressly  acknowledges  that  it has  inspected  the  demised
premises and is fully familiar with the condition thereof. With the exception of
the work noted in Article 61, annexed hereto and made part hereof, Tenant agrees
to accept the demised premises in their "as is" condition.  Tenant  acknowledges
that Landlord, with the exception of the work noted in Article 61, shall have no
obligation  to do any work in and to the demised  premises in order to make them
suitable and ready for occupancy and use by Tenant.

     42. Tenant recognized and agrees that the damage to Landlord resulting from
Tenant's  failure  to timely  vacate  the  demised  premises  is  impossible  to
accurately measure. Landlord and


<PAGE>

Tenant  therefore  agree that in the event  Tenant  does not vacate the  demised
premises in a timely fashion  pursuant to the terms of this Lease,  Tenant shall
pay to the  Landlord  an amount  equal to two times the amount of rent due under
this Lease. In addition, Tenant agrees that it shall indemnify and save Landlord
harmless  against any and all costs,  claims,  loss or liability  resulting from
Tenant's delay in so surrendering the demised premises.

     43. Tenant  agrees that the liability of Landlord  under this lease and all
matters pertaining to or arising out of the tenancy and the use and occupancy of
the demised  premises,  shall be limited to Landlord's  interest in the building
and in no event  shall  Tenant  make any claim  against  or seek to  impose  any
personal  liability  upon any  general or limited  partner of  Landlord,  or any
principal  of any  firm or  corporation  that may  hereafter  be or  become  the
Landlord.

     44. (A) Anything herein to the contrary notwithstanding,  Tenant may assign
this lease as a whole to a licensed  practitioner  of medicine or dentistry,  or
may  sublet  a part of the  demised  premises  to no more  than one  other  such
licensed  practitioner,  provided the Landlord's  prior written consent is first
obtained in each and every instance.

     (B) For each  sub-tenant,  the  Tenant  herein  shall  pay to the  Landlord
monthly,  as additional rent  hereunder,  an increase of 10% of the base monthly
rental for each month during the continuance of said subletting,  or $100.00 per
month, whichever sum is greater.

     (C) The consent by the Landlord to an assignment or subletting shall not in
any way be construed to relieve the Tenant from obtaining the express consent in
writing by the  Landlord  to any  further  assignment  or  subletting.  Any such
assignment or subletting*  in no way relieve the tenant from his  obligations to
pay rent under this lease.

     (D) As a  condition  of the  Landlord's  consent to such  assignment,  such
assignee  shall  execute  and  deliver  to  the  Landlord  an  agreement,   duly
acknowledged, wherein such assignee shall expressly assume and agree to abide by
and to  specifically  observe,  keep and perform all and each of the agreements,
terms,  conditions  and  covenants of this lease on the part of the Tenant to be
performed, as if such assignee was originally named as Tenant herein.

     45. Intentionally omitted.

     46.  Tenant  agrees  not to  distribute  keys to any  common  area doors to
patients.

     47. Tenant agrees to hire an infectious waste  management  company approved
by the owner and to  provide a copy of a  contract  with such  company  to owner
prior  to  taking  possession  of the  suite  listed  above,  where  applicable.
[Initialed /s/ JB]

*shall




<PAGE>


     48.  Tenant  shall pay a rent  surcharge of Fifty  Dollars  ($50.00) if the
monthly rent installment is not received by the managing agent by the tenth day
of each month during the lease term. Tenant shall also be liable for interest on
such late rent payments, such interest to begin on the first day of the month at
a rate of one and one half percent per month, and shall continue until such late
rent is paid.  Tenant shall also be liable for all costs of  collection  of rent
payments, including, but not limited to attorney's fees and court costs.

     49. Tenant shall not install a window air  conditioning  unit without first
obtaining the written approval of Landlord.

     50 In the event that the building is submetered  for water and gas service,
tenant  shall pay for such  service in  addition to the rent  charged  under the
terms of this lease,  pursuant to meter installed by Landlord,  at Tenant's sole
cost and expense.

     51. All damage or injury to the Building or the Building Systems outside of
the Demised  Premises  including  damage to Demised  Premises of other  tenants,
caused by or  arising  from acts or  omissions  of  Tenant,  or  Persons  Within
Tenant's  Control,  including  those which are  structural,  extraordinary,  and
unforeseen shall be repaired,  restored or replaced by Tenant,  at its sole cost
and  expense.  All Repairs  shall be in quality and class equal to the  original
work or installation  and shall be done in good and workmanlike  manner,  using
prime quality materials.

     52.  Landlord  at its  expense,  shall  make all  Repairs,  structural  and
otherwise,  of which it shall have  notice,  necessary to keep in good order and
repair of the exterior of the Building and the public  portions of the Building,
other than those  required  to be made by Tenant as provided in Article 4. There
shall be no allowance to Tenant for a diminution of rental value or interruption
of business and no liablity on the part of Landlord by reason of  inconvenience,
annoyance or injury to business  arising from  Landlord,  Tenant or other making
any  Repairs or  Alterations  in or to any  portion of the  Building or Building
Systems or the Demised Premises.

     53. In any case where  Tenant is  required  to make  Repairs or perform any
work  pursuant to the terms of this lease and such  Repairs or work  affects the
Building Systems or areas outside of the Demised  Premises,  Landlord may at its
option  elect to make such  Repairs or to perform such work for and on behalf of
Tenant,  but at Tenant's  sole cost and  expense.  In such event,  Tenant  shall
reimburse Landlord for the cost of such Repairs and/or work within ten (10) days
after Landlord shall furnish a statement to Tenant of the amount thereof. In any
case  where  tenant  elects  to change in any way,  improve,  or repair  demised
premises,  tenant shall only use contractors  approved in advance, in writing by
the Owner. All such contractors shall be properly licensed.



<PAGE>


     54.  Tenant  shall not do, and shall not  permit  Persons  Within  Tenant's
Control to do, any act or thing in or upon the Demised  Premises or the Building
which will  invalidate or be in conflict with the  Certificate  of Occupancy for
the Demised Premises or the Building, or violate any Laws and Ordinances. Tenant
shall,  at its  expense,  comply with all Laws and  Ordinances  which shall with
respect  to the  Demised  Premises  or any  abatement  of  nuisance,  impose any
violation,  order or duty  upon  Landlord  or  Tenant  arising  from,  in, or in
connection  with, the Demised Premises or Tenant's  occupancy,  use or manner of
use thereof or any installations  therein,  or required by reason of a breach of
any of Tenant's covenants or agreements hereunder,  whether or not such Laws and
Ordinances  shall be  presently in effect or  hereafter  enacted or issued,  and
whether or not any work required shall be ordinary or  extraordinary or foreseen
or unforeseen at this time.

     55.  Tenant  shall  not do or permit to be done any act or thing in or upon
the Demised  Premises which will  invalidate or be in conflict with the terms of
the New York State  standard  form of fire  insurance  with  extended  coverage,
rental, liability,  boiler, sprinkler, water damage, war risk or other insurance
policies   covering  the   Building  and  the  fixtures  and  property   therein
(hereinafter referred to as Building Insurance); and Tenant, at its own expense,
shall  comply  with all  rules,  orders,  regulations  and  requirements  of all
Insurance Boards,  and shall not do or permit anything to be done in or upon the
Demised  Premises or bring or keep anything  therein or use the Demised Premises
in a  manner  which  increases  the  rate of  premium  for  any of the  Building
Insurance or any property or equipment  located  therein over the rate in effect
at the commencement of the Term of this Lease.

     56. If, by reason of any failure of Tenant to comply with the provisions of
this Lease, the rate of premium for Building Insurance or other insurance on the
property  and  equipment  of Landlord or any other  tenant or  subtenant  in the
Building  shall be higher than it otherwise  would be,  Tenant  shall  reimburse
Landlord  and/or such other  tenants or subtenants in the Building for that part
of the  insurance  premiums  thereafter  paid by Landlord or by other tenants or
subtenants in the Building which shall have been charged because of such failure
by Tenant.  Tenant  shall make the  reimbursement  on the first day of the month
following such payment by Landlord or such other tenants or subtenants.

     In any action or  proceeding  wherein  Landlord and Tenant are  parties,  a
schedule or "makeup" of any insurance rate for the Building or demised  Premises
issued by any  Insurance  Board  establishing  insurance  premium  rates for the
Building,  shall be prima facie  evidence of the facts therein stated and of the
several items and charges in the insurance  premium rates then applicable to the
Building.

     57. Tenant, at Tenant's own cost and expense,  shall maintain comprehensive
general  liability  insurance  protecting and  indemnifying  Landlord and Tenant
against any and all claims and



<PAGE>



liabilities  for  injury or damage to  persons  or  property  or for the loss of
premises,  and the public portions of the Building,  caused by or resulting from
any act or omission of Tenant or Persons Within Tenant's Control, such insurance
to afford  minimum  protection  during  the term of this  Lease of not less than
combined  single limit of  S1,000,000  in respect of bodily  injury or death for
property damage. Landlord may require increases in such limits from time to time
(not more often than once each 24 months')  to reflect the effect of  inflation,
based  upon  increases  in the United  States  Consumer  Price  Index or similar
recognized index.

     Tenant,  at Tenant's own cost and expense,  shall also  maintain  insurance
protecting  Landlord,  the managing agent of the Building and Tenant against any
and  all  claim  for  damage  to or  loss of  Tenant's  Alterations,  equipment,
furnishings,  furniture,  fixtures and  contents in the Demised  Premises or the
Building, and all claims and liabilities relating thereto.

     All such insurance shall be affected under valid and  enforceable  policies
(which may cover the Demised  Premises and other  location),  shall be issued by
insurers  of  recognized  responsibility  authorized  to do business in New York
State and  reasonably  acceptable  to  Landlord,  and shall  contain a provision
whereby the insurer agrees not to cancel the insurance without thirty (30) days'
prior written notice to Landlord.

     On or before the Commencement  Date,  Tenant shall furnish Landlord two (2)
copies of a duplicate policy or appropriate certificate evidencing the aforesaid
insurance  coverage,  and renewal  policies or  certificates  therefor  shall be
furnished  to Landlord at least (30) days prior to the  expiration  date of each
policy for which a certificate was theretofore furnished.

     58. Each party hereby  releases the other party (which term as used in this
paragraph  includes the employees,  agents,  officers and directors of the other
party) from all liability  whether for  negligence  or otherwise,  in connection
with loss covered by any  insurance  policies  which the  releasor  carries with
respect to the demised  premises or any interest or property therein or, thereon
(whether or not such insurance is required to be carried under this lease),  but
only to the extent that such loss is collected  under said  insurance  policies.
Such release is also conditioned upon the inclusion in the policy or policies of
a provision whereby any such release shall not adversely affect said policies or
prejudice  any right of the  releasor to recover  thereunder.  Each party agrees
that its insurance policies, aforesaid, will include such a provision so long as
the same  shall be  obtainable  without  extra  cost,  or if extra cost shall be
charged therefor, each party shall advise the other thereof of the amount of the
extra cost,  and the other party,  at its election,  may pay the same, but shall
not be obligated to do so.



<PAGE>


     59. Security deposit described in Article 34 shall be placed in an interest
bearing  account and unless used to cure a default by Tenant  hereunder,  Tenant
shall receive such interest when said security is returned to tenant, less a fee
equal to one  percent per year,  as a  servicing  fee.  Security  deposit  shall
increase  annually upon the  anniversary  of this lease so that  Landlord  shall
always possess security in the amount of one month's rent.

     60. In the event that the building in which the leased  premises is located
is converted to condominium  ownership,  then and in the event, Landlord, at its
sole discretion,  may elect to cancel this lease upon 6 months written notice to
tenant. In the event of such cancellation by Landlord, tenant may within 90 days
subsequent to receipt of the  notification of  cancellation  purchase the leased
premises for the "black book insider price".  If tenant fails to purchase within
90 day period,  this lease shall be deemed null and void and tenant shall vacate
the premises.

     61.  Subsequent  to the  signing  of this lease by both  parties,  Landlord
agrees to perform the following work within the leased premises:

     A. Strip and Wax Vinyl Tile floors.

     B. Clean Bathroom and Kitchen.

     62. Landlord shall provide to tenant three (3) outside parking spaces at no
additional charge.

     63. Landlord will give a 300.00 credit for painting.

Agreed this 30 day of October, 1992 by;


/s/ Vincent Rippa                        /s/ Jerry Braun CEO
- -------------------------------------    ---------------------------------------
Vincent Rippa, as Receiver               New York Health Care, Inc. 
as Landlord                              as tenant

<PAGE>

                                  (FLOOR PLAN)

                   105 STEVENS PLAZA CONDOMINIUMS, MT. VERNON


SUITES 501 & 502
AREA: 1686.6 SQ.FT
SCALE: 1/8. = 1'0-"




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


                                     LEASE

                                    between

                    Hempstead Associates Limited Partnership
                                   as Lessor,

                                      and

                              New York Health Care
                                   as Lessee

This Lease includes:

Exhibit A: Space Plan of Demised Premises
EXhibit B: Cleaning Schedule
Exhibit C: Air Conditioning Standards
EXhibit D: Work Letter
Exhibit E: Rules and Regulations

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


<PAGE>

                                     LEASE

     LEASE, made the 22nd day of July ___, 1993,  between  Hempstead  Associates
Limited Partnership, a Michigan (hereinafter referred to as "Lessor"), having an
office at 175 Fulton Avenue, Suite 301A, Hempstead,  New York 11550 and New York
Healthcare, a New York Corporation (hereinafter referred to as "Lessee"), having
an office at 175 Fulton Avenue, Hempstead, New York 11550.

                              W I T N E S S E T H:

     For and in consideration of the covenants  herein  contained,  and upon the
terms and conditions herein set forth, Lessor and Lessee agree as follows:

     1.  DESCRIPTION.  Lessor hereby  leases to Lessee,  and Lessee hereby hires
from Lessor, the space  (hereinafter,  together with all improvements,  fixtures
and equipment  which are or shall become attached  thereto,  called the "Demised
Premises"  or  "Premises")  located on the Fifth  (5th.)  floor of the  building
located  at 175  Fulton  Avenue,  Hempstead,  New York  (hereinafter  called the
"Building"), which shall include the Common Facilities, as defined in Section 41
(B)  hereof),  as shown on the plan  annexed  hereto as Exhibit A which has been
accepted by Lessor and Lessee. Lessor and Lessee agree that the Demised Premises
shall be deemed to comprise,  in accordance with Exhibit A, 1,615 gross rentable
square feet for all purposes of this Lease.

     2. TERM. The Premises are leased for a term of Five(5) years to commence on
September 1, 1993 and to end at 12:00  midnight on October 31, 1998.  The Lessee
may occupy the Premises  earlier  than the  commencement  date  provided by this
Lease,  but  otherwise  subject to all the terms and  conditions  of this Lease,
including  the  payment of basic rent and  additional  rent,  provided  that the
Premises are ready for occupancy and are covered by a certificate  of occupancy.
Notwithstanding the commencement and termination dates stated in this Section 2,
the provisions of Section 42 shall be  determinative of such dates to the extent
that the provisions of such section are applicable.

     3. BASIC RENT.  The Lessee shall pay to the Lessor  during the term of this
Lease basic rent (herein  "rent" or "basic  rent") as follows:  for the first 12
months  of the  Lease  Term at the  yearly  rate of  $15,000  in  equal  monthly
installments  (except for fractional  months) of $1,250; and for months 13 up to
and including 60 at the yearly rate of $20,187.5 in equal  monthly  installments
(except for fractional months) of $1,682.29.  The basic rent shall be payable in
advance on the first day of each  calendar  month during the term. If either the
first or last month of the term of this Lease  should  commence  or end on a day
other  than  the  first  day  or  last  day,  respectively,   of  the  month,  a
proportionately  lesser sum of basic rent and  additional  rent shall be paid in
accordance with the provisions of the Lease herein set forth. Lessor

<PAGE>

acknowledges  receipt  from  Lessee of the sum of $1,250  by check,  subject  to
collection, for basic rent for the first month of the lease term for which basic
rent is  payable.  Lessee  shall  pay basic  rent,  and any  additional  rent as
hereinafter  provided,  to Lessor at Lessor's above stated  address,  or at such
other  place as Lessor may  designate  in  writing,  without  demand and without
counterclaim,  deduction or setoff (except to the extent of permitted abatements
provided in this Lease).

     4. USE AND  OCCUPANCY.  Lessee shall use and occupy the Premises as general
executive offices and shall not use or occupy the Premises for any other purpose
without  the  prior  written  consent  of  Lessor,  which  consent  shall not be
unreasonably  withheld  by  Lessor  in the  case of a use in  keeping  with  the
character and quality of the building.


     5. CARE AND REPAIR OF  PREMISES.  Lessee  shall  commit no act of waste and
shall  take  good  care of the  Premises  and  the  improvements,  fixtures  and
equipment therein, and shall, in the use and occupancy of the Premises,  conform
to all  laws,  orders  and  regulations  of the  federal,  state  and  municipal
governments or any of their  departments;  Lessor,  at Lessee's  expense,  shall
maintain and make all  necessary  interior  repairs to the  Premises,  including
repairs to electrical  fixtures at Lessee's  expense if caused by Lessee through
its negligence, faulty operation or otherwise; Lessor, at its own expense, shall
maintain and make all necessary  repairs to the Building and its structure,  the
roof,  the HVAC system and the exterior  portions of the plumbing and electrical
systems,  and the exterior of the  Premises,  including  the Common  Facilities,
except  where the repair has been made  necessary by misuse or neglect by Lessee
or Lessee's agents, servants, visitors or licensees, in which event Lessor shall
nevertheless make the repair but Lessee shall pay to Lessor, as additional rent,
immediately  upon demand,  the  reasonable  costs therefor (net of any insurance
reimbursements  actually  received).  All  improvements  made by  Lessee  to the
Premises,  which are  permanently  attached to the  Premises,  shall  become the
property of Lessor, including trade fixtures, cabinetwork, moveable paneling and
partitions and the like; Lessee shall repair all injury done by or in connection
with  the  installation  or  removal  of said  property  and  improvements;  and
surrender the Premises in as good condition as they were at the beginning of the
term, reasonable wear and damage by fire, the elements, casualty, or other cause
not due to the misuse or neglect by Lessee, Lessee's agents, servants, visitors,
or licensees  excepted.  All other property of Lessee  remaining on the Premises
after  the last  day of the term of this  Lease  shall  be  conclusively  deemed
abandoned and may be removed by Lessor,  and Lessee shall  reimburse  Lessor for
the reasonable cost of such removal. Lessor may have any such property stored at
Lessee's risk and expense.

     6.  ALTERATIONS,  ADDITIONS  OR  IMPROVEMENTS.  Lessee  shall not,  without
obtaining the prior written  consent of Lessor,  which shall not be unreasonably
withheld,  make any  alterations,  additions or improvements in, to or about the
Premises,  and  in  no  event  shall  Lessor  be  required  to  consent  to  any
alterations, additions or improvements which effect the Common Facilities or any
other portion of the Building which is not included within the Premises.  Lessor
may  require  that  any  such   alterations,   additions  or   improvements   be
architecturally or decoratively  consistent,  as determined by Lessor,  with the
remainder of the Building and the common Facilities thereof.

<PAGE>

     7.  ACTIVITIES  INCREAASING  FIRE INSURANCE  RATES.  Lessee shall not do or
suffer  anything to be done on the Premises which will increase the rate of fire
insurance on the building.

     8.  ABANDONMENT.  Lessee shall not,  without  first  obtaining  the written
consent of Lessor (which  consent shall not be required if, and for only so long
as,  Lessee is in full  compliance  with all its  obligations  under  this Lease
appertaining to rent and insurance), abandon the Premises, or allow the Premises
to become vacant or deserted.

     9. ASSIGNMENT AND SUBLEASE.  Lessee may assign or sublease the within Lease
to any party subject to the following:

          (A) In the event  that  Lessee  desires to  sublease  the whole or any
     portion of the Premises or assign the within Lease to any other party,  the
     terms and conditions of any such sublease or assignment, and, prior to such
     effective  date,  Lessor shall have the option,  exercisable  in writing to
     Lessee, to recapture the within Lease so that such prospective sublessee or
     assignee  shall  then  become  the sole  Lessee  or  Lessor  hereunder,  or
     alternatively  to recapture  said space,  and  thereafter the within Lessee
     shall be fully released from any and all obligations  hereunder;  provided,
     however,  that in the event of a  proposed  sublease,  if Lessor  elects to
     recapture,  the recapture shall only be with respect to that portion of the
     Premises  so  proposed  to be  sublet,  and  only for the  duration  of the
     proposed  sublease.  In the event Lessor  recaptures  the space to effect a
     lease with the prospective sublessee or assignee produced by Lessee, Lessee
     shall assume any  brokerage in connection  therewith,  to the extent of the
     remaining portion of term, which it would have had to pay to said broker(s)
     in connection  with said assignment or subletting had Lessor not elected to
     recapture the Premises.

          (B) In the event that the Lessor  elects not to recapture the Lease or
     space as  hereinabove  provided,  the Lessee may  nevertheless  assign this
     Lease or sublet the whole or any  portion of the  Premises,  subject to the
     Lessor's  prior written  consent,  which consent shall not be  unreasonably
     withheld, on the basis of the following terms and conditions:

               (1) The Lessee  shall  provide to the Lessor the name and address
          of the assignee or sublessee.

               (2) An assignee shall assume,  by written  instrument in form and
          substance  acceptable to Lessor, all of the obligations of this Lease,
          and an executed and  acknowledged  counterpart copy of such assumption
          agreement shall be furnished to the Lessor within ten (10) days of its
          execution.

               (3) The Lessee and each assignee  shall be and remain jointly and
          severally   liable  for  the  observance  of  all  the  covenants  and
          provisions of this Lease, including, but not

<PAGE>

          limited  to, the payment of the entire  rent  reserved  herein for the
          entire Premises,  through the entire term of this Lease.  Lessee shall
          give  Lessor  a full  copy  of the  sublease  agreement  prior  to its
          effective  date,  and as a condition of Lessor's  prior consent to the
          sublease,  such agreement  shall require that the sublessee  adhere to
          the rules and  regulations  in force from time to time as  provided in
          Section 10.

               (4) The Lessee and any assignee or sublessee  shall  promptly pay
          to Lessor  one-half  of any  consideration  (net of  actual  expenses)
          received for any assignment; or in the event of a subletting, one-half
          of all of the rent (net of actual expenses  amortized over the term of
          the sublease), as and when received, in excess of the rent required to
          be paid by Lessee  for the area  sublet,  computed  on the basis of an
          average square foot rent for the gross rentable  square footage of the
          Premises or proportionate portion thereof, as determined by Lessor.

               (5) In any event,  the  acceptance by the Lessor of any rent from
          any  assignee or sublessee or the failure of the Lessor to insist upon
          a strict  performance  of any of the terms,  conditions  and covenants
          herein shall not release the Lessee herein,  nor any assignee assuming
          this Lease,  from any and all  obligations  herein  during and for the
          entire term of this Lease.

          (C) Any sublet or  assignment  to an  affiliated  company shall not be
     subject to the provisions of subsections (A) or (B)(4) hereof and shall not
     require  Lessor's prior written  consent,  but all other provisions of this
     section  shall  apply.  "Affiliated  company"  shall  mean any  corporation
     related to Lessee as a parent, subsidiary or brother-sister  corporation so
     that such corporation and Lessee,  or such corporation and Lessee and other
     corporations,  constitute a controlled  group as  determined  under Section
     1563 of the Internal Revenue Code of 1954, as amended, and as elaborated by
     the Treasury Regulations promulgated thereunder.

     10. COMPLIANCE WITH RULES AND REGULATIONS.  Lessee shall observe and comply
with such reasonable rules and regulations, which Lessor shall apply and enforce
uniformly  with respect to all tenants in the Building,  as Lessor may prescribe
from time to time,  on written  notice to the Lessee,  for the safety,  care and
cleanliness  of the  Building and the comfort,  quiet and  convenience  of other
occupants of the Building.  Lessee shall not place a load upon any floor area of
the Demised Premises exceeding the floor load per square foot which it may carry
and which is allowed by law. Lessor  reserves the right to prescribe  reasonably
the  weight  and  position  of  all  safes,  business  machines  and  mechanical
equipment.  Such  installations  shall be placed and  maintained  by Lessee,  at
Lessee's expense, in settings  sufficient,  in Lessor's judgment,  to absorb and
prevent  vibration,  noise and  annoyance.  Lessee  may,  subject to  applicable
governmental requirements,  maintain in the premises a small safe, provided that
any damage done to the building or premises in connection with

<PAGE>

the  moving of the safe  shall be  immediately  repaired  at the  expense of the
Lessee.

     11. DAMAGES TO BUILDING/WAIVER  OF SUBROGATION.  If the Building is damaged
by fire or any  other  cause to such  extent  that the cost of  restoration,  as
reasonably  estimated by Lessor,  will equal or exceed twenty-five (25%) percent
of the replacement  value of the Building  (exclusive of foundations) just prior
to the  occurrence  of the damage,  then Lessor may, no later than the  sixtieth
(60th) day following  the damage,  give Lessee a notice of election to terminate
this  Lease,  or if the cost of  restoration  will equal or exceed  fifty  (50%)
percent of such  replacement  value and if the premises  shall not be reasonably
usable for the purpose for which they are leased hereunder,  then Lessee may, no
later than the sixtieth (60th) day following the damage, give Lessor a notice of
election to terminate this Lease.  In either said event of election,  this Lease
shall be deemed to  terminate  on the  thirtieth  (30th) day after the giving of
such notice,  and Lessee shall  surrender  possession  of the Premises  within a
reasonable time  thereafter,  and the basic rent, and any additional rent, shall
be apportioned as of the date of casualty and any basic or additional  rent paid
for any  period  beyond  said date  shall be repaid  to  Lessee.  If the cost of
restoration as estimated by Lessor shall amount to less than  twenty-five  (25%)
percent of said  replacement  value of the  Building,  or if,  despite the cost,
Lessor does not elect to terminate this Lease, Lessor shall restore the Building
and the Premises with  reasonable  promptness,  subject to force majeure (to the
extent not reasonably  remediable),  and Lessee shall have no right to terminate
this Lease.  Lessor need not restore fixtures and improvements  owned by Lessee.
Notwithstanding   anything  else  herein  contained  and  notwithstanding  force
majeure,  if  following  any damage  referred  to in the first  sentence of this
section the Premises shall as a result thereof not be tenantable  after 180 days
following such damage,  Lessee may, upon 10 days prior written notice to Lessor,
terminate  this  Lease,  and upon the 10th day after  such  notice is given this
Lease shall terminate,  Lessee shall surrender  possession of the Premises,  and
Lessee  and Lessor  shall have  thereafter  no further  obligation  to the other
(except obligations arising prior to such termination).

     In any  case,  not  involving  a  termination  of this  Lease  as  provided
hereinabove,  in which use of the  Premises  is  affected  by any  damage to the
Building,  provided Lessor receives the proceeds of rent insurance maintained in
force by  Lessor  covering  the  basic and all  additional  rent due  hereunder,
calculated  on a daily  basis,  no rent  shall be  payable  by  Lessee  for each
standard building operating day for the period for which and the extent to which
the  Premises  are not  reasonably  usable and are not used for the  purpose for
which they are leased hereunder.  The words  "restoration" and "restore" as used
in this Section 11 shall include  repairs.  If the damage results from the fault
of the Lessee, or Lessee's agents, servants, visitors or licensees, Lessee shall
not be entitled to any  abatement  or reduction  in basic rent.  Lessor  agrees,
subject to the  provisions of Section 22 hereof,  to maintain  full  replacement
value fire and extended coverage insurance and one year's rent on the Building.

<PAGE>

     Notwithstanding  the  provisions  of this  Section 11 of the Lease,  in any
event of loss or damage to the Building, the Premises and/or any contents,  each
party  shall  look  first to any  insurance  in its favor for  reimbursement  of
property or casualty loss before  making any claim against the other party,  and
each party shall  obtain,  for each policy of insurance,  provisions  permitting
waiver of any claim  against  the other party for  property or casualty  loss or
damage  within  the scope of such  insurance,  and each  party,  to such  extent
permitted,  for itself and its insurers  waives all such insured  claims against
the other party.

     12. EMINENT DOMAIN. If Lessee's use of the Premises is materially  affected
due to the taking by eminent  domain of (a) the  Premises or any part thereof or
any estate  therein;  or (b) any other  part of the  Building,  then,  in either
event,  this Lease shall terminate on the date when title vests pursuant to such
taking.  The rent,  and any  additional  rent,  shall be  apportioned as of said
termination  date and any basic and  additional  rent paid for any period beyond
said date shall be repaid to Lessee. Lessee shall not be entitled to any part of
the award for such taking or any payment in lieu thereof,  but Lessee may file a
separate claim for any taking of fixtures and improvements owned by Lessee which
have not become the Lessor's  property,  and for moving  expenses,  provided the
same  shall in no way  affect  or  diminish  Lessor's  award.  In the event of a
partial  taking  which  does not  effect a  termination  of this  Lease but does
deprive Lessee of the use of a portion of the Demised  Premises,  there shall be
an abatement or an equitable  reduction of the basic rent and  additional  rent,
depending  on the period for which and the extent to which the Premises so taken
are not reasonably usable for the purpose for which they are leased hereunder.

     13. INS0LVENCY OF LESSEE.  Either (a) the appointment of a receiver to take
possession of all or substantially all of the assets of Lessee, or (b) a general
assignment  by Lessee for the benefit of  creditors,  or (c) any action taken or
suffered by Lessee under any insolvency or bankruptcy  act,  shall  constitute a
default of this  Lease by Lessee  (provided  that in the case of an  involuntary
proceeding  against Lessee,  such  proceeding  shall not constitute a default if
dismissed by a court of competent jurisdiction within 90 days of inception), and
Lessor may terminate  this Lease  forthwith and upon notice of such  termination
Lessee's  right to possession of the Demised  Premises  shall cease,  and Lessee
shall then quit and  surrender  the  Premises to Lessor but Lessee  shall remain
liable as hereinafter provided in Section 15 hereof.

     14.  LESSOR'S  REMEDIES  ON DEFAULT.  If Lessee  defaults in the payment of
basic rent or any additional  rent, or defaults in the performance of any of the
other  covenants and  conditions  hereof,  Lessor may give Lessee notice of such
default, and if Lessee does not cure any default in the payment of basic rent or
additional  rent within five (5) days, or does not cure any other default within
fifteen  (15) days,  after the giving of such  notice (or if such  default,  not
relating to the payment of money, is of such nature that it cannot be completely
cured within such period,  if Lessee does not commence  such curing  within such
fifteen (15) days and thereafter  proceed with reasonable  diligence and in good
faith,  subject  to force  majeure,  to cure  such  default),  then  Lessor  may
terminate  this Lease on not less than ten (10) days'  notice to Lessee,  and on
the date specified in said notice, Lessee's right to possession of the

<PAGE>

Demised  Premises  shall  cease,  and Lessee shall then quit and  surrender  the
Premises to Lessor, but Lessee shall remain liable as hereinafter  provided.  If
this Lease shall have been so terminated by Lessor pursuant to Sections 13 or 14
hereof,  Lessor may at any time thereafter  resume possession of the Premises by
any lawful means and remove Lessee or other occupants and their effects.

     15.  DEFICIENCY.  In any case where Lessor has recovered  possession of the
Premises by reason of Lessee's default,  Lessor may, at Lessor's option,  occupy
the  Premises  or cause the  Premises  to be  redecorated  reasonably,  altered,
divided,  consolidated  with other adjoining  premises,  or otherwise changed or
prepared for reletting,  and may relet the Premises or any part thereof as agent
of Lessee or otherwise, for a term or terms to expire prior to, at the same time
as, or subsequent to, the original expiration of this Lease, at Lessor's option,
and receive the rent  therefor.  Rent so received  shall be applied first to the
payment of such  expenses  as Lessor may have  incurred in  connection  with the
recovery of possession,  redecorating,  altering,  dividing,  consolidating with
other adjoining premises, or otherwise changing or preparing for reletting,  and
the reletting,  including brokerage and reasonable  attorney's fees, and then to
the payment of damages in amounts  equal to the rent  hereunder and to the costs
and expenses of performance of the other covenants of Lessee as herein provided.
Lessee agrees,  in any such case,  whether or not Lessor has relet the Premises,
to pay to Lessor damages equal to the basic and  additional  rent and other sums
herein agreed to be paid by Lessee,  less the net proceeds of the reletting,  if
any, as  ascertained  from time to time, and the same shall be payable by Lessee
on the several  rent days above  specified.  Lessee shall not be entitled to any
surplus accruing as a result of any such reletting. In reletting the Premises as
aforesaid, Lessor may grant reasonable rent concessions, and Lessee shall not be
credited  therewith.   No  such  reletting  shall  constitute  a  surrender  and
acceptance  or be deemed  evidence  thereof but to the extent of rents  actually
collected  by Lessor  same shall be deemed in  mitigation  of  Lessor's  damages
hereunder.  If Lessor elects,  pursuant  hereto,  actually to occupy and use the
Premises  or any part  thereof  during  any part of the  balance  of the term as
originally  fixed or since  extended,  there shall be allowed  against  Lessee's
obligation for rent or damages as herein defined,  during the period of Lessor's
occupancy,  the reasonable  value of such occupancy,  not to exceed in any event
the basic and additional  rent herein  reserved and such occupancy  shall not be
construed  as a release of Lessee's  liability  hereunder.  Any action  taken by
Lessor hereunder shall be commercially reasonable, and Lessor shall use its best
efforts to relet the Premises.

     Lessee  hereby waives all right of redemption to which Lessee or any person
under Lessee might be entitled by any law now or hereafter in force.

     Lessor's remedies hereunder are in addition to any remedy allowed by law.

     16. SUBORDINATION OF LEASE. This Lease shall, at Lessor's option, or at the
option of any holder of any  underlying  lease or any  mortgage or deed of trust
affect  the  real  property  of  which  the  Building  is  a  part  ("Underlying
Mortgage"), be subject and subordinate to any such Underlying Mortgage which may
now or hereafter affect the real property of which the

<PAGE>

Premises form a part,  and also to all renewals,  modifications,  consolidations
and replacements of any such Underlying Mortgage.  Although no instrument or act
on the part of Lessee  shall be  necessary  to  effectuate  such  subordination,
Lessee  will,  nevertheless,   execute  and  deliver  such  further  instruments
confirming such  subordination  of this Lease as may be desired by the holder of
any Underlying Mortgage.  Upon request of Lessee,  Lessor agrees to use its best
efforts to obtain for Lessee a  nondisturbance  agreement from the holder of any
Underlying  Mortgage.  If any  underlying  lease to which  this Lease is subject
terminates,  Lessee  shall,  on  timely  request,  attorn  to the  owner  of the
reversion.  In addition,  Lessee  shall  attorn to the holder of any  Underlying
Mortgage if such holder succeeds to the interest of Lessor in the Building,  the
Demised Premises or any part or parts thereof by foreclosure proceedings or as a
result of any conveyance in lieu of foreclosure proceedings.

     17.  RIGHT TO CURE  LESSEE'S  BREACH.  If Lessee  breaches  any covenant or
condition of this Lease, Lessor may, on reasonable notice to Lessee (except that
no notice need be given in case of  emergency),  cure such breach at the expense
of Lessee;  and the  reasonable  amount of all  expenses,  including  reasonable
attorney's fees,  incurred by Lessor in so doing (whether paid by Lessor or not)
shall be deemed additional rent payable on demand.

     18. MECHANIC'S LIENS.  Lessee shall,  within fifteen (15) days after notice
from Lessor,  discharge or satisfy by bonding or otherwise any mechanic's  liens
for  materials  or labor  claimed  to have been  furnished  to the  Premises  on
Lessee's behalf.

     19.  RIGHT TO INSPECT AND REPAIR.  Lessor may enter the  Premises but shall
not be obligated to do so (except as required by any specific  provision of this
Lease) at any reasonable time on reasonable  notice to Lessee (except that after
notice  given by  Lessor  Lessee  may  request  a  different  time,  within  the
discretion  of  Lessor,  and  except  that no  notice  need be  given in case of
emergency)  for the  purpose  of  inspection  or the  making  of  such  repairs,
replacement or additions,  in, to, on and about the Premises or the Building, as
Lessor  deems  necessary or  desirable.  Lessee shall have no claims or cause of
action against Lessor by reason thereof. In no event shall Lessee have any claim
against Lessor for interruption to Lessee's business, however occurring,  except
as specifically provided in this Lease.

     20. SERVICES TO BE PROVIDED BY LESSOR;  LESSOR'S EXCULPATION.  While Lessee
is not in default under any of the  provisions  of this Lease,  Lessor agrees to
furnish, except on Holidays as defined in Section 41(E):

          (A) Cleaning services  appropriate to a Class A office building of the
     same type and in the same  vicinity as the  Building.  Lessee shall pay the
     cost of all specially requested cleaning services required by Lessee.

          (B) Heating,  ventilating and air  conditioning  (herein  "HVAC"),  as
     appropriate  for the season and as appropriate to a Class A office building
     of the same type and in the same  vicinity as the  Building,  together with
     common  facilities  lighting  and  electric  energy,  all during  "Building
     Hours," as defined in Section 41(D).

<PAGE>

          (C) Should Lessee require HVAC at any time other than during  Building
     Hours,  it  shall  notify  lessor  at least 6 hours  in  advance.  Any such
     additional  HVAC usage shall be at Lessee's sole cost at hourly rates to be
     fixed by Lessor from time to time,  to reflect  reasonably  any increase in
     Lessor's cost thereof  subsequent to the first Lease Year. During the first
     Lease Year the hourly rates for overtime HVAC usage shall be: Heat,  $25.00
     per hour; air  conditioning,  $35.00 per hour; such charges to be equitably
     prorated among Lessee and any other tenants  simultaneously  requiring such
     usage.

          (D) In the  event of any  interruption  or  curtailment  of any of the
     aforesaid services which Lessor is obligated to provide,  Lessor shall take
     measures within its control as may be reasonable under the circumstances to
     restore the service without undue delay.  Notwithstanding  the requirements
     of this section or any other  provision of this Lease,  Lessor shall not be
     liable for  failure  to furnish  any of the  aforesaid  services  when such
     failure is due to force majeure,  as defined in Section 41(C). Lessor shall
     not be liable, under any circumstances,  including its negligence,  for any
     loss of or injury to Lessee or to any property however  occurring,  through
     or in connection  with or incidental  to the  furnishing  of, or failure to
     furnish,  any of the aforesaid services or for any interruption to Lessee's
     business  however  occurring,  including,  but not limited to, that arising
     from Lessor's negligence.

     21.  ELECTRICITY.  The cost of  electric  current  which is supplied by the
Lessor for use by the Lessee in the Demised Premises,  other than for heating or
air-conditioning  purposes,  shall be  reimbursed  to the  Lessor at the  actual
terms,  classification and rates charged to the Building as individually metered
to Lessee.

     22.  ADDITIONAL  RENT.  Lessee agrees to pay, and shall pay as  hereinbelow
provided,  in  addition  to the basic  rent  provided  in  Section  3 above,  an
additional rental to cover Lessee's  proportionate  share, as defined in Section
41(A),  of the  increased  cost to Lessor  for each of the  categories  of costs
enumerated in this paragraph (i.e.,  Operating  Costs,  Utility and Energy Costs
and Real Estate Taxes) over the "Base Period Costs" (as hereinafter defined) for
said categories.

          (A) Operating Cost Escalation. If the Operating Costs incurred for the
     Building for any calendar  year or  proportionate  part thereof  during the
     Lease  Term  shall  be  greater  than the Base  Operating  Costs  (adjusted
     proportionately  for periods less than a lease year), then Lessee shall pay
     to Lessor,  as additional  rent, its  proportionate  share,  as hereinafter
     defined,  of all of such  excess  Operating  Costs.  Operating  Costs shall
     include, by way of illustration and not of limitation,  all costs of labor,
     including all wages and salaries,  social security  taxes,  and other taxes
     which may be levied against Lessor upon such wages and salaries;  supplies;
     interior and exterior cleaning; repairs (net of insurance

<PAGE>

     or  other   reimbursements)   and  maintenance;   maintenance  and  service
     contracts; property management and administrative contracts; painting; wall
     and window washing;  laundry and towel service;  tools and equipment (which
     are not required to be capitalized for Federal income tax purposes);  fire,
     rent interruption,  liability and other insurance;  extermination services;
     trash removal;  plant and lawn care; snow removal;  security services;  and
     all other items properly  constituting  direct operating costs according to
     standard accounting practices (hereinafter  collectively referred to as the
     "Operating  Costs"),   but  not  including   depreciation  of  Building  or
     equipment;  interest or principal  payments;  finance or mortgage  charges;
     ground  rent;  bad debts owed to Lessor;  income or excess  profits  taxes;
     costs of  maintaining  the Lessor's legal form of  organization;  franchise
     taxes;  electric survey costs,  leasing  commissions;  legal expenses;  any
     amounts referred to in subparagraphs (B) and (C) below; or any expenditures
     required to be  capitalized  for Federal  income tax purposes,  unless said
     expenditures  are for the purpose of reducing  operating  costs  within the
     Building,  in which event the costs thereof  shall be included.  As used in
     this Section 22(A),  the Base Operating Costs shall be those costs incurred
     during calendar year 1993.

          (B)  Fuel  Utilities  and  Electric  Cost  Escalation.  If  the  fuel,
     utilities  and energy  costs  (hereinafter  "Utility  and  Energy  Costs"),
     including any fuel surcharges or adjustments with respect thereto, incurred
     for electric,  water,  sewer, or other  utilities and for lighting,  water,
     heating,  ventilating and air conditioning for the Common Facilities of the
     Building, for any Lease Year or proportionate part thereof during the lease
     term shall be greater  than the Base  Utility  and Energy  Costs  (adjusted
     proportionately  for periods less than a Lease Year), then Lessee shall pay
     to  Lessor as  additional  rent its  proportionate  share,  as  hereinafter
     defined,  of all such  excess  Utility  and Energy  Costs.  As used in this
     Section  22(B),  the Base  Utility  and Energy  Costs  shall be those costs
     incurred   during   Calendar  Year  1993   (including   surcharges   and/or
     adjustments). Utility and Energy Costs shall not include any costs referred
     to in Sections 21 or 22 (A).

          (C) Tax Escalation.  If the Real Estate Taxes for the Building for any
     lease year or  proportionate  part  thereof  during the Lease Term shall be
     greater  than the Base Real  Estate  Taxes  (adjusted  proportionately  for
     periods  less  than a lease  year),  then  Lessee.  shall  pay to Lessor as
     additional rent its  proportionate  share, as hereinafter  defined,  of all
     such excess Real Estate Taxes.

          As used in this  Section 22 (C) the words and terms which  follow mean
     and include the following:

          (i) "Base Real  Estate  Taxes"  shall mean  those  real  estate  taxes
     imposed on the Building for calendar year 1993.

<PAGE>

          (ii) "Real Estate Taxes" shall mean the property taxes and assessments
     (not including any penalty  payments) imposed upon the Building or upon the
     rent,  as such,  payable to the  Lessor.  If due to a future  change in the
     method of  taxation  any  franchise,  income or profit  tax shall be levied
     against Lessor in  substitution  for, or in lieu of, or in addition to, any
     tax which would  otherwise  constitute a Real Estate Tax,  such  franchise,
     income or  profit  tax  shall be  deemed  to be a Real  Estate  Tax for the
     purposes  hereof;  conversely,  any additional  real estate tax hereinafter
     imposed in substitution for, or in lieu of, any franchise, income or profit
     tax (which is not in substitution, for, or in lieu of, or in addition to, a
     Real Estate Tax as hereinbefore provided) shall not be deemed a Real Estate
     Tax for the purposes hereof.

          (D) Lease Year.  As used in this Section 22, Lease Year shall mean the
     twelve (12) month period commencing when possession is delivered,  and each
     twelve (12) month period  thereafter.  If any lease period for which excess
     costs may be  calculated as provided in this  paragraph  shall be less than
     twelve (12) months,  then the Base Period Costs for the  categories  listed
     above  shall be  adjusted to equal the  proportion  that such lease  period
     bears to twelve (12) months,  and Lessee shall pay to Lessor as  additional
     rent for such period, an amount equal to Lessee's  proportionate  share, as
     hereinafter  defined,  of the excess for such period over the adjusted Base
     Period Costs with respect to each of the aforesaid categories of costs.

          (E) Payment. At any time and from time to time after the establishment
     of the Base  Period  Costs for each of the  categories  referred  to above,
     Lessor may advise the  Lessee in writing of  Lessee's  proportionate  share
     with  respect  to each of the  categories  of  costs  as  provided  in this
     paragraph,  both as already  incurred  and as estimated  for the  unexpired
     portion of the current  twelve (12) month  period (and for each  succeeding
     twelve (12) month period or  proportionate  part thereof if the last period
     prior to the Lease's  termination is less than twelve (12) months) and then
     known to the Lessor, and thereafter the Lessee shall pay as additional rent
     its  proportionate  share,  as hereinafter  defined,  of such costs already
     incurred in a single lump sum and of such costs for the  unexpired  portion
     of the then  current  period  (as the same may be  periodically  revised by
     Lessor as additional  costs are  incurred) in equal  monthly  installments.
     Lessee agrees that Lessor may adjust from time to time the additional  rent
     payable  with respect to any months for which the rental shall have already
     been paid  which are  affected  by the  Operating  Cost  Escalation  and/or
     Utility and Energy Cost Escalation  and/or Real Estate Tax Escalation Costs
     above  referred to, as well as with respect to the unexpired  months of the
     current period and any  subsequent  periods.  In addition,  Lessor shall be
     reimbursed  by Lessee  monthly  during the first year of the Lease Term for
     additional Utility and Energy Cost Escalations  resulting from any increase
     during such year in the applicable monthly utility rates.

<PAGE>

          Notwithstanding  anything  herein  captained to the  contrary,  in the
     event the last period prior to the  termination  of this Tease is less than
     twelve (12) months, the Base Period Costs shall be proportionately  reduced
     to correspond to the duration of the final period.

          (F) Books and  Records.  For the  protection  of Lessee,  Lessor shall
     maintain   books  of  account  which  shall  be  open  to  Lessee  and  its
     representatives  at all reasonable  times so that Lessee can determine that
     such  Operating,  Utility and Energy and Tax Costs have, in fact, been paid
     or  incurred.  Any  disagreement,  with  respect to any one or more of said
     charges if not  satisfactorily  settled  between Lessor and Lessee shall be
     referred by either party to an independent  certified public  accountant to
     be mutually  agreed upon, and if such an accountant  cannot be agreed upon,
     the American Arbitration Association may be asked by either party to select
     an arbitrator, whose decision on the dispute will be final and binding upon
     both parties, who shall jointly share any cost of such arbitration. Pending
     resolution of the issue, Lessee shall pay the amount established and billed
     by Lessor,  all subject to final  adjustment  once the issue is resolved as
     provided for above.

     23.  INTERRUPTION  OF SERVICES OR USE.  Interruption  or curtailment of any
service  maintained  in the  Building or Premises as a result of an event beyond
the  reasonable  control of Lessor shall not entitle Lessee to any claim against
Lessor or to any abatement in rent, and shall not  constitute a constructive  or
partial  eviction,  unless if Lessor is responsible  to provide the service,  it
fails to take such  measures as may be  reasonable  under the  circumstances  to
restore  the  service   without  undue  delay.  If  the  Premises  are  rendered
untenantable in whole or in part, for a period of ten (10) consecutive  business
days, by the making of repairs, replacements or additions, other than those made
with  Lessee's  consent or caused by misuse or neglect  by Lessee,  or  Lessee's
agents,  servants,  visitors  or  licensees,  there  shall  be  a  proportionate
abatement of rent from and after said tenth (10th) consecutive  business day and
continuing for the period of such  untenantability.  In no event shall Lessee be
entitled to claim a constructive  eviction from the Premises unless Lessee shall
first have notified Lessor in writing of the condition or conditions giving rise
thereto,  and, if the  complaints be justified,  unless Lessor shall have failed
within a reasonable  time,  after receipt of such notice to remedy,  or commence
and proceed with due  diligence to remedy,  such  condition or  conditions,  all
subject to force majeure, as hereinafter defined.

     24. LESSEE'S ESTOPPEL.  Each of Lessor and Lessee shall, from time to time,
on not less than ten (10)  days'  prior  written  request  by the  other  party,
execute,  acknowledge,  and  deliver  to the  other  party a  written  statement
certifying  that the Lease is unmodified  and in full force and effect,  or that
the Lease is in full force and effect as modified and listing the instruments or
modification;  the dates to which the rents and charges have been paid;  whether
or not to the best of the  certifying  party's  knowledge  the other party is in
default hereunder, and if so, specifying the nature of the default;

<PAGE>

and any other  matters  which may  reasonably  and  customarily  be covered in a
landlord's  or  tenant's  estoppel  certificate.  It is  intended  that any such
statement  required by Lessor to be delivered by Lessee pursuant to this Section
24 may be relied an by a prospective purchaser of Lessor's interest or mortgagee
of Lessor's interest or assignee of any mortgage of Lessor's interest.

     25. HOLDOVER TENANCY.  Unless,  otherwise agreed between Lessor and Lessee,
if Lessee holds possession of the Premises after the term of this Lease,  Lessee
shall become a tenant from month to month under the provisions  herein provided,
but at a monthly basic rental of one hundred  twenty-five  (125%) percent of the
basic  rent for the  last  month of the term or any  renewal  term,  payable  in
advance on the first day of each month,  and such tenancy shall  continue  until
terminated  by  Lessor,  or until  Lessee  shall  have given to Lessor a written
notice at least sixty (60) days prior to the intended  date of  termination,  of
intent to terminate such tenancy.

     26.  SECURITY  DEPOSIT.  Lessee shall  deposit  with Lessor  simultaneously
herewith  cash in the  amount of  $2,500  as  security  for the  performance  of
Lessee's  obligations  under  this  Lease,  including  without  limitation,  the
surrender of possession of the Premises to Lessor as herein provided.  If Lessor
applies any part of such deposit to cure any default of Lessee,  Lessee shall on
demand  deposit  with Lessor the amount so applied so that Lessor shall have the
full deposit on hand at all times during the term of this Lease.  Lessor, in the
event that the  Demised  Premises  are sold,  shall  transfer  and  deliver  the
security,  as such,  to the  purchaser of the Demised  Premises and shall notify
Lessee  thereof,  and  thereupon  Lessor  shall be  discharged  from any further
liability in reference  thereto.  Lessor may co-mingle said deposit with its own
funds and need not pay interest thereon to the Lessee.

     27.  LEASEHOLD   IMPROVEMENTS.   (A)  Lessor  agrees  that,  prior  to  the
commencement  of the term of this  Lease,  Lessor will do all of the work in the
Demised  Premises in accordance with Exhibits A and D attached hereto and made a
part hereof.  All work as therein  described  will be at Lessor's  expense.  Any
extra work  requested by Lessee  which is not  described in Exhibits A and D and
the requirements and specifications constituting part thereof shall be performed
by Lessor at Lessee's  expense.  Lessee  shall pay Lessor for such extra work at
the time that Lessor agrees to such  request,  but in any event Lessee shall pay
Lessor  not less than the  aggregate  payments  billed  to  Lessor  by  Lessor's
contractors.

     (B) Lessee  will work with  Lessor's  architects  to design and lay out the
Premises and establish the Leasehold  Improvements  to be built therein.  Lessee
shall submit its complete  requirements and  specifications  to Lessor within 20
days after the  execution  and delivery of this Lease.  Any delay  occasioned by
Lessee's  failure  to  cooperate  with  Lessor  in  developing  plans  from such
requirements and  specifications  or any changes  authorized by Lessee after the
plans have been prepared,  shall not delay the commencement date of the term and
Lessee's  obligations  hereunder  and the same  shall  commence  on the date the
Premises  would have been  delivered  to Lessee  pursuant  to Section 2, but for
Lessee's delay.

<PAGE>

     28. RIGHT TO SHOW  PREMISES.  Lessor may show the  Premises to  prospective
purchasers and mortgagees;  and, during the nine (9) months prior to termination
of this Lease,  to  prospective  tenants,  during  business  hours on reasonable
notice to Lessee.

     29. WAIVER OF TRIAL BY JURY. To the extent such waiver is permitted by law,
the  parties  waive  trial  by jury  in any  action  or  proceeding  brought  in
connection with this Lease or the Premises.

     30. LATE CHARGE. Anything in this Lease to the contrary  notwithstanding at
Lessor's  option,  Lessee shall pay a "Late  Charge" of five (5%) percent of any
installment  of rent or additional  rent paid more than seven (7) days after the
due date  thereof,  to cover the extra expense  involved in handling  delinquent
payments.   Notwithstanding  the  foregoing,  in  the  case  of  the  first  two
occurrences of such an overdue  installment  during the term of this Lease, such
late  charge  shall not be imposed if Lessee  pays such  installment  within two
business days after notice thereof given to Lessee by Lessor.

     31. NO OTHER  REPRESENTATIONS.  No  representations  or  promises  shall be
binding  on  the  parties  hereto  except  those  representations  and  promises
contained  herein or in some  future  writing  signed by the party  making  such
representation(s) or promise(s).

     32. QUIET ENJOYMENT.  Lessor covenants that if, and as long as, Lessee pays
the rent, and any additional rent as herein provided, and performs the covenants
hereof,  Lessor  shall do  nothing to affect  Lessee's  right to  peaceably  and
quietly have, hold and enjoy the Premises for the term herein mentioned, subject
to the provisions of this Lease.

     33. LESSEE'S INSURANCE.  Lessee covenants to provide to Lessor on or before
the Commencement Date a certificate of Lessee's  comprehensive policy of general
liability  insurance  naming  the Lessor as an  additional  named  insured  with
respect  to  Lessee's  operations  and  activities,  insuring  Lessee and Lessor
against  any  liability  commonly  insured  against and  occasioned  by accident
resulting   from  any  act  or  omission  on  or  about  the  Premises  and  any
appurtenances  thereto.  Such  policy is to be written by an  insurance  company
qualified  to do business in the State of New York  reasonably  satisfactory  to
Lessor.  The  policy  shall be with  limits  not less than two  million  dollars
($2,000,000.00)  in respect of any one person,  in respect of any one  accident,
and in respect of  property  damage.  Such  limits  shall be subject to periodic
review,  and  Lessor  reserves  the right to  require  Lessee to  increase  such
coverage  limits,  if in the reasonable  opinion of Lessor such coverage becomes
inadequate  and is less than that  commonly  maintained  by  tenants  in similar
buildings in the area by tenants making similar uses. At least fifteen (15) days
prior to the  expiration  or  termination  date of any policy,  the Lessee shall
deliver a renewal or replacement  policy or certificate of insurance  thereunder
with proof of the payment of the premium therefor.  Lessee also agrees to obtain
comprehensive fire and full extended coverage insurance on its contents.

<PAGE>

     34. PARAGRAPH  HEADINGS.  The paragraph headings in this Lease and position
of its provisions are intended for convenience  only and shall not be taken into
consideration in any construction or  interpretation of this Lease or any of its
provisions.

     35.  APPLICABILITY TO HEIRS AND ASSIGNS. The provisions of this Lease shall
apply  to,  bind and  inure to the  benefit  of  Lessor  and  Lessee,  and their
respective  heirs,   successors,   legal  representatives  and  assigns.  It  is
understood  that the term "Lessor" as used in this Lease means only the owner, a
mortgagee in possession  or a term lessee of the Building,  so that in the event
of any sale of the Building or of the Premises, the lessor named herein shall be
and hereby is entirely  freed and relieved of all covenants and  obligations  of
Lessor  hereunder  accruing  thereafter,  and it shall be deemed without further
agreement that the purchaser,  the term lessee of the Building, or the mortgagee
in  possession  has  assumed and agreed to carry out any and all  covenants  and
obligations of Lessor hereunder.

     36.  PARKING  SPACES.  Lessee's  occupancy  of the Demised  Premises  shall
include the use of Four (4) parking spaces.  Lessee shall observe such rules and
regulations relating to assigned parking.

     37. BROKER. None.

     38. PERSONAL LIABILITY.  Notwithstanding  anything to the contrary provided
in this Lease, it is specifically  understood and agreed, such agreement being a
primary  consideration  for the  execution  of this Lease by Lessor,  that there
shall be  absolutely  no personal  liability on the part of Lessor or any of its
partners,  or its or their  successors,  assigns or any  mortgagee in possession
(for the purposes of this paragraph, collectively referred to as "Lessor"), with
respect to any of the terms,  covenants and  conditions of this Lease,  and that
Lessee shall look solely to the equity and income of Lessor in the real property
which  includes the Building  for the  satisfaction  of each and every remedy of
Lessee in the event of any breach by Lessor of any of the terms,  covenants  and
conditions  of this  Lease  to be  performed  by  Lessor,  such  exculpation  of
liability to be absolute and without any exceptions whatsoever.

     39. NO OPTION.  The submission of this Lease Agreement for examination does
not  constitute a reservation  of, or option for, the  Premises,  and this Lease
Agreement  becomes  effective  as a Lease  Agreement  only  upon  execution  and
delivery thereof by Lessor and Lessee.

     40.  NON-LIABILITY OF LESSOR. It is expressly  understood and agreed by and
between the parties to this agreement  that,  except as  hereinafter  set forth,
Lessee shall assume all risk of damage and casualty to its  property,  equipment
and  fixtures  occurring  in or about the  Premises,  whatever the cause of such
damage or casualty.  It is further  understood  and agreed  that,  in any event,
Lessor in its  capacity  as Lessor  and,  if  applicable,  as builder or general
contractor  of the  Building or  Premises  and  Lessor's  agents,  servants  and
employees  shall  not  be  liable  to  Lessee,   Lessee's   agents,   employees,
contractors,  invitees or any other  occupant of the  Premises for any damage or
injury to person or property or for any  inconvenience or annoyance to Lessee or
any other occupant of the Premises or injury to or interruption of Lessee's or

<PAGE>

such other occupant's business, arising out of or attributable to (i) the design
and construction of the Premises or the Building, (ii) any maintenance, repairs,
replacements,  additions,  alterations,  substitutions and installations made to
the Premises or the  Building,  (iii) the failure of Lessor or others to perform
any  such  maintenance  or to make any such  repairs,  replacements,  additions,
alterations, substitutions and installations to the Premises and the Building or
to provide any  utilities or services,  (iv) the acts or omissions of any tenant
or other  occupants of any space  adjacent to or  adjoining  the  Premises,  (v)
steam,  electricity,  gas, water, rain, ice or snow, or any leak or flow from or
into the Premises or Building and (vi) any other cause or happening  whatsoever,
except the negligence of Lessor and/or Lessor's  agents,  servants and employees
with respect to any of the events or occurrences referred to in subdivisions (i)
through (vi) hereof to the extent in  connection  with any  affirmative  duty of
Lessor provided by this Lease. Notwithstanding anything to the contrary provided
herein,  the terms of this section are hereby made  specifically  subject to the
waiver  of  subrogation  provisions  of  Section  11;  and  Lessor  shall not be
indemnified by Lessee for injuries or damages  occurring in the common areas and
facilities of the  Building,  if  occasioned  by the  negligence of Lessor,  its
employees, agents, or servants.

     41. DEFINITIONS.  (A) Proportionate  Share.  Lessee's  Proportionate Share,
wherever that phrase is used,  shall be .78%,  which the parties agree  reflects
and will be  continually  adjusted  to reflect  the ratio of the gross  rentable
square feet of the area rented to Lessee as  compared  with the total  number of
gross rentable square feet of the entire Building.

     (B) Common  Facilities.  Common  facilities  shall mean the lawns,  planted
areas, walkways, parking areas, lobbies,  corridors,  lavatories,  elevators and
all other  general  interior or exterior  Building  facilities  that service all
Building tenants.

     (C) Force  Majeure.  Force majeure shall mean and include those  situations
beyond  Lessor's  control,  including  by  way  of  example  and  not  by way of
limitation,  acts of God; accidents;  repairs outside Lessor's control; strikes;
shortages  of  labor,  supplies  or  materials;   inclement  weather;  or  where
applicable,  the passage of time while  waiting for an  adjustment  of insurance
proceeds.

     (D) Building  Hours.  As used in this Lease the  "Building  Hours" shall be
Monday through  Friday,  8:00 a.m. to 6:00 p.m. and Saturday,  8:00 a.m. to 1:00
p.m.,  excluding  Holidays  as defined in  subparagraph  (E) below,  except that
lighting of Common  Facilities  in the  Building  shall be  maintained  for such
additional  hours as, in Lessor's  sole  judgment,  is necessary or desirable to
insure proper operation of the Building.  Notwithstanding the foregoing,  Lessee
shall have access to the Premises at all times.

     (E) Holidays.  "Holidays,"  for the purposes of this Lease,  shall mean New
Year's  Day,   Observance  of  Memorial  Day,   Independence   Day,  Labor  Day,
Thanksgiving Day and Christmas Day.

<PAGE>

     42. LEASE  COMMENCEMENT.  Notwithstanding  anything contained herein to the
contrary,  if Lessor, for any reason  whatsoever,  except as provided in Section
27(B),  cannot deliver  possession of the Premises to Lessee at the commencement
of the agreed  term as set forth in  Section 2, this Lease  shall not be void or
voidable,  nor shall Lessor be liable to Lessee for any loss or damage resulting
therefrom,  but in that  event,  the  lease  term  shall be for the full term as
specified  above to commence from and after the date Lessor shall have delivered
possession  of the  Premises  to  Lessee  or from the  date  Lessor  would  have
delivered  possession  of the  Premises  to Lessee but for  Lessee's  failure to
cooperate  with Lessor as to the  information  required by Exhibit B (herein the
"Commencement Date") and to terminate midnight of the day immediately  preceding
the first day of the first month  following the Fifth (5th)  anniversary  of the
Commencement  Date,  and if requested by Lessor,  Lessor and Lessee shall,  by a
writing  signed  by the  parties,  ratify  and  confirm  said  commencement  and
termination dates.

     43.  NOTICES.  Any notice by either  party to the other shall be in writing
and shall be deemed to have been duly given only if delivered personally or sent
registered  mail or  certified  mail in a  postpaid  envelope  addressed,  if to
Lessee,  at the above  described  Building  (with a copy, by regular first class
mail, to  ________________________);  if to Lessor, at Lessor's address as first
set forth above in this Lease;  or, to either at such other address as Lessee or
Lessor,  respectively,  may designate in writing. Notice shall be deemed to have
been duly given,  if delivered  personally,  on delivery  thereof and if mailed,
upon receipt thereof.

     [PARAGRAPH 44 DELETED AND INITIALED}

     45. RENEWAL OPTION. Lessee is hereby granted one option to renew this Lease
upon the following terms and conditions:

     (A)  At the  time  of  the  exercise  of the  option  to  renew  and at the
     commencement  date of such  renewal,  Lessee  shall  not be in  default  in
     accordance  with the terms and  provisions  of this Lease,  and shall be in
     possession of the Premises pursuant to this Lease.

     (B)  Tentative  notice of the  exercise of the option  shall be sent to the
     Lessor,  in writing,  at least nine (9) months before the expiration of the
     term of this Lease.

     (C) The  renewal  term shall be for the single  term of Five (5) years,  to
     commence on the day following the expiration of the term of this Lease, and
     all of the terms and  conditions of this Lease,  other than the basic rent,
     shall apply during any such renewal term.

     (D) In the event  Lessee duly sends a notice of the  tentative  exercise of
     the option to renew,  Lessor shall, within 30 days following such exercise,
     notify Lessee in writing of the annual

<PAGE>

     basic rent to be paid during the said renewal  term,  which rental shall be
     the fair  rental  value as of the  commencement  of the  renewal  term,  as
     established by Lessor. Lessee shall then have the option,  exercisable only
     within  the 30 day period  following  the  giving of such  notification  by
     Lessor,  either to rescind  its  election  to renew the Lease or to dispute
     Lessor's determination. If Lessee elects to dispute Lessor's determination,
     then Lessee shall be free, at the Lessee's sole cost and expense, to employ
     the services of an appraiser  familiar with office buildings located within
     the Hempstead,  New York area comparable to the Building, who shall also be
     a member of MAI, to render an appraisal.  The election to dispute  Lessor's
     determination  shall be  deemed  to have  been  duly  exercised  only if an
     appraiser  selected  in  accordance  with the terms and  conditions  of the
     immediately  preceding  sentence  submits his  determination of fair rental
     value to  Lessor,  in  writing,  within  the  aforementioned  30 day period
     allowed lessee.  If Lessor and Lessee's  appraiser cannot agree on the fair
     rental value,  or in such case, on an independent  appraiser  acceptable to
     both, either party may request the local branch of the American Arbitration
     Association into appoint such independent appraiser,  who shall be a member
     of MAI  familiar  with office  buildings in the area of the Building and in
     such event the judgment of majority of the two  appraisers and Lessor shall
     be final and binding upon the parties.  The parties  shall share equally in
     the cost of any such independent appraiser. Pending resolution of the issue
     of fair rental  value  Lessee  shall pay Lessor as of  commencement  of the
     renewal term in question,  the basic rent as established by Lessor, subject
     to  adjustment  upon final  determination  of this  issue.  Notwithstanding
     anything  to the  contrary,  the annual  basic  rent to be paid  during the
     renewal term shall not be less than that paid for the  Premises  during the
     original term of the Lease.

     46.  REASONABLENESS.  In every  instance  in this  Lease  where any  costs,
expenses,  or fees may be  provided  to be payable  by Lessee or where  rules or
regulations may be provided which are enforceable against Lessee, each provision
in such  instance  shall be applied  reasonably.  In addition,  whenever in this
Lease the consent or approval of Lessor is required,  such consent  shall not be
unreasonably withheld or delayed,  except where Lessor's discretion is expressly
not limited.

     47. DUE  AUTHORIZATION.  Each of Lessor and Lessee  hereby  represents  and
warrants to the other that the person executing this Lease on its behalf is duly
authorized  to do so and that when fully  executed and  delivered by both Lessor
and Lessee this lease shall be an obligation fully binding on it, enforceable in
accordance with all the terms and provisions hereof.

<PAGE>

     IN WITNESS  WHEREOF,  the parties  hereto have hereunto set their hands and
seals the day and year first above written.

                                   HEMPSTEAD ASSOCIATES LIMITED PARTNERSHIP
                                   BY:  Hempstead Interests Corporation
                                        General Partner As Lessor
                                   As Lessor


                                   BY:  /s/ Signature on File
                                        Partner


                                   As Lessee

                                   BY:  /s/ Jerry Braun, CEO

<PAGE>

                                   EXHIBIT A


                                  [FLOOR PLAN]

<PAGE>

                                  EXHIBIT "B"

                               CLEANING SCHEDULE


AREAS TO BE SERVICED:    General, and private offices, lavatories, hallways,
                           lobby and public areas.

SERVICES TO BE RENDERED: Daily

Daily General Cleaning, Five Days Weekly     (Saturdays, Sundays, 
                                               Legal Holidays Excluded)

1.   Empty and clean all wastepaper baskets, ashtrays, receptacles, etc.
2.   Sweep all tile flooring.
3.   Vacuum carpeted areas.
4.   Hand dust office furniture and window sills.
5.   Wipe clean all fountains and coolers.
6.   Dust all open closet shelving (low dusting only).
7.   Remove wastepaper and refuse to designated area for removal by others.
8.   All stone, ceramic tile marble, terrazo and other unwaxed floors to be
     swept.
9.   Keep slop sink rooms clean, neat and in an orderly condition at all times.
10.  After cleaning, all lights shall be turned off, windows closed, doors
     locked and offices left in orderly condition.

Lavatories

1.   Sweep and wash all lavoratory floors nightly, using proper disinfectant.
2.   Wash all mirror, powder shelves and enamel surfaces and all lavatories
     nightly.
3.   Wash and disinfect all basins, bowls and urinals nightly.
4.   Wash all toilet seats nightly.
5.   Hand dust and clean partitions, tile walls, dispensers and receptacles.
6.   Empty paper towel receptacles and transport wastepaper to designated areas
     nightly.
7.   Fill toilet tissue holders, soap dispensers, hand towel and sanitary napkin
     dispensers nightly.
8.   Clean sanitary disposal receptacles nightly,
9.   Wash all wall tile and stall surfacees as often as necessary, but at least
     weekly.

                                  Exhibit "B"
                                  page 1 of 2

<PAGE>

Entrance, Lobbies, Elevators and Public Areas:

1.   Lobby walls, glass, to be wiped clean.
2.   Lobby entrance doors, windows to be washed (weekly).
3.   Wipe and wash all floors in Main Lobby nightly.
4.   Vacuum elevator floors nightly.
5.   All Corridors and hallways to be vacuumed nightly and spot cleaned where
     necessary.
6.   Sweep sidewalk in front of entrance.
7.   All Stairwells swept.

Window Cleaning:

1.   Wash all exterior windows two (2) times a year.

                                  Exhibit "B"
                                  page 2 of 2

<PAGE>

                                  EXHIBIT "C"

                           AIR CONDITIONING STANDARDS

     A year-round variable volume air conditioning system capable of maintaining
a temperature of 78 degrees F (plus or minus 2 degrees) and maximum relative
humidity of 50% when outside conditions are 95 degrees F DB, 76 degrees F WB
shall be furnished and installed. The foregoing standards of air conditioning
are based upon a population of no more than one occupant for each 140 square
feet of rentable area and one ceiling diffuser for each 200 square feet of
rental area.

     The system will provide air conditioning as aforesaid from 8 A.M. to 6 P.M.
on business days, 8 A.M. to 1 P.M. Saturdays (holidays and Sundays excluded).

     All heating will be provided by perimeter electric baseboard radiation with
heat output controlled by outside air temperature sensors for each exposure.

     An exhaust fan shall be provided in toilets plus 1 additional for every
15,000 square feet of rentable area.

     Additional air conditioning equipment for Tenant's layout or special
requirements shall be provided at Tenant's expense.

<PAGE>

                                  EXHIBIT "D"

                                  WORK LETTER

     Lessor shall provide and install the following material and complete the
following work in accordance with Lessee's plans submitted to and approved by
Lessor:

 Ceiling                        Tiles 2' x 4' exposed spline and
                                ceiling tile furnished and
                                installed throughout.

 Paint                          Prime coat and a finish coat selected from
                                Building Standard color selections throughout
                                space.

 Carpet & Vinyl Base            Lessor to provide
                                Building Standard commercial
                                carpet and vinyl base furnished
                                and installed. Carpet to be
                                selected from Lessor's standard
                                samples and from Building Standard
                                colors.

 Entrance Door                  Fire rated solid core door
 .
 Sprinkler System               Sprinkler heads furnished and installed
                                throughout.

 Interior Partitions            1/2" drywall and metal
                                stud partitions to ceiling height
                                each side with seams taped and
                                finished with three (3) coats of
                                joint compound ready for wall
                                finish.

 Demising Partitions            Partitions between tenants shall be of sound
                                attenuating construction, to the underside of
                                the roof or deck above, 3 1/2" metal studs,
                                fire code insulated drywall construction, 5/8"
                                sheetrock on each side with seams taped and
                                finished with three (3) coats of joint compound
                                ready for wall finish.

 Lighting                       2' x 4' Building Standard lighting
                                fixtures furnished and installed
                                throughout.

 Electrical                     One duplex electrical receptacle
                                (110 volt, 20 ampere) or one
                                switch for each 150 square feet
                                (net).

<PAGE>


 EXHIBIT D (CONTINUED)                                                    Pg 2.

 Venetian Blinds                Building Standard blinds shall
                                be provided in the Building
                                Standard color already selected by
                                Lessor. 

 Hardware                       Lessor to provide Building
                                Standard hardware for entry door
                                and Building Standard passage
                                hardware for office doors.

 Other Work; Exclusions

     Lessee may request that Lessor substitute alternate materials, equipment
and fixtures for those specified above, provided that such substitute items are
new and are of quality at least comparable to those replaced. In addition,
Lessee may request that Lessor omit the installation of any item or items not
theretofore installed, in which event Lessor shall thereupon be released from
any obligation to install the same at any time thereafter. If, upon Lessee's
request, Lessor shall utilize materials, or install equipment or fixtures, other
than those described above, Lessee shall pay to Lessor, on demand as additional
rent under the Lease, an amount equal to Lessor's cost for the substitute item.
Notwithstanding such payment by Lessee, the substitute item shall be and remain
the property of Lessor and shall not be removed by Lessee either before or after
the expiration date of the Lease.

<PAGE>

                                   EXHIBIT E

                             RULES AND REGULATIONS

     1. The rights of tenants in the entrances, corridors, elevators and
escalators of the Building are limited to ingress to and egress from the
tenant's premises for the tenants and their employees, licensees and invitees,
and no tenant shall use, or permit the use of, the entrances, corridors,
escalators or elevators for any other purpose. No tenant shall invite to the
tenant's premises, or permit the visit of, persons in such numbers or under such
conditions as to interfere with the use and enjoyment of any of the plazas,
entrances, corridors, escalators, elevators and other facilities of the Building
by other tenants. Fire exits are for emergency use only, and they shall not be
used for any other purpose by the tenants, their employees, Licensees or
invitees. No tenant shall encumber or obstruct, or permit the encumbrance or
obstruction of any of the sidewalks, plazas, entrances, corridors, escalators,
elevators, fire exits or stairways of the Building. The landlord reserves the
right to control and operate the public portions of the Building and the public
facilities, as well as facilities furnished for the common use of the tenants,
in such manner as it deems best for the benefit of the tenants generally.

     2. The Landlord may refuse admission to the Building outside of ordinary
business hours to any person not having a pass issued by the Landlord or the
tenant whose premises are to be entered or not otherwise properly identified,
and may require all persons admitted to or leaving the Building outside of
ordinary business hours to register. Any person whose presence in the Building
at any time shall, in the judgment of the Landlord, be prejudicial to the
safety, character, reputation and interests of the Building or of its tenants
may be denied access to the Building or may be ejected therefrom. In case of
invasion, riot, public excitement or other commotion the Landlord may prevent
all access to the Building during the continuance of the same, by closing the
doors or otherwise, for the safety of the tenants and protection of property of
the Building. The landlord may require any person leaving the Building with any
package or other object to exhibit a pass from the tenant from whose

                                    EXHIBIT E
                                  Page 1 of 5

<PAGE>

EXHIBIT E -- (continued)

premises the package or object is being removed, but the establishment and
enforcement of such requirement shall not impose any responsibility on the
Landlord for the protection of any tenant against the removal of property from
the premises of the tenant. The Landlord shall in no way be liable to any
tenant. The Landlord shall in no way be liable to any tenant for damages or loss
arising from the admission exclusion or ejection or any person to or from the
tenant's premises or the Building under the provisions of this rule. Canvassing,
soliciting or peddling in the Building is prohibited and every tenant shall
cooperate to prevent the same.

     3. No tenant shall obtain or accept for use in its premises ice, drinking
water, food, beverage, towel, barbering, boot blacking, floor polishing,
lighting maintenance, cleaning or other similar services from any persons not
authorized by the Landlord in writing to furnish such services, provided that
the charges for such services by persons authorized by the Landlord are not
excessive and where appropriate and consonant with the security and proper
operation of the Building, sufficient persons are so authorized for the same
service to provide tenants with a reasonably competitive selection. Such
services shall be furnished only at such hours in such places within the
tenant's premises and under such reasonable regulations as may be fixed by the
Landlord.

     4. The cost of repairing any damage to the public portions of the Building
or the public facilities or to any facilities used in common with other tenants,
caused by the negligence of tenant or the employees, licensees or invitees of
the tenant, shall be paid by such tenant.

     5. No lettering, sign, advertisement, notice or object shall be displayed
in or on the windows or doors, or on the outside of any tenant's premises, or at
any point inside any tenant's premises where the same might be visible outside
of such premises, except that the name of the tenant may be displayed on the
entrance door of the tenant's premises, and in the elevator lobbies of the
floors which are occupied entirely by any tenant, subject to the approval of the
Landlord as to the size, color and style of such display. The inscription of the
name of the tenant on the door of the tenant's premises shall be done by the
Landlord at the expense of the tenant. Listing of the name of the tenant on the
directory boards in the Building shall be done by the Landlord at its expense;
any other listings shall be in the discretion of the Landlord.

                                    EXHIBIT E
                                  Page 2 of 5

<PAGE>

EXHIBIT E -- (continued)

     6. No awning or other projections over or around the windows shall be
installed by any tenant, and only such window blinds as are supplied or
permitted by the Landlord shall be used in a tenant's premises. Linoleum, tile
or other floor covering shall be laid in a tenant's premises only in a manner
approved by the Landlord.

     7. The Landlord shall have the right to prescribe the weight and position
of safe and other objects of excessive weight, and no safe or other object whose
weight exceeds the lawful load for the area upon which it would stand shall be
brought into or kept upon a tenant's premises. If, in the judgment of the
Landlord, it is necessary to distribute the concentrated weight of any heavy
object, the work involved in such distribution shall be done at the expense of
the tenant and in such manner as the Landlord shall determine. The moving of
safe and other heavy objects shall take place only outside of ordinary business
hours upon previous notice to the Landlord, and the persons employed to move the
same in and out of the Building shall be reasonably acceptable to the Landlord
and, if so require by law, shall hold a Master Rigger's license. Freight,
furniture, business equipment, merchandise and bulky matter of any description
shall be delivered to and removed from the premises only in the freight
elevators and through the service entrances and corridors, and only during hours
and in a manner approved by the Landlord. Arrangements will be made by the
Landlord with any tenant for moving large quantities of furniture and equipment
into or out of the building.

     8. No machines or mechanical equipment of any kind other than typewriters
and other ordinary portable business machines, may be installed or operated in
any tenant's premises without Landlord's prior written consent, and in no case
(even where the same are of a type so excepted or as so consented to by
Landlord) shall any machines or mechanical equipment be so placed or operated as
to disturb other tenants; but machines and mechanical equipment which may be
permitted to be installed and used in a tenant's premises shall be so equipped,
installed and maintained by such tenant as to prevent any disturbing noise,
vibration or electrical or other interference from being transmitted from such
premises to any other area of the Building.

                                    EXHIBIT E
                                  Page 3 of 5

<PAGE>

EXHIBIT E -- (continued)

     9. No noise, including the playing of any musical instruments, radio or
television, which, in the judgement of the landlord, might disturb other tenants
in the Building, shall be made or permitted by any tenant, and no cooking shall
be done in the tenant's premises, except as expressly approved by the Landlord.
Nothing shall be done or permitted in any tenant's premises, which would impair
or interfere with any of the Building Services or the proper and economic
heating, cleaning or other servicing of the Building or the premises, or the use
or enjoyment by any other tenant of any other premises, nor shall there be
installed by any tenant any ventilating, air conditioning, electrical or other
equipment of any kind which, in the judgment of the landlord, might cause any
such impairment or interference. No dangerous, inflammable, combustible or
explosive object of material shall be brought into the Building by any tenant or
with the permission of any tenant. Any cuspidors or similar containers or
receptacles used in any tenant's premises shall be cared for and cleaned by and
at the expense of the tenant.

     10. No acids, vapors or other materials shall be discharged or permitted to
be discharged into the waste lines, vents or flues of the Building which may
damage them. The water and wash closets and other plumbing fixtures in or
serving any tenant's premises shall not be used for any purpose other than the
purpose for which they were designed or constructed, and no sweepings, rubbish,
rags, acids or other foreign substances shall be deposited therein.

     11. No additional locks or bolts of any kind shall be placed upon any of
the doors or windows in any tenant's premises and no lock an any door therein
shall be changed or altered in any respect without the landlord's prior written
consent. Additional keys for a tenant's premises and toilet rooms shall be
procured only from the landlord, which may make a reasonable charge therefor.
Upon the termination of a tenant's lease, all keys of the tenant's premises and
toilet rooms shall be delivered to the landlord.

     12. All entrance doors in each tenant's premises shall be left locked and
all windows shall be left closed by the tenant when the tenant's premises are
not in use. Entrance doors shall not be left open at any time.

                                    EXHIBIT E
                                  Page 4 of 5

<PAGE>

EXHIBIT E -- (continued)

     13. Hand trucks not equipped with rubber tires and side guards shall not be
used within the Building.

     14. All windows in each tenant's premises shall be kept closed and all
blinds therein above the ground floor shall be lowered when and as reasonably
required because of the position of the sun, during the operation of the
Building air conditioning system to cool or ventilate the tenant's premises.

     15. The Landlord reserves the right to rescind, alter or waive any rule or
regulation at any time prescribed for the Building when, in its judgment, it
deems it necessary, desirable or proper for its best interest and for the best
interests of the tenants, and no alteration or waiver of any rule or regulation
in favor of one tenant shall operate as an alteration or waiver in favor of any
other tenant. The Landlord shall not be responsible to any tenant for the
non-observance or violation by any other tenant of any of the rules and
regulations at any time prescribed by the Building.

                                    EXHIBIT E
                                  Page 5 of 5


Form 3264 
Standard N.Y.B.T.U. Form 8001-8-63-Bargain and Sale Deed, without Covenants
against Grantor's Acts-Individual or Corporation (single sheet)

CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE
USED BY LAWYERS ONLY.


THIS INDENTURE, made the 22nd day of April, nineteen hundred and ninety-four
     BETWEEN   Tiara Realty Co., a New York partnership with offices at 4819
               13th Avenue, Brooklyn, New York 11219

party of the first part, and New York Health Care, Inc., a New York corporation
                        with offices at 1667 Flatbush Avenue, Brooklyn, New York

party of the second part,

WITNESSETH,  that the party of the first part, in  consideration  of Ten Dollars
and other  valuable  consideration  paid by the party of the second  part,  does
hereby  grant  and  release  unto the  party of the  second  part,  the heirs or
successors and assigns of the party of the second part forever,

ALL  that  certain  plot,  piece or  parcel  of land,  with  the  buildings  and
improvements thereon erected,  situate, lying and being in the State and City of
New York, County of Kings as more particularly described on Schedule "A" annexed
hereto and known by the street address 1667 Flatbush Avenue, Brooklyn, New York






TOGETHER with all right,  title and interest,  if any, of the party of the first
part of, in and to any streets and roads abutting the  above-described  premises
to the center lines thereof;  TOGETHER with the appurtenances and all the estate
and rights of the party of the first part in and to said  premises;  TO HAVE AND
TO HOLD the premises herein granted unto the party of the second part, the heirs
or successors and assigns of the party of the second part forever. 

AND the party of the first part, in compliance with Section 13 of the Lien Law,
covenants that the party of the first part will receive the consideration for
this conveyance and will hold the right to receive such consideration as a trust
fund to be applied first for the purpose of paying the cost of the improvement
and will apply the same first to the payment of the cost of the improvement
before using any part of the total of the same for any other purpose. 

The word "party" shall be construed as if it read "parties" whenever the sense
of this indenture so requires.

IN WITNESS WHEREOF, the party of the first part has duly executed this deed the
day and year first above written.

IN PRESENCE OF:
                                                      TIARA REALTY CO.



                                              By:     /s/ Isaac Rokowsky
                                                  ------------------------------
                                                      Partner


<PAGE>


STATE OF NEW YORK, COUNTY OF New York   SS:

On the 22 day of April 1994, before me personally came Isaac Rokowsky to me
known to be the individual described in and who executed the foregoing
instrument, and acknowledged that he executed the same as partner

                             /s/ Martin Silverstein
                               MARTIN SILVERSTEIN
                        Notary Public, State of New York
                                  No. 4696011
                           Qualified in Nassau County
                        Commission Expires Nov. 30, 1995

STATE OF NEW YORK, COUNTY OF ___________ SS:

On the ____ day of ____ 19___, before me personally came _________________ to me
known,  who,  being by me duly sworn,  did depose and say that he resides at No.
________;  that he is the  _________________ of ______________,  the corporation
described in and which executed the foregoing instrument; that he knows the seal
of said corporation;  that the seal affixed to said instrument is such corporate
seal;  that is was so  affixed  by  order  to the  board  of  directors  of said
corporation, and that he signed h___ name thereto by like order.



STATE OF NEW YORK,  COUNTY OF  ___________  SS: On the  _____day of _____ 19___,
before me personally  came  _________________  to me known to be the  individual
described in and who executed the foregoing  instrument,  and acknowledged  that
_________ executed the same.

STATE OF NEW YORK,  COUNTY  OF  ___________  SS: On the ____ day of ____  19___,
before me  personally  came  _________________  the  subscribing  witness to the
foregoing  instrument,  with whom I am personally  acquainted,  who, being by me
duly sworn,  did depose and say that he resides at No. __________; that he knows
______________ to be the individual described in and who executed the foregoing
instrument;  that he,  said  subscribing  witness,  was  present and saw _______
execute the same; and that he, said witness,  at the same time  subscribed  h___
name as witness thereto.


                             Bargain and Sale Deed
                    WITHOUT COVENANT AGAINST GRANTOR'S ACTS
TITLE NO.
================================================================================
                                TIARA REALTY CO.

                                       TO

                           NEW YORK HEALTH CARE, INC.

================================================================================
             STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS

                                 DISTRIBUTED BY
                            [LOGO] COMMONWEALTH LAND
                             TITLE INSURANCE COMPANY

SECTION
BLOCK          75
LOT            9
COUNTY OF KINGS

Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY

RETURN BY MAIL TO:

- --------------------------------------------------------------------------------
Aaron Stein, Esq.
1499 Coney Island Avenue
Brooklyn, New York

                                                                   Zip No. 11230
- --------------------------------------------------------------------------------


- --------------------------------------------------------------------------------
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE





- --------------------------------------------------------------------------------
Form B-3264

<PAGE>


                          Village Abstract of N.Y. Inc.
                                  as agent for
                        American Title Insurance Company
                                Northeast Region

                                   SCHEDULE A

     ALL that certain plot, piece or parcel of land with the buildings and
improvements thereon erected, situate, lying and being in the Borough of
Brooklyn, County of Kings, City and State of New York, bounded and described as
follows:

BEGINNING at a point on the  northeasterly  side of Flatbush  Avenue,  distant 5
feet   northwesterly   from  the  corner  formed  by  the  intersection  of  the
northeasterly side of Flatbush Avenue and the northerly side of Avenue I;

Running thence northeasterly, at right angles to Flatbush Avenue and part of the
distance through a party wall, 95 feet 5-1/2 inches;

Thence westerly, parallel with Avenue I, 5 feet 1-1/2 inches;

Thence northerly, parallel with East 34th Street, 20 feet 8-1/2 inches;

Thence  southwesterly,  at  right  angles  to  Flatbush  Avenue  and part of the
distance through a party wall, 102 feet 10 inches to the  northeasterly  side of
Flatbush Avenue;

Thence southeasterly along the northeasterly side of Flatbush Avenue, 20 feet to
the point or place of BEGINNING.




For Conveyancing Only
Together  with all right title and  interest of, in and to any streets and roads
abutting the above described premises.

Our policies of title insurance include such buildings and improvements thereon
which by law constitute real property, unless specifically excepted therein. Now
is the time to determine whether we have examined all of the property and
easements which you desire to be insured. If there are appurtenant easements to
be insured, please request such insurance. In some cases, our rate manual
provides for an additional charge for such insurance.




                       NEW YORK HEALTH CARE INC. AGREEMENT

     AGREEMENT  made as of the 31st day of March,  1988 by and among JERRY BRAUN
("Braun"),  residing at 929 East 28th Street,  Brooklyn,  New York 11210, SAMSON
SOROKA ("Soroka"),  residing at 1228 East 22nd Street, Brooklyn, New York 11210,
JACOB ROSENBERG  ("Rosenberg"),  residing at 932 East 29th Street, Brooklyn, New
York 11210, (hereinafter referred to collectively as the "Group A Shareholders")
and HERSH CHITRIK ("Chitrik") residing at 1401 President Street,  Brooklyn,  New
York 11213 and SID BORENSTEIN  ("Borenstein") residing at 1246 East 10th Street,
Brooklyn, New York 11230, each natural person, firm or entity which subsequently
becomes  a  shareholder  of  the  Company  and a  signatory  to  this  Agreement
(hereinafter,  together with the Group A Shareholders,  collectively  called the
"Equityholders"),  and NEW YORK HEALTH CARE, INC., a New York corporation having
an address at 4211 13th Avenue, Brooklyn, New York 11219 (the "Company").

                              W I T N E S S E T H :

     WHEREAS,  the Company has been duly  organized  and is  presently  existing
under the laws of the State of New York and is presently authorized to issue 200
shares of voting common stock, without par value ("Common Stock");


<PAGE>


     WHEREAS, the Group A Shareholders have formed and operated the Company;

     WHEREAS,  Chitrik and Borenstein are desirous of becoming  shareholders  of
the Company;

     WHEREAS,  it is deemed in the best interests of the Company and the Group A
Shareholders that provision be made for continuity and stability of the business
and policies of the Company, and, to that end, to provide for certain rights and
obligations  upon the occurrence of certain  events,  all to the extent and upon
the terms and conditions hereinafter set forth.

     NOW, THEREFORE,  in consideration of the premises and the mutual agreements
hereinafter set forth, the parties hereto agree as follows:

     1. Equity Interest.

          (a) Each Group A  Shareholder  presently  owns the number of shares of
     Common Stock set forth  opposite his name below,  which Common Stock in the
     aggregate  constitutes all the Company's outstanding Common Stock as of the
     date of this Agreement:

                                                          Number of shares of
     Name of Group A Shareholder                          Common Stock
     ---------------------------                          -------------------
     Braun                                                       20
     Soroka                                                      10
     Rosenberg                                                   10



                                        2

<PAGE>



          (b) Subject to the terms and  provisions  of this  Agreement  and upon
     fulfillment by Chitrik and Borenstein of their  obligations as set forth in
     this Agreement, the Group A Shareholders jointly agree to sell and transfer
     to Chitrik and  Borenstein,  and Chitrik and  Borenstein  jointly  agree to
     purchase  the number of shares of common  stock set forth below at opposite
     their  respective names provided,  however,  that the Company first applies
     for and receives  permission  for the proposed  transfer of shares from the
     New York State Department of Health;

     Name of Shareholder                         Number of Shares to be Issued
     -------------------                         -----------------------------

     Chitrik                                                 8
     Borenstein                                              2

          (c) From and  after  the date of this  Agreement,  and  provided  that
     Chitrik and Borenstein  have fully  complied with their  obligations as set
     forth in this  Agreement,  they  will each be  entitled  to  receive  their
     respective  distribution,  as set forth in the table immediately  below, of
     distributable earnings from the Company ("Equity Interest"), but shall have
     no right to vote in any matter in which  shareholders  of the  Company  may
     vote until such time as an  appropriate  application  to the New York State
     Department of Health for the sale and transfer of shares of common stock of
     the Company has been approved:


                                        3

<PAGE>


     Name                                                       Equity Interest
     ----                                                       ---------------
     Braun                                                      37.50%
     Soroka                                                     18.75%
     Rosenberg                                                  18.75%
     Chitrik                                                    20%
     Borenstein                                                 5%

     2. Directors and Officers. 

          (a) The Directors of the Company shall be Braun,  Soroka and Rosenberg
     until their successors are elected by the Company's shareholders.

          (b) The  officers of the  Corporation  shall be as follows:  President
     Braun Vice President and Secretary Rosenberg Treasurer Soroka

     3.  Chitrik's  Obligation to Obtain Credit Line. The provision of an Equity
Interest in the Company to Chitrik and  Borenstein as provided in this Agreement
is contingent upon Chitrik obtaining for the Corporation a revolving credit line
with a reputable  lending  institution  in an amount not less than Eight Hundred
Thousand  ($800,000.00)  Dollars.  The Credit Line (the "Credit  Line") shall be
available at the date of closing of this  Agreement.  The Credit Line shall bear
interest in an amount not greater than two points above the Citibank prime rate.
It is


                                        4

<PAGE>


agreed to and understood by the shareholders that Braun,,  Chitrik,  Borenstein,
Rosenberg and Soroka will personally guarantee the Credit Line.

     4. Priority Rights of Group A Shareholders to Withdraw.

          (a) The parties  acknowledge  and agree that as of the date hereof the
     Corporation has retained and not yet distributed  profits of  approximately
     $365,000 (referred to herein as "Net Accounts Receivable").

          (b) It is understood  that the Net Accounts  Receivable are subject to
     verification by the review thereof by a Certified Public Accountant and are
     subject to collection by the Company.

          (c) The Group A Shareholders  are to exclusively  receive and have the
     right  to   exclusively   withdraw  one  hundred   (100%)  percent  of  any
     distributions  of the  Company  until  such  time as they  recover  the Net
     Account  Receivable  referred to in  subparagraph  (a) of this Paragraph 4.
     Said  distributions  are subject to the provisions of  subparagraph  (b) of
     Paragraph 10 herein.

          (d) After the Group A  Shareholders  have been fully paid  pursuant to
     subparagraph (c) of this Paragraph 4, all


                                        5

<PAGE>


distributions  of the  Company  are to be made on a pro-rata  basis based on the
Equity Interest set forth in paragraph 1(b) above.

          (e) In the event the Company is dissolved and the Group A Shareholders
     have not received the full Net Account  Receivable,  then, after the Credit
     Line is paid back in full,  the Group A  Shareholders  shall be entitled to
     the remaining  dissolution proceeds to the extent of the balance of the Net
     Account Receivable.  Any excess remaining  thereafter shall be divided on a
     pro-rata basis in accordance with the Equity Interests.

     5.  Business  of  Company.  The  Company  shall,  directly  or through  its
subsidiaries  or  affiliates,  continue to engage in the businesses of operating
nursing and/or home care agencies and related  activities for its own account or
the  account  of  others  and  such  other  activities  as may be  necessary  or
appropriate to promote the businesses of the Company.

     6. Legend on Certificates.  The following  statements shall be inscribed on
all certificates  representing Shares (or any certificate  received with respect
thereto) so long as this Agreement is in effect:

     "The  shares  represented  by this  certificate  are  subject  to a certain
     Equityholders  Agreement  dated as of March 31,  1988,  and any  amendments
     thereto,  a copy  of  which  is on  file  at the  principal  office  of the
     Corporation, and any sale,


                                        6

<PAGE>



     pledge,  gift,  bequest,   transfer,   assignment,   encumbrance  or  other
     disposition of this  certificate  in violation of said  Agreement  shall be
     invalid".

     "The shares  represented by this certificate have not been registered under
     the Securities Act of 1933, as amended.  The shares have been acquired f or
     investment and may not be offered for sale, sold, or otherwise  distributed
     within the meaning of said Act in the absence of any effective registration
     statement  f or such  shares  under said Act or an opinion of counsel  that
     Registration is not required thereunder."

     7. Term of  Agreement.  This  Agreement  shall  continue  in full force and
effect  until the  earlier  of (i)  termination  by the  mutual  consent  of the
Equityholders,  (ii) with respect to a Group A  Shareholder  who  transfers  his
shares in accordance with the provisions of Paragraph 7 of this Agreement,  upon
the transfer of all such shares, (iii) the dissolution of the corporation,  (iv)
an uncured event of default on the part of Chitrik or Borenstein or (v) pursuant
to other provisions of this Agreement.

     8. Voluntary Disposition.

          (a) Each Group A Shareholder  hereby agrees that he shall not sell, or
     directly or indirectly transfer,  assign,  distribute,  encumber, pledge or
     otherwise  dispose of (herein  referred to as a  "Disposition")  any Common
     Stock,  whether now owned or hereafter acquired,  except in compliance with
     the provisions of


                                       7

<PAGE>



     this  Agreement  and  after the  Company  has  first  applied  for and then
     received  permission for the proposed  transfer of shares from the New York
     State Department of Health.  In addition,  the Company agrees that it shall
     not issue or  transfer  any  Common  Stock,  unless  such  Common  Stock is
     acquired  subject to the provisions of this Agreement and after the Company
     has  first  applied  for and  then  received  permission  for the  proposed
     transfer of shares from the New York State Department of Health.

          (b) In the event a Group A Shareholder  proposes to make a Disposition
     of any or all of his Common Stock,  such Group A  Shareholder  (hereinafter
     called a  "Selling  Shareholder")  shall  deliver to the  Company  and each
     Equityholder  written notice of his intention to make such Disposition sent
     by registered mail, return receipt requested.  Such notice shall constitute
     an irrevocable  offer to sell said Common Stock to the Company for a period
     of 30  calendar  days  and  shall  set  forth  the  proposed  terms of such
     Disposition, including the offering price per share of the Common Stock and
     the terms of payment.  Each non selling  Equityholder  of the Company shall
     have the right for said 30 day  period to  accept,  in  proportion  to such
     Equityholders'  Equity Interest,  the offer made by the Selling Shareholder
     and not purchased by the Company.


                                        8

<PAGE>



          (c) In the event that none of the  Equityholders  accept  said  offer,
     then the Company  shall have the right,  for a period of 30  calendar  days
     after the expiration of the 30 day period referred to in  subparagraph  (b)
     of this  Paragraph  8, to accept the offer made by the Selling  Shareholder
     and not purchased by the Shareholders.

          (d) If the Company and the non-selling Equityholders do not accept the
     Selling  Shareholder's  offer,  the  Selling  Shareholder  may,  after  the
     expiration  of  the  two   consecutive   30-day  periods   referred  to  in
     subparagraphs  (b) and (c) of this Paragraph 8, effect a Disposition to any
     third  party  of  Common  Stock  offered  to  the  Company  and  the  other
     Equityholders  and not  purchased  hereunder;  provided  that  the  Selling
     Shareholder  may not  effect  such  Disposition  on  terms  which  are more
     favorable to such a third party than those  contained in the original offer
     delivered  pursuant to  subparagraph  (c) of this  Paragraph 8 without once
     again  offering  said  stock for sale  pursuant  to this  Paragraph  6, and
     provided,  further,  that the proposed purchaser of the Common Stock agrees
     to become a signatory to this  Agreement and be bound by its terms and that
     the  Company  has  applied for and  received  permission  for the  proposed
     transfer of said stock from the New York State Department of Health.


                                        9

<PAGE>



          (e) Any transferee of Common Stock hereunder  shall, as a condition to
     transfer, agree to be bound by the provisions of this Agreement.

          (f) The shares of stock issued to the remaining  Group A  Stockholders
     or a third party pursuant to the provisions of this paragraph  shall bear a
     restrictive   endorsement   similar  to  that   contained  in  Paragraph  6
     hereinabove.

          (g) In the event the  Selling  Shareholder  sells all of his shares in
     the  Company,  such  Selling  Shareholder  shall  resign as an officer  and
     director of the Company,  whether such sale be to a remaining Equityholder,
     the Company,  or a third  party.  If such sale be of all the shares of such
     Group A  Shareholder  and to a third party,  the third party shall have the
     right to become a director,  and an officer of the Company, and a signatory
     on the Company bank account.  If the sale be of less than all of the shares
     of the Selling Shareholder, then a determination as to whether such Selling
     Shareholder shall remain either or both of an officer or directors shall be
     part of the  terms and  conditions  of the offer to sell,  and  decided  in
     accordance therewith.

          (h)  Notwithstanding  anything to the contrary contained  hereinabove,
     neither Chitrik and Borenstein may not sell


                                       10

<PAGE>



their respective  Equity Interests in the Company without the unanimous  consent
of all the Group A Shareholders of the Company.

     11. Arbitration. All disputes,  differences and controversies arising under
or in connection  with this Agreement and not resolved within 120 days of notice
that said  dispute,  difference  or  controversy  exists,  shall be settled  and
finally  determined by binding  arbitration under the then existing rules of the
American  Arbitration  Association  (or such  other  mechanism  as  agreed to in
writing by all parties hereto).

     13.  Professional  Review. The Shareholders shall have a right to retain at
their  own  cost  and  expense  any  professional  they  desire  to  review  any
professional work done for the Company.

     14.  Bankruptcy In the event that any  Equityholder  becomes the subject of
any bankruptcy or  reorganization,  or other proceeding  analogous in purpose or
effect,  including the  employment of a receiver,  trustee or liquidator for any
such  purpose,  the  remaining  Group A  Shareholders  shall  have the  right to
purchase the shares of the Company held by the bankrupt party upon the tender of
the purchase price  thereof.  Said purchase price shall be the fair market value
of said stock. Said fair market value shall be determined by an expert appraiser
chosen by the Board of Directors, excluding said bankrupt party. A second expert
appraiser shall be


                                       11

<PAGE>



chosen by the bankrupt party and a third expert appraiser shall be chosen by the
two expert appraisers.

     15. Broker. The Shareholders jointly and severally represent that they have
not employed any broker,  or finder or incurred any  liability for any brokerage
fees,  commissions,,  or  finder's  fees  in  connection  with  the  transaction
contemplated by this Agreement.

     16.  Notices.  All  notices,  requests,  demands  and other  communications
required or permitted  hereunder shall be in writing and shall be deemed to have
been duly given if delivered by hand or mailed, certified, registered or express
mail,  with postage  prepaid to the parties at their  respective  addresses  set
forth on the first page of this  Agreement  or such other place as  indicated by
any of the Equityholders, in writing.

     17.  Severability,  Governing  Law. If any  provision of this  Agreement is
determined to be illegal or unenforceable by a court of law having  jurisdiction
over the parties,  the remaining  provisions shall be severed and constitute the
entire agreement of the parties.  The Agreement shall be governed by the laws of
the State of New York for  agreements  made and performed in New York by parties
which are resident in New York.


                                       12

<PAGE>



     19. Modification. This Agreement may not be modified or amended except by a
subsequent writing signed b each of the parties.  This Agreement,  together with
riders,  if any,  attached  hereto and  initialled by the  Equityholder  and the
Company,  is the  entire  agreement  of the  parties  and  supersedes  all prior
agreements and  understandings  among the parties  concerning the subject matter
hereof.

     20. Benefits of Agreement.

     Except as otherwise  expressly  provided  herein,  this Agreement  shall be
binding upon and inure to the benefit of the Company,  each of the Equityholders
and their respective heirs,  personal  representatives,  successors and assigns;
provided,, however, that nothing contained herein shall be construed as granting
any Equityholder the right to transfer his Equity Interest,  except as expressly
provided in this Agreement.

     21. Headings. The section headings contained herein are for the purposes of
conveniences  only and are not  intended to define or limit the contents of said
sections.

     22. Additional Documents.  Each party hereto shall cooperate and shall take
such further action and shall execute and deliver such further  documents as may
be reasonably requested by


                                       13

<PAGE>


any  other  party in order to carry  out the  provisions  and  purposes  of this
Agreement.

     23.   Counterparts.   This  Agreement  may  be  executed  in  one  or  more
counterparts all of which taken together shall be deemed one original.

     IN WITNESS  WHEREOF,  the parties  hereto have caused this  Agreement to be
duly executed as of the day and year first above written.  

 NEW YORK HEALTH CARE, INC.

By: /s/ Jerry Braun                         /s/ Jerry Braun
   -----------------------------            ------------------------------------
   Jerry Braun, Pres.                       JERRY BRAUN


/s/ Jacob Rosenberg                         /s/ Samson Soroka
- --------------------------------            ------------------------------------
JACOB ROSENBERG                             SAMSON SOROKA


/s/ Hirsch Chitrik                          /s/ Sid Borenstein
- --------------------------------            ------------------------------------
HIRSCH CHITRIK                              SID BORENSTEIN


                                       14



          NOTE: THIS LEASE PROVIDES,  IN ARTICLE 6, FOR THE FURNISHING
          BY THE  LANDLORD  TO  THE  TENANT  OF  ELECTRICITY  AND  AIR
          CONDITIONING. IF THE TENANT IS TO OBTAIN ITS OWN ELECTRICITY
          BY SEPARATE  METER,  SUBDIVISION  (e) SHOULD BE DELETED FROM
          ARTICLE   6;  IF  THE   LANDLORD   IS  NOT  TO  SUPPLY   AIR
          CONDITIONING, SUBDIVISION (f) SHOULD BE DELETED THEREFROM.

Lease, made the 1 day of NOVEMBER 1994 between JOFFE MANAGEMENT whose address is
POB 853 Monsey, NY 10952 (hereinafter  called Landlord) and NEW YORK HEALTH CARE
INC. whose address is 49 S. MAIN ST. SPRING VALLEY, NY 10977 (hereinafter called
Tenant)

DESCRIPTION WITNESSETH: Landlord hereby leases to Tenant and Tenant hereby hires
from  Landlord,  the space as  presently  constituted  (hereinafter  called  the
Premises) known as 104 on the MIDDLE floor in the building known as THE ROCKLAND
EMPIRE BLDG. in 49 S. MAIN ST., SPRING VALLEY New York  (hereinafter  called the
Building),

TERM
FOR A TERM  to  commence  on  OCTOBER  1,  1994  and end at 12  o'clock  noon on
SEPTEMBER  30,  1999 or on such  earlier  date as this  Lease may  terminate  as
hereinafter  provided,  except  that,  if any such  date  falls on a Sunday or a
holiday,  then this Lease shall end at 12 o'clock  noon on the business day next
preceding  the  aforementioned  date,  AT THE ANNUAL  RENTAL RATE OF  $10,800.00
$900.00 MONTH

RENTAL
THERE IS NO RENT DUE THE FIRST YEAR  UNTIL  SEPTEMBER  30,  1995 RENT IS PAYABLE
STARTING OCTOBER 1, 1995 AT THE RATE OF $900.00 MONTHLY.

payable  in equal  monthly  instalments,  in  advance,  on the first day of each
calendar month during the term. Landlord acknowledges receipt from Tenant of the
sum of $ __________ by check,  for rent to and including the  __________  day of
__________ 19__. If Landlord is unable to give possession of the Premises on the
date of  commencement of the term of this Lease by reason of the holding over of
any tenant or occupant, or because construction, repairs or improvements are not
completed, rent shall abate for the period that possession by Tenant is delayed.
If such delay shall continue for more than 45 days,  then Tenant may,  within 10
days  after the  expiration  of said 45 day  period,  give  Landlord a notice of
election to terminate this Lease. Unless possession of the Premises shall sooner
be made  available to Tenant,  this Lease shall  terminate on the 10th day after
the giving of said notice and Landlord shall return to Tenant the  consideration
paid. Landlord shall have no obligation to Tenant for failure to give possession
except as above provided.

     The parties further agree as follows:

PURPOSE

1.  Tenant shall use and occupy the Premises as

     A BUSINESS OFFICE

and for no other purpose.  Landlord represents that the Premises may lawfully be
used for said purpose.

COVENANT TO PAY RENT

2. Tenant  shall pay rent and  additional  rent to Landlord at  Landlord's  said
address or at such other place as Landlord  may  designate  in writing,  without
demand and without counterclaim, deduction or set-off.

CARE AND REPAIR OF PREMISES

3. Tenant  shall commit no act of waste and shall take good care of the Premises
and the fixtures and appurtenances  therein, and shall, in the use and occupancy
of the Premises,  conform,  to all laws,  orders and regulations of the Federal,
State and Municipal governments, or any of their departments, and regulations of
the New York Board of Fire  Underwriters,  applicable  to the  Premises,  except
where the  repair  has been made  necessary  by misuse or  neglect  by Tenant or
Tenant's  agents,  servants,  visitors or licensees.  All  improvements  made by
Tenant to the Premises which are so attached to the Premises that they cannot be
removed without  material  injury to the Premises,  shall become the property of
Landlord  upon  installation.  Not later  than the last day of the term  Tenant,
shall, at Tenant's  expense,  remove all of Tenant's personal property and those
improvements  made by Tenant  which have not become the  property  of  Landlord,
including trade fixtures,  cabinet work,  movable  paneling,  partitions and the
like,  repair all  injury  done by or in  connection  with the  installation  or
removal of said property and improvements, and surrender the Premises in as good
condition as they were at the beginning of the term, reasonable wear, and damage
by fire, the elements, casualty, or other cause not due to the misuse or neglect
by Tenant or Tenant's agents,  servants,  visitors or licensees,  excepted.  All
property of Tenant  remaining on the Premises  after the last day of the term of
this  Lease  shall  conclusively  be  deemed  abandoned  and may be  removed  by
Landlord,  and Tenant shall  reimburse  Landlord  for the cost of such  removal.
Landlord may have any such property stored at Tenant's risk and expense.

NEGATIVE COVENANTS
NO ASSIGNMENT NO SUBLETTING

4.  Tenant  shall  not,  without   Landlord's   written  consent  (a)  make  any
alterations,  additions or improvements in, to or about the Premises;  (b) do or
suffer  anything to be done on the Premises which will increase the rate of fire
insurance  on the  Building;  (c)  permit  the  accumulation  of waste or refuse
matter;  (d) abandon the  Premises  or suffer the  Premises to become  vacant or
deserted; or (e) assign, mortgage, pledge or encumber this Lease, in whole or in
part, or underlet the Premises or any part thereof.  Covenant (e) above shall be
binding upon the legal  representatives of Tenant, and upon every person to whom
Tenant's  interest  under this Lease  passes by  operation of law, but shall not
apply to  assignment  or  subletting  to the parent or subsidiary of a corporate
Tenant or to consolidation or merger of such Tenant.


<PAGE>


RULES AND REGULATIONS

5. Tenant shall  observe and comply with the rules and  regulations  hereinafter
set forth,  which are made part hereof,  and with such further  reasonable rules
and regulations as Landlord may prescribe,  on written notice to Tenant, for the
safety,  care  and  cleanliness  of the  Building  and the  comfort,  quiet  and
convenience of other occupants of the Building.

SERVICES
ELEVATOR, HEAT, WATER, CLEANING
ELECTRICITY AND AIR CONDITIONING

6.  Landlord shall furnish the following services:
(a) [Deletion initialed: /s/JB];
(b) heat when and as required by law, on business  days;  (c) hot and cold water
for  lavatory  purposes  without  charge,  but if a  further  supply of water is
required by Tenant,  Tenant  shall,  at  Tenant's  expense,  install  (and shall
thereafter  maintain  at  Tenant's  expense)  a water  meter  to  register  such
consumption,  and Tenant  shall pay as  additional  rent,  when and as bills are
rendered,  for water consumed, at the cost to Landlord,  and for sewer rents and
all other rents and charges based upon such consumption of water;
(d) [Deletion initialed: /s/JB];
(e)  subject  to the  provisions  of  Article 7,  electricity  for usual  office
requirements;  and (f) air cooling,  during the appropriate  season, on business
days, except Saturdays, from 8:30 A.M. to 6:00 P.M.

ELECTRIC LOAD

7. Tenant shall not use  electrical  equipment  which in  Landlord's  reasonable
opinion will overload the writing installations or interfere with the reasonable
use thereof by Landlord or other tenants in the Building.

DAMAGE BY FIRE

8. If the Building is damaged by fire or any other cause to such extent that the
cost of restoration,  as reasonably estimated by Landlord,  will equal or exceed
30% of the  replacement  value of the Building  (exclusive of  foundation)  just
prior to the occurrence of the damage, then Landlord may, no later than the 60th
day following the damage,  give Tenant a notice of election to terminate  this
Lease,  or if  said  cost  of  restoration  will  equal  or  exceed  50% of said
replacement and if the Premises shall not be reasonably  usable for the purposes
for which they are leased hereunder, then Tenant may, no later than the 60th day
following  the damage,  give  Landlord a notice of election  to  terminate  this
Lease.  In the event of either of said  elections  this Lease shall be deemed to
terminate  on the 3rd day after the  giving of said  notice,  and  Tenant  shall
surrender  possession of the Premises within a reasonable time  thereafter,  and
the  rent  and  additional  rent  shall  be  apportioned  as of the date of said
surrender  and any rent paid for any period  beyond said date shall be repaid to
Tenant. If the cost of restoration as estimated by Landlord shall amount to less
than 30% of said  replacement  value of the  Building,  or if  despite  the cost
Landlord  does not elect to terminate  this Lease,  Landlord  shall  restore the
Building and the Premises with reasonable  promptness,  subject to delays beyond
Landlord's  control  and  delays  in the  making  of  insurance  adjustments  by
Landlord,  and Tenant  shall  have no right to  terminate  this Lease  except as
herein provided.  Landlord need not restore  fixtures and improvements  owned by
Tenant.

     In any case in which use of the  Premises  is affected by any damage to the
Building,  there shall be either an abatement or an equitable  reduction in rent
depending  on the period for which and the extent to which the  Premises are not
reasonably  usable for the  purposes  for which they are leased  hereunder.  The
words "restoration" and "restore" as used in this Article shall include repairs.
If the damage results from the fault of Tenant,  or Tenant's  agents,  servants,
visitors  or  licensees,  Tenant  shall  not be  entitled  to any  abatement  or
reduction of rent,  except to the extent,  if any,  that  Landlord  received the
proceeds of rent insurance in lieu of such rent.

WAIVERS OF SUBROGATION

Notwithstanding  the  provisions  of  Article 3 hereof:  In any event of loss or
damage to the Building, the Premises and/or any contents,  each party shall look
first to any  insurance in its favor before  making any claim  against the other
party;  and TO THE EXTENT  POSSIBLE  WITHOUT  ADDITIONAL  COST, EACH PARTY SHALL
OBTAIN, FOR EACH POLICY OF SUCH INSURANCE,  PROVISIONS  PERMITTING WAIVER OF ANY
CLAIM  AGAINST  THE  OTHER  PARTY  FOR LOSS OR  DAMAGE  WITHIN  THE SCOPE OF THE
INSURANCE, and each party, to such extent permitted, for itself and its insurers
waives all such insured claims against the other party.

EMINENT DOMAIN

9. If the Premises or any part thereof or any estate therein,  or any other part
of the Building materially  affecting Tenant's use of the Premises,  be taken by
virtue of eminent  domain,  this Lease  shall  terminate  on the date when title
vests pursuant to such taking, the rent and additional rent shall be apportioned
as of said  date and any rent paid for any  period  beyond  said  date  shall be
repaid to Tenant.  Tenant  shall not be entitled to any part of the award or any
payment in lieu thereof;  but Tenant may file a claim for any taking of fixtures
and improvements owned by Tenant, and for moving expenses.

DEFAULT REMEDIES

10. If Tenant  defaults in the payment of rent or additional rent or defaults in
the performance of any of the covenants or conditions hereof,  Landlord may give
to  Tenant  notice  of such  default  and if  Tenant  does  not cure any rent or
additional  rent default within 5 days, or other default  within 10 days,  after
the giving of such notice  (or, if such other  default is of such nature that it
cannot be completely cured within such 10 days, if Tenant does not commence such
curing within such 10 days and thereafter proceed with reasonable  diligence and
in good faith to cure such  default),  then Landlord may terminate this Lease on
not less than 3 days' notice to Tenant, and on the date specified in said notice
the term of this Lease shall terminate, and Tenant shall then quit and surrender
the  Premises  to  Landlord,  but  Tenant  shall  remain  liable as  hereinafter
provided.  If the Lease shall have been so terminated by Landlord,  Landlord may
at any time thereafter resume possession of the Premises by any lawful means and
remove Tenant or other occupants and their effects.

DEFICIENCY

In any case where Landlord had recovered possession of the Premises by reason of
Tenant's default Landlord may at Landlord's  option occupy the Premises or cause
the  Premises  to be  redecorated,  altered,  divided,  consolidated  with other
adjoining  premises,  or otherwise  changed or prepared for  reletting,  and may
relet the  Premises or any part thereof as agent of Tenant or  otherwise,  for a
term or terms to expire  prior to, at the same time as, or  subsequent  to,  the
original  expiration date of this Lease, at Landlord's  option,  and receive the
rent  therefor,  applying  the same  first to the  payment of such  expenses  as
Landlord  may have  incurred in  connection  with the  recovery  of  possession,
redecorating,  altering, dividing,  consolidating with other adjoining premises,
or otherwise changing or preparing for reletting,  and the reletting,  including
brokerage and reasonable  attorneys' fees, and then to the payment of damages in
amounts  equal to the rent and other sums herein  provided;  and Tenant  agrees,
whether or not Landlord has relet, to pay to Landlord  damages equal to the rent
and other sums herein agreed to be paid by Tenant,  less the net proceeds of the
reletting,  if any,  as  ascertained  from time to time,  and the same  shall be
payable by Tenant on the several rent days above  specified.  In  reletting  the
Premises as aforesaid, Landlord may grant rent concessions, and Tenant shall not
be credited  therewith.  No such  reletting  shall  constitute  a surrender  and
acceptance or be deemed evidence thereof.  If Landlord elects,  pursuant hereto,
actually to occupy and use the Premises or any part  thereof  during any part of
the balance of the term as originally  fixed or since  extended,  there shall be
allowed  against  Tenant's  obligation  for rent or damages  as herein  defined,
during  the  period  of  Landlord's  occupancy,  the  reasonable  value  of such
occupancy,  not to  exceed  in any  event  the  rent  herein  reserved  and such
occupancy shall not be construed as a release of Tenant's liability hereunder.

     Tenant  hereby waives all right of redemption to which Tenant or any person
claiming under Tenant might be entitled by any law not or hereafter in force.

     Landlord's remedies hereunder are in addition to any remedy allowed by law.

NO WAIVER OR CHANGES

11. The failure of either part to insist on strict  performances of any covenant
or condition  hereof,  or to exercise any option herein  contained  shall not be
construed  as a waiver  of such  covenant,  condition  or  option  in any  other
instance. This Lease cannot be changed or terminated orally.

LANDLORD'S RIGHT TO COLLECT RENT FROM ANY OCCUPANT

12. If (a) the Premises  are  underlet or occupied by anybody  other than Tenant
and Tenant is in default  hereunder,  or (b) this Lease is  assigned  by Tenant,
then, Landlord may collect rent from the assignee, under-tenant or occupant, and
apply  the  net  amount  collected  to the  rent  herein  reserved;  but no such
collection  shall be deemed a waiver of the  covenant of such  assignee,  under-
tenant or occupant as Tenant, or a release of Tenant from further performance of
the covenants herein contained.

SUBORDINATION

13. This Lease shall be subject and subordinate to all underlying  leases and to
mortgages which may now or hereafter  affect such leases or the real property of
which  the  Premises  form a  part,  and  also to all  renewals,  modifications,
consolidations  and  replacement of said  underlying  leases and said mortgages.
Although  no  instrument  or act on the part of  Tenant  shall be  necessary  to
effectuate such subordination,  Tenant will,  nevertheless,  execute and deliver
such further  instruments  confirming such subordination of this Lease as may be
desired by the holders of said  mortgages  or by any of the  lessors  under such
underlying   leases.   Tenant  hereby  appoints   Landlord   attorney  in  fact,
irrevocably,  to execute  and  deliver any such  instrument  for tenant.  If any
underlying  lease to which  this Lease is subject  terminates,  Tenant  shall on
timely request attorn to the owner of the reversion.

SECURITY DEPOSIT

14.  Tenant shall  deposit with Landlord on the signing of this Lease the sum of
$900.00 as  security  for the  performance  of Tenant's  obligations  under this
Lease,  including without limitation the surrender of possession of the Premises
to Landlord as herein provided.  If Landlord applies any part of said deposit to
cure any default of Tenant,  Tenant shall upon demand  deposit with Landlord the
amount so applied so that  Landlord  shall have the full  deposit on hand at all
times during the term of this Lease.

LANDLORD'S RIGHT TO CURE TENANT'S BREACH

15. If Tenant breaches any covenant or condition of this Lease, Landlord may, on
reasonable  notice to  Tenant  (except  that no notice  need be given in case of
emergency),  cure such breach at the expense of Tenant and the reasonable amount
of all expenses,  including  attorneys'  fees,  incurred by Landlord in doing so
(whether  paid by Landlord or not) shall be deemed  additional  rent  payable on
demand.

MECHANIC'S LIEN

16.  Tenant  shall  within 10 days after  notice  from  Landlord  discharge  any
mechanic's  lien for  materials or labor  claimed to have been  furnished to the
Premises on Tenant's behalf.

NOTICES

17. Any  notice by either  party to the other  shall be in writing  and shall be
deemed to be duly given only if delivered  personally or mailed by registered or
certified  mail  in a  postpaid  envelope  addressed  (a) if to  Tenant,  at the
Building and (b) if to Landlord, at Landlord's address first above set forth, or
at such other  addresses as Tenant or Landlord,  respectively,  may designate in
writing.  Notice  shall  be  deemed  to  have  been  duly  given,  if  delivered
personally,  upon delivery  thereof,  and if mailed,  upon the 3rd day after the
mailing thereof.


<PAGE>


LANDLORD'S RIGHT TO INSPECT AND REPAIR

18.  Landlord  may,  but shall not be  obligated  to,  enter the Premises at any
reasonable  time, on reasonable  notice to Tenant (except that no notice need be
given in case of emergency) for the purposes of inspection or the making of such
repairs,  replacements  and  additions  in, to, on and about the Premises or the
Building,  as Landlord deems necessary or desirable.  Tenant shall have no claim
of cause of action  against  Landlord  by reason  thereof  except as provided in
Article 19 hereof.

INTERRUPTION OF SERVICES OR USE

19.  Interruption  or curtailment  of any service  maintained in the Building if
caused by strikes,  mechanical  difficulties,  or any causes  beyond  Landlord's
control  whether  similar or dissimilar to those  enumerated,  shall not entitle
Tenant to any claim against  Landlord or to any abatement in rent, nor shall the
same constitute constructive or partial eviction,  unless Landlord fails to take
such measures as may be reasonable in the  circumstances  to restore the service
without undue delay.  If the Premises are rendered  untenantable  in whole or in
part, for a period of over 3 business  days, by making of repairs,  replacements
or additions, other than those made with Tenant's consent or caused by misuse or
neglect by Tenant or Tenant's  agents,  servants,  visitors or licensees,  there
shall  be  a  proportionate   abatement  of  rent  during  the  period  of  such
untenantability.

CONDITIONS OF LANDLORD'S LIABILITY

20.  Tenant  shall not be entitled  to claim a  constructive  eviction  from the
Premises  unless  Tenant  shall have first  notified  Landlord IN WRITING of the
condition  or  conditions  giving  rise  thereto,  and,  if  the  complaints  be
justified,  unless  Landlord  shall have failed  within a reasonable  time after
receipts of said notice to remedy such conditions.

LANDLORD'S RIGHT TO SHOW PREMISES

21. Landlord may show the Premises to prospective purchasers and mortgagees and,
during the 4 months prior to termination of this Lease, to prospective  tenants,
during business hours upon reasonable notice to Tenant.

NO REPRESENTATIONS

22. Neither party has made any representations or promises,  except as contained
herein,   or  in  some  further   writing   signed  by  the  party  making  such
representation or promise.

QUIET ENJOYMENT

23.  Landlord  covenants  that  if and so long  as  Tenant  pays  the  rent  and
additional  rent and performs the covenants  hereof,  Tenant shall peaceably and
quietly have, hold and enjoy the Premises for the term herein mentioned, subject
to the provisions of this Lease.

TENANT'S ESTOPPEL

24.  Tenant shall from time to time,  upon not less than 10 days' prior  written
request by  Landlord,  execute,  acknowledge  and  deliver to Landlord a written
statement  certifying that this Lease is unmodified and in full force and effect
(or  that  the  same is in full  force  and  effect  as  modified,  listing  the
instruments of modification), the dates to which the rent and other charges have
been paid, and whether or not to the best of Tenant's  knowledge  Landlord is in
default  hereunder (and if so,  specifying the nature of the default),  it being
intended  that any such  statement  delivered  pursuant  to this  Article may be
relied upon by a prospective  purchaser of  Landlord's  interest or mortgagee of
Landlord's  interest or assignee of any mortgage upon Landlord's interest in the
Building.

WAIVER OF JURY TRIAL

25. To the extent such  waiver is  permitted  by law the parties  waive trial by
jury in any action or proceeding  brought in  connection  with this Lease or the
Premises.

MARGINAL NOTATIONS

26. The marginal  notations in this Lease are included for convenience  only and
shall not be taken into  consideration in any construction or  interpretation of
this Lease or any of its provisions.

HEIRS, ASSIGNS

27. The  provisions  of this Lease shall apply to, bind and enure to the benefit
of Landlord and Tenant, and their respective  successors,  legal representatives
and assigns;  it being understood that the term "Landlord" as used in this Lease
means only the owner, or the mortgagee in possession, or the lessee for the time
being of the Building, so that in the event of any sale or sales of the Building
or any lease thereof, or if the mortgagee shall take possession of the Premises,
the Landlord  named herein shall be and hereby is entirely freed and relieved of
all covenants and obligations of Landlord hereunder accruing thereafter,  and it
shall be deemed without further agreement that the purchaser,  the lessee or the
mortgagee  in  possession  has  assumed  and  agreed  to  carry  out any and all
covenants and obligations of Landlord hereunder.





IN WITNESS  WHEREOF,  the parties hereto have duly executed this Lease as of the
day and year first written.


In the presence of:

                                                  /s/ Signature on File
- ---------------------------------                 ------------------------------
                                                                   Landlord

                                                  /s/ Jerry Braun
- ---------------------------------                 ------------------------------
                                                                   Tenant


<PAGE>


STATE OF NEW YORK, COUNTY OF ____________________                     ss.:

     On the  _____day  of  _________________  19__  before  me  personally  came
_________________________________  to me known,  who being by me duly sworn, did
depose and say that __he  resides  at that __he is  the_________________________
____________ of  ___________________________  the  corporation  described in and
which  executed  the  foregoing  instrument;  that  __he  knows the seal of said
corporation; that the seal of said corporation; that the seal affixed by to said
instrument is such corporate  seal; that it was so affixed by Order of the Board
of Directors of said  corporation;  and that __he signed  ______ name thereto by
like order. -----------------------------------


STATE OF NEW YORK, COUNTY OF ____________________                     ss.:

     On the _____day of  _________________  19__ before me personally came to me
known and known to me to be the  individual  described  in and who  executed the
foregoing    instrument,    and   duly    acknowledged    to   me   that    __he
_________________________ executed the same.

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


STATE OF NEW YORK, COUNTY OF ____________________                     ss.:

     On the  _____day  of  _________________  19__  before  me  personally  came
_________________________________  to me known,  who being by me duly sworn, did
depose  and  say  that  __he  resides  at  that  __he  is  the  ____________  of
___________________________  the corporation described in and which executed the
foregoing instrument;  that _______ he knows the seal of said corporation;  that
the seal of said  corporation;  that the seal affixed by to said  instrument  is
such corporate  seal;  that it was so affixed by Order of the Board of Directors
of said corporation; and that __he signed _______ name thereto by like order.

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


STATE OF NEW YORK, COUNTY OF ____________________                     ss.:

     On the _____day of  _________________  19__ before me personally came to me
known and known to me to be the  individual  described  in and who  executed the
foregoing    instrument,    and   duly    acknowledged    to   me   that    __he
_________________________ executed the same.

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


            RULES AND REGULATIONS REFERRED TO IN THE FOREGOING LEASE

     1. The  sidewalks,  entrances,  passages,  courts,  elevators,  vestibules,
stairways, corridors and public parts of the Building shall not be obstructed or
encumbered  by Tenant or used by Tenant for any purpose  other than  ingress and
egress to and from the  Premises.  If the  Premises  are  situated on the ground
floor with direct access to the street,  then Tenant shall, at Tenant's expense,
keep the  sidewalks and curbs  directly in front of the Premises  clean and free
from ice, snow and refuse.

     2. No  awnings,  air  conditioning  units  or  other  projections  shall be
attached to the  outside  walls or  windowsills  of the  Building  or  otherwise
project from the Building, without the prior written consent of Landlord.

     3. No sign or  lettering  shall be  affixed  by  Tenant  on any part of the
outside of the  Premises,  or any part of the inside of the Premises so as to be
clearly  visible  from the outside of the  Premises,  without the prior  written
consent of the Landlord.  However, Tenant shall have the right to place its name
on any door leading into the Premises,  the size,  color and style thereof to be
subject  to  Landlord's  approval,  which  approval  shall  not be  unreasonably
withheld.  Landlord  shall place  Tenant's name on the directory in the lobby of
the Building. Tenant shall not have the right to have additional names placed on
the directory without Landlord's prior written consent,  which consent shall not
be unreasonably withheld.

     4. The  windows  in the  Premises  shall not be covered  or  obstructed  by
Tenant,  nor shall  any  bottles,  parcels  or other  articles  be placed on the
windowsills or in the halls or in any other part of the Building,  nor shall any
article be thrown out of the doors or windows of the Premises.

     5. Tenant shall not lay linoleum or other  similar  floor  covering so that
the same shall come in direct  contact  with the floor of the  Premises,  and if
linoleum or other similar floor  covering is desired to be used, an  interlining
of  builder's  deadening  felt  shall be first  fixed to the floor by a paste or
other material that may easily be removed with water, the use of cement or other
similar adhesive materials being expressly prohibited.

     6. Tenant shall not make, or permit to be made,  any unseemly or disturbing
noises or interfere with other tenants or those having business with them.

     7. No additional locks or bolts of nay kind shall be placed upon any of the
doors or windows  by Tenant,  and Tenant  shall,  upon the  termination  of this
tenancy,  deliver to Landlord all keys to any space within the Building,  either
furnished to, or otherwise  procured by Tenant,  and in the event of the loss of
any keys so furnished, Tenant shall pay to Landlord the cost thereof.

     8. The  carrying in or out of  freight,  furniture  or bulky  matter of any
description  must take place during such hours as Landlord may from time to time
reasonably determine. The installation and moving of such freight,  furniture or
bulky matter shall be made upon  previous  notice to the  superintendent  of the
Building  and the persons  employed  by Tenant for such work must be  reasonably
acceptable to Landlord. Tenant may, subject to the provisions of the immediately
preceding  sentence,  move freight,  furniture,  bulky matter and other material
into or out of the Premises on Saturday  between the hours of 8:30 A.M. and 6:00
P.M. provided Tenant pays the additional costs, if any, incurred by Landlord for
elevator operators, security guards and other expenses arising by reason of such
move by Tenant  and if, at least 2 days prior to such  move,  Landlord  requests
that Tenant  deposit with Landlord,  as security for Tenant's  obligation to pay
such  additional  costs incurred which Landlord  reasonably  estimates to be the
amount  of such  additional  costs,  then  Tenant  shall  deposit  such sum with
Landlord as security for such costs.

     9. Landlord  reserves the right to prescribe the weight and position of all
safes and other heavy equipment so as to distribute  properly the weight thereof
and to prevent any unsafe  condition from arising.  Business  machines and other
equipment  shall be placed  and  maintained  by Tenant at  Tenant's  expense  in
settings  sufficient  in  Landlord's  reasonable  judgment to absorb and prevent
unreasonable vibration, noise and annoyance.

     10.  Tenant  shall not clean or permit  the  cleaning  of any window in the
Premises from the outside,  except in strict conformity with ss.202 of the Labor
Law and the rules of the  Board of  Standards  and  Appeals  and any other  body
having jurisdiction thereof.

     11. Landlord shall not be responsible to Tenant for the  non-observance  or
violation of any of these Rules and Regulations by any other Tenants.




BUILDING____________________________________________________________________

PREMISES ___________________________________________________________________

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



                                                                        Landlord

                                       to



                                                                          Tenant



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

                                      LEASE

                      Form of Office Lease Approved by the
                        Committee on Real Property Law of
                        The Association of the Bar of the
                                City of New York

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




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


<PAGE>



                                 RIDER TO LEASE
                                     BETWEEN
                                JOFFE MANAGEMENT
                                       AND
                             N.Y. HEALTH CARE, INC.

1.   THE  TENANT  SHALL AT HIS OWN  COST AND  EXPENSE,  PRIOR TO  ENTERING  INTO
     OCCUPANCY  AND  POSSESSION  OF THE  PREMISES,  TAKE OUT THE  USUAL  FORM OF
     OWNER'S  LANDLORDS  AND  TENANTS  LIABILITY  POLICY  COVERING  THE  DEMISED
     PREMISES  IN  THE  AMOUNT  OF  NOT  LESS  THAN  $300,000.00/500,000.00  AND
     $15,000.00  PROPERTY DAMAGE,  AND SHALL MAINTAIN THE SAME IN FULL FORCE AND
     EFFECT THROUGHOUT THE ENTIRE TERM OF THIS LEASE AND/OR ANY RENEWAL THEREOF.
     SAID POLICY SHALL  DESIGNATE THE LANDLORDS AS PARTIES  INSURED  THEREUNDER,
     AND A CERTIFICATE  OF  MEMORANDUM  COPY OF THE POLICY SHALL BE DELIVERED TO
     THE LANDLORD PRIOR TO THE TENANT'S ENTERING INTO OCCUPANCY AND POSSESSION. 
     FAILURE TO PROVIDE SUCH PROOF OF INSURANCE SHALL  CONSTITUTE A BREACH UNDER
     ARTICLE 15 OF THE LEASE.

2.   AT LEAST TEN DAYS PRIOR TO THE PROPOSED COMMENCEMENT OF ANY WORK TO BE DONE
     BY ANY CONTRACTOR WITHIN THE DEMISED  PREMISES,  THE TENANT SHALL SUBMIT TO
     THE  LANDLORD  A PLAN OF SUCH  WORK,  AND  BOTH  SHALL  BE  SUBJECT  TO THE
     LANDLORD'S  APPROVAL  IN  WRITING  BEFORE ANY WORK MAY BE  COMMENCED.  SUCH
     APPROVAL SHALL NOT BE UNREASONABLY WITHHELD.

3.   THE  LANDLORD  WILL  FURNISH  AND  INSTALL  A  SEPARATE   METER  PANEL  FOR
     ELECTRICITY  AND THE TENANT SHALL BE RESPONSIBLE  FOR AND SHALL PAY FOR THE
     ELECTRICITY  REQUIRED  BY THE  TENANT  FOR THE  PREMISES,  DIRECTLY  TO THE
     UTILITY  PROVIDING  SAME. THE TENANT SHALL PAY THE DEPOSIT  REQUIRED BY THE
     UTILITY  DIRECTLY  TO  THE  UTILITY.   THE  LANDLORD  REPRESENTS  THAT  THE
     ELECTRICITY  USED FOR HEATING AND AIR  CONDITIONING  IS METERED THROUGH THE
     LANDLORD'S METER AND IS PAID FOR BY THE LANDLORD.

                                 RENT INCREASE

4.   COMMENCING OCTOBER 1, 1996, AND ANNUALLY THEREAFTER,  THE ANNUAL RENT SHALL
     BE  INCREASED  BY  ADDING TO IT A  PERCENTAGE  TO BE A  DIFFERENCE  BETWEEN
     INDICES OF THE  "CONSUMER  PRICE  INDEX FOR ALL URBAN  CONSUMERS:  SELECTED
     AREAS,  ALL ITEM INDEX.  [Change  initialed /s/ JB] 1995 100 BASE. NY, NY -
     NORTHEASTERN  NJ" AS PUBLISHED BY THE UNITED STATES DEPT. OF LABOR, FOR THE
     ONE CALENDAR  YEAR PERIOD  IMMEDIATELY  PRECEDING THE RENEWAL TERM OVER THE
     PREVIOUS  YEAR.  THE  INTENTION OF THIS  PROVISION IS TO ADJUST THE RENT IN
     ACCORDANCE  WITH THE COST OF LIVING  INDEX ON AN ANNUAL BASIS FOR EACH YEAR
     OF TENANT'S OCCUPANCY AND POSSESSION. HOWEVER, IN NO EVENT SHALL THE ANNUAL
     RENT BE LESS  THAN  THE RENT  FOR THE  PREVIOUS  TERM'S  ANNUAL  RENT.  THE
     ADJUSTMENT FOR THE OCTOBER 1, 1996,  SHALL REFLECT THE COLA FROM 10/1/94 TO
     9/30/96.


<PAGE>


                                    TAX STOP

5.   COMMENCING  OCTOBER 1, 1995 THE TENANT SHALL PAY TO THE  LANDLORD  4.20% OF
     ANY  INCREASE  IN REAL  ESTATE  TAXES  OVER THE BASE  YEAR,  WHICH  FOR THE
     PURPOSES  OF THIS LEASE  SHALL BE 1993 FOR  VILLAGE AND SCHOOL AND 1994 FOR
     STATE,  COUNTRY AND TOWN TAXES.  THIS PROVISION SHALL APPLY TO EACH RENEWAL
     TERM FOR EACH YEAR OF TENANT'S OCCUPANCY AND POSSESSION.

                                  LATE CHARGES

6.   THE FOLLOWING  LATE CHARGES SHALL BE ASSESSED AND BECOME  ADDITIONAL  RENT:
     FOR PAYMENTS MADE ON OR AFTER THE 10TH OF THE MONTH = 5% ADDITIONAL RENT.

[Deletion initialed /s/ JB]
                                            /s/ Jerry Braun NYHC
                                            ------------------------------------



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


                      KINGSBRIDGE HEIGHTS HEALTH FACILITIES
                       LONG TERM HOME HEALTH CARE PROGRAM

                                       and

                              NEW YORK HEALTH CARE
                               100 Stevens Avenue
                              Mt. Vernon, NY 10550

                           AGREEMENT FOR PROVISIONS OF
               HOME HEALTH AIDE AND PERSONAL CARE WORKER SERVICES

This  Agreement,  made and  entered  into this 2nd day of  NOVEMBER  1994 by and
between Kingsbridge Heights Health Facilities,  hereinafter  referred to as "the
program  agency"  and New York  Health  Care ,  hereinafter  referred to as "the
service agency".

In consideration of the mutual promises herein  contained,  it is understood and
agreed by the parties hereto as follows:

FIRST:  The Program  Agency will call upon the  service  agency to provide  home
health aides,  personal care workers, or homemakers  (hereinafter referred to as
aide or aides), for  assignments to provide aide services. Once the assignment
is made by the Service  Agency,  no changes in  assignment  will be made without
notification of the program agency. At the time of assignment the Service Agency
will send an aide profile  summarizing  the contents of the personnel  record to
the Program Agency.  The Service Agency shall contact the Program Agency between
9:00am-12:00pm  with each client that has morning or full coverage and between
1:00pm-5:00pm  for  afternoon  coverage  and shall report all cases which do not
have coverage by the routinely  assigned aide. Said  notification  shall be both
verbal and by FAX (if possible).

SECOND:  The patient is to be accepted for home health aide services only by the
program agency which will be responsible for the development and revision of the
plan of care in accordance with applicable federal, state and local statutes and
regulations.

THIRD:  It will be the sole  responsibility  of the program agency to assess the
need for home aide service and the  resources  of the patient and the  patient's
family. A Client Bill of Rights will be furnished to each patient by the program
agency in accordance with Department of Health rules and regulations.

FOURTH:  The service  agency shall provide only such aide  personnel as meet the
federal,  state and local regulations and requirements specified in the New York
Hospital Code,  other  directives of the New York State Department of Health and
New York State Department of Social Services.

<PAGE>

                                                                          page 2

FIFTH:  The Program  Agency will  determine the scope and duration of the aide's
activities on each  assignment and  professionally  supervise the performance of
these personnel during the hours of assignment to the program agency patient.

SIXTH: Professional supervision shall mean Registered Nurse supervision provided
by the Program Agency.

SEVENTH:   Orientation  with  regard  to  the  particular  patient,   on-the-job
instruction,  and instruction in keeping the necessary  records will be provided
by the service agency and/or the agency providing  Registered Nurse  supervision
through a contractual agreement with the service agency.

EIGHTH:  If required by law or  requested  by the  service  agency,  the Program
Agency will prepare/submit a performance  evaluation at least once a year to the
service agency.

NINTH:  The service agency shall conduct and administer a program for employment
of aides to serve on assignments  of the Program  Agency.  Such personnel  shall
meet the federal,  State and local requirements  specified in the New York State
Hospital Code and/or other directives of the New York State Department of Health
and New York State Department of Social Services.  These shall include,  but not
be  restricted  to the wearing of a uniform if  acceptable  to the patient,  and
assurance by the service  agency that the  personnel  are in good  health,  have
completed  the medical  examinations  and  immunizations  specified in the State
Hospital Code in accordance with the service agency's policies, have completed a
basic training program acceptable to the New York State Department of Health and
New York State  Department  of Social  Services  and have  character  references
and/or appropriate proofs of satisfactory  performance on file at the offices of
the service agency. The authorized Program Agency may obtain this information by
an on-site visit to the service agency.

TENTH:  The service  agency  shall  provide  annual  inservice  education to its
personnel  in  accordance  with a  yearly  plan  which  is to be  based on needs
identified by the service agency and the Program Agency.

ELEVENTH:  The service agency shall  maintain a record of  assignments  for each
aide;   complete   personnel   records  which  shall  include   verification  of
qualifications,  references, reports of medical examinations and tests including
immunizations   hereinabove   referred   to;   performance   evaluations;    and
documentation  of  inservice  training.   These  records  shall  be  subject  to
inspection  by the New York  State  Department  of  Health,  other  governmental
agencies,  and the Program  Agency.  The  Program  Agency will have the right to
audit these records twice a year with the service agency's cooperation.

<PAGE>

                                                                          page 3

TWELFTH:  Aides are not and shall not be deemed to be  employees  of the Program
Agency and shall not hold themselves out as employees of the Program Agency. The
service  agency  shall have the direct  responsibility  for payment of wages and
other  compensation,  reimbursement  of expenses,  and compliance  with federal,
state and local tax withholding requirements pertaining to workers compensation,
social security,  unemployment and other insurance  requirements and obligations
imposed on the  employer  of  personnel  with  regard to the aides.  The Program
Agency  shall  idemnify  and hold  harmless the service  agency,  its  governing
authority,  officers,  agents,  and employees from and against all  liabilities,
claims,  losses,  law suits,  judgements and expenses,  including  attorney fees
caused by any act or failure to act by the Program Agency.

THIRTEENTH:  The service agency shall, at its own costs and expense, procure and
maintain  insurance  to cover  the  personnel  assigned  under the terms of this
agreement in amounts and types usually maintained, which are to include worker's
compensation,  unemployment  insurance,  professional  liability  insurance  and
comprehensive  general liability insurance relative to the activities  resulting
from  assignments  under  this  agreement,  and any other  employee's  liability
insurance  required  by law for an  employer  to  carry on its  employees.  Such
liability  insurance shall include personal injury coverage with a minimum of $1
million per  occurence/$l  million  aggregate until  ____________________.  Such
liability insurance coverage effective  ________________  will be $1 million per
occurrence.

FOURTEENTH:  The service agency shall file a rider to this Agreement which shall
have the same force and effect as if  included  in this  Agreement,  providing a
copy of the  certificate  of insurance to  demonstrate  that it has obtained the
required  insurance,  specifying the types and amounts of insurance coverage for
each aide or group of aides  provided  under the terms of this agreement and the
name of the insurance  company.  Said document shall provide for at least thirty
(30) days notice to the Program Agency of cancellation of any of the insurance.

FIFTEENTH:  The  service  agency  shall make aides and nurses  available  to the
Program  Agency for only the hours per day,  and days per week  specified in the
plan of care.

SIXTEENTH:  The service  agency  shall submit an invoice  weekly  within 10 days
after week of service to the  Program  Agency  setting  forth the aide  services
performed, and the amounts due the service agency therefore from Program Agency.
The  Program  Agency will pay the service  agency a fee of  $9.50/hour  for HHA;
$9.50/hour  for PCW,  $8.50/hour for  Housekeeper,  and $8.50/hour for Homemaker
Services.  In the event that an aide who has been  assigned in good faith by the
service  program  is unable  to gain  entry to the  patient's  home  because  of
circumstances not within the service agency's control (i.e.  hospital  discharge
is  delayed),  the  Program  Agency  will be liable  for the cost of one hour of
service.  In  computing  the hours  worked,  only the time the aide was actually
present in the patient's home shall be considered.

<PAGE>

                                                                          page 4

The service agency's invoice will include at least the service  rendered,  dates
of service, total number of visits and total number of hours rendered during the
period and total charge for each patient serviced.  Payment shall be made within
thirty days after submission of such properly documented invoices.

SEVENTEENTH:  Neither the service agency nor the aide shall charge or accept any
fee from the patient or patient's family for services provided under the service
agency's plan of treatment or payment of any kind,  directly or  indirectly,  or
any gifts.

EIGHTEENTH: The service agency shall,  for the purpose of  implementing  Section
1861  (v) (1) (I) of the  Social  Security  Act,  as  amended,  and the  written
regulations  thereto,  the parties agree to comply with the following  statutory
requirements governing the maintenance and disclosure of documentation to verify
the cost of services rendered under this agreement:

     (a)  until the  expiration  of eight (8)  years  after  the  furnishing  of
services  pursuant to this Agreement,  the party  furnishing such services shall
make  available,  upon  written  request  to the  Secretary  of Health and Human
Services,  or upon request to the Comptroller  General of the United States,  or
any  of  their  duly  authorized  representatives,  the  Agreement,  and  books,
documents  and records of such party that are necessary to verify the nature and
extent of such costs, and

     (b) if the party  furnishing  services carries out any of the duties of the
Agreement  through a subcontract  with a related  organization  (as that term is
defined in 42 C.F.R.  Sec. 405.427 (b), such subcontract  shall contain a clause
to the effect that until pursuant to such subcontract,  the related organization
shall make available upon written request to such Secretary,  or upon request to
the Comptroller  General, or any of their duly authorized  representatives,  the
subcontract, and books, and documents, and records of such organization that are
necessary  to verify the nature and extent of such  costs.  Agreement  through a
subcontract  which said  subcontracts  must have received prior written approval
from the home health agency,  with a related  organization  involving a value or
cost of $10,000 or more over a twelve (12) month period, the service agency will
cause  such  subcontract  to  contain a clause  to the  effect  that,  until the
expiration  of four (4) years  after  the  furnishing  of any goods or  services
pursuant to said subcontract,  the related organization will make available upon
written request of the Secretary of Health and Human Services or the Comptroller
General of the United  States or any of their duly  authorized  representatives,
copies of said subcontract and any books, documents,  records, and other data of
said related  organization that are necessary to verify the nature and extent of
such costs.

<PAGE>

                                                                          page 5

NINETEENTH: Both the Program Agency and the service agency shall:

     A. Designate a person within their  respective  organization who shall have
the responsibility for coordinating the assignments of the aides.

     B.  Consult  and  cooperate  with  each  other  in  establishing   mutually
acceptable  standards and  procedures  for  selection  and  assignment of aides,
handling of requests  including  requests for emergency  aide  service,  billing
procedures  and any other  matters  incidental to carrying out the provision and
purposes of the Agreement.

     C. Make  available  home health  services to all persons  without regard to
race,  color,  sex, creed,  national  origin,  or source of payment,  except for
fiscal capability thereof.

     D. Not discriminate  against any aide because of race, color, sex, creed or
national origin.

     E. Attend and  participate in patient case  conferences and in addition the
Program Agency shall assign a representative  to serve on the Quality  Assurance
Committee of the service agency.

TWENTIETH: This Agreement shall be reviewed annually. The Agreement shall remain
in force during review and renegotiation.

TWENTY-FIRST: This Agreement may be modified or amended by mutual consent of the
parties.  Any such modification or amendment must be in writing duly executed by
all parties and shall be attached and become part of this agreement.

TWENTY-SECOND:  This  Agreement  may be  terminated on at least thirty (30) days
written notice by either party.

TWENTY-THIRD:  All  written  notices  affecting  agreement  termination  must be
delivered by certified or registered  mail. The date of deposit of any notice in
a United States Post Office or Post Office Box with all postage  prepaid,  shall
be deemed the date of delivery thereof.

TWENTY-FOURTH:  The Program  Agency will be  responsible to conduct and document
the patient assessment,  plan of care,  clinical record entries,  supervision of
such services,  and obtaining  medical  orders.  The Program Agency will furnish
such written documentation and information, and access to its staff, as required
by the service agency,  to permit the service agency to assure compliance by its
employees with applicable statutes, rules, and regulations.

<PAGE>

                                                                          page 6

The  Program  Agency  will  determine  the  scope  and  duration  of the  aide's
activities on each assignment and in addition, will have the right, at any time,
to shorten, terminate, lengthen, or change the assignment of the aide on written
faxed notice to the service agency.

TWENTY-FIFTH: Notwithstanding any other provisions in this contract, the service
agency remains  responsible for: (a) assuring that any service provided pursuant
to this contract  complies with all pertinent  provisions of federal,  state and
local statutes, rules and regulations;  (b) ensuring the quality of all services
provided; and (c) ensuring adherence by service program staff to the agency plan
of care established for patients.

TWENTY-SIXTH:  Notwithstanding any other provision in this contract, the Program
Agency remains  responsible for: (a) assuring that any service provided pursuant
to this contract complies with all pertinent  provisions of federal,  state, and
local statutes, rules and regulations; (b) planning,  coordination, and assuring
the quality of all services provided, and the necessary supervision of same; (c)
assuring  adherence  to the  plan  of care  established  for  patients;  and (d)
assuming  the  ultimate  and  final  legal  responsibility  for the  quality  of
services.

TWENTY-SEVENTH:  The service  agency agrees to ensure to its best  ability,  the
availability  of home health aide services  twenty-four  (24) hours a day, seven
(7) days a week.  The service  agency shall document care rendered in accordance
with the plan of care set up by the Program  Agency  nurse.  Such  documentation
shall be submitted  within seven (7) days with weekly invoices and shall consist
of a minimum of a checklist  reflective of the care provided.  In addition,  any
unusual situation or circumstance which impacts on the safe care of the patient,
shall be  transmitted  verbally to the Program  Agency's  nurse  coordinator  or
on-call administrator by the aide or service agency's  administrative  personnel
as soon as is practical.

TWENTY-EIGHTH:  The service  agency  agrees  to hold  free and  harmless  and to
indemnify the Program Agency, its officers,  directors,  employees,  agents, and
affiliates against any and all loss, damage,  and/or liability by reason for any
act or acts of  commission  or  omission by any agent or employee of the service
agency.

TWENTY-NINTH:  The service agency shall preserve and protect the confidentiality
of all client related information and shall not disclose such information to any
third parties except with  appropriate  consent or in accordance with applicable
law.

THIRTIETH:  This is not an exclusive contract and the LTHHCP preserves the right
to enter into contract with other organizations.

<PAGE>

                                                                          page 7

THIRTY-FIRST:  This  Agreement  shall be governed by and construed in accordance
with the laws of the State of New York.

All clients  serviced  are  provided  with their Bill of Rights by the Long Term
Home Health Care Program per State Department of Health regulations.


IN WITNESS WHEREOF, this agreement has been duly executed and signed by:




                                        KINGSBRIDGE HEIGHTS HEALTH FACILITIES
SERVICE AGENCY                          LONG TERM HEALTH CARE PROGRAM        


BY:                                     BY: /s/ Signature on File
     --------------------------              -------------------------------

DATE:                                   DATE:  11/10/94
     --------------------------              -------------------------------

<PAGE>


                             ADDENDUM TO AGREEMENT

                                     between

                           KINGSBRIDGE HEIGHTS LTHHCP

                                   ----------

                                       and

                              NEW YORK HEALTH CARE

The KINGSBRIDGE HEIGHTS LTHHCP will be responsible for providing education and
information to all patients admitted to the KINGSBRIDGE HEIGHTS LTHHCP program
regarding Advanced Directives, Health Care Proxies, Patients Rights, and D.N.R.
orders.


          KINGSBRIDGE HEIGHTS LTHHCP

     BY:  /s/ Wanda Figueroa
          ----------------------------

  TITLE:  Director of Patient Services
          ----------------------------

   DATE:  9/29/95
          ----------------------------



          NEW YORK HEALTH CARE

     BY:  /s/ Jerry Braun
          ----------------------------

  TITLE:  CEO
          ----------------------------

   DATE:  10/11/95
          ----------------------------

License No. 9632L002                                     Effective Date 05/08/95
                               State of New York
                              Department of Health
                      Office of Health Systems Management

                           HOME CARE SERVICE AGENCY
                                    LICENSE


                                     (SEAL)

                           New York Health Care, Inc.
                               105 Stevens Avenue
                             Mount Vernon, NY 10552
                               Westchester County



HAS BEEN GRANTED  THIS  LICENSE TO OPERATE  PURSUANT TO ARTICLE 36 OF THE PUBLIC
HEALTH LAW FOR THE HEALTH SERVICES SPECIFIED:


                                    SERVICE



                                     NURSING
                                HOME HEALTH AIDE
                                  PERSONAL CARE
                                PHYSICAL THERAPY


Operator:
PROPRIETARY CORPORATION
NEW YORK HEALTH CARE, INC.
1667 FLATBUSH AVENUE
BROOKLYN, NY 11210



COUNTY(S) SERVED
               
Rockland
Westchester
Bronx



        THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED ON THE PREMISES


/s/ Signature on File                                   /s/ Signature on File
- ------------------------------                         -------------------------
         AREA ADMINISTRATOR                                       COMMISSIONER




DOH 502(K)3-95

License No. 9632L004                                     Effective Date 05/08/95
                               State of New York
                              Department of Health
                      Office of Health Systems Management

                           HOME CARE SERVICE AGENCY
                                    LICENSE


                                     (SEAL)

                           New York Health Care, Inc.
                                 45 Grand Street
                               Newburgh, NY 12550
                                  Orange County



HAS BEEN GRANTED  THIS  LICENSE TO OPERATE  PURSUANT TO ARTICLE 36 OF THE PUBLIC
HEALTH LAW FOR THE HEALTH SERVICES SPECIFIED:


                                    SERVICE



                                     NURSING
                                HOME HEALTH AIDE
                                  PERSONAL CARE
                                PHYSICAL THERAPY


Operator:
PROPRIETARY CORPORATION
NEW YORK HEALTH CARE, INC.
1667 FLATBUSH AVENUE
BROOKLYN, NY 11210



COUNTY(S) SERVED
               

Dutchess
Orange
Putnam
Sullivan
Ulster


        THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED ON THE PREMISES


/s/ Signature on File                                  /s/ Signature on File
- ------------------------------                         -------------------------
         AREA ADMINISTRATOR                                       COMMISSIONER




DOH 502(K) 3-95


License No. 9632L001                                     Effective Date 05/08/95
                               State of New York
                              Department of Health
                      Office of Health Systems Management

                           HOME CARE SERVICE AGENCY
                                    LICENSE


                                     (SEAL)

                           New York Health Care, Inc.
                                175 Fulton Avenue
                               Hempstead, NY 11550
                                  Nassau County



HAS BEEN GRANTED  THIS  LICENSE TO OPERATE  PURSUANT TO ARTICLE 36 OF THE PUBLIC
HEALTH LAW FOR THE HEALTH SERVICES SPECIFIED:


                                    SERVICE



                                     NURSING
                                HOME HEALTH AIDE
                                  PERSONAL CARE
                                PHYSICAL THERAPY


Operator:
PROPRIETARY CORPORATION
NEW YORK HEALTH CARE, INC.
1667 FLATBUSH AVENUE
BROOKLYN, NY 11210



COUNTY(S) SERVED
               

Nassau
Suffolk
Queens


        THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED ON THE PREMISES


/s/ Signature on File                                  /s/ Signature on File
- ------------------------------                         -------------------------
         AREA ADMINISTRATOR                                       COMMISSIONER




DOH 502(K)3-95

License No. 0453L004                                     Effective Date 07/01/95
                               State of New York
                              Department of Health
                      Office of Health Systems Management

                           HOME CARE SERVICE AGENCY
                                    LICENSE


                                     (SEAL)

                           New York Health Care, Inc.
                              49 South Main Street
                             Spring Valley, NY 10977
                                 Rockland County



HAS BEEN GRANTED  THIS  LICENSE TO OPERATE  PURSUANT TO ARTICLE 36 OF THE PUBLIC
HEALTH LAW FOR THE HEALTH SERVICES SPECIFIED:


                                    SERVICE



                                     NURSING
                                HOME HEALTH AIDE
                                  PERSONAL CARE
                                PHYSICAL THERAPY


Operator:
PROPRIETARY CORPORATION
NEW YORK HEALTH CARE, INC.
1667 FLATBUSH AVENUE
BROOKLYN, NY 11210



COUNTY(S) SERVED
               
Orange
Rockland

        THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED ON THE PREMISES


/s/ Signature on File                                  /s/ Signature on File
- ------------------------------                         -------------------------
         AREA ADMINISTRATOR                                       COMMISSIONER




DOH 502(K)3-95


                       [The Chamber of Commerce Letterhead]

                                                              July 12, 1995

Mr. Jerry Braun
New York Health Care
1498 Flatbush Avenue
Brooklyn, New York 11210

Dear Mr. Braun:

     Please be advised that the rent for the first floor of 45 Grand Street in
Newburgh will be $900, effective September 1, 1995 through August 31, 1996.

     Under the provisions of your lease, you had an option to renew your lease
when it expired on August 31, 1994, which you did not do. Had you renewed your
lease at that point, your rent for the following year would have been $900.
Since we did not notify you of the rent increase for the period 9/1/94 -
8/31/95. your rent will not be $1,000 a month for the period 9/1/95 - 8/31/96,
but will be $900 a month.

     To confirm your lease for 9/1/95 - 8/31/96, please sign below and date this
document and return it to us as soon as possible. If you have any questions,
please call Ercel Barnes at (914) 562-5100. Thank you.

                                              Sincerely yours,

                                              /s/ John J. McDermott
                                              ----------------------------------
                                              John J. McDermott
                                              Facilities Task Force Chairman


                                              /s/ Jerry Braun
                                              ----------------------------------
                                              Jerry Braun



                                                  7/18/95
                                              ----------------------------------
                                              Date





<PAGE>

A 35-Lease, Business Premises        JULIUS BLUMBERG, INC., LAW BLANK PUBLISHERS
     Loft, Office or Store. 2-65

     THIS LEASE made the_____ day_____ of 1992 between EDUCATIONAL
AND  CHARITABLE  FOUNDATION  OF EASTERN  ORANGE  COUNTY,  INC. a  not-for-profit
corporation  organized and existing under and by virtue of the Laws of the State
of New York with  Offices  at 47 Grand  St.,  Newburgh,  New  York,  hereinafter
referred to as LANDLORD, and NEW YORK HEALTH CARE, INC., a corporation organized
and  existing  under  and by  virtue  of the Laws of the  State of New York with
offices at 1498 Flatbush Avenue,  Brooklyn,  New York 11210 hereinafter jointly,
severally and collectively referred to as Tenant.

     WITNESSETH,  that the Landlord hereby leases to the Tenant,  and the Tenant
hereby hires and takes from the Landlord first floor of 45 Grand Street, City of
Newburgh,  Orange  County,  New York to be used and  occupied  by the  Tenant to
provide  administrative  offices for Tenant's home health care agency and for no
other purpose, for a term to commence on September 1, 1992, and to end on August
31,1994, unless sooner terminated as hereinafter provided, at the ANNUAL RENT OF
NINE  THOUSAND SIX HUNDRED AND 00/100  ($9,600.00)  DOLLARS all payable in equal
monthly  installments  in amount $800.00 in advance on the first day of each and
every calendar month during said term, except the first instalment,  which shall
be paid upon the execution hereof.

     THIS TENANT JOINTLY AND SEVERALLY COVENANTS:

     FIRST.--That the Tenant will pay the rent as above provided.

REPAIRS
ORDINANCES AND VIOLATIONS ENTRY
INDEMNIFY  LANDLORD  
     SECOND.--That  throughout  said term the Tenant  will take good care of the
demised premises, fixtures and appurtenances and all alterations,  additions and
Improvements  to either;  make all  repairs in and about the same  necessary  to
preserve them in good order and condition, which repairs shall be in quality and
class,  equal to the original  work,  promptly pay the expense of such  repairs;
suffer no waste or injury;  give prompt  notice to the Landlord of any fire that
may occur;  execute  and comply with all laws,  rules,  orders,  ordinances  and
regulations  at any time issued or in force (except those  requiring  structural
alterations),  applicable to the demised premises or to the Tenant's  occupation
thereof  of the  Federal,  State  and  Local  Governments  and of each and every
department,  bureau  and  official  thereof,  and of the New York  Board of Fire
Underwriters;  permit at all times during usual  business hours the Landlord and
representatives of the Landlord to enter the demised premises for the purpose of
inspection  and to  exhibit  them for  purposes  of sale or  rental;  suffer the
Landlord to make repairs and  improvements to all parts of the building,  and to
comply with all orders and requirements of governmental  authority applicable to
said building or to any occupation  thereof;  suffer the Landlord to erect, use,
maintain,  repair and replace pipes and conduits in the demised  premises and to
the floors above and below; forever indemnify and save harmless the Landlord for
and against any and all liability,  penalties,  damages,  expenses and judgments
arising  from  injury  during  said term to person or  property  of any  nature,
occasioned  wholly or in part by any acts or actions or  omissions of the Tenant
or of the employees,  guests,  agents, assigns or undertenants of the Tenant and
also for any  matter  or thing  growing  out of the  occupation  of the  demised
premises or of the streets,  sidewalks or vaults adjacent thereto; permit during
the six months  next prior to the  expiration  of the term the usual  notice "To
Let" to be placed  and to remain  unmolested  in a  conspicuous  place  upon the
exterior of the demised premises;  repair, at or before the end of the term, all
injury done by the installation or removal of furniture and property; and at the
end  of  the  term,  to  quit  and  surrender  the  demised  premises  with  all
alterations, additions and improvements in good order and good condition.

MOVING INJURY SURRENDER
NEGATIVE COVENANTS
OBSTRUCTION SIGNS
AIR CONDITIONING
     THIRD.--That  the  Tenant  will not  disfigure  or  deface  any part of the
building  or suffer the same to be done,  except so far as may be  necessary  to
affix such trade fixtures as are herein consented to by the Landlord; the Tenant
will not  obstruct  or permit  the  obstruction  of the  street or the  sidewalk
adjacent thereto;  will not do anything,  or suffer anything to be done upon the
demised  premises  which will increase the rate of the fire  insurance  upon the
building or any of its contents or be liable to cause structural  injury to said
building;  will not permit the accumulation of waste or refuse matter,  and will
not,  without the written  consent of the Landlord  first obtained in each case,
either  sell,  assign,  mortgage or transfer  this lease,  underlet  the demised
premises or any part thereof, permit the same or any part thereof to be occupied
by anybody other than the Tenant and the Tenant's employees, make any alteration
in the demised  premises,  use the demised  premises or any part thereof for any
purpose other than the one first stipulated, or for any purpose deemed hazardous
on account of fire risk,  nor in  violation  of any law or  ordinance.  That the
Tenant will not obstruct or permit the obstruction of the light, halls, stairway
or entrances to the building,  and will not erect or inscribe any sign,  signals
or  advertisements  unless and until the style and  location  thereof  have been
approved  by the  Landlord;  and if any be erected  or  inscribed  without  such
approval,  the Landlord may remove the same. No water cooler,  air  conditioning
unit or system or other  apparatus  shall be installed or used without the prior
written consent of the Landlord.

     IT IS MUTUALLY COVENANTED AND AGREED, THAT

FIRE CLAUSE
     FOURTH.--If  the demised  premises  shall be  partially  damaged by fire or
other  cause  without  the  fault  or  neglect  of  Tenant,  Tenant's  servants,
employees, agents visitors or licensees, the damages shall be repaired by and at
the expense of Landlord and the rent until such  repairs  shall be made shall be
apportioned  according  to the part of the demised  premises  which is usable by
Tenant.  But if such  partial  damage is due to the fault or  neglect of Tenant,
Tenant's servants,  employees,  agents, visitors or licensees, without prejudice
to any other rights and remedies of Landlord and without prejudice to the rights
of subrogation to Landlord's/Insurer,  the damages shall be repaired by Landlord
but there shall be no  apportionment  or  abatement  of rent.  No penalty  shall
accrue for reasonable delay which may arise by reason of adjustment of insurance
on the part of Landlord  and/or Tenant,  and for reasonable  delay on account of
"labor troubles",  or any other cause beyond Landlord's  control. If the demised
premises are totally  damaged or are  rendered  wholly  untenantable  by fire or
same,  or if the  building  shall be so damaged  that  Landlord  shall decide to
demolish it or to rebuild it then or in any of such events  Landlord may, within
ninety (90) days after such fire or other cause, give Tenant a notice in writing
of such  decision  which  notice shall be given as in  Paragraph  Twelve  hereof
provided,  and  thereupon  the term of this lease shall  expire by lapse of time
upon the third day after  such  notice is given,  and  Tenant  shall  vacate the
demised  premises and surrender the same to Landlord.  If Tenant shall not be in
default under this lease,  then,  upon the  termination  of this lease under the
conditions  provided  for  in  the  sentence  immediately  preceding,   Tenant's
liability  for rent shall cease as of the day  following  the  casualty.  Tenant
hereby  expressly  waives the provisions of Section 227 of the Real Property Law
and agrees  that the  foregoing  provisions  of this  Article  shall  govern and
control in lieu  thereof.  If the damage or  destruction  be due to the fault or
neglect  of Tenant,  the debris  shall be  removed  by, and at the  expense  of,
Tenant.

EMINENT DOMAIN
     FIFTH.--If  the whole or any part of the premises  hereby  demised shall be
taken or condemned by any competent authority for any public use or purpose then
the term granted shall cease from the time when  possession of the part so taken
shall be required for such public  purpose and without  apportionment  of award,
the Tenant  hereby  assigning  to the  Landlord  all right and claim to any such
award, the current rent, however, in such case to be apportioned.

LEASE NOT IN EFFECT
DEFAULTS
TEN DAY NOTICE
     SIXTH.--If before the commencement of the term, the Tenant be adjudicated a
bankrupt,  or make a "general  assignment," or take the benefit of any insolvent
act, or if a receiver or Trustee be appointed for the Tenant's  property,  or if
this Lease or the estate of the Tenant  hereunder be  transferred  or pass to or
devolve upon any other person or corporation,  or if the Tenant shall default in
the  performance of any agreement by the Tenant  contained in any other lease to
the  Tenant by the  Landlord  or by any  corporation  of which an officer of the
Landlord is a Director, this lease shall thereby, at the option of the Landlord,
be terminated  and in that case,  neither the Tenant nor anybody  claiming under
the Tenant shall be entitled to go into possession of the demised  premises.  If
after the  commencement  of the term, any of the events  mentioned above in this
subdivision  shall occur,  or if Tenant shall make default in fulfilling  any of
the covenants of this lease, other than the covenants for the payment of rent or
"additional  rent" or if the demised  premises  become  vacant or deserted,  the
Landlord may give to the Tenant ten days' notice of intention to end the term of
this lease, and thereupon at the expiration of said ten days' (If said condition
which was the basis of said notice shall  continue to exist) the term under this
lease shall expire as fully and  completely  as if that day were the date herein
definitely  fixed for the  expiration  of the term and the Tenant will then quit
and surrender the demised premised to the Landlord,  but the Tenant shall remain
liable as hereinafter provided.


<PAGE>


RE-POSSESSION BY LANDLORD 
RE-LETTING 
WAIVER BY TENANT
     If the Tenant  shall  make  default  in the  payment  of the rent  reserved
hereunder,  or any item of "additional  rent" herein  mentioned,  or any part of
either or in making any other payment herein provided for, or if the notice last
above  provided  for shall  have been given and if the  condition  which was the
basis of said notice shall exist at the expiration of said ten days' period, the
Landlord  may  immediately,  or at any  time  thereafter  re-enter  the  demised
premises  and remove all persons and all or any  property  therefrom,  either by
summary dispossess proceedings, or by any suitable action or proceedings at law,
or by force or otherwise,  without being liable to  indictment,  prosecution  or
damages  therefor,  and  re-possess  and enjoy said  premises  together with all
additions,  alterations and improvements.  In any such case or in the event that
this  lease be  "terminated"  before  the  commencement  of the  term,  as above
provided,  the  Landlord may either  re-let the demised  premises or any part or
parts thereof for the Landlord's own account,  or may, at the Landlord's option,
re-let the  demised  premises  or any part or parts  thereof as the agent of the
Tenant,  and receive the rents therefor,  applying the same first to the payment
of such expenses as the Landlord may have incurred,  and then to the fulfillment
of the  covenants  of the  Tenant  herein,  and  the  balance,  if  any,  at the
expiration of the term first above  provided  for,  shall be paid to the Tenant.
Landlord  may rent the  premises  for a term  extending  beyond the term  hereby
granted without releasing Tenant from any liability.  In the event that the term
of this lease shall expire as above in this  subdivision  "Sixth"  provided,  or
terminate by summary  proceedings  or otherwise,  and if the Landlord  shall not
re-let the demised premises for the Landlord's own account, then, whether or not
the  premises be re-let,  the Tenant  shall  remain  liable for,  and the Tenant
hereby agrees to pay to the Landlord,  until the time when this lease would have
expired but for such termination or expiration,  the equivalent of the amount of
all of the rent and  "additional  rent"  reserved  herein,  less the  avails  of
reletting,  if any,  and the same shall be due and  payable by the Tenant to the
Landlord on the several  rent days above  specified,  that is, upon each of such
rent days the Tenant  shall pay to the Landlord  the amount of  deficiency  then
existing.  The Tenant hereby expressly waives any and all right of redemption in
case the Tenant  shall be  dispossessed  by  judgment or warrant of any court or
judge,  and the  Tenant  waives and will waive all right to trial by jury in any
summary proceedings  hereafter  instituted by the Landlord against the Tenant in
respect to the demised premises.  The words "re-enter" and "re-entry" as used in
this lease are not restricted to their technical legal meaning.

REMEDIES ARE CUMULATIVE
     In the event of a breach or  threatened  breach by the Tenant of any of the
covenants or provisions  hereof, the Landlord shall have the right of injunction
and the right to invoke any remedy allowed at law or in equity,  as if re-entry,
summary proceedings and other remedies were not herein provided for.

LANDLORD MAY PERFORM
ADDITIONAL RENT
     SEVENTH.--If  the Tenant  shall  make  default  in the  performance  of any
covenant  herein  contained,  the  Landlord  may  immediately,  or at  any  time
thereafter, without notice, perform the same for the account of the Tenant. If a
notice of  mechanic's  lien be filed  against  the  demised  premises or against
premises of which the demised  premises are part,  for, or purporting to be for,
labor or material  alleged to have been furnished,  or to be furnished to or for
the Tenant at the demised  premises,  and if the Tenant  shall fail to take such
action as shall cause such lien to be discharged  within  fifteen days after the
filing of such notice, the Landlord may pay the amount of such lien or discharge
the same by deposit or by bonding proceedings,  and in the event of such deposit
or bonding  proceedings,  the  Landlord  may require the lienor to  prosecute an
appropriate action to enforce the lienor's claim. In such case, the Landlord may
pay any judgment recovered on such claim. Any amount paid or expense incurred by
the Landlord as in this subdivision of this lease provided, and any amount as to
which the Tenant shall at any time be in default for or in respect to the use of
water,  electric  current or  sprinkler  supervisory  service,  and any  expense
incurred  or sum of money paid by the  Landlord  by reason of the failure of the
Tenant to comply with any  provision  hereof,  or in defending  any such action,
shall be deemed to be "additional rent" for the demised  premises,  and shall be
due and  payable  by the  Tenant  to the  Landlord  on the first day of the next
following  month,  or, at the  option of the  Landlord,  on the first day of any
succeeding  month.  The receipt by the Landlord of any instalment of the regular
stipulated rent hereunder or any of said "additional rent" shall not be a waiver
of any other "additional rent" then due.

AS TO WAIVERS
     EIGHTH.--The  failure  of  the  Landlord  to  insist,  in any  one or  more
instances upon a strict performance of any of the covenants of this lease, or to
exercise any option  herein  contained,  shall not be construed as a waiver or a
relinquishment  for this future of such  covenant or option,  but the same shall
continue  and remain in full force and effect.  The  receipt by the  Landlord of
rent, with knowledge of the breach of any covenant hereof, shall not be deemed a
waiver of such  breach and no waiver by the  Landlord  of any  provision  hereof
shall be deemed to have been made unless  expressed in writing and signed by the
Landlord.  Even though the Landlord  shall  consent to an  assignment  hereof no
further  assignment  shall be made  without  express  consent  in writing by the
Landlord.

COLLECTION OF RENT FROM OTHERS
     NINTH.--If this lease be assigned,  or if the demised  premises or any part
thereof be underlet or  occupied by anybody  other than the Tenant the  Landlord
may collect rent from the assignee,  under-tenant or occupant, and apply the net
amount  collected to the rent herein  reserved,  and no such collection shall be
deemed a waiver of the covenant herein against  assignment and underletting,  or
the acceptance of the assignee, under-tenant or occupant as tenant, or a release
of the Tenant from the further performance by the Tenant of the covenants herein
contained on the part of the Tenant.

MORTGAGES
     TENTH.--This  lease shall be subject and  subordinate  at all time,  to the
lien of the mortgages now on the demised  premises,  and to all advances made or
hereafter to be made upon the security  thereof,  and subject and subordinate to
the lien of any mortgage or mortgages  which at any time may be made a lien upon
the  premises.  The Tenant will execute and deliver such further  instrument  or
instruments  subordinating  this  lease  to the  lien of any  such  mortgage  or
mortgages as shall be desired by any mortgagee or proposed mortgagee. The Tenant
hereby appoints the Landlord the attorney-in-fact of the Tenant, irrevocable, to
execute and deliver any such instrument or instruments for the Tenant.

IMPROVEMENTS
     ELEVENTH.--All  improvement  made  by the  Tenant  to or upon  the  demised
premises,  except said trade fixtures,  shall when made, at once be deemed to be
attached to the freehold,  and become the property of the  Landlord,  and at the
end or other  expiration of the term, shall be surrendered to the Landlord in as
good  order  and  condition  as they were when  installed,  reasonable  wear and
damages by the elements excepted.

NOTICES
     TWELFTH.--Any notice or demand which under the terms of this lease or under
any  statute  must or may be given  or made by the  parties  hereto  shall be in
writing  and  shall  be  given  or made by  mailing  the  same by  certified  or
registered  mail addressed to the respective  parties at the addresses set forth
in this lease.

NO LIABILITY
     THIRTEENTH.--The  Landlord  shall not be liable  for any  failure  of water
supply or electrical current, sprinkler damage, or failure of sprinkler service,
nor for  injury or damage to person or  property  caused by the  elements  or by
other  tenants  or persons in said  building,  or  resulting  from  steam,  gas,
electricity,  water,  rain or snow, which may leak or flow from any part of said
buildings,  or from the pipes, appliances or plumbing works of the same, or from
the street or sub-surface,  or from any other place, nor for  interference  with
light or other incorporeal  hereditaments by anybody other than the Landlord, or
caused by operations by or for a governmental  authority in  construction of any
public or quasi-public work, neither shall the Landlord be liable for any latent
defect in the building.

NO ABATEMENT
     FOURTEENTH.--No  diminution  or  abatement of rent,  or other  compensation
shall be claimed or allowed for  inconvenience  or  discomfort  arising from the
making of repairs or improvements to the building or to its appliances,  nor for
any space taken to comply  with any law,  ordinance  or order of a  governmental
authority.  In respect to the various  "services," if any,  herein  expressly or
impliedly  agreed to be furnished  by the  Landlord to the Tenant,  it is agreed
that  there  shall be no  diminution  or  abatement  of the  rent,  or any other
compensation,  for  interruption  or  curtailment  of such  "service"  when such
interruption  or  curtailment  shall be due to accident,  alterations or repairs
desirable or necessary for the  maintenance  of such  "service" or to some other
cause, not gross negligence on the part of the Landlord. No such interruption to
be made  or to  inability  or  difficulty  in  securing  supplies  or  labor  or
curtailment of any such "service" shall be deemed a constructive  eviction.  The
Landlord shall not be required to furnish,  and the Tenant shall not be entitled
to receive, any of such "services" during any period wherein the Tenant shall be
in  default  in  respect to the  payment  of rent.  Neither  shall  there be any
abatement or  diminution of rent because of making of repairs,  improvements  or
decorations  to the  demised  premises  after  the  date  above  fixed  for  the
commencement  of the term, it being  understood  that rent shall,  in any event,
commence to run at such date so above fixed.

RULES, ETC.
     FIFTEENTH.--The  Landlord may  prescribe and regulate the placing of safes,
machinery,  quantities of  merchandise  and other things.  The Landlord may also
prescribe  and  regulate  which  elevator  and  entrances  shall  be used by the
Tenant's  employees,  and for the Tenant's shipping.  The Landlord may make such
other and further rules and regulations as, in the Landlord's judgment, may from
time to time be needful for the safety, care or cleanliness of the building, and
for the  preservation  of good order  therein.  The Tenant and the employees and
agents of the Tenant will observe and conform to all such rules and regulations.

SHORING OF WALLS
     SIXTEENTH.--In  the event that an excavation  shall be made for building or
other  purposes  upon  land  adjacent  to  the  demised  premises  or  shall  be
contemplated  to be made,  the  Tenant  shall  afford to the  person or  persons
causing or to cause such excavation,  license to enter upon the demised premises
for the  purpose of doing such work as said  person or persons  shall deem to be
necessary  to  preserve  the wall or walls,  structure  or  structures  upon the
demised premises from injury and to support the same by proper foundations.

VAULT SPACE
     SEVENTEENTH.--No  vaults  or space  not  within  the  property  line of the
building  are  leased  hereunder.  Landlord  makes no  representation  as to the
location of the property  line of the  building.  Such vaults or space as Tenant
may be permitted  to use or occupy are to be used or occupied  under a revocable
license and if such  license be revoked by the Landlord as to the use of part or
all of the  vaults or space  Landlord  shall not be  subject  to any  liability;
Tenant shall not be entitled to any  compensation or reduction in rent nor shall
this be  deemed  constructive  or  actual  eviction.  Any tax,  fee or charge of
municipal  or other  authorities  for such  vaults or space shall be paid by the
Tenant for the period of the Tenant's use or occupancy thereof.

ENTRY

     EIGHTEENTH.--That  during seven months prior to the  expiration of the term
hereby granted,  applicants shall be admitted at all reasonable hours of the day
to view the premises until rented;  and the Landlord and the  Landlord's  agents
shall be  permitted at any time during the term to visit and examine them at any
reasonable  hour of the day, and workmen may enter at any time,  when authorized
by the Landlord or the Landlord's  agents, to make or facilitate  repairs in any
part of the building;  and if the said Tenant shall not be personally present to
open and permit an entry into said premises,  at any time, when for any eason an
entry therein shall be necessary or permissible  hereunder,  the Landlord or the
Landlord's  agents may forcibly enter the same without rendering the Landlord or
such agents liable to any claim or cause of action for damages by reason thereof
(if during such entry the Landlord shall accord  reasonable care to the Tenant's
property) and without in any manner  affecting the  obligations and covenants of
this lease;  it is, however,  expressly  understood that the right and authority
hereby  reserved,  does not  impose,  nor does the  Landlord  assume,  by reason
thereof,  any responsibility or liability whatsoever for the care or supervision
of said premises,  or any of the pipes,  fixtures,  appliances or  appurtenances
therein contained or therewith in any manner connected.

NO REPRESENTATIONS
     NINETEENTH.--The  Landlord  has  made no  representations  or  promises  in
respect to said  building  or to the demised  premises  except  those  contained
herein,  and those,  if any,  contained  in some  written  communication  to the
Tenant,  signed by the Landlord.  This instrument may not be changed,  modified,
discharged or terminated orally.

ATTORNEY'S FEES
     TWENTIETH.--If the Tenant shall at any time be in default hereunder, and if
the Landlord shall institute an action or summary  proceeding against the Tenant
based upon such default,  the Tenant will reimburse the Landlord for the expense
of attorney's fees and disbursements thereby incurred by the Landlord, so far as
the same are reasonable in amount.  Also so long as the Tenant shall be a tenant
hereunder the amount of such expenses  shall be deemed to be  "additional  rent"
hereunder  and shall be due from the Tenant to the  Landlord on the first day of
the month following the incurring of such respective expenses.

POSSESSION
     TWENTY-FIRST.--Landlord  shall not be liable for failure to give possession
of the premises upon  commencement  date by reason of the fact that premises are
not ready for occupancy, or due to a prior Tenant wrongfully holding over or any
other person wrongfully in possession or for any other reason; in such event the
rent shall not commence until possession is given or is available,  but the term
herein shall not be extended.


<PAGE>


THE TENANT FURTHER COVENANTS:

IF A FIRST FLOOR
     TWENTY-SECOND.--If  the demised  premises or any part thereof  consist of a
store,  or of a first floor,  or of any part  thereof,  the Tenant will keep the
sidewalk  and curb in front  thereof  clean at all  times and free from snow and
ice, and will keep insured in favor of the Landlord, all plate glass therein and
furnish the Landlord with policies of insurance covering the same.

INCREASED FIRE INSURANCE RATE
     TWENTY-THIRD.--If  by reason of the conduct upon the demised  premises of a
business  not herein  permitted,  or if by reason of the  improper  or  careless
conduct of any business upon or use of the demised premises,  the fire insurance
rate shall at any time be higher  than it  otherwise  would be,  then the Tenant
will reimburse the Landlord, as additional rent hereunder,  for that part of all
fire insurance premiums hereafter paid out by the Landlord which shall have been
charged because of the conduct of such business not so permitted,  or because of
the  improper or  careless  conduct of any  business  upon or use of the demised
premises,  and will  make  such  reimbursement  upon the  first day of the month
following  such outlay by the Landlord;  but this covenant  shall not apply to a
premium for any period  beyond the  expiration  date of this lease,  first above
specified.  In any action or  proceeding  wherein  the  Landlord  and Tenant are
parties,  a  schedule  or "make  up" of rate  for the  building  on the  demised
premises, purporting to have been issued by New York Fire Insurance Exchange, or
other body making fire Insurance rates for the demised premises,  shall be prima
facie  evidence of the facts therein stated and of the several items and charges
included in the fire insurance rate then applicable to the demised premises.

WATER RENT, 
SEWER
     TWENTY-FOURTH.--If  a separate  water  meter be  installed  for the demised
premises,  or any part thereof,  the Tenant will keep the same in repair and pay
the charges made by the  municipality  or water supply company for or in respect
to the  consumption of water,  as and when bills  therefor are rendered.  If the
demised  premises,  or any part thereof,  be supplied with water through a meter
which supplies other premises,  the Tenant will pay to the Landlord, as and when
bills are rendered therefor, the Tenant's proportioate part of all charges which
the municipality  water supply company shall make for all water consumed through
said meter, as indicated by said meter. Such  proportionate  part shall be fixed
by apportioning the respective charge according to floor area against all of the
rentable floor area in the building (exclusive of the basement) which shall have
been occupied during the period of the respective  charges,  taking into account
the period  that each part of such area was  occupied.  Tenant  agrees to pay as
additional rent the Tenant's proportionate part, determined as aforesaid, of the
sewer rent or charge imposed or assessed upon the building of which the premises
are a part.

ELECTRIC CURRENT
     TWENTY-FIFTH.--That  the Tenant will  purchase  from the  Landlord,  if the
Landlord shall so desire,  all electric  current that the Tenant requires at the
demised  premises,  and will pay the  Landlord  for the same,  as the  amount of
consumption  shall be indicated by the meter furnished  therefor.  The price for
said current shall be the same as that charged for  consumption  similar to that
of the  Tenant  by the  company  supplying  electricity  in the same  community.
Payments  shall be due as and when bills  shall be  rendered.  The Tenant  shall
comply with like rules,  regulations and contract provisions as those prescribed
by said company for a consumption similar to that of the Tenant.

SPRINKLER SYSTEM
     TWENTY-SIXTH.--If  there now is or shall be  installed  in said  building a
"sprinkler  system"  the  Tenant  agrees to keep the  appliances  thereto in the
demised premises in repair and good working condition, and if the New York Board
of Fire  Underwriters  or the New York Fire  Insurance  Exchange  or any bureau,
department or official of the State or local  government  requires or recommends
that any changes,  modifications,  alterations or additional  sprinkler heads or
other equipment be made or supplied by reason of the Tenant's  business,  or the
location  of  partitions,  trade  fixtures,  or other  contents  of the  demised
premises, or if such changes, modifications,  alterations,  additional sprinkler
heads or other  equipment  be made or supplied  by reason of the  modifications,
alterations,  additional  sprinkler  heads or  other  equipment  in the  demised
premises are necessary to prevent the  imposition of a penalty or charge against
the full allowance for a sprinkler system in the fire insurance rate as fixed by
said Exchange, or by any Fire Insurance Company, the Tenant will at the Tenant's
own expense, promptly make and supply such changes, modifications,  alterations,
additional sprinkler heads or other equipment.  As additional rent hereunder the
Tenant  will pay to the  Landlord,  annually  in  advance,  throughout  the term
$..........., toward the contract price for sprinkler supervisory service.

SECURITY
     TWENTY-SEVENTH.--The  sum of ONE THOUSAND  SIX HUNDRED AND 00/100  ($1,600)
Dollars is deposited by the Tenant  herein with the Landlord  herein as security
for the faithful performance of all the covenants and conditions of the lease by
the said  Tenant.  If the  Tenant  faithfully  performs  all the  covenants  and
conditions on his part to be performed, then the sum deposited shall be returned
to said Tenant.

NUISANCE
     TWENTY-EIGHTH.--This  lease  is  granted  and  accepted  on the  especially
understood  and agreed  condition  that the Tenant will  conduct has business in
such a manner,  both as regards noise and kindred nuisances,  as will in no wise
interfere  with,  annoy,  or disturb any other tenants,  in the conduct of their
several  businesses,  or the landlord in the  management of the building;  under
penalty of forfeiture of this lease and consequential damages.

BROKERS COMMISSIONS
     TWENTY-NINTH.--The  Landlord hereby  recognizes__________ as the broker who
negotiated and  consummated  this lease with the Tenant herein,  and agrees that
if, as, and when the Tenant  exercises the option,  if any,  contained herein to
renew this lease, or fails to exercise the option, if any,  contained therein to
cancel this lease, the Landlord will pay to said broker a further  commission in
accordance  with the rules and commission  rates of the Real Estate Board in the
community.  A sale, transfer, or other disposition of the Landlord's Interest in
said lease shall not operate to defeat the Landlord's obligation to pay the said
commission  to the said  broker.  The Tenant  herein  hereby  represents  to the
Landlord  that the said  broker is the sole and only broker who  negotiated  and
consummated this lease with the Tenant.

WINDOW CLEANING
     THIRTIETH.--The Tenant agrees that it will not require, permit, suffer, nor
allow the cleaning of any window,  or windows,  in the demised premises from the
outside  (within  the  meaning  of  Section  202 of the Labor  Law)  unless  the
equipment and safety  devices  required by law,  ordinance,  regulation or rule,
including,  without  limitation,  Section  202 of the New York  Labor  Law,  are
provided  and used,  and  unless  the rules,  or any  supplemental  rules of the
Industrial  Board of the  State of New York are  fully  complied  with;  and the
Tenant hereby agrees to indemnify the Landlord,  Owner,  Agent,  Manager  and/or
Superintendent, as a result of the Tenant's requiring, permitting, suffering, or
allowing any window,  or windows in the demised  premises to be cleaned from the
outside in violation  of the  requirements of the  aforesaid  laws,  ordinances,
regulations and/or rules.

VALIDITY
     THIRTY-FIRST.--The  invalidity or unenforceability of any provision of this
lease  shall in no way  affect  the  validity  or  enforceability  of any  other
provision hereof.

EXECUTION & DELIVERY OF LEASE
     THIRTY-SECOND.--In  order to avoid delay,  this lease has been prepared and
submitted to the Tenant for signature with the  understanding  that it shall not
bind the Landlord unless and until it is executed and delivered by the Landlord.

EXTERIOR OF PREMISES
     THIRTY-THIRD.--The  Tenant will keep clean and  polished  all metal,  trim,
marble and  stonework  which are a part of the exterior of the  premises,  using
such  materials and methods as the Landlord may direct,  and if the Tenant shall
fail to comply with the provision of this paragraph, the Landlord may cause such
work to be done at the expense of the Tenant.

PLATE GLASS
     THIRTY-FOURTH.--The Landlord shall replace at the expense of the Tenant any
and all broken glass in the skylights,  doors and walls in and about the demised
premises.  The  Landlord  may insure  and keep  insured  all plate  glass in the
skylights,  doors and walls in the demised premises,  for and in the name of the
Landlord and bills for the premiums  therefor  shall be rendered by the Landlord
to the Tenant at such times as the Landlord may elect, and shall be due from and
payable by the Tenant when  rendered,  and the amount thereof shall be deemed to
be, and shall be paid as, additional rent.

WAR EMERGENCY
     THIRTY-FIFTH.--This  lease  and  the  obligation  of  Tenant  to  pay  rent
hereunder  and perform all of the other  covenants and  agreements  hereunder on
part of Tenant to be performed shall in nowise be affected,  impaired or excused
because  Landlord  is unable to supply or is delayed in  supplying  any  service
expressly  or  impliedly  to be supplied or is unable to make,  or is delayed in
making any repairs, additions, alterations or decorations or is unable to supply
or is delayed in supplying any equipment or fixtures if Landlord is prevented or
delayed from so doing by reason of governmental  preemption in connection with a
National  Emergency  declared  by the  President  of  the  United  States  or in
connection  with any rule,  order or regulation of any department or subdivision
thereof of any  government  agency or by reason of the  conditions of supply and
demand which have been or are affected by war or other emergency.

THE LANDLORD COVENANTS

QUIET POSSESSION
     FIRST.--That  if and so long as the  Tenant  pays the rent and  "additional
rent"  reserved  hereby,  and performs and observes the covenants and provisions
hereof, the Tenant shall quietly enjoy the demised premises,  subject,  however,
to the terms of this  lease,  and to the  mortgages  above  mentioned,  provided
however,  that this covenant shall be conditioned upon the retention of title to
the premises by Landlord.

ELEVATOR
HEAT
     SECOND.--Subject  to the  provisions  of Paragraph  "Fourteenth"  above the
Landlord will furnish the following respective  services:  (a) Elevator service,
if the  building  shall  contain an  elevator or  elevators,  on all days except
Sundays and holidays,  from  __________ A.M. to __________ P.M. and on Saturdays
from __________ A.M. to __________ P.M.; (b) Heat,  during the same hours on the
same days in the cold season in each year.



     And it is mutually  understood and agreed that the covenants and agreements
contained in the within lease shall be binding upon the parties  hereto and upon
their respective successors, heirs, executors and administrators.

     IN WITNESS WHEREOF,  the Landlord and Tenant have  respectively  signed and
sealed these presents the day and year first above written.

                                    EDUCATIONAL AND CHARITABLE FOUNDATION
                                    OF EASTERN ORANGE COUNTY, INC.


                                 BY:  /s/ Signature on File, Pres.      [L. S.]
                                    ------------------------------
                                                                    Landlord

                                    NEW YORK HEALTH CARE, INC.


                                 BY: /s/  Jerry Braun, CEO        [L. S.]
                                    ------------------------------
                                                                    Tenant



<PAGE>


State of New York, County of __________ ss:

     On  the   __________   day  of   __________19__,   before   me   personally
came___________  to me known,  who,  being by me duly sworn,  did depose and say
that  he  resides  at  __________;  that he is  __________  of  __________,  the
corporation  described  in and which  executed the withing  instrument;  that he
knows the seal of said corporation;  that the seal affixed to said instrument is
such corporate  seal;  that it was so affixed by order of the Board of Directors
of said corporation, and that he signed his name thereto by like order.


State of New York, County of __________ ss:

     On the __________ day of __________19__,  before me personally came________
to me known,  who, being by me duly sworn, did depose and say that he resides at
__________;  that he is __________ of __________,  the corporation  described in
and  which  executed  the  within  instrument;  that he  knows  the seal of said
corporation;  that the seal affixed to said  instrument is such corporate  seal;
that it was so affixed by order of the Board of Directors  of said  corporation,
and that he signed his name thereto by like order.


State of New York, County of __________ ss:

     On the  __________  day of  __________  19__,  before  me  personally  came
__________ to me known and known to me to be the individual described in and who
executed the foregoing  instrument,  and duly  acknowledged that he executed the
same.


State of New York, County of __________ ss:

     On the  __________  day of  __________  19__,  before  me  personally  came
__________,  subscribing  witness to the  foregoing  instrument,  with whom I am
personally acquainted, who, being by me duly sworn, did dispose and say, that he
resided, at the time of the execution of said instrument,  and still resides, in
__________  that  he is and  then  was  acquainted  with  __________,  and  knew
__________ to be  __________  the  individual  described in and who executed the
foregoing instrument; and that he, said subscribing witness, was present and saw
__________  execute the same;  and that he, said witness,  thereupon at the same
time subscribed his name as written thereto.


BUILDING
        ------------------------------------------------------------------------

Premises 45 Grand Street
        ------------------------------------------------------------------------

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

EDUCATIONAL AND CHARITABLE FOUNDATION OF EASTERN ORANGE COUNTY, INC.

                                                                        Landlord

                                       to

NEW YORK HEALTH CARE, INC.

                                                                          Tenant


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

                                     LEASE

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





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



                                    GUARANTY

     In  consideration  of the letting of the premises  within  mentioned to the
Tenant within  named,  and of the sum of One Dollar,  to the  underlined in hand
paid by the Landlord  within named,  the  undersigned  hereby  guarantees to the
Landlord  and to the  heirs,  successors  and/or  assigns of the  Landlord,  the
payment by the Tenant of the rent,  within  provided for, and the performance by
the Tenant of all of the provisions of the within lease.  Notice of all defaults
is  waived,  and  consent  is hereby  given to all  extensions  of time that any
Landlord may grant.

     Dated,                            19

                                                ____________________________L.S.

STATE OF                       COUNTY OF                   ss:

     On this __________ day of __________,  19__, before me personally  appeared
__________  to me known  and  known to be the  individual  described  in and who
executed the foregoing instrument,  and duly acknowledged to me that he executed
the same.

<PAGE>

                     RIDER TO LEASE DATED AUGUST ____, 1992
                BETWEEN EDUCATIONAL AND CHARITABLE FOUNDATION OF
                  EASTERN ORANGE COUNTY, INC., AS LANDLORD, AND
                      NEW YORK HEALTH CARE, INC., AS TENANT

     36. If Tenant is not in default under the terms of this lease, Tenant shall
have the option to renew the lease for an additional three-year term for the
annual rent of $10,800.00 per year for the first two years and $12,000 for the
third year.[change initialed: /s/ JB] In order to exercise such option, Tenant
must give Landlord at least six months' written notice of exercise of such
option to renew.

     37. In the event that Landlord transfers ownership of the demised premises
to another party, such transfer shall be subject to the terms of this lease.

     38. Tenant shall place no signs on the front of the demised premises.

     39. Any signage on the front window of the demised premises shall be
subject to prior written approval of Landlord.

     40. As part of the rent described above, Landlord shall provide security,
(as described to Tenant prior to execution of the lease), air conditioning and
heat. All other maintenance and repair of the demised premises is the
responsibility of Tenant.

     41. Tenant shall provide liability insurance coverage in at least the
amount of $500,000.00 per individual and $1,000,000.00 in the aggregate naming
Landlord as insured. Tenant shall provide Landlord with a Certificate of
Insurance naming Landlord as insured prior to taking possession of the demised
premises.

     42. Tenant shall provide Landlord with notice concerning any change of
insurance carrier during the term of the lease.

     43. If Tenant has not exercised its option to renew by six months prior to
expiration of the term as described in Paragraph 36 above, Landlord has
permission to install "to let" or "for sale" signs on the premises for the
remainder of the term and Tenant shall cooperate with Landlord or Landlord's
agencies in showing the premises for possible rental or sale.



                          STANDARD FORM OF OFFICE LEASE

                     The Real Estate Board of New York, Inc.

Agreement  of  Lease,  made as of  this  15th  day of  September  1995,  between
Expressway  Realty Co.,  91-31 Queens Blvd.,  Elmhurst,  NY 11373,  party of the
first part,  hereinafter  referred to as OWNER,  and NEW YORK HEALTH CARE,  INC.
1667 Flatbush Avenue,  Brooklyn, NY 11210, party of the second part, hereinafter
referred to as TENANT.

Witnesseth:  

     Owner  hereby  leases to Tenant  and  Tenant  hereby  hires from Owner that
portion of the Second Floor  designated  as Suite 210 in the  building  known as
91-31 Queens Boulevard, Elmhurst in the Borough of Queens, City of New York, for
the term of Two (2) Years (or until such term shall  sooner  cease and expire as
hereinafter provided) to commence on the 1st day of October Nineteen Hundred and
Ninety-Five,  and to end on the  30th day of  September,  Nineteen  Hundred  and
Ninety-Seven,  both  days  inclusive,  at an  annual  rental  rate of  SEVENTEEN
THOUSAND   FOUR  HUNDRED   ($17,400.00)   DOLLARS,   payable  in  equal  monthly
installments of ONE THOUSAND FOUR HUNDRED FIFTY ($1,450.00) DOLLARS which Tenant
agrees to pay in lawful  money of the United  States which shall be legal tender
in payment of all debts and dues, public and private, at the time of payment, in
equal monthly installments in advance on the first day of each month during said
term, at the office of Owner or such other place as Owner may designate, without
any set off or deduction whatsoever, except that Tenant shall pay the first_____
monthly installment(s) on the execution hereof (unless this lease be a renewal).

     In the  event  that,  at the  commencement  of the term of this  lease,  or
thereafter,  Tenant shall be in default in the payment of rent to Owner pursuant
to the  terms of  another  lease  with  Owner  or with  Owner's  predecessor  in
interest,  Owner may at  Owner's  option  and  without  notice to Tenant add the
amount of such arrears to any monthly  installment of rent payable hereunder and
the same shall be payable to Owner as additional rent.

     The parties hereto, for themselves,  their heirs, distributees,  executors,
administrators,  legal representatives,  successors and assigns, hereby covenant
as follows:

Rent: 

1. Tenant  shall pay the rent as above and as hereinafter provided.

Occupancy: 

2. Tenant shall use and occupy  demised  premises for office use for health care
provider and for no other purpose.

Tenant Alterations:

3.  Tenant  shall make no changes in or to the  demised  premises  of any nature
without Owner's prior written constant.  Subject to the prior written consent of
Owner, and to the provisions of this article,  Tenant, at Tenant's expense,  may
make   alterations,   installations,   additions  or   improvements   which  are
nonstructural  and  which  do  not  affect  utility  services  or  plumbing  and
electrical  lines,  in or to the  interior  of the  demised  premises  by  using
contractors or mechanics first approved in each instance by Owner. Tenant shall,
before making any alterations,  additions, installations or improvements, at its
expense,  obtain  all  permits,  approvals  and  certificates  required  by  any
governmental or quasi-governmental  bodies and (upon completion) certificates of
final  approval  thereof  and  shall  deliver  promptly  duplicates  of all such
permits, approvals and certificates to Owner and Tenant agrees to carry and will
cause  Tenant's   contractors  and   sub-contractors  to  carry  such  workman's
compensation, general liability, personal and property damage insurance as Owner
may require.  If any mechanic's lien is filed against the demised  premises,  or
the building of which the same forms a part,  for work claimed to have been done
for, or materials  furnished  to,  Tenant,  whether or not done pursuant to this
article, the same shall be discharged by Tenant within thirty days thereafter at
Tenant's  expense,  by payment or filing the bond  required by law. All fixtures
and all paneling, partitions, railings and like installations,  installed in the
premises at any time,  either by Tenant or by Owner on Tenant's  behalf,  shall,
upon  installation,  become the  property of Owner and shall  remain upon and be
surrendered with the demised premises unless Owner, by notice to Tenant no later
than  twenty  days prior to the date  fixed as the  termination  of this  lease,
elects to  relinquish  Owner's right thereto and to have them removed by Tenant,
in which event the same shall be removed  from the  premises by Tenant  prior to
the  expiration  of the lease at the Tenant's  expense.  Nothing in this Article
shall be  construed  to give Owner  title to or to prevent  Tenant's  removal of
trade fixtures, moveable office furniture and equipment, but upon removal of any
such from the premises or upon removal of other installations as may be required
by Owner,  Tenant shall  immediately and at its expense,  repair and restore the
premises to the condition  existing prior to installation  and repair any damage
to the demised  premises  or the  building  due to such  removal.  All  property
permitted  or required to be removed by Tenant at the end of the term  remaining
in the premises after Tenant's removal shall be deemed abandoned and may, at the
election of Owner, either be retained as Owner's property or may be removed from
the premises by Owner, at Tenant's expense.

Maintenance and Repairs:

4.  Tenant  shall,  throughout  the term of this  lease,  take  good care of the
demised  premises and the fixtures and  appurtenances  therein.  Tenant shall be
responsible  for all damage or injury to the demised  premises or any other part
of the  building  and the  systems  and  equipment  thereof,  whether  requiring
structural or  nonstructural  repairs caused by or resulting from  carelessness,
omission,  neglect or improper conduct of Tenant,  Tenant's subtenants,  agents,
employees, invitees or licensees, or which arise out of any work, labor, service
or equipment  done for or supplied to Tenant or any  subtenant or arising out of
the installation, use or operation of the property or equipment of Tenant or any
subtenant.  Tenant shall also repair all damages to the building and the demised
premises  caused by the moving of Tenant's  fixtures,  furniture and  equipment.
Tenant  shall  promptly  make,  at Tenant's  expense,  all repairs in and to the
demised premises for which Tenant is responsible,  using only the contractor for
the  trade  or  trades  in  question,  selected  from a  list  of at  least  two
contractors  per trade  submitted  by  Owner.  Any  other  repairs  in or to the
building or the facilities  and systems  thereof for which Tenant is responsible
shall be  performed by Owner at the Tenant's  expense.  Owner shall  maintain in
good working  order and repair the exterior and the  structural  portions of the
building,  including  the  structural  portions of its demised  premises and the
public portions of the building interior and the building plumbing,  electrical,
heating and  ventilating  systems (to the extent such systems  presently  exist)
serving  the  demised  premises.  Tenant  agrees  to give  prompt  notice of any
defective  condition  in  the  premises  for  which  Owner  may  be  responsible
hereunder.  There shall be no allowance to Tenant for diminution of rental value
and no liability on the part of Owner by reason of  inconvenience,  annoyance or
injury to business  arising from Owner or others  making  repairs,  alterations,
additions  or  improvements  in or to any portion of the building or the demised
premises or in and to the fixtures,  appurtenances or equipment  thereof.  It is
specifically agreed that Tenant shall not be entitled to any setoff or reduction
of rent by reason of any failure of Owner to comply with the  covenants  of this
or any other  article of this Lease.  Tenant agrees that Tenant's sole remedy at
law in such  instance  will be by way of an action  for  damages  for  breach of
contract.  The  provisions of this Article 4 shall not apply in the case of fire
or other casualty which are dealt with in Article 9 hereof.

Window Cleaning:

5. Tenant will not clean nor require,  permit, suffer or allow any window in the
demised  premises to be cleaned  from the outside in violation of Section 202 of
the  Labor  Law or any  other  applicable  law or of the  Rules of the  Board of
Standards  and  Appeals,  or of any  other  Board or body  having  or  asserting
jurisdiction.

Requirements of Law, Fire Insurance, Floor Loads:

6. Prior to the commencement of the lease term, if Tenant is then in possession,
and at all times thereafter,  Tenant,  at Tenant's sole cost and expense,  shall
promptly comply with all present and future laws,  orders and regulations of all
state, federal,  municipal and local governments,  departments,  commissions and
boards and any direction of any public officer  pursuant to law, and all orders,
rules,  and  regulations of the New York Board of Fire  Underwriters,  Insurance
Services Office, or any similar body which shall impose any violation, order, or
duty upon Owner or Tenant with respect to the demised  premises,  whether or not
arising  out of  Tenant's  permitted  use or,  with  respect to the  building if
arising out of  Tenant's  use or manner of use of the  premises or the  building
(including  the use  permitted  under the lease).  Nothing  herein shall require
Tenant to make  structural  repairs or  alterations  unless  Tenant  has, by its
manner of use of the demised premises or method of operation  therein,  violated
any such laws,  ordinances,  orders,  rules,  regulations or  requirements  with
respect thereto. Tenant may, after securing Owner to


[STAMP] INITIAL HERE /s/ JB

<PAGE>


Owner's  satisfaction  against all damages,  interest,  penalties  and expenses,
including but not limited to, reasonable  attorney's fees, by cash deposit or by
surety  bond in an amount and in a company  satisfactory  to Owner,  contest and
appeal any such laws,  ordinances,  orders,  rules,  regulations or requirements
provided same is done with all  reasonable  promptness  and provided such appeal
shall not subject Owner to  prosecution  for a criminal  offense or constitute a
default under any lease or mortgage  under which Owner may be obligated or cause
the demised  premises or any part  thereof to be  condemned  or vacated.  Tenant
shall not do or permit any act or thing to be done in or to the demised premises
which is contrary to law, or which will invalidate or be in conflict with public
liability, fire or other policies of insurance at any time carried by or for the
benefit of Owner with  respect to the demised  premises or the building of which
the demised  premises  form a part, or which shall or might subject Owner to any
liability or responsibility  to any person or for property damage.  Tenant shall
not keep anything in the demised  premises except as now or hereafter  permitted
by the  Fire  Department,  Board of Fire  Underwriters,  Fire  Insurance  Rating
Organization or other authority having jurisdiction and then only in such manner
and such quantity so as not to increase the rate for fire  insurance  applicable
to the  building,  nor use the  premises in any manner  which will  increase the
insurance  rate for the  building or any property  located  therein over that in
effect prior to the  commencement  of Tenant's  occupancy.  Tenant shall pay all
costs, expenses, fines, penalties, or damages which may be imposed upon Owner by
reason of Tenant's  failure to comply with the provisions of this article and if
by reason of such failure the fire  insurance  rate shall,  at the  beginning of
this lease or at any time thereafter, be higher than it otherwise would be, then
Tenant shall reimburse Owner, as additional rent hereunder,  for that portion of
all fire  insurance  premiums  thereafter  paid by Owner  which  shall have been
charged because of such failure by Tenant.  In any action or proceeding  wherein
Owner and Tenant are  parties,  a schedule or "make-up" of rate for the building
or demised  premises  issued by the New York Fire Insurance  Exchange,  or other
body making fire insurance rates applicable to said premises shall be conclusive
evidence of the facts therein stated and of the several items and charges in the
fire insurance rates then applicable to said premises.  Tenant shall not place a
load upon any floor of the demised premises  exceeding the floor load per square
foot area which it was  designed  to carry and which is  allowed  by law.  Owner
reserves the right to prescribe  the weight and position of all safes,  business
machines  and  mechanical  equipment.  Such  installations  shall be placed  and
maintained by Tenant, at Tenant's expense,  in settings  sufficient,  in Owner's
judgment, to absorb and prevent vibration, noise and annoyance.

Subordination:

7. This lease is subject and subordinate to all ground or underlying  leases and
to all  mortgages  which may now or  hereafter  affect  such  leases or the real
property  of  which   demised   premises  are  a  part  and  to  all   renewals,
modifications,   consolidations,   replacements   and  extensions  of  any  such
underlying  leases and  mortgages.  This clause shall be  self-operative  and no
further  instrument  of  subordination  shall  be  required  by  any  ground  or
underlying lessor or by any mortgagee,  affecting any lease or the real property
of which the demised premises are a part. In confirmation of such subordination,
Tenant shall from time to time execute  promptly any certificate  that Owner may
request.

Property Loss, Damage Reimbursement Indemnity:

8: Owner or its agents  shall not be liable for any damage to property of Tenant
or of others  entrusted to employees of the building,  nor for loss of or damage
to any property of Tenant by theft or otherwise, nor for any injury or damage to
persons or property resulting from any cause of whatsoever nature, unless caused
by or due to negligence of Owner,  its agents,  servants or employees.  Owner or
its agents  will not be liable for any such  damage  caused by other  tenants or
persons in, upon or about said building or caused by operations in  construction
of any private,  public or quasi public work.  If at any time any windows of the
demised premises are temporarily closed,  darkened or bricked up (or permanently
closed,  darkened or bricked up, if required by law) for any reason  whatsoever,
including,  but not limited to, Owner's own acts,  Owner shall not be liable for
any damage  Tenant may sustain  thereby and Tenant  shall not be entitled to any
compensation  therefor nor  abatement or  diminution  of rent nor shall the same
release Tenant from its obligations hereunder nor constitute an eviction. Tenant
shall  indemnify  and save  harmless  Owner  against  and from all  liabilities,
obligations,  damages,  penalties,  claims,  costs and  expenses for which Owner
shall not be reimbursed by insurance, including reasonable attorneys fees, paid,
suffered,  or  incurred  as a result of any breach by Tenant,  Tenant's  agents,
contractors,  employees, invitees, or licensees, of any covenant or condition of
this lease, or the  carelessness,  negligence or improper conduct of the Tenant,
Tenant's  agents,  contractors,   employees,  invitees  or  licensees.  Tenant's
liability  under this lease extends to the acts and omissions of any sub-tenant,
and any agent, contractor,  employee, invitees or licensee of any sub-tenant. In
case any action or  proceeding  is brought  against  Owner by reason of any such
claim, Tenant, upon written notice from Owner, will, at Tenant's expense, resist
or defend such  action or  proceeding  by counsel  approved by Owner in writing,
such approval not to be unreasonably withheld.

Destruction, Fire and Other Casualty:

9. (a) If the demised  premises or any part thereof  shall be damaged by fire or
other  casualty,  Tenant shall give  immediate  notice thereof to Owner and this
lease shall continue in full force and effect except as  hereinafter  set forth.
(b) If the demised premises are partially damaged or rendered partially unusable
by fire or other  casualty,  the damages thereto shall be repaired by and at the
expense of Owner and the rent and other  items of  additional  rent,  until such
repair  shall be  substantially  completed,  shall be  apportioned  from the day
following the casualty according to the part of the premise which is usable. (c)
If the demised  premises are totally damaged or rendered wholly unusable by fire
or  other  casualty,  then  the  rent and  other  items  of  additional  rent as
hereinafter  expressly provided shall be proportionately  paid up to the time of
the casualty and thenceforth  shall cease until the date when the premises shall
have been repaired and restored by Owner (or sooner reoccupied in part by Tenant
then rent shall be apportioned as provided in subsection (b) above),  subject to
Owner's right to elect not to restore the same as hereinafter  provided.  (d) If
the demised premises are rendered wholly unusable or (whether or not the demised
premises  are damaged in whole or in part) if the  building  shall be so damaged
that Owner shall  decide to demolish it or to rebuild it,  then,  in any of such
events,  Owner may elect to  terminate  this lease by written  notice to Tenant,
given within 90 days after such fire or casualty, or 30 days after adjustment of
the insurance claim for such fire or casualty, whichever is sooner, specifying a
date for the expiration of the lease,  which date shall not be more than 60 days
after the giving of such notice,  and upon the date specified in such notice the
term of this lease shall expire as fully and completely as if such date were the
date set  forth  above  for the  termination  of this  lease  and  Tenant  shall
forthwith quit, surrender, and vacate the premises without prejudice however, to
Landlord's  rights and remedies  against  Tenant under the lease  provisions  in
effect  prior to such  termination,  and any rent owing shall be paid up to such
date and any payments of rent made by Tenant which were on account of any period
subsequent to such date shall be returned to Tenant.  Unless Owner shall serve a
termination  notice as  provided  for  herein,  Owner shall make the repairs and
restorations  under the  conditions of (b) and (c) hereof,  with all  reasonable
expedition,  subject to delays due to  adjustment  of  insurance  claims,  labor
troubles and causes beyond  Owner's  control.  After any such  casualty,  Tenant
shall  cooperate  with  Owner's  restoration  by removing  from the  premises as
promptly as  reasonably  possible,  all of Tenant's  salvageable  inventory  and
moveable equipment,  furniture, and other property.  Tenant's liability for rent
shall resume five (5) days after written notice from Owner that the premises are
substantially  ready for Tenant's occupancy.  (e) Nothing contained  hereinabove
shall relieve  Tenant from  liability  that may exist as a result of damage from
fire or other  casualty.  Not  withstanding  the  foregoing,  including  Owner's
obligation to restore under  subparagraph (b) above, each party shall look first
to any  insurance in its favor before  making any claim  against the other party
for recovery for loss or damage resulting from fire or other casualty and to the
extent  that  such  insurance  is in force  and  collectible  and to the  extent
permitted by law, Owner and Tenant each hereby  releases and waives all right of
recovery  with respect to  subparagraphs  (b),  (d), and (e) above,  against the
other or any one claiming through or under each of them by way of subrogation or
otherwise.  The release and waiver herein referred to shall be deemed to include
any loss or damage to the  demised  premises  and/or to any  personal  property,
equipment,  trade fixtures, goods and merchandise located therein. The foregoing
release and waiver shall be in force only if both releasors'  insurance policies
contain a clause  providing  that such a release or waiver shall not  invalidate
the insurance.  If, and to the extent,  that such waiver can be obtained only by
the payment of additional  premiums,  then the party  benefiting from the waiver
shall pay such premium  within ten days after written  demand or shall be deemed
to have agreed that the party obtaining  insurance coverage shall be free of any
further  obligation  under  the  provisions  hereof  with  respect  to waiver of
subrogation. Tenant acknowledges that Owner will not carry insurance on Tenant's
furniture  and/or  furnishings  or any fixtures or equipment,  improvements,  or
appurtenances removable by Tenant and agrees that Owner will not be obligated to
repair any damage  thereto or replace  the same.  (f) Tenant  hereby  waives the
provisions  of  Section  227 of the  Real  Property  Law  and  agrees  that  the
provisions of this article shall govern and control in lieu thereof.

Eminent Domain:

10.  If the  whole or any part of the  demised  premises  shall be  acquired  or
condemned by Eminent Domain for any public or quasi public use or purpose,  then
and in that event,  the term of this lease shall  cease and  terminate  from the
date of title vesting in such  proceeding and Tenant shall have no claim for the
value of any unexpired term of said lease and assigns to Owner,  Tenant's entire
interest in any such award.  Tenant shall have the right to make an  independent
claim to the condemning  authority for the value of Tenant's moving expenses and
personal  property,  trade fixtures and equipment,  provided  Tenant is entitled
pursuant to the terms of the lease to remove such  property,  trade fixtures and
equipment at the end of the term and provided further such claim does not reduce
Owner's award.

Assignment, Mortgage, Etc.:

11. Tenant,  for itself,  its heirs,  distributees,  executors,  administrators,
legal representative,  successor and assigns,  expressly covenants that it shall
not assign,  mortgage or encumber this  agreement,  nor  underlet,  or suffer or
permit the demised  premises or any part  thereof to be used by others,  without
the prior written consent of Owner in each instance. Transfer of the majority of
the  stock of a  corporate  Tenant or the  majority  partnership  interest  of a
partnership Tenant shall be deemed an assignment.  If this lease be assigned, or
if the demised  premises or any part  thereof be underlet or occupied by anybody
other than Tenant,  Owner may,  after  default by Tenant,  collect rent from the
assignee,  under-tenant  or occupant  and apply the net amount  collected to the
rent  herein  reserved,  but no  such  assignment,  underletting,  occupancy  or
collection  shall be deemed a waiver of this covenant,  or the acceptance of the
assignee,  under-tenant  or occupant as tenant,  or a release of Tenant from the
further  performance  by  Tenant  of  covenants  on the  part of  Tenant  herein
contained.  The consent by Owner to an assignment or  underletting  shall not in
any wise be construed to relieve  Tenant from  obtaining the express  consent in
writing of Owner to any further assignment or underletting.

Electric Current: [GRAPHIC OF POINTING HAND]

12. Rates and  conditions in respect to submetering  or rent  inclusion,  as the
case may be, to be added in RIDER,  attached hereto. Tenant covenants and agrees
that at all times its use of electric  current  shall not exceed the capacity of
existing feeders to the building or the risers or wiring installation and Tenant
may not use any  electrical  equipment  which,  in Owner's  opinion,  reasonably
exercised, will overload such installations or interfere with the use thereof by
other  tenants  of the  building.  The  change at any time of the  character  of
electric  service shall in no wise make Owner liable or  responsible  to Tenant,
for any loss, damages, or expenses which Tenant may sustain.

Access to Premises:

13. Owner or Owner's agents shall have the right (but shall not be obligated) to
enter the demised premises in any emergency at any time, and at other reasonable
times,  to  examine  the  same  and  to  make  such  repairs,  replacements  and
improvements as Owner may deem necessary and reasonably desirable to the demised
premises  or to any other  portion of the  building  on which Owner may elect to
perform.  Tenant shall  permit  Owner to use and maintain and replace  pipes and
conduits in and through the demised premises and to erect new pipes and conduits
therein provided they are concealed within the walls,  floor, or ceiling.  Owner
may, during the progress of any work in the demised premises, take all necessary
materials and  equipment  into said premises  without the same  constituting  an
eviction  nor shall the tenant be entitled to any  abatement  of rent while such
work is in  progress  nor to any  damages by reason of loss or  interruption  of
business or otherwise.  Throughout the term hereof Owner shall have the right to
enter the demised  premises at  reasonable  hours for the purpose of showing the
same to  prospective  purchasers or  mortgagees of the building,  and during the
last six months of the term for the purpose of showing the

[STAMP] INITIAL HERE /s/ JB

- ----------
[GRAPHIC OF POINTING HAND]  Rider to be added if necessary.


<PAGE>



same to  prospective  tenants.  If Tenant is not  present  to open and permit an
entry into the  demised  premises,  Owner or  Owner's  agents may enter the same
whenever  such entry may be necessary or  permissible  by master key or forcibly
and provided  reasonable care is exercised to safeguard Tenant's property,  such
entry shall not render  Owner or its agents  liable  therefor,  nor in any event
shall the obligations of Tenant hereunder be affected.  If during the last month
of the term  Tenant  shall have  removed  all or  substantially  all of Tenant's
property  therefrom Owner may immediately enter,  alter,  renovate or redecorate
the demised  premises  without  limitation  or  abatement  of rent or  incurring
liability  to Tenant for any  compensation  and such act shall have no effect on
this lease or Tenant's obligations hereunder.

Vault, Vault Space, Area:

14. No Vaults,  vault space or area,  whether or not  enclosed  or covered,  not
within the property line of the building is leased hereunder, anything contained
in or  indicated  on any  sketch,  blueprint  or  plan,  or  anything  contained
elsewhere  in  this  lease  to the  contrary  notwithstanding.  Owner  makes  no
representation  as to the location of the  property  line of the  building.  All
vaults and vault  space and all such areas not within the  property  line of the
building,  which  Tenant may be permitted  to use and/or  occupy,  is to be used
and/or occupied under a revocable  license,  and if any such license be revoked,
or if the amount of such space or area be diminished or required by any federal,
state or municipal  authority or public  utility,  Owner shall not be subject to
any liability nor shall Tenant be entitled to any  compensation or diminution or
abatement of rent nor shall such revocation, diminution or requisition be deemed
constructive or actual eviction. Any tax, fee or charge of municipal authorities
for such vault or area shall be paid by Tenant.

Occupancy:

15. Tenant will not at any time use or occupy the demised  premises in violation
of the  certificate  of  occupancy  issued for the building of which the demised
premises are a part.  Tenant has  inspected the premises and accepts them as is,
subject to the riders  annexed  hereto with respect to Owner's  work, if any. In
any event, Owner makes no representation as to the condition of the premises and
Tenant  agrees to accept  the same  subject  to  violations,  whether  or not of
record.

Bankruptcy:

16. (a) Anything elsewhere in this lease to the contrary  notwithstanding,  this
lease may be  cancelled  by Owner by the  sending of a written  notice to Tenant
within a  reasonable  time  after  the  happening  of any one or more the of the
following events: (1) the commencement of a case in bankruptcy or under the laws
of any state  naming  Tenant as the  debtor;  or (2) the  making by Tenant of an
assignment or any other arrangement for the benefit of creditors under any state
statute.  Neither Tenant nor any person claiming through or under Tenant,  or by
reason of any  statute  or order of  court,  shall  thereafter  be  entitled  to
possession of the premises  demised but shall  forthwith  quit and surrender the
premises.  If this lease  shall be assigned in  accordance  with its terms,  the
provisions of this Article 16 shall be applicable  only to the party then owning
Tenant's interest in this lease.

     (b) It is  stipulated  and agreed that in the event of the  termination  of
this lease pursuant to (a) hereof,  Owner shall forthwith,  notwithstanding  any
other  provisions  of this lease to the  contrary,  be entitled to recover  from
Tenant as and for liquidated  damages an amount equal to the difference  between
the rent reserved  hereunder  for the unexpired  portion of the term demised and
the fair and  reasonable  rental value of the the demised  premises for the same
period.  In  the  computation  of  such  damages  the  difference   between  any
installment of rent becoming due hereunder after the date of termination and the
fair and  reasonable  rental  value of the demised  premises  for the period for
which  such  installment  was  payable  shall  be  discounted  to  the  date  of
termination at the rate of four percent (4%) per annum.  If such premises or any
part thereof be re-let by the Owner for the unexpired term of said lease, or any
part thereof,  before  presentation of proof of such  liquidated  damages to any
court,  commission or tribunal, the amount of rent reserved upon such re-letting
shall be deemed to be the fair and  reasonable  rental value for the part or the
whole of the premises to be re-let  during the term of the  re-letting.  Nothing
herein  contained  shall limit or prejudice  the right of the Owner to prove for
and obtain as liquidated damages by reason of such termination,  an amount equal
to the maximum allowed by any statute or rule of law in effect at the time when,
and governing the proceedings in which,  such damages are to be proved,  whether
or not such  amount  be  greater,  equal  to,  or less  than the  amount  of the
difference referred to above.

Default:

17. (1) If Tenant  defaults in  fulfilling  any of the  covenants  of this lease
other than the covenants  for the payment of rent or additional  rent; or if the
demised  premises  become vacant or deserted;  or if any execution or attachment
shall be issued against Tenant or any of Tenant's property whereupon the demised
premises  shall be taken or occupied by someone  other than  Tenant;  or if this
lease be rejected under ss.235 of Title 11 of the U.S. Code  (bankruptcy  code);
or if Tenant shall fail to move into or take  possession of the premises  within
thirty (30) days after the commencement of the term of this lease,  then, in any
one or more of such  events,  upon  Owner  serving a written  fifteen  (15) days
notice upon Tenant specifying the nature of said default and upon the expiration
of said fifteen (15) days,  if Tenant shall have failed to comply with or remedy
such  default,  or if the said default or omission  complained  or shall be of a
nature that the same cannot be completely  cured or remedied within said fifteen
(15) day period,  and if Tenant shall not have diligently  commenced curing such
default  within such  fifteen  (15) day period,  and shall not  thereafter  with
reasonable  diligence and in good faith, proceed to remedy or cure such default,
then Owner may serve a written  five (5) days,  notice of  cancellation  of this
lease upon Tenant,  and upon the expiration of said five (5) days this lease and
the terms  thereunder  shall end and  expire as fully and  completely  as if the
expiration of such five (5) day period were the day herein  definitely fixed for
the end and  expiration of this lease and the term thereof and Tenant shall then
quit and surrender the demised  premises to Owner but Tenant shall remain liable
as hereinafter provided.

     (2) If the notice  provided for in (1) hereof shall have been given and the
term shall expire as  aforesaid;  or if Tenant shall make default in the payment
of the rent reserved herein or any item of additional  rent herein  mentioned or
any part of either or in making any other payment herein  required;  then and in
any of such  events  Owner may without  notice,  re-enter  the demised  premises
either by force or otherwise,  and dispossess  Tenant by summary  proceedings or
otherwise,  and the legal  representative of Tenant or other occupant of demised
premises and remove their effects and hold the premises as if this lease had not
been  made,  and Tenant  hereby  waives the  service of notice of  intention  to
re-enter or to  institute  legal  proceedings  to that end. If Tenant shall make
default  hereunder prior to the date fixed as the commencement of any renewal or
extension  of this  lease,  Owner may  cancel  and  terminate  such  renewal  or
extension agreement by written notice.

Remedies of Owner and Waiver of Redemption:

18. In case of any such  default,  re-entry,  expiration  and/or  dispossess  by
summary proceedings or otherwise, (a) the rent shall become due thereupon and be
paid up to the time of such re-entry,  dispossess and/or  expiration,  (b) Owner
may re-let the premises or any part or parts thereof either in the name of Owner
or otherwise,  for a term or terms,  which may at Owner's option be less than or
exceed the period which would otherwise have constituted the balance of the term
of this lease and may grant  concessions  or free rent or charge a higher rental
than that in this  lease,  and/or  (c)  Tenant or the legal  representatives  of
Tenant shall also pay Owner as  liquidated  damages for the failure of Tenant to
observe and perform said Tenant's  covenants  herein  contained,  any deficiency
between  the  rent  hereby  reserved  and/or  covenanted  to be paid and the net
amount,  if any, of the rents collected on account of the lease or leases of the
demised  premises  for each  month of the  period  which  would  otherwise  have
constituted  the  balance  of the term of this  lease.  The  failure of Owner to
re-let the  premises  or any part or parts  thereof  shall not release or affect
Tenant's liability for damages. In computing such liquidated damages there shall
be added to the said  deficiency  such expenses as Owner may incur in connection
with re-letting, such as legal expenses,  reasonable attorneys' fees, brokerage,
advertising, and for keeping the demised premises in good order or for preparing
the same for re-letting.  Any such  liquidated  damages shall be paid in monthly
installments  by Tenant  on the rent day  specified  in this  lease and any suit
brought  to  collect  the  amount  of the  deficiency  for any  month  shall not
prejudice  in any way the  rights of Owner to  collect  the  deficiency  for any
subsequent month by a similar proceeding. Owner, in putting the demised premises
in good order or preparing the same for re-rental may, at Owner's  option,  make
such  alterations,  repairs,  replacements  and/or  decorations  in the  demised
premises as Owner, in Owner's sole judgment,  considers  advisable and necessary
for the  purpose of  re-letting  the  demised  premises,  and the making of such
alterations,  repairs, replacements,  and/or decorations shall not operate or be
construed to release Tenant from liability  hereunder as aforesaid.  Owner shall
in no event be liable in any way  whatsoever  for  failure to re-let the demised
premises,  or in the event that the demised premises are re-let,  for failure to
collect the rent thereof under such re-letting,  and in no event shall Tenant be
entitled  to receive any excess,  if any, of such net rents  collected  over the
sums  payable  by  Tenant  to Owner  hereunder.  In the  event  of a  breach  or
threatened breach by Tenant of any of the covenants or provisions hereof,  Owner
shall have the right of injunction and the right to invoke any remedy allowed at
law or in equity as if re-entry, summary proceedings and other remedies were not
herein provided for. Mention in this lease of any particular  remedy,  shall not
preclude  Owner  from any  other  remedy,  in law or in  equity.  Tenant  hereby
expressly  waives  any and all  rights  of  redemption  granted  by or under any
present or future laws in the event of Tenant being evicted or dispossessed  for
any cause, or in the event of Owner obtaining possession of demised premises, by
reason of the violation by Tenant of any of the covenants and conditions of this
lease, or otherwise.

Fees and Expenses:

19. If Tenant shall  default in the  observance  or  performance  of any term or
covenant on Tenant's part to be observed or performed  under or by virtue of any
of the  terms or  provisions  in any  article  of this  lease,  after  notice if
required and upon expiration of any applicable  grace period if any,  (except in
an emergency),  then, unless otherwise  provided  elsewhere in this lease, Owner
may  immediately  or at any time  thereafter  and  without  notice  perform  the
obligation of Tenant  thereunder.  If Owner, in connection with the foregoing or
in connection  with any default by Tenant in the covenant to pay rent hereunder,
makes any  expenditures  or incurs  any  obligations  for the  payment of money,
including  but not  limited  to  reasonable  attorneys'  fees,  in  instituting,
prosecuting,  or defending  any action or  proceeding,  and prevails in any such
action or proceeding  then Tenant will reimburse  Owner for such sums so paid or
obligations incurred with interest and costs. The foregoing expenses incurred by
reason of Tenant's  default shall be deemed to be additional  rent hereunder and
shall be paid by Tenant to Owner  within ten (10) days of  rendition of any bill
or statement to Tenant  therefor.  If Tenant's  lease term shall have expired at
the time of making of such expenditures or incurring of such  obligations,  such
sums shall be recoverable by Owner, as damages.

Building Alterations and Management:

20.  Owner  shall have the right at any time  without the same  constituting  an
eviction  and  without  incurring  liability  to Tenant  therefor  to change the
arrangement and/or location of public entrances,  passageways,  doors, doorways,
corridors,  elevators, stairs, toilets or other public parts of the building and
to change the name,  number or  designation  by which the building may be known.
There shall be no  allowance  to Tenant for  diminution  of rental  value and no
liability on the part of Owner by reason of  inconvenience,  annoyance or injury
to  business  arising  from Owner or other  Tenants  making  any  repairs in the
building  or any such  alterations,  additions  and  improvements.  Furthermore,
Tenant shall not have any claim against Owner by reason of Owner's imposition of
such  controls of the manner of access to the  building  by  Tenant's  social or
business  visitors  as the  Owner may deem  necessary  for the  security  of the
building and its occupants.

No Representations by Owner:

21. Neither Owner nor Owner's agents have made any  representations  or promises
with respect to the physical  condition of the building,  the land upon which it
is erected, or the demised premises, the rents, leases, expenses of operation or
any other matter or thing  affecting or related to the premises except as herein
expressly set forth and no rights,  easements or licenses are acquired by Tenant
by implication  or otherwise  except as expressly set forth in the provisions of
this lease.  Tenant has inspected  the building and the demised  premises and is
thoroughly  acquainted  with their condition and agrees to take the same "as is"
and acknowledges that the taking of possession of the demised premises by Tenant
shall be  conclusive  evidence  that the said premises and the building of which
the same form a part were in good and  satisfactory  condition  at the time such
possession was so taken,  except as to latent defects.  All  understandings  and
agreements  heretofore  made  between  the  parties  hereto  are  merged in this
contract, which alone fully and completely expresses the agreement between Owner
and Tenant and any executory  agreement 

[STAMP] INITIAL HERE /s/ JB


<PAGE>


hereafter made shall be ineffective  to change,  modify,  discharge or effect an
abandonment  of it in whole or in part,  unless such  executory  agreement is in
writing  and  signed  by the  party  against  whom  enforcement  of the  change,
modification, discharge or abandonment is sought.

End of Term:

22. Upon the expiration or other  termination of the term of this lease,  Tenant
shall quit and  surrender to Owner the demised  premises,  broom clean,  in good
order and  condition,  ordinary wear and damages which Tenant is not required to
repair as provided  elsewhere in this lease excepted and Tenant shall remove all
its property.  Tenant's  obligation  to observe or perform this  covenant  shall
survive the expiration or other  termination  of this lease.  If the last day of
the term of this Lease or any renewal thereof, falls on Sunday, this lease shall
expire at noon on the preceding  Saturday  unless it be a legal holiday in which
case it shall expire at noon on the preceding business day.

Quiet Enjoyment:

23. Owner  covenants and agrees with Tenant that upon Tenant paying the rent and
additional   rent  and  observing  and  performing  all  terms,   covenants  and
conditions, on Tenant's part to be observed and performed,  Tenant may peaceably
and quietly enjoy the premises hereby  demised,  subject,  nevertheless,  to the
terms and  conditions  of this lease  including,  but not limited to, Article 31
hereof and to the ground leases,  underlying  leases and mortgages  hereinbefore
mentioned.

Failure to Give Possession:

24. If Owner is unable to give possession of the demised premised on the date of
the commencement of the term hereof, because of the holding-over or retention of
possession of any tenant,  undertenant  or occupants or if the demised  premises
are located in a building being constructed,  because such building has not been
sufficiently  completed to make the premises  ready for  occupancy or because of
the fact that a certificate  of occupancy has not been procured or for any other
reason,  Owner  shall  not be  subject  to any  liability  for  failure  to give
possession  on said date and the  validity  of the lease  shall not be  impaired
under such circumstances,  nor shall the same be construed in any wise to extend
the term of this lease, but the rent payable hereunder shall be abated (provided
Tenant is not responsible for Owner's inability to obtain possession or complete
construction)  until after Owner shall have given Tenant written notice that the
Owner is able to deliver  possession  in  condition  required by this lease.  If
permission  is given to  Tenant  to enter  into the  possession  of the  demised
premises or to occupy premises other than the demised premises prior to the date
specified as the  commencement of the term of this lease,  Tenant  covenants and
agrees that such possession and/or occupancy shall be deemed to be under all the
terms, covenants,  conditions and provisions of this lease except the obligation
to pay the  fixed  annual  rent set forth in the  preamble  to this  lease.  The
provisions of this article are intended to constitute  "an express  provision to
the contrary"  within the meaning of Section 223-a of the New York Real Property
Law.

No Waiver:

25. The failure of Owner to seek redress for violation of, or to insist upon the
strict  performance  of any covenant or condition of this lease or of any of the
Rules or Regulations, set forth or hereafter adopted by Owner, shall not prevent
a subsequent act which would have originally constituted a violation from having
all the force and effect of an original violation.  The receipt by Owner of rent
and/or  additional  rent with  knowledge  of the breach of any  covenant of this
lease  shall be deemed to have been  waived by Owner  unless  such  waiver be in
writing  signed by Owner.  No  payment by Tenant or receipt by Owner of a lesser
amount than the monthly rent herein  stipulated shall be deemed to be other than
on  account  of the  earliest  stipulated  rent,  nor shall any  endorsement  or
statement of any check or any letter  accompanying  any check or payment as rent
be deemed an accord and satisfaction, and Owner may accept such check or payment
without prejudice to Owner's right to recover the balance of such rent or pursue
any  other  remedy  in this  lease  provided.  No act or thing  done by Owner or
Owner's agents during the term hereby demised shall be deemed an acceptance of a
surrender of said premises,  and no agreement to accept such surrender  shall be
valid unless in writing  signed by Owner.  No employee of Owner or Owner's agent
shall  have  any  power  to  accept  the  keys of  said  premises  prior  to the
termination  of the lease and the delivery of keys to any such agent or employee
shall not operate as a termination of the lease or a surrender of the premises.

Waiver of Trial by Jury:

26. It is mutually  agreed by and between  Owner and Tenant that the  respective
parties  hereto  shall  and they  hereby  do waive  trial by jury in any  action
proceeding or  counterclaim  brought by either of the parties hereto against the
other (except for personal injury or property damage) on any matters  whatsoever
arising out of or in any way  connected  with this lease,  the  relationship  of
Owner  and  Tenant,  Tenant's  use of or  occupancy  of said  premises,  and any
emergency statutory or any other statutory remedy. It is further mutually agreed
that in the event  Owner  commences  any  proceeding  or action  for  possession
including a summary  proceeding for possession of the premises,  Tenant will not
interpose  any  counterclaim  of  whatever  nature  or  description  in any such
proceeding  including  a  counterclaim  under  Article  4 except  for  statutory
mandatory counterclaims.

Inability to Perform:

27. This Lease and the  obligation  of Tenant to pay rent  hereunder and perform
all of the other  covenants  and  agreements  hereunder  on part of Tenant to be
performed  shall in no wise be affected,  impaired or excused  because  Owner is
unable to  fulfill  any of its  obligations  under this lease or to supply or is
delayed in  supplying  any service  expressly  or impliedly to be supplied or is
unable to make, or is delayed in making any repair,  additions,  alterations  or
decorations  or is unable to supply or is delayed in  supplying  any  equipment,
fixtures,  or other  materials if Owner is prevented or delayed from so doing by
reason of strike or labor troubles or any cause  whatsoever  including,  but not
limited to,  government  preemption  or  restrictions  or by reason of any rule,
order or regulation of any department or  subdivision  thereof of any government
agency or by reason of the  conditions  which have been or are affected,  either
directly or indirectly, by war or other emergency.

Bills and Notices

28. Except as otherwise in this lease  provided,  a bill,  statement,  notice or
communication which Owner may desire or be required to give to Tenant,  shall be
deemed  sufficiently  given or  rendered  if, in  writing,  delivered  to Tenant
personally or sent by registered  or certified  mail  addressed to Tenant at the
building  of  which  the  demised  premises  form a part  or at the  last  known
residence  address or business address of Tenant or left at any of the aforesaid
premises  addressed  to Tenant,  and the time of the  rendition  of such bill or
statement and of the giving of such notice or  communication  shall be deemed to
be the  time  when the  same is  delivered  to  Tenant,  mailed,  or left at the
premises  as herein  provided.  Any  notice by Tenant to Owner must be served by
registered or certified mail addressed to Owner at the address first hereinabove
given or at such other address as Owner shall designate by written notice.

Services Provided by Owners:

29. As long as Tenant is not in default under any of the covenants of this lease
beyond the applicable grace period provided in this lease for the curing of such
defaults,  Owner shall provide:  (a) necessary  elevator  facilities on business
days from 8 a.m. to 6 p.m.  and have one  elevator  subject to call at all other
times; (b) heat to the demised premises when and as required by law, on business
days from 8 a.m. to 6 p.m.;  (c) water for ordinary  lavatory  purposes,  but if
Tenant uses or consumes  water for any other  purposes or in unusual  quantities
(of which fact Owner shall be the sole  judge),  Owner may install a water meter
at Tenant's expense which Tenant shall  thereafter  maintain at Tenant's expense
in good working order and repair to register such water  consumption  and Tenant
shall pay for water  consumed as shown on said meter as  additional  rent as and
when bills are  rendered;  (d)  cleaning  service  for the  demised  premises on
business  days at Owner's  expense  provided  that the same are kept in order by
Tenant.  If, however,  said premises are to be kept clean by Tenant, it shall be
done at Tenant's sole expense, in a manner reasonably  satisfactory to Owner and
no one other than  persons  approved by Owner shall be  permitted  to enter said
premises of the building of which they are a part for such purpose. Tenant shall
pay Owner the cost of removal of any of  Tenant's  refuse and  rubbish  from the
building;   (e)  If  the   demised   premises   are   serviced  by  Owner's  air
conditioning/cooling  and ventilating system, air  conditioning/cooling  will be
furnished  to tenant  from May 15th  through  September  30th on  business  days
(Mondays through Fridays,  holidays  excepted) from 8:00 a.m. to __:00 p.m., and
ventilation will be furnished on business days during the aforesaid hours except
when air conditioning/cooling is being furnished as aforesaid.

(f)  Owner  reserves  the  right to stop  services  of the  heating,  elevators,
plumbing,  air-conditioning,   electric  power  systems  or  cleaning  or  other
services,  if  any,  when  necessary  by  reason  of  accident  or for  repairs,
alterations, replacements or improvements necessary or desirable in the judgment
of Owner for as long as may be  reasonably  required by reason  thereof.  If the
building of which the demised  premises are a part  supplies  manually  operated
elevator  service,  Owner at any time may substitute  automatic control elevator
service and proceed  diligently with alterations  necessary  therefor without in
any wise affecting this lease or the obligation of Tenant hereunder.

Captions:

30. The Captions are inserted only as a matter of convenience  and for reference
and in no way define,  limit or describe  the scope of this lease nor the intent
of any provisions thereof.

Definitions:

31. The term  "office" or "offices",  wherever used in this lease,  shall not be
construed to mean premises  used as a store or stores,  for the sale or display,
at any time, of goods,  wares or  merchandise,  of any kind, or as a restaurant,
shop,  booth,  bootblack  or other  stand,  barber  shop,  or for other  similar
purposes or for manufacturing.  The term "Owner" means a landlord or lessor, and
as used in this lease means only the owner, or the mortgagee in possession,  for
the time being of the land and building (or the owner of a lease of the building
or of the land the building) of which the demised  premises form a part, so that
in the event of any sale or sales of said land and building or of said lease, or
in the event of a lease of said building, or of the land and building;  the said
Owner shall be and hereby is entirely  freed and relieved of all  covenants  and
obligations  of Owner  hereunder,  and it shall be deemed and construed  without
further  agreement  between  the parties or their  successors  in  interest,  or
between the parties and the  purchaser,  at any such sale, or the said lessee of
the building,  or of the land and building,  that the purchaser or the lessee of
the  building  has  assumed  and agreed to carry out any and all  covenants  and
obligations of Owner, hereunder.  The words "re-enter" and "re-entry" as used in
this  lease  are not  restricted  to their  technical  legal  meaning.  The term
"business days" as used in this lease shall exclude  Saturdays,  Sundays and all
days as observed by the State or Federal  Government as legal holidays and those
designated  as holidays  by the  applicable  building  service  union  employees
service contract or by the applicable  Operating Engineers contract with respect
to HVAC  service.  Wherever it is expressly  provided in this lease that consent
shall not be  unreasonably  withheld,  such  consent  shall not be  unreasonably
delayed.

Adjacent Excavation-Shoring:

32. If any excavation shall be made upon land adjacent to the demised  premises,
or shall be authorized to be made,  Tenant shall afford to the person causing or
authorized to cause such excavation,  license to enter upon the demised premises
for the  purpose  of doing such work as said  person  shall  deem  necessary  to
preserve the wall or the  building of which  demised  premises  form a part from
injury or damage and to support the same by proper foundations without any claim
for damages or indemnity against Owner, or diminution or abatement of rent.

Rules and Regulations:

33.  Tenant and Tenant's  servants,  employees,  agents,  visitors and licensees
shall observe  faithfully,  and comply  strictly with, the Rules and Regulations
and such other and further  reasonable Rules and Regulations as Owner or Owner's
agents  may  from  time  to  time  adopt.  Notice  of any  additional  rules  or
regulations  shall be given in such  manner as Owner may elect.  In case  Tenant
disputes the reasonableness of any additional Rule or Regulation  hereafter made
or adopted by Owner or Owner's  agents,  the parties  hereto agree to submit the
question of the  reasonableness  of such Rule or Regulation  for decision to the
New York office of the American  Arbitration  Association,  whose  determination
shall be final and conclusive upon the parties hereto.  The right to dispute the
reasonableness  of any additional Rule or Regulation upon Tenant's part shall be
deemed  waived  unless the same  shall be  asserted  by service of a notice,  in
writing upon owner within fifteen (15) days after the giving of notice  thereof.

Nothing 


[STAMP] INITIAL HERE /s/ JB

- ----------
[GRAPHIC OF POINTING HAND] Rider to be added if necessary


<PAGE>



in this lease  contained  shall be  construed  to impose  upon Owner any duty or
obligation  to  enforce  the  Rules  and  Regulations  or  terms,  covenants  or
conditions  in any other lease,  as against any other tenant and Owner shall not
be liable to Tenant for violation of the same by any other tenant, its servants,
employees, agents, visitors or licensees.

Security:

34.  Tenant has  deposited  with Owner the sum of  [GRAPHIC  OF  POINTING  HAND]
$4,350.00* as security for the faithful  performance and observance by Tenant of
the terms,  provisions  and  conditions of this lease;  it is agreed that in the
event Tenant defaults in respect of any of the terms,  provisions and conditions
of this lease, including, but not limited to, the payment of rent and additional
rent,  Owner may use,  apply or retain the whole or any part of the  security so
deposited to the extent required for the payment of any rent and additional rent
or any other sum as to which Tenant is in default or for any sum which Owner may
expend or may be required to expend by reason of Tenant's  default in respect of
any of the terms,  covenants  and  conditions  of this lease,  including but not
limited to, any damages or deficiency in the re-letting of the premises, whether
such damages or deficiency accrued before or after summary  proceedings or other
re-entry by Owner. In the event the Tenant shall fully and faithfuly comply with
all of the terms,  provisions,  covenants  and  conditions  of this  lease,  the
security  shall be  returned  to Tenant  after the date  fixed as the end of the
Lease and after delivery of entire  possession of the demised premises to Owner.
In the event of a sale of the land and building or leasing of the  building,  of
which the demised  premises form a part,  Owner shall have the right to transfer
the  security to the vendee or lessee and Owner shall  thereupon  be released by
Tenant from all liability for the return of such security;  and Tenant agrees to
look to the new Owner solely for the return of said  security,  and it is agreed
that the provisions  hereof shall apply to every transfer or assignment  made of
the security to a new Owner. Tenant further covenants that it will not assign or
encumber  or  attempt  to assign or  encumber  the  monies  deposited  herein as
security and that neither Owner nor its  successors or assigns shall be found by
any such assignment, encumbrance, attempted assignment or attempted encumbrance.

Estoppel Certificate:

35.  Tenant,  at any time,  and from time to time,  upon at least 10 days' prior
notice by Owner, shall execute,  acknowledge and deliver to Owner, and/or to any
other person,  firm or corporation  specified by Owner,  a statement  certifying
that this Lease is  unmodified  and in full force and effect  (or, if there have
been  modifications,  that the same is in full force and effect as modified  and
stating the  modifications),  stating the dates to which the rent and additional
rent have been paid,  and  stating  whether or not there  exists any  default by
Owner under this Lease, and, if so, specifying each such default.

Successors and Assigns:

36. The covenants,  conditions and agreements contained in this lease shall bind
and  inure to the  benefit  of Owner and  Tenant  and  their  respective  heirs,
distributees,  executors,  administrators,  successors,  and except as otherwise
provided in this lease, their assigns.  Tenant shall look only to Owner's estate
and interest in the land and building, for the satisfaction of Tenant's remedies
for the  collection of a judgment (or other judicial  process)  against Owner in
the event of any default by Owner hereunder,  and no other property or assets of
such Owner (or any partner,  member,  officer or director thereof,  disclosed or
undisclosed), shall be subject to levy, execution or other enforcement procedure
for the  satisfaction of Tenant's  remedies under or with respect to this lease,
the relationship of Owner and Tenant hereunder, or Tenant's use and occupancy of
the demised premises.


- ----------
[GRAPHIC OF POINTING HAND] Space to be filled in or deleted.

* See Rider to Lease - Paragraph 34B


In Witness Whereof,  Owner and Tenant have  respectively  signed and sealed this
lease as of the day and year first above written.

                  
                                                    EXPRESSWAY REALTY CO.
                                                    ---------------------------
Witness for Owner:                                 
                                                    /s/ Signature on File
- ---------------------------                         ---------------------------
                                                   
                                                   
                                                   
                                                   
                                                    NEW YORK HEALTH CARE, INC.
                                                    ---------------------------
                                                   
Witness for Tenant:                                
                                    [STAMP]         /s/ Jerry Braun
- ---------------------------        SIGN HERE        ---------------------------
                                         

                                ACKNOWLEDGEMENTS

CORPORATE OWNER
STATE OF NEW YORK,  ss:
County of

     On  this  __  day  of  ______________,  19  ,  before  me  personally  came
_____________________  to me known,  who being by me duly sworn,  did depose and
say  that he  resides  in  __________  ; that he is the  _____________________of
__________________ the corporation described in and which executed the foregoing
instrument,  as  OWNER;  that he knows  the seal of said  corporation;  the seal
affixed to said  instrument is such  corporate  seal;  that it was so affixed by
order of the Board of Directors of said corporation, and that he signed his name
thereto by like order.

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


CORPORATE TENANT                                                                
STATE OF NEW YORK,                                                              
County of                                                                       
                                                                                
     On  this  __  day  of  ______________,  19  ,  before  me  personally  came
_____________________  to me known,  who being my me duly sworn,  did depose and
say  that he  resides  in  __________  ; that he is the  _____________________of
__________________ the corporation described in and which executed the foregoing
instrument,  as  TENANT;  that he knows the seal of said  corporation;  the seal
affixed to said  instrument is such  corporate  seal;  that it was so affixed by
order of the Board of Directors of said corporation, and that he signed his name
thereto by like order.
                                                                                
                                        ---------------------------             


INDIVIDUAL OWNER
STATE OF NEW YORK,  ss:
County of

On this __ day of  ________________,  19 , before me personally came to be known
and known to me to be the individual __________________ described in and who, as
OWNER,   executed  the  foregoing   instrument  and   acknowledged  to  me  that
______________________ he executed the same.




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

INDIVIDUAL TENANT
STATE OF NEW YORK,
County of

     On this __ day of  ________________,  19 , before me personally  came to be
known and known to me to be the individual  __________________  described in and
who, as TENANT,  executed the foregoing  instrument and  acknowledged to me that
_______________________ he executed the same.



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


<PAGE>

                                    GUARANTY

     FOR VALUE RECEIVED, and in consideration for, and as an inducement to Owner
making the within  lease  with  Tenant,  the  undersigned  guarantees  to Owner,
Owner's  successors and assigns,  the full performance and observance of all the
covenants,  conditions  and  agreements,  therein  provided to be performed  and
observed by Tenant,  including the "Rules and Regulations" as therein  provided,
without requiring any notice of non-payment, non-performance, or non-observance,
or proof, or notice, or demand,  whereby to charge the undersigned therefor, all
of which the undersigned  hereby  expressly waives and expressly agrees that the
validity of this agreement and the obligations of the guarantor  hereunder shall
in no wise be  terminated,  affected or impaired by reason of the  assertion  by
Owner against Tenant of any of the rights or remedies reserved to Owner pursuant
to the provisions of the within lease.  The  undersigned  further  covenants and
agrees that this guaranty  shall remain and continue in full force and effect as
to any  renewal,  modification  or extension of this lease and during any period
when Tenant is  occupying  the  premises as a  "statutory  tenant." As a further
inducement to Owner to make this lease and in consideration  thereof,  Owner and
the undersigned  covenant and agree that in any action or proceeding  brought by
either  Owner or the  undersigned  against the other on any  matters  whatsoever
arising  out of,  under,  or by  virtue  of the  terms of this  lease or of this
guarantee  that Owner and the  undersigned  shall and do hereby  waive  trial by
jury.

Dated: ........................... .................19.....

Guarantor ........................ ..................

Witness.......................... ...................

Guarantor's Residence.............. .................

Business Address.....................................

Firm Name............................................


STATE OF NEW YORK)       ss:

COUNTY OF        )

On this __ day of _____________ , 19 __, before me personally came __________ to
me known and known to me to be the individual described in, and who executed the
foregoing Guaranty and acknowledged to me that he executed the same.


                                        ---------------------------             
                                                Notary


[GRAPHIC OF POINTING HAND]  IMPORTANT - PLEASE READ   [GRAPHIC OF POINTING HAND]

                              RULES AND REGULATIONS
                                 ATTACHED TO AND
                            MADE A PART OF THIS LEASE
                         IN ACCORDANCE WITH ARTICLE 33.

1. The sidewalks, entrances, driveways, passages, courts, elevators, vestibules,
stairways,  corridors  or halls shall not be  obstructed  or  encumbered  by any
Tenant or used for any purpose other than for ingress or egress from the demised
premises and for delivery of merchandise and equipment in a prompt and efficient
manner using  elevators and  passageways  designated for such delivery by Owner.
There  shall not be used in any space,  or in the public  hall of the  building,
either by any  Tenant or by  jobbers  or others in the  delivery  or  receipt of
merchandise,  any hand  trucks,  except  those  equipped  with rubber  tires and
sideguards.  If said  premises are situated on the ground floor of the building,
Tenant thereof shall further, at Tenant's expense, keep the sidewalk and curb in
front of said premises clean and free from ice, snow, dirt and rubbish.

2. The water and wash  closets and plumbing  fixtures  shall not be used for any
purposes  other than those for which they were  designed or  constructed  and no
sweepings,  rubbish, rugs, acids or other substances shall be deposited therein,
and the  expense  of any  breakage,  stoppage,  or  damage  resulting  from  the
violation  of this  rule  shall be borne by the  Tenant  who,  or whose  clerks,
agents, employees or visitors, shall have caused it.

3. No carpet,  rug or other article shall be hung or shaken out of any window of
the  building and no Tenant shall sweep or throw or permit to be swept or thrown
from the demised premises any dirt or other substances into any of the corridors
of halls, elevators, or out of the doors or windows or stairways of the building
and Tenant shall not use,  keep or permit to be used or kept any foul or noxious
gas or  substance  in the  demised  p[remises,  or permit or suffer the  demised
premises to be occupied or used in a manner  offensive or objectionable to Owner
or other occupants of the building by reason of noise, odors, and/or vibrations,
or interfere in any way with other Tenants or those having business therein, nor
shall any bicycles,  vehicles,  animals,  fish, or birds be kept in or about the
building.  Smoking or carrying  lighted cigars or cigarettes in the elevators of
the building is prohibited.

4. No awnings or other projections shall be attached to the outside walls of the
building without the prior written consent of Owner.

5. No sign,  advertisement,  notice  or  other  lettering  shall  be  exhibited,
inscribed,  painted or  affixed by any Tenant on any part of the  outside of the
demised  premises or the building or on the inside of the demised premise if the
same is visible  from the  outside of the  premises  without  the prior  written
consent of Owner, except that the name of Tenant may appear on the entrance door
of the  premises.  In the event of the violation of the foregoing by any Tenant,
Owner may remove same without any liability, and may charge the expense incurred
by such  removal to Tenant or Tenants  violating  this rule.  Interior  signs on
doors and  directory  tablets  shall be  inscribed,  painted or affixed for each
Tenant by Owner at the expense of such Tenant, and shall be of a size, color and
style acceptable to Owner.

6. No Tenant shall mark, paint, drill into, or in any way deface any part of the
demised  premises or the building of which they form a part. No boring,  cutting
or stringing of wires shall be permitted,  except with the prior written consent
of  Owner,  and as Owner may  direct.  No Tenant  shall lay  linoleum,  or other
similar floor  covering,  so that the same shall come in direct contact with the
floor of the demised premises,  and, if linoleum or other similar floor covering
is desired to be used an interlining of builder's  deadening felt shall be first
affixed to the floor, by a paste or other material, soluble in water, the use of
cement or other similar adhesive material being expressly prohibited.

7. No  additional  locks or bolts of any kind  shall be  placed  upon any of the
doors or windows by any Tenant,  nor shall any changes be made in existing locks
or mechanism  thereof.  Each Tenant must,  upon the  termination of his Tenancy,
restore to Owner all keys of stores,  offices and toilet rooms, either furnished
to, or otherwise  procured by, such Tenant,  and in the event of the loss of any
keys, so furnished, such Tenant shall pay to Owner the cost thereof.

8. Freight, furniture,  business equipment,  merchandise and bulky matter of any
description  shall be delivered  to and removed  from the  premises  only on the
freight  elevators  and through the service  entrances and  corridors,  and only
during  hours and in a manner  approved by Owner.  Owner  reserves  the right to
inspect  all freight to be brought  into the  building  and to exclude  from the
building all freight which  violates any of these Rules and  Regulations  of the
lease of which these Rules and Regulations are a part.

9.  Canvassing,  soliciting  and peddling in the building is prohibited and each
Tenant shall cooperate to prevent the same.

10. Owner reserves the right to exclude from the building all persons who do not
present a pass to the building  signed by Owner.  Owner will  furnish  passes to
persons  for whom any Tenant  requests  same in writing.  Each  Tenant  shall be
responsible  for all persons for whom he requests  such pass and shall be liable
to Owner for all acts of such  persons.  Tenant  shall not have a claim  against
Owner by reason of Owner excluding any person who does not present such pass.

11. Owner shall have the right to prohibit any  advertising  by any Tenant which
in  Owner's  opinion,  tends to impair the  reputation  of the  building  or its
desirability  as a building  for offices,  and upon  written  notice from Owner,
Tenant shall refrain from or discontinue such advertising.

12.  Tenant shall not bring or permit to be brought or kept in or on the demised
premises, any inflammable, combustible, explosive, or hazardous fluid, material,
chemical  or  substance,  or cause or  permit  any  odors  of  cooking  or other
processes,  or any unusual or other objectionable odor to permeate in or emanate
from the demised premises.

13. If the building  contains central air  conditioning and ventilation,  Tenant
agrees  to keep all  windows  closed  at all times and to abide by all rules and
regulations issued by Owner with respect to such services.

        Tenant shall cooperate with Owner in obtaining maximum  effectiveness of
the cooling  system by lowering and closing  venetian  blinds  and/or drapes and
curtains  when the sun's  rays  fall  directly  on the  windows  of the  demised
premises.

14. Tenant shall not move any safe,  heavy  machinery,  heavy  equipment,  bulky
matter,  or features into or out of the building  without  Owner's prior written
consent. If such safe, machinery,  equipment,  bulky matter or fixtures requires
special  handling,  all  work in  connection  therewith  shall  comply  with the
Administrative  Code of the City of New York and all other laws and  regulations
applicable thereto.

15. Refuse and Trash. (1) Compliance by Tenant.  Tenant covenants and agrees, at
its sole cost and expense,  to comply with all present and future laws,  orders,
and  regulations  of all  state,  federal,  municipal,  and  local  governments,
departments,   commissions  and  boards   regarding  the  collection,   sorting,
separation and recycling of waste products,  garbage,  refuse and trash.  Tenant
shall sort and separate such waste products, garbage, refuse and trash into such
categories  as  provided  by law.  Each  separately  sorted  category  of  waste
products,  garbage,  refuse and trash  shall be placed in  separate  receptacles
reasonably approved by Owner. Such separate  receptacles may, at Owner's option,
be removed from the demised  premises in accordance  with a collection  schedule
prescribed by law.  Tenant shall remove,  or cause to be removed by a contractor
acceptable  to  Owner,  at  Owner's  sole  discretion,  such  items as Owner may
expressly designate. (2) Owner's Rights in Event of Noncompliance. Owner has the
option to refuse to collect  or accept  from  Tenant  waste  products,  garbage,
refuse or trash (a) that is not  separated  and sorted as required by law or (b)
which  consists  of such items as Owner may  expressly  designate  for  Tenant's
removal,  and to require Tenant to arrange for such  collection at Tenant's sole
cost and expense, utilizing a contractor satisfactory to Owner. Tenant shall pay
all costs, expenses,  fines,  penalties, or damages that may be imposed on Owner
or Tenant by reason of Tenant's  failure to comply with the  provisions  of this
Building  Rule 15, and,  at Tenant's  sole cost and  expense,  shall  indemnify,
defend and hold Owner harmless  (including  reasonable  legal fees and expenses)
from  and  against  any  such  actions,  claims  and  suits  arising  from  such
noncompliance, utilizing counsel reasonably satisfactory to Owner.

[STAMP] INITIAL HERE /s/ JB

Address  91-31 Queens Blvd.
Premises  Suite 210

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

EXPRESSWAY REALTY CO.
        TO
NEW YORK HEALTH CARE, INC.

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

    STANDARD FORM OF

[LOGO]  Office  [LOGO]
        Lease

The Real Estate Board of New York, Inc.
(C) Copyright 1994.  All rights Reserved.

 Reproduction in whole or in part prohibited.

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

Dated September 14, 1995

Rent Per Year  $17,400.00

Rent Per Month  $1,450.00

Term  Two (2) Years
From  October 1, 1995
To    September 30, 1997

Drawn by ............
Checked by...........
Entered by...........
Approved by..........

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

<PAGE>


                           RIDER TO LEASE - SUITE 210
                           --------------------------

Owner:         Expressway Realty Co.

Tenant:        New York Health Care, Inc.

Date:          September 15, 1995

12.     ELECTRIC CURRENT

     (a)  Owner shall furnish to the Tenant, the electric energy required in the
          demised premises on a rent-inclusion  basis.  There shall be no charge
          to the Tenant  therefor by way of  measuring  the same on any meter or
          otherwise,  the  furnishing of electric  current being included in the
          fixed annual rental set forth in this lease.  Owner shall in no way be
          liable or  responsible to the Tenant for any loss or damage or expense
          which the Tenant may sustain or incur,  if either the  quantity or the
          character of electric service is changed.

     (b)  Owner reserves the right to discontinue  furnishing electric energy to
          the  Tenant  at any  time,  if  required  by  public  utility  company
          servicing  the  building,  or  by  any  governmental  agencies  having
          jurisdiction,  upon thirty (30) days prior  written  notice to Tenant,
          and from and after the effective date of such termination  Owner shall
          no longer be  obligated to furnish  Tenant with  electric  energy.  If
          Owner  exercises  such right of  termination,  this Lease shall remain
          unaffected  thereby and shall  continue in full force and effect,  and
          same shall not be deemed a diminution  of services  within the meaning
          of any law, rule or regulation now or hereafter  enacted,  promulgated
          or issued.


                                       1
[STAMP] INITIAL HERE /s/ JB


<PAGE>


          Thereafter, the Tenant shall arrange to obtain electric service direct
          from the  public  utility  company  servicing  the  building.  In each
          instance,  the Tenant at Owner's expense may utilize the then existing
          electric feeders,  risers,  and wiring servicing the demised premises.
          Commencing  with the date when the Tenant receives such direct service
          and so long as the  Tenant  shall  continue  such  service,  the fixed
          annual  rental  rate  payable  under  this  lease  shall be reduced by
          $840.00.

     (c)  Tenant shall make no alterations or additions to the electrical system
          without the prior written  consent of the Owner in each instance.  The
          designated capacity of feeders, risers and wiring in the building is 4
          volt  amperes  per square foot of area,  and the Tenant  agrees at all
          times its use of electric current shall never exceed such capacity.

29A.  AIR CONDITIONING, LIGHT BULBS, CLEANING

        (a)    AIR CONDITIONING

               (1)  Owner shall, through the existing air conditioning system of
                    the  building,  furnish  air  conditioning  to  the  demised
                    premises  on  business  days from 8:00  a.m.  to 5:00  p.m.,
                    Monday through  Friday,  as and when required and permitted.
                    Said system shall provide interior  conditions of 75 degrees
                    dry bulb, 50% relative humidity, when outside conditions are
                    95 degrees dry bulb, 75 degrees wet bulb.

               (2)  Owner will maintain the air conditioning  system in a manner
                    befitting a first class  building,  and will use  reasonable
                    care to keep  the same in  proper  and  efficient  operating
                    condition. The Owner will not be responsible for the failure
                    of the  air  conditioning  system  to meet  the  requirement
                    hereinbefore  specified  if such  failure  results  from the


                                       2

[STAMP] INITIAL HERE /s/ JB


<PAGE>

                    occupancy of the demised premises of more than an average of
                    one  person  for  each 100  square  feet,  or if the  Tenant
                    installs and  operates  machines  and  appliances  the total
                    connected  electric load of which exceeds 2 volt amperes per
                    square foot of area.

               (3)  Tenant  agrees  to keep all of the  windows  in the  demised
                    premises   closed  at  all  times   that   either   the  air
                    conditioning  system or heating system is in use and meeting
                    the requirements as stated in (1) above, and to abide by all
                    the regulations and requirements  which Owner may reasonably
                    prescribe for the proper function and protection of said air
                    conditioning and heating system.

     (b)  At the option of the Owner,  the Tenant  agrees to purchase from Owner
          or its agents alL bulbs used in the demised premises,  and in addition
          thereto,  to pay the cost of  installation  thereof.  Owner's  current
          charge is $7.50 plus sales tax for the first bulb  installed and $6.00
          plus sales tax for each additional bulb installed at the same time.

     (c)  Owner  agrees to clean the  demised  premises in  accordance  with the
          cleaning  schedule  attached hereto, at no additional charge to Tenant
          therefor.

34A.    SECURITY DEPOSIT

     (a)  Tenant shall deposit with Owner,  upon execution of the Lease, the sum
          of $4,350.00 which  represents the security for this Lease,  and which
          shall be held by Owner pursuant to the provisions of Paragraph 34.

     (b)  Tenant shall  deposit with Owner,  as  additional  security,  at least
          thirty  (30) days  prior to the date when any rent  increase  is to go
          into effect,  including any monies due as additional rent, as provided
          in this Lease, a sum equal to three 


                                       3

[STAMP] INITIAL HERE /s/ JB


<PAGE>

          (3) times the monthly  increase in the Base Rent or additional rent as
          provided  elsewhere it being the intention of the parties  hereto that
          Owner  will,  at all times,  hold as  security a sum equal to not less
          than three (3) times the monthly rent and additional rent currently in
          effect.

     (c)  Tenant's  failure to pay all or any  portion of the  security  deposit
          shall be deemed the breach by Tenant of a  substantial  obligation  of
          the  tenancy  and Owner  shall have a right,  in addition to any other
          rights  under  the  lease at law or  equity,  to  terminate  the lease
          immediately  as  a  result  of  Tenant's   default  and  Tenant  shall
          nevertheless remain liable to Owner for all damages sustained by Owner
          including,  but not  limited  to, loss of rent as a result of Tenant's
          breach of the terms and conditions of this Lease.

     (d)  Owner shall deposit Tenant's security in an interest  bearing account,
          in a commercial or savings bank,  in an account  entitled  "Expressway
          Realty Co. Tenant's Security Account" or words of like effect,  and in
          a sub-account listing Tenant's name. Interest shall be for the benefit
          of Tenant as  provided  by law less a 1%  administrative  fee which is
          paid by the  bank to  Owner.  Tenant  shall  provide  Owner  with  its
          Employer Registration Number or Social Security Number.

37.  OWNER'S WORK IN THE DEMISED PREMISES

     Owner  agrees to perform  the  following  work in the  demised  premises at
     Owner's cost and expense:

     (1)  Paint all plastered and dry wall surfaces one coat standard  paint job
          on existing  walls.  Tenant  shall  select  paint  color from  Owner's
          standard paint chart.

     (2)  Furnish and install  Owner's  standard grade  commercial  carpeting in
          color designated by Tenant.


                                       4

[STAMP] INITIAL HERE /s/ JB


<PAGE>


38.  HOURS

     Tenant acknowledges that the building of which the demised premises forms a
     part  therof,  is open to the Tenant and its  visitors  on Mondays  through
     Fridays  from 8:00 a.m. to 10:00 p.m.  and on  Saturdays  from 9:00 a.m. to
     2:00 p.m.  Tenant  acknowledges  that the Owner has advised the Tenant that
     the building is closed to the Tenant and their visitors at all other times,
     including Sundays and Legal Holidays.

39.  COMMENCEMENT OF THE LEASE TERM

     (a)  Notwithstanding  anything herein  provided for to the contrary,  it is
          agreed that the term of the lease shall commence on the earlier of:

          (1)  The  date  when  the  work to be  performed  by  Owner  has  been
               substantially  completed.  Substantial completion shall be deemed
               to mean that the work remaining to be performed by Owner, if any,
               as required  under  Paragraph 37 herein,  shall be such as not to
               unreasonably  interfere  with  Tenant's  ability  to carry on its
               business in the demised premises, or

          (2)  The date when the Tenant shall occupy the demised premises.

     (b)  This Lease  shall  expire on the last  calendar  day of the 24th month
          after commencement of the Lease term.

40.  BROKER

     Tenant warrants and represents that it has dealt with no broker, and Tenant
     agrees to  indemnify  and save the Owner  harmless  from any  claims of any
     brokers  claiming to have brought about this Lease or alleging a commission
     hereunder.



                                       5

[STAMP] INITIAL HERE /s/ JB


<PAGE>


41.  ESCALATION

     (a)  The  rent as set  forth  on the  first  page of this  lease  preceding
          Article 1 is hereinafter referred to as the "Base Rent".

     (b)  Adjustments  in rent  starting  with the year 1996-97 shall be made in
          the following manner:

          1.   Tenant covenants and agrees that as provided in this paragraph if
               the [I] Real Estate Taxes, Assessments,  Water and Sewer Rents or
               Charges levied against the land and building of which the demised
               premises  are a part,  including  reasonable  Attorney's  fees or
               expenses  reasonably incurred in securing or attempting to secure
               any  reduction in  valuations  or taxes,  assessments,  water and
               sewer  rents  or  charges   levied,   and/or  [II]  Expenses  for
               maintaining  and operating the building  shall be increased  over
               the  amounts  for the Base Year  1995-96  the Base Rent  shall be
               increased  by  1.40%  of the  amount  of  the  increase  in  such
               expenses.

          2.   The term  "Expenses for  maintaining  and operating the building"
               shall be deemed to mean:

               (1)  All  expenses  incurred  during  such year in respect to the
                    operation and maintenance of the building in accordance with
                    accepted  principles  and sound  management  and  accounting
                    practices as applied to the  operation  and  maintenance  of
                    first-class office buildings including premiums for instance
                    carried by Owner, plus

               (2)  Those additional expenses which Owner reasonably  determines
                    it would have so incurred  during such year had the building
                    been 100% occupied. Such expenses shall include all expenses
                    with the following exceptions only:


                                       6

[STAMP] INITIAL HERE /s/ JB


<PAGE>


                    a-   Expenses for any capital  improvements made to the land
                         or the building.

                    b-   Expenses  for  painting,  redecorating  or other  work,
                         which  Owner  performs  for  any  other  tenant  in the
                         building other than painting,  decorating or other work
                         which is standard for the building.

                    c-   Expenses for repairs or other work  occasioned by fire,
                         windstorm or other normally insurable casualty.

                    d-   Expenses  incurred in leasing or procuring  new tenants
                         including leasing commissions, advertising expenses and
                         expenses of renovating new space for tenants.

                    e-   Legal  expenses  in  enforcing  the  terms of any lease
                         (other than tenant's lease).

                    f-   Interest or  amortization  payments on any  mortgage or
                         mortgages.

                    g-   Depreciation.

                    h-   Wages,  salaries  or  other  compensation  paid  to any
                         employee above the grade of building superintendent.

          3.   In  addition  to the rental  adjustment  provided  for  hereunder
               Tenant shall pay for the  fractional  portion of the last year of
               the lease,  the base rent for such period plus the  increase,  if
               any, at the same rate for the comparison year  immediately  prior
               to such  calendar  year as  increased by reason of an increase in
               Real  Estate  Taxes  and  in the  expenses  for  maintaining  and
               operating the building.

          4.   Statements  for the amount of Tenant's  pro-rata  portion of Real
               Estate Taxes and  Expenses  for  Maintaining  and  Operating  the
               Building  to be paid by  Tenants  as  additional  rent,  shall be
               rendered  to Tenants at  

                                       7
<PAGE>


               Tenants'  request  as  soon as  reasonably  feasible,  except  as
               otherwise  provided in  sub-section  (b)3  hereof with respect to
               any fractional period at the end of the Lease.

          5.   All sums  payable by Tenants  as  additional  rent above the Base
               Rental shall be payable within twenty (20) days after  statements
               therefor  have been  rendered.  Any payment made pursuant to this
               Article shall be made without prejudice to any right of Tenant to
               dispute  any  item  or  items  in  such  statement,  pursuant  to
               subparagraph (b)6 herein.  Any  adjustment  required  pursuant to
               said  subparagraph  (b)6 shall be  made  within  twenty (20) days
               after the decision  requiring  such  adjustments  shall have been
               rendered by the Certified Public Accountants concerned.

          6.   If Tenant  shall  dispute any item or items  included by Owner in
               determining  the  expenses  for  maintaining  and  operating  the
               building  or  the  additional  expenses  which  would  have  been
               incurred  had the  building  been  100%  occupied,  and any  such
               dispute is not amicably  settled  between Owner and Tenant within
               twenty (20) days after  statements  therefor have been  rendered,
               either  party may  during  twenty  (20) days next  following  the
               expiration of the first  mentioned  (20) days refer such disputed
               item or items to a firm of Certified Public Accountants  selected
               by Owner and Tenant  for  decision  and the decision of such firm
               shall be  conclusive  and  binding  upon  Owner and  Tenant.  The
               expenses  involved  in such  determination  shall be borne by the
               party  against whom the decision is rendered by said  accountants
               provided.  If Tenant  shall not  dispute any item or items of any
               statement  within twenty (20) days after such  statement has been
               rendered Tenant shall be deemed to approve such statement.



                                       8

[STAMP] INITIAL HERE /s/ JB


<PAGE>

          7.   Tenant or his representatives shall have the right to inspect the
               books of Owner during business hours for the purpose of verifying
               information  in  the  statements  submitted  by  Owner  providing
               written  requests  for such  inspection  shall be made by  Tenant
               within ten (10) days after receipt of such statement.

          8.   "Lease  Year"  shall mean any period of twelve  (12)  consecutive
               months beginning on the first day of July.

          9.   "Base  Year"  shall  mean the period of twelve  (12)  consecutive
               months beginning on the first day of July 1995.

          10.  Commencing  on August 1, 1997 and each month  thereafter,  Tenant
               shall pay Owner in equal  monthly  installments,  one-twelfth  of
               Tenant's share,  if any, of Owner's  increased Real Estate Taxes,
               Water & Sewage Charges and Operating Expenses for the immediately
               preceding fiscal year ending June 30th above the expenses for the
               Base Year. Adjustments shall be made within sixty (60) days after
               the end of each fiscal year. All such payments shall be deemed to
               be additional rent. 

               For  the  period   commencing  August  1,  1996  and  each  month
               thereafter  through July 1, 1997, Tenant shall pay Owner in equal
               monthly  installments,  one-twelfth  of the amount that  Tenant's
               share of Owner's  increased  Real Estate  Taxes,  Water and Sewer
               Charges, and Operating Expenses for the period commencing July 1,
               1995 and  ending  June 30,  1996 would have been if the Base Year
               under this  Subparagraph  (10) was July 1, 1994  through June 30,
               1995 and  escalation  payments  would have been  required for the
               Lease  Year  1995-96.  This  sum  shall  be  on  account  of  the
               "Escalation Expenses" due Owner from Tenant for the year 1996-97.


                                       9

[STAMP] INITIAL HERE /s/ JB


<PAGE>


                                CLEANING SCHEDULE

                                  Monday-Friday

GENERAL

     o    All tile and other similar types of flooring to be swept nightly.

     o    Hand-dust and wipe clean all furniture  weekly. 

     o    Empty and clean all waste receptacles nightly.

     o    Empty and clean all ash trays.

     o    Wash  clean  all  water  fountains  and  coolers  nightly.   

     o    Dust all telephones as necessary. Vacuum all carpeted floors nightly.

LAVATORIES

     o    Sweep and wash all lavatory floors nightly, using proper 
          disinfectants.  

     o    Wash and polish all mirrors, bright work and enameled surfaces in all 
          lavatories nightly.

     o    Scour, wash and disinfect all basins, bowls and urinals throughout all
          lavatories nightly.

     o    Wash all toilet seats nightly. Empty paper towel receptacles nightly.

     o    Thoroughly wash and polish all wall tile and stall surfaces as often
          as necessary.



                                       10

[STAMP] INITIAL HERE /s/ JB


<PAGE>

                        SECOND RIDER TO LEASE - SUITE 210
                        ---------------------------------

Owner:         Expressway Realty Co.

Tenant:        New York Health Care, Inc.

Date:          September 21, 1995

1.   37.(1)(A) OWNER'S WORK IN THE DEMISED PREMISES

     Owner  agrees that if one (1) coat of paint is not  sufficient  to properly
     cover walls, a second coat will be applied or any unsatisfactory areas will
     be covered.

2.   Owner  represents  to Tenant that the  building is closed on the  following
     Holidays only:

               1.     New Year's Day
               2.     President's Day
               3.     Memorial Day
               4.     July 4th - Independence Day
               5.     Labor Day
               6.     Thanksgiving Day
               7.     Christmas Day

     The Owner will not add any other  Holidays  that the  building  will not be
     open.

3.   The Owner  will  place  New York  Inc.'s  name on lobby  wall at no cost to
     N.Y.H.C.

NEW YORK HEALTH CARE, INC.                 EXPRESSWAY REALTY CO.

/s/ Jerry Braun                            /s/ Signature on File
- --------------------------                 --------------------------




<PAGE>

                        THIRD RIDER TO LEASE - SUITE 210
                        --------------------------------

Owner:         Expressway Realty Co.

Tenant:        New York Health Care, Inc.

Date:          September 22, 1995

It is mutually agreed between the parties that  notwithstanding  anything to the
contrary, as contained in Paragraphs 34 and 34A of the Agreement of Lease, dated
as of the 15th day of September 1995 between the parties  hereto,  that Tenant's
obligation  under Paragraph 34 is to deposit  $2,900.00 in lieu of the $4,350.00
stated  therein  and that  Tenant has  deposit  with Owner by check,  subject to
collection,  the sum of TWO THOUSAND NINE HUNDRED ($2,900.00) DOLLARS to be held
by Owner as security for the faithful  performance by Tenant of its  obligations
under said  Agreement of Lease and that Tenant's  obligation in the future under
Paragraphs  34A(b) and (c) of the Rider to the Lease shall be limited to two (2)
times the monthly rent and  additional  rent in lieu of the  provision for three
(3) times the monthly rent and additional rent.

All other terms and  conditions of the Agreement of Lease,  including the Riders
thereto, shall remain in full force and effect.

In Witness Whereof the parties hereto have set their  respective hands and seals
as of the day and year first above written.


NEW YORK HEALTH CARE, INC.                 EXPRESSWAY REALTY CO.      
                                                                       
/s/ Jerry Braun                            /s/ Signature on File
- --------------------------                 --------------------------  
                                                                       


                    SETTLEMENT AGREEMENT AND GENERAL RELEASE,

     This Settlement Agreement and General Release (the "Agreement") is made and
entered into by and between NEW YORK HEALTH CARE,  INC., a New York  corporation
with its principal office and place of business located at 1667 Flatbush Avenue,
Brooklyn, New York 11210 (the "Company") and SAMSON SOROKA residing at 1228 East
22nd Street, Brooklyn, New York 11210 ("Soroka");

     WHEREAS, Soroka has been employed by the Company; and

     WHEREAS,  the Company is desirous of terminating  the employment of Soroka;
and

     WHEREAS the Company and Soroka both desire to fully and finally  compromise
and settle all potential claims, disputes and disagreements between them without
the distraction and expense of litigation.

     NOW,  THEREFORE,  the parties  intending to be legally  bound  thereby,  in
consideration of the mutual  covenants and undertakings set forth herein,  agree
as follows:

     1.   Soroka's  termination of employment  with the Company was effective as
          of 5 P.M.  on  February  13,  1995 (the  "Termination  Date").  Soroka
          acknowledges  that he has been fully paid for his services through the
          Termination  Date and is not entitled to any further  compensation  or
          benefits or reimbursement from the Company except as set forth in this
          Agreement.

     2.   The Company  agrees to continue to pay Soroka's base salary of $85,000
          per annum for a period of six months after the Termination Date and to
          continue  for a period  of one year to  provide  Soroka  with the same
          level of medical benefits, at the same cost to him, if any, as he had 
          prior to the Termination Date. After the six month period described in
          the  preceding  sentence,  Soroka  will not be entitled to any further
          salary  payments from the Company and he will be entitled to only such
          benefits  to which he may be entitled by law.  Upon the  execution  of
          this  Agreement,  the Company will pay Soroka any salary  payments due
          and unpaid at such time. If any checks given in

<PAGE>

          connection with the execution of this Agreement are returned unpaid by
          the drawee bank,  including  those described in paragraph 5 hereunder,
          and  shall not be repaid  after  notice  and  demand  similar  to that
          specified in paragraph 5e hereunder,  this Agreement shall be null and
          void.

     3.   Soroka  will  continue  currently  as an  18.75%  shareholder  of  the
          Company,  with  full  voting  privileges,  subject  to the  forfeiture
          provisions  set forth  below in  connection  with a default  on a loan
          payment.  In the  event,  however,  that  the  Company  makes a public
          offering of its shares,  pursuant  to which the  percentage  ownership
          interests of all of the other current  shareholders of the Company are
          reduced,  Soroka's  interest will be reduced in the same proportion as
          that of all of the other Company shareholders  similarly situated. The
          Company  and  Soroka  agree  that  the  Company  is  to be  valued  at
          $5,000,000 as of October I, 1995.

     4.   Soroka agrees that his shares may not be transferred to any individual
          or entity, for any reason,  without the express written consent of the
          Company,  which shall not be  unreasonably  withheld.  Soroka  further
          consents  to  the  placing  of  a  legend  on  his  stock  certificate
          evidencing the foregoing  restriction on transfer. At such time as the
          common stock of the Company shall be publicly traded,  the restriction
          of  this  paragraph  shall  lapse,  except  as  provided  (i)  in  any
          underwriting agreement in connection with such public offering or (ii)
          in any  other  agreement  between  the  parties  hereunder,  including
          Shareholders' agreements.

     5.   Upon  the  execution  of  this  Agreement,  the  Company  will  make a
          distribution to Soroka of $25,000 (the "Advance")  which is an advance
          distribution on any future cash  distributions or dividends payable to
          all Company  shareholders  and shall not bear interest.  Additionally,
          upon the execution of this Agreement,  the Company will loan to Soroka
          the  amount  of  $125,000  (the  "Loan")  on the  following  terms and
          conditions:

                                       2
<PAGE>

          a.   The  entire  principal  amount of the Loan is due and  payable no
               later than two years from the date this  Agreement  is  executed.
               Prepayments are permitted  without  penalty,  provided,  however,
               that  each  such  prepayment  must be in the  minimum  amount  of
               $10,000.  In the event the Company makes a public offering of its
               shares, the Loan must be repaid at such time as the Company files
               a  registration  statement  for review  with the  Securities  and
               Exchange  Commission in connection with such public offering.  In
               such event,  the Company will give Soroka  written  notice of its
               intention to file a  registration  statement  for review with the
               Securities and Exchange Commission,  which notice shall be deemed
               to be a demand for final  repayment  of the Loan no later than 30
               days after such filing for review.

          b.   Interest on the amount outstanding is payable on the first day of
               each  and  every  calendar   month.   Soroka   acknowledges   his
               understanding  that  the  Company  may  borrow  money in order to
               extend this Loan to him. Consequently, whether or not the Company
               actually  borrows money in connection with the loan, the interest
               rate generally  charged the Company by UMB Bank and Trust Company
               (the  "Lender")  (or such  other  lending  institution  as may be
               substituted   for  the   Lender   from  time  to  time)  will  be
               "passed-through"  as the rate charged  Soroka by the Company,  as
               from time to time  adjusted.  The  Company  and  Soroka  agree to
               periodically   adjust   prior   interest   payments   to  reflect
               recomputations that may be caused by the Lender's  implementation
               of rate  changes,  retroactive  or otherwise.  Upon request,  the
               Company will provide  Soroka with proof of the interest rate that
               it is  paying to the  Lender,  or that it would pay if it were to
               borrow money from the Lender.

          c.   Any cash  distributions  or dividends  on Company  stock to which
               Soroka may be  entitled  shall be  retained  by the  Company  and
               applied to reduce the amount of the Advance outstanding, if any.


                                       3
<PAGE>

          d.   Soroka  acknowledges  that  the  Company  is  holding  his  stock
               certificate(s)  as collateral for the repayment of the Loan, and,
               in connection  therewith,  Soroka will provide the Company with a
               blank signed  "stock power" (to be held in escrow by the attorney
               for the Company) to be used to transfer his shares to the Company
               in connection  with the  forfeiture  provisions  described in the
               next  subparagraph.  Such blank  stock power shall be returned to
               Soroka,  along with his stock  certificate(s)  upon Soroka's full
               repayment of the Loan.

          e.   In the event of any  default by Soroka in making  any  payment on
               the Loan, whether of interest or principal, he shall immediately,
               without the need for notice and demand,  forfeit and relinquish a
               portion of his  percentage  ownership  interest in the Company as
               shall be determined by dividing the then outstanding principal of
               the Loan, plus any interest  accrued thereon,  by $5,000,000.  No
               payment shall be deemed to be in default if paid within five days
               after the due date  thereof.  If any  checks  given by Soroka are
               returned  unpaid  by the  drawee  bank,  he shall be  immediately
               deemed to be in default  hereunder,  without  the need for notice
               and  demand.  Notwithstanding  the  previous  provisions  of this
               paragraph,  however,  the first  time  (only)  that  Soroka is in
               default in making any payment on the Loan, whether of interest or
               principal,  he shall be given  written  notice by the  Company of
               such default,  which shall include a demand for payment  thereof,
               and shall have five days from the date he receives such notice in
               which to cure such  default and avoid the  forfeiture  provisions
               set forth hereunder.

          f.   In order to  facilitate  the  repayment of the Loan,  the Company
               will, upon written request,  furnish Soroka with such information
               as he may  reasonably  require in order to transfer funds by wire
               directly into the Company's bank account.

     6.   Soroka will continue to maintain in confidence  all  information  of a
          commercial,  financial or technical  nature about the Company  learned
          during his employment and

                                       4
<PAGE>

          consulting  and will not use or  disclose  same  unless  and  until it
          becomes  generally  publicly  known  (by  means  other  than  Soroka's
          unauthorized disclosure).  Soroka will not make any statement, written
          or oral, in any way materially adverse to the interests of the Company
          or likely  to injure  its good  will and  business  reputation  unless
          required by law to do so in connection with testifying  before a court
          or governmental agency. Soroka and the Company agree to keep the terms
          of this Agreement  strictly  confidential  as a bilateral  contract to
          which  only the  parties  have  access  or  knowledge.  In the  event,
          however, of any dispute with respect to this Agreement,  the Agreement
          may be disclosed to the arbitrator, trier of fact or court responsible
          for adjudicating the dispute.

     7.   Soroka hereby  releases and  discharges the Company and its affiliates
          and  their  respective  officers,   directors,  agents,  predecessors,
          successors  and assigns (the  "Released  Company  Parties"),  from all
          actions,  causes  of  action,  suits,  debts,  covenants,   contracts,
          agreements,  promises,  claims, sums of money, attorneys' fees, costs,
          accounts, covenants,  controversies,  agreements, damages, grievances,
          arbitrations,  and demands whatsoever,  known or unknown, at law or in
          equity, by contract, tort, pursuant to statute, or otherwise,  that he
          now has or ever has had, through the date of this Agreement, expressly
          including,  without  limiting the  generality  of the  foregoing,  all
          claims of discrimination under any law, rule or regulation  pertaining
          to  discrimination  on the basis of age, race,  color,  sex,  national
          origin,  religion,  physical  or mental  disability,  marital  status,
          citizenship or sexual orientation,  which he had, has or hereafter may
          have by reason of any matter, cause or thing whatsoever to the date of
          this Agreement including, without limitation, any claim arising out of
          his employment or consulting with the Company or its termination. Such
          release  and  discharge   shall  not  apply  in  respect  of  (i)  any
          obligations  of  the  Company  arising  under  this  Agreement  or the
          Shareholders'  agreement  between  the  shareholders  of  the  Company
          (including Soroka), which are the only and complete agreements between
          the parties  setting  forth their entire  understanding  and which may
          only be modified in writings signed by the Company


                                       5
<PAGE>

          and Soroka or (ii) any personal  obligations between Soroka and any of
          the Released  Company Parties in their individual  capacities.  Soroka
          agrees to indemnify  the Released  Company  Parties and hold them safe
          and  harmless  from any breach by him of the terms of this  Agreement.
          The Company  agrees to release and discharge  Soroka from all actions,
          and causes of action,  suits, debts, demands whatsoever,  in law or in
          equity,  which it had,  has or  hereafter  may have by  reason  of any
          matter,  cause or  thing  whatsoever  to the  date of this  Agreement.
          Notwithstanding  the foregoing,  such release and discharge  shall not
          apply in respect of Soroka's  obligations arising under this Agreement
          or the aforementioned  Shareholders'  agreement. The Company agrees to
          indemnify  Soroka and hold him safe and harmless from any breach by it
          or by the Released Company Parties of the terms of this Agreement. The
          Company  covenants  and agrees not to  commence  or  cooperate  in the
          commencement of any legal action or administrative  proceeding against
          Soroka unless compelled to do so by a court of competent jurisdiction,
          and Soroka  covenants  and agrees not to commence or  cooperate in the
          commencement of any legal action or administrative  proceeding against
          any of the Released  Company  Parties  unless  compelled to do so by a
          court of competent jurisdiction.  The mutual releases herein described
          are  expressly  intended  to apply  to all  unknown,  unsuspected  and
          unanticipated  injuries  and  damages as well as to those that are now
          disclosed.

     8.   Soroka  acknowledges that he has read and does understand the terms of
          this Agreement and has had adequate opportunity to consult his tax and
          legal advisers. Soroka further agrees that the terms set forth herein,
          including  the Loan  provisions  in  paragraph  5 and the  release  in
          paragraph 7 above, have been negotiated by him and the Company and are
          fair,  reasonable and fully  enforceable.  Soroka also represents that
          his agreement hereunder is an informed one.

     9.   The parties  acknowledge  that they are entering  into this  Agreement
          knowingly and voluntarily  after  consultation  with their  respective
          counsel and after extensive negotiations between counsel for plaintiff
          and defendants.


                                       6
<PAGE>

     10.  This Agreement may not be amended except in a suitable  writing signed
          by the parties.

     11.  The law of the State of New York will  govern the  interpretation  and
          enforcement of the provisions of this Agreement.

     12.  This Agreement  constitutes the entire  agreement  between the parties
          concerning  the above subject  matter and supersedes any and all prior
          oral or written agreements or understandings between the parties.

                                       

                                             NEW YORK HEALTH CARE, INC.

                                             By: /s/ Jerry Braun CEO
Dated: September 28, 1995                    -----------------------------------
                                             Title: CEO


                                             /s/ Samson Soroka
Dated: September 28, 1995                    -----------------------------------
                                             SAMSON SOROKA



                                       7
<PAGE>



STATE OF NEW YORK )
                  ).ss:
COUNTY OF KINGS   )

On this 28 day of Sept., 1995  before me  personally  came  Jerry  Braun,  to me
known, who, being by me duly sworn, did depose and say that he resides at 929 E.
28 St.  Brooklyn,  NY; that he is the CEO of New York  Health  Care,  Inc.,  the
corporation described in, and which executed the foregoing  instrument;  that he
knows the seal of said corporation;  that the seal affixed to said instrument is
such corporate  seal;  that it was so affixed by order of the Board of Directors
of said corporation; and that he signed his name thereto by like order.


   /s/ AVROHOM P. DUBIN
- -----------------------------
NOTARY PUBLIC


                                                      AVROHOM P. DUBIN
                                              Notary Public, State of New York
                                                       No. 24~4973310
                                                  Qualified In Kings County
                                            Certificate Filed in New York County
                                              Commission Expires Oct. 15, 1996

STATE OF NEW YORK )
                  ).ss:
COUNTY OF KINGS   )

On this 28 day of Sept., 1995,  before me personally  came SAMSON SOROKA,  to me
known  and  known  to be the  individual  described  in,  and who  executed  the
foregoing Agreement and duly acknowledged to me that he executed the same.


   /s/ AVROHOM P. DUBIN
- -----------------------------
NOTARY PUBLIC


                                                      AVROHOM P. DUBIN
                                              Notary Public, State of New York
                                                       No. 24~4973310
                                                  Qualified In Kings County
                                            Certificate Filed in New York County
                                              Commission Expires Oct. 15, 1996


                                       8
<PAGE>

                                   SHTAR ISKO
                   AN AGREEMENT CONCERNING INTEREST AND LOANS

                                  INTRODUCTION

Jewish  Religious Law strictly  prohibits the paying or receiving of interest on
loans made between  Jews.  However,  when monies are advanced in the course of a
business transaction,  an agreement may be entered into whereby the provider and
receiver of the funds are considered  equal partners.  This partnership is based
on the  stipulation  that,  upon  request,  every  loss  must be  proved  by two
trustworthy  witnesses and all profits verified by each. All consequent  profits
and  losses  are then  equally  shared.  However,  in order to avoid  these very
stringent  requirements,  the  provider of the funds,  under this "Shtar  Isko",
agrees  to waive  his  share  of the  profits  and to  receive  instead  a fixed
percentage  of the money  advanced in full  settlement of his claim for profits.
This fixed percentage is then considered profit, rather than interest on a loan.
This  agreement  becomes  effective  when the receiver of the funds executes the
agreement form set forth below.

                                  THE AGREEMENT

I, the  undersigned,  have received  from New York Health Care,  Inc. the sum of
$125,000,  repayable in two years,  for the purpose of  transacting  business in
connection with miscellaneous investments, in which profits and losses are to be
equally shared.  However, the said New York Health Care, Inc. has agreed that in
lieu of such sharing of profits and losses,  which would require verification of
all losses by two trustworthy witnesses, and verification of all profits by oath
administered  in  accordance  with Rabbinic Law, he will accept my payment of an
annual  percentage  of the  said sum of  $125,000  equal to the cost to New York
Health Care, Inc. of borrowing such money, and waive all other profits which may
be earned from the funds advanced. I have received a token payment of $1.00 from
the said New York  Health  Care,  Inc.  for my efforts in  connection  with this
undertaking, and have signed a note evidencing my receipt of the said $125,000.

Signed, this 28 day of September, 1995, at 1667 Flatbush Ave.


                                                 /s/ Samson Soroka
                                                 -------------------------------
                                                 SAMSON SOROKA


<PAGE>


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

 TEN COM  - as tenants in common
 TEN ENT  - as tenants by the entireties
 JT TEN   - as joint tenants with right of
          survivorship and not as tenants
          in common
          Additional abbreviations may also be used though not in the above list


UNIF GIFT MIN ACT - ........Custodian.........
                     (Cust)           (Minor)

under Uniform Gifts to Minors
Act .........................
          (State)

For value received _________ hereby sell, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
- --------------------------------------
|                                    |
|                                    |
- --------------------------------------------------------------------------------


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


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


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


- ------------------------------------------------------------------------- Shares
represented by the within Certificate, and do hereby irrevocably
constitute and appoint

- ------------------------------------------------------------------------Attorney
to, transfer the said Shares on the books of the within named  Corporation  with
full power of substitution in the premises.

          Dated_______________________19______
                   In presence of
                                                 /s/ Samson Soroka
                                                 -------------------------------

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

     NOTICE:  THE SIGNATURE TO THIS  ASSIGNMENT MUST CORRESPOND WITH THE NAME AS
WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR  WITHOUT ALTERATION
OR ENLARGEMENT OR ANY CHANGE WHATEVER.

                       ATTACH CANCELLED CERTIFICATE HERE



THIS AGREEMENT made the ___ day of , ___________ 1995, by and between the COUNTY
OF  NASSAU,  a  municipal  corporation  of the State of New,  York,  having  its
principal office at One West Street, Mineola, New York 11501 (hereinafter called
"COUNTY"),  acting for and on behalf of the NASSAU  COUNTY  DEPARTMENT OF SOCIAL
SERVICES  (hereinafter  called  "DISTRICT"),  and NEW YORK HEALTH CARE,  INC., a
personal care agency, located at 175 FULTON AVENUE,  HEMPSTEAD,  NEW YORK 11550,
licensed or otherwise  authorized by the State  Department of Social Services to
provide personal care services (hereinafter called "CONTRACTOR").

                               W I T N E S S E T H

     WHEREAS, local Social Services Districts are authorized pursuant to Section
365-a (2)(e) of the New York Social Services Law and New York State Department
of Social Services Regulation 18 NYCRR 505.14 and/or other Department
regulations to provide personal care services to persons eligible to receive
said services; and

     WHEREAS, the DISTRICT is desirous of obtaining personal care services to be
rendered to recipients of medical assistance for which reimbursement is
available pursuant to Title XIX of the Federal Social Security and applicable
State law; and

     WHEREAS, the CONTRACTOR herein represents that it will provide services
that are authorized pursuant to Title XIX of the Federal Social Security Act and
applicable state law and which are eligible for reimbursement thereto.

     NOW, THEREFORE, the parties signing and executing this instrument do, in
consideration of the above, covenant and agree as follows:

     1. The relationship of the CONTRACTOR to the District shall be that of an
independent CONTRACTOR. The CONTRACTOR, in accordance with its status as an
independent CONTRACTOR, covenants and agrees that it will conduct itself in
accordance with such status, that it will neither hold itself out as, nor



<PAGE>


claim to be an officer or employee of the Department by reason thereof and that
it will not by reason thereof, make any claim, demand or application to or for
any right or privilege applicable to an officer or employee of the State,
including, but not limited to, Worker's Compensation coverage, or retirement
membership or credits.

     2. The CONTRACTOR agrees to provide personal care services, as defined in
New York State Department of Social Services Regulation 18 NYCRR 505.14 to
recipients of medical assistance (Medicaid), as defined in Title 11 of Article 5
of the New York State Social Services Law and/or Title XIX of the Federal Social
Security Act, if requested to provide said services by a social services
district pursuant to the orders and/or prescription(s) of a physician in
accordance with a plan of treatment to be supervised by a registered nurse
subject to the conditions set forth in the regulations of the New York State
Department of Social Services (18 NYCRR 505.14 or superseding provisions).

     3. The personal care services will be rendered as authorized by the
DISTRICT at the locations specified by the DISTRICT during the term of this
Agreement and should be provided for particular recipients only as long as
authorized, pursuant to the DISTRICT'S direction as to frequency, type, and
amount.

     4. The DISTRICT shall not be obligated to utilize the services of the
CONTRACTOR, and the DISTRICT or the New York State Department of Social Services
shall in its discretion be authorized to terminate any Agreement or request for
services to be rendered to any or all recipient(s) upon notification to the
CONTRACTOR, its agent(s) or employee(s); the cessation of services to a
particular recipient shall not render this entire Agreement void or voidable. In
the event of termination, the CONTRACTOR shall promptly transfer any and all
records pertaining to any individual who has been or is receiving services
provided by the CONTRACTOR to the DISTRICT or is to any subsequent provider
designated by the DISTRICT.

     5. This Agreement shall be valid and binding for the time period set forth
below, except that if the time period set forth continues beyond one year from
the effective date of this Agreement, the Agreement shall be voidable any time
after the end of one year at the option of the local Social Services




                                       2
<PAGE>


District  or the New York  State  Department  of Social  Services;  neither  the
DISTRICT nor the State Department of Social Services shall be obligated to renew
or extend the terms of this contract.

     6. The New York State Department of Social Services shall establish the
rate of CONTRACTOR'S reimbursement for the medical assistance services rendered
in accordance with this Agreement subject to the approval of the New York State
Director of the Budget. The CONTRACTOR shall not be required without its consent
to provide the services at a decreased rate, but any services provided after
notification of a decreased rate shall be deemed to have been rendered by
consent.

     7. The CONTRACTOR agrees that its employees or agents rendering personal
care services shall be subject to the supervision of the DISTRICT and/or the New
York State Department of Social Services and/or any nurse(s), agency(ies)
designated by the DISTRICT to provide supervision of the personal care services
being rendered to the authorized recipient of medical assistance (Medicaid) in
accordance with state-established policies and standards. It is understood and
agreed that the DISTRICT and/or the New York State Department of Social Services
retains the right to maintain and continue case management for any recipients of
medical assistance (Medicaid) and that all the activities of the CONTRACTOR
shall be subject to the monitoring of the local and State Social Services
Departments.

     8. The CONTRACTOR agrees that all employees rendering personal care or
other services to medical assistance recipients shall have completed
successfully a basic training program, as defined in the New York State
Department of Social Services Regulations 18 NYCRR 505.14 or superseding
regulations and participated in on- the-job and in- service training pursuant to
a plan submitted to and approved by the New York State Department of Social
Services.

     9. The CONTRACTOR will cooperate and participate as directed by the
DISTRICT or the New York State Department of Social Services, in any endeavors
incident to the rendering of personal care services herein,




                                       3
<PAGE>


including, but not limited to, testimony for fair hearings for recipients;
grievance hearings and notices thereof to recipients; reports, surveys, studies,
audits, court or judicial proceedings; and any other matters of procedures
relating to the furnishing of personal care services by the CONTRACTOR.

     10. The CONTRACTOR shall make the necessary and/or required payroll
reports, deductions, and tax, insurance, or other payments, including, but not
limited to, providing for worker's compensation insurance, disability insurance,
U.S. Social Security taxes, Federal and State unemployment insurance benefits,
withholding Federal, State and local income taxes, and comply with any other
legal or customary requirements; the CONTRACTOR shall conduct its affairs in a
manner such that the DISTRICT and/or the New York State Department of Social
Services will not be held liable (and/or shall be held harmless) for any actions
or omissions of the CONTRACTOR, its employees, agents, or other representatives.

     11. The CONTRACTOR shall obtain and maintain in full force and effect
liability or other insurance that protects the DISTRICT and the New York State
Department of Social Services from any potential liability that may accrue as a
result of any actions of the CONTRACTOR; such coverage may be an endorsement to
an existing policy of the CONTRACTOR. Regardless of form or manner of coverage,
the insurer shall be requested by the CONTRACTOR to provide the DISTRICT with a
written acknowledgment of coverage, the terms and conditions thereof, and a
commitment to notify the DISTRICT at least ten (10) days before any
cancellation, reduction or other change in coverage becomes effective (pursuant
to usual insurance "hold harmless" or "loss payee" provisions).

     12 . The CONTRACTOR agrees to maintain books, records, documents, and other
evidence and accounting procedures and practices which sufficiently and properly
reflect all direct and indirect costs of any nature expended in performance of
this Agreement in accordance with accepted accounting practices. These records
shall be subject at all reasonable times for inspection, review, or audit by
State personnel, the County Comptroller, and other personnel duly authorized by
District, as well as by Federal personnel


                                       4
<PAGE>


when Federal funds are being utilized in making payments to the CONTRACTOR. The
CONTRACTOR agrees to collect statistical data of a fiscal nature on a regular
basis and to make fiscal statistical reports at times prescribed by and on forms
furnished by the District and duly authorized by the State Department of Social
Services.

     13. The CONTRACTOR agrees to maintain program and statistical records and
to produce program narrative and statistical data at times as prescribed by, and
on forms furnished by the DISTRICT, as duly authorized by the State Department
of Social Services.

     14. The CONTRACTOR agrees to retain all books, records, and other documents
relevant to this Agreement for six (6) full years after final payment. Federal
and/or State auditors, the County Comptroller, and any persons duly authorized
by the DISTRICT shall have full access to and the right to examine any of said
materials during said period.

     15. The DISTRICT and the CONTRACTOR shall observe and require the
observance of applicable Federal and State requirements relating to
confidentiality of records and information, and each agrees not to allow
examination of records or disclose information, except that examination of
records by the DISTRICT and/or the New York State Department of Social Services
as may be necessary to assure that the purpose of the Agreement will be
effectuated, and also to otherwise comply, with the DISTRICT'S requirements and
obligations under law, will be allowed

     16. The CONTRACTOR agrees that it has notified or will notify, the DISTRICT
and/or the New York State Department of Social Services of any affiliated
entities with which it has direct or indirect cooperative Agreements, contracts
for services, or any other type of formal or informal arrangements whereby the
costs and/or the amounts received in reimbursement of services rendered to
recipients are shared among or transferred between the CONTRACTOR and any other
entity(ies); if the CONTRACTOR makes any disbursement directly or indirectly to
any entity receiving reimbursement from any governmental agency, the DISTRICT
and/or the New York State Department of Social Services shall be so notified.




                                       5
<PAGE>


     17. (a) The terms set forth in Appendix A appended hereto (Revision of
March, 1982) shall be made a part hereof and shall be incorporated herein.

     (b) The terms set forth in Appendix B and appended hereto shall be made a
part hereof and shall be incorporated herein.

     (c) The CONTRACTOR agrees to comply with the requirements of the United
States Civil Rights Act of 1964 as amended and Executive Order No. 11246
entitled "Equal Employment Opportunities" and the regulations issued pursuant
thereto as contained in 41 CFR Part 60 and/or any other Federal or State
regulation or laws.

     (d) CONTRACTOR agrees to observe and comply with the Federal regulations
contained in 45 CFR 84 entitled "Non-discrimination on the Basis of Handicap;
Programs and Activities Receiving or Benefitting from Federal Financial
Assistance".

     18. Local variations, if any, shall be set forth in Appendix B, appended
hereto and shall be effective only if the terms and form of such variations have
been approved in writing by the New York State Department of Social Services and
reference to such approval is indicated thereon; if the terms of any such local
variations conflict with the meaning of the terms in the main body of this
contract, the words and meaning in the main body shall be controlling to the
exclusion of the local variations unless a separate executed Agreement between
the State Department of Social Services and the DISTRICT deliberately changes
said effect and a copy of said Agreement is appended hereto.

     19. The terms of reimbursement for Medical Assistance services (pursuant to
Title XIX of the Federal Social Security Act) shall be the rates established by
the New York State Department of Social Services and the Director of the Budget.
The said terms of reimbursement shall be as set forth in Appendix B.

Unless otherwise stated, the rate of payment set forth shall be the total gross
amount of payment, and no additional reimbursement to the CONTRACTOR will be
made for any subsidiary or other services supplementary or in addition to the
terms herein set forth.




                                       6
<PAGE>


     20. The parties agree to renegotiate this Agreement in the event that the
Department of Health and Human Services or the New York State Department of
Social Services issue new or revised requirements on the Department as a
condition for receiving continued Federal or State reimbursement.

     21. This Agreement may be amended whenever determined necessary by the
DISTRICT and the CONTRACTOR, if such amendments are approved by the New York
State Department of Social Services. All amendments must be in writing, duly
signed by both parties, and be annexed to the contract.

     22. This Agreement contains all the terms and conditions agreed upon by the
parties. All items incorporated by reference are to be attached. No other
understandings, oral or otherwise, regarding the subject matter of this
Agreement, shall be deemed to exist or to bind any of the parties hereto.

     This Agreement is not in effect unless and until:

     1. All signatures have been completed on the signature page of the
Agreement, and/or

     2. Approval has been obtained by the Board of Supervisors, where required,
and

     3. This Agreement is sealed by the County of Nassau.

     IN WITNESS WHEREOF, the parties hereunto have signed and executed this
Agreement the date(s) indicated opposite their respective signatures. 

                                                      NASSAU COUNTY

- ---------------------------             ---------------------------
DATE:                                   COUNTY EXECUTIVE

                                        New York Health Care, Inc.

10/18/95                                /s/ Jerry Braun, CEO
- ---------------------------             ---------------------------
DATE:                                   CONTRACTOR'S SIGNATURE

                                        Jerry Braun, CEO
                                        --------------------------- 
Approved:                               Printed Name & Title




- ---------------------------
NASSAU COUNTY DEPARTMENT OF
SOCIAL SERVICES



APPROVED AS TO FORM:                    ---------------------------
                                        NAUSSAU COUNTY COMPTROLLER


- ---------------------------             ---------------------------
DEPUTY COUNTY ATTORNEY                  BUREAU OF REAL ESTATE &
                                        INSURANCE

                                        PLEASE SIGN IN BLACK INK




                                       7
<PAGE>


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )


     On this __ day of _________, 1995, before me personally appeared THOMAS S.
GULOTTA, County Executive of the County of Nassau, the municipal corporation
described herein, and who executed the foregoing instrument, to me known and
known to me to be such County Executive and he being by me duly sworn, did
depose and say: That he is the County Executive of Nassau County; and that he
executed the same as such County Executive for the purposes therein mentioned.



                                             ---------------------------
                                             NOTARY PUBLIC


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )


On this __ day of __________ , 1995 before me personally appeared ROBERT L.
OLDEN, SR., Deputy County Executive of the County of Nassau, the municipal
corporation described herein and who executed the foregoing instrument, to me
known to me to be such Deputy County Executive, and he by me being duly sworn,
did depose and say: That he is the Deputy County Executive of the County of
Nassau and that pursuant to Section 205 of the County Government Law of Nassau
County executed the same as such Deputy County Executive for the purposes
therein mentioned.


                                             ---------------------------
                                             NOTARY PUBLIC


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )

On this 18 day of October, 1995, before me personally came Jerry Braun to me
known, who being by me duly sworn, did depose and say: That he resides at 1667
Flatbush Ave. and that he is the CEO of NY Health Care, Inc. the corporation 
describe in and which executed the above Agreement; and that he signed his name 
thereto by order of its Board of Directors.

                                             /s/ Margaret Braun
                                             ---------------------------
                                             NOTARY PUBLIC

                                             Margaret Braun
                                             Commissioner of Deeds
                                             City of New York, No. 24293
                                             Certificate Filed in Kings County
                                             Commission Expires Nov. 1, 1996


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )


On this __ day of _______, 1995, before me personally came ________________ to
me known and known to me to be the person described in and who executed the
same.


                                             ---------------------------
                                             NOTARY PUBLIC




       
                                        PLEASE SIGN IN BLACK INK


                                       8
<PAGE>


     AN ADDENDUM TO THE AGREEMENT made by and between the COUNTY OF NASSAU, a
municipal corporation of the State of New York, having its principal office at
One West Street, Mineola, New York ll501 (hereinafter called the "COUNTY"),
acting for and on behalf of the NASSAU COUNTY DEPARTMENT OF SOCIAL SERVICES
(hereinafter called "DISTRICT"), and N.Y. HEALTH CARE INC., a personal care
agency, located at 175 FULTON AVENUE, HEMPSTEAD, NEW YORK 11550, licensed or
otherwise authorized by the State Department of the Social Services to provide
personal care services (hereinafter called CONTRACTOR").

                              W I T N E S S E T H:

     WHEREAS, an Agreement has been or is simultaneously being executed between
the parties hereto for the provision of home health care and personal care
services; and

     WHEREAS, nursing supervision for personal care may be provided by a
registered nurse who is an employee of a voluntary or proprietary agent pursuant
to New York State Department of Social Services Regulation 18 NYCRR
505.14(f)(3)(iii); and

     WHEREAS, the local Social Services Department has requested and obtained an
exception from the New York State Department of Social Services to use a nurse
supervisor from a voluntary or proprietary agency pursuant to Regulation 18
NYCRR 505.14 (f) (3) (iii), and

     WHEREAS, the CONTRACTOR herein represents that it will provide said nursing
supervision services as authorized pursuant to Title XIX of the Federal Social
Security Act and applicable State law and which are eligible for reimbursement
thereto.

     NOW, THEREFORE, the parties signing and executing this instrument in
consideration of the above covenant and agree as follows:

     A. All the terms and conditions contained in the Agreement to which this
addendum is appended shall continue in effect and the terms and conditions in
this addendum are to be supplementary and subordinate thereto.


                                       9
<PAGE>

     B. The CONTRACTOR agrees to provide nursing supervision for personal care
as defined in New York State Department of Social Services Regulation 18 NYCRR
505.14(f)(3) for services rendered to recipients of medical assistance
(Medicaid), as defined in Title 11 of Article 5 of the New York State Social
Services Law and/or Title XIX of the Federal Social Security Act, if requested
to provide said services by a social services district subject to the
conditions set forth in the regulations of the New York State Department of
Social Services (18 NYCRR 505.14 or superseding provisions); said nursing
supervision services shall be rendered subject to the same terms and conditions
set forth for personal care services in the Agreement to which this addendum is
appended.

     C. The CONTRACTOR agrees that all nursing supervision services performed
under its direction shall be performed by a registered nurse who possesses the
qualifications required by New York State Department of Social Services
Regulation 505.14(f)(3)(iii)(b) and/or 505.14(f) 3)(ii) and/or any other state
or federal law and/or regulations; all persons rendering such nursing
supervision services shall be employees of the CONTRACTOR in accordance with
the requirements of Regulation 505.14(f)(3)(iii)(c).

     D. The reimbursement rates for nursing supervision services rendered
pursuant to this addendum shall be the rates established by the New York State
Department of Social Services and the Director of the Budget and authorized or
accepted by the New York State Department of Health. All claims for
reimbursement for nursing supervision services shall be submitted to the New
York State Department of Social Services. Unless otherwise stated, the rate of
payment set forth shall be the total gross amount of payment, and no additional
reimbursement to the CONTRACTOR will be mace for any subsidiary or other
services supplementary or in addition to the terms herein set forth.

     E. Authorization by the New York State Department of Social Services for
the exception to use a nurse supervisor from a voluntary or proprietary agency
pursuant to 18 NYCRR 505.14(f)(3)(iii) is part of the Nassau County annual
Personal Care service plan and its terms made a part hereof; this authorization
shall be effective no longer than any time period set forth in said exception
and shall not be effective unless said exception satisfies the annual evaluation
and approval


                                       10
<PAGE>


requirements set forth in 18 NYCRR 505.14 (f)(3)(iii)(a). In the event that
a modification of the exception is made during the terms of this addendum plan
for or Agreement, the CONTRACTOR agrees to be bound by the terms of said
modified exception subsequent to being notified of said modifications.

     F. This service plan shall be valid and binding for the time period set
forth in the Agreement to which this addendum is appended.

     G. This addendum plan contains al1 the additional terms and conditions
agreed upon by the parties . All items incorporated by reference are to be
attached. No other understandings, oral or otherwise, regarding the subject
matter of this Agreement, shall be deemed to exist or bind parties hereto,
and any amendments, modifications, or provisions shall be subject to the terms
and/or conditions set forth in the Agreement to which this addendum is
appended.

     IN WITNESS WHEREOF, the parties hereunto have signed and executed this
Agreement on the date(s) indicated opposite their respective signatures.

                                        NASSAU COUNTY

- ---------------------------             ---------------------------
DATE:                                   COUNTY EXECUTIVE

                                        New York Health Care, Inc.

10/18/95                                /s/ Jerry Braun, CEO
- ---------------------------             ---------------------------
DATE:                                   CONTRACTOR'S SIGNATURE

                                        Jerry Braun, CEO
                                        --------------------------- 
Approved:                               Printed Name & Title




- ---------------------------
NASSAU COUNTY DEPARTMENT OF
SOCIAL SERVICES



APPROVED AS TO FORM:                    ---------------------------
                                        NAUSSAU COUNTY COMPTROLLER


- ---------------------------             ---------------------------
DEPUTY COUNTY ATTORNEY                  BUREAU OF REAL ESTATE &
                                        INSURANCE

                                        PLEASE SIGN IN BLACK INK





                                       11
<PAGE>


     On this __ day of _________, 1995, before me personally appeared THOMAS S.
GULOTTA, County Executive of the County of Nassau, the municipal corporation
described herein, and who executed the foregoing instrument, to me known and
known to me to be such County Executive and he being by me duly sworn, did
depose and say: That he is the County Executive of Nassau County; and that he
executed the same as such County Executive for the purposes therein mentioned.



                                             ---------------------------
                                             NOTARY PUBLIC


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )


     On this __ day of __________ , 1995 before me personally appeared ROBERT L.
OLDEN, SR., Deputy County Executive of the County of Nassau, the municipal
corporation described herein and who executed the foregoing instrument, to me
known and known to me to be such Deputy County Executive, and he by me being
duly sworn, did depose and say: That he is the Deputy County Executive of the
County of Nassau and that pursuant to Section 205 of the County Government Law
of Nassau County executed the same as such Deputy County Executive for the
purposes therein mentioned.


                                             ---------------------------
                                             NOTARY PUBLIC


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )

     On this 18 day of October, 1995, before me personally came Jerry Braun to
me known, who being by me duly sworn, did depose and say: That he resides at
1667 Flatbush Ave. and that he is the CEO of NY Health Care, Inc. the
corporation describe in and which executed the above Agreement; and that he
signed his name thereto by order of its Board of Directors.

                                             /s/ Margaret Braun
                                             ---------------------------
                                             NOTARY PUBLIC

                                             Margaret Braun
                                             Commissioner of Deeds
                                             City of New York, No. 24293
                                             Certificate Filed in Kings County
                                             Commission Expires Nov. 1, 1996


STATE OF NEW YORK)
                 ) ss.:
COUNTY OF NASSAU )


     On this __ day of _______, 1995, before me personally came to me known and
known to me to be the person described in and who executed the same.


                                             ---------------------------
                                             NOTARY PUBLIC




       
                                        PLEASE SIGN IN BLACK INK





                                       12
<PAGE>



                           APPENDIX A

THE PARTIES TO THE ATTACHED CONTRACT FURTHER AGREE TO BE BOUND
BY THE FOLLOWING, WHICH ARE HEREBY MADE A PART OF SAID CONTRACT:

     I. This contract may not be assigned by the contractor or its right, title
or interest therein assigned, transferred, conveyed, sublet or disposed of
without the previous consent, in writing, of the State.

     II. This contract shall be deemed executory only to the extent of money
available to the State for the performance of the terms hereof and no liability
on account thereof shall be incurred by the State of New York beyond moneys
available for the purpose thereof.

     III. The contractor specifically agrees, as required by Labor Law, Sections
220 and 220-d, as amended, that:

     A. No laborer, workman or mechanic, in the employ of the contractor,
     subcontractor or other person doing or contracting to do the whole or 
     any part of the work contemplated by the contract shall be permitted or
     required to work more than eight hours in any one calendar day or more than
     five days in any one week, except in the emergencies set forth in the
     Labor Law.

     B. The wages paid for a legal day's work shall be not less than the
     prevailing rate of wages as defined by law.

     C. The minimum hourly rate of wage to be paid shall not be less than that
     stated in the specifications, and any redetermination of the prevailing
     rate of wages after the contract is approved shall be deemed to be
     incorporated herein by reference as of the effective date of
     redetermination and shall form a part of these contract documents.

          1. The Labor Law provides that the contract may be forfeited and no
          sum paid for any work done thereunder on a second conviction for
          willfully paying less than -

               a) the stipulated wage scale as provided in Labor Law, Section 
               220, subdivision 3, as amended, or

               b) less than the stipulated minimum hourly wage scale, as
               provided in Labor Law, Section 220-d, as amended.

     IV. The contractor specifically agrees, as required by the provisions of
the Labor Law, Section 220-e as amended, that --

          A. In hiring of employees for the performance of work under this
          contract or any subcontract hereunder, or for the manufacture, sale or
          distribution of materials, equipment or supplies hereunder, no
          contractor, subcontractor nor any person acting on behalf of such
          contractor or subcontractor, shall by reason of race, creed, color,
          sex or national origin discriminate against any citizen of the State
          of New York who is qualified and available to perform the work to
          which the employment relates.

          B. No contractor, subcontractor, nor any person on his behalf shall,
          in any manner, discriminate against or intimidate an employee hired
          for the performance of work under this contract on account of race,
          creed, color, sex or national origin.

          C. There may be deducted from the amount payable to the contractor by
          the State under this contract a penalty of five dollars for each
          person for each calendar day during which such person was
          discriminated against or intimidated in violation of the provisions of
          the contract, and



                                       13
<PAGE>

          D. This contract may be canceled or terminated by the State or
          municipality and all moneys due or to become due hereunder may be
          forfeited for a second or any subsequent violation of the terms or
          conditions of this section of the contract, and

          E. The aforesaid provisions of this section covering every contract
          for or on behalf of the state or a municipality for the manufacture,
          sale or distribution of materials, equipment or supplies shall be
          limited to operations performed within the territorial limits of the
          State of New York.

     V. During the performance of this contract, the contractor agrees as
follows:

          A. The contractor will not discriminate against any employee or
          applicant for employment because of race, creed, color sex, national
          origin, age, disability or marital status.

          B. If directed to do so by the Commissioner Of Human Rights, the
          contractor will send to each labor union or representative of workers
          with which the contractor has or is bound by a collective bargaining
          or other Agreement or understanding, notice, to be provided by the
          State Commissioner of Human Rights, advising such labor union or
          representative of the contractor's Agreement under clauses (a)
          through (g) (hereiafter called "non-discrimination clauses"). If the
          contractor was directed to do so by the contracting agency as part of
          the bid or negotiation of this contract, the contractor shall request
          such labor union or representative to furnish a written statement that
          such labor union or representative will not discriminate because of
          race, creed, color, sex, national origin, age, disability or marital
          status, and that such labor union or representative will cooperate,
          within the limits of its legal and contractual authority, in the
          implementation of the policy and provisions of these
          non-discrimination clauses and that it consents and agrees that
          recruitment, employment and the terms and conditions of employment
          under this contract shall be in accordance with the purposes and
          provisions of these non-discrimination clauses. If such labor union or
          representative fails or refuses to comply with such a request that it
          furnish such a statement, the contractor shall promptly notify the
          State Commissioner of Human Rights of such failure or refusal.

          C. If directed to do so by the Commissioner of Human Rights, the
          contractor will post and keep posted in conspicuous places, available
          to employees and applicants for employment, notices to be provided by
          the State Commissioner of Human Rights setting forth the substance of
          the provisions of clauses (a) and (b) and such provisions of the
          State's laws against discrimination as the State Commissioner of Human
          Rights shall determine.

          D. The contractor will state, in all solicitations or advertisement
          for employees placed by or on behalf of the contractor, that all
          qualified applicants will be afforded equal employment opportunities
          without discrimination because of race, creed, color, sex, national
          origin, age, disability or marital status.

          E. The contractor will comply with the provisions of Sections 290-299
          of the Executive Law and with the Civil Rights Law, will furnish all
          information and reports deemed necessary by the State Commissioner of
          Human Rights under these nondiscriminatory clauses and such sections
          of the Executive Law, and will permit access to the contractor's
          books, records and accounts by the State Commissioner for the purposes
          of investigation to ascertain compliance with these non-discrimination
          clauses and such sections of the Executive Law and Civil Rights Law.


                                       14
<PAGE>


          F. This contract may be forthwith canceled, terminated or,
          suspended, in whole or in part, by the contracting agency upon the
          basis of a finding made by the State Commissioner of Human Rights that
          the contractor has not complied with these non-discrimination clauses,
          and the contractor may be declared ineligible for future contracts
          made by or on behalf of the State or a public authority or agency of
          the State, until the contractor satisfies the State Commissioner of
          Human Rights that the contractor has established and is carrying out a
          program in conformity with the provisions of these non-discrimination
          clauses. Such finding shal1 be made by the State Commissioner of Human
          Rights after conciliation efforts by the Commissioner have failed to
          achieve compliance with these non-discrimination clauses and after a
          verified complaint has been filed with the Commissioner, notice
          thereof has been given to the contractor and an opportunity has been
          afforded the contractor to be heard publicly in accordance with the
          Executive Law. Such sanctions may be imposed and remedies invoked
          independently of or in addition to sanctions and remedies otherwise
          provided by law

          G. The contractor will include the provisions of clauses (a) through
          (f) in every subcontract or purchase order in such a manner that such
          provisions will be binding upon each subcontractor or vendor as to
          operations to be performed within the State of New York. The
          contractor will take such action in enforcing such provisions of such
          subcontract or purchase order as the State Commissioner of Human
          Rights or the contracting agency may direct, including sanctions or
          remedies for non-compliance. If the contractor becomes involved in or
          is threatened with litigation with a subcontractor or vendor as a
          result of such direction by the State Commissioner Of Human Rights or
          the contracting agency, the contractor shall promptly so notify the
          Attorney General, requesting the Attorney General to intervene and
          protect the interests of the State of New York.

     VI. A. By submission of this bid, each bidder and each person signing on
     behalf of any bidder certifies, and in the case of a joint bid each party
     thereto certifies as to its own organization, under penalty of perjury,
     that to the best of his knowledge and belief:

          1) The prices in this bid have been arrived at independently without
          collusion, consultation, communication or Agreement, for the purpose
          of restricting competition, as to any matter relating to such prices
          with any other bidder or with any competitor;

          2) Unless other wise required by law, the prices which have been
          quoted in this bid have not been knowingly disclosed by the bidder
          and will not knowingly be disclosed by the bidder prior to opening,
          directly or indirectly, to any other bidder or to any competitor;

          3) No attempt has been made or will be made by the bidder to induce
          any other person, partnership or corporation to submit or not to
          submit a bid for the purpose of restricting competition.

     B. A bid shall not be considered for award nor shall any award be made
     where (a)(1)(2) and (3) above have not been complied with provided,
     however, that if in any case the bidder can not make the foregoing
     certification, the bid shall so state and shall furnish with the bid a
     signed statement which sets forth in detail the reasons therefore




                                       15
<PAGE>

     Where (a)(1)(2) and (3) above have not been complied with, the bid shall
     not be considered for award nor shall any award be made unless the head of
     the purchasing unit of the State, public department or agency to which the
     bid is made, or his designee, determined that such disclosure was not made
     for the purpose of restricting competition.

     The fact that a bidder (a) has published price lists, rates covering items
     being procured, (b) has informed prospective customers of purposed or
     pending publication of new or revised price lists for such items, or (c)
     has sold the same items to other customers at the same prices being bid,
     does not constitute, without more, a disclosure within the meaning of
     paragraph VI(a).

        VII. The  Agreement  shall be void and of no force and effect unless the
contractor  shall provide  coverage for the benefit of, and keep covered  during
the life of this Agreement,  such employees as are required to be covered by the
provisions of the Worker's Compensation Law.

     VIII. In accordance with Section 220-f of the Labor Law and Section 139-h
of the State Finance Law and the regulations of the Comptroller of the State of
New York promulgated thereunder, the contractor agrees, as a material condition
of the contract:

     A. That neither the contractor nor any substantially owned or affiliated
     person, firm, partnership or corporation has participated, is
     participating, or shall participate in an international boycott in
     violation of the provisions of the United States Export Administration Act
     of 1969, as amended, or the Export Administration Act of 1979, as amended,
     or the regulations of the United States Department of Commerce promulgated
     thereunder;

     B. That if the contractor or any substantially owned or affiliated person,
     firm, partnership or corporation has been convicted or subjected to a final
     determination by the United States Department of Commerce or any other
     appropriate agency of the United States of a violations of the United
     States Export Administration Act of 1969, as amended, or the Export
     Administration Act of 1979, as amended, or the regulations of the United
     States Department of Commerce promulgated thereunder, the contractor shall
     notify the Comptroller of such conviction or determination in the manner
     prescribed by the Comptroller's regulations.


                                       16
<PAGE>


                                   APPENDIX B

1.   A. The reimbursement rates for personal care services rendered by
     CONTRACTOR under this Agreement shall be the rates established by the New
     York State Department of Social Services.

     B. CONTRACTOR agrees that all claims for reimbursement for personal care
     services rendered are to be submitted to the New York State Department of
     Social Services, through their fiscal intermediary, COMPUTER SCIENCE
     CORPORATION, 800 North Pearl Street, Albany, New York, for payment by the
     State of New York, pursuant to the New York State Medical Assistance
     Program. Under no circumstances should a claim be submitted to the COUNTY
     or the DEPARTMENT for payment.

     C. The District agrees to furnish the CONTRACTOR with Prior Approval forms
     for individuals eligible for and entitled thereto pursuant to New York
     State Law Rules and Regulations, and such other documents as are reasonably
     necessary to enable the contractor to obtain payment from the State of New
     York for services rendered by the contractor under the contract.



2. Performance under this Agreement shall include the period from October 1,
1995 to September 30, 1996.

3. The relationship of the CONTRACTOR to the COUNTY and DISTRICT shall be that
of independent CONTRACTOR. The CONTRACTOR, in accordance with his status as an
independent CONTRACTOR, convenants and agrees that he will conduct himself in
accordance with such status, that he will neither hold himself as, nor claim to
be, an officer or employee of the COUNTY or the DISTRICT thereof, and that he
will not by reason thereof, make any claim, demand, or application to, or for
any right or privilege applicable to an officer or employee of the State or the
COUNTY including, but not limited to worker's compensation coverage, or
retirement membership, or credits.

    It is further understood and agreed that no agent,  servant,  or employee of
CONTRACTOR  shall,  at any time or under any  circumstances,  be deemed to be an
agent, servant, or employee of District or COUNTY.

     4. CONTRACTOR agrees to conduct its activities pursuant to this Agreement
so as not to endanger or harm any person and to indemnify and hold harmless
COUNTY, its agents, officers and employees against any and all claims, demands,
causes of action, including claims for salaries or incurred expenses and for
personal injury and/or death, damages (including damages to COUNTY's property),
costs and liabilities, at law or in equity, of every kind and nature whatsoever,
directly or approximately resulting from, arising out of, or caused by the acts
or omissions of CONTRACTOR, its agents, officers, employees guests, patrons, or
invitees whether such actions are authorized by this Agreement or not.
CONTRACTOR shall, at County's demand, defend at its own risk and expense any and
all suits, actions or legal proceedings which may be brought or instituted
against COUNTY, its agents, officers, or employees on any such claim, demand,
or cause of action, and CONTRACTOR shall pay and satisfy any judgment or decree
which may be rendered against COUNTY, as agents, officers, or employees in any
such suit, action, or other legal proceeding.

5. This Agreement may not be assigned, transferred, or in any way disposed of by
CONTRACTOR without first having obtained written approval thereof from the
County Executive of Nassau County.

6. CONTRACTOR warrants that it is not in arrears to the COUNTY or DISTRICT upon
any debt or contracts, and that it has not been in default and is not in default
as surety, CONTRACTOR or otherwise.

7. This Agreement is subject to the provisions of Article 18 of the General
Municipal Law of the State of New York, as amended; Section 22-4.2 of the
Administrative Code of Nassau County; the provisions of the Anti-Discrimination
Order of Nassau County; and 41 CFR 60 including Parts 60-1.4, 60-250.4 and
60-741.4.

                                       17



<PAGE>


          This Agreement is not in effect unless and until:

          1. all signatures have completed the signature page of the Agreement,
          and/or

          2. approval has been obtained by the Board of Supervisors, where
          required, and

          3. this Agreement is sealed by the County of Nassau.

8. The CONTRACTOR must maintain a business office in Nassau County.

9. The CONTRACTOR shall maintain full and complete books and records of accounts
in accordance with accepted accounting practices and such other records as may
be prescribed by the Comptroller of COUNTY or the DISTRICT. Such books and
records shall at all times be available for audit and inspection by the
Comptroller of COUNTY or his duly designated representative or by the District.

10. In addition to Section 9, supra, and until the expiration of six (6) years
after the furnishing of services pursuant to this Agreement or any subcontract
made pursuant to this Agreement, CONTRACTOR and its subcontractor(s) shall make
available, upon written request to the Secretary of the U. S. Department of
Health and Human Services, or upon request of the Comptroller General or any of
their duly authorized representatives, this Agreement, and books, documents and
records of CONTRACTOR or subcontractor(s) that are necessary to certify the
nature and extent of such costs.

11. The CONTRACTOR shall provide nursing supervision of its employees by a
registered nurse whose qualifications have been reviewed and approved by the
District in accordance with 18 NYCRR 505.14(f).

     The CONTRACTOR shall be responsible for the performance of aides in
connection with their duties and shall develop methods to monitor the care
provided.

12. Nursing supervising visits are to be made in accordance with schedules
mandated by the District.

13. The CONTRACTOR agrees to maintain and pay for comprehensive general
liability insurance throughout the life of this contract, in the amount not less
than $1,000,000 combined single limit per occurrence for personal injury, bodily
injury and property damage, with the County of Nassau and the New York State
Department of Social Services as an additional insureds under such comprehensive
general liability policy. The CONTRACTOR shall maintain and pay for professional
liability insurance covering professional treatment, therapy, or consultation
services throughout the life of this contract, in an amount not less than
$1,000,000 combined single limit per occurrence for bodily injury and/or
personal injury with the County of Nassau and the New York State Department of
Social Services additional insureds under such professional liability policy.

     The CONTRACTOR shall secure compensation insurance for the benefit of such
of its employees as must be so insured in compliance with the Worker's
Compensation Law, and shall keep such insurance in full force and effect during
the term of this Agreement.

     All insurance policies shall be subject to the approval of the Bureau of
Real Estate and Insurance at 1550 Franklin Avenue, Mineola, New York. Regardless
of form or manner of coverage, the insurer shall be requested by the CONTRACTOR
to provide the DISTRICT with a written acknowledgment of coverage, the terms and
conditions thereof, and a commitment to notify the district at least ten (10)
days before any cancellation, reduction or other change in coverage becomes
effective.

     Copies of the above mentioned policies or satisfactory Certificates of
Insurance reflecting such coverage shall be delivered to the Bureau of Real
Estate and Insurance of COUNTY at 1550 Franklin Avenue, Mineola, New York, upon
execution of this Agreement by CONTRACTOR . Failure of Contractor to procure or
maintain such insurance policies shall be deemed a substantial violation of the
terms of this Agreement.



                                       18
<PAGE>


14. The CONTRACTOR agrees to immediately remove its employee from a recipient's
care and/or to terminate all of its services to a particular recipient upon the
request of the District to do so when the District has determined that such
removal and/or termination would be in the best interest of the recipient. The
cessation of services to a particular individual recipient shall not render the
entire Agreement void or voidable.

15. The CONTRACTOR agrees that all personal care aides shall complete a basic
training program or alternative methodology approved by the New York State
Department of Social Services in accordance with 18 NYCRR 50S.14 (e) and shall
maintain documentation of such training as required by applicable federal and
state regulations. In addition, all personal care aides shall meet the minimum
criteria and the health requirements for aides required by 18
NYCRR 505.14(d).

16. Notwithstanding any other provisions in this contract, the CONTRACTOR
remains responsible, pursuant to 10 NYCRR 766.2(d), for: 

     A. Ensuring that any service provided pursuant to this contract complies
     with all pertinent provisions of Federal, State, and Local statutes, rules
     and regulations;

     B. Ensuring the quality of all services provided by the agency; and

     C. Ensuring adherence by agency staff to the agency plan of care
     established for patients.

17. CONTRACTOR agrees to pay COUNTY a One Hundred ($100.00) Dollars
administrative service charge for the processing of this Agreement pursuant to
Ordinance Number 74-1979, as amended by Ordinance Number 271-1982. Said sum
shall be due and payable upon CONTRACTOR'S signing said Agreement.


                                       19



A 880 -- Lease of Business Premises.  JULIUS BLUMBERG, INC. LAW BLANK PUBLISHERS

THIS LEASE,  dated the first day of November 1995 Between 1667  Flatbush  Avenue
LLC, 1667 Flatbush Avenue,  Brooklyn,  New York 11210 hereinafter referred to as
the Landlord,  and New York Health Care, Inc., 1667 Flatbush  Avenue,  Brooklyn,
New York 11210  hereinafter  referred  to as the  Tenant,  

WITNESSETH: That the landlord hereby demises and leases unto the Tenant, and the
Tenant  hereby  hires  and  takes  from the  Landlord  for the term and upon the
rentals hereinafter  specified,  the premises described as follows,  situated in
the Borough of Brooklyn County of Kings and State of New York

Premises

The second and third floors of premises known as 1667 Flatbush Avenue, Brooklyn,
New York, 11210

Term

     The term of this demise shall be for five years beginning  November 1, 1995
and ending October 31, 2000

Rent

     The rent for the demised  term shall be as described in paragraph 30 of the
Rider annexed hereto

     The said rent is to be payable  monthly in advance on the first day of each
calendar month for the term hereof, in instalments as follows:

Payment of Rent

One Twelfth  (1/12) of the annual  rental at the office of Landlord or as may be
otherwise directed by the Landlord in writing.

               THE ABOVE LETTING IS UPON THE FOLLOWING CONDITIONS.

Peaceful Possession

     First.--The  Landlord  covenants that the Tenant, on paying the said rental
and performing the covenants and conditions in this Lease  contained,  shall and
may peaceably and quietly have, hold and enjoy the demised premises for the term
aforesaid.

Purpose

     Second.--The  Tenant covenants and agrees to use the demised premises as an
office  building or for any other  lawful  purpose  consented  to by Landlord in
writing  and agrees not to use or permit the  premises  to be used for any other
purpose without the prior written consent of the Landlord endorsed hereon.

Default in Payment of Rent

Abandonment of Premises

Re-entry and Reletting by Landlord

Tenant Liable for Deficiency

Lien of Landlord to Secure

Performance Attorney's Fees

     Third.--The Tenant shall, without any previous demand therefor,  pay to the
Landlord,  or its  agent,  the said rent at the times  and in the  manner  above
provided.  In the  event of the  non-payment  of said  rent,  or any  instalment
thereof,  at the times and in the manner above  provided,  and if the same shall
remain in default for ten days after  becoming  due,  or if the Tenant  shall be
dispossessed  for  non-payment  of  rent,  or if the  leased  premises  shall be
deserted or vacated,  the Landlord or its agents shall have the right to and may
enter  the  said  premises  as the  agent  of the  Tenant,  either  by  force or
otherwise, without being liable for any prosecution or damages therefor, and may
relet the  premises as the agent of the Tenant,  and receive the rent  therefor,
upon such terms as shall be satisfactory to the Landlord,  and all rights of the
Tenant to  repossess  the  premises  under this lease shall be  forfeited.  Such
re-entry by the  Landlord  shall not operate to release the Tenant from any rent
to be paid or covenants to be  performed  hereunder  during the full term of the
lease.  For the purpose of reletting,  the Landlord  shall be authorized to make
such repairs or alterations in or to the leased  premises as may be necessary to
place the same in good order and  condition.  The Tenant  shall be liable to the
Landlord for the cost of such repairs or  alterations,  and all expenses of such
reletting.  If  the  sum  realized  or to be  realized  from  the  reletting  is
insufficient  to satisfy  the monthly or term rent  provided in this lease,  the
Landlord,  at its option, may require the Tenant to pay such deficiency month by
month,  or may hold the  Tenant  in  advance  for the  entire  deficiency  to be
realized  during the term of the reletting.  The Tenant shall not be entitled to
any  surplus  accruing  as a result of the  reletting.  The  Landlord  is hereby
granted a lien, in addition to any statutory  lien or right to distrain that may
exist, on all personal  property of the Tenant in or upon the demised  premises,
to secure payment of the rent and performance of the covenants and conditions of
this lease.  The Landlord shall have the right, as agent of the Tenant,  to take
possession of any furniture,  fixtures or other personal  property of the Tenant
found in or about the premises,  and sell the same at public or private sale and
to apply the  proceeds  thereof to the payment of any monies  becoming due under
this lease, the Tenant hereby waiving the benefit of all laws exempting property
from execution, levy and sale on distress or judgment. The Tenant agrees to pay,
as additional  rent,  all  attorney's  fees and other  expenses  incurred by the
Landlord in enforcing any of the obligations under this lease.

Sub-letting and Assignment

     Fourth.--The  Tenant shall not sub-let the demised premises nor any portion
thereof,  nor shall  this lease be  assigned  by the  Tenant  without  the prior
written consent of the Landlord endorsed hereon.

Condition of Premises, Repairs

Alterations and Improvements

Sanitation, Inflammable Materials

Sidewalks

     Fifth.--The  Tenant has examined the demised premises,  and accepts them in
their present  condition  (except as otherwise  expressly  provided  herein) and
without any  representations on the part of the Landlord or its agents as to the
present or future  condition  of the said  premises.  The Tenant  shall keep the
demised premises in good condition, and shall redecorate, paint and renovate the
said  premises as may be necessary  to keep them in repair and good  appearance.
The Tenant shall quit and  surrender the premises at the end of the demised term
in as good condition as the reasonable use thereof will permit. The Tenant shall
not make any  alterations,  additions,  or improvements to said premises without
the

<PAGE>

prior written consent of the Landlord. All erections, alterations, additions and
improvements,  whether  temporary or permanent in  character,  which may be made
upon the  premises  either by the  Landlord or the Tenant,  except  furniture or
movable  trade  fixtures  installed  at the expense of the Tenant,  shall be the
property of the Landlord and shall remain and be  surrendered  with the premises
as a part thereof at the termination of this Lease,  without compensation to the
Tenant. The Tenant further agrees to keep said premises and all parts thereof in
a clean and sanitary  condition  and free from trash,  inflammable  material and
other  objectionable  matter.  If this lease covers  premises,  all or a part of
which are on the ground floor,  the Tenant  further agrees to keep the sidewalks
in front of such ground floor portion of the demised  premises clean and free of
obstructions, snow and ice.

Mechanics' Liens

     Sixth.--In the event that any mechanics' lien is filed against the premises
as a result of alternations,  additions or improvements made by the Tenant,  the
Landlord,  at its option, after thirty days' notice to the Tenant, may terminate
this  lease  and may pay the said  lien,  without  inquiring  into the  validity
thereof, and the Tenant shall forthwith reimburse the Landlord the total expense
incurred by the  Landlord  in  discharging  the said lien,  as  additional  rent
hereunder.

Glass

     Seventh.--The  Tenant agrees to replace at the Tenant's expense any and all
glass which may become  broken in and on the demised  premises.  Plate glass and
mirrors, if any, shall be insured by the Tenant at their full insurable value in
a company satisfactory to the Landlord. Said policy shall be of the full premium
type, and shall be deposited with the Landlord or its agent.

Liability of Landlord

     Eighth.--The landlord shall not be responsible for the loss of or damage to
property,  or injury to persons,  occurring in or about the demised premises, by
reason of any  existing  or future  condition,  defect,  matter or thing in said
demised  premises or the property of which the  premises are a part,  or for the
acts,  omissions or negligence of other persons or tenants in and about the said
property. The Tenant agrees to indemnify and save the Landlord harmless from all
claims and liability for losses of or damage to property, or injuries to persons
occurring in or about the demised premises.

Services and Utilities

     Ninth.--Utilities  and services  furnished to the demised  premises for the
benefit of the Tenant  shall be provided  and paid for as follows:  water by the
Tenant;  gas by the  Tenant;  electricity  by the  Tenant;  heat by the  Tenant;
refrigeration by the Tenant; hot water by the Tenant.

The  Landlord  shall not be liable for any  interruption  or delay in any of the
above services for any reason.

Right to Inspect and Exhibit

     Tenth.--The  Landlord,  or its  agents,  shall  have the right to enter the
demised premises at reasonable hours in the day or night to examine the same, or
to run  telephone  or  other  wires,  or to  make  such  repairs,  additions  or
alterations  as  it  shall  deem  necessary  for  the  safety,  preservation  or
restoration  of the  improvements,  or for  the  safety  or  convenience  of the
occupants or users thereof (there being no obligation,  however,  on the part of
the Landlord to make any such repairs, additions or alterations),  or to exhibit
the same to  prospective  purchasers  and put upon the premises a suitable  "For
Sale" sign.  For three months prior to the  expiration of the demised term,  the
Landlord,  or its agents,  may  similarly  exhibit the  premises to  prospective
tenants, and may place the usual "To Let" signs thereon.

Damage by Fire, Explosion, The Elements or Otherwise

     Eleventh.--In  the event of the destruction of the demised  premises or the
building  containing  the said  premises  by fire,  explosion,  the  elements or
otherwise during the term hereby created,  or previous thereto,  or such partial
destruction  thereof as to render the premises wholly  untenantable or unfit for
occupancy,  or should the  demised  premises be so badly  injured  that the same
cannot be repaired  within ninety days from the  happening of such injury,  then
and in such case the term hereby created  shall,  at the option of the Landlord,
cease and become null and void from the date of such damage or destruction,  and
the Tenant  shall  immediately  surrender  said  premises  and all the  Tenant's
Interest  therein to the  Landlord,  and shall pay rent only to the time of such
surrender,  in which event the Landlord may re-enter and  repossess the premises
thus discharged from this lease and may remove all parties therefrom. Should the
demised premises be rendered  untenantable  and unfit for occupancy,  but yet be
repairable  within ninety days from the  happening of said injury,  the Landlord
may enter and  repair  the same with  reasonable  speed,  and the rent shall not
accrue after said injury or while repairs are being made,  but shall  recommence
immediately after said repairs shall be completed.  But if the premises shall be
so slightly injured as not to be rendered  untenantable and unfit for occupancy,
then the Landlord  agrees to repair the same with  reasonable  promptness and in
that case the rent accrued and accruing shall not cease or determine. The Tenant
shall  immediately  notify the  Landlord in case of fire or other  damage to the
premises.

Observation of Laws, Ordinances, Rules and Regulations

     Twelfth.--The   Tenant   agrees  to  observe  and  comply  with  all  laws,
ordinances,  rules and regulations of the Federal,  State,  County and Municipal
authorities  applicable  to the  business to be  conducted  by the Tenant in the
demised  premises.  The Tenant agrees not to do or permit anything to be done in
said premises,  or keep anything  therein,  which will increase the rate of fire
insurance premiums on the improvements or any part thereof,  or on property kept
therein,  or which will obstruct or interfere  with the rights of other tenants,
or conflict with the  regulations  of the Fire  Department or with any insurance
policy upon said improvements or any part thereof. In the event of any increases
in insurance premiums, resulting from the Tenant's occupancy of the premises, or
from any act or  omission on the part of the  Tenant,  the Tenant  agrees to pay
said increase in insurance  premiums on the  improvements or contents thereof as
additional rent.

Signs

     Thirteenth.--No sign, advertisement or notice shall be affixed to or placed
upon any part of the demised premises by the Tenant,  except in such manner, and
of such size, design and color as shall be approved in advance in writing by the
Landlord.

Subordination to Mortgages and Deeds of Trust

     Fourteenth.--This  lease  is  subject  and is  hereby  subordinated  to all
present and future mortgages,  deeds of trust and other  encumbrances  affecting
the demised  premises or the  property of which said  premises  are a part.  The
Tenant agrees to execute,  at no expense to the Landlord,  any instrument  which
may be deemed  necessary  or  desirable  by the  Landlord to further  effect the
subordination of this lease to any such mortgage, deed or trust or encumbrance.

Sales of Premises

     Fifteenth.--In  the  event  of the  sale  by the  landlord  of the  demised
premises, or the property of which said premises are a part, the Landlord or the
purchaser  may  terminate  this lease on the  thirtieth day of April in any year
upon  giving the  Tenant  notice of such  termination  prior to the first day of
January in the same year.

Rules and Regulations of Landlord

     Sixteenth.--The  rules and  regulations  regarding  the  demised  premises,
affixed to this lease, if any, as well us any other and further reasonable rules
and  regulations  which shall be made by the Landlord,  shall be observed by the
Tenant  and by the  Tenant's  employees,  agents  and  customers.  The  Landlord
reserves the right to rescind any  presently  existing  rules  applicable to the
demised  premises,  and to make such  other  and  further  reasonable  rules and
regulations  as, in its  judgment,  may from time to time be  desirable  for the
safety,  care and cleanliness of the premises,  and for the preservation of good
order therein, which rules, when so made and notice thereof given to the Tenant,
shall have the same force and effect as if originally made a part of this lease.
Such other and further rules shall not, however, be inconsistent with the proper
and rightful enjoyment by the Tenant of the demised premises.

Violation of Covenants, Forfeiture of Lease, Re-entry by Landlord

Non-waiver of Breach

     Seventeenth.--In  case of violation by the Tenant of any of the  covenants,
agreements and conditions of this lease,  or of the rules and regulations now or
hereafter to be  reasonably  established  by the  Landlord,  and upon failure to
discontinue  such  violation  within ten days after notice  thereof given to the
Tenant, this lease shall thenceforth, at the option of the Landlord, become null
and void, and the Landlord may re-enter  without  further notice or demand.  The
rent in such case shall become due, be apportioned and paid on and up to the day
of such  re-entry,  and the  Tenant  shall  be  liable  for all  loss or  damage
resulting  from such  violation as  aforesaid.  No waiver by the Landlord of any
violation or breach of condition by the Tenant shall  constitute or be construed
as a waiver of any other  violation or breach of  condition,  nor shall lapse of
time after breach of condition by the Tenant before the Landlord  shall exercise
its option under this  paragraph  operate to defeat the right of the Landlord to
declare this lease null and void and to re-enter upon the demised premises after
the said breach or violation.

<PAGE>

Notices

     Eighteenth.--All  notices and demands,  legal or  otherwise,  incidental to
this lease, or the occupation of the demised premises,  shall be in writing.  If
the Landlord or its agent desires to give or serve upon the Tenant any notice or
demand,  it shall be  sufficient  to send a copy  thereof  by  registered  mail,
addressed to the Tenant at the demised premises, or to leave a copy thereof with
a person of suitable age found on the  premises,  or to post a copy thereof upon
the door to said premises. Notices from the Tenant to the Landlord shall be sent
by  registered  mail or  delivered  to the  Landlord  at the place  hereinbefore
designated  for the payment of rent,  or to such party or place as the  Landlord
may from time to time designate in writing.

Bankruptcy, Insolvency, Assignment for Benefit of Creditors

     Nineteenth.--It  is further  agreed  that if at any time during the term of
this lease the Tenant shall make any assignment for the benefit of creditors, or
be decreed  insolvent or bankrupt  according  to law, or if a receiver  shall be
appointed for the Tenant,  then the Landlord may, at its option,  terminate this
lease,  exercise of such option to be evidenced by notice to that effect  served
upon  the  assignee,  receiver,  trustee  or  other  person  in  charge  of  the
liquidation  of the  property  of the Tenant or the  Tenant's  estate,  but such
termination shall not release or discharge any payment of rent payable hereunder
and then accrued,  or any  liability  then accrued by reason of any agreement or
covenant  herein  contained  on the part of the Tenant,  or the  Tenant's  legal
representatives.

Holding Over by Tenant

     Twentieth.--In  the event  that the  Tenant  shall  remain  in the  demised
premises after the expiration of the term of this lease without having  executed
a new written lease with the Landlord,  such holding over shall not constitute a
renewal or extension of this lease.  The Landlord  may, at its option,  elect to
treat  the  Tenant  as one who  has not  removed  at the  end of his  term,  and
thereupon be entitled to all the remedies  against the Tenant provided by law in
that  situation,  or the Landlord  may elect,  at its option,  to construe  such
holding  over as a tenancy  from  month to month,  subject  to all the terms and
conditions of this lease,  except as to duration thereof,  and in that event the
Tenant  shall  pay  monthly  rent in  advance  at the rate  provided  herein  as
effective during the last month of the demised term.

Eminent Domain, Condemnation

     Twenty-first.--If  the  property  or any part  thereof  wherein the demised
premises are located shall be taken by public or  quasi-public  authority  under
any power of eminent domain or  condemnation,  this lease,  at the option of the
Landlord,  shall  forthwith  terminate  and the  Tenant  shall  have no claim or
interest in or to any award of damages for such taking.

Security

     Twenty-second.--The Tenant has this day deposited with the Landlord the sum
of $6,000-- as security for the full and faithful  performance  by the Tenant of
all the terms,  covenants and conditions of this lease upon the Tenant's part to
be  performed,  which said sum shall be  returned  to the Tenant  after the time
fixed as the  expiration  of the term herein,  provided the Tenant has fully and
faithfully  carried out all of said terms,  covenants and conditions on Tenant's
part to be performed.  In the event of a bona fide sale,  subject to this lease,
the Landlord shall have the right to transfer the security to the vendee for the
benefit of the Tenant  and the  Landlord  shall be  considered  released  by the
Tenant from all liability for the return of such security; and the Tenant agrees
to look to the new Landlord  solely for the return of the said security,  and it
is agreed that this shall  apply to every  transfer  or  assignment  made of the
security to a new Landlord.  The security deposited under the lease shall not be
mortgaged,  assigned or encumbered by the Tenant without the written  consent of
the Landlord.

Arbitration

     Twenty-third.--Any  dispute  arising  under this lease  shall be settled by
arbitration.  Then Landlord and Tenant shall each choose an arbitrator,  and the
two arbitrators  thus chosen shall select a third  arbitrator.  The findings and
award of the three  arbitrators  thus  chosen  shall be final and binding on the
parties hereto.

Delivery of Lease

     Twenty-fourth.--No  rights are to be  conferred  upon the Tenant until this
lease has been signed by the  Landlord,  and an  executed  copy of the lease has
been delivered to the Tenant.

Lease Provisions Not Exclusive

     Twenty-fifth.--The  foregoing  rights and  remedies  are not intended to be
exclusive  but as  additional  to all rights and  remedies  the  Landlord  would
otherwise have by law.

Lease Binding on Heirs, Successors, Etc.

     Twenty-sixth.--All  of the terms,  covenants  and  conditions of this lease
shall  inure  to the  benefit  of and be  binding  upon  the  respective  heirs,
executors,  administrators,  successors  and  assigns  of  the  parties  hereto.
However, in the event of the death of the Tenant, if an individual, the Landlord
may,  at  its  option,  terminate  this  lease  by  notifying  the  executor  or
administrator of the Tenant at the demised premises.

     Twenty-seventh.--This  lease  and the  obligation  of  Tenant  to pay  rent
hereunder  and perform all of the other  covenants and  agreements  hereunder on
part of Tenant to be performed shall in nowise be affected,  impaired or excused
because  Landlord  is unable to supply or is delayed in  supplying  any  service
expressly or impliedly to be supplied or is delayed in supplying  any  equipment
or  fixtures  if Landlord  is  prevented  or delayed  from so doing by reason of
governmental  preemption in connection with the National  Emergency  declared by
the  President of the United  States or in  connection  with any rule,  order or
regulation of any department or subdivision  thereof any governmental  agency or
by reason of the  condition of supply and demand which have been or are affected
by the war.

     Twenty-eighth.--This instrument may not be changed orally.





     IN WITNESS  WHEREOF,  the said  Parties  have  hereunto set their hands and
seals the day and year first above written.

Witness:

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

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

                                         1667 Flatush Avenue LLC          (Seal)
                                         ---------------------------------------
                                                      Landlord

                                         By /s/ Jerry Braun, Managing Member
                                         ---------------------------------------

                                         New York Health Care, Inc.       (Seal)
                                         ---------------------------------------
                                                       Tenant

                                         /s/ Jacob Rosenberg, V.P.
                                         ---------------------------------------

<PAGE>

                     RIDER ANNEXED TO AND FORMING A PART OF
                     THE LEASE DATED AS OF NOVEMBER 1, 1995
                  BETWEEN 1667 FLATBUSH AVENUE LLC, AS LANDLORD
                    AND NEW YORK HEALTH CARE, INC., AS TENANT
                       FOR A PORTION OF PREMISES KNOWN AS
                    1667 FLATBUSH AVENUE, BROOKLYN, NEW YORK

     29. INCONSISTENT PROVISIONS.  In the event of any inconsistency or conflict
between the provisions of the printed  portion of the Lease and any other riders
thereto and this Rider (such Lease,  other riders and this Rider  together being
sometimes  herein called this  "Lease"),  the  provisions of this Rider shall be
deemed to control and be binding. All capitalized terms not defined herein shall
have the meaning ascribed thereto on the printed form of this Lease.

     30. RENT. The rent for the first year of the Lease term shall be Thirty-Six
Thousand Dollars ($36,000). Beginning as of November 1, 1996 and each November 1
thereafter,  the annual rent shall be  increased  by five  percent (5%) over the
amount  payable  during the previous  year of the Lease Term.  In the event that
this Lease is renewed for one or both of the optional renewal terms set forth in
the next  Section of this  Rider,  the annual  rental for each year of each such
succeeding  period  shall be  increased  by five  percent  (5%) over the  amount
payable during the previous year.

     31. OPTION TO RENEW.  Provided the Tenant is not in default under the terms
of this  Lease,  the  Tenant  shall  have the right to renew  this  Lease for an
additional term of five (5) years,  commencing November 1, 2000, and terminating
October  31,  2005,  upon the same  terms  and  conditions  and upon a rental as
described  in the  previous  Section  of this  Rider  payable  in equal  monthly
installments.  Provided  the  Tenant is not in  default  under the terms of this
Lease,  the  Tenant  shall  have the  further  right to renew  this Lease for an
additional term of five (5) years,  commencing November 1, 2005, and terminating
October  31,  2010,  upon the same  terms  and  conditions  and upon a rental as
described  in the  previous  Section  in this  Rider  payable  in equal  monthly
installments.  The Tenant  agrees to give the  Landlord at least sixty (60) days
prior written  notice by certified  mail of its intention to exercise  either or
both of the options  herein  described.  The failure to give such timely  notice
shall be deemed a waiver by the Tenant of its right to exercise such option.

     32. NET LEASE.  This lease is intended  to be a "triple net lease"  whereby
Tenant is  responsible  for, and agrees to pay, any real estate taxes imposed on
the  premises  with  respect to the Lease term,  as well as any tax  assessment,
water rents, sewer rents and charges,  duties,  impositions,  license and permit
fees,  charges for public  utilities of any kind,  payments and other charges of
every kind and nature,  together with interest  penalties  thereon,  that may be
imposed with respect to the Lease term by any sovereign,  governmental,  city or
municipal authority,  or any department,  bureau, board or officer thereof or of
any public utility.



License No. 9632L005                                    Effective Date 12/29/95
                               State of New York
                              Department of Health
                      Office of Health Systems Management

                           HOME CARE SERVICE AGENCY
                                    LICENSE


                                     (SEAL)

                           New York Health Care, Inc.
                                1667 Flatbush Ave
                               Brooklyn, NY 11210
                                  Kings County



HAS BEEN GRANTED  THIS  LICENSE TO OPERATE  PURSUANT TO ARTICLE 36 OF THE PUBLIC
HEALTH LAW FOR THE HEALTH SERVICES SPECIFIED:


                                    SERVICE



                                     NURSING
                                HOME HEALTH AIDE
                                  PERSONAL CARE


Operator:
PROPRIETARY CORPORATION
NEW YORK HEALTH CARE, INC.
1667 FLATBUSH AVENUE
BROOKLYN, NY 11210



COUNTY(S) SERVED
               
Bronx
Kings
New York
Queens
Richmond

        THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED ON THE PREMISES


/s/ Signature on File                                  /s/ Signature on File
- ------------------------------                         -------------------------
         AREA ADMINISTRATOR                                       COMMISSIONER




DOH 502(K)3-95


                        AGREEMENT BETWEEN LICENSED AGENCY
                                       AND
                      CENTER FOR NURSING AND REHABILITATION

This  agreement  made and  entered  into this 1st day of  January  1996,  by and
between the CENTER FOR NURSING AND  REHABILITATION,  with its principal place of
business at 520 Prospect Place, Brooklyn, New York 11238 (hereinafter "CNR") and
New York Health  Care with its  principal  place of  business  at 1667  Flatbush
Avenue, Brooklyn, NY 11210 (hereinafter "Agency").

                                   WITNESSETH

Whereas,  CNR  operates  and  maintains  a Long Term Home  Health  Care  Program
(hereinafter  "LTHHCP") which provides home health aide, homemaker,  housekeeper
and  personal  care worker  services  (hereinafter  "Paraprofessional")  to it's
homebound patients.

Whereas,   the  Agency  is  licensed  in  the  state  of  New  York  to  provide
Paraprofessional services.

Whereas  CNR is  desirous  of  engaging  the Agency to provide  Paraprofessional
services to its LTHHCP patients.

Whereas the Agency is willing to provide  such  services  to CNR's  LTHHCP as an
independent  contractor on a "fee for service" basis, and in accordance with the
terms and conditions herein set forth;

NOW Therefore,  in  consideration of the mutual promises of the parties here to,
and  other  good  and  valuable   consideration   receipt  of  which  is  hereby
acknowledged, the parties hereto agree as follows:

1. CNR's LTHHCP agrees:

     a)   To contact the Agency and request Paraprofessionals for assignments to
          its patients.

     b)   To  provide  the  Agency  with a Plan of Care  for  the  provision  of
          Paraprofessional  services.  The  Plan of Care  will be  developed  in
          accordance  with  applicable  Federal,   State  and  local  government
          regulations.

     c)   To make  available  to the Agency all  pertinent  patient  information
          including,  but not  limited to patient  assessment,  clinical  record
          entries,   supervisory  records  of  Paraprofessional  services.  This
          documentation will be provided to the Agency upon request in order for
          the  Agency  to  comply  with  applicable  Federal,  State  and  local
          statutes.


                                      -1-
<PAGE>

     d)   To determine the scope and duration of the  Paraprofessional  services
          for each assignment,  and  professionally  supervise their performance
          during their assignment to CNR's LTHHCP's patients.

     e)   To provide  orientation,  on the job  instruction  and record  keeping
          instructions with regard to the particular patient.  Such instructions
          will be provided by a registered nurse.

     f)   To  continuously  evaluate  the  performance  of the  Paraprofessional
          assigned to its patient,  and submit a written performance  evaluation
          to the Agency when requested.

     g)   To retain the right to change a Paraprofessional's  assignment on oral
          or written notice to the Agency.

     h)   To pay the Agency the following  hourly fees:  Home Health Aide $10.50
          per hour;  Housekeeping $ 10.50 per hour;  Personal Care Worker $10.50
          per hour; a rate of $145.00 per twenty-four (24) hours for Home Health
          Aide, Homemaker, or Personal Care Worker.

2. The Agency agrees:

     a)   To  provide  to  CNR's  LTHHCP  only  Paraprofessionals  who  meet the
          requirements specified in the New York State Hospital Code, directives
          of the New York State Department of Health,  New York State Department
          of Social Services,  New York City Human Resources  Administration and
          the policies and standards of CNR's LTHHCP.

     b)   To  submit  to  CNR's  LTHHCP  proof  of  the   qualification  of  the
          Paraprofessionals assigned to its patients.

     c)   To provide continuous in-service education to its Paraprofessionals in
          accordance with State and Federal regulations.

     d)   To maintain a personnel record for each Paraprofessional. Record shall
          include verification of qualifications, references, reports of medical
          examinations and tests, immunization record,  performance evaluations,
          and  documentation  of  in-service  training.  These  records shall be
          subject to inspection by CNR's LTHHCP and State and City agencies.

     e)   To be  responsible  for the  payment of wages and other  compensation,
          reimbursement  of expenses,  and  compliance  with Federal,  State and
          local  tax   withholding   requirements,   pertaining   to   Workmen's
          Compensation, Social Security, unemployment and other insurance


                                      -2-
<PAGE>

          requirements and obligations imposed on the employer of personnel with
          regard to  Paraprofessionals,  who shall be deemed to be  employees of
          the Agency.

     f)   To procure and  maintain  insurance  coverage for  personnel  assigned
          under  the  terms of this  agreement  in  amounts  and  types  usually
          maintained  by  Certified  Home Health  Agencies  which are to include
          comprehensive  general liability  insurance relative to the activities
          resulting  from  assignments  under  this  agreement,  and  any  other
          employee's  liability  insurance  required  by law for an  employer to
          maintain on its employees.

          The insurance must include a rider providing  therein a statement that
          specifies  the types and amounts of insurance  coverage for each group
          of employees  provided under the terms of this agreement,  the name of
          the insurance  company and the policy number.  The rider shall provide
          for at least thirty (30) days notice to CNR of  cancellation of any of
          the insurance.  A copy of the insurance  certificate must be submitted
          to CNR prior to any paraprofessional's assignment to a LTHHCP patient.

     g)   To  indemnify  and hold CNR  harmless  against  liability  or  damages
          including  reasonable attorney fees for any act of the employee of the
          agency which results in injury of damage to any LTHHCP patient.

     h)   To submit to CNR on a weekly basis a written  statement  (duty sheets)
          about the  services  provided by its  paraprofessionals  to the LTHHCP
          patients.  The statement  must be  accompanied by bill for the amounts
          due to the agency from CNR's LTHHCP.

     i)   To  maintain  records  of all  financial  transactions  with  CNR such
          records shall be kept in accordance  with sound  accounting  practices
          and each transaction shall be fully documented.  Such records shall be
          made  available  to the New York State  Department  of  Health,  State
          Department of Social Services, federal government agencies and CNR for
          inspection  or  audit,  upon  request  of any  of  the  aforementioned
          organizations.

     j)   To prohibit its personnel from accepting fees from any LTHHCP patients
          or patient's  family for services  provided under the LTHHCP's plan of
          care.  The  splitting or sharing of fees between the agency and CNR or
          an employee of CNR is also prohibited.

     k)   To allow CNR a two percent (2%) discount on  disbursement  made to the
          agency within thirty (30) days of submission of its invoice.


                                      -3-
<PAGE>

3.   Both CNR and the Agency agree:

     a)   To designate a person within their respective  organizations who shall
          have the responsibility for the selection  assignment and coordination
          of paraprofessionals services.

     b)   To consult and cooperate  with each other in  establishing  acceptable
          standards  and   procedures   for  the  selection  and  assignment  of
          personnel,  billing  procedures  and any other  matters  incidental to
          carrying out the provisions and purposes of this agreement.

     c)   To make  available  paraprofessionals  to all and any LTHHCP  patients
          without regard to race,  color,  sex,  creed,  age,  national  origin,
          handicap or payment source, except fiscal capability thereof.

     d)   To not discriminate against patients based on geographic location,  or
          service need intensity if they are residing within the catchment area.

     e)   To not  discriminate  against  any  paraprofessional  because of race,
          color, sex, age, creed, national origin, or handicap.

4.   This  agreement  shall be in effect  until  December  31, 1996 and shall be
     reviewed therewith during the month of January. This agreement shall remain
     in force during review and renegotiation.

5.   This  agreement  shall be  terminated  on at least thirty (30) days written
     notice by either party.  However,  in the event that the agency defaults in
     the  performance of any of its obligations  under this  agreement,  CNR may
     terminate the agreement effective upon written notice at any time.

6.   All written notices  affecting  agreement  termination must be delivered by
     Certified or Registered Mail. The date of deposit of any notice in a United
     States Post Office or Post  Office Box with all  postage  prepaid  shall be
     deemed the date of delivery thereof.

7.   It is  understood  that this  agreement  constitutes  the entire  agreement
     between CNR and the agency.

8.   This agreement is understood to conform to the Public Health Law permitting
     access to records  pertinent to this transaction by the Secretary of Health
     and Human Services, and the Comptroller General for verification purposes.

9.   "Notwithstanding  any  other  provisions  in this  contract,  CNR's  LTHHCP
     remains responsible for:


                                      -4-
<PAGE>

     (a)  ensuring that any service provided  pursuant to this contract complies
          with all  pertinent  provisions  of Federal,  State,  OSHA,  and local
          statutes, rules and regulation;

     (b)  planning,  coordinating  and  ensuring  the  quality  of all  services
          provided;

     (c)  ensuring adherence to the plan of care established for patients; and

     (d)  ensuring  that all patients are provided with their bill of Rights "as
          per the regulations of the New York State Department of Health".

10.  Notwithstanding any other provisions in this agreement,  the agency remains
     responsible for:

     (a)  ensuring that any service provided to this contract  complies with all
          pertinent provisions of Federal,  State and local statutes,  rules and
          regulations;

     (b)  ensuring the quality of all services provided by the agency;

     (c)  ensuring  adherence  by  the  Agency's  staff  to  the  plan  of  care
          established for the patients; and

     (d)  ensuring  that all patients are provided with their Bill of Rights "as
          per the regulations of the New York State Department of Health".

In witness whereof, this agreement has been duly executed and signed by:

CENTER FOR NURSING & REHABILITATION               AGENCY

By: /s/ Signature on File                         By: /s/ Jerry Braun
- ------------------------------------              ------------------------------
Title: Executive Director                         Title: CEO

Date: December 29, 1995                           Date:   1/10/96

By: /s/ Signature on File
- ------------------------------------
Title: Director of Patient Services

Date: December 28, 1995


                                      -5-



                                   APPENDIX B

 PROVIDER                                               CONTRACT DATES
 
 New York Health Care, Inc.                             From      To
 49 South Main Street                                   1/1/96  12/31/96
 Spring Valley, N.Y. 10977


 Service Rates

     The services herein contracted for will be provided by the Provider at
rates established by New York State Department of Social Services for the
personal care providers. In the event rates are not set on the effective date of
this agreement, the rates for the prior year shall continue. Retroactivity will
be determined by New York State Department of Social Services.

     Your homemaker rates effective January 1, 1996 are:

1 person       2/3 persons         4/5 persons    6+ persons     live-in
  $12.32          $13.56              $14.92        $16.42       $148.39

     The Provider shall take out and maintain:

     (a) Workmen's Compensation Insurance as required by law.

     (b) General Liability Insurance in amounts not less than $500,000 for each
occurrence and $1,000,000 aggregate for bodily injury, and $50,000 for each
occurrence for property damage. The Department and the County of Rockland shall
be named as additional insureds on such policy. The Provider will submit,
together with the execution of this agreement, all actual insurance policies
with declarations and all endorsements reflecting the coverage required in
Paragraphs (a) and (b).

     The District and the Provider agree that the relationship between the
parties shall be on the basis of the Provider being an independent provider and
it is further agreed that notwithstanding the District's rights under this
agreement to exercise general supervision over the services the Provider is
responsible for all actions of its employees and agents in connection with the
performance of the services contracted for hereunder and the District shall have
no liability for the improper negligent conduct of the Provider or its agents or
employees.

     The Provider agrees and warrants that it will hold harmless and indemnify
the District from any claims, causes of action or suits against the District as
a result of or in connection with the services provided by the Provider pursuant
to the provisions of this agreement.

     In the event that the District is determined by the N.Y. State Department
of Social Services as not being in compliance with the regulations of the N.Y.
State Department of Social Services with regard to the provisions of any of the
services contracted for in this agreement and such lack of compliance is caused
by or related to the failure of the Provider to comply with any of the
regulations of the N.Y. State Department of Social Services or other terms of
this agreement, then the Provider shall be responsible to the District for the
loss of any funds which the District may suffer thereby and

                                       -1-
<PAGE>

such funds may be deducted by the District from any future payments due the
Provider or the District may proceed in any other available manner, including
litigation, to recover such loss.

     The District may, at its option, withhold for the purposes of set-off
monies due the Provider under this agreement up to the amount of any
disallowances resulting from audits by the County of Rockland, or any of its
agencies or employees, of the State of New York by any of its agencies or
employees, with regard to this agreement or any other agreement, including any
agreement for a term commencing prior to the term of this agreement.

     Performance under this agreement shall commence on January 1, 1996 and
shall terminate on December 31, 1996. It is agreed by the Provider that
performance without this agreement will not be paid for by the District.

     The Provider represents and warrants that prior to this agreement it filed
for a license from the N.Y.S. Department of Health as a home care services
agency, that such license application is either pending or has been approved. It
is agreed between the Provider and the District that no payments shall be made
to the Provider unless the services were provided during a time when the
Provider either possessed a license or had an application for such license
pending with the N.Y.S. Department of Health. The Provider agrees to immediately
notify, in writing, the District of any action which affects the Provider's
licensure status, the result of any pending applications or the suspension or
termination of an existing license.

     Pursuant to Memorandum 86-51 of the N.Y.S. Department of Health, the
following language is inserted into this contract. "Notwithstanding any other
provisions in this contract, the Provider remains responsible for: (a) ensuring
that any service provided pursuant to this contract complies with all pertinent
provisions of federal, state and local statutes, rules and regulations; (b)
ensuring the quality of all services provided by the provider; and (c) ensuring
adherence by Provider staff to the Provider plan of care established for
patients."

     The District and the Provider are aware of the provisions of Section 424-a
of the N.Y.S. Social Services Law which requires the District to inquire of the
N.Y.S. Department of Social Services whether any person who is employed by an
individual, corporation, or association which provides goods or services to the
District who has the potential for regular and substantial contact with children
who are cared for by the District is the subject of an indicated child abuse and
maltreatment report on file with the Statewide Central Register of Child Abuse
and Maltreatment. The Provider agrees to cooperate with the District for the
purpose of enabling the District to make inquiries to the N.Y.S. Department of
Social Services in all cases where the District determines that there exists the
potential for regular and substantial contact with children who are cared for by
the District by employees or agents of the Provider. In the event that an
employee or agent of the Provider is determined to be the subject of an
indicated report for child abuse or maltreatment, and if the District determines
that such employee or agent should not be permitted to have access to children
cared for by the District, it shall notify the Provider who shall immediately
remove such employee or agent from any situation which would provide such
employee or agent with access to children being cared for by the District.

     The Provider agrees to maintain in a separate file for each aide such
documentation as is necessary to demonstrate to the District that the Provider
is in compliance with all of the requirements of the Regulations of the N.Y.S.
Department of Social Services and the N.Y.S. Department of Health. The District
shall have the right to notify the Provider of specific types of

                                      -2-
<PAGE>

documentation required to be maintained in such files, and the Provider shall
comply with such notification. Such notices shall be given in writing to the
Provider. The Provider shall maintain the files referred to in this paragraph in
its Rockland County office, and the District shall have the right to review such
files.

     In the event any insurance is canceled, this Department is to be notified
immediately.

                                      -3-
<PAGE>

                                   APPENDIX B

     The services herein contracted for will be provided by the Provider at
rates determined by New York State Department of Social Services.

     The Provider shall take out and maintain:

     (a) Workmen's Compensation Insurance as required by law.

     (b) General Liability Insurance in amounts not less than $500,000 for each
occurrence and $1,000,000 aggregate for bodily injury, and $50,000 for each
occurrence for property damage. The Department and the County of Rockland shall
be named as additional insureds on such policy. The Provider will submit,
together with the execution of this agreement, all actual insurance policies
with declarations and all endorsements reflecting the coverage required in
Paragraphs (a) and (b).

     The District and the Provider agree that the relationship between the
parties shall be on the basis of the Provider being an independent provider and
it is further agreed that notwithstanding the District's rights under this
agreement to exercise general supervision over the services the Provider is
responsible for all actions of its employees and agents in connection with the
performance of the services contracted for hereunder and the District shall have
no liability for the improper negligent conduct of the Provider or its agents or
employees.

     The Provider agrees and warrants that it will hold harmless and indemnify
the District from any claims, causes of action or suits against the District as
a result of or in connection with the services provided by the Provider pursuant
to the provisions of this agreement.

     In the event that the District is determined by the N.Y. State Department
of Social Services as not being in compliance with the regulations of the N.Y.
State Department of Social Services with regard to the provision of any of the
services contracted for in this agreement and such lack of compliance is caused
by or related to the failure of the Provider to comply with any of the
regulations of the N.Y. State Department of Social Services or other terms of
this agreement, then the Provider shall be responsible to the District for the
loss of any funds which the District may suffer thereby and such funds may be
deducted by the District from any future payments due the Provider or the
District may proceed in any other available manner, including litigation, to
recover such loss.

     The District may, at its option and subject to State regulations, withhold
for the purposes of set-off monies due to the Provider under this agreement up
to the amount of any disallowances resulting from audits by the County of
Rockland, or any of its agencies or employees, of the State of New York by any
of its agencies or employees, with regard to this agreement or any other
agreement, including any agreement for a term commencing prior to the term of
this agreement.

     Performance under this agreement shall commence on January 1, 1996 and
shall terminate on December 31, 1996. It is agreed by the Provider that
performance without this agreement will not be paid for by the District.

     The Provider represents and warrants that it is licensed by the N.Y.S.
Department of Health as a home care services agency. It is agreed between the
Provider and the District that no payments for personal care

<PAGE>

services shall be made to the Provider unless the services were provided during
a time when the Provider possessed a license. The Provider agrees to immediately
notify, in writing, the District of any suspension or termination of an existing
license or any other action which affects the Provider's licensure status.

     Pursuant to Memorandum 86-51 of the N.Y.S. Department of Health, the
following language is inserted into this contract. "Notwithstanding any other
provisions in this contract, the Provider remains responsible for: (a) ensuring
that any service provided pursuant to this contract complies with all pertinent
provisions of federal, state and local statutes, rules and regulations; (b)
ensuring the quality of all services provided by the Provider; and (c) ensuring
adherence by Provider staff to the Provider plan of care established for
patients."

     The District and the Provider are aware of the provisions of Section 424-a
of the N.Y.S. Social Services Law which requires the District to inquire of the
N.Y.S. Department of Social Services whether any person who is employed by an
individual, corporation, or association which provides goods or services to the
District who has the potential for regular and substantial contact with children
who are cared for by the District is the subject of an indicated child abuse and
maltreatment report on file with the Statewide Central Register of Child Abuse
and Maltreatment. The Provider agrees to cooperate with the District for the
purpose of enabling the District to make inquiries to the N.Y.S. Department of
Social Services in all cases where the District determines that there exists the
potential for regular and substantial contact with children who are cared for by
the District by employees or agents of the Provider. In the event that an
employee or agent of the Provider is determined to be the subject of an
indicated report for child abuse or maltreatment, and if the District determines
that such employee or agent should not be permitted to have access to children
cared for by the District, it shall notify the Provider who shall immediately
remove such employee or agent from any situation which would provide such
employee or agent with access to children being cared for by the District.

     The Provider agrees to maintain in a separate file for each aide such
documentation as is necessary to demonstrate that the Provider is in compliance
with all of the requirements of the Regulations of the N.Y.S. Department of
Social Services and the N.Y.S. Department of Health regulating the
qualifications of the aide. The District shall have the right to notify the
Provider of specific types of documentation required to be maintained in such
files, and the Provider shall comply with such notification. Such notices shall
be given in writing to the Provider. The Provider shall maintain the files
referred to in this paragraph in its Rockland County office, and the District
shall have the right to review such files.

     In the event any insurance is canceled, this Department is to be notified
immediately.

<PAGE>

          AFFIDAVIT OF DISCLOSURE OF POLITICAL CONTRIBUTIONS PURSUANT
             TO CHAPTER 323 OF THE ROCKLAND COUNTY CODE

STATE OF NEW YORK  } 
COUNTY OF ROCKLAND } ss:

NAME OF REPORTING ENTITY: New York Health Care Inc.
ADDRESS: 49 South Main St. Spring Valley, NY  10977
TELEPHONE NUMBER: (914) 352-3500

THE REPORTING ENTITY IS (Check One):

______WILL ENTER INTO A CONTRACT WITH THE COUNTY OF ROCKLAND, WHICH DID NOT
RESULT FROM PUBLIC BIDDING, IN EXCESS OF TEN THOUSAND DOLLARS ($10,000.00).

  [X] IS CURRENTLY UNDER A CONTRACT WITH THE COUNTY OF ROCKLAND IN EXCESS OF
TEN THOUSAND DOLLARS ($10,000.00).

THE REPORTING ENTITY, ITS MEMBERS, DIRECTORS, POLICYMAKING OFFICERS, OR MAJORITY
SHAREHOLDERS, HAVE DIRECTLY OR INDIRECTLY MADE THE FOLLOWING CONTRIBUTIONS TO
THE PERSONS OR ORGANIZATIONS LISTED BELOW. (PLEASE LIST ALL CONTRIBUTIONS HAVING
A VALUE IN EXCESS OF TWO HUNDRED DOLLARS ($200.00) PER YEAR MADE TO ANY
POLITICAL PARTY OR ANY INDIVIDUAL OR ANY COMMITTEE FOR AN INDIVIDUAL RUNNING FOR
PUBLIC OFFICE IN ROCKLAND COUNTY OR IN A DISTRICT IN WHICH ROCKLAND COUNTY IS
LOCATED, FOR A PERIOD OF THREE (3) YEARS PRIOR TO THE DATE OF THIS AFFIDAVIT.

NOTE: PLEASE ANSWER "NONE" OR LIST EACH CONTRIBUTION SEPARATELY

 NAME OF       RELATIONSHIP TO     CONTRIBUTION    DATE OF       VALUE & NATURE
 CONTRIBUTOR   REPORTING ENTITY      MADE TO     CONTRIBUTION    OF CONTRIBUTION
- --------------------------------------------------------------------------------
 NONE
- --------------------------------------------------------------------------------
 NONE
- --------------------------------------------------------------------------------
 NONE
- --------------------------------------------------------------------------------
 NONE
- --------------------------------------------------------------------------------
                      (USE ADDITIONAL SHEETS IF NECESSARY)

 I AM THE      C.O.O.       OF THE REPORTING ENTITY LISTED ABOVE.
           ---------------- 
          (Title or Office)

I MAKE THIS AFFIRMATION BASED UPON MY PERSONAL REVIEW OF THE BOOKS AND RECORDS
OF THE REPORTING ENTITY. ALL OF THE FOREGOING INFORMATION IS TRUE TO THE BEST OF
MY KNOWLEDGE, AFTER INQUIRY. I MAKE THESE STATEMENTS UNDER PENALTY OF PERJURY.


                                                  /s/ JACOB ROSENBERG
                                                  ------------------------
                                                       (Signature)

                                                  Jacob Rosenberg, C.O.O.
                                                  -----------------------
                                                   (Print Name and Title)



                                               MARGARET BRAUN
                                               Commissioner of Deeds
                                               City of New York No. 2-4293
                                               Certificate Filed in Kings County
                                               Commission Expires Nov. 1, 1996
Sworn to before me this 
28 Day of Feb., 1996

Margaret Braun
- --------------
NOTARY PUBLIC

<PAGE>

                             AFFIDAVIT OF DISCLOSURE
                      Pursuant to 18 NYCRR Section 505.14


STATE OF NEW YORK   } 
COUNTY  OF ROCKLAND } ss:

     Jacob Rosenberg, being duly sworn, deposes and says:

     That (s)he is the C.O.O. of New York Health Care Inc., Provider, which is
about to enter into a contract with the Rockland County Department of Social
Services. The following is a list of each and every person with ownership or
control interest in the Provider.

     NAME                                ADDRESS
     ----                                ---------
 Jerry Braun                            1667 Flatbush Ave.  Brooklyn, NY  11210
 Jacob Rosenberg                        1667 Flatbush Ave.  Brooklyn, NY  11210
 Sam Soroka                             1667 Flatbush Ave.  Brooklyn, NY  11210
 Sid Borenstein                         1667 Flatbush Ave.  Brooklyn, NY  11210
 Hirsh Chitrik                          1667 Flatbush Ave.  Brooklyn, NY  11210


     None of the above persons has been convicted of a criminal offense against
Medicare, Medicaid, or Title XX Services Program.


- --------------------------------------------------------------------------------
                           (strike if not applicable)



                                                  /s/ JACOB ROSENBERG
                                                  ------------------
Sworn to before me
this 28 day of Feb., 1996

/s/ MARGARET BRAUN
- ------------------
 Notary Public
                                                  MARGARET BRAUN
                                               Commissioner of Deeds
                                               City of New York No. 2-4293
                                               Certificate Filed in Kings County
                                               Commission Expires Nov. 1, 1996

<PAGE>

                          CONTRACT EXTENSION AGREEMENT

     This extension agreement made the_____day of________, 19 , by and between
the ROCKLAND COUNTY DEPARTMENT OF SOCIAL SERVICES, with offices at Bldg. L,
Sanatorium Road, Pomona, New York 10970 (hereinafter called the DEPARTMENT), and
New York Health Care, Inc., with offices at 49 South Main Street, Spring Valley,
N.Y. 10977 (hereinafter called the CONTRACTOR).

                                   WITNESSETH

     WHEREAS, a contract was entered into for the DEPARTMENT to purchase
homemaker services from the CONTRACTOR on June 26, 1992 and

     WHEREAS, the contract has been last extended for the period January 1, 1995
to December 31, 1995, and

     WHEREAS, the DEPARTMENT and the CONTRACTOR wish to extend such agreement
for an additional period,

     NOW, THEREFORE, it is mutually agreed as follows:

     1. The agreement above mentioned between the parties hereto is hereby
extended for the period January 1, 1996 to December 31, 1996 upon the same terms
and conditions. In the event any insurance is canceled, this Department is to be
notified immediately.

     IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of
the day and year first above written.


                                               ROCKLAND COUNTY DEPARTMENT
                                                  OF SOCIAL SERVICES

 DATED:_________                                BY:_________________________
                                                 Noah Weinberg, Commissioner



DATED:  3/1/96                                  BY:/s/ JACOB ROSENBERG, C.O.O.

<PAGE>

                          A C K N O W L E D G M E N T S



STATE OF NEW YORK  )
                   ) SS.:
COUNTY OF ROCKLAND )

     On this _______day of______________ , 1996, before me personally appeared
NOAH WEINBERG, to me known and known to me to be the duly designated
Commissioner of the Rockland County Department of Social Services and the
individual mentioned in and who executed the foregoing instrument and he
acknowledged to me that he executed the same.


                                                 ________________________
                                                      Notary Public
STATE OF NY     )
                ) SS.:
COUNTY OF KINGS )


     On this First day of March, 1996, before me personally appeared
JACOB ROSENBERG, to me known and known to me to be the duly designated
Commissioner of the Rockland County Department of Social Services and the
individual mentioned in and who executed the foregoing instrument and he
acknowledged to me that he executed the same.


                                                 /S/ MARGARET BRAUN
                                                 ------------------------
                                                    Notary Public


                                                  MARGARET BRAUN
                                               Commissioner of Deeds
                                               City of New York No. 2-4293
                                               Certified in Kings County
                                               Commission Expires Nov. 1, 1996





                     REVIEW AND RENEWAL OF CONTRACT AGREEMENT

                                     BETWEEN

                             BETH ABRAHAM HOSPITAL

                          CERTIFIED HOME HEALTH AGENCY

                                      AND

                              NEW YORK HEALTH CARE

                           REGARDING HOME HEALTH AIDE/
                          PERSONAL CARE WORKER SERVICES

                                   SCHEDULE 1

                                 JANUARY 1, 1996

 RATE:             $10.10            HOME HEALTH AIDES

 LIVE IN RATE:                               12 HOUR HOME HEALTH AIDE SERVICE

 /s/ Jerry Braun                               /s/ Gerry Polony
 ----------------------                        -------------------- 
 JERRY BRAUN                                   GERRY POLONY
 CEO                                           VICE PRESIDENT
 NEW YORK HEALTH CARE                          HOME CARE SERVICES

      1/12/96                                       1/10/96
- ----------------------                         ----------------------
       (DATE)                                       (DATE)


<PAGE>


                                    AGREEMENT
                                     BETWEEN

                          BETH ABRAHAM HEALTH SERVICES

                                       AND

                              NEW YORK HEALTH CARE

                           REGARDING HOME HEALTH AIDE/
                          PERSONAL CARE WORKER SERVICES

     This  Agreement  is entered  into as of April 1 1996,  by and between  Beth
Abraham Health Services, a New York not-for-profit corporation ("BAHS"), and New
York Health Care a New York corporation ("Home Care Agency").

     WHEREAS, BAHS desires Home Care Agency to furnish home health aide/personal
care worker services as requested by BAHS ("Aide  Services") to certain patients
in its Long Term Home Health Care Program  ("LTHHCP"),  and Home Care Agency has
agreed to furnish such services, in accordance with the terms and conditions set
forth herein; and

     WHEREAS, BAHS desires that Home Care Agency also be available, upon request
of BAHS, to furnish Aide Services to certain  patients of BAHS who are enrollees
(individually, an "Enrollee" and collectively, "Enrollees") in the Comprehensive
Care  Management   program  ("CCMC  Program")  operated  by  Comprehensive  Care
Management  Corporation  ("CCMC"),  a New York  not-for-profit  corporation  and
affiliate of BAHS, and Home Care Agency has agreed to provide such services upon
the  request of BAHS,  in  accordance  with the terms and  conditions  set forth
herein;

     NOW,  THEREFORE,  in  consideration  of the  foregoing  and  of the  mutual
covenants herein contained, the parties hereby agree to the following:

     1.  Engagement.  BAHS  hereby  engages  Home Care  Agency to  provide  Aide
Services to patients of LTHHCP designated by BAHS (collectively, "Patients") who
may or may not be Enrollees,  and Home Care Agency hereby agrees to provide such
services,  in accordance with the terms and conditions of this Agreement and the
Aide Plan of Care (as defined in Section 4(a) hereof) developed by BAHS for each
Patient.

     2. Term and  Termination.  Subject to  termination as set forth in the next
sentence and in Section 10(i) hereof, this Agreement shall be effective on April
1,  1996,  (the  "Commencement  Date"),  and  shall  continue  from year to year
thereafter unless


                                       1
<PAGE>


terminated  on the last day of any  one-year  term upon at least 30 days'  prior
written notice of such termination from one party to the other party.

     3. Personnel.

          3(a) Home Care Agency  agrees to provide  the  services of home health
aides/personal care workers who are acceptable to BAHS (individually,  an "Aide"
and,  collectively,  "Aides") to render the Aide Services to Patients designated
by BAHS, as requested by BAHS hereunder.  All Aides utilized by Home Care Agency
in performing the services to be provided  hereunder  shall remain  employees of
Home  Care  Agency  and shall  not be  deemed  to be  employees  of BAHS for any
purpose.  BAHS shall not be  regarded  as a party to any  collective  bargaining
agreement or agreements which have heretofore or may hereinafter be entered into
by Home Care  Agency,  nor  shall  BAHS be bound by the  provisions  of any such
agreement.

          3(b) Home Care Agency shall be solely  responsible for (1) the payment
to all  Aides of all  wages and other  compensation  for the  services  provided
hereunder and for reimbursement of any expenses incurred by Aides related hereto
and (2)  complying  with all  legal  obligations  imposed  upon an  employer  of
employees with respect to the Aides,  including,  but not limited to, compliance
with all federal,  state,  and local laws  relating to  workmen's  compensation,
social  security,  unemployment  insurance,  income  tax and  other  withholding
requirements.  Home Care Agency represents,  warrants and agrees that BAHS shall
have no  obligation  for any such  payment to or  reimbursement  of Aides or for
performance of any such legal obligations  imposed upon an employer with respect
to the Aides. In the event the Internal Revenue Service or the State of New York
shall  question  the  independent  contractor  status of Home Care  Agency,  the
parties  hereto  agree  that both Home Care  Agency  and the BAHS shall have the
right to participate in any discussion, negotiation or resolution occurring with
the Internal  Revenue Service or the State of New York,  regardless of with whom
such discussions or negotiations were initiated.

     4. BAHS Riqhts and Responsibilities.

          4(a) BAHS shall have the sole  responsibility  for assessing the needs
of its  Patients  for Aide  Services  in light of relevant  factors.  BAHS shall
determine the scope and duration of the  activities of each Aide on each Patient
assignment  (the  "Aide Plan of Care"),  and a BAHS  registered  nurse (or other
appropriate BAHS professional personnel) shall supervise each Aide's performance
during each assignment.

          4(b) BAHS shall  provide each Aide with the Aide Plan of Care for, and
medically  pertinent data and  instruction  regarding,  each Patient to whom the
Aide is assigned.  BAHS shall  instruct each Aide in  appropriate  recordkeeping
procedures for such patient.


                                       2
<PAGE>


          4(c) BAHS shall have the right,  in its sole  discretion,  at any time
during the term  hereof to approve or reject any Aide  utilized  or  assigned by
Home Care Agency in performing its obligations  under this  Agreement,  and upon
oral or written notice to Home Care Agency, to shorten, terminate,  lengthen, or
change,  the assignment of any Aide,  effective  immediately  upon the giving of
such  notice.  After an Aide has been  assigned  to a Patient,  Home Care Agency
shall not remove such Aide from such assignment without the consent of BAHS.

          4(d) BAHS shall  cooperate  with Home Care Agency in  evaluating  each
Aide's performance of services hereunder.

          4(e)  Notwithstanding  any  other  provision  in this  contract,  BAHS
remains  responsible for (1) ensuring that any service provided pursuant to this
contract  complies  with all pertinent  provisions  of federal,  state and local
statutes,  rules and  regulations;  (2) planning,  coordinating and ensuring the
quality of all services provided, and (3) ensuring adherence to the Aide Plan of
Care established for patients.

          4(f) The  responsibilities  imposed upon BAHS pursuant to Section 4(e)
hereof are not  intended  and shall not be deemed to relieve Home Care Agency of
any of its obligations pursuant to this Agreement.

     5. Home Care Agency Riqhts and Responsibilities.

          5(a) Home Care Agency shall make the Aide Services  available to BAHS,
24 hours per day, 7 days per week during the term of this  Agreement.  Home Care
Agency  shall ensure that all Aides  providing  services  hereunder  are legally
certified by the  appropriate  New York State  governmental  agency as Aides and
that Home Care  Agency  and all such  Aides  comply  with all  applicable  laws,
including,  without  limitation,  the following,  to the extent  applicable with
respect to Aides  providing Aide Services:  the New York State Hospital Code and
other directives of the New York State Department of Health ("DOH"),  including,
but not  limited  to,  Section  771.2 of Title 10 of the New York  State  Codes,
Rules,  and  Regulations;  BAHS policies,  regulations,  and standards;  and all
applicable  laws,  regulations,  policies,  and  standards of the  Department of
Social Services ("DSS"), the Health Care Financing  Administration ("HCFA"), New
York State, New York City, and Westchester  County.  Such requirements  include,
but are not  limited  to, the  following:  the wearing by each Aide of a uniform
acceptable  to  BAHS;  the  maintenance  by  each  Aide  of  good  health;   the
administration  to  each  Aide of the  medical  examinations  and  immunizations
specified in Part 761 of the State  Hospital  Code and in  accordance  with BAHS
policy;  the  satisfactory  completion by each Aide of an appropriate  certified
basic training  program meeting all applicable DOH  requirements;  and Home Care
Agency's  maintenance  on file at its offices of character  references and other
appropriate


                                       3
<PAGE>


proofs of satisfactory  performance for each Aide. Home Care Agency shall ensure
that each Aide rendering  services  hereunder is adequately trained and is fully
qualified  to  perform  such  services  and  has  any  licenses,   certificates,
registrations, and other legal credentials (collectively,  "Licenses") necessary
to perform the Aide  Services.  Home Care Agency shall  immediately  notify BAHS
upon the lapse,  revocation,  or  suspension  of any of the Licenses of any Aide
rendering services pursuant to this Agreement.

          5(b) Home Care Agency shall maintain a written  record  regarding each
Aide including,  at a minimum, the following information:  reports regarding all
prior and current  assignments,  all  professional  qualifications,  references,
reports  of  medical   examinations,   tests  and   immunizations,   performance
evaluations,  and  documentation  evidencing  the extent and outcome of all Aide
training.  Home Care Agency shall make these records,  and all records specified
in Section 5(a) hereof, available for inspection during normal business hours by
BAHS and  appropriate  New York State and New York City  governmental  agencies.
Promptly  upon the  request of BAHS or any such  agency,  Home Care  Agency also
shall provide BAHS or such agency with copies of such records.

          5(c) Home Care Agency shall submit to BAHS documentation  satisfactory
to BAHS  regarding  each Aide,  including,  but not  limited  to,  documentation
regarding his or her professional qualifications as an Aide, Aide certification,
Patient assignments, rubella immunizations, and the date and results of physical
examinations, tuberculin testing, and rubella titre testing.

          5(d) Home Care Agency shall provide to all Aides continuous  education
that meets all applicable  requirements  of New York State and New York City law
and  regulation and that is based on needs  identified by Home Care Agency,  the
Aides, and BAHS.
 
          5(e)  Home Care  Agency  shall  ensure  that  each  Aide  follows  all
instructions  given to such  Aide by BAHS and  records  and  documents  the care
rendered on each visit to a Patient in  accordance  with  applicable  law,  BAHS
policy,  and the Aide Plan of Care  formulated  by BAHS for such  Patient.  Such
documentation shall be submitted by Home Care Agency to BAHS as soon as possible
but in no event later than one week after the date the  services  are  provided.
Home Care Agency shall also ensure that all Aide  Services  are rendered  with a
high quality of care.

          5(f) Home Care Agency  shall ensure that each Aide or Home Care Agency
immediately  reports  to  the  supervising  BAHS  registered  nurse,  or in  the
supervising  BAHS  registered  nurse's  absence,  any BAHS  Nurse  Manager,  any
situation  or  circumstance  that  could  potentially  impact  upon the safe and
adequate  care of any  Patient,  including,  but not limited to, a change in the
Patient's  health  status and the failure of an Aide to perform an Aide  Service
included in the Aide Plan of Care for a Patient.


                                       4
<PAGE>


          5(g)  Home  Care  Agency  shall  maintain  during  the  term  of  this
Agreement,  at its sole cost and expense, such policies of general liability and
professional liability, and other insurance, with limits in such amounts, as are
satisfactory  to BAHS in order to insure Home Care Agency and each Aide  against
damages arising by reason of or in connection with personal injury or death, any
other claim(s) arising in connection with or related to this Agreement,  and the
indemnification of BAHS by Home Care Agency pursuant to Section 5(j) below. Home
Care Agency shall cause BAHS and CCMC to be named additional insureds under each
such insurance policy.  Evidence of such insurance policies shall be provided to
BAHS on April 1 1996, and on each annual anniversary  thereof.  Home Care Agency
shall  notify  BAHS 30 days  prior  to any  material  change  in such  insurance
coverage.

          5(h) Home Care  Agency  shall  maintain  all  records  relating to the
services rendered hereunder in accordance with prudent record keeping procedures
and as required by applicable law, regulation and BAHS policies, regulations and
standards.

          5(i) To the extent required by the 1980 Omnibus Budget  Reconciliation
Act  (Public  Law  96-499),  until the  expiration  of four (4) years  after the
furnishing of the services  pursuant to this  Agreement,  Home Care Agency shall
make  available,  upon written  request by the  Secretary  of the United  States
Department of Health and Human  Services (the  "Secretary"),  or upon request by
the  U.S.  Comptroller  General  (the  "Comptroller  General"),  or any of their
respective  duly  authorized  representatives,  this  Agreement  and all  books,
documents  and  records of Home Care Agency  that are  necessary  to certify the
nature and extent of the costs of such services. If Home Care Agency carries out
any of the  duties of this  Agreement  through  a  permitted  subcontract  worth
$10,000 or more over a twelve (12) month period with a related organization,  to
the extent  required by the 1980 Omnibus  Reconciliation  Act, such  subcontract
also shall  contain a clause to the same effect with respect to the  subcontract
and the books, documents and records of the subcontractor.

          5(j)  Indemnification.  Home Care  Agency  hereby  agrees to  protect,
indemnify,  and hold  harmless  BAHS and CCMC  and  their  respective  officers,
directors,  agents,  corporate  affiliates,  and  employees  (collectively,  the
"Indemnified Party") from and against all demands,  claims, actions or causes of
action, losses,  damages,  liabilities,  costs, taxes, and expenses,  including,
without limitation, reasonable attorneys' fees and disbursements, incurred by or
asserted against the Indemnified Party by reason of or resulting from or arising
out of any (1) actual or alleged  negligence  (including  medical  malpractice),
intentional tort, willful misconduct  (including,  but not limited to, fraud and
battery),  act, or omission of Home Care Agency or its Aides, agents,  officers,
and  employees  in  connection  with  the  performance  of this  Agreement,  (2)
misrepresentation or breach of any of Home


                                       5
<PAGE>


Care Agency's  representations and/or warranties made herein or pursuant hereto,
or (3) failure of Home Care Agency or its Aides, agents, officers, and employees
to perform or comply  with any of the  provisions  of this  Agreement  or of any
other  agreement,  document,  or  instrument  delivered  pursuant  hereto  or in
connection herewith.

          5(k)  Neither  Home  Care  Agency  nor  any  Aide  providing  services
hereunder shall charge, collect or accept any fee or payment from any Patient or
any Patient's family for Aide Services provided hereunder.

          5(1)  Notwithstanding  any  other  provisions  in this  contract,  the
licensed agency (aide  organization)  remains responsible for: (a) ensuring that
any service  provided  pursuant to this  contract  complies  with all  pertinent
provisions of federal,  state and local  statutes,  rules and  regulations;  (b)
ensuring  the quality of all  services  provided by the agency and (c)  ensuring
adherence  by  agency  staff  to the  LTHHCP  Plan of Care  established  for its
patients.

          5(m) No employee,  agent, or other  representative of Home Care Agency
("Home Care Agency Representative") shall provide any employee,  agent, or other
representative  of BAHS or CCMC ("BAHS  Representative")  with any item or items
for which the Home Care  Agency  Representative  does not  receive  fair  market
compensation  (individually a "Gift" and collectively "Gifts"),  including,  but
not limited to, gifts,  loans,  or  discounts,  unless such Gift or Gifts are of
nominal value, as determined in BAHS's sole discretion.

     6. Additional Responsibilities of BAHS and Home Care Agency.

BAHS and Home Care Agency each shall:

          6(a) Designate a person within its respective  organization  who shall
have the responsibility for coordinating the assignments of Aides;

          6(b) Subject to Sections  4(b) and 4(d) hereof,  consult and cooperate
with each other in establishing mutually acceptable standards and procedures for
selection  and  assignment  of Aides,  handling of requests for  emergency  Aide
Services,  billing procedures,  and any other matters incidental to carrying out
the provisions and purposes of this Agreement; and

          6(c) Subject to Sections  4(b) and 4(d] hereof,  consult and cooperate
with each other in establishing mutually acceptable standards and procedures for
handling Aide grievances and Patient complaints.


                                       6
<PAGE>


     7. Fees and Payments.

          7(a) Home Care Agency shall submit to BAHS, within 90 days or 3 months
of the date of service,  a statement,  in a form  satisfactory to BAHS,  setting
forth for such month the names of each Aide providing  services  hereunder,  the
Aide  Services  performed by such Aide,  and the amounts due Home Care Agency in
accordance with the fee schedule attached and incorporated  herein as Schedule 1
for Aide Services  performed  during such month.  Each such statement  shall set
forth the Aide Services  performed for each Patient using the Patient number and
any other  identifier  codes  provided to Home Care Agency by BAHS. In computing
the hours worked by each Aide, only the time the Aide was physically  present in
the Patient's  home shall be taken into account.  BAHS shall make payment of the
invoiced  amount on or before the later of 90 days after  BAHS's  receipt of the
relevant statement or upon BAHS's  verification of the items and costs contained
therein.  Vendor statements  received after 90 days or 3 months from the date of
service  will not be paid.  The  exception  to this would be invoices  that were
received on a timely basis,  but have had problems which we are mutually working
on to correct.

          7(b) Upon BAHS's request, Home Care Agency, at its sole expense, shall
provide to BAHS a cost analysis based upon accounting  procedures  acceptable to
BAHS.

     8. Representations  Warranties and Covenants of Home Care Agency. Home Care
Agency  represents  and warrants (a) that none of its board  members,  agents or
management  staff have been  convicted  of criminal  offenses  relating to their
involvement  of the  Medicaid  program,  Medicare  program,  or  social  service
programs  under Title XX of the Social  Security  Act, and (b) that it currently
has and shall  maintain  throughout  the term of this  Agreement  all  licenses,
certifications,  and  registrations  required  by law to  provide  the  services
hereunder.

     9. Independent Relationships.  Except as specifically provided herein, none
of the  provisions of this Agreement are intended to create (nor shall be deemed
or construed to create) any relationship between BAHS and Home Care Agency other
than that of independent  entities  contracting with each other hereunder solely
for the purpose of effecting the  provisions of this  Agreement.  Neither of the
parties hereto,  nor any of their respective  officers,  directors or employees,
shall be deemed or construed to be the agent, employee, representative, partner,
or joint venturer of the other, except as specifically provided herein.  Neither
party hereto is  authorized to represent or bind the other party for any purpose
whatsoever without the prior written consent of the other party.

     10. General Provisions. As required by DSS and/or HCFA with respect to Aide
Services furnished to Enrollees and in addition to


                                       7
<PAGE>


the  other  provisions  of this  Agreement,  the  parties  hereby  agree  to the
following provisions:

          lO(a)  Home  Care  Agency  agrees to  provide  services  hereunder  as
authorized and requested by BAHS.

          lO(b)  Home Care  Agency  agrees to accept  the  payment  from BAHS as
provided  hereunder as payment in full for all services rendered to or on behalf
of  Enrollees  pursuant to this  Agreement.  Home Care Agency shall not, for any
reason,  bill,  charge,  or collect any fee or payment from any  Enrollee,  DSS,
HCFA,  or any  private  insurer  for any  services  rendered  to or on behalf of
Enrollees by Home Care Agency pursuant to this Agreement. Home Care Agency shall
hold harmless all  Enrollees,  DSS, and HCFA in the event that BAHS does not pay
for such services performed hereunder.

          lO(c) Home Care Agency shall submit reports as required by BAHS.

          lO(d) To the extent required by applicable law, Home Care Agency shall
retain  all  books and  records  relating  to the  services  and items  rendered
hereunder for six years.  During the term of this Agreement and thereafter for a
period of six years,  BAHS, CCMC, DSS, HCFA, the Comptroller of the State of New
York, and their respective agents shall have reasonable access to all such books
and records for  inspection,  examination,  and  copying.  Home Care Agency also
shall comply with all applicable federal  requirements  regarding access to such
books and records.

          lO(e) Home Care Agency and BAHS each shall comply with all  applicable
state and federal  non-discrimination laws and shall not discriminate unlawfully
on the basis of age, race, color, sex, creed, or national origin.

          lO(f) Home Care  Agency  shall  comply  with all  applicable  federal,
state,  and local laws, rules and  regulations,  including,  but not limited to,
those governing confidentiality of Patient records.

          lO(g) Home Care Agency  acknowledges and agrees that DSS has the right
to review this Agreement.

          lO(h)  To the  extent  requested  by  BAHS,  Home  Care  Agency  shall
participate in and comply with BAHS's and CCMC's  Utilization Review and Quality
Assurance programs and the CCMC Enrollee  grievance  procedure as in effect from
time to time.

          lO(i) Home Care Agency shall immediately  notify BAHS in writing if it
is suspended or terminated from  participation in the medical assistance program
or the Medicare  Program.  This  Agreement  shall  automatically  terminate upon
notice to BAHS from Home Care  Agency,  DSS,  or CCMC that Home Care  Agency has
been so suspended or


                                       8
<PAGE>


terminated.

          lO(j) With respect to Enrollees,  this Agreement  shall be interpreted
and  construed  by the  parties  hereto  in a manner  consistent  with the laws,
regulations,  and  agreements  governing the operation of the CCMC Program,  and
consistent with the purposes of such program.

     11. Prohibition on Use of Federal Funds for Lobbyinq:

          11(a) Home Care Agency  agrees,  pursuant to Section  1352,  Title 31,
United States Code, not to expend Federal appropriated funds received under this
Agreement  to pay any person for  influencing  or  attempting  to  influence  an
officer or employee of an agency,  a member of Congress,  an officer or employee
of  Congress,  or an employee of a member of  Congress  in  connection  with the
awarding of any Federal contract, the making of any Federal grant, the making of
any Federal  loan,  the  entering  into of any  cooperative  agreement,  and the
extension,  continuation,  renewal,  amendment,  or  modification of any Federal
contract,  grant,  loan or  cooperative  agreement.  Home Care Agency  agrees to
complete and submit the "Certification  Regarding Lobbying",  attached hereto as
Exhibit A.

          ll(b) If any funds  other than  Federal  appropriated  funds have been
paid or will be paid to any person for influencing or attempting to influence an
officer or employee of an agency,  a member of Congress,  an officer or employee
of  Congress,  or an employee of a member of  Congress in  connection  with this
Agreement or the underlying  Federal grant,  Home Care Agency agrees to complete
and  submit  Standard  Form-LLL,   'Disclosure  Form  to  Report  Lobbying",  in
accordance with its instructions.

          ll(c) Home Care Agency shall include the provisions of this Section 11
in all  subcontracts  under this  Agreement and require that all  subcontractors
certify and disclose accordingly.

     12.  Patients/Enrollees.   Unless  otherwise  specified  herein,  the  term
"patient(s)"  shall be  deemed  to  include  "Enrollee(s)",  and the  terms  and
conditions of this  Agreement  shall apply to Home Care Agency's  performance of
this Agreement with respect to all patients of BAHS, including all Enrollees.

     13. Nonexclusivity.  This Agreement is non-exclusive, and nothing contained
herein shall  preclude or prevent either party from  contracting  with any other
third party.

     14. Notices. All notices, demands,  requests, or other communications which
may be or are  required  to be  given,  served or sent by any party to the other
party pursuant to this Agreement shall be in writing and shall be hand delivered
(including delivery by courier), mailed by first-class, registered or


                                       9
<PAGE>


certified mail,  return receipt  requested,  postage prepaid,  or transmitted by
telegram,  telex,  or facsimile to the address  indicated for each party beneath
its signature  below to the attention of the undersigned or such new address as
such party may designate by notice to the other party.

     15.  Binding  Effect.   Subject  to  any  provisions   hereof   restricting
assignment,  this Agreement shall be binding upon and shall inure to the benefit
of the parties hereto and their respective successors and assigns.

     16. Assignment. Neither party may assign or delegate this Agreement (or any
part thereof) without the prior written consent of the other party,  except that
BAHS  may  assign  this  Agreement,  in  whole  or in  part,  to  CCMC or to any
corporation  or  entity  which  directly  or  indirectly,  through  one or  more
intermediaries,  controls,  or is controlled by, or is under common control with
BAHS.

     17.  Limitation  on Benefits.  It is the explicit  intention of the parties
hereto  that no person or entity  other than the  parties  hereto is or shall be
entitled to bring any action to enforce any provision of this Agreement  against
any of the parties hereto, and the covenants,  undertakings,  and agreements set
forth in this  Agreement  shall be  solely  for the  benefit  of,  and  shall be
enforceable  only by, the parties hereto or their respective  successors,  legal
representatives, and assigns as permitted hereunder; provided, however, that (a)
the  covenants,  undertakings,  and agreements set forth in Section lO(b) hereof
shall be construed for the benefit of Enrollees  and (b) the  provisions of this
Agreement  that  expressly  give CCMC rights or benefits shall be enforceable by
CCMC.

     18. Entire  Aqreement; Amendment.  This  Agreement  constitutes  the entire
agreement  among the parties  hereto with  respect to the matters  provided  for
herein, and it supersedes all prior oral or written  agreements,  commitments or
understandings  with respect to the matters  provided for herein.  No amendment,
modification or discharge of this Agreement shall be valid or binding unless set
forth in writing and duly executed by the party against whom  enforcement of the
amendment, modification, or discharge is sought.

     19. Headings. Section headings contained in this Agreement are inserted for
convenience  of  reference  only,  shall  not be  deemed  to be a part  of  this
Agreement  for any  purpose,  and  shall not in any way  define  or  affect  the
meaning, construction or scope of any of the provisions hereof.

     20.  Governinq  Law.  This  Agreement,  the rights and  obligations  of the
parties hereto and any claims or disputes  relating thereto shall be governed by
and construed in accordance


                                       10
<PAGE>


with the laws of New York State (excluding the choice of law rules thereof).

     21. Counterparts.  To facilitate execution,  this Amendment may be executed
in counterparts.  It shall be sufficient that the signature of, or on behalf of,
each party appear on one or more of the  counterparts.  All  counterparts  shall
collectively constitute a single agreement.

     22. Termination of Existing  Aqreement.  Any existing agreement between the
parties hereto  regarding Aide Services,  shall  automatically  terminate on the
Commencement  Date and shall be  superceded  in its entirety by this  Agreement;
provided,  however,  that all rights,  obligations,  and remedies of the parties
arising out of any breach,  services,  or  transactions  occuring  prior to such
termination shall survive the termination thereof.


                                       11
<PAGE>


     IN WITNESS  WHEREOF,  the parties hereto have duly executed this Agreement,
or have caused this  Agreement to be duly  executed on their  behalf,  as of the
date and year first above written.

                                                    Beth Abraham Health Services

                                                    By:/s/ Laura Page-Greifinger
                                                       -------------------------
                                                    Name: Laura Page-Greifinger
                                                          ----------------------
                                                    Title: V.P. of Operations
                                                          ----------------------

                                                    New York Health Care

                                                    By: /s/ Jerry Braun
                                                        ------------------------
                                                    Name: Jerry Braun  
                                                         -----------------------
                                                    Title: C.E.O
                                                         -----------------------
CONTRACT. PCW


                                       12
<PAGE>


                                   SCHEDULE 1

PERSONAL CARE WORKERS AT $10.45 PER HOUR.

HOME HEALTH AIDES AT $______ PER HOUR.

AUTHORIZED  CLUSTERED  AIDES AT $1.25 MORE PER HOUR OF WHICH $1.10 PER HOUR GOES
TO THE AIDE.

IF THE VENDOR  PROVIDES  HOUSEKEEPER OR HOMEMAKER,  THE RATE WILL BE THE SAME AS
THE PERSONAL CARE WORKER.


                                       13
<PAGE>


                                HOME CARE AGENCY
                                    EXHIBIT A
                        CERTIFICATION REGARDING LOBBYING

     On behalf of Home Care Agency,  the undersigned  certifies,  to the best of
his or her knowledge and belief, that:

(1)  No  federal  appropriated  funds  have  been  paid or will be paid by or on
     behalf of Home Care Agency,  to any person for influencing or attempting to
     influence  an officer or employee of an agency,  a Member of  Congress,  an
     officer or employee of Congress,  or an employee of a Member of Congress in
     connection  with the  awarding of any Federal  contract,  the making of any
     Federal  contract,  the  making of any  Federal  grant,  the  making of any
     Federal  loan,  the entering  into of any  cooperative  agreement,  and the
     extension continuation,  renewal, amendment, or modification of any Federal
     contract, grant, loan, or cooperative agreement.

(2)  If any funds other than Federal  appropriated  funds have been paid or will
     be paid to any person for influencing or attempting to influence an officer
     or employee of any agency, a Member of Congress,  an officer or employee of
     Congress,  or an employee of a Member of Congress in  connection  with this
     Federal  contract  grant,  loan, or  cooperative  agreement,  the Home Care
     Agency shall complete and submit  Standard  Form-LLL,  "Disclosure  Form to
     Report Lobbying", in accordance with its instructions.

(3)  Home Care Agency shall require that the language of this  certification  be
     included in the award  documents for all subawards at all tiers  (including
     subcontracts,  subgrants, and contracts undergrants, loans, and cooperative
     agreements)  and  that  all   subrecipients   shall  certify  and  disclose
     accordingly.

This certification is a material  representation of fact upon which reliance was
placed  when this  transaction  was made or  entered  into.  Submission  of this
certification  is a  prerequisite  for making or entering into this  transaction
imposed by section 1352,  title 31, U.S.  Code. Any person who fails to file the
required  certification  shall be  subject  to a civil  penalty of not less than
$10,000 and not more than $100,000 for each such failure.

Date:   4/8/96                                        /s/ Jerry Braun CEO
      -----------                                     -------------------
                                                Name: Jerry Braun 
                                                      ------------------ 


                                       14


                               HOMEMAKER SERVICES

                            AGREEMENT BY AND BETWEEN

     THE ORANGE COUNTY DEPARTMENT OF SOCIAL SERVICES located at Box Z, Quarry
Road, Goshen, NY 10924, hereinafter called the Department and NEW YORK HEALTH
CARE, INC. located at 1667 FLATBUSH AVENUE, BROOKLYN, NEW YORK 11210 hereinafter
called the Contractor.

     WITNESSETH:

     WHEREAS, the Commissioner of Social Services of the County of Orange is an
authorized social services official charged with the responsibility, insofar
that funds are available for that purpose, to administer such care, treatment
and services that may be necessary to restore persons unable to maintain
themselves to a condition of self-support or self-care and to provide services
that may be necessary to maintain and strengthen family life so that families
may be kept together pursuant to Sections 131, 131(a) and 250(l) of the Social
Services Law of the State of New York (SSL), and

     WHEREAS, Homemaker and Housekeeper/Chore Services are included in the
latest Comprehensive Annual Social Services Program Plan for New York State
including the Orange County Social Services District, and

     WHEREAS, the Contractor under the terms of its corporate authority has the
power to provide the Services set forth in Appendix A annexed hereto and made a
part hereof, and

     WHEREAS, the Contractor is an authorized provider of homemaker
housekeeper/chore services and meets all Federal and State standards applicable
to providers of such services, and

     WHEREAS, the Department finds that the Contractor's charges are reasonable
and necessary to assure quality of services, and

     WHEREAS, it is economically and organizationally feasible for the
Department to contract with the Contractor for the performance of these
services.

     NOW, THEREFORE, the parties in consideration of the above, do covenant and
agree as follows:

     1. The Contractor shall furnish to the Department Homemaker, Educational
Homemaker, and Housekeeper/Chore Services as follows:

                                       1
<PAGE>


     Objectives

     (a) To provide quality homemaker and housekeeper/chore services for
children in their own home because of illness, incapacity, or absence of a
caretaker relative; for individuals in their own home because of illness or
incapacity; and, for individuals, families, caretaker relatives and/or children
in their own home to achieve adequate household and family management.

     To provide quality educational teaching homemakers for assignment to and
utilization in a program involving the detection and prevention of child abuse
in the home, and the maintenance. care and rehabilitation of those parents and
children concerned.

     All services are to be provided in accordance with State and Federal
standards of care.

     Location of Services
 
     (b) The Contractor will provide the agreed services in the home of each
eligible client in all parts of Orange County.

     Unit of Service
 
     (c) A unit of service is defined, for the purpose of this Agreement, as
appropriate care for one hour.

     Staff
 
     (d) The Contractor will allocate the direct service delivery personnel in
the following categories, numbers. and the competencies to provide the agreed
services.

     Subcontractors
 
     (e) The Contractor or its employees will provide all services contemplated
under this Agreement except for N/A . The Contractor has subcontracted with
N/A, hereinafter called the Subcontractor, to provide for those necessary
specific services. The Contractor is fully responsible for the performance of
the Subcontractor, including the subcontractors compliance with the applicable
requirements of the New York State Department of Social Services including but
not limited to pertinent Regulations of the New York State Department of Social
Services.

     Other Responsibilities
 
     (f) The Contractor shall comply with all procedures required by the
Department for the planning, use and evaluation of services provided by
Homemakers, Educational Homemakers and Housekeeper/Chore providers.


                                       2
<PAGE>


     (g) It shall be the responsibility of the Contractor to submit charges to
the Department on the forms and according to the procedures established by the
Department.

     (h) The Contractor shall employ, train and supervise all homemakers,
educational homemakers and persons providing housekeeping/chore services and
will assign them as needed to individuals and families.

     (i) All training programs shall be approved by the New York State
Departments of Health, Education and Social Services.

     (j) The Contractor shall perform all supervisory activities in compliance
with guidelines and requirements of the State of New York. Field supervision
will be performed by a licensed registered nurse and/or caseworker.

     (k) Homemaker services shall be available twenty-four hours per day, seven
days per week. Housekeeper/chore and educational homemaker shall be available as
necessary.

     (1) The Department will furnish to the contractor the following information
in each case where the client has signed the appropriate authorization to
release information.

          (i) most recent social assessment
          (ii) most recent nursing assessment
          (iii) most recent physician's statement
          (iv) name and address of closest relative or responsible relative

     (m) The Contractor agrees to notify immediately the Department if the
client: enters a hospital or other institution or relocates his/her principal
place of residence.

     (n) The Contractor agrees to furnish upon request of the Department
information regarding: client's progress or changes in composition of the
client's household.

     (o) The Department agrees to furnish the Contractor the information agreed
above in sections (m) and (n) if the Department obtains this information first.

     (p) If the Contractor or agent thereof in the course of duty discovers or
has reason to believe that there are irregularities concerning any family or
individual serviced by the Contractor under the terms of this contract and
involving child neglect or abuse the Contractor shall at once notify the
Department and thereafter cooperate fully in supplying information concerning
such matters as may be requested by the Department.


                                       3
<PAGE>


     (q) The Contractor agrees that the charges submitted to the Department for
the services of a homemaker, housekeeper/chore or educational homemaker shall
not be higher than charges submitted for services rendered to other individuals
whose source of payment is other than by the Department for each individual so
cared for whether on behalf of the Department, a private client or otherwise. In
the event that the Contractor has separate income or contributions restricted as
to application that operate to cause discrimination in the amounts charged for
care as between clients of the Department and others, then Contractor agrees to
furnish to the Department complete documentation justifying such discrimination.

     (r) The Contractor will not place an educational homemaker in any household
unless a joint visit has been made by a Department caseworker and the
Contractor. It will be the responsibility of the Contractor to devise the plan
of how the homemaker will approach her tasks. When an educational homemaker is
authorized, the Department will clearly specify "educational homemaker" on all
acceptance letters. The acceptance letter will include a date on which a
progress report will be due.

     2. The Contractor shall obtain and maintain in full force and effect
liability or other insurance in an amount equal to $1,000,000.00 that protects
the local Department and/or the New York State Department of Social Services
from any potential liability that may accrue as a result of any actions of the
Contractor; such coverage may be an endorsement to an existing policy of the
Contractor. Regardless of form or manner of coverage, the insurer shall be
requested by the Contractor to provide the local Department with a written
acknowledgment of coverage, the terms and conditions thereof, and a commitment
to notify the Department within ten ( 10) days before any cancellation,
reduction or other change in coverage becomes effective (pursuant to usual
insurance "hold harmless" or "loss payee" provisions). The Contractor hereby
agrees to indemnify and hold harmless the Department from any and all claims,
causes of action or proceedings in any forum whatsoever for personal injuries or
property damage.

     3 Total expenditures under this Agreement are not to exceed $2,000,000.00
per annum.

     4. The Department will pay the Contractor for each unit of homemaker or
housekeeper/chore service (ref. item 1(c)) provided pursuant to this Agreement.
The said terms of reimbursement shall be as promulgated by the New York State
Department of Social Services. This rate per service unit has been determined
by the Department to be an amount reasonable and necessary to assure the quality
of the services purchased. Payment of this rate is contingent upon approval of
said rate by the New York State Department of Social Services for the indicated
time period.

                                       4
<PAGE>

     5. The Department will pay the Contractor for each unit of educational
homemaker service (ref. item 1(c)) provided pursuant to this Agreement. The
said terms of reimbursement shall be as promulgated by the Orange County
Department of Social Services. This rate per service unit has been determined by
the Department to be an amount reasonable and necessary to assure the quality of
the services purchased. Payment of this rate is contingent upon approval of said
rate by the Orange County Department of Social Services for the indicated time
period. The Department will not obligated to pay said rate if it is not
approved.

     6. In certain special cases where it is necessary to provide twenty-four
hour homemaker service on a temporary basis, and where such care can be
provided by one individual who is available and willing to provide such care
because the client's condition does not require constant alertness or personal
attendance by the caretaker, then the agreed rate of payment is eight hours at
the full time rate, eight hours at one-half rate and eight hours at one-quarter
the full time rate, per twenty four hour period. Payment of this rate is
contingent upon approval of said rate by the New York State Department of
Social Services for the indicated time period. The Department will not be
obligated to pay said rate if it is not approved.

     7. This Agreement may be terminated by either party upon 30 days written
notice to the other party.

     8. This Agreement shall be in full force and effect for a period of one
year from 1/1/96 to 12/31/96

     9. This Agreement shall be governed by the applicable laws of the State of
New York.

     10. This Agreement contains the entire understanding between the Department
and the Contractor. There are no other understandings regarding the subject
matter of this Agreement either oral or in writing which bind either party as to
the subject matter of this Agreement. Any modification of this Agreement must be
in writing executed by the parties hereto.

     11. Should any of the provisions of this Agreement be determined to be
unenforceable, then that determination shall have no effect on the remaining
terms of this Agreement which shall remain in full force and effect for the term
of this Agreement.

     12. The parties hereto agree to abide by all the items and requirements as
set forth in Contract Attachment A, hereto annexed and made a part hereof, or as
the same may be amended by amendments hereto.


                                       5
<PAGE>


     IN WITNESS WHEREOF, the parties have hereunto signed this Agreement on the
day and year appearing opposite their respective signatures.




                                       ORANGE COUNTY

 DATE: 2/1/96                          /s/ JOSEPH G. RAMPE
                                       ---------------------------------
                                       JOSEPH G. RAMPE, COUNTY EXECUTIVE


                                       NEW YORK HEALTH CARE, INC.



DATE: 2/1/96                           /s/ JERRY BRAUN, CEO
                                       ---------------------------------


                                       BY: Jerry Braun, CEO
                                       ---------------------------------







                     AGREEMENT BETWEEN A LOCAL DEPARTMENT OF

                    SOCIAL SERVICES AND A CONTRACTING AGENCY

                     FOR PERSONAL CARE SERVICE (PURSUANT TO

                      TITLE II OF ARTICLE 5 OF THE NEW YORK

                       SOCIAL SERVICE AND TITLE XIX OF THE

                       UNITED STATES SOCIAL SECURITY ACT)

                          (FOR TITLE XIX SERVICES ONLY)

                                  AN AGREEMENT

            Between: THE ORANGE COUNTY DEPARTMENT OF SOCIAL SERVICES

                         and: NEW YORK HEALTH CARE, INC.




<PAGE>


     WHEREAS, Local Social Services Districts are authorized pursuant to Section
365 a(2)(e) of New York State Social Services Law and New York State Department
of Social Services Regulation 18 NYCRR 505.14 and/or other Department
regulations to provide personal care services to persons eligible to receive
said services, and

     WHEREAS, the District is desirous of obtaining personal care service to be
rendered to recipients of medical assistance for which reimbursement is
available pursuant to Title XIX of the Federal Social Security Act and
applicable State Law, and

     WHEREAS, the contractor(s) herein represent(s) the he, she, it or they will
provide services that are authorized pursuant to Title XIX of the Federal Social
Security Act and applicable State law and which are eligible for reimbursement
thereto,

     NOW, THEREFORE, the parties signing and executing this instrument do, in
consideration of the above, covenant and agree as follows:

     1. The relationship of the Providers to the District shall be that of
independent contractor. The provider, in accordance with his status as an
independent contractor, covenants and agrees that he will conduct himself in
accordance with such status, that he will neither hold himself out as, nor claim
to be, an officer or employee of the Department by reason thereof and that he
will not by reason thereof, make any claim, demand, or application to or for any
right or privilege applicable to an officer or employee of the State, including,
but not limited to Workmen's Compensation coverage, or retirement membership or
credits.

     2. The Contractor(s) agree(s) to provide personal care services, as defined
in New York State Department of Social Services Regulations 18 NYCRR 505.14 to
recipients of medical assistance (Medicaid), as defined in Title 11 of Article 5
of the New York State Social Service Law and/or Title XIX of the Federal Social
Security Act, if requested to provide said services by a social services
district pursuant to the order(s) and/or prescription(s) of a physician in
accordance with a plan of treatment to be supervised by a registered nurse
subject to the conditions set forth in the regulations of the New York State
Department of Social Services (18 NYCRR 505.14 or superseding provisions).

     3. The personal care services will be rendered as authorized by the
district at the locations specified by the district during the term of this
agreement and should be provided for particular recipients only as long as
authorized, pursuant to the district's direction as to frequency, type and
amount.



                                       8
<PAGE>


     4. The district shall not be obligated to utilize the services of the
contractor(s), and the district of the New York State Department of Social
Services shall in its discretion be authorized to terminate any agreement or
request for services to be rendered to any or all recipient(s) upon notification
to the contractor(s), its agent(s) or employee(s). The cessation of services to
a particular recipient shall not render this entire agreement void or voidable.

     Except for emergencies, the district shall give the provider contractor(s)
thirty (30) days notice of intention to terminate the services of the provider
to any individual who would otherwise remain eligible to continue receiving said
services; in the event of termination, the provider shall promptly transfer any
and all records pertaining to any individual who has been or is receiving
services provided by the Contractor to the local district or to any subsequent
provider designated by the local district.

     5. This agreement shall be valid and binding for the time period set forth
below, except that if the time period set forth continues beyond one year from
the effective date of this agreement the agreement shall be voidable any time
after the end of one year at the option of the local Social Services District or
the New York State Department of Social Services; neither the district nor the
State Department of Social Services shall be obligated to renew or extend the
terms of this contract.

     6. The district shall reimburse the contractor(s) at the rate(s) set forth
below; the contractor(s) shall not be required without its (their) consent to
provide the services at a decreased rate, but any services provided after
notification of a decreased rate shall be deemed to have been rendered by
consent.

     7. The Contractor(s) agree(s) that its employees or agents rendering
personal care services shall be subject to the supervision of the district
and/or the New York State Department of Social Services and/or any nurse(s) or
agency(ies) designated by the district to provide supervision of the personal
care services being rendered to the authorized recipient of medical assistance
(Medicaid) in accordance with state established policies and standards. It is
understood and agreed that the district and/or the New York State Department of
Social Services retains the right to maintain and continue case management for
any recipients of medical assistance (Medicaid) and that all the activities of
the provider contractor(s) shall be subject to the monitoring of the local and
state Social Services departments.

     8. The Contractor(s) agree(s) that all employees rendering personal care or
other services to medical assistance recipients, shall have completed
successfully a basic training program as defined in the New York State
Department of Social Services Regulations 18 NYCRR 505.14 or superseding
regulations and participated in on-the-job and in-service training pursuant to a
plan submitted and approved by the New York State Department of Social Services.



                                       9
<PAGE>


     9. The Contractor(s) will cooperate and participate as directed by the
local district or the New York State Department of Social Services, in any
endeavors incident to the rendering of personal care services herein, including,
but not limited to testimony for fair hearings for recipients, grievance
hearings and notices thereof to recipients, reports, surveys, studies, audits,
court or judicial proceedings and any other matters or procedures relating to
the furnishing of personal care services by the contractor.

     10. The Contractor(s) shall make the necessary and/or required employer
payroll reports, deductions, and tax, insurance or other payments, including but
not limited to, providing for workman's compensation insurance, disability
insurance, U.S. Social Security taxes, federal and state unemployment insurance
benefits, withholding federal, state and local income taxes; and comply with any
other legal or customary requirements; the contractor(s) shall conduct their
affairs in a manner such that the local District and/or the New York State
Department of Social Services will not be held liable (and/or shall be held
harmless) for any actions or omissions of the Contractor, its employees, agents
or other representatives.

     11. The Provider shall obtain and maintain in full force and effect
liability or other insurance in the amount of $1,000,000 that protects the local
district and/or the New York State Department of Social Services from any
potential liability that may accrue as a result of any actions of the Provider;
such coverage may be an endorsement to an existing policy of the Provider.
Regardless of form or manner of coverage, the insurer shall be requested by the
Provider to provide the local district with a written acknowledgment of
coverage, the terms and conditions thereof, and a commitment to notify the
District at least ten (10) days before any cancellation, reduction or other
changes in coverage becomes effective (pursuant to usual insurance "hold
harmless" or "loss payee" provisions). In the alternative, the Provider hereby
agrees to indemnify and hold harmless the District from any and all claims,
causes of action or proceedings in any forum whatsoever for personal injuries or
property damage.

     12. The Contractor(s) agree(s) to maintain books, records, documents, and
other evidence and accounting procedures and practices which sufficiently and
properly reflect all direct and indirect costs of any nature expended in the
performance of this agreement. These records shall be subject at all reasonable
times for inspection, review, or audit by State personnel and other personnel
duly authorized by the District, as well as by Federal personnel when Federal
funds are being utilized in making payments to the Provider. The Provider agrees
to collect statistical data of a fiscal nature on a regular basis and to make
fiscal statistical reports at times prescribed by and on forms furnished by the
District and duly authorized by the State Department of Social Services.


                                       10
<PAGE>


     13. The Provider agrees to maintain program and statistical records and to
produce program narrative and statistical data at times as prescribed by, and on
forms furnished by the local district as duly authorized by the State Department
of Social Services.

     14. The Provider agrees to retain all books, records, and other documents
relevant to this agreement for six (6) full years after final payment. Federal
and/or State auditors and any persons duly authorized by the District shall have
full access to and the right to examine any of said materials during said
period.

     15. The District and the Contractor(s) shall observe and require the
observance of applicable Federal and State requirements relating to
confidentiality of records and information, and each agrees not to allow
examination of records or disclose information, except that examination of
records by the district and/or the New York State Department of Social Services
as may be necessary to assure that the purpose of the agreement will be
effectuated, and also to otherwise comply with the District's requirements and
obligations under law, will be allowed.

     16. The Contractor(s) agree(s) that it has notified or will notify the
District and/or the New York State Department of Social Services of any
affiliated entities with which it has direct or indirect cooperative agreements,
contracts for services, or any other type of formal or informal arrangement
whereby the costs and/or the amounts received in reimbursement of services
rendered to recipients are shared among or transferred between the Provider and
any other entity(ies); if the Provider makes any disbursement directly or
indirectly to any entity receiving reimbursement from any governmental agency,
the District and/or the New York State Department of Social Services shall be so
notified.

     17. (a) The terms set forth in Attachment A appended hereto shall be made a
part hereof and shall be incorporated herein. 

     (b) The Provider agrees to comply with the requirements of the United
States Civil Rights Act of 1964 as amended and Executive Order No. 11246
entitled "Equal Employment Opportunities" and the regulations issued pursuant
thereto as contained in 41 CFR Part 60 and/or any other Federal or State
regulation or laws.

     (c) The Provider agrees to observe and comply with the Federal regulations
contained in 45 CFR 84 entitled "Non-discrimination on the Basis of Handicap;
Programs and Activities Receiving or Benefitting from Federal Financial
Assistance."


                                       11
<PAGE>


     18. The terms of reimbursement for medical assistance services (pursuant to
Title XIX of the Federal Social Security Act) shall be The said terms of
reimbursement shall be as promulgated by the New York State Department of Social
Services for the term 1/1/96 through 12/31/96.

     Unless otherwise stated, the rate of payment set forth shall be the total
gross amount of payment and no additional reimbursement to the Provider will be
made for any subsidiary or other services supplementary to or in addition to the
terms herein set forth. Payment of this rate is contingent upon approval of said
rate by the New York State Department of Social Services for the indicated time
period. The Department will not obligated to pay said rate if it is not
approved.

     19. The parties agree to renegotiate this agreement in the event that the
Department of Health and Human Services of the New York State Department of
Social Services issue new or revised requirements on the Department as a
condition for receiving continued Federal or State reimbursement.

     20. This agreement may be amended whenever determined by the District and
the Contractor(s), if such amendments are approved by the New York State
Department of Social Services. All amendments must be in writing, duly signed by
both parties, and be annexed to the contract.

     21. This agreement contains all the terms and conditions agreed upon by the
parties. All items incorporated by reference are to be attached. No other
understandings, oral or otherwise, regarding the subject matter of this
agreement, shall be deemed to exist or to bind any of the parties hereto.

     22. This Agreement may be terminated by either party upon 30 days written
notice to the other party.

     23. This Agreement shall be governed by the applicable laws of the State of
New York.

     24. Should any of the provisions of this Agreement be determined to be
unenforceable, than that determination shall have no effect on the remaining
terms of this Agreement which shall remain in full force and effect for the term
of this Agreement.

     25. The district will furnish the following information to the contractor
in each case where the client has signed the appropriate authorization to
release information.

     (a)      most recent social assessment
     (b)      most recent nursing assessment
     (c)      most recent physician's evaluation
     (d)      name and address of closest relative or responsible person
     (e)      each succeeding assessment and/or evaluation


                                       12
<PAGE>


     26. The contractor agrees to notify the district the same day the
contractor learns a client enters a hospital or another institution, leaves
his/her residence for any reason or moves to a new address.

     27. The contractor agrees to furnish upon request of the district
information regarding client's progress or changes in composition of the
client's household. Contractor will advise the district of available informal
family support.

     28. The district agrees to furnish the contractor the information
stipulated above in section (1) and (2) if the district obtains this information
first.

     29. If the contractor or agent thereof in the course of duty discovers or
has reason to believe that there are irregularities concerning any family or
individual serviced by employees of the contractor under the terms of this
contract and involving child neglect or abuse the contractor shall at once
notify the district and thereafter cooperate fully in supplying information
concerning such matters as may be requested by the district.

     30. Sections twenty-five through twenty-nine (25-29) as set forth above
were approved in writing by the New York State Department of Social Services on
February 6, 1980.

     31. The provider shall obtain and maintain in full force and effect
liability or other insurance in an amount equal to $1,000,000.00 that protects
the local District and/or the New York State Department of Social Services from
any potential liability that may accrue as a result of any actions of the
provider; such coverage may be an endorsement to an existing policy of the
provider. Regardless of form or manner of coverage, the insurer shall be
requested by the provider to provide the local District with a written
acknowledgment of coverage, the terms and conditions thereof, and a commitment
to notify the District within ten (10) days before any cancellation, reduction
or other change in coverage becomes effective (pursuant to usual insurance "hold
harmless" or "loss payee" provisions). 

     The provider hereby agrees to indemnify and hold harmless the District from
any and all claims, causes of action or proceedings in any forum whatsoever for
personal injuries or property damage.

     32. Section thirty-one (31) as set forth above was approved in writing by
the New York State Department of Social Services on February 17, 1981.

     33. The contractor will provide telephone coverage on a twenty-four hour,
seven days per week basis, in order to ensure that any emergencies which may
arise are handled in a timely and adequate manner.

     34. Section thirty-three (33) as set forth above was approved in writing by
the New York State Department of Social Services on October 21, 1982.



                                       13
<PAGE>


     35. The parties hereto agree to abide by all the items and requirements as
set forth in Contract Attachment A, hereto annexed and made a part hereof, or as
the same may be amended by amendments hereto.

     IN WITNESS WHEREOF, the parties hereunto have signed and executed this
agreement on the date(s) indicated opposite their respective signatures.

                                        ORANGE COUNTY

DATE: 2/16/96                           /s/ Joseph G. Rampe
      -------                           ----------------------------------------
                                        JOSEPH G. RAMPE, COUNTY EXECUTIVE




                                        NEW YORK HEALTH CARE, INC.

DATE: 2/1/96                            /s/ Jerry Braun CEO
      -------                           ----------------------------------------

                                        BY: C.E.O. JERRY BRAUN



                                       14
<PAGE>


                              CONTRACT ATTACHMENT A

     The parties to the Purchase of Service agreement made on the 22nd day of
January, 1996, By and Between the ORANGE COUNTY DEPARTMENT OF SOCIAL SERVICES,
located at Quarry Road, Box Z, Goshen, New York 10924, hereinafter called the
Department and NEW YORK HEALTH CARE, INC. located at 1667 FLATBUSH AVENUE,
BROOKLYN, NEW YORK 11210 hereinafter called the Contractor do hereby agree that
this Attachment A is part and parcel of aforesaid agreement and do further
covenant and agree as follows:

     A. If and so long as funds are available therefore, the Contractor shall
furnish services to the Department in accordance with standards prescribed by
the Department and the State Department of Social Services.

     B. If and so long as funds are available therefore, the Department shall
purchase from the Contractor, any or all of the services set forth in this
agreement which the Contractor may furnish to the Department.

     C. The Contractor shall furnish such services in accordance with applicable
requirements of law and shall cooperate with the Department, as may be required
so that the Department and the New York State Department of Social Services will
be able to fulfill their function and responsibilities as the Single State
Agency under Title IV-D and the other applicable provisions of the Social
Security Act and the Social Services Law and be able to meet all of the
applicable requirements, both State and Federal pertaining thereto.

     D. The Contractor, upon the request of the Department shall participate in
support proceedings, paternity proceedings, appeals and fair hearings as
witnesses when necessary for a determination of the issues.

     E. The Contractor agrees to maintain books, records, documents, and other
evidence and accounting procedures and practices which sufficiently and properly
reflect all direct and indirect costs of any nature expended in the performance
of this agreement.

     These records shall be subject at all reasonable times for inspection,
review, or audit by State personnel and other personnel duly authorized by the
Department, as well as by Federal personnel.

     The Contractor agrees to collect statistical data of a fiscal nature on a
regular basis and to make fiscal statistical reports at times prescribed by and
on forms furnished by the Department.

     The Contractor agrees to include these requirements in all subcontracts and
assignments.

     F. Contractor agrees to maintain program records required by the Department
and agrees that a program and facilities review, including meetings with
interviewees, review of service records, review of service policy and procedural
issuances, review of staffing ratios and job descriptions, and meetings with any
staff directly or indirectly involved in the provision of



                                       15
<PAGE>


service may be conducted at a reasonable time by appropriate State and Federal
personnel and other persons duly authorized by the Department.

     The Contractor agrees to maintain program statistical records required by
the Department and to produce program narative and statistical data at times
prescribed by, and on forms furnished by, the Department.

     The Contractor agrees to include these requirements in all subcontracts and
assignments.

     G. The Contractor agrees to retain all books, records, and other documents
relevant to this agreement for five years after final payment, Federal and/or
State auditors and any persons duly authorized by the Department shall have full
access to and the right to examine any of said materials during said period. If
an audit by or on behalf of the Federal and/or State Government has begun but is
not completed at the end of the five year period, the records shall be retained
until resolution of the audit findings. The Department of Social Services will
have the right to make copies of the Contractors files during the five year
retention period after termination.

     H. The Contractor shall cooperate in developing a system of reports to be
made periodically as are or may be necessary to comply with applicable Federal
and State requirements.

     I. The Contractor shall inform the Department of problems, delays, or
adverse conditions which will materially impair the ability to obtain the
objectives of the Agreement, as soon as the problems, delays or adverse
conditions become known to the Contractor.

     J. The Contractor shall use as mandated by the Department forms, procedures
and financial controls for carrying out their respective responsibilities under
this Agreement.

     K. The Contractor shall not assign, transfer, convey, or otherwise dispose
of this agreement or Contractor's right, title or interest therein or
Contractor's power to execute this Agreement to any other person or corporation
without prior written approval of the Department (which shall be attached to the
original agreement) and subject to such conditions and provisions as the
Department may deem necessary. No such approval by the Department of any
assignment, transfer conveyance or other disposition shall be deemed in any
event or in any manner to provide for the incurrence of any obligation of the
Department in addition to the total agreed upon prices.

     L. The Contractor agrees to limit the use or disclosure of information
concerning applicants or recipients of child support enforcement services to
purposes directly connected with:

     (1) The administration of the plan or program approved under parts A, B, C,
     D of Title IV or under titles I, X, XIV, XVI, XIX, or XX of the
     supplemental security income program established under Title XVI.


                                       16
<PAGE>


     (2) Any investigations, prosecution or criminal or civil proceeding
     conducted with the administration of any such plan or program, and

     (3) The administration of any other Federal or Federally assisted program
     which provides assistance, in cash or in-kind services, directly to
     individuals on the basis of need.

     The Contractor further agrees that the names or addresses of persons
applying for or receiving public assistance and care shall not be included in
any published report or printed in any newspaper or reported at any public
meeting except meetings of the county board of supervisors, city council, town
board or other board or body authorized and required to appropriate funds for
public assistance and care in and for such county, city or town: nor shall such
names and addresses and the amount received by or expended for such persons be
disclosed, except to the commissioner of Social Services or her authorized
representative, such county, city or town board or body or its authorized
representative, any other body or official required to have such information
properly to discharge its or his duties, or by authority of such county, city or
town appropriating board or body or of the social services official of the
county, city or town, to a person or agency considered entitled to such
information.

     The Contractor agrees not to solicit, disclose, receive, make use of, or
authorize, knowingly permit, participate in or acquiesce in the use of
information relating to any applicant for or recipient of public assistance or
care for commercial or political purposes.

     This section shall survive the termination of this agreement.

     M. In all subcontracts, The Contractor agrees to comply with the
requirements of the Civil Rights Act of 1964, and Executive Order number 11246,
entitled, "Equal Employment Opportunity."

     N. The Contractor agrees to comply with new or revised requirements issued
by the Department of Health, Education and Welfare, or the New York State
Department of Social Services.

     O. This agreement may be amended whenever determined necessary by the
Department and the Contractor. All amendments must be in writing, duly signed by
both parties and be annexed to the contract.

     P. This agreement contains all the terms and conditions agreed upon by the
parties. All items incorporated by reference are to be attached. No other
understandings, oral or otherwise, regarding the subject matter of this
agreement, shall be deemed to exist or to bind any of the parties hereto.

     Q. The parties to the attached contract further agree to be bound by the
following, which are hereby made a part of said contract:



                                       17
<PAGE>



     (1) This contract may not be assigned by the contractor or its right, title
     or interest therein assigned, transferred, conveyed, sublet or disposed of
     without the previous consent, in writing, of the State.

     (2) This contract shall be deemed executory only to the extent of money
     available to the State for the performance of the terms hereof and no
     liability on account thereof shall be incurred by the State of New York
     beyond moneys available for the purpose thereof.

     (3) The contractor specifically agrees, as required by Labor Law, Sections
     220 and 220-d. as amended, that:

          (a) no laborer, workman or mechanic, in the employ of the contractor,
     subcontractor or other person doing or contracting to do the whole or any
     part of work contemplated by the contract shall be permitted or required to
     work more than sixteen hours in any one calendar day or more than six days
     in any one week, except in the emergencies set forth in the Labor Law.

          (b) The wages paid for a legal day's work shall be not less than the
     prevailing rate of wages as defined by law.

          (c) The minimum hourly rate of wage to be paid shall not be less than
     that stated in the specifications, and any redetermination of the
     prevailing rate of wages after the contract is approved shall be deemed to
     be incorporated herein by reference as to the effective date of
     redetermination and shall form a part of these contract documents.

     (4) The Labor Law provides that the contract may be forfeited and no sum
     paid for any work done thereunder on a second conviction for willfully
     paying less than...

          (a) the stipulated wage scale as provided in Labor Law, Section 220,
     subdivision 3, as amended, or

          (b) less than the stipulated minimum hourly wage scale as provided in
     Labor Law, Section 220-d, as amended.

     (5) The contractor specifically agrees, as required by the provisions of
     the Labor Law, Section 220-e as amended, that....

          (a) In hiring of employees for the performance of work under this
          contract or any subcontract hereunder, or for the manufacture, sale or
          distribution of materials, equipment or supplies hereunder, no
          contractor, subcontractor nor any person acting on behalf of such
          contractor or subcontractor, shall by reason of race, creed, color,
          sex or national origin discriminate against any citizen of the State
          of New York who is qualified and available to perform the work to
          which the employment relates.



                                       18
<PAGE>


          (b) No contractor, subcontractor, nor any person acting on his behalf
          shall, in any manner, discriminate against or intimidate any employee
          hired for the performance of this contract on account of race, creed,
          color, sex or national origin.

          (c) There may be deducted from the amount payable to the contractor by
          the State under this contract a penalty of five dollars for each
          person for each calendar day during which such person was
          discriminated against or intimidated in violation of the provisions of
          the contract, and

          (d) This contract may be canceled or terminated by the State or
          municipality and all monies due or to become due hereunder may be
          forfeited for a second or any subsequent violation of the terms or
          conditions of this section of the contract, and

          (e) The aforesaid provisions of this section covering every contract
          for or on behalf of the State or a municipality for the manufacture,
          sale or distribution of materials, equipment or supplies shall be
          limited to operations performed within the territorial limits of the
          State of New York.

     (6) (a) By submission of this bid, each bidder and each person signing on
     behalf of any bidder certifies, and in the case of a joint bid each party
     thereto certifies as to its own organization, under penalty of perjury,
     that to the best of his knowledge and belief:

          (1) The prices in this bid have been arrived at independently without
     collusion, consultation, communication or agreement, for the purpose of
     restricting competition, as to any matter relating to such prices with any
     other bidder or with any other competitor;

          (2) Unless otherwise required by law; the prices which have been
     quoted in this bid have not been knowingly disclosed by the bidder and will
     not knowingly be disclosed by the bidder prior to opening, directly or
     indirectly, to any other bidder or to any other competitor;

          3) No attempt has been made or will be made by the bidder to induce
     any other person, partnership or corporation to submit or not to submit a
     bid for the purpose of restricting competition. 

     (b) A bid shall not be considered for award nor shall any award be made
     where (a)(1)(2) and (3) above have not been complied with provided,
     however, that if in any case the bidder can not make the foregoing
     certification, the bidder shall so state and shall furnish with the bid a
     signed statement which sets forth in detail the reasons therefore. Where
     (a)(1)(2) and (3) above have not been complied with, the bid shall not be
     considered for award nor shall any award be made unless the head of the
     purchasing unit of the State, public department or agency to which the bid
     is made, or his designee, determined that such disclosure was not made for
     the purpose of restricting competition.



                                       19
<PAGE>


     The fact that a bidder (a) has published price lists, rates, or tariffs
     covering items being procured, (b) has informed prospective customers of
     proposed or pending publication of new or revised price lists for such
     items, or (c) has sold the same items to other customers at the same price
     being bid, does not constitute, without more, a disclosure within the
     meaning of subparagraph one (a).

     7. During the performance of this contract, the contract agrees as follows:

     (a) The contractor will not discriminate against any employee or applicant
     for employment because of race, creed, color, sex, national origin, age
     disability or marital status.

     (b) If directed to do so by the Commissioner of Human Rights, the
     contractor will send to each labor union or representative of works with
     which the contractor has or is bound by a collective bargaining or other
     agreement or understanding, a notice, to be provided by the State
     Commissioner of Human Rights, advising such labor union or representative
     of the contractor's agreement under clauses (a) through (g) (hereinafter
     called "non-discrimination clauses"). If the contractor was directed to do
     so by the contracting agency as part of the bid or negotiation of this
     contract, the contractor shall request such labor union or representative
     to furnish a written statement that such labor union or representative will
     not discriminate because of race, creed, color, sex, national origin, age,
     disability or marital status, and that such labor union or representative
     will cooperate within the limits of its legal and contractual authority, in
     the implementation of the policy and provisions of these non-discrimination
     clauses and that it consents and agrees that recruitment, employment and
     the terms and conditions of employment under this contract shall be in
     accordance with the purposes and provisions of these non-discrimination
     clauses. If such labor union or representative fails or refuses to comply
     with such a request that it furnish such a statement, the contractor shall
     promptly notify the State Commissioner of Human Rights of such failure or
     refusal.

     (c) If directed to do so by the Commissioner of Human Rights, the
     contractor will post and keep posted in conspicuous places, available to
     employees and applicants for employment, notices to be provided by the
     State Commissioner of Human Rights setting forth the substance of the
     provisions of clauses (a) and (b) and such provisions of the State's laws
     against discrimination as the State Commissioner of Human Rights shall
     determine.

     (d) The contractor will state, in all solicitations or advertisements for
     employees placed by or on behalf of the contractor, that all qualified
     applicants will be afforded equal employment opportunities without
     discrimination because of race, creed, color, sex, national origin, age,
     disability or marital status.

     (e) The contractor will comply with the provisions of Sections 290-299 of
     the Executive Law and with the Civil Rights Law, will furnish all
     information and reports



                                       20
<PAGE>


     deemed necessarily by the State Commissioner of Human Rights under these
     nondiscriminatory clauses and such sections of the Executive Law, and will
     permit access to the contractor's books, records and accounts by the State
     Commissioner for the purposes of investigation to ascertain compliance with
     these non-discrimination clauses and such sections of the Executive Law and
     Civil Rights Law.

     (f) This contract may be forthwith canceled, terminated or suspended, in
     whole or in part, by the contracting agency upon the basis of a finding
     made by the State Commissioner of Human Rights that the contractor has not
     complied with these non-discrimination clauses, and the contract may be
     declared ineligible for future contracts made by or on behalf of the State
     or a public authority or agency of the State, until the contractor has
     established and is carrying out a program in conformity with the provisions
     of these non-discrimination clauses. Such finding shall be made by the
     State Commissioner of Human Rights after conciliation efforts by the
     Commissioner has failed to achieve compliance with these non-discrimination
     clauses and after a verified complaint has been filed with the
     Commissioner, notice thereof has been given to the contractor and an
     opportunity has been afforded the contractor to be heard publicly in
     accordance with the Executive Law. Such sanctions may be imposed and
     remedies invoked independently of or in addition to sanctions and remedies
     otherwise provided by law.

     (g) The contractor will include the provisions of clauses (a) through (f)
     in every subcontract or purchase order in such a manner that such
     provisions will be binding upon each subcontractor or vendor as to
     operations to be performed within the State of New York. The contractor
     will take such action in enforcing such provisions of such subcontract or
     purchase order as the State Commissioner of Human Rights or the contracting
     agency may direct, including sanctions or remedies for non-compliance. If
     the contractor becomes involved in or is threatened with litigation with a
     subcontract or vendor as a result of such direction by the State
     Commissioner of Human Rights or the contracting agency, the contractor
     shall promptly so notify the Attorney General, requesting the Attorney
     General to intervene and protect the interests of the State of New York.

     (8) The agreement shall be void and of no force and effect unless the
contractor shall provide such coverage for the benefit of, and keep covered
during the life of this agreement, such employees as are required to be covered
by the provisions of the Worker's Compensation Law.

     (9) In accordance with Section 220-f of the Labor Law and Section 139-h of
the State Finance Law and the regulations of the Comptroller of the State of New
York promulgated thereunder, the contractor agrees, as a material condition of
the contract

     (a) That neither the contractor nor any substantially owned or affiliated
     person, film, partnership or corporation has participated, is
     participating, or shall participate in an international boycott in
     violation of the provisions of the United States Export



                                       21
<PAGE>


     Administration Act of 1969, as amended, or the Export Administration Act of
     1979. as amended, or the regulations of the United States Department of
     Commerce promulgated thereunder;

     (b) That if the contractor or any substantially owned or affiliated person,
     firm, partnership or corporation has been convicted or subjected to a final
     determination by the United States Department of Commerce or any other
     appropriate agency of the United States of a violation of the United States
     Export Administration Act of 1969, as amended, or the Export Administration
     Act of 1979, as amended, or the regulations of the United States Department
     of Commerce promulgated thereunder, the contractor shall notify the
     Comptroller of such conviction or determination in the manner prescribed by
     the Comptroller's regulations.

     R. When the Contractor has materially failed to comply with the terms and
conditions of this agreement, the Department may, in whole or in part, terminate
this Agreement after giving reasonable notice to the Contractor of the reason.
The Department may take such other remedies as may be legally available and
appropriate.

     S. This Agreement may be terminated by either party upon thirty days
written notice to the other party deliverable to the addresses first set forth
above.

     T. In the event this Agreement is terminated, suspended, revoked, nullified
or voided, the Department, as a settlement, agrees to pay the Contractor for
services performed under this contract which have been completed prior to such
termination, suspension, revocation, nullification or voiding. The Department
may at its discretion pay for necessary and proper costs, which the Contractor
could not reasonably avoid, for services begun but not completed prior to the
termination, suspension, revocation, nullification or voiding of this Agreement;
provided such costs would have otherwise been allowable.

     U. For contracts in excess of $100,000., the Contractor agrees to comply
with all applicable standards, orders, or regulations issued pursuant to the
Clean Air Act of 1970 as amended (42 U.S.C. 1857b et seq.)

     V. This Agreement shall be governed by the applicable laws of the State of
New York.

     W. Should any of the provisions of this Agreement be determined to be
unenforceable, than that determination shall have no effect on the remaining
terms of this Agreement which shall remain in full force and effect for the term
of this Agreement.



                                       22
<PAGE>


     IN WITNESS WHEREOF, the parties have hereunto signed this Agreement on the
day and year appearing opposite their respective signatures.

                                        ORANGE COUNTY

DATE: 2/16/96                           /s/ Joseph G. Rampe
      -------                           ----------------------------------------
                                        JOSEPH G. RAMPE, COUNTY EXECUTIVE




                                        NEW YORK HEALTH CARE, INC.

DATE: 2/1/96                            /s/ Jerry Braun CEO
      -------                           ----------------------------------------

                                        BY: C.E.O. JERRY BRAUN
                                           ----------------------


                                       23
<PAGE>


                                    ADDENDUM

                 (To provider for nursing supervision services)

                                in relation to an

                 AGREEMENT BETWEEN A LOCAL DEPARTMENT OF SOCIAL

                 SERVICES AND A CONTRACTING AGENCY FOR PERSONAL

                  CARE SERVICE (PURSUANT TO TITLE 11 OF ARTICLE

                 5 OF THE NEW YORK SOCIAL SERVICES LAW AND TITLE

                  XIX OF THE UNITED STATES SOCIAL SECURITY ACT)

                          (FOR TITLE XIX SERVICES ONLY)

                            ADDENDUM TO AN AGREEMENT

            Between: THE ORANGE COUNTY DEPARTMENT OF SOCIAL SERVICES

                        and : NEW YORK HEALTH CARE, INC.



                                       24
<PAGE>


     WHEREAS, an agreement has been or is simultaneously being executed between
the parties hereto for the provision of home health care and personal care
services; and,

     WHEREAS, nursing supervision for personal care may be provided by a
registered nurse who is an employee of a voluntary or proprietary agency
pursuant to New York State Department of Social Services Regulation 18 NYCRR
505.14 (f)(3)(iii); and,

     WHEREAS, the local social services department has requested and obtained an
exception from the New York State Department of Social Services to use a nurse
supervisor from a voluntarily or proprietary agency pursuant to regulation 18
NYCRR 505.14 (f)(3)(iii); and,

     WHEREAS, the contractor(s) herein represent(s) that he, she, it, or they
will provide said nursing supervision services as authorized pursuant to Title
XIX of the Federal Social Security Act and applicable state law and which are
eligible for reimbursement thereto

     NOW, THEREFORE, the parties signing and executing this instrument do in
consideration of the above covenant and agree as follows:

     A. All the terms and conditions contained in the agreement to which this
     addendum is appended, shall continue in effect and the terms and conditions
     in this addendum are to be supplementary and subordinate thereto.

     B. The Contractor(s) agree(s) to provide nursing supervision for personal
     care as defined in the New York State Department of Social Services
     Regulation 18 NYCRR 505.14 (f)(3) for services rendered to recipients of
     medical assistance (Medicaid), as defined in Title 11 of Article 5 of the
     New York State Social Services Law and/or Title XIX of the Federal Social
     Security Act, if requested to provide said services by a social services
     district subject to the conditions set forth in the regulations of the New
     York State Department of Social Services (18 NYCRR 505.14 or superseding
     provisions); said nursing supervision services shall be rendered subject to
     the same terms and conditions set forth personal care services in the
     agreement to which this addendum is appended.

     C. The Contractor(s) agree(s) that all nursing supervision services
     performed under its direction shall be performed by a registered nurse who
     possesses the qualifications required by the New York State Department of
     Social Services Regulation 505.14 (f)(3)(iii)(b) and/or 505.14 (f)(3)(ii)
     and/or any other state or federal law and/or regulations; all persons
     rendering such nursing supervision services shall be employees of the
     Contractor(s) in accordance with the requirements of Regulation 505.14
     (f)(3)(iii)(c).



                                       25
<PAGE>


     D. The terms of reimbursement for nursing supervision services rendered
     pursuant to this addendum shall be effective only if said rates are
     approved by the New York State Department of Social Services and the
     Director of the Budget and do not conflict with the rates authorized or
     accepted by the New York State Department of Health. The said terms of
     reimbursement shall be as follows:

          The Orange County Department of Social Services shall reimburse the
          Contractor for nursing supervision of personal care workers at the
          flat rate per client every ninety (90) days. In the case of shared
          aides, there shall be six (6) nursing supervision visits in the first
          six months of care. The said terms of reimbursement shall be as
          promulgated by the New York State Department of Social Services.

          The nurse supervisor shall make an orientation visit to the client's
          home at the time of initial assessment and shall make home visits to
          supervise the personal care worker as needed but no less than once
          every ninety (90) days.

          The flat rate is an all inclusive rate which covers all visits made by
          the nurse supervisor every ninety (90) days. No additional payment
          will be forthcoming for visits made more frequently than once every
          ninety (90) days. Payment of this rate is contingent upon approval of
          said rate by the New York State Department of Social Services for the
          indicated time period. The Department will not obligated to pay said
          rate if it is not approved. If the NYSDSS fails to grant approval, the
          Provider will have the option to renegotiate.

          It shall be the responsibility of the Contractor to bill the local
          department on the forms and according to the procedure stipulated by
          the Department.

          Unless otherwise stated, the rate of payment set forth shall be the
          total gross amount of payment, and no additional reimbursement to the
          provider will be made for any subsidiary or other services
          supplementary or in addition to the terms herein set forth.

     E. A copy of the authorization of the New York State Department of Social
     Services for the exception to use a nurse supervisor from a voluntary or
     proprietary agency pursuant to 18 NYCRR 505.14 (f)(3)(iii) shall be
     appended hereto and its terms made a part hereof; this addendum shall be
     effective no longer than any time period set forth in said exception and
     shall not be effective unless said exception satisfies the annual
     evaluation and approval requirements set forth in 18 NYCRR 505.14
     (f)(3)(iii)(a). In the event that a modification of the exception is made
     during the terms of this addendum or agreement, the Contractor(s) agree(s)
     to be bound by the terms of said modified exception subsequent to being
     notified of said modification.



                                       26
<PAGE>


     F. This addendum shall be valid and binding for the time period set forth
     in the agreement to which this addendum is appended unless a shorter period
     of effectiveness is set forth below:

     G. This addendum contains all the additional terms and conditions agreed
     upon by the parties. All items incorporated by reference are to be
     attached. No other understandings, oral or otherwise, regarding the subject
     matter of this agreement, shall be deemed to exist, or bind any of the
     parties hereto, and any amendments, modifications, or revisions shall be
     subject to the terms and/or conditions set forth in the agreement to which
     this addendum is appended.

     IN WITNESS WHEREOF, the parties hereunto have signed and executed this
agreement on the date(s) indicated opposite their respective signatures.

                                        ORANGE COUNTY

DATE: 2/16/96                           /s/ Joseph G. Rampe
      -------                           ----------------------------------------
                                        JOSEPH G. RAMPE, COUNTY EXECUTIVE




                                        NEW YORK HEALTH CARE, INC.

DATE: 2/1/96                            /s/ Jerry Braun CEO
      -------                           ----------------------------------------

                                        BY:  JERRY BRAUN C.E.O.
                                            ----------------------



                                       27
<PAGE>


                                    ADDENDUM

     "Notwithstanding any other provisions in this contract, the licensed home
care services agency remains responsible for: (a) ensuring that any service
provided pursuant to this contract complies with all pertinent provisions of
Federal, State and local statutes, rules and regulations; (b) ensuring the
quality of all services provided by the agency; and (c) ensuring adherence by
agency staff to the agency plan of care established for patients."

     IN WITNESS WHEREOF, the parties hereunto have signed and executed this
addendum on the date(s) indicated opposite their respective signatures.

                                        ORANGE COUNTY

DATE: 2/16/96                           /s/ Joseph G. Rampe
      -------                           ----------------------------------------
                                        JOSEPH G. RAMPE, COUNTY EXECUTIVE




                                        NEW YORK HEALTH CARE, INC.

DATE: 2/1/96                            /s/ Jerry Braun CEO
      -------                           ----------------------------------------

                                        BY:  JERRY BRAUN C.E.O.
                                            ----------------------



                                       28


                           NEW YORK METHODIST HOSPITAL
                          CERTIFIED HOME HEALTH AGENCY
                        AGREEMENT WITH AIDE ORGANIZATION

     AGREEMENT dated February 28, 1996 between NEW YORK METHODIST HOSPITAL,
CERTIFIED HOME HEALTH AGENCY ("CHHA") located at 506 Sixth Street, Brooklyn, New
York 11215 and NEW YORK HEALTH CARE (AIDE ORGANIZATION) located at 175 Fulton
Avenue, Suite 501, Hempstead, New York, 11550.

     WHEREAS, the Certified Home Health Agency (hereinafter "CHHA") licensed by
the State of New York; and

     WHEREA8, the Aide Organization (hereinafter "AO") licensed to provide Home
Health Aide Services in the State of New York; and

     WHEREAS, "AO" desires to provide Home Health Aide services to the CHHA and
CHHA desires to avail itself of such services.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein
the CHHA and AO agree as follows:

     1.   It shall be the sole responsibility of the CHHA to assess the need for
          home health aide service and the resources of the patient and the
          patient's family.

     2.   CHHA shall request the AO to provide health aide services. The number
          of aides required is at the sole discretion of the CHHA. No
          substitutions shall be made after assignments without permission of
          the CHHA.

     3.   The patient is to be accepted for home health care only by the CHHA,
          which will be responsible for the development and revision of the plan
          of care. The AO shall receive a copy of the plan of care for all
          patients. The AO and/or its aides will not alter the plan
          unilaterally.

     4.   The CHHA shall maintain total responsibility for determining and
          carrying out the discharge planning for each service provided to all
          Home Care patients. Home Care shall notify all agencies and vendors of
          the termination date of their service.

     5.   The CHHA shall determine the scope and duration of the aide's
          activities on each assignment, provide orientation to the assigned
          patient, on site instruction and orientation to keeping the necessary
          records.

     6.   The CHHA shall supervise and evaluate the performance of the aide
          during the hours of assignment to the CHHA patient. The CHHA shall
          submit a copy of the written performance evaluation to the AO at least
          yearly.

                                       1
<PAGE>


     7.   The aide shall document care rendered on a visit basis in accordance
          with the plan of care set up by the CHHA. Such documentation shall be
          submitted to the CHHA within one week of services provided. At a
          minimum, such documentation shall consist of a checklist reflective of
          the care provided as specified by the CHHA. In addition, as well as
          being documented, any unusual situation or circumstance which impacts
          on the safe care of the patient shall be transmitted verbally to the
          registered nurse or other appropriate CHHA supervision personnel by
          the aide as soon as is practical.

     8.   The AO shall make aide services available to the CHHA 24 hours a day,
          seven days a week. The AO shall provide aide services to patients of
          the CHHA in such patients' homes or places of residence.

     9.   The AO shall make aides providing patient care available to
          participate in patient care conferences upon the request of the CHHA
          at the usual hourly rate.

     10.  The CHHA shall have the right, at any time, to shorten, terminate,
          lengthen or change the assignment of the aide on oral or written
          notice to the AO.

     11.  The CHHA shall be responsible for the distribution of the Patient Bill
          of Rights and Advance Directives.

     12.  Both the CHHA and the AO shall:

          A.   Designate a person within their respective organizations who
               shall have the responsibility for coordinating the assignments of
               aides.

          B.   Consult and cooperate with each other in establishing mutually
               acceptable standards and procedures for handling employee
               grievances and patient complaints, the selection and assignment
               of aides, handling of requests, including requests for emergency
               aide service, billing procedures and other matters incidental to
               carrying out the provision and purposes of this agreement.

          C.   Not discriminate in the provision of home health aide services,
               in regard to race, color, sex, creed, national origin or source
               of payment, except for fiscal capability thereof.

     13.  The AO shall provide only such aide personnel as meet the requirements
          specified in (a) the New York State Health and Hospital Code and/or
          directives of the New York State Department of Health, and (b) the
          policies and standards of the CHHA, state, city or county, and any
          other government agency that might assert jurisdiction, as such
          requirements are subject to revision.


                                       2
<PAGE>

     14.  The AO shall maintain a record of assignments for each aide; complete
          personnel records which shall include verifications of qualifications,
          references, reports of medical examinations and tests, including
          immunizations, performance evaluations; and documentation of required
          in-service training annually. Copies of these will be forwarded to the
          CHHA upon request.

     15.  The aides shall be deemed to be employees of the AO. The CHHA shall
          have no direct or indirect responsibility for any of the incidents of
          employment. The AO shall have the direct responsibility for all
          incidents of employment including payment of wages and other
          compensation, reimbursement of expenses, and compliance with federal,
          state and local tax withholding requirements including those
          pertaining to worker's compensation, social security and unemployment.

     16.  The AO shall, at its own cost and expense, procure and maintain
          insurance to cover the aide personnel assigned under the terms of the
          Agreement of at least the following types; Professional liability
          insurance; Comprehensive general liability insurance relative to the
          activities resulting from assignments under this Agreement, and any
          other employee's liability insurance required by law for an employer
          to carry with regard to its employees. CHHA reserves the right to
          require the AO to obtain reasonable additional insurance from time to
          time due to changes in economic conditions. The CHHA shall be listed
          as certificate holder insured on the policies referred to above. The
          Certificate of Insurance shall provide for at least thirty (30) days'
          notice to the CHHA of cancellation of any of the insurance.

     17.  The AO agrees to hold free and harmless and to indemnify the CHHA, its
          officers, directors, employees, agents and affiliates against any and
          all claim, loss, damage and/or liability by reason for any acts or
          acts of commission or omission by any officer, director, agent,
          employee or affiliate of the AO. All injury, damage or loss to persons
          or property caused in whole or in part by AO or anyone employed
          directly or indirectly by it, or by anyone for whose acts it may be
          liable, shall be the responsibility of the AO. The indemnification
          obligation under this Agreement shall include the payment of
          reasonable attorneys' fees and court costs incurred in contesting or
          defending against any such claim or liability.

     18.  The AO shall submit a statement, each week, to the CHHA setting forth
          at least the following on a per-visit or a per-patient care conference
          basis: the aide services performed, the aide who performed the
          services, the patient to whom services were performed, the hours
          worked in performing the services and the amount due the AO. The CHHA
          will pay to the AO an hourly fee for only the time the aide was
          actually present in the patient's home or at a patient care
          conference. Payment shall be made within ninety (90) days after
          submission of such statement and upon verification of the items
          contained therein.

                                       3
<PAGE>


     19.  Neither the AO nor the aide shall charge or accept any fee, gifts or
          other remuneration from the patient or patient's family for aide
          services provided under the CHHA's plan of treatment.

     20.  The AO shall give a two hour cancellation notice to the CHHA should
          the client not be at home or refuse entry when the employee arrives.
          The AO shall bill two hours show-up time to the CHHA.

     21.  The AO shall maintain records of all financial transactions with the
          CHHA. Such records shall be kept in accordance with standard
          accounting practices and each transaction shall be fully documented.
          Such records shall be made available to the CHHA, the State Department
          of Health or any other governmental agency as might assert
          jurisdiction for inspection or audit upon request.

     22.  The parties agree that if, to the extent and for the times required by
          Federal Regulations, 42 CFR Part 420, Subpart D entitled "Program
          Integrity, Access to Books, Documents and Records of Subcontractors",
          or any amendments or recodification thereof, the AO shall provide for
          access by the Comptroller General of the United States and the
          Secretary of Health and Human Services or their duly authorized
          representatives, those books, documents and records of the AO, and
          organizations related to the AO by control or common ownership
          necessary to verify the nature and extent of the costs of the services
          provided by the AO.


     23.  The CHHA in accordance with Section 766.2(2) of Licensed Home Care
          Service Agency Organization and Administration agrees to maintain
          the patient assessment, plan of care, clinical record entries,
          supervisory notes, and medical orders, and to permit access to such
          records to designated professional staff of the licensed agency
          provided such access to clinical records and CHHA staff is on the
          premises of the CHHA and at the discretion of the Administrator.
                     

     24.  If the AO or an organization related to it by control or common
          ownership is requested to provide access to its books and records
          voluntarily or by compulsory process, the AO shall notify CHHA
          within ten (10) days after receipt of the request for access and shall
          provide a copy of any notice, demand, request or process received by
          it. The CHHA shall have the right, at its own expense, to reject any
          notice, demand or request and defend any process, if it deems the
          information sought to be privileged.

                                       4
<PAGE>

     25.  The name New York Methodist Hospital or any portion thereof or any
          statement which may implicitly refer directly or indirectly to New
          York Methodist Hospital or impute any affiliation directly or
          indirectly with New York Methodist Hospital shall not be used in any
          manner by the AO without prior written consent in each instance.

     26.  Notwithstanding any other provisions in this contract, the licensed AO
          and CHHA remain mutually and exclusively responsible for: (a) ensuring
          that any service provided pursuant to this Agreement complies with all
          pertinent provisions of federal, state and local statutes, rules and
          regulations; (b) planning, coordinating and ensuring the quality of
          all services provided; and (c) ensuring adherence to the Plan of Care
          established for patients.

     27.  This Agreement may only be modified or amended by mutual consent of
          the parties. Any such modification or amendment must be in writing
          duly executed by all parties and shall be attached and become part of
          this Agreement.

     28.  This is a non-exclusive agreement and the CHHA reserves the
          unencumbered right to contract with other aide organizations to
          provide aide services.

     29.  This Agreement shall be reviewed annually. Any modification of that
          amendment must be in writing duly executed by all parties and shall be
          attached and become part of this Agreement. This Agreement shall
          remain in force during review and renegotiation.

     30.  This Agreement may be terminated on a least thirty (30) days written
          notice by either party.

     31.  All notices under, pursuant to or in connection with this Agreement
          must be delivered by certified or registered mail to the authorized
          persons of the CHHA and/or AO.

     32.  It is understood that this Agreement constitutes the entire agreement
          between the CHHA and the AO.

     33.  This Agreement shall be governed by and construed in accordance with
          the laws of the State of New York governing agreements made and to be
          performed wholly within the State of New York.

     34.  The parties hereto each represent that they have full corporate power
          to enter into the Agreement and that all corporate action required to
          authorize this Agreement have been taken and that the individual
          executing this Agreement on behalf of each party is authorized to do
          so.

                                       5
<PAGE>


     IN WITNE88 WHEREOF, this Agreement has been duly executed and signed by:

 NEW YORK METHODIST HOSPITAL CHHA                       AIDE ORGANIZATION


By: /s/ BRIDGET HOLDEN                                  By: /s/ JERRY BRAUN
    ------------------------                                -------------------
    Bridget Holden, MSN. RN.
    Administrator/DPS Home Care


Date:   2/26/96                                         Date:  3/6/96



By: /s/ MAUREEN LINDIE
    -------------------------------
    Maureen Lindie, MA. RN.
    Sr. Vice President for Nursing


Date:  3/4/96




                              EMPLOYMENT AGREEMENT

     This  Agreement  made and entered into this 26th day of March 1996,  by and
between New York Health Care, Inc., a New York  corporation,  with its principal
place  of  business  at  1667  Flatbush  Avenue,   Brooklyn,   New  York  11210,
(hereinafter  "Employer" or the "Company"),  and Jacob Rosenberg,  an individual
whose  residential  address  is at 932  East  29th  Street,  Brooklyn,  NY 11210
(hereinafter "Employee").

                              W I T N E S S E T H :

     WHEREAS, Employer is engaged in the business of home health care;

     WHEREAS,  Employee  possesses skills,  knowledge,  abilities and experience
which Employer wishes to continue to avail itself of; and

     WHEREAS, Employer wishes to continue the employment of Employee;

     NOW,  THEREFORE,  in  consideration  of the mutual  covenants  as set forth
herein:

                      THE PARTIES HERETO AGREE AS FOLLOWS:

     1. Employment.  Employer hereby shall employ Employee as the Vice President
and Chief Operating Officer of the Company and to perform such additional duties
and services as may be assigned to him pursuant to Paragraph 3 hereof.  Employee
hereby accepts such  employment,  upon the terms and conditions  hereinafter set
forth.

     2.   Term.  The term of  employment of Employee hereunder shall be for four
years  commencing  as of January 1,  1996,  and ending at the close of  business
December 31, 1999.

     3.   Duties.

          (A)  Employee's  duties shall  include  assisting the  overseeing  and
directing  of the  Company,  locating  and  developing  new  projects  and other
business opportunities for it and generally

                                       1
<PAGE>

promoting and facilitating the Company's  business  objectives.  For purposes of
this paragraph,  Employer's  subsidiaries,  if any, are also  encompassed in the
term "Company".

          (B) During the term of this  Agreement,  Employee  shall  perform such
additional  services  as shall from time to time be assigned to him by the Board
of Directors  or the  Executive  Committee of Employer and which are  consistent
with the duties reasonably  assigned to the Vice President and Secretary of such
size Company.

          (C)  Employee  shall  devote the  majority  of his  business  time and
attention,  energy,  and skill to the  business of  Employer.  The  Employee may
devote a limited  amount of time  which is not  devoted to the  business  of the
Company to the  business of Heart to Heart  Health Care  Services,  Inc.,  a New
Jersey corporation ("Heart to Heart"),  provided that he does not participate in
any  activities  on behalf of Heart to Heart which  compete  with the  Company's
business.

     4.   Annual Compensation; Bonus; Supplemental Compensation.

          (A) For his  services to Employer  during the term of this  Agreement,
Employer  shall pay Employee  all of the salary and benefits  which the Employee
currently receives provided,  however,  that commencing on the effective date of
the  Company's  Initial  Public  Offering  of  its  securities  currently  being
contemplated  (the  "Effective  Date"),  through  December 31, 1999,  Employee's
annual  salary  shall  be  One  Hundred  Forty  Thousand   Dollars   ($140,000),
(hereinafter  "Annual Base Compensation") with an annual increase in Annual Base
Compensation,  commencing on the  anniversary  date of the  Effective  Date (the
"Anniversary  Date")  and  continuing  on the  Anniversary  Date  in  each  year
thereafter  during the term of this Agreement,  equal to 10% of the prior year's
Annual  Base  Compensation,  payable in  accordance  with the  Company's  normal
policies.

                                       2
<PAGE>

          (B) Employee shall be granted  participation  in the Company's  401(k)
Plan and  Performance  Incentive  Plan  normally  allowed by the Company for its
senior  executives,  as  well  as all  other  benefits  available  to any  other
employees of the Company.

     5. Insurance; Other Benefits. As soon as practicable after the commencement
of Employee's services hereunder,  Employer shall obtain and thereafter maintain
in effect at  Employer's  expense  the  insurance  coverage  for the  benefit of
Employee  normally  maintained  by the Company for its senior  executives  which
shall include,  but not be limited to, medical  insurance and dental  insurance.
Employee  shall  receive an annual  allowance  of $3,500  towards the payment of
premiums on $500,000 of term life insurance, and long-term disability insurance,
which insurance may be payable to such beneficiaries as the Employee may direct.

     6. Expenses. Employer will reimburse Employee or cause him to be reimbursed
for all  ordinary  and  necessary  traveling  expenses  and other  disbursements
incurred by him for or on behalf of Employer  in the  performance  of his duties
hereunder.  For such purposes Employee shall submit to Employer periodic reports
of such expenses and other disbursements at least once in each calendar quarter.
Employee  shall also receive a monthly  allowance of $500 towards the lease cost
of an  automobile,  and  reimbursement  of the insurance  cost of the automobile
during the term of this Agreement.

                                       3
<PAGE>

     7. Vacation Time.

          (A) Employee shall be entitled to four (4) weeks vacation in each year
of the full four (4) years of this  Agreement,  which vacations shall be at such
time or times and for such periods as Employee shall choose, consistent with the
reasonable performance of his duties hereunder.

          (B) Employee  shall also be entitled to  additional  personal days for
all Jewish holidays on which work is prohibited in the Orthodox tradition.

     8. Employer's Right to Terminate. Employer shall have the right to
terminate this Agreement for Cause at any time during the period of this
Agreement. "Cause," for all purposes for this Agreement, will be defined as
follows:

          (i)  the death of Employee;

          (ii) the  disability of Employee,  said term being defined as Employee
               becoming physically or mentally incapable of fully performing the
               services  required  of him in  accordance  with  his  obligations
               hereunder,  and such incapacity  continuing,  or being reasonably
               expected to continue,  for more than three (3) consecutive months
               during any period of twelve (12) consecutive months;

         (iii) disloyal, dishonest, or illegal conduct of Employee;

          (iv) knowing failure to substantially  perform his material duties and
               obligations under this Agreement; or

          (v)  any use of illegal drugs or abuse of substances involving alcohol
               or prescription drugs.

In event of termination, the Employee's then Annual Compensation, as provided in
paragraph  4,  above,  shall  be  paid  for a  period  of six  months  following
termination, except that in the case of a

                                       4
<PAGE>


termination pursuant to paragraphs 8(iii), (iv) and (v), such compensation shall
be paid only to the date of termination plus all accrued expenses incurred by
him for and on its behalf. Except for those duties and obligations stated in
Subparagraph 10(B), any and all of Employer's other duties and obligations shall
immediately be extinguished and made null and void and of no further force and
effect.

     9.   Confidentiality.

          (A)  Employee  understands  and  acknowledges  that  as  a  result  of
Employee's  employment  with  Employer  and  involvement  with the  business  of
Employer,   he  shall  necessarily  become  informed  of  and  have  access  to,
confidential information of Employer including, without limitation,  inventions,
trade secrets, technical information, know-how, plans, specifications,  identity
of customers and identity of suppliers,  and that such information,  even though
it may have been or may be developed or otherwise  acquired by Employee,  is the
exclusive  property  of  Employer to be held by Employee in trust and solely for
Employer's  benefit  and  Employee  shall  not at any  time,  either  during  or
subsequent to his employment hereunder,  reveal,  report,  publish,  transfer or
otherwise  disclose to any  person,  corporation  or other  entity or use any of
Employer's confidential information, without its written consent of the Board of
Directors,  except  for use on  behalf of the  Company  in  connection  with its
business,  and except for such information  which legally and legitimately is or
becomes of general public knowledge from authorized sources other than Employer.

          (B) Upon the  termination  of his  employment  with  Employer  for any
reason,  Employee shall promptly deliver to it all drawings,  manuals,  letters,
notes, notebooks, reports and copies thereof and all other materials, including,
without  limitation,  those of a secret  or  confidential  nature,  relating  to
Employer's  business  which are in Employee's  possession  or control.  Employer
shall

                                       5
<PAGE>

reimburse Employee for any packing or moving costs reasonably incurred by him in
connection with the foregoing delivery.

     10. Non-Competition; Restrictive Covenants and Confidentiality; Injunctive
Relief.

          (A) During the term of his employment  with Employer  pursuant to this
Agreement,  or any renewal thereof,  Employee shall not,  directly or indirectly
whether  as  principal,   agent,  shareholder,   employee,   officer,  director,
consultant,  joint-venturer,  partner or otherwise,  own, manage, operate, join,
control or participate in the  ownership,  management,  operation or control of,
render any services to or be connected in any manner with any business  which is
in  direct  competition  with or is of the  type or  character  of any  business
engaged in by Employer or which offers,  sells or markets products,  projects or
services that directly  compete with products,  projects or services  offered by
Employer  or any of its  subsidiaries  or  affiliates,  irrespective  of whether
Employee's  involvement  shall  be  as an  officer,  owner,  employee,  partner,
joint-venturer,  consultant, agent or other participant; provided, however, that
the foregoing  shall not restrict  Employee from rendering  limited  services as
permitted by this  Agreement to Heart to Heart and from making an  investment in
any company the securities of which are listed on a national securities exchange
or actively traded in the  over-the-counter  market,  so long as such investment
does not equal or exceed five percent  (5%) of the total  number of  outstanding
shares of common stock of such company.

          (B) For a period of one year after the  expiration or  termination  of
his employment  with Employer for any reason,  Employee  shall not,  directly or
indirectly,  whether  as  principal,  agent,  shareholder,   employee,  officer,
director, joint-venturer,  partner, consultant or otherwise, render any services
to or with  any  company,  firm or  individual  which  competes  in any way with
Employer in a business  actually  engaged in or being actively  developed by it.
Under this Agreement, Employer will

                                       6
<PAGE>

have deemed to have been actively  developing a business if, with regard to such
proposed  business  activity,  there has been  extensive  discussion at Board of
Directors meetings,  formal Board resolutions,  corporate expenditures in excess
of $25,000,  preparation of marketing  studies,  or comparable  actions  related
thereto.

          (C) For a period of two years  following the expiration or termination
of his employment with Employer for any reason,  Employee shall not, directly or
indirectly,  whether  as  principal,  agent,  shareholder,   employee,  officer,
director,  joint-venturer,  partner,  consultant  or otherwise,  solicit,  raid,
entice or induce any person who is, or was at the time of such termination or at
any time within the six-month period immediately preceding such termination,  an
employee of Employer to  terminate  his or her  employment  with the Employer or
become  employed  by any  other  person,  firm or  corporation,  and he will not
approach any such  employee  for such purpose or authorize or knowingly  approve
the taking of such action by other persons to become  employed in a business who
or which are actively engaged in a competitive business.

     11.  Assignability and Binding Effect.  The rights and obligations  arising
under this Agreement shall inure to the benefit of and shall be binding upon the
executors, administrators,  successors and legal representatives of Employee and
shall inure to the benefit of and be binding upon Employer,  upon its successors
and  assigns,  but  neither  this  Agreement  nor the rights or  obligations  of
Employee  hereunder  may  be  assigned,   pledged,   hypothecated  or  otherwise
transferred  by  Employee  in  whole  or in  part  to  another  person,  firm or
corporation nor may the obligations of Employee hereunder be delegated.

     12.  Notices.  All  notices,  requests,  demands  and other  communications
hereunder  shall be in  writing  and shall be  delivered  personally  or sent by
registered or certified mail, prepaid and return

                                       7
<PAGE>

receipt  requested,  to the other party hereto at his or its mailing  address as
set forth at the beginning of this  Agreement,  and in the case of Employer with
copies to William J. Davis, Esq.,  Scheichet & Davis, P.C., 505 Park Avenue, New
York,  New York  10022.  Either  party may  change  the  address  to which  such
communications  hereunder  shall be sent by sending notice of such change to the
other party as herein provided.

     13.  Representations  by Employee and Employer.  Employee hereby represents
and  warrants  that  he is not a  party  to any  other  agreement,  contract  or
understanding,  whether  of  employment  or  otherwise,  which  would in any way
restrict or prohibit him from undertaking or performing employment with Employer
in accordance with the terms and conditions of this  Agreement.  Employer hereby
represents and warrants that this Agreement has been properly  authorized by all
necessary corporate action and, when and if, fully executed, will be binding and
enforceable  upon the  Company  in  accordance  with its  terms  except  for the
application  of the laws of  insolvency  and  bankruptcy  as they may  otherwise
affect such Agreement.  Employer  further  represents and warrants that no other
contract,  agreement,  provision of its certificate of  incorporation or bylaws,
debt obligation,  law,  regulation or court or administrative  order prevents it
from entering into, or conflicts with, this Agreement.

     14.  Waiver.  The waiver by either  party of any breach or violation of any
provision of this Agreement shall not operate or be construed as a waiver of any
subsequent breach or violation, whether singular in nature or not.

     15. Prior Agreements;  Complete  Understanding;  Amendment.  This Agreement
cancels and supersedes any and all prior agreements and understandings,  if any,
between the parties  hereto  regarding  the services of Employee to Employer and
constitutes the complete understanding between

                                       8
<PAGE>

the  parties  with  respect  to the  employment  of  Employee  hereunder  and no
statement,  representation,  warranty or covenant  has been made by either party
with respect thereto except as expressly set forth herein. Employee acknowledges
that he has been afforded the right to review this  Agreement with legal counsel
prior to the execution of this Agreement,  and that he has been encouraged to do
so. This Agreement  shall not be altered,  modified or amended except by written
instrument signed by each of the parties hereto.

     16. Headings.  The headings set forth in this Agreement are for convenience
only and shall not be  considered  as part of this  Agreement in any respect nor
shall they in any way affect the substance of any  provisions  contained in this
Agreement.

     17.   Counterparts.   This  Agreement  may  be  executed  in  two  or  more
counterparts,  each of which shall be deemed an original  but all of which shall
constitute but one and the same agreement.

     18.  Governing  Law;  Construction  with Existing Law;  Severability.  This
Agreement  shall be governed by, and construed and enforced in accordance  with,
the internal  laws of the State of New York.  It is the intention of the parties
hereto that all terms and  conditions of this  Agreement are in compliance  with
the laws and regulations of the State of New York, and nothing in this Agreement
shall be  construed  to be in  derogation  of the laws,  rules  and  regulations
thereof. If for any reason any provision of this Agreement or any part hereof is
invalid,  unlawful or incapable of being  enforced by reason of any rule of law,
equity or public policy,  all  conditions and provisions of the Agreement  which
can be given effect without such invalid,  unlawful or  unenforceable  provision
shall, nevertheless, remain in full force and effect, and such invalid, unlawful
or irrevocable provision shall be carried out as nearly as possible according to
its  original  terms  and  intent,   while   eliminating   such   invalidity  or
non-enforceability.

                                       9
<PAGE>

     IN WITNESS  WHEREOF,  the  parties  hereto  have  executed  this  Agreement
effective as of the day and year first above written.


                                            NEW YORK HEALTH CARE, INC.


                                         By: /s/ Jerry Braun
                                             ---------------------------------
                                             Title: President & CEO



                                            /s/ Jacob Rosenberg
                                            ---------------------------------
                                            Jacob Rosenberg

                                       10



                              EMPLOYMENT AGREEMENT

     This Agreement  made and entered into this 26th day of March,  1996, by and
between New York Health Care, Inc., a New York  corporation,  with its principal
place  of  business  at  1667  Flatbush  Avenue,   Brooklyn,   New  York  11210,
(hereinafter "Employer" or the "Company"),  and Jerry Braun, an individual whose
residential address is at 929 East 28th Street,  Brooklyn, NY 11210 (hereinafter
"Employee").

                              W I T N E S S E T H :

        WHEREAS, Employer is engaged in the business of home health care;

     WHEREAS, Employee possesses skills, knowledge, abilities and experience
           which Employer wishes to continue to avail itself of; and

        WHEREAS, Employer wishes to continue the employment of Employee;

  NOW, THEREFORE, in consideration of the mutual covenants as set forth herein:

                      THE PARTIES HERETO AGREE AS FOLLOWS:

     1.  Employment.  Employer hereby shall employ Employee as the President and
Chief Executive Officer of the Company and to perform such additional duties and
services  as may be assigned to him  pursuant  to  Paragraph 3 hereof.  Employee
hereby accepts such  employment,  upon the terms and conditions  hereinafter set
forth.

     2. Term.  The term of  employment of Employee  hereunder  shall be for four
years  commencing  as of January 1,  1996,  and ending at the close of  business
December 31, 1999.

     3. Duties.

     (A) Employee's  duties shall include  overseeing and directing the Company,
locating and developing new projects and other business opportunities for it and
generally promoting and
                                        


<PAGE>



facilitating the Company's business objectives. For purposes of this paragraph,
Employer's subsidiaries, if any, are also encompassed in the term "Company".

          (B) During the term of this Agreement, Employee shall perform such
additional services as shall from time to time be assigned to him by the Board
of Directors or the Executive Committee of Employer and which are consistent
with the duties reasonably assigned to the Chief Executive Officer of such size
Company.

          (C) Employee shall devote the majority of his business time and of his
attention, energy, and skill to the business of Employer. The Employee may
devote a limited amount of time which is not devoted to the business of the
Company to the business of Heart to Heart Health Care Services, Inc., a New
Jersey corporation ("Heart to Heart"), provided that he does not participate in
any activities on behalf of Heart to Heart which compete with the Company's
business.

     4. Annual Compensation; Bonus; Supplemental Compensation.

          (A) For his services to Employer during the term of this Agreement,
Employer shall pay Employee all of the salary and benefits which the Employee
currently receives provided, however, that commencing on the effective date of
the Company's Initial Public Offering of its securities currently being
contemplated (the "Effective Date"), through December 31, 1999, Employee's
annual salary shall be One Hundred Seventy-Five Thousand Dollars ($175,000)
(hereinafter "Annual Base Compensation"), with an annual increase in Annual Base
Compensation, commencing on the anniversary date of the Effective Date (the
"Anniversary Date") and continuing on the Anniversary Date in each year
thereafter during the term of this Agreement, equal to 10% of the prior year's
Annual Base compensation, payable in accordance with the Company's normal
policies.

                                        2


<PAGE>


          (B) Employee shall be granted participation in the Company's 401(k)
Plan and Performance Incentive Plan normally allowed by the Company for its
senior executives, as well as all other benefits available to any other
employees of the Company.

     5. Insurance; Other Benefits. As soon as practicable after the commencement
of Employee's services hereunder,  Employer shall obtain and thereafter maintain
in effect at  Employer's  expense  the  insurance  coverage  for the  benefit of
Employee  normally  maintained  by the Company for its senior  executives  which
shall include,  but not be limited to, medical  insurance and dental  insurance.
Employee  shall  receive an annual  allowance  of $3,500  towards the payment of
premiums on $500,000 of term life insurance, and long-term disability insurance,
which insurance may be payable to such beneficiaries as the Employee may direct.

     6. Expenses. Employer will reimburse Employee or cause him to be reimbursed
for all  ordinary  and  necessary  traveling  expenses  and other  disbursements
incurred by him for or on behalf of Employer  in the  performance  of his duties
hereunder.  For such purposes Employee shall submit to Employer periodic reports
of such expenses and other disbursements at least once in each calendar quarter.
Employee  shall also receive a monthly  allowance of $500 towards the lease cost
of an  automobile,  and  reimbursement  of the insurance  cost of the automobile
during the term of this Agreement.


                                        3


<PAGE>



     7. Vacation Time.

          (A) Employee shall be entitled to four (4) weeks vacation in each year
of the full four (4) years of this Agreement, which vacations shall be at such
time or times and for such periods as Employee shall choose, consistent with the
reasonable performance of his duties hereunder.

          (B) Employee shall also be entitled to additional personal days for
all Jewish holidays on which work is prohibited in the Orthodox tradition.

     8. Employer's Right to Terminate. Employer shall have the right to
terminate this Agreement for cause at any time during the period of this
Agreement. "Cause", for all purposes for this Agreement, will be defined as
follows:

          (i)  the death of Employee;

          (ii) the disability of Employee, said term being defined as Employee
               becoming physically or mentally incapable of fully performing the
               services required of him in accordance with his obligations
               hereunder, and such incapacity continuing, or being reasonably
               expected to continue, for more than three (3) consecutive months
               during any period of twelve (12) consecutive months;

          (iii) disloyal, dishonest, or illegal conduct of Employee; 

          (iv) knowing failure to substantially perform his material duties and
               obligations under this Agreement; or

          (v)  any use of illegal drugs or abuse of substances involving alcohol
               or prescription drugs.

In event of termination, the Employee's then Annual Compensation, as provided in
paragraph 4, above, shall be paid for a period of six months following
termination, except that in the case of a


                                        4


<PAGE>



termination pursuant to paragraphs 8(iii), (iv) and (v), such compensation shall
be paid only to the date of termination plus all accrued expenses incurred by
him for and on its behalf. Except for those duties and obligations stated in
Subparagraph 10(B), any and all of Employer's other duties and obligations shall
immediately be extinguished and made null and void and of no further force and
effect.

     9. Confidentiality.

          (A) Employee understands and acknowledges that as a result of
Employee's employment with Employer and involvement with the business of
Employer, he shall necessarily become informed of and have access to,
confidential information of Employer including, without limitation, inventions,
trade secrets, technical information, know-how, plans, specifications, identity
of customers and identity of suppliers, and that such information, even though
it may have been or may be developed or otherwise acquired by Employee, is the
exclusive property of Employer to be held by Employee in trust and solely for
Employer's benefit and Employee shall not at any time, either during or
subsequent to his employment hereunder, reveal, report, publish, transfer or
otherwise disclose to any person, corporation or other entity or use any of
Employer's confidential information, without its written consent of the Board of
Directors, except for use on behalf of the Company in connection with its
business, and except for such information which legally and legitimately is or
becomes of general public knowledge from authorized sources other than Employer.

          (B) Upon the termination of his employment with Employer for any
reason, Employee shall promptly deliver to it all drawings, manuals, letters,
notes, notebooks, reports and copies thereof and all other materials, including,
without limitation, those of a secret or confidential nature, relating to
Employer's business which are in Employee's possession or control. Employer
shall


                                        5


<PAGE>



reimburse Employee for any packing or moving costs reasonably incurred by him in
connection with the foregoing delivery.

     10. Non-Competition; Restrictive Covenants and Confidentiality; Injunctive
Relief.

          (A) During the term of his employment with Employer pursuant to this
Agreement, or any renewal thereof, Employee shall not, directly or indirectly
whether as principal, agent, shareholder, employee, officer, director,
consultant, joint-venturer, partner or otherwise, own, manage, operate, join,
control or participate in the ownership, management, operation or control of,
render any services to or be connected in any manner with any business which is
in direct competition with or is of the type or character of any business
engaged in by Employer or which offers, sells or markets products, projects or
services that directly compete with products, projects or services offered by
Employer or any of its subsidiaries or affiliates, irrespective of whether
Employee's involvement shall be as an officer, owner, employee, partner,
joint-venturer, consultant, agent or other participant; provided, however, that
the foregoing shall not restrict Employee from rendering limited services as
permitted by this Agreement to Heart to Heart and from making an investment in
any company the securities of which are listed on a national securities exchange
or actively traded in the over-the-counter market, so long as such investment
does not equal or exceed five percent (5%) of the total number of outstanding
shares of common stock of such company.

          (B) For a period of one year after the expiration or termination of
his employment with Employer for any reason, Employee shall not, directly or
indirectly, whether as principal, agent, shareholder, employee, officer,
director, joint-venturer, partner, consultant or otherwise, render any services
to or with any company, firm or individual which competes in any way with
Employer in a business actually engaged in or being actively developed by it.
Under this Agreement, Employer will


                                        6


<PAGE>



have deemed to have been actively developing a business if, with regard to such
proposed business activity, there has been extensive discussion at Board of
Directors meetings, formal Board resolutions, corporate expenditures in excess
of $25,000, preparation of marketing studies, or comparable actions related
thereto.

          (C) For a period of two years following the expiration or termination
of his employment with Employer for any reason, Employee shall not, directly or
indirectly, whether as principal, agent, shareholder, employee, officer,
director, joint-venturer, partner, consultant or otherwise, solicit, raid,
entice or induce any person who is, or was at the time of such termination or at
any time within the six-month period immediately preceding such termination, an
employee of Employer to terminate his or her employment with the Employer or
become employed by any other person, firm or corporation, and he will not
approach any such employee for such purpose or authorize or knowingly approve
the taking of such action by other persons to become employed in a business who
or which are actively engaged in a competitive business.

     11. Assignability and Binding Effect. The rights and obligations arising
under this Agreement shall inure to the benefit of and shall be binding upon the
executors, administrators, successors and legal representatives of Employee and
shall inure to the benefit of and be binding upon Employer, upon its successors
and assigns, but neither this Agreement nor the rights or obligations of
Employee hereunder may be assigned, pledged, hypothecated or otherwise
transferred by Employee in whole or in part to another person, firm or
corporation nor may the obligations of Employee hereunder be delegated.

     12. Notices. All notices, requests, demands and other communications
hereunder shall be in writing and shall be delivered personally or sent by
registered or certified mail, prepaid and return


                                        7


<PAGE>



receipt requested, to the other party hereto at his or its mailing address as
set forth at the beginning of this Agreement, and in the case of and in the case
of Employer with copies to William J. Davis, Esq., Scheichet & Davis, P.C., 505
Park Avenue, New York, New York 10022. Either party may change the address to
which such communications hereunder shall be sent by sending notice of such
change to the other party as herein provided.

     13. Representations by Employee and Employer. Employee hereby represents
and warrants that he is not a party to any other agreement, contract or
understanding, whether of employment or otherwise, which would in any way
restrict or prohibit him from undertaking or performing employment with Employer
in accordance with the terms and conditions of this Agreement. Employer hereby
represents and warrants that this Agreement has been properly authorized by all
necessary corporate action and, when and if, fully executed, will be binding and
enforceable upon the Company in accordance with its terms except for the
application of the laws of insolvency and bankruptcy as they may otherwise
affect such Agreement. Employer further represents and warrants that no other
contract, agreement, provision of its certificate of incorporation or bylaws,
debt obligation, law, regulation or court or administrative order prevents it
from entering into, or conflicts with, this Agreement.

     14. Waiver. The waiver by either party of any breach or violation of any
provision of this Agreement shall not operate or be construed as a waiver of any
subsequent breach or violation, whether singular in nature or not.

     15. Prior Agreements; Complete Understanding; Amendment. This Agreement
cancels and supersedes any and all prior agreements and understandings, if any,
between the parties hereto regarding the services of Employee to Employer and
constitutes the complete understanding between


                                        8


<PAGE>



the parties with respect to the employment of Employee hereunder and no
statement, representation, warranty or covenant has been made by either party
with respect thereto except as expressly set forth herein. Employee acknowledges
that he has been afforded the right to review this Agreement with legal counsel
prior to the execution of this Agreement, and that he has been encouraged to do
so. This Agreement shall not be altered, modified or amended except by written
instrument signed by each of the parties hereto.

     16. Headings. The headings set forth in this Agreement are for convenience
only and shall not be considered as part of this Agreement in any respect nor
shall they in any way affect the substance of any provisions contained in this
Agreement.

     17. Counterparts. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original but all of which shall
constitute but one and the same agreement.

     18. Governing Law; Construction with Existing Law; Severability. This
Agreement shall be governed by, and construed and enforced in accordance with,
the internal laws of the State of New York. It is the intention of the parties
hereto that all terms and conditions of this Agreement are in compliance with
the laws and regulations of the state of New York, and nothing in this Agreement
shall be construed to be in derogation of the laws, rules and regulations
thereof. If for any reason any provision of this Agreement or any part hereof is
invalid, unlawful or incapable of being enforced by reason of any rule of law,
equity or public policy, all conditions and provisions of the Agreement which
can be given effect without such invalid, unlawful or unenforceable provision
shall, nevertheless, remain in full force and effect, and such invalid, unlawful
or irrevocable provision shall be carried out as nearly as possible according to
its original terms and intent, while eliminating such invalidity or
non-enforceability.


                                        9


<PAGE>


     IN WITNESS WHEREOF, the parties hereto have executed this Agreement
effective as of the day and year first above written.

                                                   NEW YORK HEALTH CARE, INC.

                                                By: /s/ Jacob Rosenberg
                                                   ----------------------------
                                                   Title: C.O.O.



                                                   /s/ Jerry Braun
                                                   -----------------------------
                                                   Jerry Braun


                                       10




                             STOCK OPTION AGREEMENT


     THIS AGREEMENT,  made as of this 26th day of March, 1996 by New York Health
Care,  Inc., a New York  Corporation (the "Company") and Jerry Braun residing at
929 East 28th Street, Brooklyn, NY 11210 (the "Optionee"):

     In consideration for One Hundred Dollars ($100.00) by the Optionee, receipt
of which is hereby  acknowledged,  the Company hereby grants to the Optionee the
option (the  "Option"),  commencing on the effective  date of the initial public
offering of New York Health Care,  Inc.  (the "Option  Commencement  Date"),  to
purchase  from the  Company  all or any  part of an  aggregate  of  Seventy-Five
Thousand (75,000) shares of the Common Stock of the Company,  par value $.01 per
share (the "Shares"), at a price of $3.75 per share.

     The following terms and conditions shall apply to the Option:

     1. The Option and all rights of the  Optionee to purchase  shares of Common
Stock hereunder shall  terminate on March 26, 2006  (hereinafter  referred to as
the "Expiration  Date"). On or prior to the Expiration Date such Option shall be
exercisable subject to the following terms:

          (a) The  Optionee  may  exercise the Option with respect to all or any
part of the shares then  exercisable by giving the Company  written  notice,  as
provided in paragraph 2 hereof, of such exercise.  Such notice shall specify the
number  of  shares  as to which  the  Option  is being  exercised  and  shall be
accompanied  by payment of an amount  equal to the option  price of such  shares
multiplied  by the number of shares as to which the  Option is being  exercised.
Such  payment  shall be for the full  amount of the  exercise  price in cash (by
check subject to collection) or in common stock of the Company.

          (b) As soon as  practicable  after  receipt of the notice and  payment
referred to in subdivision (a) above,  the Company shall deliver to the Optionee
at the  office  of the  Company,  or at  such  other  place  as may be  mutually
acceptable to the Company and the Optionee,  a certificate or  certificates  for
such shares; provided,  however, that the time of such delivery may be postponed
by the Company for such period of time as the Company may require to comply with
any applicable registration requirements of any national securities exchange and
any other law or regulation applicable to the issuance or transfer of shares. If
the  Optionee  fails for any  reason to  accept  delivery  of or any part of the
number of shares specified in such notice upon tender of delivery  thereof,  his
or her right to  purchase  such  undelivered  shares  may be  terminated  by the
Company by notice in writing to the Optionee and refund of the payment.

          (c) Prior to or  concurrently  with  delivery  by the  Company  to the
Optionee of a certificate(s)  representing  such shares,  the Optionee shall (i)
upon notification of the amount due,

3921

<PAGE>

pay promptly any amount necessary to satisfy applicable federal,  state or local
tax  requirements,  and (ii) if such  shares are not then  registered  under the
Securities Act of 1933,  give assurance  satisfactory to the Company and counsel
for the Company that such shares are being purchased for investment and not with
a view to the  distribution  thereof,  and the  Optionee  shall  give such other
assurance  and take such other action as the Company and counsel for the Company
shall  require to secure  compliance  with any federal or state  securities  law
applicable to the issuance of shares; provided that the out-of-pocket expense of
such registration or compliance shall be borne by the Company.

     2. Any notice to the Company  provided for in the Option shall be addressed
to the Company at its  address as set forth  above,  with a copy to  Scheichet &
Davis,  P.C., 505 Park Avenue, New York, NY 10022, Attn: William J. Davis, Esq.,
and any notice to the  Optionee  shall be addressed to him at his address as set
forth above,  or to such other address as either may last have designated to the
other by notice as provided  herein.  Any notice so addressed shall be deemed to
be given on the fourth  business day after  mailing,  by registered or certified
mail,  return receipt  requested,  at a post office or branch post office within
the United States.

     3. In the event of any change in the Company's  Common Stock subject to the
Option,  by reason of any stock dividend,  split-up,  recapitalization,  merger,
consolidation,  combination  or  exchange of shares,  spin-off,  reorganization,
liquidation or the like, such  adjustment  shall be made in the number of shares
subject to the option and the price per share as the Company shall,  in its sole
judgment, deem appropriate to give proper effect to such event.

     4. The Option is not  transferable  and may not be  exercised by any person
other than the Optionee or his executors,  administrators,  successors or heirs.
In the event the Optionee transfers, assigns, pledges, hypothecates or otherwise
disposes  of the  Option,  other  than  as  permitted  herein,  or of any  right
hereunder,  that  transfer  shall be void and  shall  not be  recognized  by the
Company nor vest in the  transferee  any rights  hereunder.  In the event of the
levy of any attachment, execution or similar process upon the rights or interest
hereby conferred, the Company may terminate the Option by notice to the Optionee
and it shall thereupon become null and void.

     5. In the event one or more of the  following  events  has  occurred  or is
about to occur: i.e. (i) the dissolution,  liquidation,  merger or consolidation
of the Company (where the Company is not the surviving  corporation) or (ii) the
sale of all or substantially  all the assets of the Company or (iii) the sale of
shares of the  Company's  Common  Stock,  in any case  resulting  in a change in
control of the Company,  then the Option to the extent not then  exercisable  or
not  exercisable  upon the happening of the event described in such notice shall
terminate simultaneously with the happening of such event. The Company shall ten
(10) days  prior to the  scheduled  happening  of the event,  give the  Optionee
notice thereof.

     For purposes of this section,  the term (i) "a change in control"  means an
event or series of events that would be required to be  described as a change in
control of the Company in a proxy or  information  statement  distributed by the
Company pursuant to Section 14 of the Securities Exchange

3921

                                        2

<PAGE>

Act of 1934 in response to Item 6(e) of Schedule 14A promulgated thereunder,  or
any  substitute  provision  which may  hereafter be  promulgated  thereunder  or
otherwise  adopted,  as if the Company  were  subject to the proxy rules of such
Act, and (ii)  "affiliate"  shall have the same meaning as set forth in Rule 405
of the Rules and  Regulations  promulgated  under the Securities Act of 1933, as
amended.

     6. In the event that any question or  controversy  shall arise with respect
to the  nature,  scope or  extent  of any one or more  rights  conferred  by the
Option,  or any provision of this Agreement,  it shall be settled under the laws
of the State of New York by  arbitration  in the City of New York  before  three
arbitrators,  one chosen by each of the Company and the  Optionee  and the third
chosen by the other two, or  appointed by a court if the other two are unable to
agree upon the third within 30 days of their selection. The determination by the
arbitrators  shall be  conclusive,  final and  binding  upon the Company and the
Optionee and upon any other  person who shall assert any right  pursuant to this
Option.

     7. The Optionee  shall have no rights of a stockholder  with respect to the
shares  covered by the Option  until he or she  becomes  the holder of record of
such shares.  All shares  issued upon exercise of the Option shall be fully paid
and non-assessable.


                                     NEW YORK HEALTH CARE, INC.


                                     By: /s/ Jacob Rosenberg, C.O.O.
                                         -----------------------------------



ACCEPTED AND AGREED:

/s/ Jerry Braun
- -----------------------------
Jerry Braun



3921

                                        3

<PAGE>

                              SUBSCRIPTION FORM III

                  (To Be Executed Only Upon Exercise of Option)

     The  undersigned,  holder of an option (the  "Option")  pursuant to a Stock
Option  Agreement dated March 26, 1996 between himself and New York Health Care,
Inc. hereby  irrevocably  exercises his option thereunder to purchase the number
of shares of Common  Stock of New York Health  Care,  Inc.  specified  below and
herewith  makes  payment  therefore,  all at the  price  and  on the  terms  and
conditions specified in this Option.


Dated: _________________

Number of Shares: _________________

Purchase Price: _________________


                                        --------------------------------------
                                        Signature of Registered Owner


                                        --------------------------------------
                                        Street Address


                                        --------------------------------------
                                        City, State, Zip


                                        --------------------------------------
                                        Social Security Number


3921

                                        4



                                AGREEMENT BETWEEN
                   THE MOUNT SINAI HOSPITAL HOME HEALTH AGENCY
                                       AND
                              NEW YORK HEALTH CARE

This agreement is made and entered into this 1st day of April, 1996 by and
between The Mount Sinai Hospital Home Health Agency (hereinafter referred to as
"CHHA") and New York Health Care (hereinafter referred to as "Aide
Organization").

Witnesseth:

Whereas, the purpose of this Agreement is to provide by the Aide Organization to
the CHHA home health aide services as the same are requested by the CHHA; and

Whereas, the services rendered hereunder shall be in compliance with the terms
of this Agreement, CHHA's policies, and all applicable government laws and
regulations.

Now, in consideration of the mutual promises herein contained, it is understood
and agreed by the parties hereto as follows:

Provision Of Services:

1.   CHHA will call upon the Aide Organization to provide home health aide
     personnel (hereinafter referred to as "aide or aides") for assignments to
     provide home health aide services to CHHA's patients in their places of
     residence.

2.   The patient is accepted for home health care only by the CHHA, which will
     be responsible for the development and revision of the plan of care in
     accordance with applicable state and city policies and regulations. The
     CHHA shall forward the plan of care to the Aide Organization at the time of
     assignment of an aide. The Aide Organization will not alter the plan
     unilaterally.

3.   It will be sole responsibility of the CHHA to assess the need for home
     health aide services and the resources of the patient and the patient's
     family.

4.   The CHHA is responsible for planning, coordinating, and insuring the
     quality of services provided.

5.   The CHHA will determine the scope and duration of the aide's activities on
     each assignment and professionally supervise the performance of the aides
     during the assignment to the CHHA's patient. Professional supervision shall
     mean CHHA registered nurse supervision and where indicated, supervision by
     other professional CHHA personnel.

6.   Within 15 minutes of each request by the CHHA, the Aide Organization will
     fax a response back to the CHHA Indicating assignment or lack of assignment
     of a permanent aide to each request. Any aide assignments placed later than
     15 minutes after CFHA request, must be confirmed with the CHHA. The CHHA
     shall have the right at any time, to refuse the assignment of any aide
     provided by the Aide Organization and to shorten, terminate, lengthen or
     change the assignment of the aide on oral or written notice to the Aide
     Organization.

                                      - 1 -

<PAGE>


Employment, Availability and Assignment of Aides.

7.   The Aide Organization shall conduct and administer a program for the
     employment of aides to serve on home health assignments of CHHA. All aides
     shall meet the requirements specified in the New York State Hospital code
     and other directives of the New York State Department of Health, New York
     State Department of Social Services, and in the policies and standards of
     the CHHA. These shall include, but not limited to the wearing of a uniform
     acceptable to the CHHA, and assurance by the Aide Organization that the
     aides are in good health, have completed the medical examinations and
     immunizations specified in Parts 761 and 763 of the State Hospital Code,
     have completed a training program approved by the New York State Department
     of Health and have work and character references and other appropriate
     proofs of satisfactory performance on file at the offices of the Aide
     Organization. Aide Organization shall also conform to the requirements of
     all other pertinent New York State Laws and regulations, and of such
     federal laws and regulations as applicable, including but not limited to
     those of the United State Department of Labor, and those requirements of
     the Center of Disease Control which mandate the supply by an employer,
     where appropriate of surgical gloves, masks and aprons.

8.   The Aide Organization shall provide only qualified aides to the CHHA for
     assignments. For each aide assigned to the CHHA, the Aide Organization
     shall submit to the CHHA documentation of aide's qualifications. The Aide
     Organization shall provide to the CHHA, on an ongoing basis, the following:

     -    Profiles for those aides assigned to CHHA's cases for the first time;

     -    Ongoing updates of current profiles of each aide already assigned to
          CHHA's cases; and

     -    Information with respect to aides who have been terminated by the Aide
          Organization within 2 weeks of any such termination.

9.   The Aide Organization shall not assign aide trainees to the CHHA's cases.

10.  The Aide Organization shall not permit the same aide to be assigned for
     more than 5 (five) of seven consecutive days to any case requiring
     continuous 24 hour home health aide service. As of June 1st, 1996 this
     provision is applicable to all 24 hour cases including cases for which
     services commenced before the date this Agreement was entered.

11.  The Aide Organization shall maintain a record of assignments for each aide.
     These records shall be subject to inspection by the state and local
     government agencies and the CHHA at any time.

12.  The Aide Organization shall maintain complete and current personnel records
     in compliance with Section 763.4 of 10 NYCRR and with the requirements of
     the Form 1-9 of the Federal Immigration and Naturalization Service. Such
     records shall include, but not be limited to:

     -    Verification of employment history for the prior two years and
          qualifications for the duties assigned;

     -    Verification of training;

     -    Applicable certificates;

     -    In the event of no work history during prior two years, the Aide
          Organization shall obtain personal references with respect to that
          period;

     -    Reports of medical examinations and tests, including immunizations
          required by Section 763.4.

     -    Annual health assessment including, but not limited to a questionnaire
          screening for the signs and symptoms of tuberculosis;

     -    Documentation of inservice education; and

     -    Proof of satisfactory performance and annual competency evaluation.



                                     - 2 -

<PAGE>


13.  The Aide Organization is primarily responsible for conducting performance
     evaluations, on at least an annual basis, of each of its aides furnished
     pursuant to this Agreement.

14.  The CHHA shall, on an ongoing basis, evaluate the home health aide's
     clinical performance and competency specifically based on criteria
     delineated in the Omnibus Budget Reconciliation Act of 1987.

15.  Upon notification by the Aide Organization, the CHHA shall, where
     appropriate, complete and submit to the Aide Organization a written
     professional evaluation of any home health aide assigned to the CHHA's
     cases.

     The Aide Organization remains responsible for:

     -    Notifying the aide of the need for such evaluation;

     -    Furnishing the required evaluation form;

     -    Ensuring that the aide has had the form completed in a satisfactory
          manner;

     -    Reviewing such evaluation with the aide; and

     -    Obtaining the aide's signature of the form. 

16.  The Aide Organization shall provide continuous inservice education to the
     aides assigned to the CHHA's cases in accordance with a yearly plan
     prepared by the Aide Organization which is to be based on needs identified
     by the CHHA, the Aide Organization and the Aides. Such inservice education
     shall at least consist of the total hours and scheduling as mandated by
     State and Federal Law and Regulations, including but not limited to
     requirements contained in Omnibus Budget Reconciliation Act of 1987. 

     In the event that additional or special inservice education is required
     pursuant to regulation or accreditation, the CHHA shall convey such
     requirement to the Aide Organization and the Aide Organization shall
     include this as a part of its inservice education.

     At least annually the Aide Organization's inservice education shall include
     but not be limited to instruction concerning policy and procedure
     implementation and updates concerning:

     -    Universal Precautions as mandated by the Center of Disease Control;

     -    Confidentiality of HIV related information as required by New York
          State Law and Regulations;

     -    Exposure to bloodborne pathogens;

     -    Emergency and disaster planning; and

     -    Tuberculosis prevention protocols.


17.  In the event an aide is assigned to a particular category of patients such
     as: geriatric, psychiatric, pediatric or a case requiring continuous
     paraprofessional service, the CHHA may request that such aide attend
     additional inservice education sessions and the Aide Organization shall
     comply with such request.

18.  The Aide Organization shall maintain a program of drug testing of all aides
     hired after the date of this Agreement, as well as yearly drug testing of
     their current aides. The Aide Organization shall also establish a program
     or drug testing of those aides who the Aide Organization has a reasonable
     basis to believe are using, or are under the influence of drugs.


                                     - 3 -

<PAGE>


19.  The Aide Organization shall maintain office hours to place cases seven days
     per week between 8:00 AM and 6:00 PM. The Aide Organization shall maintain
     availability for the CHHA to contact on an emergency basis at all times.
     The Aide Organization shall immediately notify the CHHA in writing of any
     changes in how the Aide Organization is to be contacted. The Aide
     Organization shall make aides available to the CHHA upon request. Such
     aides shall serve 1 to 24 hours per day, 1 to 7 days per week, except as
     limited by Sec. 10 above, all as specified by the CHHA. The Aide
     Organization shall provide coverage as designated by the CHHA including
     weekends, holidays, and after normal work hours.

20.  The Aide Organization shall make all efforts to assigning aides to patients
     in such a way that switching and replacements of aides will not occur,
     notwithstanding any other requirements and prohibitions of this Agreement.
     In any instance where the Aide Organization learns of a case for which it
     cannot provide coverage by the routinely assigned Aide, or for which there
     is the need for an immediate change in the assignment of an Aide, or in
     which an assigned Aide cannot complete all hours assigned to the patient,
     the Aide Organization shall be responsible for sending a replacement Aide
     to complete coverage of all hours of all scheduled shifts. For any and all
     of the preceding conditions, the Aide Organization, immediately upon
     learning of the problem and immediately upon assignment of a replacement
     aide, must notify the CHHA. The CHHA at all times reserves the right to
     place the assignment elsewhere, including with another Aide Organization.

21.  In the event a problem or difficulty develops concerning the assignment or
     service regarding the CHHA patient, the Aide Organization shall make its
     staff available to the CHHA staff to discuss resolution of such problem or
     difficulty.

22.  Prior to starting care, the Aide Organization shall notify the patient of
     the name of the aide assigned to the patient and the planned date and time
     of the aide's arrival for first visit.

23.  The initial visit will be made within twenty four hours of receipt and
     acceptance of referral unless otherwise specified or agreed to by the CHHA.

24.  Daily telephone contact shall be maintained between the Aide Organization
     and the aide for verification of attendance at the patient's home. The time
     of day of such contact shall be varied to monitor punctuality and
     attendance. Records concerning such verification shall be made available by
     the Aide Organization to the CHHA upon request. Any discrepancy greater
     than 15 minutes shall be immediately communicated to the CHHA via fax,
     within 30 minutes of the scheduled start time. Such information shall be
     specific and include: patient's last and first name, patient's CHHA unit
     number, team number that patient is assigned to, and Aide's schedule time
     and actual time of arrival/departure.

25.  The Aide Organization, as requested by the CHHA, shall make arrangements
     for the aide to meet the nurse who is supervising the case either at the
     appropriate CHHA's office prior to the first visit or on the first visit in
     the patient's home in order to discuss the plan of care.

26.  The Aide Organization shall designate a primary and secondary liason
     representative for the CHHA.

27.  The Aide Organization shall maintain plans for disasters and weather or
     other emergencies that will provide for patient's safety. These plans and
     any revisions to such plans must be documented and sent to the CHHA
     immediately.

                                     - 4 -

<PAGE>


28.  During the term of this Agreement, CHHA shall continue the development of
     an order processing system which shall enable CHHA to electronically
     transmit orders for aide services, and shall enable the Aide Organization
     to electronically enter on such system aide profiles, as well as home
     health aide hours of services from duty sheets, and/or electronic
     attendance verification system, together with other appropriate data. The
     parties will consult and cooperate with each other in establishing such an
     information transmitted system which is integrated into the CHHA vendor
     administration system. The cost of information terminals located at Aide
     Organization's premises, and associated network and hardware costs in
     connection therewith, shall be borne by the Aide Organization.

Incidents and Complaints

29.  The Aide Organization shall immediately but not later than within the same
     business day forward to the CHHA:

     -    A copy of the report of the Aide Organization's site visit from the
          New York State Department of Health and a copy of any plan of
          correction submitted in connection therewith;

     -    A copy of any patient or family complaint concerning a CHHA's patient
          filed with the New York State Department of Health and the Aide
          Organization's plan of correction submitted in connection therewith;

     -    Any information the Aide Organization learns from an aide, patient, or
          any other source, of any accident in the patient's home, or any
          complaint, unusual event or occurrence, including alleged theft of a
          patient's property, which may have a significant impact on the health
          or safety of the patient, or of any employee of the Aide Organization
          or the CHHA. Such report shall contain all details of such accident,
          event or occurrence, as well as any follow-up actions undertaken, and
          shall be communicated to the CHHA as follows:

          a)   An immediate telephone report shall be made to the Quality
               Assurance Manager;

          b)   A written report shall be made to the Quality Assurance Manager
               within 24 hours from the time the Aide Organization learns of the
               event or occurrence;

          c)   If a completion of a written report is not possible within the
               time frame established in this section, the Aide Organization
               shall submit a preliminary incident report within 24 hours of
               receiving communication of the event requiring a report.

30.  In the event of any allegation of theft by one of the aides servicing a
     CHHA's patient, the Aide Organization shall fully investigate such
     allegation. Restitution to the patient or family for any theft shall be
     made accordingly based on the results of the investigation.

31.  Any aide servicing CHHA's patients pursuant to this Agreement shall not be,
     nor shall be considered to be, an employee of the CHHA. The Aides shall be
     deemed to be employees of the Aide Organization. The Aide Organization
     shall have the direct responsibility for payment of wages and other
     compensation, reimbursement of expenses, and compliance with federal, state
     and local tax requirements pertaining to withholding Worker's Compensation,
     Social Security, Unemployment and other insurance requirements and
     obligations imposed on the employer of the Aides. Except as may otherwise
     be expressly provided by this Agreement, neither the Aide Organization nor
     any of its Aides, employees or representatives shall have any right or
     authority to assume or create any obligation or responsibility on behalf
     of, or in the name of, the CHHA or to bind the CHHA in any manner
     whatsoever, nor shall the CHHA have any obligation or responsibility for
     any expenses or liabilities which may be incurred by or imposed upon any
     such persons.


                                     - 5 -
<PAGE>


Insurance and Indemnification

32.  The Aide Organization shall procure and maintain pursuant to the terms of
     this Agreement, insurance to cover the personnel assigned under the terms
     of this Agreement which are to include comprehensive general liability
     insurance relative to the activities resulting from assignments under this
     Agreement and any other employee's liability insurance required by law for
     any employer to carry on its employees. Such coverage shall not be less
     than $1,000,000 and $3,000,000 in the aggregate. The CHHA shall be listed
     as additional insured, as their interest may appear, for any liability
     arising out of or in connection with the contractual liability stated in
     this Agreement between the CHHA and the Aide Organization.

33.  The Aide Organization shall file a rider to this Agreement, which shall
     have the same force and effect as if included in this Agreement providing a
     copy of the certificate of insurance to demonstrate that it has obtained
     the required insurance, specifying the types and amounts of insurance
     coverage for each aide or group of aides provided under the terms of this
     Agreement. Said copy of certificate of insurance shall provide for at least
     thirty (30) days notice to the CHHA of cancellation of any of the
     insurance.

34.  The Aide Organization agrees to hold free and harmless and to indemnify The
     Mount Sinai Hospital, its officers, directors, employees, agents and
     affiliates against any and all loss, damage, liability or expense,
     including reasonable attorneys' fees by reason for any act or acts of
     commission or omission by the agent or employee of theirs.

35.  The CHHA agrees to hold free and harmless and to indemnify the Aide
     Organization, its officers, directors, employees, agents and affiliates
     against any and all loss, damage, liability or expense, including
     reasonable attorneys' fees by reason for any act or acts of commission or
     omission by the agent or employee of theirs.

Duty Sheets and Payment

36.  For all patients serviced by the Aide Organization, the Aide Organization
     will be responsible for accurately completing Home Health Aide Duty Sheets
     (hereinafter "Duty Sheets"). Such Duty Sheets shall contain information
     pertaining to "whole visits" only and shall be in the format enclosed as
     Exhibit 1 to this Agreement.

37.  The Aide Organization shall submit a weekly invoice not later than 7 days
     from the last date of service for the week being submitted. Such invoice
     shall set forth: time and the aide services performed by the aide,
     patient's last and first name, patient's CHHA unit number, and amounts due
     to the Aide Organization from the CHHA. Corresponding original Duty Sheets
     shall be attached to invoices.

     Upon implementation of the Aide Information System, the Aide Organization
     will be responsible for entering on the CHHA Order Processing System (OPS)
     completed and accurate Home Health Aide Duty Sheets. Such duty sheets shall
     contain information pertaining to "whole visits" only (i.e. portions of
     visits will not be accepted).

38.  The CHHA reserves the right to discount all invoices submitted later than
     30 days from the last date of service for the week submitted. The CHHA
     shall have the right to withhold the payment for invoices that the CHHA
     will not get reimbursed based on the insurance payment agreements or
     policies.

39.  If all documentation submitted to the CHHA (i.e. Duty Sheets, invoices,
     etc.) is in order, payment will be made by the CHHA to the Aide
     Organization within 90 days from the date of receipt of

                                     - 6 -
<PAGE>


     invoice.

40.  The CHHA will pay the Aide Organization for properly documented hours of
     service rendered pursuant to this agreement at:

          Service             Fee
          Home Health Aide    $         per hour
          Live-in Aide        $         per 24 hour

     The fee for aides services rendered shall be effective 24 hours per day/365
     days per year.

41.  Neither the Aide Organization nor the Aide shall charge or accept any fee
     from the patient or patient's family for aide services provided under the
     CHHA's Plan of Care.

Cost Analysis, Records and Compliance

42.  The Aide Organization, upon request of the CHHA, shall make available to
     the CHHA a cost analysis of its services in a format procedure acceptable
     to the CHHA. At the request of the CHHA, the Aide Organization shall
     furnish appropriate documentation in support of such cost analysis.

43.  The Aide Organization shall maintain records of all financial transactions
     with the CHHA relevant to services govern by this Agreement. Such records
     shall be kept in accordance with sound accounting practices and each
     transaction shall be fully documented. Such records shall be made available
     to the State Department of Health or CHHA for inspection or audit upon
     request.

44.  The Aide Organization and the CHHA, for services rendered pursuant to this
     Agreement valued at $ 10,000. or more in a twelve (12) month period until
     the expiration of four (4) years, from the termination of this Agreement,
     shall comply with any and all requests by the Comptroller General of the
     United States, the Secretary of HHS, and their duly authorized
     representatives for access to agreements, books, documents and records
     necessary to verify the cost of service.

45.  The Aide Organization shall permit the CHHA representative to periodically
     review Aide Organization's payroll records in order to verify that payment
     made for hours of home health aide services match the actual hours billed
     by the Aide Organization to the CHHA.

46.  Nothing contained in this Paragraph shall be construed as a waiver by the
     CHHA or the Aide Organization of any other legal rights that such party may
     have including, without limitation, the right of confidentiality with
     respect to patient records and proprietary information.

Procedures, Confidentiality and Non Discrimination:

47.  Both the CHHA and the Aide Organization shall:

     a.   Designate a person within their respective organizations who shall
          have the responsibility for coordinating aide assignments.

     b.   Consult and cooperate with each other in establishing mutually
          acceptable standards and procedures for selection and assignments of
          aides, handling of request including request for emergency aide
          service, billing procedures and any other matters incidental to
          carrying out the provisions and purposes of this Agreement.




                                     - 7 -

<PAGE>


     c.   Ensure that aide services shall be made available to all patients
          without regard to race, sex, creed, national origin, sexual
          orientation, affectional preference, handicap, diagnosis or source of
          payment, except fiscal capability thereto.

     d.   Not discriminate against any aide because of age, race, color, sex,
          creed, handicap, national origin, sexual orientation or affectional
          preference.

48.  In any instance where a policy or procedure of the Aide Organization
     conflicts or is inconsistent with that of the CHHA the applicable policy or
     procedure of the CHHA shall prevail.

49.  The Aide Organization shall not carry out any of its duties under this
     Agreement through a subcontract with another person or organization.

50.  Pursuant to New York State Regulation and notwithstanding any other
     provisions of this Agreement, the Aide Organization remains responsible
     for:

     a.   Ensuring that any service provided pursuant to this Agreement complies
          with all pertinent provisions of federal, state and local statutes,
          rules and regulations;

     b.   Ensuring the quality of all services provided by the Aide Agency; and

     c.   Ensuring adherence by the Aide Organization's staff to the Plan of
          Care established for patients.

51.  Pursuant to New York State Regulations and notwithstanding any other
     provisions of this Agreement, the CHHA remains responsible for:

     a.   Ensuring that any service provided pursuant to this Agreement complies
          with all pertinent provisions of federal, state and local statutes,
          rules and regulations;

     b.   Planning, coordinating and ensuring the quality of all services
          provided; and

     c.   Ensuring adherence to the Plan of Care established for patients.

Terms of Agreement

52.  This Agreement supersedes any prior agreements, oral or written between the
     parties and it is understood that this Agreement constitutes the entire
     agreement between the CHHA and the Aide Organization.

53.  This Agreement may be modified or amended by mutual consent of the parties.
     Any such modification or amendment shall be in writing duly executed by
     both parties hereto, and shall be attached to and become part of this
     Agreement.

54.  This Agreement shall not be assigned by either party or assumed by another
     entity without the prior written consent of the other party.

55.  This Agreement does not imply that the CHHA will deal exclusively with the
     Aide Organization, nor does the Agreement impose any obligation on the CHHA
     to actually utilize the services of the Aide Organization.

56.  This Agreement shall be effective April 1, 1996 and shall continue in full
     force and effect through March 31, 1997.



                                      - 8 -

<PAGE>


57.  This Agreement may be terminated with or without cause by either party on
     at least thirty (30) days written notice to the other party. All written
     notices affecting termination of Agreement shall be delivered by Certified
     Mail with return receipt addressed to the person who executed this
     Agreement.

58.  This Agreement shall terminate immediately upon the revocation or
     termination of the Aide Organization's license to provide home health aide
     services, and any services provided pursuant to this Agreement shall cease
     immediately. This agreement shall terminate immediately upon the lapse of
     Insurance that the Aide Organization is mandated to carry according to Sec.
     29 of this Agreement.

59.  Any termination pursuant to Sec. 57 or 58 of this Agreement shall not
     release either party of obligations which have occurred hereunder as of the
     date of termination. Home health aide services provided hereunder to a
     patient which have commenced prior to the effective termination date shall,
     in conformity with applicable law and regulation, continue to be available
     under the terms hereof for a period of up to three (3) months beyond the
     actual termination date.

60.  In the event of termination of this Agreement, the CHHA shall be entitled
     to do the following:

     a.   Inform those patients to whom aides employed by the Aide Organization
          are assigned:

          -    of the termination of this Agreement,

          -    that such patient cannot continue to be served by a home health
               aide employed by the Aide Organization for more than three months
               from the date of termination; and

          -    that in the event of patient's hospitalization and readmission to
               the CHHA, another aide organization will be assigned to provide
               home health aide services.

     b.   inform any home health aide assigned by the Aide Organization to the
          CHHA patient that such aide, if he or she desires to continue beyond
          three months from the date of termination to be assigned to such
          patient or to any CHHA's patient, can do so only through employment by
          an aide organization which has a current agreement with the CHHA; and

     c.   Take all other actions which the CHHA deems appropriate to effect the
          smooth transition of services to other aide organization.



     IN WITNESS WHEREOF, this Agreement has been duly executed signed by:



THE MOUNT SINAI HOSPITAL                     NEW YORK HEALTH CARE
HOME HEALTH AGENCY



BY: /s/ Ann Baxter                           BY: /s/ Jerry Braun
    -------------------------------------    -----------------------------------
        ANN BAXTER


TITLE: ___________________________________   TITLE: ____________________________
          ASSOCIATE HOSPITAL DIRECTOR


DATE: ____________________________________   DATE: _____________________________



                                     - 9 -



                    ABSOLUTE, UNCONDITIONAL, IRREVOCABLE AND
                     LIMITED CONTINUING GUARANTY OF PAYMENT

     THIS ABSOLUTE. UNCONDITIONAL IRREVOCABLE AND LIMITED CONTINUING GUARANTY OF
PAYMENT ("Limited Guaranty") is made on this 9th day of May, 1996.

                                   WITNESSETH:

     WHEREAS,  UNITED MIZRAHI BANK AND TRUST COMPANY, a bank chartered under the
laws of the State of New York (the "Bank") is or will be extending credit to New
York  Health  Care,  Inc.  (the  "Borrower"),  whose  principal  address is 1667
Flatbush Avenue, Brooklyn, New York 11210; and

     WHEREAS,  the  undersigned   (hereinafter   referred  to  individually  and
collectively  as the  "Guarantor" has represented and warranted to the Bank that
it will be  benefitted  if credit is  extended  to the  Borrower,  because  such
Guarantor has an interest or  relationship,  directly or indirectly,  in or with
the Borrower and/or in the transactions being funded with such credit; and

     WHEREAS, the Bank has declined to extend credit to the Borrower unless each
Guarantor executes and delivers to the Bank this Limited Guaranty;

     NOW, THEREFORE, in order to induce the Bank to extend or continue to extend
credit or grant financial accommodations to the Borrower and in consideration of
other good and valuable consideration the receipt of which each Guarantor hereby
acknowledges, each Guarantor agrees as follows:

     1. Guaranteed Obligations. The Guarantor guarantees the payment to the Bank
of Nine Hundred  Eighty Four Thousand Three Hundred  Seventy Five  ($984,375.00)
whether  principal,  interest  or  other,  however  arising,  which  may  now or
hereafter be due to the Bank from the Borrower  arising from, or relating to all
debts,  liabilities  and  obligations,  present or future,  direct or  indirect,
absolute or contingent, matured or not, joint or several, of the Borrower to the
Bank, and the timely and proper  performance by the Borrower of all obligations,
covenants  and  agreements  relating  to  the  same  (such  debts,  liabilities,
obligations,  covenants and  agreements,  being  hereinafter  referred to as the
"Guaranteed   Obligations"),   including  without  limitation  those  Guaranteed
Obligations  relating  to or  arising  out of any loan  documents  entered  into
pursuant to the currently contemplated transaction or any other transaction now,
previously  or  hereinafter  entered into between the Borrower and the Bank (the
"Loan Documents").

     2. Limited Guaranty  Absolute,  Unconditional,  Irrevocable and Continuing.
Each  Guarantor,  as direct  and joint and  several  obligor  and not  merely as
surety,  hereby  absolutely and  unconditionally  irrevocably  guarantees to the
Bank,  independently  of the  Borrower  and of any  other  surety  or  guarantor
(including  without  limitation  any  other  Guarantor),  the full and  complete
payment  when due (by  acceleration  or at stated  maturity)  and the timely and
proper performance by the Borrower of all Guaranteed Obligations. The obligation
of each Guarantor hereunder in respect of the Guaranteed Obligations is absolute
and unconditional irrespective of the genuiness,  legality, validity, regularity
or  enforceability  of any applicable Loan Document.  This is an irrevocable and
continuing  guaranty  and  shall  remain  in full  force  and  effect  until all
Guaranteed  Obligations shall have been satisfied and all amounts due in respect
thereof shall have been paid to the Bank in full. Each Guarantor  waives, to the
fullest  extent  permitted  by law,  the benefit of any  statute of  limitations
affecting its liability  hereunder or the  enforcement  thereof,  as well as any
other  circumstance  or  provision  of law which might  otherwise  constitute  a
defense or discharge of a Guarantor or hinder prompt enforcement of this Limited
Guaranty.  This Limited Guaranty shall be a continuing  guaranty and shall cover
and  secure  any  amount  at  any  time  owing  in  respect  of  the  Guaranteed
Obligations.  Each Guarantor hereby irrevocably waives any right to require that
the Bank proceed against the Borrower or any other person, or proceed against or
exhaust any  collateral or security which the Bank may now or hereafter hold for
any of the  Guaranteed  Obligations  prior to  collecting  from  such  Guarantor
hereunder. The Limited Guaranty of each Guarantor hereunder shall continue to be
effective,  or shall  be  reinstated,  as the  case  may be,  if at any time any
payment to the Bank in respect of the Guaranteed  Obligations shall be rescinded
or must  otherwise  be returned  for any reason  whatsoever,  including  without
limitation upon the insolvency,  bankruptcy or  reorganization  of the person or
entity  making such payment,  all as though such payment had not been made.  The
Guarantor  acknowledges  that  no  oral  or  other  agreements,  understandings,
representations or warranties exist with

REVISED 12/14/93

<PAGE>

respect to this  Guaranty or with respect to the  obligations  of the  Guarantor
under this Guaranty, except as specifically set forth in this Guaranty.

     3. Payment.  If the Borrower shall default in the payment of any Guaranteed
Obligation  when  due  (by  acceleration,  upon  maturity  or  otherwise),  each
Guarantor shall pay to the Bank  immediately upon demand the full amount of such
Guaranteed  Obligation in lawful currency of the United States of America and in
immediately  available  funds.  All such payments shall be made without  setoff,
deduction or withholding for any reason whatsoever,  and shall be final and free
from any claim or counterclaim  of any other  Guarantor or the Borrower.  Demand
upon each  Guarantor  shall be made by the Bank by notice to such  Guarantor  as
provided herein,  setting forth the amount due and demanding  payment.  All sums
payable by each Guarantor  hereunder shall be paid to the Bank at 10 Rockefeller
Plaza,  New York, NY 10020 (or at such other  location as shall be designated by
the Bank in its notice to Guarantor)  on the first working day in New York,  New
York ("Business  Day"),  following the date notice is transmitted by telecopy or
by  telex  with  confirmed  answer  back  or is  delivered  personally  to  such
Guarantor,  or three (3) days after notice is mailed to such Guarantor demanding
payment.

     4.  Enforcement.  The Bank may neglect or forbear to enforce  payment or to
take any other  action or  exercise  any right  hereunder  or in  respect of the
Guaranteed  Obligations  without in any way affecting or impacting the liability
of each  Guarantor  hereunder.  No act or omission of any kind by the Bank shall
affect or impair this Limited Guaranty, and the Bank shall have no duties to any
Guarantor except as expressly  provided herein.  This Limited Guaranty  contains
the full agreement of each  Guarantor and is not subject to any oral  conditions
or understandings.  In proceeding under this Limited Guaranty,  the Bank may act
against any Guarantor separately,  or against two or more Guarantors jointly, or
against some separately and some jointly. In any action or proceeding to enforce
this Limited Guaranty  against any Guarantor,  the Bank shall not be required to
join the Borrower, or any other Guarantor, unless it shall elect to do so in its
sole discretion.

     5. Waiver. Each Guarantor hereby irrevocably waives notice of the extension
and/or  modification of the Loan Documents  guaranteed by this Limited Guaranty,
or of the acceptance of this Limited Guaranty, as well as protest,  presentment,
diligence,  demand for payment (except as specified in Section 3 above),  notice
of default,  nonpayment or dishonor of any Guaranteed Obligation,  and any other
notice whatsoever except as expressly provided in this Limited Guaranty.

     6. Limited Guaranty Not Affected.  No change in the name, objects,  capital
stock, ownership,  organic documents or charter of the Borrower or any Guarantor
or other guarantor or surety (if the same shall not be a natural person),  or in
any law  applicable  to the  Borrower or any  Guarantor  or other  guarantor  or
surety,  shall in way affect the  liability  of any  Guarantor to the Bank under
this Limited Guaranty, and the sums due in respect of the Guaranteed Obligations
shall be guaranteed by this Limited Guaranty  notwithstanding that the obtaining
of any credit guaranteed hereby shall be in excess of the powers of the Borrower
or of its officers, directors or other agents, acting in or purporting to act on
its behalf, or be in way irregular, unlawful or defective. Each Guarantor agrees
that this  Limited  Guaranty is in addition to and not in  substitution  for any
other  guaranties  or other  Security or  collateral  which are now or which may
hereafter be held by the Bank, and that such Guarantor's  obligations under this
Limited  Guaranty shall not be affected by any release or discharge  granted any
other Guarantor or guarantor or surety or by the fact that any person  requested
to guarantee or to give security or collateral  for the  Guaranteed  Obligations
shall have failed to do so.

     7.  Consent to Certain  Actions.  Each  Guarantor  consents to, and without
notice  to  such   Guarantor  and  without  the  necessity  for  any  additional
endorsement,  consent or guaranty  from such  Guarantor,  and without in any way
impairing  such  Guarantor's  obligations  hereunder  (a)  any  or  all  of  the
Guaranteed  Obligations may, from time to time, be renewed,  extended,  modified
(with respect to time for payment or the terms of  indebtedness  or  otherwise),
compromised,  settled,  released or discharged by the Bank, whether by agreement
with  the  Borrower  or  pursuant  to  any  insolvency,  bankruptcy  or  similar
proceeding; (b) any security or collateral for the Guaranteed Obligations may be
assigned, exchanged, sold, released or surrendered by the Bank, and the Bank may
abstain from perfecting its security interest in any such security or collateral
or from  taking up new  security  or  collateral  (c) the Bank may  exercise  or
refrain from  exercising  any right  against the Borrower or any other person or
entity (including without limitation any Guarantor), or otherwise act or refrain
from  acting;  (d) the Bank may  apply  any sums  whatsoever  paid or  howsoever
realized to any liabilities of the Borrower or any other person or entity to the
Bank, in such order as the Bank shall elect in its sole  discretion,  regardless
of  what  Guaranteed  Obligations  shall  remain  unpaid  as a  result  of  such
application;  (e) the Bank may  consent  to or waive  any  breach  of,  any act,
omission or default in respect to, the Guaranteed  Obligations:  or (f) the Bank
may agree to any amendment or  modification  of, or any  supplement to, any Loan
Document, credit document or agreement, instrument or document applicable to the
Guaranteed Obligations.

REVISED 12/14/93

<PAGE>

     8. Successors and Assigns. No Guarantor may delegate any of its obligations
or liabilities hereunder.  The Limited Guaranty shall be binding upon the heirs,
personal  representatives,  executors and successors of each Guarantor and shall
inure to the benefit of the Bank and its successors and assigns. The Bank may at
any time,  without notice to any Guarantor,  transfer or assign to any person or
entity any of the Guaranteed  Obligations or any interest therein,  and each and
every  immediate  and  successive  assignee  or  transferee  of  the  Guaranteed
Obligations or any interest therein shall, to the extent of his or its interest,
be entitled to the  benefits of this  Limited  Guaranty to the same extent as if
such assignee or transferee were the Bank.

     9. Hold  Harmless.  Each  Guarantor  agrees to indemnify  and hold the Bank
harmless upon demand for all expenses,  losses,  consequences  or damages of the
Bank  arising from or relating to any claim,  demand,  action or  proceeding  by
whomsoever  brought in connection  with or relating to this Limited  Guaranty or
any of the Guaranteed  Obligations,  including without limitation the payment of
any court costs,  the  reasonable  fees and expenses of legal  counsel,  whether
in-house or outside counsel,  and any other costs of collection  incurred by the
Bank. In addition,  each Guarantor  agrees to pay any  documentary  stamp taxes,
intangible  taxes or other taxes  (except for federal or New York  franchise  or
income taxes based on the Bank's net income) which may now or hereafter apply to
any  Guaranteed  Obligation  or  any  applicable  Loan  Document,  agreement  or
instrument, or any security therefor, and each Guarantor agrees to indemnify and
hold the Bank  harmless  upon  demand from and  against  any  liability,  costs,
attorney's fees, penalties,  interest or expenses relating to any such taxes, as
and when the same may be incurred. Each Guarantor further agrees to pay the Bank
on demand,  and to indemnify  and hold the Bank  harmless  against,  any and all
other  present  or  future  taxes,  levies,  imposts,  deductions,  charges  and
withholdings  imposed  in  connection  with  any  Guaranteed  Obligation  or any
applicable  credit  document  by the  laws or  governmental  authorities  of any
jurisdiction  other than the State of New York or the United  States of America,
and all payments to the Bank under this Limited  Guaranty shall be made free and
clear thereof and without  deduction  therefor.  All amounts payable to the Bank
hereunder  shall bear interest from the date they are expended by the Bank until
payment in full at the highest  lawful rate then  permitted by applicable law in
the State of New York,  or if no such rate then  exists,  at the highest  lawful
rate permitted under such other applicable law of Bank's choice in effect on the
date thereof.

     10.  Notices.  Any  notice  of demand  required  or  permitted  to be given
hereunder  to any  Guarantor  shall be in writing  and shall be: (a)  personally
delivered;  (b) transmitted by postage prepaid,  first class mail,  (first class
airmail if  international);  or (c)  transmitted  by  telecopy  or by telex with
confirmed  answerback to the address for such Guarantor  registered from time to
time on the Bank's books.  Such notice shall be deemed  effective at the time of
transmission;  provided, however, that notice sent by mail shall be effective on
the third day after mailing.

     11.  Subordination and Subrogation.  Each Guarantor hereby subordinates any
and all  direct or  indirect  claims  and rights  that such  Guarantor  may have
against  the  Borrower  or any other  Guarantor  (whether  or not  evidenced  by
promissory  notes  or  other  evidences  of  indebtedness,  whether  for  moneys
advanced,  services  performed  or goods  sold  and  delivered,  whether  for an
indeterminate  amount,  a sum certain or a  contingent  claim),  now existing or
hereafter arising,  to any and all claims by the Bank for amounts owing from the
Borrower to the Bank in respect of the  Guaranteed  Obligations.  Each Guarantor
hereby assigns and transfers to the Bank,  effective upon demand by the Bank for
payment of any  Guaranteed  Obligation  by such  Guarantor,  all such claims and
rights  and  any  proceeds  thereof,  and  agrees  that  the  Bank  may,  in its
discretion,  make and present in any bankruptcy or other  proceeding such proofs
or claims as the Bank may deem expedient or proper,  and may vote such proofs or
claims in any such proceedings. Each Guarantor hereby undertakes to deliver upon
demand by the Bank such additional documents as the Bank may request to evidence
such subordination,  assignment and transfer,  including without limitation duly
executed  assignments,  and to collect or enforce any sums due from the Borrower
or any other  Guarantor  from and after notice from the Bank, as trustee for the
Bank, and to pay over to the Bank such sums immediately  upon receipt,  together
with interest on such sums from the date received by such  Guarantor  until paid
to the Bank, before or after judgment,  at the interest rate provided herein for
amounts  expended by the Bank,  without  reducing or affecting in any manner the
liability of such Guarantor under the other provisions of this Limited Guaranty.
Until all Guaranteed  Obligations  shall have been paid in full,  each Guarantor
shall have no right of  subrogation,  and waives any right to enforce any remedy
which the Bank now has or may hereafter  have against the  Borrower,  and waives
any benefit of, and any right to  participate  in, any  security,  collateral or
lien now or hereafter held by the Bank.

     12.  Borrower's  Performance.  Each Guarantor agrees not to take any action
which would prevent or interfere with the  Borrower's  performance of any of the
Guaranteed  Obligations,  and  agrees  to take or cause to be taken  all  action
necessary or appropriate (to the extent legally permissible) to cause and permit
the Borrower to perform all the Guaranteed Obligations.

REVISED 12/14/93

<PAGE>

     13.  Security.  As  security  for all of its  obligations  hereunder,  each
Guarantor  hereby  pledges  and  assigns  to the Bank,  and grants to the Bank a
security  interest in, all property  (whether  tangible or intangible),  monies,
instruments,  documents  of  title  and  securities  now  or  hereafter  in  the
possession  of the Bank,  by or for the account of such  Guarantor,  or in which
such   Guarantor  may  have  any  interest  (an  such   remittances,   property,
instruments, documents of title and securities to be deemed in the possession or
custody of the Bank as soon as put in transit to it by mail or carrier  and also
upon the  balance,  from  time to time,  of any  deposits  or  accounts  of such
Guarantor  with the Bank,  and the Bank is  hereby  irrevocably  authorized  and
empowered  at  its  option  and  without  prior  notice  to  such  Guarantor  to
appropriate  any and all thereof and apply the same or the  proceeds  thereof to
any amount  past-due  in respect of the  Guaranteed  Obligations.  The  security
interest  granted hereby shall come into  existence and continue  whether or not
any such  collateral is deposited to secure other  obligations of such Guarantor
to the Bank,  and the Bank is hereby  irrevocably  authorized to retain and keep
any such collateral  until payment in full of all Guaranteed  Obligations.  Each
Guarantor  agrees to pay upon  demand any  deficiency  remaining  after the Bank
realizes upon any such collateral, but the Bank shall not be required to proceed
first against any such collateral. In addition, the Bank may at any time set off
any deposits of any Guarantor  with the Bank  (whether or not  matured),  or any
monies of any Guarantor which may come into the possession of the Bank,  against
any  amount  due  to  the  Bank  in  respect  of  the  Guaranteed   Obligations.
Alternatively,  the Bank may in its discretion, retain such monies as collateral
for the  performance by the Borrower of the Guaranteed  Obligations,  by placing
such monies in a blocked account with the Bank pending the  satisfaction in full
of such Guaranteed Obligations.

     14.  Representation  and  Warranties.  To  induce  the  Bank  to  fund  the
Guaranteed  Obligations to the Borrower,  each Guarantor represents and warrants
that:  (a) there are no  actions,  suits or  proceeding  pending  or  threatened
against or  affecting  such  Guarantor  before any court of law or equity or any
tribunal,  administrative board or governmental  authority,  which, if adversely
determined,   could  materially  affect  the  financial  condition  or  business
operations  of such  Guarantor,  and such  Guarantor is not in default under any
other  indebtedness  or with  respect to any order,  writ,  injunction,  decree,
judgment or demand of any court or any governmental authority; (b) the execution
and  delivery of this  Limited  Guaranty  does not and shall not (i) violate any
provision of any law,  rule,  regulation,  order,  writ,  judgment,  injunction,
decree,  decision or award  applicable to such  Guarantor,  nor (ii) result in a
breach of, or constitute a default under, any indenture,  bond, mortgage, lease,
instrument, credit agreement,  undertaking, contract or other agreement to which
such  Guarantor  is a party or by which  any of its  properties  may be bound or
affected;  (c) this  Limited  Guaranty  constitutes  the legal valid and binding
obligation of such Guarantor,  enforceable  against such Guarantor in accordance
with its  terms;  (d) all  financial  statements  of such  Guarantor  previously
delivered to the Bank have been prepared in accordance  with generally  accepted
accounting  principles  consistently  applied  and fairly  present  the  correct
financial  condition of such  Guarantor as of their  respective  dates,  and the
foregoing  shall  be true  with  respect  to all  financial  statements  of such
Guarantor delivered to the Bank hereafter; (e) such Guarantor has duly filed all
federal,  state and local tax returns  which are required to be filled,  and has
paid all taxes as shown on said returns which have become due (except such taxes
as are being  contested  in good  faith by  appropriate  proceedings  diligently
pursued,  adequate reserves having been set aside for the payment thereof);  (f)
there is no fact that such  Guarantor  has not  disclosed to the Bank in writing
that could materially adversely affect such Guarantor's properties,  business or
financial condition; (g) the Guarantor has not guaranteed or stood as surety for
any other entity than  previously  disclosed to the Bank in writing nor will the
Guarantor  guarantee or stand  surety for any other  transaction  without  first
obtaining the Bank's written  consent;  and (h) such Guarantor has duly obtained
all permits, licenses,  approvals, and consents from, and made all filings with,
any  governmental  authority {and the same have not lapsed nor been rescinded or
revoked)  which are necessary in  connection  with its execution and delivery of
this Limited  Guaranty,  the performance of such Guarantor's  obligations  under
this Limited Guaranty, or the enforcement of this Limited Guaranty.

     If any Guarantor is a corporation,  partnership  or other business  entity,
then the  Guarantor  hereby  further  represents  and  warrants  that:  (a) such
Guarantor is duly  organized,  validly  existing and in good standing  under the
laws of the  jurisdiction of its creation,  and is duly licensed or qualified to
do business under the laws of such other  jurisdictions  where the nature of its
business  requires that it be so qualified or licensed;  {b) such  Guarantor has
all  requisite  power and  authority  (corporate  or  otherwise)  to conduct its
business,  to own its properties,  to execute and deliver this Limited Guaranty,
and to perform  its  obligations  hereunder;  (c) the  execution,  delivery  and
performance of this Limited  Guaranty have been duly authorized by all necessary
actions  (corporate or otherwise)  and do not require the consent or approval of
such  Guarantor's  stockholders  (if a  corporation)  or of any other  person or
entity whose consent has not been obtained; and (d) the execution,  delivery and
performance  of this  Limited  Guaranty  do not and will not  conflict  with any
provision  of such  Guarantor's  by-laws  or  articles  of  incorporation  (if a
corporation),  partnership agreement (if a partnership) or trust agreement (if a
trust),  or other document  pursuant to which such  Guarantor was created.  Each
Guarantor   acknowledges   and   agrees   that  the  Bank  is   relying  on  the
representations  and warranties in this Limited  Guaranty as a  precondition  to
funding  the  Guaranteed   Obligations  to  the  Borrower,  and  that  all  such
representations  and  warranties  shall survive the extension of such credit and
any bankruptcy, insolvency liquidation or similar proceedings.

REVISED 12/14/93

<PAGE>

     15.  Exchange Rate. If for the purposes of obtaining  judgment  against any
Guarantor in any court it becomes  necessary  to convert a sum due  hereunder in
U.S. dollars into another currency, then the rate of exchange used shall be that
at which the Bank  could  purchase  U.S.  dollars  with such other  currency  in
accordance with normal banking  procedures on the Business Day preceding the day
on which final judgment is obtained.  Notwithstanding any judgment in such other
currency,  the  obligations of the Guarantor for any sum due hereunder  shall be
discharged only to the extent that: (i) the Bank can purchase U.S.  dollars with
such other currency in accordance with normal banking procedures on the Business
Day following the Bank's receipt of any such sum adjudged to be due hereunder in
such other currency;  and (ii) the Bank can remit the purchased U.S.  dollars to
the place where payment of the Guaranteed  Obligations  should have been made by
the Borrower.

     If the U.S.  dollars so purchased  and remitted are less than the sum owing
to the Bank in U.S. dollars before the judgment, then each Guarantor agrees as a
separate obligation and notwithstanding any such judgment, to indemnify the Bank
on demand against such loss, together with interest from such demand at the rate
set forth in  Section 11 above for  amounts  expended  by the Bank;  if the U.S.
dollars  so  purchased  and  remitted  exceed  the sum owing to the Bank in U.S.
dollars before the judgment, such excess shall be remitted to the Guarantor from
whom such other currency shall have been collected.

     16. Legal Fees. Guarantor agrees to pay all legal fees (regardless if those
fees  are to the  Bank's  retained  counsel  or to cover  the  cost of  in-house
counsel),  disbursements and related expenses incurred by the Bank in connection
with the enforcement  and/or  collection of the Guaranteed  Obligations  against
either the Borrower  and/or the  Guarantor.  In the event that the Bank pays any
such legal fees,  disbursements or expenses,  Guarantor will promptly  reimburse
the Bank  therefor.  Furthermore,  the Bank may, at its election and in its sole
discretion,  deduct  all or part of any  such  amount  from  any  account  which
Guarantor  now or hereafter  maintains  with the Bank or any of its  affiliates.
Guarantor  understands  and  acknowledges  that the Bank may  retain  lawyers in
reliance upon the agreement of Guarantor set forth herein.

     17.  No  Revocation.  This  Limited  Guaranty  may  not be  revoked  by the
Guarantor for any reason while the  Guaranteed  Obligations  remain  unsatisfied
regardless  of  whether  said  Guaranteed  Obligations  are no longer  the legal
obligations of the Borrower.

     18. Statement of Account.  Any statement of account  maintained by the Bank
in the ordinary  course of business  and that is binding on the  Borrower  shall
also be  binding  upon  the  Guarantor.  Said  statement  of  account  shall  be
admissible as evidence against the Guarantor to the same extent that it would be
admissible  against the Borrower  but shall not be subject to any defenses  that
Borrower might assert against the Bank.

     19.  Acceleration.  In the event  that  there has been a default  under the
terms of the Guaranteed  Obligations by the Borrower,  the Bank may, in its sole
discretion,  accelerate the unpaid balance of the Guaranteed  Obligations at any
time and declare said amount to be immediately due and owing.

     20.  Severability.   Any  provision  of  this  Limited  Guaranty  which  is
prohibited or unenforceable in any jurisdiction  shall, as to such  jurisdiction
only, be ineffective only to the extent of such prohibition or unenforceability,
without  invalidating the remaining  provisions hereof or affecting the validity
or  enforceability  of such other  provision in any other  jurisdiction.  In the
event that any law  invalidating  such a provision  may be waived,  it is hereby
waived by each  Guarantor to the fullest  extent  permitted by law in order that
this  Limited  Guaranty  shall be  deemed to be a valid  and  binding  agreement
enforceable against such Guarantor in accordance with its terms.

     21. Cumulative  Rights.  The rights of the Bank under this Limited Guaranty
may be waived only in a writing  signed by at least two  authorized  officers of
the Bank on its behalf. The rights granted to the Bank hereunder are in addition
to, and not in  substitution  for, any rights  available to the Bank against any
Guarantor  at  law  or in  equity,  or  under  any  other  agreement,  guaranty,
promissory  note,  contract  or other  document  which such  Guarantor  may have
already executed and delivered or may hereafter execute and deliver to the Bank,
all of which are cumulative and may be exercised by the Bank in whole or in part
from time to time.

     22. Governing Law;  Jurisdiction.  The provisions of this Limited Guaranty,
and all rights and obligations hereunder,  shall be governed by and construed in
accordance  with the laws of the State of New York without  giving effect to the
conflicts  of laws  provisions  thereof,  which  is the  place  of  negotiation,
delivery and  performance  hereof.  For any action or proceeding  relating to or
arising from this Limited  Guaranty,  the Bank and each Guarantor hereby, to the
fullest extent  permitted by law: (a) submits to the  jurisdiction  of the state
and  federal  courts  in the State of New  York;  (b)  waives  any  immunity  or
exemption of any property, wherever located, from garnishment, levy,

REVISED 12/14/93

<PAGE>

execution,  seizure or attachment prior to or in execution of judgment,  or sale
under  execution or other process for the  collection of debts;  (c) agrees that
the venue of any such  action or  proceeding  may be laid in New York County (in
addition  to any place in which any  collateral  for any  Guaranteed  Obligation
which is the  subject of such action or  proceeding  is then  located,  or where
payment of such  Guaranteed  Obligations  should have bean made by the Borrower)
and waives any claim that the same is in inconvenient  forum; and (e) stipulates
that service of process in any such action or proceeding  shall be properly made
if  mailed  by  any  form  of   registered   or  certified   mail   (airmail  if
international),  postage  prepaid,  to the address then registered in the Bank's
books for such Guarantor,  and that any process so served shall be effective ten
days after mailing;  provided,  however,  that the foregoing shall not limit the
Bank's right to serve legal  process in any other manner  permitted by law or to
bring  any  such  action  or   proceeding   in  any  other  court  of  competent
jurisdiction.

     23. Term.  As to each  Guarantor,  this Limited  Guaranty  shall enter into
effect when signed by such  Guarantor  and  delivered  to the Bank and remain in
full force and effect until the Guaranteed  Obligations  shall have been paid in
full or until the Bank shall have released such Guarantor by a writing signed by
at least two duly  authorized  officers of the Bank (and no  Guarantor  shall be
released from such Guarantor's Obligations hereunder in any other manner).

     24.  Interpretation.  Whenever used in this Limited Guaranty,  words in the
singular  include the plural,  words in the plural  include  the  singular,  and
pronouns of any gender  include the other  genders,  all as may be  appropriate.
Captions and paragraph  headings in this Limited Guaranty are for convenience of
reference only and shall not affect the  interpretation of any provision of this
Limited  Guaranty.  Any reference in this Limited Guaranty to a sum expressed in
dollars  or with the symbol "$" or  "U.S.$"  means the  lawful  currency  of the
United States of America,  unless such reference  expressly  identifies  another
dollar-denominated currency.

     25.  Miscellaneous.  Time shall be of the essence with respect to the terms
of this Limited  Guaranty and to the  obligations of the  Guarantors  hereunder.
This Limited Guaranty cannot be changed or modified orally.  The Bank shall have
the right  unilaterally  to correct  patent  errors or omissions In this Limited
Guaranty.  Upon request  from the Bank from time to time,  each  Guarantor  will
provide to the Bank such  information  regarding  its  financial  condition  and
business operations as the Bank shall request.

     26.  Counterparts.  This  Limited  Guaranty  may be signed in any number of
counterparts.  Any counterpart  signed by any Guarantor shall  constitute a full
and original agreement with respect to that Guarantor for all purposes.

                               JURY TRIAL WAIVER.

EACH GUARANTOR HEREBY KNOWINGLY,  VOLUNTARILY AND INTENTIONALLY WAIVES ANY RIGHT
(S)HE OR IT MAY  HAVE TO A TRIAL  BY JURY IN  RESPECT  TO ANY  LITIGATION  BASED
HEREIN,  OR  ARISING  OUT  OF,  UNDER,  OR IN  CONNECTION  WITH  THIS  ABSOLUTE,
UNCONDITIONAL  AND  CONTINUING  Limited  Guaranty  OF  PAYMENT,  OR OUT OF ON IN
CONNECTION  WITH  ANY  AGREEMENT  CONTEMPLATED  TO BE  EXECUTED  IN  CONJUNCTION
THEREWITH,  OR ANY COURSE OF  CONDUCT,  COURSE OF  DEALING,  STATEMENT  (WHETHER
VERBAL ON  WRITTEN)  ON ACTIONS OR  OMISSIONS  OF ANY PARTY.  GUARANTOR  FURTHER
ACKNOWLEDGES  THAT  THIS JURY  TRIAL  WAIVER  PROVISION  HAS BEEN  EXPLAINED  TO
IT/HIM/HER BY ITS/HIS/HER  COUNSEL AND THAT IT/HE/SHE  UNDERSTANDS AND AGREES TO
SAME.

REVISED 12/14/93

<PAGE>

     IN WITNESS WHEREOF,  each Guarantor has executed and delivered this Limited
Guaranty on the day and year first above written.

(Individuals complete and sign below)    (Corporations, Partnerships
                                         or other Entities complete and
                                         sign below)
         

/s/ Jacob Rosenberg
- -----------------------------            ---------------------------------------
(Signature)                              (Name of corporation, partnership or 
                                         other entity)

 Jacob Rosenberg                         By: 
- -----------------------------                     ------------------------------
Print Name                                        Name and Title

 ###-##-####                             By:
- -----------------------------                     ------------------------------
Social Security No.                               Name and Title

 932 E. 29th Street
- -----------------------------            ---------------------------------------
Street Address                           (Employer l.D. No.)

 Brooklyn, New York 11210
- -----------------------------            ---------------------------------------
City, State, Zip                         Street Address of Business

- -----------------------------            ---------------------------------------
Telephone No.                            City, State, Zip


STATE OF NEW YORK
COUNTY OF QUEENS


The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this 9 day of May, 1996 by Jacob Rosenberg, individually.


/s/ Doris Medina                             DORIS MEDINA
- ---------------------------------            Notary Public, State of New York
Notary Public, State of New York             No. 41-4898355
My Commission Expires:                       Qualified in Queens County
                                             Commission Expires June 15, 1997


State of New York
County of New York

The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this  ________________________________________  day of _________,  19______,  by
____________________________________,   as  ______________________________,   of
__________________ a state chartered corporation, on behalf of said corporation.




- ---------------------------------
Notary Public, State of New York

REVISED 12/14/93

<PAGE>

State of New York
County of New York

The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this  ________________________________________  day of _________,  19______,  by
____________________________________,   as  ______________________________,   of
__________________ a state chartered corporation, on behalf of said corporation.




- ---------------------------------
Notary Public, State of New York

REVISED 12/14/93


                    ABSOLUTE, UNCONDITIONAL, IRREVOCABLE AND
                     LIMITED CONTINUING GUARANTY OF PAYMENT

     THIS ABSOLUTE, UNCONDITIONAL IRREVOCABLE AND LIMITED CONTINUING GUARANTY OF
PAYMENT ("Limited Guaranty") is made on this 9th day of May, 1996.

                              W I T N E S S E T H :

     WHEREAS,  UNITED MIZRAHI BANK AND TRUST COMPANY, a bank chartered under the
laws of the State of New York (the "Bank") is or will be extending credit to New
York  Health  Care,  Inc.  (the  "Borrower"),  whose  principal  address is 1667
Flatbush Avenue, Brooklyn, New York 11210; and

     WHEREAS,  the  undersigned   (hereinafter   referred  to  individually  and
collectively  as the  "Guarantor" has represented and warranted to the Bank that
it will be  benefitted  if credit is  extended  to the  Borrower,  because  such
Guarantor has an interest or  relationship,  directly or indirectly,  in or with
the Borrower and/or in the transactions being funded with such credit; and

     WHEREAS, the Bank has declined to extend credit to the Borrower unless each
Guarantor executes and delivers to the Bank this Limited Guaranty;

     NOW, THEREFORE, in order to induce the Bank to extend or continue to extend
credit or grant financial accommodations to the Borrower and in consideration of
other good and valuable consideration the receipt of which each Guarantor hereby
acknowledges, each Guarantor agrees as follows:

          1. Guaranteed Obligations. The Guarantor guarantees the payment to the
Bank of One Million  Nine  Hundred  Sixty Eight  Thousand  Seven  Hundred  Fifty
($1,968,750.00) whether principal, interest or other, however arising, which may
now or hereafter be due to the Bank from the Borrower  arising from, or relating
to all  debts,  liabilities  and  obligations,  present  or  future,  direct  or
indirect,  absolute or  contingent,  matured or not,  joint or  several,  of the
Borrower to the Bank,  and the timely and proper  performance by the Borrower of
all  obligations,  covenants  and  agreements  relating to the same (such debts,
liabilities,  obligations,  covenants and agreements, being hereinafter referred
to  as  the  "Guaranteed  Obligations"),   including  without  limitation  those
Guaranteed  Obligations relating to or arising out of any loan documents entered
into pursuant to the currently contemplated transaction or any other transaction
now,  previously or  hereinafter  entered into between the Borrower and the Bank
(the "Loan Documents").

          2.  Limited   Guaranty   Absolute,   Unconditional,   Irrevocable  and
Continuing.  Each  Guarantor,  as direct and joint and  several  obligor and not
merely as surety, hereby absolutely and unconditionally  irrevocably  guarantees
to the Bank,  independently of the Borrower and of any other surety or guarantor
(including  without  limitation  any  other  Guarantor),  the full and  complete
payment  when due (by  acceleration  or at stated  maturity)  and the timely and
proper performance by the Borrower of all Guaranteed Obligations. The obligation
of each Guarantor hereunder in respect of the Guaranteed Obligations is absolute
and  unconditional   irrespective  of  the  genuineness,   legality,   validity,
regularity  or  enforceability  of any  applicable  Loan  Document.  This  is an
irrevocable  and  continuing  guaranty and shall remain in full force and effect
until all Guaranteed  Obligations  shall have been satisfied and all amounts due
in  respect  thereof  shall have been paid to the Bank in full.  Each  Guarantor
waives,  to the fullest  extent  permitted by law, the benefit of any statute of
limitations  affecting its liability  hereunder or the enforcement  thereof,  as
well as any  other  circumstance  or  provision  of law  which  might  otherwise
constitute a defense or discharge of a Guarantor or hinder prompt enforcement of
this Limited Guaranty.  This Limited Guaranty shall be a continuing guaranty and
shall cover and secure any amount at any time owing in respect of the Guaranteed
Obligations.  Each Guarantor hereby irrevocably waives any right to require that
the Bank proceed against the Borrower or any other person, or proceed against or
exhaust any  collateral or security which the Bank may now or hereafter hold for
any of the  Guaranteed  Obligations  prior to  collecting  from  such  Guarantor
hereunder. The Limited Guaranty of each Guarantor hereunder shall continue to be
effective,  or shall  be  reinstated,  as the  case  may be,  if at any time any
payment to the Bank in respect of the Guaranteed  Obligations shall be rescinded
or must  otherwise  be returned  for any reason  whatsoever,  including  without
limitation upon the insolvency,  bankruptcy or  reorganization  of the person or
entity  making such payment,  all as though such payment had not been made.  The
Guarantor  acknowledges  that  no  oral  or  other  agreements,  understandings,
representations or warranties exist with

REVISED 12/14/93

<PAGE>

respect to this  Guaranty or with respect to the  obligations  of the  Guarantor
under this Guaranty, except as specifically set forth in this Guaranty.

          3.  Payment.  If the  Borrower  shall  default  in the  payment of any
Guaranteed  Obligation when due (by  acceleration,  upon maturity or otherwise),
each Guarantor shall pay to the Bank  immediately upon demand the full amount of
such  Guaranteed  Obligation in lawful  currency of the United States of America
and in  immediately  available  funds.  All such payments  shall be made without
setoff,  deduction or withholding for any reason whatsoever,  and shall be final
and free from any claim or  counterclaim of any other Guarantor or the Borrower.
Demand upon each Guarantor shall be made by the Bank by notice to such Guarantor
as provided herein, setting forth the amount due and demanding payment. All sums
payable by each Guarantor  hereunder shall be paid to the Bank at 10 Rockefeller
Plaza,  New York, NY 10020 (or at such other  location as shall be designated by
the Bank in its notice to Guarantor)  on the first working day in New York,  New
York ("Business  Day"),  following the date notice is transmitted by telecopy or
by  telex  with  confirmed  answer  back  or is  delivered  personally  to  such
Guarantor,  or three (3) days after notice is mailed to such Guarantor demanding
payment.

          4. Enforcement.  The Bank may neglect or forbear to enforce payment or
to take any other  action or exercise  any right  hereunder or in respect of the
Guaranteed  Obligations  without in any way affecting or impairing the liability
of each  Guarantor  hereunder.  No act or omission of any kind by the Bank shall
affect or impair this Limited Guaranty, and the Bank shall have no duties to any
Guarantor except as expressly  provided herein.  This Limited Guaranty  contains
the full agreement of each  Guarantor and is not subject to any oral  conditions
or understandings.  In proceeding under this Limited Guaranty,  the Bank may act
against any Guarantor separately,  or against two or more Guarantors jointly, or
against some separately and some jointly. In any action or proceeding to enforce
this Limited Guaranty  against any Guarantor,  the Bank shall not be required to
join the Borrower, or any other Guarantor, unless it shall elect to do so in its
sole discretion.

          5. Waiver.  Each  Guarantor  hereby  irrevocably  waives notice of the
extension and/or  modification of the Loan Documents  guaranteed by this Limited
Guaranty,  or of the  acceptance of this Limited  Guaranty,  as well as protest,
presentment,  diligence,  demand for payment  (except as  specified in Section 3
above), notice of default,  nonpayment or dishonor of any Guaranteed Obligation,
and any other notice  whatsoever  except as  expressly  provided in this Limited
Guaranty.

          6. Limited  Guaranty  Not  Affected.  No change in the name,  objects,
capital stock,  ownership,  organic  documents or charter of the Borrower or any
Guarantor  or other  guarantor  or  surety  (if the same  shall not be a natural
person),  or in any law  applicable  to the  Borrower or any  Guarantor or other
guarantor or surety,  shall in any way affect the  liability of any Guarantor to
the Bank  under  this  Limited  Guaranty,  and the sums  due in  respect  of the
Guaranteed   Obligations   shall  be   guaranteed   by  this  Limited   Guaranty
notwithstanding  that the obtaining of any credit  guaranteed hereby shall be in
excess of the powers of the  Borrower  or of its  officers,  directors  or other
agents,  acting or purporting to act on its behalf,  or be in any way irregular,
unlawful or defective.  Each Guarantor  agrees that this Limited  Guaranty is in
addition to and not in substitution  for any other  guaranties or other security
or collateral which are now or which may hereafter be held by the Bank, and that
such Guarantor's  obligations  under this Limited Guaranty shall not be affected
by any release or discharge  granted any other  Guarantor or guarantor or surety
or by the fact that any person  requested to  guarantee  or to give  security or
collateral for the Guaranteed Obligations shall have failed to do so.

          7. Consent to Certain Actions. Each Guarantor consents to, and without
notice  to  such   Guarantor  and  without  the  necessity  for  any  additional
endorsement,  consent or guaranty  from such  Guarantor,  and without in any way
impairing  such  Guarantor's  obligations  hereunder:  (a)  any  or  all  of the
Guaranteed  Obligations may, from time to time, be renewed,  extended,  modified
(with respect to time for payment or the terms of  indebtedness  or  otherwise),
compromised,  settled,  released or discharged by the Bank, whether by agreement
with  the  Borrower  or  pursuant  to  any  insolvency,  bankruptcy  or  similar
proceeding; (b) any security or collateral for the Guaranteed Obligations may be
assigned, exchanged, sold, released or surrendered by the Bank, and the Bank may
abstain  from  perfecting  its  security   interest  in  any  such  security  or
collateral,  or from  taking up new  security  or  collateral;  (c) the Bank may
exercise or refrain from  exercising any right against the Borrower or any other
person or entity (including without limitation any Guarantor),  or otherwise act
or  refrain  from  acting;  (d) the Bank may apply any sums  whatsoever  paid or
howsoever  realized to any  liabilities  of the  Borrower or any other person or
entity  to the  Bank,  in  such  order  as the  Bank  shall  elect  in its  sole
discretion,  regardless of what Guaranteed  Obligations shall remain unpaid as a
result of such application;  (e) the Bank may consent to or waive any breach of,
any act, omission or default in respect to, the Guaranteed  Obligations;  or (f)
the Bank may agree to any amendment or  modification  of, or any  supplement to,
any  Loan  Document,  credit  document  or  agreement,  instrument  or  document
applicable to the Guaranteed Obligations.

REVISED 12/14/93

<PAGE>

          8.  Successors  and  Assigns.  No  Guarantor  may  delegate any of its
obligations or liabilities hereunder. The Limited Guaranty shall be binding upon
the heirs, personal representatives,  executors and successors of each Guarantor
and shall inure to the benefit of the Bank and its successors  and assigns.  The
Bank may at any time, without notice to any Guarantor, transfer or assign to any
person or entity any of the Guaranteed  Obligations or any interest therein, and
each and every immediate and successive assignee or transferee of the Guaranteed
Obligations or any interest therein shall, to the extent of his or its interest,
be entitled to the  benefits of this  Limited  Guaranty to the same extent as if
such assignee or transferee were the Bank.

          9. Hold Harmless. Each Guarantor agrees to indemnify and hold the Bank
harmless upon demand for all expenses,  losses,  consequences  or damages of the
Bank  arising from or relating to any claim,  demand,  action or  proceeding  by
whomsoever  brought in connection  with or relating to this Limited  Guaranty or
any of the Guaranteed  Obligations,  including without limitation the payment of
any court costs,  the  reasonable  fees and expenses of legal  counsel,  whether
in-house or outside counsel,  and any other costs of collection  incurred by the
Bank. In addition,  each Guarantor  agrees to pay any  documentary  stamp taxes,
intangible  taxes or other taxes  (except for federal or New York  franchise  or
income taxes based on the Bank's net income) which may now or hereafter apply to
any  Guaranteed  Obligation  or  any  applicable  Loan  Document,  agreement  or
instrument, or any security therefor, and each Guarantor agrees to indemnify and
hold the Bank  harmless  upon  demand from and  against  any  liability,  costs,
attorney's fees, penalties,  interest or expenses relating to any such taxes, as
and when the same may be incurred. Each Guarantor further agrees to pay the Bank
on demand,  and to indemnify  and hold the Bank  harmless  against,  any and all
other  present  or  future  taxes,  levies,  imposts,  deductions,  charges  and
withholdings  imposed  in  connection  with  any  Guaranteed  Obligation  or any
applicable  credit  document  by the  laws or  governmental  authorities  of any
jurisdiction  other than the State of New York or the United  States of America,
and all payments to the Bank under this Limited  Guaranty shall be made free and
clear thereof and without  deduction  therefor.  All amounts payable to the Bank
hereunder  shall bear interest from the date they are expended by the Bank until
payment in full at the highest  lawful rate then  permitted by applicable law in
the State of New York,  or if no such rate then  exists,  at the highest  lawful
rate permitted under such other applicable law of Bank's choice in effect on the
date thereof.

          10.  Notices.  Any notice of demand  required or permitted to be given
hereunder  to any  Guarantor  shall be in writing  and shall be: (a)  personally
delivered;  (b) transmitted by postage prepaid,  first class mail,  (first class
airmail if  international);  or (c)  transmitted  by  telecopy  or by telex with
confirmed  answerback to the address for such Guarantor  registered from time to
time on the Bank's books.  Such notice shall be deemed  effective at the time of
transmission;  provided, however, that notice sent by mail shall be effective on
the third day after mailing.

          11. Subordination and Subrogation.  Each Guarantor hereby subordinates
any and all direct or indirect  claims and rights that such  Guarantor  may have
against  the  Borrower  or any other  Guarantor  (whether  or not  evidenced  by
promissory  notes  or  other  evidences  of  indebtedness,  whether  for  moneys
advanced,  services  performed  or goods  sold  and  delivered,  whether  for an
indeterminate  amount,  a sum certain or a  contingent  claim),  now existing or
hereafter arising,  to any and all claims by the Bank for amounts owing from the
Borrower to the Bank in respect of the  Guaranteed  Obligations.  Each Guarantor
hereby assigns and transfers to the Bank,  effective upon demand by the Bank for
payment of any  Guaranteed  Obligation  by such  Guarantor,  all such claims and
rights  and  any  proceeds  thereof,  and  agrees  that  the  Bank  may,  in its
discretion,  make and present in any bankruptcy or other  proceeding such proofs
or claims as the Bank may deem expedient or proper,  and may vote such proofs or
claims in any such proceedings. Each Guarantor hereby undertakes to deliver upon
demand by the Bank such additional documents as the Bank may request to evidence
such subordination,  assignment and transfer,  including without limitation duly
executed  assignments,  and to collect or enforce any sums due from the Borrower
or any other  Guarantor  from and after notice from the Bank, as trustee for the
Bank, and to pay over to the Bank such sums immediately  upon receipt,  together
with interest on such sums from the date received by such  Guarantor  until paid
to the Bank, before or after judgment,  at the interest rate provided herein for
amounts  expended by the Bank,  without  reducing or affecting in any manner the
liability of such Guarantor under the other provisions of this Limited Guaranty.
Until all Guaranteed  Obligations  shall have been paid in full,  each Guarantor
shall have no right of  subrogation,  and waives any right to enforce any remedy
which the Bank now has or may hereafter  have against the  Borrower,  and waives
any benefit of, and any right to  participate  in, any  security,  collateral or
lien now or hereafter held by the Bank.

          12.  Borrower's  Performance.  Each  Guarantor  agrees not to take any
action which would prevent or interfere with the  Borrower's  performance of any
of the  Guaranteed  Obligations,  and  agrees  to take or cause to be taken  all
action necessary or appropriate (to the extent legally permissible) to cause and
permit the Borrower to perform all the Guaranteed Obligations.

REVISED 12/14/93

<PAGE>

          13.  Security.  As security for all of its obligations  hereunder each
Guarantor  hereby  pledges  and  assigns  to the Bank,  and grants to the Bank a
security  interest in, all Property  {whether  tangible or intangible),  monies,
instruments,  documents  of  title  and  securities  now  or  hereafter  in  the
possession  of the Bank,  by or for the account of such  Guarantor,  or in which
such  Guarantor  may  have  any  interest  (all  such   remittances,   property,
instruments, documents of title and securities to be deemed in the possession or
custody  of the Bank as soon as put in transit  to it by mail or  carrier),  and
also upon the  balance,  from time to time,  of any deposits or accounts of such
Guarantor  with the Bank,  and the Bank is  hereby  irrevocably  authorized  and
empowered  at  its  option  and  without  prior  notice  to  such  Guarantor  to
appropriate  any and all thereof and apply the same or the  proceeds  thereof to
any amount  past-due  in respect of the  Guaranteed  Obligations.  The  security
interest  granted hereby shall come into  existence and continue  whether or not
any such  collateral is deposited to secure other  obligations of such Guarantor
to the Bank,  and the Bank is hereby  irrevocably  authorized to retain and keep
any such collateral  until payment in full of all Guaranteed  Obligations.  Each
Guarantor  agrees to pay upon  demand any  deficiency  remaining  after the Bank
realizes upon any such collateral, but the Bank shall not be required to proceed
first against any such collateral. In addition, the Bank may at any time set off
any deposits of any Guarantor  with the Bank  {whether or not  matured),  or any
monies of any Guarantor which may come into the possession of the Bank,  against
any  amount  due  to  the  Bank  in  respect  of  the  Guaranteed   Obligations.
Alternatively, the Bank may, in its discretion, retain such monies as collateral
for the  performance by the Borrower of the Guaranteed  obligations,  by placing
such monies in a blocked account with the Bank pending the  satisfaction in full
of such Guaranteed Obligations.

          14.  Representation  and  Warranties.  To induce  the Bank to fund the
Guaranteed  Obligations to the Borrower,  each Guarantor represents and warrants
that:  (a) there are no  actions,  suits or  proceeding  pending  or  threatened
against or  affecting  such  Guarantor  before any court of law or equity or any
tribunal,  administrative board or governmental  authority,  which, if adversely
determined,   could  materially  affect  the  financial  condition  or  business
operations  of such  Guarantor,  and such  Guarantor is not in default under any
other  indebtedness  or with  respect to any order,  writ,  injunction,  decree,
judgment or demand of any court or any governmental authority; (b) the execution
and  delivery of this  Limited  Guaranty  does not and shall not {i) violate any
provision of any law,  rule,  regulation,  order,  writ,  judgment,  injunction,
decree,  decision or award  applicable to such  Guarantor,  nor (ii) result in a
breach of, or constitute a default under, any indenture,  bond, mortgage, lease,
instrument, credit agreement,  undertaking, contract or other agreement to which
such  Guarantor  is a party or by which  any of its  properties  may be bound or
affected;  {c) this  Limited  Guaranty  constitutes  the legal valid and binding
obligation of such Guarantor,  enforceable  against such Guarantor in accordance
with its  terms;  {d} all  financial  statements  of such  Guarantor  previously
delivered to the Bank have been prepared in accordance  with generally  accepted
accounting  principles  consistently  applied  and fairly  present  the  correct
financial  condition of such  Guarantor as of their  respective  dates,  and the
foregoing  shall  be true  with  respect  to all  financial  statements  of such
Guarantor delivered to the Bank hereafter; (e) such Guarantor has duly filed all
federal  state and local tax returns which are required to be filed and has paid
all taxes as shown on said  returns  which have become due {except such taxes as
are being contested in good faith by appropriate proceedings diligently pursued,
adequate reserves having been set aside for the payment  thereof);  (f) there is
no fact that such  Guarantor has not disclosed to the Bank in writing that could
materially adversely affect such Guarantor's  properties,  business or financial
condition; {g) the Guarantor has not guaranteed or stood as surety for any other
entity than  previously  disclosed to the Bank in writing nor will the Guarantor
guarantee or stand surety for any other transaction  without first obtaining the
Bank's  written  consent;  and {h) such Guarantor has duly obtained all permits,
licenses,  approvals,  and  consents  from,  and  made  all  filings  with,  any
governmental  authority  {and the same have not  lapsed  nor been  rescinded  or
revoked)  which are necessary in  connection  with its execution and delivery of
this Limited  Guaranty,  the performance of such Guarantor's  obligations  under
this Limited Guaranty, or the enforcement of this Limited Guaranty.

          If any  Guarantor  is a  corporation,  partnership  or other  business
entity, then the Guarantor hereby further represents and warrants that: {a) such
Guarantor is duly  organized,  validly  existing and in good standing  under the
laws of the  jurisdiction of its creation,  and is duly licensed or qualified to
do business under the laws of such other  jurisdictions  where the nature of its
business  requires that it be so qualified or licensed;  {b) such  Guarantor has
ail  requisite  power and  authority  {corporate  or  otherwise)  to conduct its
business,  to own its properties,  to execute and delver this Limited  Guaranty,
and to perform  its  obligations  hereunder;  (c) the  execution,  delivery  and
performance of this Limited  Guaranty have been duly authorized by all necessary
actions  {corporate or otherwise)  and do not require the consent or approval of
such  Guarantor's  stockholders  (if a  corporation)  or of any other  person or
entity whose consent has not been obtained; and {d) the execution,  delivery and
performance  of this  Limited  Guaranty  do not and will not  conflict  with any
provision  of such  Guarantor's  by-laws  or  articles  of  incorporation  (if a
corporation),  partnership agreement {if a partnership) or trust agreement (if a
trust),  or other document  pursuant to which such  Guarantor was created.  Each
Guarantor   acknowledges   and   agrees   that  the  Bank  is   relying  on  the
representations  and warranties in this Limited  GuarantY as a  precondition  to
funding  the  Guaranteed   Obligations  to  the  Borrower,  and  that  all  such
representations  and  warranties  shall survive the extension of such credit and
any bankruptcy, insolvency liquidation or similar proceedings.

REVISED 12/14/93

<PAGE>

          15. Exchange Rate. If for the purposes of obtaining  judgment  against
any  Guarantor in any court it becomes  necessary to convert a sum due hereunder
in U.S. dollars into another  currency,  then the rate of exchange used shall be
that at which the Bank could  purchase U.S.  dollars with such other currency in
accordance with normal banking  procedures on the Business Day preceding the day
on which final judgment is obtained.  Notwithstanding any judgment in such other
currency,  the  obligations of the Guarantor for any sum due hereunder  shall be
discharged only to the extent that: (i) the Bank can purchase U.S.  dollars with
such other currency in accordance with normal banking procedures on the Business
Day following the Bank's receipt of any such sum adjudged to be due hereunder in
such other currency;  and (ii) the Bank can remit the purchased U.S.  dollars to
the place where payment of the Guaranteed  Obligations  should have been made by
the Borrower.

          If the U.S.  dollars so  purchased  and remitted are less than the sum
owing to the Bank in U.S.  dollars  before  the  judgment,  then each  Guarantor
agrees as a  separate  obligation  and  notwithstanding  any such  judgment,  to
indemnify the Bank on demand against such loss, together with interest from such
demand at the rate set forth in Section  11 above for  amounts  expended  by the
Bank; if the U.S.  dollars so purchased and remitted exceed the sum owing to the
Bank in U.S.  dollars before the judgment,  such excess shall be remitted to the
Guarantor from whom such other currency shall have been collected.

          16. Legal Fees. Guarantor agrees to pay all legal fees, (regardless if
those fees are to the Bank's  retained  counsel or to cover the cost of in-house
counsel),  disbursements and related expenses incurred by the Bank in connection
with the enforcement  and/or  collection of the Guaranteed  Obligations  against
either the Borrower  and/or the  Guarantor.  In the event that the Bank pays any
such legal fees,  disbursements or expenses,  Guarantor will promptly  reimburse
the Bank  therefor.  Furthermore,  the Bank may, at its election and in its sole
discretion,  deduct  all or part of any  such  amount  from  any  account  which
Guarantor  now or hereafter  maintains  with the Bank or any of its  affiliates.
Guarantor  understands  and  acknowledges  that the Bank may  retain  lawyers in
reliance upon the agreement of Guarantor set forth herein.

          17. No  Revocation.  This  Limited  Guaranty may not be revoked by the
Guarantor for any reason while the  Guaranteed  Obligations  remain  unsatisfied
regardless  of  whether  said  Guaranteed  Obligations  are no longer  the legal
obligations of the Borrower.

          18. Statement of Account.  Any statement of account  maintained by the
Bank in the  ordinary  course of  business  and that is binding on the  Borrower
shall also be binding upon the  Guarantor.  Said  statement of account  shall be
admissible as evidence against the Guarantor to the same extent that it would be
admissible  against the Borrower  but shall not be subject to any defenses  that
Borrower might assert against the Bank.

          19. Acceleration. In the event that there has been a default under the
terms of the Guaranteed  Obligations by the Borrower,  the Bank may, in its sole
discretion,  accelerate the unpaid balance of the Guaranteed  Obligations at any
time and declare said amount to be immediately due and owing.

          20.  Severability.  Any  provision of this Limited  Guaranty  which is
prohibited or unenforceable in any jurisdiction  shall, as to such  jurisdiction
only, be ineffective only to the extent of such prohibition or unenforceability,
without  invalidating the remaining  provisions hereof or affecting the validity
or  enforceability  of such other  provision in any other  jurisdiction.  In the
event that any law  invalidating  such a provision  may be waived,  it is hereby
waived by each  Guarantor to the fullest  extent  permitted by law in order that
this  Limited  Guaranty  shall be  deemed to be a valid  and  binding  agreement
enforceable against such Guarantor in accordance with its terms.

          21.  Cumulative  Rights.  The rights of the Bank  under  this  Limited
Guaranty  may be  waived  only in a writing  signed  by at least two  authorized
officers of the Bank on its behalf. The rights granted to the Bank hereunder are
in addition to, and not in  substitution  for, any rights  available to the Bank
against  any  Guarantor  at law or in  equity,  or under  any  other  agreement,
guaranty,  promissory note,  contract or other document which such Guarantor may
have already executed and delivered or may hereafter  execute and deliver to the
Bank,  all of which are  cumulative and may be exercised by the Bank in whole or
in part from time to time.

          22.  Governing  Law;  Jurisdiction.  The  provisions  of this  Limited
Guaranty,  and all rights and  obligations  hereunder,  shall be governed by and
construed in  accordance  with the laws of the State of New York without  giving
effect  to the  conflicts  of laws  provisions  thereof,  which is the  place of
negotiation,  delivery  and  performance  hereof.  For any action or  proceeding
relating to or arising from this Limited  Guaranty,  the Bank and each Guarantor
hereby,  to the fullest extent permitted by law: (a) submits to the jurisdiction
of the  state and  federal  courts in the  State of New  York;  (b)  waives  any
immunity or exemption of any property, wherever located, from garnishment, levy,

REVISED 12/14/93

<PAGE>

execution,  seizure or attachment prior to or in execution of judgment,  or sale
under  execution or other process for the  collection of debts;  (c) agrees that
the venue of any such  action or  proceeding  may be laid in New York County {in
addition  to any place In which any  collateral  for any  Guaranteed  Obligation
which is the  subject of such action or  proceeding  is then  located,  or where
payment of such  Guaranteed  Obligations  should have been made by the Borrower)
and waives any claim that the same is in inconvenient  forum; and (e) stipulates
that service of process in any such action or proceeding  shall be properly made
if  mailed  by  any  form  of   registered   or  certified   mail   (airmail  if
international),  postage  prepaid,  to the address then registered in the Bank's
books for such Guarantor,  and that any process so served shall be effective ten
days after mailing;  provided,  however,  that the foregoing shall not limit the
Bank's right to serve legal  process in any other manner  permitted by law or to
bring  any  such  action  or   proceeding   in  any  other  court  of  competent
jurisdiction,

          23. Term. As to each Guarantor, this Limited Guaranty shall enter into
effect when signed by such  Guarantor  and  delivered  to the Bank and remain in
full force and effect until the Guaranteed  Obligations  shall have been paid in
full or until the Bank shall have released such Guarantor by a writing signed by
at least two duly  authorized  officers of the Bank {and no  Guarantor  shall be
released from such Guarantor's obligations hereunder in any other manner).

          24. Interpretation.  Whenever used in this Limited Guaranty,  words in
the singular include the plural,  words in the plural include the singular,  and
pronouns of any gender  include the other  genders,  all as may be  appropriate.
Captions and paragraph  headings in this Limited Guaranty are for convenience of
reference only and shall not affect the  interpretation of any provision of this
Limited  Guaranty.  Any reference in this Limited Guaranty to a sum expressed in
dollars  or with the symbol "$" or  "U.S.$"  means the  lawful  currency  of the
United States of America,  unless such reference  expressly  identifies  another
dollar-denominated currency.

          25.  Miscellaneous.  Time shall be of the essence  with respect to the
terms  of  this  Limited  Guaranty  and to  the  obligations  of the  Guarantors
hereunder.  This Limited Guaranty cannot be changed or modified orally. The Bank
shall have the right  unilaterally to correct patent errors or omissions in this
Limited  Guaranty.  Upon request from the Bank from time to time, each Guarantor
will provide to the Bank such information  regarding its financial condition and
business operations as the Bank shall request.

          26.  Counterparts This Limited Guaranty may be signed in any number of
counterparts.  Any counterpart  signed by any Guarantor shall  constitute a full
and original agreement with respect to that Guarantor for all purposes

                               JURY TRIAL WAIVER.

EACH GUARANTOR HEREBY KNOWINGLY,  VOLUNTARILY AND INTENTIONALLY WAIVES ANY RIGHT
(S)HE OR IT MAY  HAVE TO A TRIAL  BY JURY IN  RESPECT  TO ANY  LITIGATION  BASED
HEREIN,  OR  ARISING  OUT  Of,  UNDER,  OR IN  CONNECTION  WITH  THIS  ABSOLUTE,
UNCONDITIONAL  AND  CONTINUING  Limited  Guaranty  Of  PAYMENT,  OR OUT OF OR IN
CONNECTION  WITH  ANY  AGREEMENT  CONTEMPLATED  TO BE  EXECUTED  IN  CONJUNCTION
THEREWITH,  OR ANY COURSE OF  CONDUCT,  COURSE OF  DEALING,  STATEMENT  (WHETHER
VERBAL OR  WRITTEN)  OR ACTIONS OR  OMISSIONS  Of ANY PARTY.  GUARANTOR  FURTHER
ACKNOWLEDGES  THAT  THIS JURY  TRIAL  WAIVER  PROVISION  HAS BEEN  EXPLAINED  TO
IT/HIM/HER BY ITS/HIS/HER  COUNSEL AND THAT IT/HE/SHE  UNDERSTANDS AND AGREES TO
SAME.

REVISED 12/14/93

<PAGE>

                  IN WITNESS WHEREOF, each Guarantor has executed and delivered
this Limited Guaranty on the day and year first above written,

(Individuals complete and sign below}          (Corporations, Partnerships
                                               or other Entities complete and
                                               sign below}

/s/ Jerry Braun
- --------------------------                     ---------------------------------
(Signature)                                    (Name of corporation, partnership
                                               or other entity)


Jerry Braun                                    By
- --------------------------                         -----------------------------
Print Name                                         Name and Title


###-##-####                                    By:
- --------------------------                         -----------------------------
Social Security No.                                Name and Title


929 E. 28th Street
- --------------------------                     ---------------------------------
Street Address                                 (Employer l.D. No.)


Brooklyn, NY 11210
- --------------------------                     ---------------------------------
City, State, Zip                               Street Address of Business


- --------------------------                     ---------------------------------
Telephone No.                                  City, State, Zip



STATE OF NEW YORK
COUNTY OF QUEENS

The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this 9 day of May, 1996, by Jerry Braun, individually.

/s/ Doris Medina                                          DORIS MEDINA          
- ---------------------------------               Notary Public, State of New York
Notary Public, State of New York                         No. 41-4898355         
My Commission Expires:                             Qualified in Queens County   
                                                Commission Expires June 15, 1997



State of New York
County of New York

The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this  _____  day  of   ________,   19___,   by   _________________________,   as
__________________________ of _______________________________, a state chartered
corporation, on behalf of said corporation.



- ---------------------------------
Notary Public, State of New York

REVISED 12/14/93

<PAGE>

State of New York
County of New York

The foregoing  instrument was sworn to,  subscribed and  acknowledged  before me
this  _____  day  of   ________,   19___,   by   _________________________,   as
__________________________ of _______________________________, a state chartered
corporation, on behalf of said corporation.



- ---------------------------------
Notary Public, State of New York

REVISED 12/14/93




                                 United Mizrahi
                             Bank and Trust Company

                     CONTINUING GENERAL SECURITY AGREEMENT

                            (Including Floating Lien)

     In consideration of financial  accommodations  (arising from loan, advance,
overdraft,  letter of credit, acceptance and/or other credit transactions) given
or to be  given or to be  continued  to the  undersigned  ("Debtor")  by  United
Mizrahi Bank and Trust Company ("Bank"),  the Debtor hereby agrees with the Bank
that, whenever the Debtor shall be at any time or times directly or contingently
indebted,  liable or  obligated to the Bank in any manner  whatsoever,  the Bank
shall have the following rights:

     1. As  security  for the due  and  punctual  payment  of any and all of the
present  and future  Obligations  of the Debtor (as defined in Section 2 below),
the Debtor hereby grants to the Bank a continuing  security  interest in (a) all
of the  Collateral  (as defined in Section 3 below),  whether  now or  hereafter
existing or  acquired,  and (b) all present and future  products and proceeds of
the Collateral.

     2. As used herein, the term "Obligations" means all liabilities,  direct or
contingent,  joint,  several or  independent,  of the  Debtor  now or  hereafter
existing,  due or to become  due to, or held or to be held by,  the Bank for its
own  account or as agent for  another or others,  whether  created  directly  or
acquired by assignment or otherwise and howsoever evidenced.

     3. As used  herein,  the term  "Collateral"  means the  property  described
opposite the box(es) checked below:  (Check one or more of the following by an X
in the box provided.)

|X| A.    All  Personal  Property.  All of the  Debtor's  personal  property and
          fixtures  now or  hereafter  existing  or  acquired,  of any  type  or
          description, wherever located, including but not limited to (a) all of
          the  inventory  of the Debtor,  now owned or  hereafter  acquired  and
          wherever located,  whether raw, in process or finished,  all materials
          or equipment  usable in  processing  the same;  all documents of title
          covering any inventory; all equipment, now owned or hereafter acquired
          and  wherever  located,  employed  in the  operation  of the  Debtor's
          business;   all  of  the  Debtor's  accounts,   general   intangibles,
          instruments,  investment  securities,  chattel paper,  notes,  drafts,
          acceptances,  together with all property of every description,  now or
          hereafter in the  possession  or custody of or in transit to the Bank,
          for any purpose,  including  safekeeping,  collection  or pledge,  for
          account of the Debtor, or as to which the Debtor may have any right or
          power,  and property in the  possession or custody of or in transit to
          anyone  for  the  account  of the  Bank;  and  (b)  all  substitutions
          therefor, all additions thereto (including without limitation all cash
          and dividends and other  distributions and all rights,  privileges and
          options  relating  to,  declared  or granted in  connection  with such
          property)  and  all  proceeds  thereof  and  products  of  each of the
          foregoing in any form whatsoever.

|_| B.    Equipment  Described  in  Schedule(s).   All  equipment  described  in
          Schedule 1 annexed  hereto and in any  separate  schedule  at any time
          delivered by the Debtor to the Bank,  including all present and future
          additions,  attachments and accessories  thereto and all substitutions
          therefor and replacements thereof.

|_| C.    Inventory  Collateral.  All of the  inventory of the Debtor,  of every
          type or  description,  now owned or  hereafter  acquired  and wherever
          located,  whether  raw,  in  process or  finished,  all  materials  or
          equipment  usable in  processing  the same and all  documents of title
          covering any inventory,  including but not limited to inventory of the
          type(s)  described  in  Schedule 2 annexed  hereto (if any) and in any
          separate schedule at any time delivered by the Debtor to the Bank; (b)
          all  present  and  future  substitutions  therefor  and all  additions
          thereto,  and (c) all proceeds  thereof and products of such inventory
          in any form  whatsoever,  including  but not limited to  accounts  and
          chattel paper. Description of inventory in a schedule or schedules, if
          any,  is  intended  to describe  more  specifically  certain  types of
          inventory  described  above more  generally in this Clause C and shall
          not be deemed to limit the generality of the foregoing  description of
          inventory contained in this Clause C.

|_| D.    Accounts and Chattel  Paper.  All of the  Debtor's  present and future
          accounts and chattel paper  (hereinafter  referred to in the plural as
          "Accounts" and in the singular as "Account"), all proceeds thereof and
          all liens, securities, guaranties, remedies, and privileges pertaining
          thereto,  together  with all  rights and liens of the Debtor in and to
          the merchandise,  including returned or repossessed  merchandise,  and
          all rights and property of any kind forming the subject  matter of any
          of the Accounts, including the right of stoppage in transit; including
          but not limited to Accounts set forth in Schedule 3 annexed hereto (if
          any) and in any separate  schedule at any time delivered by the Debtor
          to the Bank.  Description  of Accounts in a schedule or schedules,  if
          any, is  intended  to  describe  more  specifically  certain  Accounts
          described  above  more  generally  in this  Clause D and  shall not be
          deemed  to  limit  the  generality  of the  foregoing  description  of
          Accounts contained in this Clause D.

If no box  is  checked,  Clause  A  (All  Personal  Property)  shall  be  deemed
applicable for all purposes of this  Agreement.  If the Clause A box is checked,
checking  also the  Clause B and/or  Clause  C and/or  Clause D  box(es)  is not
intended, and shall not be construed, to limit the generality or legal effect of
the description contained in Clause A.

     4. The balance of every  account of the Debtor with,  and each claim of the
Debtor  against, the Bank existing from time to time, shall be subject to a lien
and a security  interest  in favor of the Bank and subject to be set off against
any and all  Obligations;  and the Bank may at any time or from  time to time at
its option and without notice appropriate and apply toward the payment of any of
the  Obligations  the balance of each such account of the Debtor with,  and each
such claim of the Debtor against,  the Bank, and the Debtor will continue liable
to the Bank for any deficiency, with interest.

     5. The Debtor  represents  and warrants  that:  (a) no Financing  Statement
(other than any which may have been filed on behalf of the Bank) relating to any
of the Collateral is on file in any public office,  and (b) the Chief  Executive
Office (or Major  Executive  Office) of Debtor (if any),  the books and  records
relating to the Collateral and the  Collateral are  respectively  located at the
address(es)  set forth below and Debtor will not change such  locations  without
prior written notice to and consent of the Bank.



                                       1
<PAGE>

     6. The Debtor assumes all liability and  responsibility  in connection with
all collateral  acquired by Debtor;  and the obligation of the Debtor to pay all
Obligations shall in no way be affected or diminished by reason of the fact that
any such Collateral may be lost,  destroyed,  stolen,  damaged or for any reason
whatsoever unavailable to the Debtor.

     7. So long as this Agreement shall remain in effect, the Debtor agrees: (a)
that,  if the Bank so demands in writing at any time,  (i) all  proceeds  of the
Collateral  shall be delivered to the Bank promptly upon their receipt in a form
satisfactory to the Bank, and (ii) all chattel paper, instruments, and documents
pertaining  to the  Collateral  shall be  delivered  to the Bank at the time and
place and in the manner in which specified in the Bank's demand; (b) in order to
enable the Bank to comply  with the law of any  jurisdiction,  including  state,
federal and foreign,  applicable to any security  interest  granted hereby or to
the Collateral,  to execute and deliver upon request,  in form acceptable to the
Bank,  any  Financing  Statement,  notice,  statement,   instrument,   document,
agreement or other paper  and/or to perform any act  requested by the Bank which
may be necessary to create,  perfect,  preserve,  validate or otherwise  protect
such security  interest or to enable the Bank to exercise and enforce the Bank's
rights hereunder or with respect to such security interest;  (c) promptly to pay
any filing fees or other costs in connection  with (i) the filing or recordation
of such Financing  Statements or any other papers  described above and (ii) such
searches of the public records as the Sank in its sole discretion shall require;
(d) that the Bank is authorized to file or record and such Financing  Statements
or other papers  without the  signature of the Debtor if permitted by applicable
law; (e) the Bank may file a carbon,  photographic or other reproduction of this
Agreement  in lieu of a Financing  Statement  in any filing  office  where it is
permissible to do so; (f) except for the security  interest granted hereby,  the
Debtor shall keep the  Collateral  and  proceeds  and products  thereof free and
clear of any security interests,  liens or encumberances of any kind; the Debtor
shall keep  promptly pay,  when due, all taxes and  transportation,  storage and
warehousing  charges and fees  affecting  or arising out of the  Collateral  and
shall defend the Collateral against all claims and demands of all persons at any
time claiming the same or any interest  therein  adverse to the Bank; (g) at all
times to keep all insurable  Collateral insured at the expense of the Debtor (i)
to the Bank's  satisfaction  against  loss by fire,  theft and any other risk to
which the Collateral  may be subject and (ii) if the Bank so requests,  in favor
of the Bank; any of the relative  insurance  policies or certificates  shall, if
the Bank so  requests,  be  deposited  with the  Bank;  the Bank may  apply  any
proceeds of such  insurance  which may be  received by it toward  payment of the
Obligations,  whether or not due, in such order of  application  as the Bank may
determine;  (h) that the Bank's  duty with  respect to the  Collateral  shall be
solely to use reasonable  care in the custody and  preservation of Collateral in
its  possession;  the Bank shall not be obligated to take any steps necessary to
preserve any rights in any of the  Collateral  against  prior  parties,  and the
Debtor  hereby  agrees to take such steps;  the Debtor shall pay to the Bank all
costs and expenses, including filing and reasonable attorney's fees, incurred by
the Bank in connection with the custody, care, preservation or collection of the
Collateral,  the Bank may, but is not obligated to,  exercise any and all rights
of conversion or exchange or similar rights,  privileges and options relating to
the Collateral;  the Bank shall have no obligation to sell or otherwise  realize
upon any of the Collateral as herein authorized and shall not be responsible for
any  failure  to do so or  for  any  delay  in so  doing;  in the  event  of any
litigation,  with  respect  to any matter  connected  with this  agreement,  the
Obligations,  the  Collateral,  or any other  instrument,  document or agreement
applicable  thereto or to any one or more of them in any respect,  Debtor hereby
waives  the right to a trial by jury and all  defences,  rights  of  setoff  and
rights to interpose  counterclaims  of any nature;  (i) to provide the Bank with
such  information  as the Bank may from time to time request with respect to the
location  of any of its places of  business;  (j) that the Bank will be notified
promptly in writing of any change in any office as set forth below; (k) that the
Debtor will permit the Bank,  by its officers and agents,  to have access to and
examine  at all  reasonable  times,  the  properties,  minute  books  and  other
corporate records, and books of account and financial records of the Debtor; and
(1) that the Debtor  will  promptly  notify the Bank upon the  occurence  of any
default, as provided in this Agreement, of which the Debtor has knowledge.

     8. If the  Clause A and/or D box(es) in  Section 3 (All  Personal  Property
and/or  Accounts and Chattel Paper) is (are) checked,  the following  provisions
shall also be applicable:

     A. The Debtor agrees that the Debtor will not,  without first obtaining the
written consent of the Bank, renew or extend the time of payment of any Account;
where new credit terms exceed 150 days, the Debtor will promptly notify the Bank
in  writing of any  compromise,  settlement  or  adjustment  with  respect to an
Account and will forthwith  account  therefor to the Bank in cash for the amount
thereof without demand or notice; the Debtor will maintain accurate and complete
records of the Accounts and will make the same available to the Bank at any time
upon demand; the Debtor will stamp, in form and manner satisfactory to the Bank,
its accounts  receivable  ledger and other books and records  pertaining  to the
Accounts,  with an appropriate reference to the security interest of the Bank in
the Accounts;  upon request,  the Debtor will furnish the Bank original or other
papers  relating  to the  sale of  merchandise  or the  performance  of labor or
services which created any Account; the Debtor may collect the Accounts, subject
to the discretion  and control of the Bank,  but the Bank may,  without cause or
notice,  curtail or terminate  such  authority at any time;  the proceeds of the
Accounts,  when  collected by the Debtor,  whether  consisting of cash,  checks,
notes, drafts, money orders,  commercial paper of any kind whatsoever,  or other
documents, received in payment of the Accounts shall be promptly remitted by the
Debtor to the Bank, in precisely the form  received,  except for  endorsement by
the  Debtor  when  required;  such  proceeds  until  remitted  to the  Bank,  as
aforesaid, shall be held in trust by the Debtor for, and as the property of, the
Bank and shall not be commingled with other funds,  money or property;  proceeds
of the  Accounts  will be received by the Bank subject to final  collection  and
receipt of proceeds in cash or by  unconditional  credit to and  accepted by the
Bank; the Bank shall apply in its absolute  discretion all collections  received
by it on the Accounts toward the payment of any of the  Obligations  whether due
or not due; the Debtor will promptly notify the Bank in writing of the return or
rejection of any  merchandise  represented  by the Accounts and the Debtor shall
forthwith  account  therefor  to the Bank in cash  without  demand or notice and
until such  payment has been  received by the Bank,  the Debtor will receive and
hold all such  merchandise  separate and apart,  in trust for and subject to the
security  interest in favor of the Bank; the Bank is authorized to sell, for the
Debtor's  account  and sole  risk,  all or any part of such  merchandise  in the
manner and under the terms and conditions hereinafter set forth.

     B. The Debtor  represents  and  warrants to the Bank that the Debtor is the
sole owner of the  Accounts  and no one has or claims to have an interest of any
kind  therein or  thereto;  each of the debtors  named in every such  Account is
indebted to the Debtor in the amount and on the terms  indicated  in the invoice
and  schedule  of  Accounts;  each  Account  is bona fide and  arises out of the
performance  of labor or services or the sale and  delivery  of  merchandise  or
both;  and none of the  Accounts  is now,  nor  will at any  time in the  future
become, contingent upon the fulfillment of any contract or condition whatsoever,
nor subject to any defense, offset or counterclaim.

     9. Upon non-payment when due of any of the Obligations,  or upon failure of
the Debtor to perform any agreement on its part to be performed hereunder, or by
the terms of any other or related agreement covering the Obligations, or in case
the Bank deems itself

                                       2
<PAGE>


insecure,  or if it appears at any time that any representation in any financial
or other  statement of the Debtor  (delivered to the Bank by or on behalf of the
Debtor) is untrue or omits any material  fact, or if a material  adverse  change
shall occur in the financial  condition of the Debtor,  or if the Debtor (or any
endorser,  guarantor or surety of or upon any of the  Obligations)  shall die or
(being a partnership  or  corporation)  shall  be  dissolved  or shall  become
insolvent (however evidenced), or upon the suspension of business of the Debtor,
or  upon  the  issuance  of  any  warrant,  process,  or  order  of  attachment,
garnishment  or other  lien  and/or  the  filing  of a lien as a result  thereof
against any of the property of the Debtor (or any endorser,  guarantor or surety
of or upon any of the  Obligations),  or upon the commencement of any proceeding
under (or the use of any of the  provisions of) Article 52 of the New York Civil
Practice Law and Rules (or any other applicable law in any  jurisdiction) by any
judgment  creditor  against  the Debtor or with  respect to any  property of the
Debtor,  or upon the making by the Debtor (or any endorser,  guarantor or surety
of or  upon  any of  the  Obligations)  of an  assignment  for  the  benefit  of
creditors,  or upon the  application for the appointment or the appointment of a
trustee  or  receiver  or  similar  officer  for the  Debtor  (or any  endorser,
guarantor  or  surety  of or  upon  any of the  Obligations)  or for  any of the
property of the Debtor (or any such endorser,  guarantor or surety), or upon any
proceedings  being  commenced  by or against  the Debtor (or any such  endorser,
guarantor or surety) under any bankruptcy, reorganization,  arrangement of debt,
insolvency,  readjustment  of debt,  composition,  receivership,  liquidation or
dissolution  law or statute of any  jurisdiction,  - then and in any such event:
(a) all  Obligations  shall  become  at once due and  payable,  without  notice,
presentation,  demand of payment or protest,  which are hereby expressly waived;
(b) the Bank is authorized to take  possession of the  Collateral  and, for that
purpose,  may enter,  with the aid and assistance of any person or persons,  any
premises  where the  Collateral,  or any part thereof is, or may be,  placed and
remove the same;  (c) the Bank may require the Debtor to assemble the Collateral
and to make it available to the Bank at a place  designated by the Bank which is
reasonably  convenient  to the Bank and the Debtor;  (d) the Bank shall have the
right from time to time to sell, resell, assign, transfer and deliver all or any
part of the  Collateral,  at any  brokers'  board or  exchange,  or at public or
private sale or otherwise,  at the option of the Bank, for cash or on credit for
future delivery, in such parcel or parcels and at such time or times and at such
place or  places,  and upon such  terms  and  conditions  as the Bank,  may deem
proper, and in connection  therewith may grant options and may impose reasonable
conditions  such  as  requiring  any  purchaser  to  represent  that  any  stock
constituting  part of the Collateral is being purchased for investment  purposes
only, all without (except as shall be required by applicable  statute and cannot
be  waived)  advertisement  or demand  upon or notice to the  Debtor or right of
redemption of the Debtor, which are hereby expressly waived; (e) the Bank shall,
upon mailing notice to the Debtor that it so elects,  have from the date of such
mailing the right from time to time to vote any shares of stock  securing any of
the Obligations;  (f) the Bank's  obligation,  if any, to give additional (or to
continue)  financial  accommodations of any kind to the Debtor shall immediately
terminate;  (g)  upon  each  such  sale,  the Bank  may,  unless  prohibited  by
applicable  statute  which  cannot be  waived,  purchase  all or any part of the
Collateral being sold, free from and discharged of all trusts, claims, rights of
redemption and equities of the Debtor, which are hereby waived and released, and
(h) in  addition  to the  rights and  remedies  given to the Bank  hereunder  or
otherwise, the Bank shall have all of the rights and remedies of a secured party
under the New York  Uniform  Commercial  Code;  and (i) all  Obligations  of the
Debtor shall continue to accrue interest at the contract rate.

     10. In the case of such sale or of any  proceedings  to collect  any of the
Obligations,  the  Debtor  shall pay all costs and  expenses  of every  kind for
collection,  sale or delivery,  including reasonable  attorneys' fees, and after
deducting such costs and expenses from the proceeds of sale or  collection,  the
Bank may apply any  residue to pay any of the  Obligations  and the Debtor  will
continue liable to the Bank for any deficiency with interest.

     11. The Bank may, but is not obligated to: (a) demand,  sue for, collect or
receive any money or property at any time due,  payable or receivable on account
of or in  exchange  for any  obligation  securing  any of the  Obligations;  (b)
compromise  and settle  with any person  liable on such  obligation,  and/or (c)
extend the time of payment or otherwise change the terms thereof, as to any part
liable  thereon;  all without  incurring  responsibility  to the  undersigned or
affecting any of the Obligations.

     12. Solely in order to effectuate the terms and provisions  hereof,  Debtor
hereby   designates   and  appoints   Bank  and  its   designees  or  agents  as
attorney-in-fact  of Debtor,  irrevocably  and with power of  substitution  with
authority  to receive,  open and  dispose of all mail  addressed  to Debtor,  to
notify the Post Office  authorities  to change the address for  delivery of mail
addressed to Debtor to such address as Bank may  designate;  to endorse the name
of Debtor on any notes, acceptances,  checks, drafts, money orders,  instruments
or other  evidence of payment or proceeds of the  Collateral  that may come into
the Bank's  possession;  to sign the name of Debtor on any  invoices,  documents
drafts  against and notices  (which also may direct,  among other  things,  that
payment be made directly to the Bank) to Account  debtors or obligors of Debtor,
assignments  and requests for  verification  of Accounts;  to execute  proofs of
claim and loss; to execute any endorsements,  assignments,  or other instruments
of conveyance or transfer,  to adjust and compromise any claims under  insurance
policies; to execute releases: and to do all other acts and things necessary and
advisable  in the  sole  discretion  of  Bank to  carry  out  and  enforce  this
Agreement.  All acts of said  attorney  or  designee  are  hereby  ratified  and
approved  and said  attorney  or  designee  shall not be liable  for any acts of
commission or omission, nor for any error or judgment or mistake of fact or law.
This power of attorney being coupled with an interest is  irrevocable  while any
of the Obligations shall remain unpaid.

     13. All options,  powers and rights  granted to the Bank hereunder or under
any promissory note, instrument, document or other writing delivered to the Bank
shall be  cumulative  and shall be in addition to any other  options,  powers or
rights which the Bank may now or hereafter have as a secured party under the New
York Uniform Commercial Code or under any other applicable law or otherwise.

     14.  No delay on the part of the  Bank in  exercising  any of its  options,
powers or rights,  or partial or single  exercise  thereof,  shall  constitute a
waiver thereof. Neither this Agreement nor any provision hereof may be modified,
changed,  waived,  discharged or terminated orally, but only by an instrument in
writing  signed by the  party  against  whom  enforcement  of the  modification,
change,  waiver,  discharge or  termination  is sought.  The Bank shall have the
right,  for  and in  the  name,  place  and  stead  of the  Debtor,  to  execute
endorsements,  assignments  or other  instruments of conveyance or transfer with
respect to any of the Collateral.

     15. Notice of acceptance  of this  agreement by the Bank is hereby  waived.
This Agreement  shall be immediately  binding upon the Debtor and its successors
and assigns, whether or not the Bank signs this Agreement.

     16. It is the  intention  of the  parties  (a) that,  subject to Section 17
below,  this Agreement shall constitute a continuing  agreement  applying to any
and all future,  as well as  existing,  transactions  between the Debtor and the
Bank;  and (b) that the  security  interest  provided for herein shall attach to
after-acquired as well as existing  Collateral,  and the Obligations  covered by
this  Agreement  shall  include  future  advances  and other  value,  as well as
existing  advances and other value,  whether or not similar to prior or existing
advances or other  value,  and whether or not the advances or value are or shall
be given  pursuant to  commitment,  all to the maximum  extent  permitted by the
Uniform Commercial Code.

                                       3
<PAGE>

     17. This agreement may be terminated by the Debtor upon delivery of written
notice  of the Bank of such  intention  and  payment  in full of all outstanding
obligations; provided, however, that (a) such notice and payment shall in no way
affect,  and this Agreement shall remain fully operative as to, any transactions
entered into or rights granted or liabilities  incurred prior to receipt of such
notice by the Bank, and (b) prior to such termination, this Agreement shall be a
continuing agreement in every respect.

     18. Unless the context otherwise requires,  all terms used herein which are
defined in the New York Uniform  Commercial Code shall have the meanings therein
stated.

     19. If this  Agreement  is signed by two or more  parties as  debtors  they
shall be jointly and severally liable hereunder,  and the term "Debtor" wherever
used in this Agreement shall mean the parties who have signed this Agreement and
each of them.

     20. Mailing Address of Debtor and Address of Secured Party. For the purpose
of Section  9-402(1) of the Uniform  Commercial  Code, the address of the Debtor
specified below under the caption "Chief Executive  Office" (or "Major Executive
Office" address  whenever the Chief  Executive  Office is located outside of the
United States) shall be the Debtor's mailing address and the address of the Bank
specified  below shall be the Bank's address from which  information  concerning
the Bank's security interest hereunder may be obtained.

     21. This  Agreement  shall be construed in accordance  with and governed by
the law of the State of New York.

     IN WITNESS  WHEREOF,  the Debtor has executed this  agreement or has caused
these presents to be executed and delivered by its proper  corporate  officer or
officers and caused its proper corporate seal to be hereto affixed, this 9th day
of 1996.

                                             New York Health Care Inc.
 (CORPORATE SEAL)                       -----------------------------------
                                                       Debtor



                                        By /s/ Jerry Braun
                                           --------------------------------
                                           Title: Chief Executive Officer

|X|  Chief Executive Officer
          Address: (Check One)
|X|  Major Executive Officer


                                        By /s/ Jacob Rosenberg
                                           --------------------------------
                                           Title: Secretary


                                        UNITED MIZRAHI BANK and TRUST COMPANY
                                                  Secured Party


                                             By: /s/ Peter W. Blake, SVP
                                                 --------------------------

                                             By  /s/ David Barsion
                                                 --------------------------
                                                 Title: David Barsion
                                                        Vice President
Address of Location of Books and        Address:  One Rockefeller Plaza
Records Relating to Collateral:                   New York, NY 10020

1667 Flatbush Avenue
Brooklyn, NY 11210

Other Business Addresses: 
(if none, state "None"}                 (Bank need sign only if this Agreement 
                                        is to be filed as a Financing Statement
                                        or to meet the requirement of
                                        another State.)
See attached 
- --------------------------

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




 
                                        LENDING OFFICER: IF SCHEDULES ARE 
                                        COMPLETED, PLEASE INSURE THAT THEY 
                                        ARE ATTACHED HERETO.


<PAGE>


                            New York Health Care Inc

1)   175 Fulton Avenue
     Hempstead, NY 11550
     (516) 481-7500

2)   105 Stevens Avenue
     Mt. Vernon, NY 10550
     (914) 699-6810

3)   49 South Main Street
     Spring Valley, NY 10977
     (914) 352-3500

4)   45 Grand Street
     Newburgh, NY 12550


<PAGE>


Addendum to the Continuing  General  Security  Agreement  between United Mizrahi
Bank And Trust Company and New York Health Care, Inc. dated May 9, 1996.

Debtor  warrants  that all federal,  state,  and local  payroll  taxes,  due and
payable of date indicated, of all employees,  full and part time, have been paid
to date.  Debtor  warrants  that  taxes as  outlined  will be kept  current  and
notification,  certified by corporate secretary, will be supplied to the Bank on
a monthly basis, along with the borrowing base certificate.

                    Agreed:   New York Health Care, Inc.

                    by   /s/  Jerry Braun
                    ------------------------------

                    by   /s/  Jacob Rosenberg
                    ------------------------------

                    dated     May 9, 1996
                    ------------------------------



                                    AGREEMENT

     This  Agreement  made and entered into this 8th day of July,  1996,  by and
between New York Health Care, Inc., a New York  corporation,  with its principal
place  of  business  at  1667  Flatbush  Avenue,   Brooklyn,   New  York  11210,
(hereinafter the "Company"),  and 1667 Flatbush Avenue,  LLC (hereinafter  "1667
Flatbush"),  a New York limited  liability  company with its principal  place of
business at 1667 Flatbush Avenue, Brooklyn, NY 11210.

     1. Definitions. As used herein, the words:

          (a)  "Account"  or  "Accounts"  shall mean and  include  all  accounts
     receivable,  notes, drafts, acceptances,  and all other debts, obligations,
     and liabilities  set forth on Schedule A, annexed hereto,  in whatever form
     owing to the Company from any person,  firm,  or  corporation  or any other
     legal entity (the "Debtors").

          (b) "Agreement" shall mean and include this agreement,  all amendments
     and supplements, and all assignments,  instruments, documents, and Accounts
     submitted to 1667 Flatbush in connection with any  transaction  between the
     Company and 1667 Flatbush.

     2. Sale of Accounts.  The Company  hereby  sells,  assigns and transfers to
1667  Flatbush all of the Accounts of the Company as of the close of business on
June 30, 1996, set forth on Schedule A, annexed hereto,  in consideration  for a
purchase price of $3,150,000, which is to be paid to the Company pursuant to the
secured promissory note of 1667 Flatbush, a copy of which is annexed as Schedule
B. 1667  Flatbush  shall have no recourse to the Company  with respect to any of
the Accounts which prove to be  uncollectible,  other than as  specifically  set
forth in this Agreement.

     3. Company's  Warranties  and  Covenants.  For the purpose of inducing 1667
Flatbush  to purchase  the  accounts  from the  Company,  the Company  warrants,
represents, covenants, and guarantees as follows:

                                        1


<PAGE>



          (a)  Corporate   authority  The  Company  is  a  corporation  and  the
     execution,  delivery,  and  performance  of this  agreement  are within the
     Company's  corporate  powers,  have  been  duly  authorized  and are not in
     contravention  of law or the terms of the  Company's  charter,  bylaws,  or
     other incorporation papers, or any indenture,  agreement, or undertaking to
     which the Company is a party or by which it is bound.

          (b) Bona fide accounts. To the best of the Company's knowledge at this
     time,  every  Account  sold by the  Company to 1667  Flatbush is a good and
     valid Account representing an undisputed bona fide indebtedness of a Debtor
     to the Company; there are no reductions,  defenses, set-offs, contraclaims,
     or  counterclaims  of any nature  whatsoever  against any  Account,  and no
     agreement  under which any deduction or discount may be claimed has been or
     will be made with the Debtor on any Account, except as shown on Schedule A,
     annexed hereto. In the event an Account which is payable with funds derived
     from  Medicare  or  Medicaid is paid for less than the value of the Account
     set  forth on  Schedule  A,  annexed  hereto,  the  Company  will  promptly
     reimburse 1667 Flatbush in the amount of the difference between the Account
     set forth on Schedule A, annexed hereto, and the payment actually received.

          (c) Ownership. The Company is the lawful owner of the Accounts and has
     the right to pledge,  sell, assign, and transfer the same to 1667 Flatbush,
     and to create a  security  interest  therein  free of any and all claims of
     third parties,  except for financing arrangements which the Company has had
     with United Mizrahi Bank and Trust Company. 1667 Flatbush acknowledges that
     it has made or will make all appropriate  arrangements  which, in its view,
     are  required to satisfy any  conditions  of that bank with  respect to the
     transaction set forth in this Agreement.

          (d) Goods and  Services.  All  representations  made by the Company to
     1667 Flatbush with reference to the description,  content,  or valuation of
     any and all of the Accounts are true and correct;

                                        2


<PAGE>



     all services  which give rise to an Account have actually  been  performed;
     all invoices,  records, notes,  documents,  receipts, and any and all other
     instruments,  memoranda,  and  documents  presented  or  delivered  to 1667
     Flatbush are valid, genuine and not subject to any dispute or defense.

          (e)  Account  Debtors.  The  Company  and,  to the best of its current
     knowledge,  each Debtor owing each Account,  are solvent.  The Company will
     promptly  notify  1667  Flatbush  of any  change  from the  present  in the
     Company's own financial status or, to the extent it obtains  knowledge,  in
     the  collectability  of each  Account,  including  all claims,  rejections,
     reductions, adjustments by Debtors.

          (f) Defenses.  To the best of the Company's knowledge at this time, no
     Debtor  named in any  Account  will  object to the  payment  for, or to the
     quality of work and labor done or services rendered by the Company.

          (g) Collection. Upon request, the Company will assist 1667 Flatbush in
     the collection of the funds due or to become due from Debtors.  The Company
     will forthwith pay 1667 Flatbush the amount  received by it on any Account.
     The  Company  will  likewise  reimburse  1667  Flatbush  promptly  for  any
     allowance  or credit given to Debtors  without the written  consent of 1667
     Flatbush.

     4.  Collection  of  Accounts.  1667  Flatbush  authorizes  and appoints the
Company to collect, as Trustee for 1667 Flatbush,  at and through the offices of
the Company,  the  Accounts  from the  Debtors,  with the  explicit  duty hereby
assumed by the Company to turn over or to mail and deliver to the office of 1667
Flatbush,  on the day of receipt thereof,  all cash,  original  checks,  drafts,
notes,  and other  evidences of payment  received in full or part payment of any
Accounts,  with full right in 1667  Flatbush to endorse and deposit the original
Debtor's  checks and  remittances in its own banking  depositories,  whether the
remittances are made payable to 1667 Flatbush or the Company.  The privileges of
collecting  as Trustee for 1667  Flatbush may be  terminated by 1667 Flatbush at
any time,  and shall  automatically  terminate  upon the suspension of business,
request for extension of time, appointment of a creditors'

                                        3


<PAGE>



committee,  assignee,  receiver, or trustee, filing of a petition in bankruptcy,
arrangement,  reorganization,  or  receivership,  or  any  other  act  or  event
amounting to a business failure, by or against the Company or upon the Company's
breach of any covenant,  condition, or warranty of this agreement, or default in
respect to any other transaction with 1667 Flatbush. The Company shall submit to
1667  Flatbush  with all  remittances a report in such form as 1667 Flatbush may
require;  and, further,  shall submit original  remittance advice in the form as
received by the Company from Debtors.

     5. Books and Records. The Company shall make clear and suitable entries and
notations  on the  Company's  books and records,  which shall  reflect all facts
giving rise to the Account (and in a case where the Account  arises by reason of
a sale or  delivery of  merchandise,  the  notation  shall  clearly  reflect the
absolute  sale of the  merchandise),  all  payments,  credits,  and  adjustments
applicable  to the  Account.  The  Company  shall  deliver to, and sign for 1667
Flatbush  as it shall  require,  any  statements  and  letters to be directed to
Debtors,  and to execute and deliver to 1667  Flatbush  any and all  instruments
determined  by 1667  Flatbush to be necessary or convenient to carry into effect
the terms,  provisions,  and  conditions  of this  Agreement  and to  facilitate
collection of Accounts.  Any agent of 1667 Flatbush shall have the right to call
at the Company's  place of business and,  without  hindrance or delay,  inspect,
audit,   check,   and  make  abstracts  from  the  books,   records,   receipts,
correspondence, memoranda, and other papers or data relating to the Obligations,
or any other transaction between the Company and 1667 Flatbush,  or generally to
audit all books and  records  of the  Company.  The  Company  shall at all times
maintain a complete set of books and records,  containing  up-to-date posting of
all of the Company's cash and accrual transactions of any nature.

     6. Reports to Buyer. The Company shall deliver to 1667 Flatbush,  daily, or
at such other periods as 1667  Flatbush  shall  determine,  such reports in form
satisfactory  to 1667  Flatbush as may be  reasonably  required.  If the Company
shall, at any time, with the consent of 1667 Flatbush, grant to any

                                        4


<PAGE>



Debtor a credit,  the Company shall  forthwith give notice to 1667 Flatbush,  in
writing, of the issuance of such credit.

     7. Dealing With Debtors.  1667 Flatbush may, at any time, without notice to
the Company,  notify  Debtors on any Account and shall be paid  directly to 1667
Flatbush.  Upon  request of 1667  Flatbush,  at any time,  the Company  shall so
notify Debtors and shall indicate on all billings to Debtors that all moneys due
thereon are payable to 1667 Flatbush. 1667 Flatbush shall further have the right
at any time,  directly  or through  its  agents,  to  collect  any or all of the
Accounts, and, in its own name, or in the Company's name, to sell, transfer, set
over,  compromise,  discharge,  or extend the whole or any part of the Accounts,
and for that purpose to do all acts and things necessary or incidental  thereto,
including the right of suit.  The Company  ratifies all that 1667 Flatbush shall
do by  virtue  of this  paragraph.  Granting  extensions  to  Debtors  or to the
Company, suffering any delay, or permitting any breach by the Company or Debtors
in  connection  with any  transactions  between the  parties  shall in no way be
construed as a waiver of any subsequent breach or delay or of the rights of 1667
Flatbush against the Company and the Debtors,  and the Company's liability shall
in no way be  restricted,  limited,  diminished,  or  abated  by  virtue  of any
extension or  privileges  granted.  The Company  shall not,  without the express
written consent of 1667 Flatbush, release, compromise, or adjust any Account, or
any guaranty, security, or lien therefor, or grant any discounts, allowances, or
credits  thereon,  or bring any suit to enforce payment  thereof,  and, upon the
granting  of any such  discounts,  allowances,  or credits,  the  Company  shall
forthwith pay to 1667  Flatbush a sum equal  thereto.  1667 Flatbush  shall not,
under any circumstances,  or in any event whatsoever, have any liability for any
error,  omission, or delay of any kind occurring in the settlement,  collection,
or payment of any Account or of any instrument  received in full or part payment
thereof or in dealing with any lien, security, or guaranty of any Account.

                                        5


<PAGE>



     8. Tax lien.  In the event that any lien against the Company shall arise in
favor of any taxing authority, whether or not notice of such lien shall be filed
or recorded as may be required by law, 1667 Flatbush  shall have the right,  but
shall not be obligated nor shall 1667 Flatbush  hereby  assume,  the duty to pay
any such tax by virtue of which  such  lien  will have  arisen.  Any sum or sums
which 1667  Flatbush  shall have paid for the  discharge  of a tax lien shall be
paid by the  Company  to 1667  Flatbush  with  interest  at the legal  rate upon
demand.

     9. Waiver,  Notice,  etc. 1667 Flatbush  shall not be deemed to have waived
any  of  1667  Flatbush's   rights  hereunder  or  under  any  other  agreement,
instrument,  or paper signed by the Company unless such waiver is in writing and
signed by 1667  Flatbush.  No delay or omission on the part of 1667  Flatbush in
exercising any right shall operate as waiver of such right or any other right. A
waiver on any one  occasion  shall not be construed as a bar to or waiver of any
right or remedy on any future occasion. All 1667 Flatbush's rights and remedies,
whether evidenced hereby or by any other agreement,  instrument, or paper, shall
be cumulative and may be exercised  separately or concurrently.  Any demand upon
or notice to the Company that 1667 Flatbush may elect to give shall be effective
when  deposited  in the mails or  delivered by fax,  electronic  mail,  or other
communication  company  addressed  to the Company at the  address  shown in this
Agreement, as modified by any notice given pursuant thereto.  Demands or notices
addressed  to  the  Company's   address  at  which  1667  Flatbush   customarily
communicates with the Company shall be also effective.

     10. Power of Attorney.  The Company  makes,  constitutes,  and appoints any
officer  or  agent  of  1667   Flatbush  as  the   Company's   true  and  lawful
attorney-in-fact,  with power to endorse  the name of the  Company or any of the
Company's officers or agents upon any notes,  checks,  drafts,  money orders, or
other instruments of payment or collateral that may come into possession of 1667
Flatbush in full or part payment of any amounts owing to 1667 Flatbush;  to sign
and endorse the name of the Company or

                                        6


<PAGE>



any of the  Company's  officers or agents upon any  notices in  connection  with
Accounts,  and any instrument or document  relating  thereto or to the Company's
rights therein.  The Company ratifies all that the attorney shall lawfully do or
cause to be done by virtue  hereof.  This power of attorney shall be irrevocable
for all transactions hereunder.

     11. Credit  Insurance.  1667 Flatbush may cover  Accounts and  transactions
with the Company with general or specific credit,  fraud, and fidelity insurance
policies or bonds,  with any indemnity  companies,  and 1667  Flatbush  shall be
first and  primary  beneficiary  thereof  or of any  similar  policies  or bonds
carried by the Company.  The Company shall abide by all terms,  conditions,  and
stipulations  of such policies or bonds obtained by 1667  Flatbush,  premiums on
which are included in 1667 Flatbush's  compensation provided herein. The Company
shall indemnify at all times whatever companies may issue such policies or bonds
against any losses,  damages, costs, charges, and other expenses whatsoever that
such companies may for any cause sustain or incur by reason or in consequence of
the Company's acts or omissions.

     12. Benefit. All provisions herein shall inure to, and become binding upon,
the heirs, executors, administrators,  successors,  representatives,  receivers,
trustees, and assigns of the parties.

     13.  Construction.  Neither the Company nor 1667 Flatbush shall be bound by
any  undertaking  not  expressed  in writing.  This  agreement,  all  amendments
thereto,  all  supplements  thereof,  and all  acts,  transactions,  agreements,
certificates,  assignments,  and  transfers  thereunder,  and all  rights of the
parties, shall be governed as to their validity, enforcement,  construction, and
effect, and in all other respects, by the law of the State of New York.

     14. Invalid  Provision.  If any of the  provisions of this Agreement  shall
contravene,  or be invalid under, the laws of the particular state,  country, or
jurisdiction  where used, such  contravention or invalidity shall not invalidate
the whole agreement, but it shall be construed as if not containing the

                                        7


<PAGE>



particular  provision or provisions held to be invalid in such particular state,
country, or jurisdiction, and the rights and obligations of the parties shall be
construed and enforced accordingly.

     15. Headings.  The headings set forth in this Agreement are for convenience
only and shall not be  considered  as part of this  Agreement in any respect nor
shall they in any way effect the substance of any  provisions  contained in this
Agreement.

     16.  Multiple  Counterparts.  This Agreement may be executed in two or more
counterparts,  each of which shall be deemed an original  but all of which shall
constitute but one and the same agreement.

     IN WITNESS WHEREOF, this Agreement has been duly executed as of the day and
year first written above.

                                          NEW YORK HEALTHCARE, INC.

                                     By:  /s/_____________________________
                                          Gilbert Barnett
                                          Chief Financial Officer

                                          1667 Flatbush Avenue LLC

                                     By:  /s/____________________________
                                          Jacob Rosenberg, Member

Attest:

                                        8


<PAGE>


                           NEW YORK HEALTH CARE, INC.
                                 CENTRAL OFFICE
                               BROOKLYN, NY 11210
                                 (718) 421-0500
                                     M E M O
                               ===================


TO: Jacob Rosenberg

FROM: Gil Barnett

DATE: July 10, 1996

RE: Sale of Receivables

     The following is an analysis of the New York Health Care, Inc. receivables
sold to 1667 Flatbush Avenue LLC as of July, 1996.

     Detailed Accounts, as per
       report attached                                        $ 3,414,080.49
     Unbilled Medicaid                                             56,090.48
     Unbilled (Monthly, Combined)                                   5,334.00
     Unbilled (Monthly, Individuals)                               24,535.40
                                                              --------------
     Total Sold                                               $ 3,500,040.37
                                                              ==============

                                  SCHEDULE "A"


<PAGE>



OFFICE 01

    BILL-TO                                                              TOTAL

BR2000   VICTORY MEMORIAL L/T                                          53896.50
BR2200   VICTORY MEMORIAL S/T                                          21080.50
BR2554   CENTER FOR NURSING                                           101310.50
BR3355   BROOKDALE HOSP. MED. CTR.                                     95963.26
BR3805   INTERFAITH HOME CARE                                         154665.00
CHCO1B   CORAM RESOURCE NETWORK                                        17745.00
CHC11B   CORAM HEALTH CARE                                             17433.00
HV0001   REVIVAL HOME CARE                                              3672.00
KJM100   KINGSBROOK JEWISH MEDCTR                                      50240.00
MSB001   MOUNT SINAI MEDICAL CTR.                                      79667.13
OKQC11   OLSTEN KIMBERLY QLTYCARE                                       5547.00
RHC423   REVIVAL HOME CARE BR                                          12413.61
SBM001   REVIVAL HOME CARE                                             36022.00
TNE001   THE NEW ENGLAND                                               12183.00
USHC01   U.S. HEALTHCARE                                                3276.00
WECC01   WE CARE CERTIFIED HH SRV                                       1341.00
111111   PRIVATE PAY PATIENT                                           15444.27
222223   DSS BROOKLYN NURSING                                          19734.00
333360   METHODIST HOSPITAL S/T                                        38520.31
444444   U.S. HEALTHCARE 0452037                                         527.00
444446   ADAP                                                            484.48
                                      
                                   OFFICE TOTAL                       741165.56

<PAGE>

OFFICE 02

    BILL-TO                                                              TOTAL

AT4312   AMERICAN TRAVELORS                                             2108.37
BR7341   ERIN MANALANG                                                  5000.00
CHC02N   CORAM RESOURCE NETWORK                                         2061.00
CHC22N   CORAM HEALTH CARE                                               315.00
FHMC02   FLUSHING HOSP. HHA                                            63290.32
HE1146   FRANKLIN GENERAL LTHHC                                       371561.74
HE1147   FRANKLIN GENERAL ST CHHA                                      22027.58
HE1168   DSS TITLE 20                                                       .00
HSM002   HILLSIDE MANOR                                                 7001.50
MSN002   MOUNT SINAI MEDICAL CTR.                                       9734.16
OKQC03   OLSTEN KIMBERLY QLTYCARE                                       1472.00
OSQC02   OSTEN/KIMBERLY QULTY CR                                          16.00
OVG      OVERAGES                                                       9113.73
R44444   UA HEALTHCARE 0452037                                           529.92
R44445   U.S. HEALTHCARE 0452037                                        1742.00
SCH002   NYC DOH FMLY W/SPEC NEED                                      25316.00
USHC01   U.S. HEALTHCARE                                                 344.00
VNA001   VNA OF LONG ISLAND, INC.                                       6836.75
WUHST2   WINTHROP UNIVERSITY HOSP                                      17701.37
090768   INTERN'L LIFE INVESTORS                                         700.00
111111   PRIVATE PAY PATIENT                                           24275.87
222220   DSS NASSAU NURSING                                            44892.00
222221   DSS TITLE 19 NASSAU                                                .00
444442   US HEALTHCARE 0452037                                           100.00
444444   U.S. HEALTHCARE 0452037                                        1711.00
444445   U.S. HEALTHCARE 0452037                                        3147.00
444446   ADAP                                                               .58
444447   U.S. HEALTHCARE 0452037                                        3320.00
444449   U.S. HEALTHCARE 0452037                                         420.00
                                      
                                   OFFICE TOTAL                       624737.89

<PAGE>


OFFICE 03

    BILL-TO                                                              TOTAL

BACHC3   BETH ABRAHAM LTHCP CCMP                                         867.35
CHC01B   CORAM RESOURCE NETWORK                                         1512.00
CHC03W   CORAM RESOURCE NETWORK                                          756.00
CHC11B   CORAM HEALTH CARE                                               540.00
CHC33W   CORAM HEALTH CARE                                               540.00
MP0003   MIDPOINT                                                       2274.00
MSW003   MOUNT SINAI MEDICAL CTR.                                       6385.94
RACE01   RACE                                                            120.00
RCH003   REVIVAL HOME CARE WE                                            903.00
R44445   U.S. HEALTHCARE 0452037                                         728.00
USHC01   U.S. HEALTHCARE                                               13552.00
VNSW01   VISITING NURSE SRVCS WC                                        1034.00
WE1111   BETH ABRAHAM SHORT TERM                                         240.00
WE1151   MONTEFIORE HOME CARE L/T                                      56367.00
WE1153   HEBREW HOSPITAL LTHHC                                          9836.40
WE1326   MORNINGSIDE LTHHCP                                            57183.84
WE1343   BETH ABE DAY HEALTH CARE                                        507.45
WE2451   BETH ABE LONG TERM                                           129988.81
WE2673   LINGSBRIDGE HTS REHAB                                        496053.00
WE2771   BETH ABE SHORT TERM                                          175522.72
WE3139   BETH ABE CLUSTER                                              77631.80
WE3475   BETH ABE CLUSTER ESCORT                                        1407.67
WE3740   ISABELLA NURSING HOME                                        220959.42
WE4446   ADAP                                                           1045.15
WE7140   NEW ROCHELLE MEDICAL CTR                                      29603.75
111111   PRIVATE PAY PATIENT                                           23876.13
444445   U.S. HEALTHCARE 0452037                                         400.00
444446   ADAP                                                           1026.02
                                        
                                   OFFICE TOTAL                      1310861.45

<PAGE>


OFFICE 04

    BILL-TO                                                              TOTAL

AT5312   AMERICAN TRAVELERS                                             1718.24
BO5557   BOCES EDUCATIONAL CENTER                                       6384.00
CHC04R   CORAM RESOURCE NETWORK                                           90.00
CHC44R   CORAM HEALTH CARE                                               261.00
OVG      OVERAGES                                                      18476.68
RCH500   REVIVAL HOME HEALTH CARE                                      11085.75
RO0907   D O H ROCKLAND CHHA                                            1076.62
R01306   UNITED HOSPICE OF ROCK.                                       16375.27
R01310   GOOD SAM. LTCH ROCKLAND                                       20181.55
RO1311   GOOD SAM. CHHA ROCKLAND                                       16360.61
RO1312   NYACK HOSPITAL SHORT TERM                                     50143.90
R01313   EISEP                                                          3249.96
R01314   NYACK HOSPITAL LONG TERM                                      61450.50
RO1329   DSS HOMEMAKING                                                     .00
RO1968   EISEP CLUSTER                                                  4735.35
RO3188   TRANSPORT LIFE INSURANCE                                       9390.74
R07117   ROCK ARC                                                       2376.00
RO8956   TAMMY BERGER                                                    125.00
R09010   D O H ROCKLAND LTHC                                           26625.83
R09515   AUGUSTA CERVINI                                                1427.47
TRAVO1   THE TRAVELERS                                                  3772.00
111111   PRIVATE PAY PATIENT                                           81948.13
222222   DSS TITLE 19 ROCKLAND                                              .00
222229   DSS CARE AT HOME IV                                                .00
444446   ADAP                                                           1325.43
                                         
                                   OFFICE TOTAL                       338580.03

<PAGE>

OFFICE 05

    BILL-TO                                                              TOTAL

CHC002   CORAM RESOURCE NETWORK                                          672.00
CHC050   CORAM RESOURCE NETWORK                                         9985.50
CHC550   CORAM HEALTH CARE                                              6297.00
CIGNA1   CIGNA CHC OF NEW YORK                                           324.00
GL4309   GERBER LIFE INSURANCE                                           247.18
HVNC01   HUDSON VALLEY NRSNG CTR                                        6272.03
JH2697   JOHN HANCOCK MUT.LIF.INS                                        450.00
NE1333   D O H ORANGE LTCH                                             12606.74
NE1334   D O H ORANGE CHHA                                              6707.69
NE1339   HOSPICE OF ORANGE COUNTY                                       1541.00
NE1350   CONTINUING CARE CHP                                            2425.74
NE2222   GOOD SAM. LTCH ORANGE                                         98446.06
OR2099   GOOD SAM. LTCH GOSHEN                                         22130.65
OR5150   GOOD SAM. CHHA GOSHEN                                          1074.00
OR6430   MID POINT SERVICES                                              540.00
OVG      OVERAGES                                                        948.15
R02223   GOOD SAM. CHHA ORANGE                                         13474.99
VAMC05   VAMC MEDICAL CENTER                                            4584.75
WC6426   CNA                                                              30.00
111111   PRIVATE PAY PATIENT                                           36410.25
222222   DSS TITLE 19 ROCKLAND                                              .00
222224   DSS TITLE 19 ORANGE                                                .00
444444   U.S. HEALTHCARE 0452037                                          48.00
                                         
                                   OFFICE TOTAL                       225215.73

<PAGE>

    BILL-TO                                                              TOTAL

CHC001   CORAM HEALTHCARE                                              10899.00
CHC002   CORAM RESOURCE NETWORK                                          630.00
CHC06S   CORAM RESOURCE NETWORK                                          636.00
JI0006   JOINT INDSTRY ELECTRICAL                                       1050.00
LAH100   REVIVAL HOME CARE                                               560.00
MSSD01   MOUNT SINAI MEDICAL CTR.                                      15425.00
OKQC17   OLSTEN KIMBERLY QLTYCARE                                         70.00
R44446   U.S. HEALTHCARE 0452037                                         120.00
USHC01   U.S. HEALTHCARE                                               53230.40
VNSW01   VISITING NURSE SRVCS WC                                         240.00
WE2771   BETH ABE SHORT TERM                                              60.00-
111111   PRIVATE PAY PATIENT                                              71.00-
111115   CIGNA INSURANCE COMPANY                                         225.00
444439   U.S. HEALTHCARE 0452037                                          82.00
444442   US HEALTHCARE 0452037                                           335.00
444443   U.S. HEALTHCARE 0452037                                         802.00
444444   U.S. HEALTHCARE 0452037                                         720.00
444445   U.S. HEALTHCARE 0452037                                       25388.00
444446   ADAP                                                            120.00
444447   U.S. HEALTHCARE 0452037                                       13872.00
444448   U.S. HEALTHCARE 0452037                                         326.00
444449   U.S. HEALTHCARE 0452037                                        1640.00
                                       
                                   OFFICE TOTAL                       126239.40

<PAGE>

OFFICE 08

    BILL-TO                                                              TOTAL

LAH100   REVIVAL HOME CARE                                              3016.00



                                   OFFICE TOTAL                         3016.00


<PAGE>

OFFICE 09

    BILL-TO                                                              TOTAL

111111   PRIVATE PAY PATIENT                                           44264.43

                                   OFFICE TOTAL                        44264.43


                                        GRAND TOTAL                  3414080.49


<PAGE>

                             SECURED PROMISSORY NOTE

     $3,150,000                                               Brooklyn, New York
                                                                    July 8, 1996

     FOR VALUE RECEIVED,  the undersigned,  1667 Flatbush Avenue LLC, a New York
limited liability company,  hereinafter  called the "Maker",  promises to pay to
the order of NEW YORK HEALTH  CARE,  INC., a New York  corporation,  hereinafter
called the "Payee", at 1667 Flatbush Avenue,  Brooklyn,  New York 11230, the sum
of Three Million One Hundred Fifty Thousand Dollars ($3,150,000),  together with
accrued  interest  thereon at a rate equal to twelve percent (12%) per annum, as
follows:

     1. One Million One Hundred Thousand Dollars  ($1,100,000)  shall be paid by
the Maker to the Payee on August 1, 1996;

     2. One Million One Hundred Thousand Dollars  ($1,100,000)  shall be paid by
the Maker to the Payee on September 1, 1996; and

     3. Nine Hundred  Fifty  Thousand  Dollars  ($950,000)  shall be paid by the
Maker  to the  Payee on  October  1,  1996,  or on the  date  that  the  Payee's
Registration  Statement on Form SB-2 filed with the United States Securities and
Exchange Commission is declared "effective," whichever occurs first.

     Every payment required to be made pursuant to this Secured  Promissory Note
shall be accompanied by payment of the then accrued interest, in arrears. If any
payment is due on a Saturday, Sunday or legal or religious holiday, such payment
shall be made on the next  succeeding  day not a  Saturday,  Sunday  or legal or
religious  holiday,  with any  extension  of the due date to be reflected in the
calculation of interest paid.

     This Note may be prepaid at any time without penalty. All prepayments shall
be applied first to principal and then to interest.

     At the option of the Payee,  this  Promissory Note shall be accelerated and
become  immediately due and payable  together with interest accrued thereon upon
the occurrence of any of the following events:

     1.   failure by the Maker to pay this Promissory Note when due;

     2.   filing of a petition for  dissolution  of the Maker or the filing of a
          certificate of dissolution of the Maker or the Subsidiary;

     3.   filing of a voluntary or involuntary  petition (unless, in the case of
          an  involuntary  petition,  it is dismissed  within 30 days) under any
          provision of any  bankruptcy or similar law relating to the assets and
          liabilities  of the Maker  (whether  for  bankruptcy,  reorganization,
          arrangement, composition, extension or otherwise);

     4.   application  for the  appointment of a receiver,  custodian,  trustee,
          fiscal agent,  liquidator or similar  person for the properties of the
          Maker,  which is not dismissed  within 30 days or which is made by the
          Maker;


<PAGE>



     5.   assignment of all of the Maker's assets for the benefit of creditors;

     6.   entry of total judgments or issuance of warrants of attachment against
          money of the Maker  after the date hereof in the  aggregate  amount of
          One Hundred  Thousand  Dollars  ($100,000)  or more,  which sum is not
          fully  satisfied  or bonded  for  appeal of any such  judgment  or for
          vacatur of any such  warrant of  attachment  within  thirty  (30) days
          after the issuance of any such warrant of  attachment  or the entry of
          any such judgment;

     7.   appointment of a committee of creditors or a liquidating agent for the
          Maker  or an  offer  by the  Maker  to  creditors  of  composition  or
          extension of debts;

     8.   sale by the Maker of all or substantially all assets;

     9.   Maker admits in writing its inability,  or is generally unable, to pay
          its debts as they become due;

     10.  Maker  shall  default in the  performance  of or  compliance  with any
          material  term of any secured  loan  agreement to which the Maker is a
          party;

     11.  any material  representation  or warranty  made by or on behalf of the
          Maker  in  the  Secured  Loan  Agreement  shall  prove  to  have  been
          materially  false or incorrect in any material  respect on the date as
          of which it was made.

     This  Secured  Promissory  Note is  issued  and is  secured  pursuant  to a
Security Agreement entered into between the Maker and Payee and dated as of even
date herewith,  and is entitled to the benefits and is subject to the provisions
of that agreement.

     Should the  indebtedness  represented  by this Secured  Promissory  Note be
placed in the hands of an  attorney  for  collection  after an uncured  event of
default as defined herein, the Maker agrees to pay, in addition to the principal
and  interest  which may be due to the Payee,  all costs of  collection  of this
Secured  Promissory Note and execution upon the collateral,  including,  but not
limited to, reasonable attorneys fees and expenses.

     Neither  the  failure  nor any  delay in  exercising  any  right,  power or
privilege  hereunder  shall operate as a waiver thereof or of any similar future
right, power or privilege.

     This  Promissory  Note is being  made in the City and State of New York and
shall be governed by and construed in  accordance  with the laws of the State of
New York.  The  provisions  of this  Promissory  Note shall be binding  upon all
successors or assigns of the Maker and shall  survive the payment,  cancellation
or surrender of this Secured Promissory Note.

                             MAKER:  1667 Flatbush Avenue, LLC

                                     By: /s/
                                         ---------------------------------------
                                         Jacob Rosenberg, Member


<PAGE>



                                    GUARANTY

As inducement to and in  consideration of NEW YORK HEALTH CARE, INC., a New York
corporation  having its  principal  place of business at 1667  Flatbush  Avenue,
Brooklyn, NY 11210 (the "Company"), agreeing to accept a secured promissory note
in the face amount of $3,150,000  made by 1667  Flatbush  Avenue LLC, a New York
limited  liability  company  (the"Borrower"),  Jerry Braun,  (the  "Guarantor"),
hereby  guarantees the prompt payment and  performance of all obligations of the
Borrower under its secured  promissory  note payable to the order of the Company
dated  July 8,  1996 in the  principal  amount of  $3,150,000  (the  "Note")  in
accordance  with the terms thereof and all amendments,  modifications,  renewals
and extensions thereof and changes therein (the "Obligations").

     1.  Extensions,  renewals or changes in form of the Obligations may be made
by the Company and the Borrower  from time to time  without  notice of any kind,
which extensions,  renewals or changes in form shall be binding on Guarantor and
shall in no way reduce the Guarantor's liabilities hereunder.

     2. Presentment,  demand,  protest, notice of protest and notice of dishonor
of the Obligations and also notice of acceptance by the Company of this guaranty
are hereby expressly waived.

     3. The Company may,  without notice and without  affecting the liability of
the  Guarantor  hereunder,  take  and  hold  security  for  the  payment  of the
Obligations  guaranteed  and may  exchange,  enforce,  waive,  add to or release
security  and may apply  such  security  and  direct the order or manner of sale
thereof as the Company, in its discretion, may determine.

     4. Before proceeding  hereunder  against the Guarantor,  the Company is not
required to: (a) proceed  against the  Borrower or any other  guarantor or party
whether a party to this  guaranty or otherwise;  (b) proceed  against or exhaust
any  security  securing  the  Obligations;   or  (c)  pursue  any  other  remedy
whatsoever.

     5. The Guarantor  shall not have any right of  subrogation,  reimbursement,
exoneration, contribution,  indemnification or participation in any claim, right
or remedy of the Company  against the  Borrower or any security now or hereafter
held by the Company until all Obligations have been paid in full.

     6. This guaranty is binding upon the successors and assigns of Guarantor.

<PAGE>

     7. The obligations of the Guarantor  hereunder  shall  constitute a present
and  continuing  guaranty of payment and not of  collectibility  only,  shall be
absolute and  unconditional,  shall not be subject to any counterclaim,  setoff,
deduction or defense the  Guarantor  may at any time have against the Company or
any other person,  and shall remain in full force and effect  without  regard to
any event  whatsoever  (whether or not the Guarantor shall have any knowledge or
notice thereof or shall have consented thereto), including without limitation:

          (a) Any extensions, renewals or changes in the Note, any assignment or
     transfer of any part thereof, any renewal,  extension or modification of or
     in the terms of payment provided in the Obligations or the granting of time
     in respect of the payment  thereof,  or any  furnishing  or  acceptance  of
     security or any release of any  security so  furnished  or accepted for the
     Obligations;

          (b) Any waiver,  consent,  extension,  forbearance  or other action or
     inaction  under or in respect of this guaranty or the  Obligations,  or any
     exercise  of or failure to exercise  any right,  remedy or power in respect
     hereof or thereof;

          (c) Any failure, neglect or omission of the Company to protect, in any
     manner, the collection of the Obligations,  or any portion thereof,  or any
     security given therefor;

          (d)   Any   bankruptcy,   insolvency,   reorganization,   arrangement,
     readjustment,  composition, liquidation or similar proceedings with respect
     to the Borrower or the Guarantor;

          (e) Any default by the Borrower,  the Guarantor,  or any invalidity or
     any  unenforceability  of or any  misrepresentation,  irregularity or other
     defect in, the Obligations or this guaranty.

     8. The Guarantor agrees to pay all reasonable fees and expenses,  including
attorney  fees which may be incurred in enforcing or  attempting to enforce this
Guaranty,  to collect the  Obligations  or to enforce any  agreement  granting a
security interest in collateral to secure payment of the Obligations.

     9.  This  guaranty  may be signed in any  number of  counterparts  and each
counterpart  shall have the same force and effect as an original  instrument and
as if all of the  signers  of the  aggregate  counterparts  had  signed the same
instrument.

     Dated this 8th day of July, 1996.

                                              /s/_______________________________
                                                 Jerry Braun, Guarantor

<PAGE>

                                    GUARANTY

As inducement to and in  consideration of NEW YORK HEALTH CARE, INC., a New York
corporation  having its  principal  place of business at 1667  Flatbush  Avenue,
Brooklyn, NY 11210 (the "Company"), agreeing to accept a secured promissory note
in the face amount of $3,150,000  made by 1667  Flatbush  Avenue LLC, a New York
limited liability company (the"Borrower"),  Jacob Rosenberg,  (the "Guarantor"),
hereby  guarantees the prompt payment and  performance of all obligations of the
Borrower under its secured  promissory  note payable to the order of the Company
dated  July 8,  1996 in the  principal  amount of  $3,150,000  (the  "Note")  in
accordance  with the terms thereof and all amendments,  modifications,  renewals
and extensions thereof and changes therein (the "Obligations").

     1.  Extensions,  renewals or changes in form of the Obligations may be made
by the Company and the Borrower  from time to time  without  notice of any kind,
which extensions,  renewals or changes in form shall be binding on Guarantor and
shall in no way reduce the Guarantor's liabilities hereunder.

     2. Presentment,  demand,  protest, notice of protest and notice of dishonor
of the Obligations and also notice of acceptance by the Company of this guaranty
are hereby expressly waived.

     3. The Company may,  without notice and without  affecting the liability of
the  Guarantor  hereunder,  take  and  hold  security  for  the  payment  of the
Obligations  guaranteed  and may  exchange,  enforce,  waive,  add to or release
security  and may apply  such  security  and  direct the order or manner of sale
thereof as the Company, in its discretion, may determine.

     4. Before proceeding  hereunder  against the Guarantor,  the Company is not
required to: (a) proceed  against the  Borrower or any other  guarantor or party
whether a party to this  guaranty or otherwise;  (b) proceed  against or exhaust
any  security  securing  the  Obligations;   or  (c)  pursue  any  other  remedy
whatsoever.

     5. The Guarantor  shall not have any right of  subrogation,  reimbursement,
exoneration, contribution,  indemnification or participation in any claim, right
or remedy of the Company  against the  Borrower or any security now or hereafter
held by the Company until all Obligations have been paid in full.

     6. This guaranty is binding upon the successors and assigns of Guarantor.

<PAGE>

     7. The obligations of the Guarantor  hereunder  shall  constitute a present
and  continuing  guaranty of payment and not of  collectibility  only,  shall be
absolute and  unconditional,  shall not be subject to any counterclaim,  setoff,
deduction or defense the  Guarantor  may at any time have against the Company or
any other person,  and shall remain in full force and effect  without  regard to
any event  whatsoever  (whether or not the Guarantor shall have any knowledge or
notice thereof or shall have consented thereto), including without limitation:

          (a) Any extensions, renewals or changes in the Note, any assignment or
     transfer of any part thereof, any renewal,  extension or modification of or
     in the terms of payment provided in the Obligations or the granting of time
     in respect of the payment  thereof,  or any  furnishing  or  acceptance  of
     security or any release of any  security so  furnished  or accepted for the
     Obligations;

          (b) Any waiver,  consent,  extension,  forbearance  or other action or
     inaction  under or in respect of this guaranty or the  Obligations,  or any
     exercise  of or failure to exercise  any right,  remedy or power in respect
     hereof or thereof;

          (c) Any failure, neglect or omission of the Company to protect, in any
     manner, the collection of the Obligations,  or any portion thereof,  or any
     security given therefor;

          (d)   Any   bankruptcy,   insolvency,   reorganization,   arrangement,
     readjustment,  composition, liquidation or similar proceedings with respect
     to the Borrower or the Guarantor;

          (e) Any default by the Borrower,  the Guarantor,  or any invalidity or
     any  unenforceability  of or any  misrepresentation,  irregularity or other
     defect in, the Obligations or this guaranty.

     8. The Guarantor agrees to pay all reasonable fees and expenses,  including
attorney  fees which may be incurred in enforcing or  attempting to enforce this
Guaranty,  to collect the  Obligations  or to enforce any  agreement  granting a
security interest in collateral to secure payment of the Obligations.

     9.  This  guaranty  may be signed in any  number of  counterparts  and each
counterpart  shall have the same force and effect as an original  instrument and
as if all of the  signers  of the  aggregate  counterparts  had  signed the same
instrument.

     Dated this 8th day of July, 1996.

                                                 /s/_________________________
                                                    Jacob Rosenberg, Guarantor

<PAGE>

                                    GUARANTY

As inducement to and in  consideration of NEW YORK HEALTH CARE, INC., a New York
corporation  having its  principal  place of business at 1667  Flatbush  Avenue,
Brooklyn, NY 11210 (the "Company"), agreeing to accept a secured promissory note
in the face amount of $3,150,000  made by 1667  Flatbush  Avenue LLC, a New York
limited liability company  (the"Borrower"),  Samson Soroka,  (the  "Guarantor"),
hereby  guarantees the prompt payment and  performance of all obligations of the
Borrower under its secured  promissory  note payable to the order of the Company
dated  July 8,  1996 in the  principal  amount of  $3,150,000  (the  "Note")  in
accordance  with the terms thereof and all amendments,  modifications,  renewals
and extensions thereof and changes therein (the "Obligations").

     1.  Extensions,  renewals or changes in form of the Obligations may be made
by the Company and the Borrower  from time to time  without  notice of any kind,
which extensions,  renewals or changes in form shall be binding on Guarantor and
shall in no way reduce the Guarantor's liabilities hereunder.

     2. Presentment,  demand,  protest, notice of protest and notice of dishonor
of the Obligations and also notice of acceptance by the Company of this guaranty
are hereby expressly waived.

     3. The Company may,  without notice and without  affecting the liability of
the  Guarantor  hereunder,  take  and  hold  security  for  the  payment  of the
Obligations  guaranteed  and may  exchange,  enforce,  waive,  add to or release
security  and may apply  such  security  and  direct the order or manner of sale
thereof as the Company, in its discretion, may determine.

     4. Before proceeding  hereunder  against the Guarantor,  the Company is not
required to: (a) proceed  against the  Borrower or any other  guarantor or party
whether a party to this  guaranty or otherwise;  (b) proceed  against or exhaust
any  security  securing  the  Obligations;   or  (c)  pursue  any  other  remedy
whatsoever.

     5. The Guarantor  shall not have any right of  subrogation,  reimbursement,
exoneration, contribution,  indemnification or participation in any claim, right
or remedy of the Company  against the  Borrower or any security now or hereafter
held by the Company until all Obligations have been paid in full.

     6. This guaranty is binding upon the successors and assigns of Guarantor.

<PAGE>

     7. The obligations of the Guarantor  hereunder  shall  constitute a present
and  continuing  guaranty of payment and not of  collectibility  only,  shall be
absolute and  unconditional,  shall not be subject to any counterclaim,  setoff,
deduction or defense the  Guarantor  may at any time have against the Company or
any other person,  and shall remain in full force and effect  without  regard to
any event  whatsoever  (whether or not the Guarantor shall have any knowledge or
notice thereof or shall have consented thereto), including without limitation:

          (a) Any extensions, renewals or changes in the Note, any assignment or
     transfer of any part thereof, any renewal,  extension or modification of or
     in the terms of payment provided in the Obligations or the granting of time
     in respect of the payment  thereof,  or any  furnishing  or  acceptance  of
     security or any release of any  security so  furnished  or accepted for the
     Obligations;

          (b) Any waiver,  consent,  extension,  forbearance  or other action or
     inaction  under or in respect of this guaranty or the  Obligations,  or any
     exercise  of or failure to exercise  any right,  remedy or power in respect
     hereof or thereof;

          (c) Any failure, neglect or omission of the Company to protect, in any
     manner, the collection of the Obligations,  or any portion thereof,  or any
     security given therefor;

          (d)   Any   bankruptcy,   insolvency,   reorganization,   arrangement,
     readjustment,  composition, liquidation or similar proceedings with respect
     to the Borrower or the Guarantor;

          (e) Any default by the Borrower,  the Guarantor,  or any invalidity or
     any  unenforceability  of or any  misrepresentation,  irregularity or other
     defect in, the Obligations or this guaranty.

     8. The Guarantor agrees to pay all reasonable fees and expenses,  including
attorney  fees which may be incurred in enforcing or  attempting to enforce this
Guaranty,  to collect the  Obligations  or to enforce any  agreement  granting a
security interest in collateral to secure payment of the Obligations.

     9.  This  guaranty  may be signed in any  number of  counterparts  and each
counterpart  shall have the same force and effect as an original  instrument and
as if all of the  signers  of the  aggregate  counterparts  had  signed the same
instrument.

     Dated this 8th day of July, 1996.

                                                   /s/__________________________
                                                      Samson Soroka, Guarantor

<PAGE>

                                    GUARANTY

As inducement to and in  consideration of NEW YORK HEALTH CARE, INC., a New York
corporation  having its  principal  place of business at 1667  Flatbush  Avenue,
Brooklyn, NY 11210 (the "Company"), agreeing to accept a secured promissory note
in the face amount of $3,150,000  made by 1667  Flatbush  Avenue LLC, a New York
limited liability company  (the"Borrower"),  Hirsch Chitrik,  (the "Guarantor"),
hereby  guarantees the prompt payment and  performance of all obligations of the
Borrower under its secured  promissory  note payable to the order of the Company
dated  July 8,  1996 in the  principal  amount of  $3,150,000  (the  "Note")  in
accordance  with the terms thereof and all amendments,  modifications,  renewals
and extensions thereof and changes therein (the "Obligations").

     1.  Extensions,  renewals or changes in form of the Obligations may be made
by the Company and the Borrower  from time to time  without  notice of any kind,
which extensions,  renewals or changes in form shall be binding on Guarantor and
shall in no way reduce the Guarantor's liabilities hereunder.

     2. Presentment,  demand,  protest, notice of protest and notice of dishonor
of the Obligations and also notice of acceptance by the Company of this guaranty
are hereby expressly waived.

     3. The Company may,  without notice and without  affecting the liability of
the  Guarantor  hereunder,  take  and  hold  security  for  the  payment  of the
Obligations  guaranteed  and may  exchange,  enforce,  waive,  add to or release
security  and may apply  such  security  and  direct the order or manner of sale
thereof as the Company, in its discretion, may determine.

     4. Before proceeding  hereunder  against the Guarantor,  the Company is not
required to: (a) proceed  against the  Borrower or any other  guarantor or party
whether a party to this  guaranty or otherwise;  (b) proceed  against or exhaust
any  security  securing  the  Obligations;   or  (c)  pursue  any  other  remedy
whatsoever.

     5. The Guarantor  shall not have any right of  subrogation,  reimbursement,
exoneration, contribution,  indemnification or participation in any claim, right
or remedy of the Company  against the  Borrower or any security now or hereafter
held by the Company until all Obligations have been paid in full.

     6. This guaranty is binding upon the successors and assigns of Guarantor.

<PAGE>

     7. The obligations of the Guarantor  hereunder  shall  constitute a present
and  continuing  guaranty of payment and not of  collectibility  only,  shall be
absolute and  unconditional,  shall not be subject to any counterclaim,  setoff,
deduction or defense the  Guarantor  may at any time have against the Company or
any other person,  and shall remain in full force and effect  without  regard to
any event  whatsoever  (whether or not the Guarantor shall have any knowledge or
notice thereof or shall have consented thereto), including without limitation:

          (a) Any extensions, renewals or changes in the Note, any assignment or
     transfer of any part thereof, any renewal,  extension or modification of or
     in the terms of payment provided in the Obligations or the granting of time
     in respect of the payment  thereof,  or any  furnishing  or  acceptance  of
     security or any release of any  security so  furnished  or accepted for the
     Obligations;

          (b) Any waiver,  consent,  extension,  forbearance  or other action or
     inaction  under or in respect of this guaranty or the  Obligations,  or any
     exercise  of or failure to exercise  any right,  remedy or power in respect
     hereof or thereof;

          (c) Any failure, neglect or omission of the Company to protect, in any
     manner, the collection of the Obligations,  or any portion thereof,  or any
     security given therefor;

          (d)   Any   bankruptcy,   insolvency,   reorganization,   arrangement,
     readjustment,  composition, liquidation or similar proceedings with respect
     to the Borrower or the Guarantor;

          (e) Any default by the Borrower,  the Guarantor,  or any invalidity or
     any  unenforceability  of or any  misrepresentation,  irregularity or other
     defect in, the Obligations or this guaranty.

     8. The Guarantor agrees to pay all reasonable fees and expenses,  including
attorney  fees which may be incurred in enforcing or  attempting to enforce this
Guaranty,  to collect the  Obligations  or to enforce any  agreement  granting a
security interest in collateral to secure payment of the Obligations.

     9.  This  guaranty  may be signed in any  number of  counterparts  and each
counterpart  shall have the same force and effect as an original  instrument and
as if all of the  signers  of the  aggregate  counterparts  had  signed the same
instrument.

     Dated this 8th day of July, 1996.

                                              /s/_______________________________
                                                 Hirsch Chitrik, Guarantor

<PAGE>

                                    GUARANTY

As inducement to and in  consideration of NEW YORK HEALTH CARE, INC., a New York
corporation  having its  principal  place of business at 1667  Flatbush  Avenue,
Brooklyn, NY 11210 (the "Company"), agreeing to accept a secured promissory note
in the face amount of $3,150,000  made by 1667  Flatbush  Avenue LLC, a New York
limited liability company  (the"Borrower"),  Sid Borenstein,  (the "Guarantor"),
hereby  guarantees the prompt payment and  performance of all obligations of the
Borrower under its secured  promissory  note payable to the order of the Company
dated  July 8,  1996 in the  principal  amount of  $3,150,000  (the  "Note")  in
accordance  with the terms thereof and all amendments,  modifications,  renewals
and extensions thereof and changes therein (the "Obligations").

     1.  Extensions,  renewals or changes in form of the Obligations may be made
by the Company and the Borrower  from time to time  without  notice of any kind,
which extensions,  renewals or changes in form shall be binding on Guarantor and
shall in no way reduce the Guarantor's liabilities hereunder.

     2. Presentment,  demand,  protest, notice of protest and notice of dishonor
of the Obligations and also notice of acceptance by the Company of this guaranty
are hereby expressly waived.

     3. The Company may,  without notice and without  affecting the liability of
the  Guarantor  hereunder,  take  and  hold  security  for  the  payment  of the
Obligations  guaranteed  and may  exchange,  enforce,  waive,  add to or release
security  and may apply  such  security  and  direct the order or manner of sale
thereof as the Company, in its discretion, may determine.

     4. Before proceeding  hereunder  against the Guarantor,  the Company is not
required to: (a) proceed  against the  Borrower or any other  guarantor or party
whether a party to this  guaranty or otherwise;  (b) proceed  against or exhaust
any  security  securing  the  Obligations;   or  (c)  pursue  any  other  remedy
whatsoever.

     5. The Guarantor  shall not have any right of  subrogation,  reimbursement,
exoneration, contribution,  indemnification or participation in any claim, right
or remedy of the Company  against the  Borrower or any security now or hereafter
held by the Company until all Obligations have been paid in full.

     6. This guaranty is binding upon the successors and assigns of Guarantor.

<PAGE>

     7. The obligations of the Guarantor  hereunder  shall  constitute a present
and  continuing  guaranty of payment and not of  collectibility  only,  shall be
absolute and  unconditional,  shall not be subject to any counterclaim,  setoff,
deduction or defense the  Guarantor  may at any time have against the Company or
any other person,  and shall remain in full force and effect  without  regard to
any event  whatsoever  (whether or not the Guarantor shall have any knowledge or
notice thereof or shall have consented thereto), including without limitation:

          (a) Any extensions, renewals or changes in the Note, any assignment or
     transfer of any part thereof, any renewal,  extension or modification of or
     in the terms of payment provided in the Obligations or the granting of time
     in respect of the payment  thereof,  or any  furnishing  or  acceptance  of
     security or any release of any  security so  furnished  or accepted for the
     Obligations;

          (b) Any waiver,  consent,  extension,  forbearance  or other action or
     inaction  under or in respect of this guaranty or the  Obligations,  or any
     exercise  of or failure to exercise  any right,  remedy or power in respect
     hereof or thereof;

          (c) Any failure, neglect or omission of the Company to protect, in any
     manner, the collection of the Obligations,  or any portion thereof,  or any
     security given therefor;

          (d)   Any   bankruptcy,   insolvency,   reorganization,   arrangement,
     readjustment,  composition, liquidation or similar proceedings with respect
     to the Borrower or the Guarantor;

          (e) Any default by the Borrower,  the Guarantor,  or any invalidity or
     any  unenforceability  of or any  misrepresentation,  irregularity or other
     defect in, the Obligations or this guaranty.

     8. The Guarantor agrees to pay all reasonable fees and expenses,  including
attorney  fees which may be incurred in enforcing or  attempting to enforce this
Guaranty,  to collect the  Obligations  or to enforce any  agreement  granting a
security interest in collateral to secure payment of the Obligations.

     9.  This  guaranty  may be signed in any  number of  counterparts  and each
counterpart  shall have the same force and effect as an original  instrument and
as if all of the  signers  of the  aggregate  counterparts  had  signed the same
instrument.

     Dated this 8th day of July, 1996.

                                             /s/________________________________
                                                Sid Borenstein, Guarantor







Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493


                    SMITH BARNEY SHEARSON FLEXIBLE PROTOTYPE
                           NONSTANDARDIZED 401(K) PLAN
                             ADOPTION AGREEMENT #007

Adoption of a qualified plan has important legal and tax implications. Failure
to properly fill out the Adoption Agreement may result in disqualification of
the Plan. Employers should consult with their counsel concerning the adoption of
this Plan. To obtain further information about the Plan, contact Smith Barney
Shearson through your Financial Consultant.

NOTE: Under the terms of the Plan, options marked "STANDARD" automatically will
apply unless another option is selected. If additional space is needed to
provide information requested in this Adoption Agreement, the information may be
provided in an addendum attached to this Adoption Agreement which contains a
reference to the appropriate Part(s) of the Adoption Agreement.

Adoption Agreement #007 may only be used in conjunction with the SMITH BARNEY
SHEARSON FLEXIBLE PROTOTYPE DEFINED CONTRIBUTION PLAN - Plan Document # 05.

Capitalized terms refer to defined terms in Plan Document # 05. "ss." refers to
sections of Plan Document # 05; "Part" refers to provisions in this Adoption
Agreement. The instructions and descriptions in this Adoption Agreement
generally summarize the Plan Document provisions, but the Plan Document terms
will be controlling in the event of any conflict.




- --------------------------------------------------------------------------------
                    TO BE COMPLETED BY SMITH BARNEY SHEARSON

 FINANCIAL CONSULTANT:____________________________________________________
 Address:_________________________________________________________________
 Telephone #:____________________  SBS Account # for Plan:________________

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


<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

I.   EMPLOYER INFORMATION.

A.   Name: New York Health Care, Inc.

B.   Address: 1667 Flatbush Avenue
              Brooklyn, NY 11210

C.   Taxable Year: December 31

D.   EIN: 11-2636089

II.  PLAN INFORMATION.

A.   Plan Name: New York Health Care 401(k) Plan & Trust

B.   Plan Year: the period which ends on 12/31.

C.   Construction.  Except  as  provided  in ss. 1.2, the  Plan  and  the  Trust
     Agreement will be subject to the laws of the State of New York.

D.   Plan Adoption. The Plan is hereby adopted as [Check one. See ss. 14.1.]

     1.   [ ] a new profit sharing plan (with cash or deferred arrangement).

     2.   [X] an amendment  and  restatement  of the New York Health Care 401(k)
              Plan & Trust ("Pre-Existing  Plan")  which was  originally
              effective January 1, 1994.

E.   Effective Date of this Adoption Agreement: January 1, 1996.

III. ELIGIBILITY AND PARTICIPATION.

A.   Eligible Employees. All Employees of the Employer and all Employees of the
     Participating Affiliates who satisfy the Participation Requirement
     generally will be eligible to participate in the Plan except certain
     nonresident aliens and: [Check one. See ss. 2.19.]

     1.   [ ] STANDARD: no other exclusions.

     2.   [X] the following additional categories of Employees: [The Plan must
              satisfy the nondiscrimination, minimum coverage and minimum
              participation rules on a continuing basis. See ss. 2.19(b).]
              non-professional staff of Newburg, NY office (PCA's and HHA's)
              See Addendum XIII.C. for special effective date.

     However, notwithstanding any contrary language participation in this Plan
     by Employees who are covered by a collective bargaining agreement and the
     extent of such participation, if any, will be determined by collective
     bargaining.

B.   Participation Requirement. In order to participate in this Plan, an
     Eligible Employee must [Check one. See ss. 2.46, ss. 4 and Part V.B.1.
     Enter "N/A" if there will be no minimum age or no waiting period, as
     applicable.]


                                      -2-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

1. [x] STANDARD: reach minimum age of 21 and complete waiting period of 1 Year
       of Service.

2. [ ] no minimum age or waiting period.

3. [ ] reach minimum age of ____ [not to exceed 21] and complete waiting period
       of ____ Year of Service [not to exceed 1].

4. [ ] reach minimum age of ____ [not to exceed 21] and complete waiting period 
       of ____ Year of Service [not to exceed 1]; however, each Employee who is
       an Eligible Employee on the Effective Date will be deemed to satisfy the
       Participation Requirement on the Effective Date regardless of such
       Employee's actual age or service.

C.   Entry Date: [Check one. See ss. 2.26 and ss. 4.]

1. [x] STANDARD: the first day of each Plan Year and the first day of the
       seventh month of each Plan Year.

2. [ ] the date on which the Participant satisfies the Participation 
       Requirement.

3. [ ] other: __________________ [Specify date(s). If a single Entry Date is
       entered, the minimum age in Part III.B cannot exceed 20-1/2 and the
       maximum waiting period in Part III.B cannot exceed 1/2 year.]

IV.  VESTING.

A.   Death Disability or Retirement. [See ss. 8.1(b).]

     1. [x] STANDARD: A Participant's Employer Account and Matching Account
            will be 100% vested if, while an Employee, that Participant dies,
            becomes Disabled, or reaches Normal Retirement Age or, if 
            applicable, Early Retirement Age.

     2. [ ] A Participant's Employer Account and Matching Account will be 100%
            vested if, while an Employee, that Participant reaches Normal
            Retirement Age or if the Participant satisfies the following
            condition: [Check one or more only if desired.]

            a. [ ] dies while an Employee 
            b. [ ] becomes Disabled while an Employee
            c. [ ] reaches Early Retirement Age while an Employee.

B.   General Vesting Schedule. [See 8.1 and ss. 14.3(c). Generally, the
     vesting schedule under this Plan must be at least as favorable at the
     completion of each year as the vesting schedule under the Pre-Existing
     Plan. The Top-Heavy Vesting Schedule selected in Part XI.A will apply for
     all Plan Years in which the Plan is a Top-Heavy Plan. See ss. 12.4.]

     1.   Matching Account. [Check one. "Full and Immediate Vesting" must be
          selected if the 2-year requirement for Matching Contributions is
          selected in Part VII.A.2.b.5.]


                                      -3-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

          a. [ ] STANDARD: Full and Immediate Vesting. 100% at all times.

          b. [x] Cliff Vesting. 100% after completion of 5 Years of Service [not
                 to exceed 5].
                                 SEE SECTION XIIIA

          c. [ ] Graded Vesting.

            Years of Service                   Nonforfeitable Percentage
            ----------------                   -------------------------
            Less than 1                            _____%
                1                                  _____%
                2                                  _____%
                3                                  _____% [at least 20%]
                4                                  _____% [at least 40%]
                5                                  _____% [at least 60%]
                6                                  _____% [at least 80%]
            7 or more                                100%
      
          d. [ ] Top-Heavy. The Top-Heavy Vesting Schedule in Part XI.A will
                 apply for all Plan Years.

     2.   Employer Account. [Check one. "Full and Immediate Vesting" must be
          selected if the 2-year requirement for Employer Contributions is
          selected in Part VII.D.2.b.5.]

          a. [ ] STANDARD: Full and Immediate Vesting. 100% at all times.

          b. [ ] Cliff Vesting. 100% after completion of Years of Service [not
             to exceed 5].

          c. [ ] Graded Vesting.

            Years of Service                   Nonforfeitable Percentage
            ----------------                   -------------------------
            Less than 1                            _____%
                1                                  _____%
                2                                  _____%
                3                                  _____% [at least 20%]
                4                                  _____% [at least 40%]
                5                                  _____% [at least 60%]
                6                                  _____% [at least 80%]
            7 or more                                100%

          d. [ ] Top-Heavy. The Top-Heavy Vesting Schedule in Part XI.A will
                 apply for all Plan Years.

C.   Normal Retirement Age: [Check one. See ss. 2.43 and Part XIII.B.]

     1. [X] STANDARD: age 65

     2. [ ] age _____ [not to exceed 65]

     3. [ ] the later of age [not to exceed 65] or the _____ [not to exceed 5th]
            anniversary of the date on which the Participant commenced
            participation in the Plan.


                                      -4-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

D.   Early Retirement Age: [The designation of an Early Retirement Age may
     accelerate vesting and distribution. Early Retirement Age cannot exceed
     Normal Retirement Age. Check one. See ss. 2.13 and ss. 9.1.]

     1. [ ] STANDARD: No Early Retirement Age.

     2. [X] age 55

     3. [ ] the later of age ___ or the completion of ___ Years of Service
            (for vesting purposes).

V.   SERVICE FOR PARTICIPATION AND VESTING.

A.   Method for Crediting Service. [Check one. See ss. 3.]

     1. [x] STANDARD: "Hour of Service" method. [See ss. 3.1.]

          a.   Crediting Hours. Hours will be credited during each Computation
               Period [Check one. See ss. 3.1(c).]

               (1) [x] STANDARD: by maintaining records of the actual hours
                       worked. [See ss. 3.1(c)(2)(i).]

               (2) [ ] by using the following equivalency [Check one. See
                       ss. 3.1(c)(2)(ii).]

                       [ ] 10 Hours of Service for each day.

                       [ ] 45 Hours of Service for each week.

                       [ ] 95 Hours of Service for each semi-monthly payroll
                           period.

                       [ ] 190 Hours of Service for each month.

          b.   Vesting Computation Period. The Computation Period for vesting
               purposes will be [Check one. See ss. 3.1(b)(2).]

               (1) [x] STANDARD: the Plan Year

               (2) [ ] the 12 month period beginning on the Participant's hire
                       date and each anniversary of that hire date.

          c.   Participation Computation Period. The initial Computation Period
               for participation purposes will be the 12 month period beginning
               on the Participant's hire date. Each subsequent Computation
               Period after the initial 12 months of employment will be [Check
               one. See ss. 3.1(b)(3).]

               (1) [x] STANDARD: Plan Years beginning after the Participant's
                       hire date.

               (2) [ ] subsequent 12 month periods beginning on the
                       anniversaries of the Participant's hire date.

          d.   Year of Service for Vesting. For vesting purposes, an Employee
               will be credited with a Year of Service if, during a Computation
               Period, the Employee completes at least [Check one. See ss.
               3.1(d).]

               (1) [x] STANDARD: 1,000 Hours of Service.

               (2) [ ] _____ [not more than 1,000] Hours of Service.


                                      -5-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

          e.   Year of Service for Participation. For participation purposes, an
               Employee will be credited with a Year of Service [Check one. See
               ss. 3.1(b)(3) and ss. 3.1(d).]

               (1) [x] STANDARD: at the end of the Computation Period in which
                       the Employee completes at least 1,000 Hours of Service.

               (2) [ ] on the date on which the Employee completes at least ____
                       [not more than 1,000] Hours of Service.

               (3) [ ] at the end of the Computation Period on which the
                       Employee completes at least ____ [not more than 1,000] 
                       Hours of Service.

               Notwithstanding the foregoing, if a partial Year of Service is
               selected in Part III.B, no minimum number of Hours of Service
               will be required.

     2. [ ] "Elapsed Time" method. [See ss. 3.2.]

            For purposes of determining whether a Participant is entitled to
            an allocation of contributions or forfeitures, the Participant
            will be deemed to have completed more than 500 Hours of Service
            in a Plan Year if the Participant completes the following period
            of employment in the Plan Year: [Check one. See ss. 2.2(d) and
            Part VII.]

          a. [ ] STANDARD: more than 91 consecutive calendar days.

          b. [ ] more than 3 consecutive months.

B.   Special Rules.

     1.   Vesting Service Exclusions. [See ss. 3.8.] In addition to any service
          that is disregarded under the Break in Service rules described below
          and in ss. 3.7(c), the following service will be excluded for vesting
          purposes:

          a.   [ ] STANDARD: No other exclusions.

          b.   [x] Years of Service before age 18.

          c.   [ ] Years of Service before the Employer or an Affiliate
                   maintained this Plan or a predecessor plan.

          d.   [ ] Years of Service during a period for which the Employee made
                   no mandatory contributions under a Pre-Existing Plan.

     2.   Predecessor Employer Service (Vesting and Participation). Generally,
          unless the Employer maintains the plan of a predecessor employer (for
          example, an acquired company), service for a predecessor employer will
          not be credited as service under this Plan. [Check and attach
          appropriate addendum only if desired. See ss. 3.4.]

          [ ] Service credit will be given under this Plan for certain
          predecessor employers for participation and/or vesting purposes to the
          extent provided in Addendum V.B.2.

     3.   Break in Service Rules. [See ss. 3.7 and ss. 8.2.] Generally, all
          service completed before a Break in Service will be credited upon
          reemployment. Certain service may be excluded under the following
          rules:


                                      -6-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

          a.   [ ] STANDARD: No exclusions. [See ss. 3.7(a).]

          b.   [ ] "One Year Hold Out Rule." [See ss. 3.7(b)(1).] This rule,
                   generally, requires rehired Employees to complete a Year of
                   Service before prior vesting and participation service is
                   restored.

          c.   [X] "Rule of Parity". [See ss. 3.7(b)(3).] This rule, generally,
                   disregards vesting and participation service completed before
                   5 uninterrupted Breaks in Service.

          d.   [ ] "Alternative Maternity/Paternity Rule." [Not applicable if
                   "Elapsed Time" is selected. See ss. 3.7(b)(4).] This rule,
                   generally, increases the number of Breaks in Service from 5 
                   to 6 for all Employees in lieu of crediting service for
                   maternity/paternity leave.

          e.   [ ] Alternative to "Buy Back Rule". [See ss. 8.2(b).] This rule,
                   generally, does not require former participants (less than
                   100% vested) to pay back previous distributions upon 
                   reemployment (vesting only). A rehired Participant's vested 
                   interest in restored amounts will be determined under:
                   [Check one. See ss.8.2(a), ss.8.2(b) and ss.8.2(c).] 

                    (1)  [ ] STANDARD: Formula A

                    (2)  [ ] Formula B

VI.  EMPLOYEE CONTRIBUTIONS.

A.   Elective Deferrals. Elective Deferrals [See ss. 5.3(f). Check one.]

     1.   [X] STANDARD: will be allowed. [Complete formula below; enter "N/A"
              if not applicable.]

          a.   Minimum Amount. Not less than 1 % of a Participant's Compensation
               or $______ .

          b.   Maximum Amount. For Plan Years ending on and before____, not more
               than __% of a Participant's Compensation or $_____ , and for each
               Plan Year thereafter, not more than 15 % of a Participant's
               Compensation or $ N/A .

     2.   [ ] will not be allowed.

B.   Employee Contributions. Employee Contributions [See ss. 5.3(g). Check one.]

     1.   [x] STANDARD: will not be allowed.

     2.   [ ] will be allowed. [Complete formula below; enter "N/A" if not
          applicable.]

          a.   Minimum Amount. Not less than _____% of a Participant's
               Compensation or $_____.

          b.   Maximum Amount. For Plan Years ending on and before __________,
               not more than _____% of a Participant's Compensation or $_____ ,
               and for each Plan Year thereafter, not more than _____% of a
               Participant's Compensation or $_____ .


                                      -7-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

C.   Election Rules. [Check one. See ss. 5.3(h).]

1.   [ ] STANDARD: If a Participant does not elect to begin Elective Deferrals
         or Employee Contributions on the Participant's Entry Date, the 
         Participant may elect to begin such contributions as of any following 
         pay date. A Participant's election can be revised (prospectively only)
         as of any pay date. A Participant who terminates contributions may
         elect to resume contributions prospectively as of any pay date.

2.   [ ] Alternatives to Standard: A Participant's elections may be made as
         follows: [Must include at least one day in each calendar year.]

     a.   [x] Commencement. [See ss. 5.3(h)(2).] effective only as of any first
              day of each semiannual period following the Participant's Entry 
              Date.

     b.   [x] Revision. [See ss. 5.3(h)(3).] effective only as of any following
              first day of each month.

     c.   [x] Resumption. [See ss. 5.3(h)(5).] effective only as of any
              following first day of each month.

D.   Rollover Contributions. Rollover Contributions [Check one. See ss. 5.5.]

     1.   [X] STANDARD: will be allowed and may be made by [Check one.]

          a.   [ ] STANDARD: any Eligible Employee.

          b.   [x] any Eligible Employee who is a Participant.

     2.   [ ] will not be allowed.

E.   Limitations on Elective Deferrals.

     1.   Claims. Claims for a refund of Excess Elective Deferrals must be made
          no later than [See ss. 7.3(f). Check one.]

          a.   [x] STANDARD: March 1.

          b.   [ ] ____________ [no earlier than March 1 and no later than 
                   April 15.]

     2.   Deemed Claims. Corrections of Excess Elective Deferrals will be made
          [See ss. 7.3(f)(2). Check one.]

          a.   [x] STANDARD: from this Plan.

          b.   [ ] from the following plan(s): _______________________

     3.   "Gap Period" Income. The income or loss allocable to the "gap period"
          [Check one. See ss. 7.3(e), ss. 7.4(d)(2) and ss. 7.5(d)(2).]

          a.   [x] STANDARD: shall not be distributed.

          b.   [ ] shall be distributed.

     4.   Highly Compensated Employees. The following special rules in the
          temporary Code ss. 414(q) regulations and in Code ss. 414(q)(12) will
          apply: [Check one. See ss. 7.4(a)(5)(v).]


                                      -8-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493



          a.   [x] STANDARD: no special rules.

          b.   [ ] The special rules set forth in Addendum V.E.3.

     5.   Recharacterization. Recharacterization of Excess Contributions as
          Employee Contributions [See ss. 7.4(e). Check one.]

          a.   [X] Standard: will not be allowed.

          b.   [ ] [Do not check this option 2 if Employee Contributions are not
                   allowed in Part VI.B.] will be allowed.

VII. EMPLOYER CONTRIBUTIONS.

A.   Matching Contributions. [See ss. 5.3(b) and Part VII.F.]

     1.   Formula. [Check one.]

          a.   [ ] STANDARD: No Matching Contributions will be made.

          b.   [x] Matching Contributions will be made on account of: [Check one
                   or both.]

                   [x]  Elective Deferrals

                   [ ] Employee Contributions

                    under the following formula: [Check and complete one. Enter
                    "N/A" if not applicable. The formula specified and completed
                    must not provide a higher rate of Matching Contributions for
                    Participants who make a higher amount of contributions.]

                    [ ]  _____% of the Participant's contributions which do
                         not exceed $_____ or _____% of the Participant's
                         Compensation plus _____% of the Participant's 
                         contributions which exceed $_____ or _____%, but 
                         contributions in excess of $_____ or _____% of the 
                         Participant's Compensation will not be matched.

                    [x]  such percentage of the Participant's contributions as
                         determined by the Employer in its discretion for each
                         Plan Year.

                    [ ]  in an amount equal to _______________________________
                         _____________________________________________________.

     2.   Eligible Participant. The Matching Contribution for any Allocation
          Date will be made only for each Participant who makes Elective
          Deferrals or Employee Contributions, as applicable, during the period
          ending on the Allocation Date and who satisfies all of the following
          requirements: [Check one.]

          a.   [x] STANDARD no additional requirements.

          b.   [ ] Alternative: [Check one or more.]


                                      -9-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

     (1)  [ ] the Participant is employed (or on an authorized leave of absence)
              on the Allocation Date.

     (2)  [ ] the Participant is credited with at least 1,000 Hours of Service
              in the Plan Year ending on such Allocation Date. [Do not check if
              "Elapsed Time" is selected or Allocation Date is not Standard 
              Option.]

     (3)  [ ] the Participant is a Nonhighly Compensated Employee.

     (4)  [ ] the Participant is not employed as of the last day of the Plan
              Year but is credited with more than 500 Hours of Service in the 
              Plan Year. [Do not check if Allocation Date is not Standard 
              Option. Special Hour of Service equivalencies apply if "Elapsed 
              Time" is selected. See Part V.A.2.]

     (5)  [ ] the Participant is credited with at least 2 Years of Service (for
              participation purposes) on such Allocation Date.

     (6)  [ ] notwithstanding anything to the contrary in clause (1), (2) or (4)
              of this Part VII.A.2.b, a Participant who died, retired or became
              disabled during the period ending on the Allocation Date will be
              eligible [Check one.]

              [ ] without regard to the number of Hours of Service.

              [ ] only if he completes the Hours of Service specified in
                  clause (2) or (4), as applicable. [Do not check if
                  Allocation Date is not Standard Option.]

3.   Allocation Date. Matching Contributions will be made and allocated as of
     [Check one.]

     a.   [ ] STANDARD: the last day of each Plan Year.

     b.   [x] each last day of each month.

4.   Forfeitures. Forfeitures attributable to Matching Accounts [Check one. See
     ss. 6.3(c)(2)(ii).]

     a.   [ X] STANDARD: will be applied to reduce Matching Contributions as of
               the Allocation Date: [Check one. See ss. 8.2(e).] 

          (1)  [x] STANDARD: which immediately follows the date the Forfeiture
               occurs.

          (2)  [ ] which immediately follows the last day of the Plan Year in
                   which the Forfeiture occurs.

               b.   [ ] will be reallocated to Active Participants as of the
                        last day of each Plan Year. [Complete Part VII.D.2 to
                        specify who is an Active Participant for this purpose.]

               c.   [ ] will be allocated in accordance with the formula set
                        forth in Addendum VII.A.4.c. [The addendum should
                        describe Allocation Date, eligible Participants and 
                        allocation formula.]


                                      -10-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062492

B.   Qualified Matching Contributions. [See ss. 5.3(c) and Part VII.F.]

     1.   Formula. [Check one.]

          a.   [ ] STANDARD: No Qualified Matching Contributions will be made.

          b.   [x] Qualified Matching Contributions will be made on account of:
                   [Check one or both.]

                   [x] Elective Deferrals
                   [ ] Employee Contributions

                   under the following formula: [Check and complete one. Enter
                   "N/A" if not applicable. The formula specified and completed
                   must not provide a higher rate of Qualified Matching
                   Contributions for Participants who make a higher amount of
                   contributions.]

                   [ ] _____% of the Participant's contributions which do
                       not exceed $_____ or _____% of the Participant's
                       Compensation plus _____% of the Participant's
                       contributions which exceed $_____ or _____%, but
                       contributions in excess of $_____ or _____% of the
                       Participant's Compensation will not be matched.

                   [x] such percentage of the Participant's contributions as
                       determined by the Employer in its discretion for each
                       Plan Year.

                   [ ] in an amount equal to ______________________________
                       ____________________________________________________  

     2.   Eligible Participant. The Qualified Matching Contribution for any
          Allocation Date will be made only for each Participant who makes
          Elective Deferrals or Employee Contributions, as applicable, during
          the period ending on the Allocation Date and who satisfies all of the
          following requirements: [Check one.]

          a.   [ ] STANDARD: no additional requirements.

          b.   [x] Alternative: [Check one or more.]

               (1)  [x] the Participant is employed (or on an authorized leave
                        of absence) on the Allocation Date.

               (2)  [ ] the Participant is credited with at least 1,000 Hours of
                        Service in the Plan Year ending on such Allocation Date.
                        [Do not check if "Elapsed Time" is selected or
                        Allocation Date is not Standard Option.]

               (3)  [ ] the Participant is a Nonhighly Compensated Employee.

               (4)  [ ] the Participant is not employed as of the last day of
                        the Plan Year but is credited with more than 500 Hours
                        of service in the Plan Year. [Do not check if Allocation
                        Date is not Standard  Option. Special Hour of Service 
                        equivalencies apply if "Elapsed Time" is selected. See 
                        Part V.A.2.]

               (5)  [ ] the Participant is credited with at least 2 Years of
                        Service (for participation purposes) on such Allocation
                        Date.


                                      -11-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

               (6)  [ ] notwithstanding anything to the contrary in clause (1),
                        (2) or (4) of this Part VII.B.2.b, a Participant who
                        died, retired or became disabled during the period 
                        ending on the Allocation Date will be eligible
                        [Check one.]

                        [ ] without regard to the number of Hours of Service.
                        [ ] only if he completes the Hours of Service specified
                            in clause (2) or (4), as applicable. [Do not check
                            if Allocation Date is not Standard Option.]

     3.   Allocation Date. Qualified Matching Contributions will be made and
          allocated as of [Check one.]

          a.   [x] STANDARD: the last day of each Plan Year.

          b.   [ ] each ________________.

C.   Qualified Nonelective Contributions. [See ss. 5.3(d) and Part VII.F.]

     1.   Formula. In addition to the Qualified Nonelective Contributions which
          may be made for Nonhighly Compensated Employees to satisfy the ADP or
          ACP limits, [Check one.]

          a.   [X] STANDARD: no additional Qualified Nonelective Contributions
                   will be made.

          b.   [ ] additional Qualified Nonelective Contributions will be made
                   in an amount equal to _____________________________________
                   ___________________________________________________________.

     2.   Eligible Participant. The Additional Qualified Nonelective
          Contribution described in this Part VII.C for any Allocation Date will
          be made only for each Participant who is an Eligible Employee at any
          time during the period ending on the Allocation Date and who satisfies
          all of the following requirements: [Check one.]

          a.   [ ] STANDARD: no additional requirements.

          b.   [ ] Alternative: [Check one or more.]

               (1)  [ ] the Participant is employed (or on an authorized leave
                        of absence) on the Allocation Date.

               (2)  [ ] the Participant is credited with at least 1,000 Hours of
                        Service in the Plan Year ending on such Allocation Date.
                        [Do not check if "Elapsed Time" is selected or 
                        Allocation Date is not Standard Option.]

               (3)  [ ] the Participant is a Nonhighly Compensated Employee.

               (4)  [ ] the Participant is not employed as of the last day of
                        the Plan Year but is credited with more than 500 Hours
                        of Service in the Plan Year. [Do not check if Allocation
                        Date is not Standard Option. Special Hour of Service
                        equivalencies apply if "Elapsed Time" is selected. See  
                        Part V.A.2.]


                                      -12-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

               (5)  [ ] the Participant is credited with at least 2 Years of
                        Service (for participation purposes) on such Allocation 
                        Date

               (6)  [ ] notwithstanding anything to the contrary in clause (1),
                        (2) or (4) of this Part VII.C.2.b, a Participant who 
                        died, retired or became disabled during the period 
                        ending on the Allocation Date will be eligible
                        [Check one.]

                        [ ] without regard to the number of Hours of Service. 

                        [ ] only if he completes the Hours of Service specified 
                            in clause (2) or (4), as applicable. [Do not check
                            if Allocation Date is not Standard Option.]

     3.   Allocation Date. The Qualified Nonelective Contributions described in
          this Part VII.C will be made and allocated as of [Check one.]

          a.   [ ] STANDARD: the last day of each Plan Year.

          b.   [ ] each __________________________.

D.   Discretionary Employer Contributions.

     1.   Allocation Formula. The discretionary Employer Contributions will be
          allocated among Active Participants as follows: [Check one. See ss.
          5.3(e), ss. 6.3(a), ss. 6.3(c)(4) and Part VII.F. Do not select an
          integrated formula for Plan Years beginning on and after the Final
          Compliance Date if the Employer also maintains another integrated plan
          for such Plan Year.]

          a.   STANDARD: Nonintegrated. [See ss. 6.3(a)(1) and ss.
               6.3(c)(4)(i)(A).]

          b.   Integrated. [See ss. 6.3(a)(2), ss. 6.3(c)(4)(i)(B) and ss.
               12.3(h).]

               (1)  Integration Percentage. [Check one. If the Integration Level
                    is less than the Taxable Wage Base, the Maximum Disparity
                    Rate must be reduced. See ss. 2.39.]

                    [ ] STANDARD: the Maximum Disparity Rate.

                    [ ] _____% [not to exceed the Maximum Disparity Rate.]

               (2)  Integration level. [Check one. See ss. 2.35.]

                    [ ] STANDARD: the Taxable Wage Base.

                    [ ] $_____ or _____% of the Taxable Wage Base [not to
                        exceed the Taxable Wage Base.]

     2.   Active Participant. The discretionary Employer Contributions and
          Forfeitures, if applicable, will only be allocated to: [Check one. See
          ss. 2.2, ss. 5.3(e) and Part VII.E.]


                                      -13-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (9007)                 062493

          a.   [ ] STANDARD: each Participant who is an Eligible Employee at any
                   time during the Plan Year and (1) who is employed (or on an
                   authorized leave of absence) on the last day of the Plan Year
                   and (if the "Hours of Service" method is selected) who is 
                   credited with more than 1,000 Hours of Service during the 
                   Plan Year or (2) who terminated employment during the Plan
                   Year due to death, disability or retirement.

          b.   [ ] Alternatives to standard: [Check one or more.]

               (1)  [ ] The last day employment requirement will not apply.

               (2)  [ ] The 1,000 hours requirement will not apply.

               (3)  [ ] The exceptions for death, disability and retirement will
                        not apply.

               (4)  [ ] Each Participant who is not employed on the last day of
                        the Plan Year but is credited with more than 500 Hours
                        of Service during the Plan Year will be an Active 
                        Participant. [Special equivalencies apply if "Elapsed 
                        Time" is selected. See Part V.A.2.]

               (5)  [ ] The Participant must also be credited with at least 2
                        Years of Service on the last day of the Plan Year.

     3.   Forfeitures. Forfeitures attributable to Employer Accounts [Check one.
          See ss. 5.3(i) and ss. 6.3(c)(4)(ii).]

     a.   [ ] STANDARD: will be reallocated to Active Participants as of the
              last day of each Plan Year in the same manner as Employer
              Contributions.

     b.   [ ] will be applied to reduce Matching Contributions, Qualified
              Matching Contributions and/or Qualified Nonelective Contributions.

     c.   [ ] will be allocated in accordance with the formula set forth in
              Addendum VII.D.3.c. [The addendum should describe Allocation Date,
              eligible Participants and allocation formula.]

E.   Net Profits.

     1.   General. [Check one. See ss. 5.3(a).]

          a.   [ ] STANDARD: All Employer contributions other than Elective
                   Deferrals will be made out of Net Profits.

          b.   [x] Alternatives to Standard: In addition to Elective Deferrals,
                   the following contributions will be made without regard to
                   Net Profits: [Check one or more.]

                   1.   [x] Matching Contributions

                   2.   [x] Qualified Matching Contributions

                   3.   [ ] Qualified Nonelective Contributions

                   4.   [ ] Discretionary Employer Contributions


                                      -14-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

     2.   Definition. For this purpose, Net Profits will be as defined [Check
          one. See ss. 2.41.]

          a.   [x] STANDARD: in ss. 2.41(a).

          b.   [ ] in the attached Addendum VII.E.2.

F.   Minimum Allocations. Each Active Participant (determined without regard to
     the Participant's completed Hours of Service) who is not a Key Employee,
     generally, will receive the minimum top-heavy allocation if the Plan is
     top-heavy. [See ss. 6.3(e) and ss. 12.] Requiring a Participant to complete
     a minimum number of hours or to be employed on the last day of a period may
     result in a failure to satisfy the nondiscrimination rules, minimum
     coverage rules and minimum participation rules. [See ss. 2.2 and ss. 2.19.]

VIII. COMPENSATION. Compensation for any Plan Year generally means total
     compensation (not to exceed $200,000 indexed for inflation after 1989)
     actually paid to a Participant during such Plan Year (unless another
     determination period is selected). [See ss. 2.10.]

A.   Basic Definition: Total compensation means: [Check one. See ss. 2.10(a).]

     1.   [X] STANDARD: wages, tips and other compensation reportable on Form
              W-2. [See ss. 2.10(a)(1).]

     2.   [ ] wages subject to federal income tax withholding. [See ss.
              2.10(a)(2)(i).]

     3.   [ ] general Code ss. 415 compensation. [See ss.2.10(a)(2)(ii) and ss.
              7.2(a)(2)(ii)(B).] 

     4.   [ ] regular or base salary or wages, including [This option may not be
              selected if the integrated formula is selected in Part VII.D.1.b. 
              Check one or more only if desired.]

              a. [ ] overtime
              b. [ ] bonuses
              c. [ ] commissions
              d. [ ] other:_________________________

     Reimbursements or other expense allowances, fringe benefits (cash and
     noncash), moving expenses; deferred compensation and welfare benefits (even
     if includible in gross income): [Check one. See ss. 2.10(a)(2)(iv).]

     [ ] STANDARD: will [ x ] will not

     be included in Compensation as determined in accordance with the definition
     selected above.

B.   Determination Period: [Check one. See ss. 2.10(d).]


                                      -15-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

     1.   [x] STANDARD: the Plan Year.

     2.   [ ] the calendar year ending in the Plan Year.

     3.   [ ] a period beginning each ____________ [Enter the day and month the
              period begins. The determination period must end with or within 
              the Plan Year, must be at least 12 consecutive months in duration 
              and must apply uniformly to all Employees in the Plan.]

C.   Salary Reductions. Participant salary reduction contributions (for example,
     ss. 401(k) or flexible benefit plan contributions) [Check one. See ss.
     2.10(f).]

     1.   [x] STANDARD: will

     2.   [ ] will not

     be included in total compensation.

D.   Special Rules. [Complete only if desired. See ss. 2.10(g).]

1.   [X] Compensation for periods ending before the Entry Date on which an
         Eligible Employee becomes a Participant will be excluded. [See

2.   [ ] If this is an amendment to a Pre-Existing Plan, the definition of
         Compensation will be effective as of ___________ [No later than the
         first day of the first Plan Year after this Plan is adopted.
         See ss. 2.10(93(2). The definition in the Pre-Existing Plan will
         continue to apply until that date.]

3.   [ ] Compensation for any Plan Year in excess of $_____ will be excluded.
         [See ss. 2.10(9)(3).]

4.   [ ] The following shall be excluded when determining Compensation of Highly
         Compensated Employee: [See ss. 2.10(g)(4).]

IX.  DISTRIBUTIONS.

A.   Timing. Vested Plan benefits, generally, will be distributed as follows:
[Check one. See ss. 9.1(a).]

     1.   [x] STANDARD: as soon as practical after the Participant separates
              from service subject to the Participant's consent, if required.

     2.   [ ] no earlier than the Participant's Normal Retirement Age, Early
              Retirement Age or Disability, whichever is earlier.

B.   Elections to Defer. A Participant whose Account is more than $3500 may
     elect that distribution of vested Plan benefits be deferred until: [Check
     one. See ss. 9.1(e).]

     1.   [ ] STANDARD: the Participant's Required Beginning Date (generally 
              age 70-1/2)

     2.   [x] the later of the Participant's Normal Retirement Age or age 62.

C.   In-Service Distributions [See ss. 9.2(b).]

     1. Elective Deferral Accounts. In-service distributions from Elective

Deferral Accounts will be allowed as follows: [Check applicable box(es).]


                                      -16-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

          a.   [ ] STANDARD: no distributions before separation from service.

          b.   [X] on or after age 59 1/2. [See ss. 9.2(b)(4).]

          c.   [X] for the following financial hardship(s): [See ss. 9.2(b)(3).
                   Check one or more.]

                   (1) [x] medical expenses [See ss. 9.2(b)(3)(ii)(A).]
                   (2) [x] purchase of principal residence [See 
                           ss. 9.2(b)(3)(ii)(B).]
                   (3) [x] tuition [See ss. 9.2(b)(3)(ii)(C).]
                   (4) [x] foreclosure or eviction [See ss. 9.2(b)(3)(ii)(D).]
                   (5) [x] other IRS "deemed" financial hardship [See
                           ss. 9.2(b)(3)(ii)(E)]

     2.   Matching Accounts. In-service distributions from Matching Accounts
          will be allowed as follows: [Check applicable box(es).]

          a.   [ ] STANDARD: no distributions before separation from service.

          b.   [x] on or after age 59 1/2 .

          c.   [ ] after the anniversary of Plan participation.

          d.   [x] for a financial hardship under the safe harbor tests. [See
                   ss. 9.2(b)(3).]

          e.   [ ] in accordance with the rules set forth in Addendum IX.C.2.
                   [See ss. 9.2(b)(5). The addendum should describe
                   nondiscriminatory objective standards for an in-service
                   distribution after a fixed number of years or upon the prior
                   occurrence of some event such as layoff, illness or 
                   hardship.]

     3.   Employer Accounts. In-service distributions from Employer Accounts
          will be allowed as follows: [Check applicable box(es).]

          a.   [x] STANDARD: no distributions before separation from service.

          b.   [ ] on or after age 59 1/2.

          c.   [ ] after the __________ anniversary of Plan participation.

          d.   [ ] for a financial hardship under the safe harbor tests. [See
                   ss. 9.2(b) (3).]

          e.   [ ] in accordance with the rules set forth in Addendum IX.C.3.
                   [See ss. 9.2(b)(5). The addendum should describe
                   nondiscriminatory objective standards for an in-service
                   distribution after a fixed number of years or upon the prior
                   occurrence of some event such as layoff, illness or 
                   hardship.]

     4.   Qualified Nonelective and Qualified Matching Accounts. In-service
          distributions from Qualified Nonelective and Qualified Matching
          Accounts will be allowed as follows: [Check applicable box(es).]

          a.   [x] STANDARD: no distributions before separation from service.

          b.   [ ] on or after age 59 1/2

          c.   [ ] for financial hardship (pre-89 amounts only). [See
                   ss. 9.2(b)(3).]


                                      -17-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

     5.   Employee Accounts. Withdrawals from Employee Accounts [See ss. 9.2(d).
          Check one.]

          a.   [ ] STANDARD: will be allowed.

          b.   [ ] will not be allowed.

D.   Joint and Survivor Annuity Rules. [Check one. See ss. 10.]

     1.   [ ] STANDARD: The entire vested balance will be paid (a) to married
              Participants as a 50% joint and survivor annuity, (b) to single
              Participants as a 100% life annuity and (c) to the surviving 
              Spouse of a married Participant who dies before retirement as a 
              100% preretirement survivor annuity.

     2.   [ ] The entire vested balance will be paid under the standard joint
              and survivor annuity rules except the percentages will be:
              [Percentages must be not less than 50% nor more than 100%.]

              a.  Qualified Joint and Survivor Annuity: ____% [See ss. 10.1(f).]

              b.  Qualified Preretirement Survivor Annuity: _____ % [See ss.
                  l0.l(g).]

     3.   [x] The standard joint and survivor annuity rules will not apply.
              [Check only if the safe harbor rule described in ss. 10.5 will be
              satisfied. This option generally is not available if this Plan or
              a Pre-Existing Plan provides annuities and separate accounts are 
              not maintained for such Pre-Existing Plan balances. Under this 
              option, the entire vested balance eligible for the safe harbor
              will be paid to the surviving Spouse of a married Participant who 
              dies before retirement. See ss. 10.5.]

E.   Optional Distribution Forms. [See ss. 10.6(c).] In addition to single sum
     distributions in cash, Participants may also request:

     1.   [ ] Installments [See ss. 10.6(c)(2)(ii).]

     2.   [ ] Annuity contracts [See ss. 10.6(c)(2)(iii).]

     3.   [ ] The optional forms or in kind distributions offered under a
              Pre-Existing Plan as described in Addendum XIII.A.

     4.   [ ] Single sum distributions in kind [See ss. 10.6(e).]

X.   INVESTMENT PROVISIONS.

A.   Individually Directed Investments. An individual's direction of the
     investment of that individual's Account [Check one. See ss. 13.2.]

     1.   [ ] STANDARD: will not be allowed

     2.   [x] will be allowed and will apply: [Check one.]

              a.   [x] STANDARD: to the entire Account

              b.   [ ] only to the following:___________________________


                                      -18-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493


B.   Participant Loans. Participant loans [Check one. See ss. 13.3.]

     1.   [ ] STANDARD: will not be allowed.

     2.   [X] will be allowed.

          a.   Accounting. Loans will be treated as an asset of [See ss.
               13.3(e). Check one.]

               (1)  [X] STANDARD: the Participant's Account.

               (2)  [ ] the Fund.

          b.   Amounts. The $10,000 exception for loans in excess of 50% of
               Account value [Check one. See ss. 13.3(f)(2).]

               (1)  [x] STANDARD: shall not apply.

               (2)  [ ] shall apply. [Note: Loans under this exception must be
                        secured by collateral in addition to the Participant's
                        vested Account.]

C.   Insurance. A Participant's direction to purchase insurance contracts [Check
     one. See ss. 13.1.]

     1.   [X] STANDARD: will not be allowed.

     2.   [ ] will be allowed.

XI.  TOP-HEAVY RULES. [SEE ss. 12.]

A.   Top-Heavy Vesting Schedule. The vesting schedule for any Plan Year in which
     this Plan is a Top-Heavy Plan will be: [Check one. See ss. 12.4.]

     1.   [ ] STANDARD: Full and Immediate. 100% of all times.

     2.   [ ] Cliff. 100% after completion of _____ Years of Service [not to 
              exceed 3].

     3.   [X] Graded.

            Years of Service                   Nonforfeitable Percentage
            ----------------                   -------------------------
            Less than 1                            __0__%
                1                                  __0__%
                2                                  __20_% [at least 20%]
                3                                  __40_% [at least 40%]
                4                                  __60_% [at least 60%]
                5                                  _100_% [at least 80%]
            6 or more                               100%

B.   Other Plans. [Complete only if the Employer maintains or has ever
     maintained another plan.]

     1.   Minimum Allocation. The minimum top-heavy contributions or benefit, if
          any, will be made under [Check one. See ss. 12.3(d) and (g).]


                                      -19-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

          a.   [ ] STANDARD: this Plan.

          b.   [ ] the following plan(s):__________________________.

     2.   Present Value. [See ss. 12.2(f)(3)(iii). Complete only if Employer
          maintains a defined benefit plan.] "Present value" will be determined
          using an interest rate of _____% and the following mortality table:
          _________________________.

     3.   Valuation Date. The Top-Heavy Valuation Date for each other plan will
          be: [See ss. 12.2(g). Check one.]

          a.   [ ] STANDARD: the most recent valuation date.

          b.   [ ] Other:

XII. LIMITATIONS ON ALLOCATIONS (CODE ss. 415). [See ss. 7.2.]

A.   Compensation; For Code ss. 415 purposes, Compensation means: [Check one.
     See ss. 7.2(a)(2).]

     1.   [x] STANDARD: wages, tips and other compensation reportable on Form
              W-2. [See ss. 7.2(a)(2)(i).]

     2.   [ ] wages subject to federal income tax withholding. [See ss.
              7.2(a)(2)(ii)(A) and ss. 2.10(a)(2)(i).]

     3.   [ ] general Code ss. 415 compensation. [See ss. 7.2(a)(2)(ii)(B).]

B.   Limitation Year. The Limitation Year will be: [Check one. See ss.
     7.2(a)(9).]

     1.   [x] STANDARD: the Plan Year.

     2.   [ ] the 12 consecutive month period which ends on each
              ___________________ .

C.   Other Plans. [Complete only if the Employer maintains or has ever
     maintained another plan.]

     1.   Other Defined Contribution Plan. The Annual Additions attributable to
          this Plan will be determined: [Check one. See ss. 7.2(d).]

          a.   [ ] STANDARD: by treating the other plan as a Master or Prototype
                   Plan.

          b.   [ ] by using the method described in Addendum XII.C.1.b.

     2.   Defined Benefit Plan. [Check and attach appropriate addendum only if
          applicable. See ss. 7.2(a)(3), ss. 7.2(a)(11), ss. 7.2(e) and ss.
          12.3(g).]

          [ ] The Annual Additions attributable to this Plan will be limited
              by using the method described in Addendum XII.C.2.

XIII. SPECIAL PROVISIONS FOR AMENDMENT AND RESTATEMENT OF PRE-EXISTING PLAN,
      MERGERS OR TRANSFERS.


                                      -20-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

A.   Vesting or Distribution Rules. [Check and attach appropriate description
     only if applicable. See ss. 10.6, ss. 14.1(b) and ss. 14.5.]

     [x]  The special vesting or distribution rules which must be preserved
          under Code ss. 411 are described in Addendum XIII.A.

B.   Normal Retirement Age. [Check only if the normal retirement age under the
     Pre-Existing Plan was determined with reference to the participation
     commencement date and the special transitional rule in ss. 2.43 is desired.
     See ss. 2.43.]

     [ ] The Normal Retirement Age of a Participant who commenced
         participation in the Pre-Existing Plan in a Plan Year beginning before
         1988 will be determined under the transitional rule described in ss.
         2.43.

C.   Effective Dates. [Check and attach appropriate addendum only if any of the
     selections made in this Adoption Agreement will become effective as of a
     date other than the Effective Date set forth in Part II.E. However, the
     addendum shall in no event delay the effective date of any Plan provisions
     beyond the latest effective date required for such provision under TRA 86
     or other applicable law or regulations.]

     [X]  Certain elections in this Adoption Agreement shall be effective as of
          the date(s) specified in Addendum XIII.C.

XIV. TRUSTEE APPOINTMENT AND TRUST AGREEMENT. [Check one. See ss. 2.66 and ss.
     2.68.]

A.   [ ] Standard Trust Agreement. The standard Trust Agreement will apply and
         the Trustee will be the following individual(s), bank(s) or other 
         person(s) who can serve as a fiduciary and trustee under the laws of
         the State shown in Part II.C.

         [If Smith Barney Shearson Trust Company ("SBSTC") is the Trustee,
         SBSTC will charge a fee and may require the Employer to complete other
         documents prior to accepting its appointment as Trustee. Further,
         SBSTC will act only as a nondiscretionary Trustee and the investment
         of the Fund will be made as directed by the Plan Administrator or the
         Employer. See ss. 15 and the Trust Agreement.]

B.   [x] Alternate Trust Agreement. The alternate Trust Agreement for 401(k)
         Plans will apply and the Trustee will be Frontier Trust Co., which is a
         bank or trust company organized under the laws of the State of North 
         Dakota and which is authorized to serve as a fiduciary and trustee 
         under the laws of such State.


                                      -21-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#O07)                 062493

         [The Trustee will charge a fee and will require the Employer to
         complete other documents, including execution of the alternate Trust
         Agreement, prior to accepting its appointment as Trustee. Except as
         described in the Trust Agreement, the Trustee will act only as a
         nondiscretionary Trustee and will be subject to the directions of the
         Plan Administrator as a named fiduciary under the Plan in the control
         and management of the assets of the fund. Such directions will be
         communicated to the Trustee by the Recordkeeper as described in the
         Trust Agreement.]

XV.  IRS APPROVAL.

This Plan is a "nonstandardized" plan and an adopting Employer may not rely on
the opinion letter issued to the Prototype Sponsor by the National Office of the
Internal Revenue Service as evidence that this Plan is qualified under Code ss.
401.

Any Employer who wishes to obtain reliance that this Plan as adopted by the
Employer is qualified must apply to the appropriate Key District Office for a
favorable determination letter on this Plan.

Smith Barney Shearson will notify each adopting Employer of any amendments that
have been made to the Plan by Smith Barney Shearson as Prototype Sponsor or of
any intention to discontinue or abandon its sponsorship of the Plan as a
prototype plan.

                               S I G N A T U R E S

IMPORTANT:

          In order to have a valid plan and trust, this Adoption Agreement must
          be signed by individuals authorized to sign for the Employer and, if
          applicable, the Trustee and each Participating Affiliate. If the
          alternate Trust Agreement is specified in Part XIV.B, the Trust
          Agreement must be signed by the Employer, the Trustee and, if
          applicable, each Participating Affiliate.

          This Adoption Agreement will not become effective as a prototype plan
          unless and until it is accepted by Smith Barney Shearson as the
          Prototype Sponsor but, upon such acceptance, will be effective as a
          prototype plan retroactive to the Effective Date.

          An Affiliate (i e., a member of a controlled group of corporations,
          commonly controlled group of trades or businesses, or an affiliated
          service group within the meaning of Code ss. 414) may adopt this Plan
          as a Participating Affiliate.

EMPLOYER REPRESENTATIONS. The undersigned hereby certifies that the adoption of
the Plan and the Trust Agreement is authorized by (1) a Board of Directors'
resolution for an Employer which is a corporation, or (2) a written
authorization by the person or persons duly authorized to act on behalf of an
Employer which is not a corporation. If this Adoption Agreement amends and
restates a Pre-Existing Plan, the undersigned hereby certifies that such
amendment is duly authorized by the Employer. The undersigned hereby
acknowledges that the Prototype Sponsor (1) is not responsible for the elections
made in this Adoption Agreement, (2) shall have no responsibility whatsoever
with respect to the Fund or the operation and


                                      -22-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

administration of this Plan, and (3) has advised the Employer to consult with
legal counsel for the Employer regarding the adoption and operation of this
Plan. The undersigned further acknowledges that the Employer is solely
responsible for the elections made in this Adoption Agreement and for the
operation and administration of this Plan. Finally, the undersigned acknowledges
that the Prototype Sponsor will charge an annual prototype maintenance fee and
hereby authorizes the Prototype Sponsor to charge such fees against any
brokerage account maintained for the Plan.

EMPLOYER EXECUTION. Subject to the terms and conditions of the Plan, the Trust
Agreement and this Adoption Agreement, the undersigned hereby has executed this
Adoption Agreement to evidence its adoption (or, if applicable, amendment) of
the Plan and the Trust Agreement.

Signature: /s/ Jerry Braun
           ------------------------------
Title: CEO                         Date: 6/14/96
      --------------------------         -----------
 
TRUSTEE EXECUTION. Subject to the terms and conditions of the Plan, the Trust
Agreement and this Adoption Agreement, the undersigned hereby accepts its
appointment as Trustee and has executed this Adoption Agreement to evidence its
adoption of the Trust Agreement. [Attach additional signature pages if there are
more than three Trustees. If the alternate Trust Agreement is specified in Part
XIV.B, the Trustee should execute the alternate Trust Agreement in lieu of
executing the Adoption Agreement in this section.]

Signature:                               Date:
          ------------------------------      ----------------------------------
Signature:                               Date:
          ------------------------------      ----------------------------------
Signature:                               Date:
          ------------------------------      ----------------------------------

PARTICIPATING AFFILIATES EXECUTION. [Attach additional signature pages if there
are more than three Participating Affiliates. An Affiliate which adopts this
Plan after this Adoption Agreement is executed should evidence its adoption of
this Plan by executing and attaching to this Adoption Agreement a signature page
which includes the information set forth below.]

Subject to the terms and conditions of the Plan, the Trust Agreement and this
Adoption Agreement, the undersigned hereby has executed this Adoption Agreement
to evidence its adoption (or, if applicable, amendment) of the Plan and the
Trust Agreement.

AFFILIATE NAME:
               ---------------------------------------------------------
Signature:                               Date:
          ------------------------------      ----------------------------------

Effective Date of Adoption of Plan by Affiliate (if different from the Effective
Date in Part II.E.): ______________________


                                      -23-
<PAGE>


Flexible Nonstandardized 401(k) Adoption Agreement (#007)                 062493

AFFILIATE NAME:
               ---------------------------------------------------------
Signature:                               Date:
          ------------------------------      ----------------------------------

Effective Date of Adoption of Plan by Affiliate (if different from the Effective
Date in Part II.E.):

AFFILIATE NAME:
               ---------------------------------------------------------
Signature:                               Date:
          ------------------------------      ----------------------------------

Effective Date of Adoption of Plan by Affiliate (if different from the Effective
Date in Part II.E.):

PROTOTYPE SPONSOR ACCEPTANCE. Subject to the terms and conditions of the Plan,
the Trust Agreement and this Adoption Agreement, this Adoption Agreement is
accepted by the Prototype Sponsor.

Authorized Signature:                   Date:
                     -----------------       ----------------------------------


                                      -24-
<PAGE>


                    SMITH BARNEY SHEARSON FLEXIBLE PROTOTYPE
                           NONSTANDARDIZED 401(k) PLAN
                             ADOPTION AGREEMENT #007

                 ADDENDUMS XIII.A. and C. To Adoption Agreement

A.   The five year cliff vesting schedule provided in IV.B.1.b. of the Adoption
     Agreement shall apply only to those Employers first hired by the Employer
     after December 31, 1994; provided, however, that the nonforfeitable
     percentage, determined as of the date this restated Plan is adopted, of
     each Employee who is a Participant as of such adoption date shall not be
     less than the nonforfeitable percentage computed under the Plan without
     regard to this restatement.

          Effective January 1, 1996, all other Employees who are credited with
     at least one Hour of Service after December 31, 1995 shall be subject to
     the vesting schedule described in XI.A.3. of the Adoption Agreement.

C.   The exclusions from Plan coverage described in III.A.2. of the Adoption
     Agreement shall be effective July 1, 1996.


                                      -25-
<PAGE>


     Internal Revenue Service                        Department of the Treasury
Plan Description: Prototype Non-standardized Profit Sharing Plan with CCOA
FFN: 50370630005-007 Case: 9307147 EIN: 13 l9l2900   Washington, DC 20224
SPD: 05 Plan: 007 Letter Serial No: 0361035a
                                                     Person to Contact: Mr. Dua
  SMITH BARNEY SHEARSON INC
                                                     Telephone Number: 
                                                                  (202) 622-8380
  RETIREMENT PLAN SERVICES 37TH FLOOR
  388 GREENWICH STREET                               Refer Reply to: E:EP:Q:3
  NEW YORK, NY 10013
                                                     Date: 08/02/93




Dear Applicant:

In our opinion, the form of the plan identified above is acceptable under
section 401 of the Internal Revenue Code for use by employers for the benefit of
their employees. This opinion relates only to the acceptability of the form of
the plan under the Internal Revenue Code. It is not an opinion of the effect of
other Federal or local statutes.

You must furnish a copy of this letter to each employer who adopts this plan.
You are also required to send a copy of the approved form of the plan, any
approved amendments and related documents to each Key District Director of
Internal Revenue Service in whose jurisdiction there are adopting employers.

Our opinion on the acceptability of the form of the plan is not a ruling or
determination as to whether and employer's plan qualifies under Code section
401(a). Therefore, an employer adopting the form of the plan should apply for a
determination letter by filing an application with the Key District Director of
Internal Revenue Service on Form 5307, Short Form Application for Determination
for Employee Benefit Plan.

Because you submitted this plan for approval after March 31, 1991, the
continued, interim and extended reliance provision of section 13 and 17.03 of
Rev. Proc. 89-9, 1989-1 C.B. 780, are not applicable.

If you, the sponsoring organization, have any questions concerning the IRS
processing of this case, please call the above telephone number. This number is
only for use of the sponsoring organization. Individual participants and/or
adopting employers with questions concerning the plan should contact the
sponsoring organization. The plan's adoption agreement must include the
sponsoring organization's address and telephone number for inquiries by adopting
employers.

If you write to the IRS regarding this plan, please provide your telephone
number and the most convenient time for us to call in case we need more
information. Whether you call or write, please refer to the Letter Serial Number
and File Folder Number shown in the heading of this letter.

You should keep this letter as a permanent record. Please notify us if you
modify or discontinue sponsorship of this plan.

                                   Sincerely yours,

                                   /s/ Signature on File

                                   Chief, Employee Plans Qualifications Branch


                                                                   EXHIBIT 10.33

                           NEW YORK HEALTH CARE, INC.

                           Performance Incentive Plan

1.   Definitions: As used herein, the following definitions shall apply:

     (a) "Committee"  shall mean a Committee meeting the standards of Rule 16b-3
of the Rules and  Regulations  under the  Securities  Exchange  Act of 1934,  as
amended (the "Exchange  Act"), or any similar  successor rule,  appointed by the
Board of  Directors  of the  Company  to  administer  the  Plan  or,  if no such
Committee is appointed the Board of Directors as a whole shall be the Committee.
All members of the Committee  shall be  "disinterested  directors" as defined by
Rule 16b-3 of the Exchange Act.

     (b) "Common Stock" means the Common Stock, par value $.01 per share, of the
Company.

     (c)  "Company"  shall  mean  New  York  Health  Care,   Inc.,  a  New  York
corporation, or any successor thereof.

     (d) "Eligible  Person" means any individual  who performs  services for the
Company or a  Subsidiary,  who is a key  employee,  officer or  director  of the
Company or a Subsidiary and is included on the regular payroll of the Company or
a Subsidiary.

     (e) "Incentive  Option" shall mean an option to purchase Common Stock which
meets the requirements set forth in the Plan and also meets the definition of an
incentive stock option set forth in Section 422 of the Internal  Revenue Code of
1986,  as amended  (the  "Code").  The stock option  agreement  for an Incentive
Option shall state that the option is intended to be an Incentive Option.

     (f)  "Nonqualified  Option"  shall mean an option to purchase  Common Stock
which  meets  the  requirements  set  forth  in the  Plan  but does not meet the
definition  of an  incentive  stock option set forth in Section 422 of the Code.
The stock option agreement for a Nonqualified Option shall state that the option
is intended to be a Nonqualified Option.

     (g)  "Participant"  shall  mean  any  Eligible  Person  designated  by  the
Committee under Paragraph 6 for participation in the Plan.

     (h) "Plan" shall mean this Performance Incentive Plan for the Company.

     (i) "Subsidiary"  shall mean any Company in which the Company owns directly
or indirectly,  stock possessing more than  twenty-five  percent of the combined
voting power of all classes of stock; provided however, that an Incentive Option
may be granted to a key employee of a

<PAGE>

Subsidiary only if the Company owns, directly or indirectly,  50% or more of the
total combined voting power of all classes of stock of the Subsidiary.

2.  Purpose of Plan:  The purpose of the Plan is to provide key  employees  with
incentives to make significant and extraordinary  contributions to the long-term
performance and growth of the Company and its Subsidiaries and to increase their
personal  interest in the continued  success and progress of the Company and its
Subsidiaries.

3. Administration:  The Plan shall be administered by the Committee.  Subject to
the provisions of the Plan, the Committee shall  determine,  from those eligible
to be Participants under the Plan, the persons to be granted stock options,  the
amount of stock to be optioned or granted to each such person, and the terms and
conditions of any stock  options.  Subject to the  provisions  of the Plan,  the
Committee is authorized to interpret the Plan, to promulgate,  amend and rescind
rules and regulations  relating to the Plan and to make all other determinations
necessary or advisable for its  administration.  Interpretation and construction
of any  provision of the Plan by the  Committee  shall be final and  conclusive.
Acts  approved  by either a majority  of the  members  present at any meeting at
which a quorum  is  present,  or  without  a meeting  by the  unanimous  written
approval of the members of the Committee, shall be the acts of the Committee.

4.  Indemnification  of Committee  Members:  In addition to such other rights of
indemnification  as they  may  have,  the  members  of the  Committee  shall  be
indemnified by the Company against the reasonable expenses, including attorneys'
fees,  actually and  necessarily  incurred in connection with the defense of any
action,  suit or proceeding,  or in connection with any appeal therein, to which
they or any of them may be a party by reason of any  action  taken or failure to
act under or in connection  with the Plan or any option granted  hereunder,  and
against all amounts paid by them in settlement thereof (provided such settlement
is  approved  by the  Board  of  Directors  of the  Company)  or paid by them in
satisfaction  of a judgment in any such action,  suit or  proceeding,  except in
relation  to matters as to which it shall be adjudged  in such  action,  suit or
proceeding that such Committee member has acted in bad faith; provided, however,
that  within  sixty days  after  receipt  of notice of  institution  of any such
action, suit or proceeding a Committee member shall offer the Company in writing
the opportunity, at its own cost, to handle and defend the same.

5. Maximum  Number of Shares  Subject to Plan:  The maximum  number of shares of
Common Stock with respect to which stock  options may be granted  under the Plan
shall be 210,000  shares.  Shares of Common  Stock shall be made  available  for
issuance  pursuant to the Plan either from shares of Common Stock  reacquired by
the Company or from authorized but unissued  shares.  Any shares of Common Stock
with  respect to which stock  options  have  expired  for any reason  other than
exercise of such stock options or which are forfeited back to the Company, shall
not be available for issuance pursuant to the Plan.

The number of shares of Common Stock subject to each  outstanding  stock option,
the option price with respect to outstanding  stock  options,  and the aggregate
number of shares  available  at any time under the Plan shall be subject to such
adjustment as the Committee, in its discretion, deems

                                        2

<PAGE>

appropriate   to  reflect  such  events  as  stock   dividends,   stock  splits,
recapitalization,  mergers,  consolidations  or  reorganizations  of or  by  the
Company; provided however, that no fractional shares shall be issued pursuant to
the Plan,  no rights may be granted  under the Plan with  respect to  fractional
shares,  and any  fractional  shares  resulting from such  adjustments  shall be
eliminated from any outstanding stock option.

6. Participants:  The Committee shall determine and designate from time to time,
in its sole  discretion,  those Eligible Persons to whom stock options are to be
granted  or  awarded  and  who  thereby  become  Participants  under  the  Plan.
Notwithstanding  the  foregoing,  Incentive  Options  may be granted  (i) to key
employees of a Subsidiary only if the Company owns, directly or indirectly,  50%
or more of the  total  combined  voting  power  of all  classes  of stock of the
Subsidiary,  and (ii) in all  circumstances,  only to key employees  eligible to
receive Incentive Options pursuant to Section 422 of the Code.

7.  Written  Agreement:  Each  stock  option  shall be  evidenced  by a  written
agreement  between  the  Company  and the  Participant  and shall  contain  such
provisions as may be approved by the Committee. Such agreements shall constitute
binding   contracts   between  the  Company  and  the  Participant,   and  every
Participant,  upon acceptance of such agreement, shall be bound by the terms and
restrictions of the Plan and of such agreement. The terms of each such agreement
shall be in  accordance  with the Plan,  but the  agreements  may  include  such
additional  provisions and  restrictions  determined by the Committee,  provided
that such additional  provisions and restrictions are not inconsistent  with the
terms of the Plan.

8.  Allotment of Shares:  The  Committee  shall  determine and fix the number of
shares of Common  Stock with  respect to which each  Participant  may be granted
stock options  provided  however,  that no Incentive Option may be granted under
the Plan to any one Participant  which would result in the aggregate fair market
value,  determined  as of the date the option is granted,  of Common  Stock with
respect to which  Incentive  Options are  exercisable for the first time by such
Participant  during any calendar  year under any plan  maintained by the Company
(or any parent or subsidiary Company of the Company) exceeding $100,000.

9. Stock  Options:  Subject to the terms of the Plan the  Committee may grant to
Participants either Incentive Options,  Nonqualified  Options or any combination
thereof. Each option granted under the Plan shall designate the number of shares
covered  thereby,  if any,  with  respect  to which the  option is an  Incentive
Option,  and the number of shares of Common Stock covered thereby,  if any, with
respect to which the option is a Nonqualified Option.

10. Stock Option Price:  Subject to the rules set forth in this Paragraph 10, at
the time any stock option is granted,  the Committee  shall  establish the price
per share for which the  shares of Common  Stock  covered  by the  option may be
purchased.  With respect to an Incentive  Option or  Nonqualified  Option,  such
option  price shall not be less than 100% of the fair market value of a share of
Common  Stock on the date on which such  option is granted;  provided,  however,
that with respect to an Incentive  Option granted to an employee who at the time
of the grant owns (after applying the

                                        3

<PAGE>

attribution  rules of  Section  424(d) of the  Code)  more than 10% of the total
combined  voting  power of all  classes  of the stock of the  Company  or of any
parent or subsidiary, the option price shall not be less 110% of the fair market
value of a share of Common Stock on the date such  Incentive  Option is granted.
For  purposes of the Plan,  the "fair  market  value" of a share of Common Stock
means the  closing  sale price on a specified  date of a share on the  principal
United States  securities  exchange  registered  under the Exchange Act on which
such stock is listed,  or, if such stock is not listed on any such exchange,  on
the National  Association  of  Securities  Dealers,  Inc.  Automated  Quotations
Systems or any system then in use, or, if no such Quotations are available,  the
fair market value on a specified  date of a share as determined by the Committee
in good faith.  The option price shall be subject to  adjustment  in  accordance
with the provisions of Paragraph 5 of the Plan.

11.  Payment of Stock Option  Price:  At the time of the exercise in whole or in
part of any stock option granted hereunder,  payment of the option price in full
in cash or in Common Stock,  shall be made by the  Participant for all shares so
purchased.  In the  discretion  of and  subject  to  such  conditions  as may be
established  by the  Committee,  payment of the option price may also be made by
the  Company  retaining  from the shares of Common  Stock to be  delivered  upon
exercise of the stock option that number of shares having a fair market value on
the date of  exercise  equal to the option  price of the  number of shares  with
respect to which the  Participant  exercises the stock option.  Such payment may
also be made in such other manner as the Committee determines is appropriate, in
its  sole  discretion.  No  Participant  shall  have  any  of  the  rights  of a
shareholder  of the Company under any stock option until the actual  issuance of
shares to said  Participant,  and prior to such issuance no adjustment  shall be
made for  dividends,  distributions  or other  rights in respect of such shares,
except as provided in Paragraph 5.

12. Granting and Exercise of Stock Options:  Each stock option granted hereunder
shall be exercisable in three equal annual installments; provided, however, that
no stock option granted in conjunction therewith may be exercisable prior to the
expiration of six months from the date of grant unless the  Participant  dies or
becomes  disabled prior thereto.  If a Participant who is granted a stock option
is a person who is  regularly  required to report his  ownership  and changes in
ownership of Common Stock to the  Securities and Exchange  Commission,  then any
election to exercise,  as well as any actual exercise of his stock option, shall
be made only during the period beginning on the third business day and ending on
the twelfth business day following the release for publication by the Company of
quarterly or annual  summary  statements of sales and earnings.  Notwithstanding
anything  contained in the Plan to the  contrary,  stock options shall always be
granted and  exercised in such a manner as to conform to the  provisions of Rule
l6b-3(e),  or any replacement  rule,  adopted  pursuant to the provisions of the
Exchange  Act.  In  addition,  the value  (determined  at the time the option is
granted) of Common Stock with respect to which Incentive Options are exercisable
for the first time by a  Participant  during any calendar  year shall not exceed
$100,000.

A Participant may exercise a stock option, if then  exercisable,  in whole or in
part by delivery to the Company of written notice of the exercise,  in such form
as the Committee may  prescribe,  accompanied by (i) full payment for the shares
with  respect  to which  the  stock  option  is  exercised,  or (ii) in the sole
discretion of the Committee and subject to the  requirements of Regulation T (as
in

                                        4

<PAGE>

effect from time to time) under the Exchange Act, irrevocable  instructions to a
stockbroker to promptly  deliver to the Company full payment for the shares with
respect  to which  the  stock  option  is  exercised  from the  proceeds  of the
stockbroker's  sale of or  loan  against  the  shares.  Except  as  provided  in
Paragraph 17, stock options may be exercised  only while the  Participant  is an
employee of, or performing service to, the Company or a Subsidiary.

Successor  stock options may be granted to the same  Participant  whether or not
the stock option(s) previously granted to such Participant remain unexercised. A
Participant may exercise a stock option,  if then  exercisable,  notwithstanding
that stock options previously granted to such Participant remain unexercised.

13. Non-Transferability of Stock Options: No stock option granted under the Plan
to a Participant  shall be  transferable by such  Participant  otherwise than by
will,  or by the laws of descent  and  distribution,  and such  option  shall be
exercisable, during the lifetime of the Participant, only by the Participant.

14. Term of Stock Options:  If not sooner terminated,  each stock option granted
hereunder  shall  expire  not  more  than ten  (10)  years  from the date of the
granting thereof.

15.  Continuation of Employment:  The Committee may require,  in its discretion,
that any  Participant  under the Plan to whom a stock  option  shall be  granted
shall agree in writing as a condition  of the  granting of such stock  option to
remain in the employ of, or  continue to provide  services  to, the Company or a
Subsidiary for a designated minimum period from the date of the granting of such
stock option as shall be fixed by the Committee.

16. Termination of Employment: If a Participant's employment by, or provision of
services to, the Company or a Subsidiary shall be terminated, the Committee may,
in its  discretion,  permit  the  exercise  of  stock  options  granted  to such
Participant  (i) for a period not to exceed one year following such  termination
of employment  with respect to Incentive  Options,  and (ii) for a period not to
extend  beyond  the  expiration  date  with  respect  to  Nonqualified  Options;
provided,  however, that no Incentive Option may be exercised after three months
following a Participant's termination of employment,  unless such termination of
employment is due to the Participant's death or permanent  disability,  in which
event the  Incentive  Option may be permitted to be exercised for up to one year
following the  Participant's  termination of employment  for such reason.  In no
event, however, shall a stock option be exercisable subsequent to its expiration
date and, furthermore, unless the Committee otherwise determines, a stock option
may only be exercised after termination of a Participant's employment or service
to the extent  exercisable  on the date of  termination  of  employment  or as a
result of termination of employment.

17. Investment Purpose: If the Committee in its discretion  determines that as a
matter  of law  such  procedure  is or  may  be  desirable,  it  may  require  a
Participant,  upon any  acquisition of Common Stock hereunder and as a condition
to the Company's obligation to deliver certificates representing such shares, to
execute and deliver to the Company a written statement,  in form satisfactory to
the

                                        5

<PAGE>

Committee,  representing  and warranting that the  Participant's  acquisition of
shares of Common Stock shall be for such  person's own account,  for  investment
and  not  with a view  to the  resale  or  distribution  thereof  and  that  any
subsequent  offer  for sale or sale of any  such  shares  shall  be made  either
pursuant  to (a) a  Registration  Statement  on an  appropriate  form  under the
Securities Act of 1933, as amended (the "Securities  Act"),  which  Registration
Statement  has become  effective and is current with respect to the shares being
offered and sold, or (b) a specific exemption from the registration requirements
of the  Securities  Act, but in claiming such exemption the  Participant  shall,
prior to any offer for sale or sale of such shares,  obtain a favorable  written
opinion  from counsel for or approved by the Company as to the  availability  of
such exemption.  The Company may endorse an appropriate  legend referring to the
foregoing  restriction  upon the  certificate or certificates  representing  any
shares issued or transferred to the Participant under this Plan.

18.  Rights to  Continued  Employment:  Nothing  contained in the Plan or in any
stock option  granted or awarded  pursuant to the Plan,  nor any action taken by
the  Committee  hereunder,  shall  confer  upon any  Participant  any right with
respect to  continuation  of employment by, or the provision of services to, the
Company or a Subsidiary  nor  interfere in any way with the right of the Company
or a Subsidiary  to terminate  such  person's  employment or service at any time
with or without cause.

19. Withholding Payments: If upon the exercise of a Nonqualified Option, or upon
a disqualifying  disposition  (within the meaning of Section 422 of the Code) of
shares acquired upon exercise of an Incentive Option,  there shall be payable by
the  Company  or a  Subsidiary  any  amount of income  tax  withholding,  in the
Committee's sole discretion,  either the Company shall appropriately  reduce the
amount of Common Stock or cash to be paid to the  Participant or the Participant
shall pay such  amount to the Company or  Subsidiary  to  reimburse  it for such
income tax  withholding.  The  Committee  may,  in its sole  discretion,  permit
Participants to satisfy such  withholding  obligations,  in whole or in part, by
electing to have the amount of Common  Stock  delivered  or  deliverable  by the
Company upon exercise of a stock option appropriately  reduced or by electing to
tender Common Stock back to the Company subsequent to exercise of a stock option
to reimburse the Company for such income tax  withholding,  subject to the rules
and  regulations  as the Committee may adopt.  The Committee may make such other
arrangements with respect to income tax withholding as it shall determine.

20. Effectiveness of Plan: The Plan shall be effective as of March 26, 1996, the
date the Board of Directors of the Company and a majority of the shareholders of
the Company adopted the Plan.

21.  Termination,  Duration and Amendment of Plan:  The Plan shall  terminate on
March 26, 2006, and no stock options may be granted or awarded  thereafter.  The
termination  of the Plan  shall not  affect  the  validity  of any stock  option
outstanding on the date of termination.

For the purpose of conforming to any changes in applicable  law or  governmental
regulations,  or for any other lawful purpose, the Board of Directors shall have
the right, with or without approval of the shareholders of the Company, to amend
or revise  the terms of the Plan or  terminate  the Plan at any time;  provided,
however,  that no such amendment or revisions or termination  shall (i) increase
the

                                        6

<PAGE>

maximum  number of shares of Common Stock in the aggregate  which are subject to
the Plan (except as provided  under the  provisions  of Paragraph 5), change the
class of  persons  eligible  to be  Participants  under  the Plan or  materially
increase the benefits accruing to Participants  under the Plan, without approval
or  ratification of the  shareholders  of the Company;  or (ii) change the stock
option  price  (except as  contemplated  by  Paragraph 5) or alter or impair any
stock option which shall have been previously granted or awarded under the Plan,
without the consent of the holder thereof.

22.  Interpretation:  If any  provision  of the Plan  should be held  invalid or
illegal  for any  reason,  such  determination  shall not affect  the  remaining
provisions  hereof,  but instead the Plan shall be construed  and enforced as if
such  provision  had never  been  included  in the Plan.  Without  limiting  the
generality of the foregoing,  transactions under the Plan are intended to comply
with all applicable conditions of Rule 16b-3 or its successors promulgated under
the Exchange  Act. To the extent any  provision of the Plan or any action by the
Committee or the Board of Directors hereunder is inconsistent with the foregoing
requirements,  it shall be deemed null and void, to the extent  permitted by law
and deemed advisable by the Committee or the Board of Directors. This Plan shall
be governed by laws of the State of New York. Headings contained in the Plan are
for  convenience  only and shall in no manner be  construed as part of the Plan.
Any reference to the masculine,  feminine, or neuter gender shall be a reference
to such other gender as is appropriate.

                                        7


                               SERVICES AGREEMENT

     This  Agreement  made and entered into this 1st day of January 1996, by and
between New York Health Care, Inc., a New York  corporation,  with its principal
place  of  business  at  1667  Flatbush  Avenue,   Brooklyn,   New  York  11210,
(hereinafter  the  "Company"),  and Heart to Heart  Health Care  Services,  Inc.
(hereinafter  "HTH"),  a New  Jersey  corporation  with its  principal  place of
business at 7 Glenwood Avenue, East Orange, NJ 07017.

                              W I T N E S S E T H :

     WHEREAS,  HTH is engaged in the business of  providing  home health care in
the Northern New Jersey area; and

     WHEREAS,  the Company has in the past provided  administrative  services to
HTH including payroll, benefits management and data processing; and

     WHEREAS,  HTH wishes to obtain the  continued  services  of the  Company to
provide its current  services to HTH in accordance with the terms and conditions
of this Agreement;

     NOW,  THEREFORE,  in  consideration  of the mutual  covenants  as set forth
herein:

                      THE PARTIES HERETO AGREE AS FOLLOWS:

     1.  Retention.  HTH hereby  retains the  services of the Company to perform
administrative services to HTH. The Company hereby accepts such retention,  upon
the terms and conditions hereinafter set forth.

     2. Term.  The term of this  Agreement  shall be for  eighteen  (18)  months
commencing  as of January 1, 1996,  and ending at the close of business June 30,
1997.

     3. Duties.  The Company's  duties  hereunder  shall be limited to providing
administrative  services to HTH regarding payroll,  benefits management and data
processing.


<PAGE>



     4.  Compensation.  The Company shall be paid one thousand two hundred fifty
dollars ($1,250) per month ("Compensation") by HTH for its services. The Company
may submit to HTH,  periodic reports of its expenses and other  disbursements to
be reviewed by HTH to determine the necessity of an increase in the Compensation
so that Compensation  always equals not less than the expenses of the Company in
performing this Agreement.

     5. Right to Terminate.  The Company shall have the right to terminate  this
Agreement at any time during the period of this  Agreement  for (i) dishonest or
illegal  conduct  of HTH or (ii)  actions  by HTH to  contact  customers  of the
Company to perform services already being performed by the Company.

     6.  Assignability  and Binding Effect.  The rights and obligations  arising
under this Agreement shall inure to the benefit of and shall be binding upon the
successors and assigns of the Company,  and shall inure to the benefit of and be
binding upon HTH, upon its  successors  and assigns,  but neither this Agreement
nor the rights or obligations of the Company hereunder may be assigned, pledged,
hypothecated  or  otherwise  transferred  by the  Company in whole or in part to
another  person,  firm or  corporation  nor may the  obligations  of the Company
hereunder be delegated.

     7.  Notices.  All  notices,  requests,  demands  and  other  communications
hereunder  shall be in  writing  and shall be  delivered  personally  or sent by
registered or certified mail, prepaid and return receipt requested, to the other
party hereto at his or its mailing address as set forth at the beginning of this
Agreement, and in the case of the Company with copies to William J. Davis, Esq.,
Scheichet & Davis, P.C., 505 Park Avenue, New York, New York 10022. Either party
may change the address to which such  communications  hereunder shall be sent by
sending notice of such change to the other party as herein provided.


                                        2


<PAGE>



     8.  Representations  by HTH and the Company.  The Company hereby represents
and  warrants  that  it is not a  party  to any  other  agreement,  contract  or
understanding which would in any way restrict or prohibit it from undertaking or
performing  these services to HTH in accordance with the terms and conditions of
this Agreement.  HTH hereby represents and warrants that this Agreement has been
properly  authorized by all necessary  corporate  action and, when and if, fully
executed,  will be binding and enforceable upon HTH in accordance with its terms
except for the  application of the laws of insolvency and bankruptcy as they may
otherwise  affect such  Agreement.  HTH further  represents and warrants that no
other  contract,  agreement,  provision of its certificate of  incorporation  or
bylaws,  debt  obligation,  law,  regulation  or court or  administrative  order
prevents it from entering into, or conflicts with, this Agreement.

     9.  Waiver.  The waiver by either  party of any breach or  violation of any
provision of this Agreement shall not operate or be construed as a waiver of any
subsequent breach or violation, whether singular in nature or not.

     10. Prior Agreements;  Complete  Understanding;  Amendment.  This Agreement
cancels and supersedes any and all prior agreements and understandings,  if any,
between the parties  hereto  regarding  the  services of the Company to HTH, and
constitutes the complete  understanding  between the parties with respect to the
services  to  be  provided  by  the  Company   hereunder,   and  no   statement,
representation,  warranty or covenant has been made by either party with respect
thereto except as expressly set forth herein.  HTH acknowledges that it has been
afforded  the right to review this  Agreement  with legal  counsel  prior to the
execution  of this  Agreement,  and that it has been  encouraged  to do so. This
Agreement shall not be altered, modified or amended except by written instrument
signed by each of the parties hereto.


                                        3


<PAGE>



     11. Headings.  The headings set forth in this Agreement are for convenience
only and shall not be  considered  as part of this  Agreement in any respect nor
shall they in any way affect the substance of any  provisions  contained in this
Agreement.

     12.   Counterparts.   This  Agreement  may  be  executed  in  two  or  more
counterparts,  each of which shall be deemed an original  but all of which shall
constitute but one and the same agreement.

     13.  Governing  Law;  Construction  with Existing Law;  Severability.  This
Agreement  shall be governed by, and construed and enforced in accordance  with,
the internal  laws of the State of New York.  It is the intention of the parties
hereto that all terms and  conditions of this  Agreement are in compliance  with
the laws and regulations of the State of New York, and nothing in this Agreement
shall be  construed  to be in  derogation  of the laws,  rules  and  regulations
thereof. If for any reason any provision of this Agreement or any part hereof is
invalid,  unlawful or incapable of being  enforced by reason of any rule of law,
equity or public policy,  all  conditions and provisions of the Agreement  which
can be given effect without such invalid,  unlawful or  unenforceable  provision
shall, nevertheless, remain in full force and effect, and such invalid, unlawful
or irrevocable provision shall be carried out as nearly as possible according to
its  original  terms  and  intent,   while   eliminating   such   invalidity  or
non-enforceability.

     IN WITNESS  WHEREOF,  the  parties  hereto  have  executed  this  Agreement
effective as of the day and year first above written.

                                       NEW YORK HEALTH CARE, INC.


                                       /s/
                                       -----------------------------------------
                                       By:
                                       Title:


                                        4


<PAGE>


                                       HEART TO HEART HEALTH CARE SERVICES, INC.


                                       /s/
                                       -----------------------------------------
                                       By:
                                       Title:


                                        5




New York Health Care, Inc.
Computation of Earnings Per Common Share
Exhibit 11

<TABLE>
<CAPTION>
                                                            Year Ended              Three Months
                                                            December 31,           Ended March 31,
                                                               1995                     1996
                                                             ----------              ----------
                                                                                    (unaudited)
<S>                                                          <C>                     <C>       
Earnings                                                                          
                                                                                  
Pro forma net income applicable to common stock              $  689,011              $  119,350
                                                             ==========              ==========
                                                                                  
Shares                                                                            
Weighted average number of                                                        
  common shares outstanding                                   2,265,000               2,265,000
Additional shares assuming:                                                       
  Exercise of options with an exercise price of                                   
    $5 or less                                                   18,750                  18,750
  Shares whose proceeds would be necessary to                                     
    pay declared dividend                                       459,725                 459,725
                                                             ----------              ----------
Pro forma weighted average number of common                                       
  shares and common share equivalents                                             
  outstanding                                                 2,743,475               2,743,475
                                                             ==========              ==========
Pro forma net income per common share and                                         
  common share equivalents                                   $     0.25              $     0.04
                                                             ==========              ==========
                                                                             
</TABLE>


                     CONSENT OF ATTORNEYS FOR THE REGISTRANT

     We hereby  consent to all references to our firm included in or made a part
of this Form SB-2 Registration Statement.

Dated:   New York, New York
         July 16, 1996

                                                  /s/ Scheichet & Davis, P.C.
                                                  -----------------------------
                                                      Scheichet & Davis, P.C.





                     CONSENT OF ATTORNEYS FOR THE REGISTRANT

     We hereby  consent to all references to our firm included in or made a part
of this Form SB-2 Registration Statement.

Dated:   New York, New York
         July 16, 1996

                                                 /s/  Halpern & Pasternack, P.C.
                                                 -----------------------------
                                                      Halpern & Pasternack, P.C.



                        CONSENT OF INDEPENDENT CERTIFIED
                               PUBLIC ACCOUNTANTS

We consent to the use in this registration  statement on Form SB-2 of our report
dated  January 26, 1996,  on our audit of the  financial  statements of New York
Health Care,  Inc. as of December 31, 1995 and for the years ended  December 31,
1994 and 1995.  We also consent to the  reference to our firm under the captions
"Selected Financial Data" and "Experts".


                                         /s/ M.R. WEISER & CO. LLP
                                         ------------------------------
                                         M.R. WEISER & CO. LLP


New York, NY
July 16, 1996

<TABLE> <S> <C>


<ARTICLE>                     5
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                        DEC-31-1995
<PERIOD-START>                           JAN-01-1996
<PERIOD-END>                             MAR-31-1996
<CASH>                                       318,541
<SECURITIES>                                       0
<RECEIVABLES>                              3,400,998
<ALLOWANCES>                                  74,000
<INVENTORY>                                        0
<CURRENT-ASSETS>                              34,619
<PP&E>                                       211,458
<DEPRECIATION>                               112,729
<TOTAL-ASSETS>                             4,000,980
<CURRENT-LIABILITIES>                      1,494,437
<BONDS>                                            0
                              0
                                        0
<COMMON>                                      22,650
<OTHER-SE>                                     7,350
<TOTAL-LIABILITY-AND-EQUITY>               4,000,980
<SALES>                                    2,987,065
<TOTAL-REVENUES>                           2,987,065
<CGS>                                              0
<TOTAL-COSTS>                              2,753,157
<OTHER-EXPENSES>                              (7,839)
<LOSS-PROVISION>                                   0
<INTEREST-EXPENSE>                            31,397
<INCOME-PRETAX>                              210,350
<INCOME-TAX>                                 (38,000)
<INCOME-CONTINUING>                          248,350
<DISCONTINUED>                                     0
<EXTRAORDINARY>                                    0
<CHANGES>                                          0
<NET-INCOME>                                 248,350
<EPS-PRIMARY>                                      0
<EPS-DILUTED>                                      0
        

</TABLE>


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