NEW YORK HEALTH CARE INC
8-K, 1998-03-31
HOME HEALTH CARE SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 8-K

                                 CURRENT REPORT

                     Pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934

       Date of Report (Date of earliest event reported ) February 8, 1998

                           NEW YORK HEALTH CARE, INC.
             (Exact Name of Registrant as Specified in its Charter)

   New York                         1-12451                         11-2636089
(State or other             (Commission File Number)              (IRS Employer
jurisdiction of                                                   Identification
incorporation)                                                       Number)

1850 McDonald Avenue, Brooklyn, N.Y.                                  11223
(Address of Principal Executive Offices)                            (Zip Code)

                         Registrant's telephone number,
                       including area code, (718) 375-6700

<PAGE>

Item 5: ACQUISITION OR DISPOSITION OF ASSETS

      On February 8, 1998,  a  recently-formed  wholly-owned  subsidiary  of the
Company, named "NYHC Newco Paxxon, Inc.", a New York corporation ("NYHC Newco"),
purchased  from  Metro  Healthcare  Services,  Inc.,  a New  Jersey  corporation
("Metro"),  the home care business assets (other than accounts receivable) which
Metro operated in Edison,  Shrewsbury and Toms River,  New Jersey for a purchase
price  consisting  of  $500,000  paid at closing  and a  promissory  note in the
principal  sum of  $580,000  payable  in  twelve  equal  quarterly  installments
commencing May 5, 1998 together with accrued  interest at a rate equal to 1% per
annum over the prime  interest  rate  published  by the Wall  Street  Journal on
February 8, 1998, adjusted quarterly. The promissory note is subordinated to all
obligations  due to the  Company's  banks or other  institutional  lenders.  The
promissory note and the covenants of NYHC Newco are guaranteed by the Company.

      As part of the  acquisition  transaction,  NYHC Newco  assumed a leasehold
obligation  for the one office located in Toms River,  New Jersey  (expiring May
31,  1998) in the  aggregate  sum of $2,400 per  month,  together  with  various
equipment  leases for items of  business  equipment.  It also  entered  into two
leases for  additional  office space;  one in Shrewsbury,  New Jersey  (expiring
February  28,  2001) at a rent of $700 per month and the  other in  Edison,  New
Jersey (expiring May 31, 1999) at a rent of $1,140 per month.

      On March 26, 1998,  NYHC Newco  purchased  from Heart to Heart  Healthcare
Services,  Inc.,  a New Jersey  corporation  ("Heart to  Heart"),  the home care
business assets (other than accounts  receivable)  which Heart to Heart operated
in East Orange and Hackensack,  New Jersey for a purchase price  consisting of a
promissory note in the principal sum of $1,150,000 payable in 24 equal quarterly
installments  commencing June 26, 1998 together with accrued  interest at a rate
equal to 1% per annum over the prime  interest rate published by the Wall Street
Journal  on  March  26,  1998,  adjusted  quarterly.   The  promissory  note  is
subordinated   to  all   obligations   due  to  the  Company's  banks  or  other
institutional  lenders.  The promissory note and the covenants of NYHC Newco are
guaranteed by the Company.

      As part of the  acquisition  transaction,  NYHC  Newco  assumed  leasehold
obligations  for the two  offices  located in East Orange  (expiring  August 31,
2002) and Hackensack, New Jersey (expiring May 31, 1998) in the aggregate sum of
$1,815 per month,  together with various  equipment leases for items of business
equipment.

      As noted in the  Company's  December 20, 1996  prospectus  and Form 10-KSB
annual report for the year ended  December 31, 1996,  its directors are the sole
stockholders of Heart to Heart.  The Company  therefore  obtained an independent
opinion  that the  terms  and  conditions  of the  acquisition  are,  under  all
circumstances, fair to the Company.

      The  Company  expects  to  account  for  each of these  acquisitions  as a
"purchase" in accordance with Generally Accepted Accounting Principles.

<PAGE>

Item 7: FINANCIAL STATEMENTS AND EXHIBITS

      (a)   Financial Statements of Businesses Acquired:

            (i) The Company does not believe that financial  statements relating
      to the home care business assets acquired from Metro Healthcare  Services,
      Inc. are required to be filed pursuant to Item 310 of Regulation SB.

            (ii)  Financial  statements  required by Item 310 of  Regulation  SB
      relating to the home care  business  assets  acquired  from Heart to Heart
      Healthcare Services,  Inc. will be filed by amendment within 60 days after
      the filing of this report.

      (b)   Pro Forma Financial Information.

            (i)  The  Company  does  not  believe   that  pro  forma   financial
      information  relating to the home care business assets acquired from Metro
      Healthcare Services,  Inc. is required to be filed pursuant to Item 310 of
      Regulation SB.

            (ii)  Pro  forma  financial  information  required  by  Item  310 of
      Regulation  SB relating to the home care  business  assets  acquired  from
      Heart to Heart Healthcare Services, Inc. will be filed by amendment within
      60 days after the filing of this report.

      (c)   Exhibits.

      2.2   Purchase and Sale Agreement  dated February 8, 1998 among NYHC Newco
            Paxxon, Inc. and Metro Healthcare Services, Inc.

      2.3   Purchase and Sale Agreement dated February 25, 1998 among NYHC Newco
            Paxxon, Inc. and Heart to Heart Healthcare Services, Inc.

<PAGE>

                                   SIGNATURES

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

March 30, 1998                           NEW YORK HEALTH CARE, INC.

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


                          PURCHASE AND SALE AGREEMENT

      THIS  AGREEMENT is made and entered into  effective this January 30, 1998,
among NYHC NEWCO PAXXON, INC., a New York corporation  ("Purchaser"),  and METRO
HEALTHCARE SERVICES, INC., a New Jersey corporation ("Seller").

                                    RECITALS

      Seller  conducts  the  business  of home care under the name Metro in Toms
River,  NJ, Edison,  NJ, and Shrewsbury,  NJ, (the  "Business").  Purchaser is a
wholly-owned  subsidiary of New York Health Care,  Inc., a New York  corporation
("NYHC")  which has been  established  to purchase the assets of the Business as
described in the Disclosure  Schedule.  Purchaser also desires to assume certain
liabilities of the Business described in the Disclosure Schedule. Seller desires
to enter into these transactions with Purchaser.

      NOW,  THEREFORE,  in  consideration of the mutual covenants and agreements
contained  herein,  and in  reliance  upon the  representations  and  warranties
contained herein, the parties agree as follows:

1. DEFINITIONS

The following terms used in this Agreement  shall,  unless the context  requires
otherwise, have the meanings designated below:

      1.1 Assets means all of the assets and  properties of Seller used by it in
connection with the Business other than its cash, security deposits and accounts
receivable, including, without limitation, the following:

      (a)   goodwill and all slogans or trade names,  including the name "Metro"
            and the other  names  listed  in the  Disclosure  Schedule,  and all
            customer  lists  relating to its  customers , excluding the names as
            follows Metro Staffing  ,Metro Plus , Metro Temp ,and Metro Care New
            York.  Seller's  policy and  procedure  manuals  with respect to the
            Business;

      (b)   all of Seller's  contracts and other arrangements with its customers
            in respect of the Business;

      (c)   client lists, client records,  client files and other client related
            materials and property;

      (d)   machinery,  equipment,  racking,  supplies,  leasehold improvements,
            furniture and fixtures;

      (e)   employee lists, files, papers, books, records, sales and advertising
            materials and records, sales and purchase correspondence;

      (f)   rights  and  interest  in  and  to  any  licenses  and  commercially
            practiced patents,  copyrights,  trademarks,  trademark registration
            applications (including all reissues,  divisions,  continuations and
            extensions  thereof),  patent  applications  and patent  disclosures
            docketed,  rights and interests in and to all intellectual  property
            rights and proprietary  expertise,  including,  without  limitation,
            proprietary information, technical and technological data, know-how,
            processes,  invention,  conception,  memoranda,   manufacturing  and
            engineering data, computer programs (including the licenses thereto)
            and sales and advertising information,

      (g)   permits, authorizations, approvals or indicia of authority;


                                       1
<PAGE>

      (h)   right,  title and interest of Seller in and to (A) the lease for the
            premises   at   ____________________,   Toms   River,   New  Jersey,
            ________________, Shrewsbury, New Jersey and any leases for personal
            property  which  are  listed  in the  Disclosure  Schedule;  (B) all
            purchase  orders  given by  Seller  for the  purchase  of  products,
            materials,  supplies,  parts and other  items  used in the  ordinary
            course of business;  and (C) all purchase orders submitted to Seller
            by  customers  of Seller in the  ordinary  course of  business  with
            respect  to which  services  remain to be  rendered  on or after the
            Closing Date;

      (i)   prepaid expenses (it being  understood,  however,  that no insurance
            policies are being assigned to Purchaser); and

      (j)   Seller's rights under the Agreements whereunder Seller purchased the
            Business from The Caring Touch Group, Inc., Caring Touch of Monmouth
            County, Inc. and Helping Hand Healthcare, Inc.

      1.2 Closing Date has the meaning given to it in Section 13.1

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

      1.4  Disclosure  Schedule means the schedule which was delivered by Seller
to  Purchaser  on the date  hereof,  and  which  was  initialed  by  Seller  and
Purchaser.

      1.5 blank.

      1.6 blank.

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

      1.8 Purchaser means NYHC Newco Paxxon,  Inc., a New York  corporation,  or
its designee.

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

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


                                       2
<PAGE>

      1.11 Uniform  Commercial Code means the Uniform Commercial Code applicable
in the State of New York and New Jersey.

      1.12 Other terms are as defined herein.

2. ACQUISITION OF THE ASSETS

      2.1 Purchase of Assets.  Subject to the terms and  conditions set forth in
this Agreement, at the Closing, Purchaser shall purchase from Seller, and Seller
shall sell to Purchaser, the Assets, free and clear of all encumbrances,  liens,
security interests or other claims.

      2.2 Purchase Price for Assets; Allocation of Purchase Price.

      (a)   The aggregate  purchase price for the Assets (the "Purchase Price"),
            is:

            (i) $500,000 payable at the Closing to Seller; plus

            (ii) one  promissory  note of Purchaser in the  principal  amount of
            $580,000 and in the form of Exhibit 1 (the " Note") . The Note shall
            be issued at the  Closing,  and is referred to herein as the "Note."
            (iii) blank.  (b) Any transfer or  assignment to Purchaser by Seller
            of any contract  which requires the consent or approval of any third
            party  shall be made  subject  to such  consent  or  approval  being
            obtained and Seller shall be responsible for obtaining such consents
            or approvals.

      (c)   The Purchase  Price shall be allocated to the Assets as set forth in
            the Disclosure Schedule. The parties agree that they will not take a
            position on any income tax return or before any governmental  agency
            or in any judicial  proceeding  that is inconsistent in any way with
            this  allocation  and shall  cooperate  to complete IRS Form 8594 as
            soon as practical following the Closing Date.

      (d)   blank

      2.3 Liabilities.

      (a)   As part of the consideration for the Assets,  Purchaser shall assume
            and pay,  perform and discharge  those  liabilities  and obligations
            which  accrue  after  the  Closing  and are  described  as  "Assumed
            Liabilities"  in the  Disclosure  Schedule  with a reference to this
            Section (the "Assumed  Liabilities"),  as they become due. Purchaser
            shall  not be  obligated  to pay,  perform  or  discharge  any  such
            obligation  owed to a third  party  except to the  extent  that such
            obligation or liability  constitutes a valid and legally enforceable
            claim by such third party,  and  Purchaser may contest in good faith
            any such obligation or liability.  The Assumed Liabilities  include,
            to  the  extent  disclosed  in  the  Seller's  Disclosure  Schedule,
            obligations  of the Business to perform home care services after the
            Closing.

      (b)   With the exception of the Assumed  Liabilities,  all  obligations of
            Seller,  whether  known  or  unknown,  liquidated  or  unliquidated,
            absolute  or  contingent  and  whether  arising out of a contract or
            agreement  or tort shall remain the sole  liability  of Seller,  and
            neither  Purchaser  nor NYHC shall have any liability of any kind or
            nature with respect thereto.


                                       3
<PAGE>

            Without  limiting the generality of the foregoing,  neither the NYHC
            nor Purchaser shall assume any liability or obligation for:

            (i) any foreign, federal, state, country or local income, franchise,
            gross receipts or value added taxes,  or any interest,  additions to
            tax or penalties thereon, accrued for, applicable to or arising from
            any period through the Closing; or

            (ii)  legal, accounting or other professional fees of Seller.

      2.4 Collection of Receivables. The accounts receivable of the Business are
not  included  in the Assets and shall be retained  by Seller.  Any  payments by
customers received by Purchaser,  subsequent to Closing,  that belong to Seller,
will be  immediately  forwarded  to  Seller.  Seller  shall  not  engage  in any
collection  activity  other than the sending of routine  invoices and statements
during the 30 day period following  Closing.  During the period following thirty
one (31) days after  closing,  should  Seller  encounter  difficulty  collecting
accounts receivable from a customer, which was recorded prior to closing, Seller
will discuss with,  and notify,  in writing,  the  Purchaser,  at least one week
prior to any  communication  with the  customer.  Accounts  Receivable of Seller
shall not be collected by Purchaser.

      (a)   blank

      (b)   blank

3. REPRESENTATIONS AND WARRANTIES OF SELLER

      Seller  represents  and warrants to Purchaser and NYHC that the statements
contained in this Section are true,  correct and complete as of the date of this
Agreement as follows:

      3.1  Organization  and   Qualification.   Seller  is  a  corporation  duly
organized,  validly existing and in good standing under the laws of the State of
New Jersey. Seller has all requisite corporate power and authority to own, lease
and operate its properties and to carry on its business as now being  conducted.
The  copies of the  Certificate  of  Incorporation  and the  bylaws of Seller as
amended to date,  which have been  delivered  to  Purchaser,  are  complete  and
correct,  and Seller is not in default under or in violation of any provision of
its Certificate of Incorporation or bylaws.

      3.2  Authorization.  This  Agreement  has been  approved by all  necessary
shareholder and corporate action on behalf of Seller,  has been duly and validly
executed by Seller, and the agreements, representations and warranties contained
herein constitute valid and binding obligations,  representations and warranties
of Seller, enforceable in accordance with their terms. 

      3.3 Bulk Sale Law.  Seller is not  required  to comply  with the bulk sale
provisions of the Uniform  Commercial Code in connection  with the  transactions
contemplated hereby.

      3.4  No  Conflicting  Agreements.  The  execution  and  delivery  of  this
Agreement by Seller does not,  and  consummation  by Seller of the  transactions
contemplated  hereby will not: (i) violate any existing term or provision of any
law,  regulation,  order,  writ,  judgment,  injunction or decree  applicable to
Seller or the  Assets,  (ii)  conflict  with or result in a breach of any of the
terms, conditions or provisions of the Certificate of Incorporation or bylaws of
Seller or of any agreement or  instrument  to which Seller is a party,  or (iii)
result in the creation or imposition  of any lien,  charge,  security  interest,
encumbrance, restriction or claim upon the Assets.

      3.5  Compliance  with  Applicable  Law. Since the Business was acquired by
Seller, the Business has at all times been conducted by Metro, and Seller has at
all times been in full  compliance  with each legal  requirement  that is or was
applicable  to the  Business  it or to the  conduct  of  its  operations  or the
ownership  or


                                       4
<PAGE>

use of any of its  assets.  No event has  occurred or  circumstance  exists that
(with or  without  notice  or lapse of time) (A) may  constitute  or result in a
violation by Seller of, or a failure on the part of Seller to comply  with,  any
legal requirement,  or (B) may give rise to any obligation on the part of Seller
to undertake,  or to bear all or any portion of the cost of, any remedial action
of any nature.

      3.6 Consents and  Approvals.  The execution and delivery by Seller of this
Agreement, and the performance by Seller of its obligations hereunder,  does not
require Seller to obtain any consent, approval, agreement, or action of, or make
any filing with or give any notice to, any corporation,  person, entity, or firm
or  any  public,   governmental  or  judicial  authority,   including,   without
limitation,  any landlord, other than such approvals as shall have been obtained
prior to the Closing.

      3.7  Litigation.  Except as described in the  Disclosure  Schedule  with a
reference to this Section,  there are no actions,  proceedings or investigations
pending or, to Seller's knowledge,  threatened,  against or affecting the Assets
or the Business before any court or administrative  agency which could result in
any adverse change in the operations or financial condition of the Business.

      3.8 Schedules.

      (a)   Seller's  Disclosure  Schedule includes a separate schedule relating
            to Business containing an accurate and complete list and description
            of:

            (i)   All real  property  owned by Seller in respect of the Business
                  or in which Seller has a leasehold or other  interest or which
                  is used by Seller in connection  with the  Business,  together
                  with a description of each lease,  sublease,  license,  or any
                  other  instrument  under  which  Seller  claims or holds  such
                  leasehold  or other  interest  or right to the use  thereof or
                  pursuant to which Seller has  assigned,  sublet or granted any
                  rights therein, identifying the parties thereto, the rental or
                  other payment  terms,  expiration  date and  cancellation  and
                  renewal terms thereof.

            (ii)  As of a date no earlier than January 16, 1998, all of Seller's
                  receivables  in respect of the Business  (which shall  include
                  accounts  receivable,  loans  receivable  and  any  advances),
                  together  with  detailed  information  as to each such  listed
                  receivable which has been outstanding for more than 30 days.

            (iii) All machinery, tools, equipment, motor vehicles, rolling stock
                  and other tangible personal property (other than inventory and
                  supplies),  owned,  leased or used by Seller in respect of the
                  Business  except  for  items  having a value of less than $500
                  which do not,  in the  aggregate,  have a total  value of more
                  than  $1,000,  setting  forth with  respect to all such listed
                  property a summary description of all leases,  liens,  claims,
                  encumbrances, charges, restrictions,  covenants and conditions
                  relating thereto,  identifying the parties thereto, the rental
                  or other payment terms,  expiration date and  cancellation and
                  renewal terms thereof.


            (iv)  All patents, patent applications, patent licenses, trademarks,
                  trademark  registrations,  and applications therefor,  service
                  marks,  service names,  trade names,  copyrights and copyright
                  registrations,  and applications therefor, wholly or partially
                  owned or held by Seller in respect of the  Business or used in
                  the operation of the Business.

            (v)   All fire,  theft,  casualty,  liability  and  other  insurance
                  policies   insuring   Seller  in  respect  of  the   Business,
                  specifying  with  respect to each such  policy the name of the
                  insurer, the risk insured against, the limits of coverage, the
                  deductible  amount  (if any),  the  premium  rate and the date
                  through which coverage will continue by virtue


                                       5
<PAGE>

                  of premiums  already  paid.  Except as  disclosed  in Seller's
                  Disclosure   Schedule,   such  policies  are  with   reputable
                  insurers,  provide  adequate  coverage  for all  normal  risks
                  incident  to  Seller's   assets,   properties   and   business
                  operations and are in character and amount at least equivalent
                  to that  carried by persons  engaged in a business  subject to
                  the same or similar perils or hazards.

            (vi)  All contracts, agreements, commitments or licenses relating to
                  computer   software,   patents,   trademarks,   trade   names,
                  copyrights, inventions, processes, know-how, formulae or trade
                  secrets to which Seller is a party or by which it is bound.

            (vii) All procedure and policy manuals.

            (viii)All Governmental Approvals which have been issued to Seller in
                  respect of the Business  during the three year period prior to
                  the Closing (collectively, the "Seller Licenses").

            (ix)  All  institutional   customers  with  which  Seller  has  done
                  business in  connection  with the  Business  since  January 1,
                  1996.

            (x)   All   loan   agreements,   indentures,   mortgages,   pledges,
                  conditional  sale  or  title  retention  agreements,  security
                  agreements, equipment obligations, guaranties, leases or lease
                  purchase  agreements  to which Seller is a party in respect of
                  the  Business  or by  which  it is  bound  in  respect  of the
                  Business or in any way affecting the Business or the Assets.

            (xi)  All contracts, agreements, commitments or other understandings
                  or  arrangements  to which Seller is a party in respect of the
                  Business  or by  which it or any of its  property  is bound or
                  affected in respect of the Business but excluding

                  (A)   purchase  and sales orders and  commitments  made in the
                        ordinary  course  of  business   involving  payments  or
                        receipts  by Seller of less than $500 in any single case
                        but not more than $1,000 in the aggregate,

                  (B)   contracts   entered  into  in  the  ordinary  course  of
                        business and involving payments or receipts by Seller of
                        less than $500 in the case of any  single  contract  but
                        not more than $1,000 in the aggregate, and

                  (C)   contracts   entered  into  in  the  ordinary  course  of
                        business  which are terminable by Seller on less than 30
                        days' notice  without any penalty or  consideration  and
                        involving  payments  or  receipts by Seller of less than
                        $500 in the  case of any  single  contract  but not more
                        than $1,000 in the aggregate.

            (xii) All   collective   bargaining   agreements,   employment   and
                  consulting  agreements,  executive  compensation  plans, bonus
                  plans,  deferred  compensation  agreements,  employee  pension
                  plans or  retirement  plans,  employee  stock options or stock
                  purchase plans and group life,  health and accident  insurance
                  and other employee benefit plans, agreements,  arrangements or
                  commitments,   whether  or  not  legally  binding,  including,
                  without  limitation,  holiday,  vacation,  Christmas and other
                  bonus practices,  to which Seller is a party or is bound which
                  relate to the Business.


                                       6
<PAGE>

            (xiii)All current full time  employees of Seller with respect to the
                  Business and their current annual salaries or other methods of
                  direct  or  indirect  compensation,  as  well as a list of all
                  temporary  or  part  time   employees  who  Seller  placed  as
                  supplemental  staff with respect to the Business as of January
                  12, 1998.

            (xiv) As of a date no earlier  than  January 12, 1998, a list of the
                  rate or rates at which  each of the  customers  of  Seller  is
                  billed.

            (xv)  As of January 12, 1998, a list of all current  patients  being
                  serviced  by  Seller.  

      (b)   All of the contracts,  agreements,  leases, licenses and commitments
            required to be listed on Seller's  Disclosure  Schedule  (other than
            those  which  have been  fully  performed)  are  valid and  binding,
            enforceable in accordance with their respective terms, in full force
            and effect and,  except as  otherwise  specified  in the  Disclosure
            Schedule,  the  enforceability  thereof  will not be affected by the
            sale of Assets  contemplated  hereby,  so that,  after  the  Closing
            Purchaser will continue to be entitled to the full benefits thereof.

      (c)   Except as disclosed in Seller's  Disclosure  Schedule,  there is not
            under any such contract, agreement, lease, license or commitment any
            existing default,  or event which, after notice or lapse of time, or
            both,  would constitute a default or result in a right to accelerate
            or loss of rights, and none of such contracts,  agreements,  leases,
            licenses or commitments is, either when considered  singly or in the
            aggregate  with others,  unduly  burdensome,  onerous or  materially
            adverse to the  Business,  or its  properties,  assets,  earnings or
            prospects,  or likely, either before or after the Closing, to result
            in any  material  loss or  liability.  None of Seller's  existing or
            completed  contracts  in  respect  of the  Business  is  subject  to
            renegotiating with any governmental body.


      (d)   True and complete copies of all such contracts,  agreements, leases,
            licenses and other documents listed on Seller's  Disclosure Schedule
            (together with any and all  amendments  thereto) have been delivered
            to Purchaser and initialed by Seller's Secretary or Seller's counsel
            and identified  with a reference to this Section of this  Agreement.
            3.9 Brokers. The only person that the parties to this Agreement have
            dealt with in connection  with this  Agreement is Gene Berger of Jay
            Isle  Associates.  Purchaser has dealt with Gene Berger with respect
            to any  compensation  payable to Gene Berger and Purchaser shall not
            look to Seller  for the  payment  of any  portion of the fee that it
            owes to Gene Berger.  Purchaser  agrees to indemnify  Seller against
            any claim raised by Gene Berger in connection with nonpayment of his
            fee by Purchaser.  Seller agrees to indemnify  Purchaser against any
            claims asserted by brokers claiming through Seller.

      3.10 Taxes.  Seller shall be responsible  for all personal  property taxes
for the business of Seller through the date of the Closing.

      3.11 Ownership; Sufficiency.

      (a)   Except as otherwise  described  in the  disclosure  Schedule  with a
            reference to this Section, Seller is the owner,  beneficially and of
            record,  of  all  of the  Assets,  free  and  clear  of  all  liens,
            encumbrances,   security  agreements,   equities,  options,  claims,
            charges and  restrictions,  and Seller will  transfer  the Assets to
            Purchaser at the Closing, free and clear of all liens, encumbrances,
            security  agreements,   equities,   options,   claims,  charges  and
            restrictions.


                                       7
<PAGE>

      (b)   Except for  insubstantial  assets which can be replaced for not more
            than an  aggregate  of $1,000,  the Assets  include  absolutely  all
            fixed, non-fixed,  tangible and intangible assets which were used by
            Seller in connection with the Business on the date hereof.  All such
            assets are accepted as is , dependent  upon  inspection of Purchaser
            prior to Closing.

      (c)   There  are no  defects  in any  fixed  assets  or  other  conditions
            relating  thereto  which,  in the  aggregate,  materially  adversely
            affect  the   operation  or  value  of  such  fixed   assets.   

      3.12 Intellectual Property.  Seller's use of the name Metro and each other
trade name,  servicemark  or logo currently used by Seller in the conduct of the
Business does not conflict with the rights of any third party.  Seller has filed
all such instruments and documents as are required for it duly to do business in
the State of New Jersey under the name Metro.

      3.13 JCAHO and CAHC Accreditation.  The Toms River, NJ and Edison, NJ, and
Shrewsbury, NJ offices are accredited by JCAHO and CAHC.

      3.14 No Change in  Relations  with  Customers.  Neither  Seller nor any of
Seller's officers or directors, has knowledge that any customers of the Business
intend to cease doing  business  with the  Business,  or materially to alter the
amount of the business that they are presently  doing with Seller,  whether as a
result of the transactions contemplated hereby or otherwise.

      3.15  Compliance  With  Environmental  Laws.  Seller does not own any real
property with respect to or in connection  with the Business and has been at all
times  prior,  and  presently  is,  in  compliance  with all  federal  and state
environmental statutes or laws concerning  environmental  protection and the use
or  disposal  of  hazardous  substances  at or in  respect  of its  leased  real
property. Neither Purchaser nor NYHC will incur any environmental liability as a
result of actions or omissions by Seller or any of their predecessors and Seller
agrees  to  indemnify  Purchaser  and NYHC  against  any  liability  that may be
asserted.

      3.16 Financial Statements.

      (a)   Seller has  delivered  to  Purchaser  copies of  Seller's  financial
            statements  with  respect to the Business for the fiscal years ended
            December  31,  1994,   1995  ,1996,   and  6/30/97  (the  "Financial
            Statements").   The   Financial   Statements   are  based  upon  the
            information  contained in the books and records of Seller and fairly
            and accurately present the financial condition of the Business as of
            the dates thereof and results of operations for the periods referred
            to therein.  The balance  sheet of the  Business as of December  31,
            1997 is referred  to herein as the  "Balance  Sheet,"  and  December
            31,1997 is referred to herein as the "Balance Sheet Date."

      (b)   The books and  records of the  Business  are  adequate to permit the
            completion  within 30 days of an  independent  audit of the Business
            for such fiscal year.  

      3.17 Absence of  Undisclosed or Contingent  Liabilities.  Except as and to
the  extent  reflected  or  reserved  against on the face of the  Balance  Sheet
(excluding  the notes  thereto),  or as  otherwise  set forth in the  Disclosure
Schedule, as of the Balance Sheet Date Seller, in respect of the Business had no
debts,  liabilities or obligations  (whether  absolute,  accrued,  contingent or
otherwise) of any nature whatsoever,  including, without limitation, any foreign
or domestic tax  liabilities or deferred tax liabilities for any period prior to
the close of business on the Balance Sheet Date or any other debts,  liabilities
or obligations in respect of the Business relating to or arising out of any act,
transaction,  circumstance  or state of facts  which  occurred  or existed on or
before the Balance Sheet Date, whether or not then known, due or payable. Except
as set forth in the Disclosure Schedule,  none of Seller's employees, in respect
of the  Business,  is now or,  will by the  passage  of time  hereafter  become,
entitled  to  receive  any  vacation   time,   vacation  pay  or  severance  pay


                                       8
<PAGE>

attributable  to services  rendered  prior to the  Balance  Sheet Date except as
disclosed on the face of the Balance Sheet  (excluding  the notes thereto) or as
otherwise set forth in the Disclosure Schedule.

      3.18 No Material Adverse Changes.  Since the Balance Sheet Date, there has
been no change materially adverse in the Business,  or in its assets,  financial
condition,  gross  profit,  operating  results,  customer,  employee or supplier
relations, condition or prospects.

      3.19  Absence  of   Developments.   Since  Seller's   acquisition   and/or
development  of the  Business,  Seller has  conducted  the Business only through
Seller and only through  employees and other  staffing  persons which were hired
and retained by Seller. Since the date of such acquisition, Seller in respect of
the Business has:

      (a)   conducted  operations only in the regular and ordinary course and in
            compliance with all applicable laws and regulations;

      (b)   maintained reasonable business insurance;

      (c)   committed no waste of assets;

      (d)   not disposed or otherwise changed the nature of any asset other than
            in the ordinary course of business,

      (e)   not created or suffered to exist any lien,  charge or encumbrance on
            any Asset or incurred any indebtedness for borrowed money other than
            in the ordinary course which is secured by one or more of assets;

      (f)   used  its  best  efforts  to  maintain  and  preserve  its  business
            organization  intact and maintain its relationships  with suppliers,
            employees, customers and others;

      (g)   refrained  from  making  any  material   capital   expenditures   or
            commitments  for  additions to the  property,  plant or equipment or
            entering into  transactions  which could  materially alter or affect
            operations;

      (h)   not  experienced  any  changes  in  reimbursement  or  reimbursement
            policies  from  third-party  payers as a result of  changes in third
            party payer policies, practices, procedures or schedules;

      (i)   not  engaged  in  any  unusual  or  novel  methods  of  billing  and
            collection,  purchase, sale, lease, management,  equipment servicing
            or repair, accounting or operation that vary from Seller's usual and
            customary past practice; and

      (j)   not changed any aspect of its procedure for maintaining its books of
            account and records.

      3.20 Tax Matters.

      (a)  Seller  has filed all Tax  Returns  that it was  required  to file in
connection with the Business.  All such Tax Returns were correct and complete in
all  material  respects.  All Taxes owed by Seller with  respect to the Business
(whether or not shown on any Tax Return) have been paid. Seller is not currently
the  beneficiary  of any  extension  of time  within  which to file any such Tax
Return.  No claim has ever been made by an  authority  in a  jurisdiction  where
Seller  does not file Tax  Returns  that it is or may be subject to  taxation by
that jurisdiction.  


                                       9
<PAGE>

There are no encumbrances on any of the Assets that arose in connection with any
failure (or alleged failure) to pay any Taxes.

      (b) Seller has withheld and paid all Taxes  required to have been withheld
and  paid by it in  connection  with  amounts  paid or  owing  to any  employee,
independent contractor, creditor, shareholder or other third party.

      (c) There is no dispute or claim  concerning  any  liability  for Taxes of
Seller in connection with the Business (i) claimed or raised by any authority in
writing or orally with any directors or officers of Seller,  or (ii) as to which
any such person has knowledge based upon personal contact with any agent of such
authority.  The Disclosure Schedule lists all federal,  state, local and foreign
income  Tax  Returns  filed by Seller or its  predecessor  with  respect  to the
Business for taxable  periods  ended on or after  December  31, 1995,  indicates
those Tax Returns that have been audited,  and indicates  those Tax Returns that
currently  are the  subject of audit.  Seller  has  delivered  to the  Purchaser
correct and  complete  copies of all  federal  income Tax  Returns,  examination
reports,  and statements of deficiencies filed,  assessed against or agreed with
respect to the Business by Seller or its predecessor since December 31, 1995.

      3.21 Employees.

      (a)   Except as  disclosed  in the  Disclosure  Schedule,  no  employee of
            Seller in respect of the Business has  notified  Seller,  and Seller
            does not have any knowledge, that any such employee will not, accept
            employment with Purchaser following the Closing;

      (b)   Seller,  to the best of  his/her  knowledge,  has in  respect of the
            Business  complied  in all  material  respects  with all  employment
            contracts  and  all  laws  relating  to  the  employment  of  labor,
            including   provisions  thereof  relating  to  wages,  hours,  equal
            opportunity,   collective  bargaining  and  the  payment  of  social
            security and other taxes;

      (c)   Seller, to the best of his/her knowledge, does not have any material
            labor  relations   problem  pending  and  its  labor  relations  are
            satisfactory;

      (d)   To the best of Sellers' knowledge there has been no union organizing
            activity in respect of the Business;

      (e)   there   are   no   worker's    compensation,    sexual   harassment,
            discrimination  or other claims pending against Seller in respect of
            the  Business  nor is Seller aware of any facts that would give rise
            to such claims, except as set forth in the Disclosure schedule;

      (f)   except as disclosed in the  Disclosure  Schedule with a reference to
            this  Section,  no  employee  of Seller is subject to any secrecy or
            non-competition  agreement or any other  agreement or restriction of
            any kind that would  impede in any way the ability of such  employee
            to carry out fully all activities of such employee in furtherance of
            the business of Purchaser following the Closing; and

      (g)   To the best of Seller's  knowledge no employee or former employee of
            Seller  has any claim  with  respect  to any  intellectual  property
            rights of Seller. 

      3.22 Gifts.

      (a)   Except as described in the  Disclosure  Schedule with a reference to
            this Section, neither Seller, nor any of its officers,  directors or
            shareholders  has  made or  agreed  to make  gifts of  money,  other
            property  or  similar  benefits  (other  than  incidental  gifts  of
            articles  of 


                                       10
<PAGE>

            nominal  value)  to any  actual  or  potential  customer,  supplier,
            governmental  employee,   political  party,  candidate  for  office,
            governmental  agency or  instrumentality  or any  other  person in a
            position to assist or hinder Seller in connection with any actual or
            proposed business transaction.

      (b)   Neither Seller nor any of their  officers,  directors,  employees or
            agents  has  directly  or  indirectly  paid or  delivered  any  fee,
            occasion, or other money or property, however characterized,  to any
            physician or any other party that is in any manner  remuneration for
            the  referral of  patients to or that is in any manner  remuneration
            for purchasing any item or service from Seller. 

      3.23 [omitted]

      3.24 Medicaid, Etc.

      (a)   Seller in respect of the Business is a  participating  provider,  in
            good  standing,  in the Medicaid  program and in federal,  state and
            local Department of Health,  Department of Education,  Department of
            Consumer  Affairs  ,workers  compensation and Blue Cross Blue Shield
            programs  and in the  health  maintenance  organizations,  preferred
            provider  organizations,  health  benefit  plans,  health  insurance
            plans,  and other third  party  reimbursement  and payment  programs
            listed in the Disclosure Schedule (the "Payment Programs").

      (b)   There is no  investigation  or civil,  administrative,  or  criminal
            proceeding,    threatened   or   pending,   relating   to   Seller's
            participation  in any of the  Payment  Programs  in  respect  of the
            Business.  Seller  is not in  respect  of the  Business  subject  to
            utilization  review by any Payment  Program  other than the ordinary
            and customary  utilization review of all providers  participating in
            such Payment Program.

      (c)   No Payment  Program has  requested  or  threatened  any  recoupment,
            refund,  adjustment  or  set-off  from  Seller  in  respect  of  the
            Business.

      (d)   No Payment  Program has imposed any fine,  penalty or other sanction
            on Seller in respect of the  Business,  nor has Seller in respect of
            the Business been excluded from participation in any Payment Program
            nor is Seller now threatened with such exclusion.

      (e)   Seller  has not  submitted  to any  Payment  Program  any  false  or
            fraudulent  claim for payment,  nor has Seller at any time  violated
            any condition for participation,  or any rule, regulation, policy or
            standard of any Payment Program. Seller has not at any time violated
            any law prohibiting Payment Program fraud or abuse.

      (f)   Seller will in a timely manner, after consultation with and approval
            by Purchaser,  give notice of the transactions  contemplated by this
            Agreement to Payment  Programs to the extent  required by law or the
            rules,  regulations  or  policies  of the  Payment  Programs  and in
            accordance  with  Seller's  provider  agreements  with  the  Payment
            Programs.

      3.25 Seller  Licenses.  Each of Seller Licenses is valid and in full force
and  effect as of the date  hereof,  and  except as  expressly  set forth in the
Disclosure  Schedule,   no  Seller's  License  is  subject  to  any  limitation,
restriction,  probation or other  qualification.  Seller has operated within the
scope  of the  provisions  of all  Seller  Licenses.  There is not  pending,  or
threatened,   any   investigation  or  proceeding  which  could  result  in  the
termination,  revocation,  limitation,  suspension, restriction or impairment of
any of Seller Licenses or the imposition of any fine, penalty or other sanctions
for violation of any requirements of any of Seller Licenses.  Seller 


                                       11
<PAGE>

now has and has had at all  relevant  times all  Governmental  Approvals  as are
necessary  in  respect  of the  Business  in order to  enable  Seller to own and
conduct  the  Business  and to occupy  and lease  its real  property,  each such
currently effective item being listed in the Disclosure Schedule.

      3.26 Material  Misstatements or Omissions.  Neither this Agreement nor any
other document,  certificate or statement furnished to Purchaser by or on behalf
of Seller in connection  with this  Agreement or the  transactions  contemplated
hereby  contains any untrue  statement of a material fact, or omits any material
fact necessary to make the statements contained herein or therein not misleading
in light of the context in which they were made.

      3.27 No Known Adverse Effects.  Except for general economic conditions and
public information concerning health care regulatory and funding matters and the
health care industry  generally,  there are no facts known to Seller or to their
officers,  directors  or  employees  which have not been set forth in writing in
this  Agreement  or disclosed in the other  documents,  certificates  or written
statements  furnished  to  Purchaser  by or on behalf  of  Seller in  connection
herewith or the  transactions  contemplated  hereby,  and which  materially  and
adversely  affect or may in the future  materially  and  adversely  affect,  the
Assets in the hands of Purchaser or which would or may in the future  materially
and adversely affect the Purchaser's ability to operate the Business.

4. REPRESENTATIONS AND WARRANTIES OF PURCHASER AND NYHC

      NYHC and Purchaser  jointly and severally  represent and warrant to Seller
that the statements  contained in this Section are true, correct and complete as
of the date of this Agreement  and,  except as otherwise  expressly  provided in
this  Agreement,  shall be true,  correct and  complete  on the Closing  Date as
though made on the Closing Date as follows:

      4.1  Organization and  Qualification of Purchaser.  Purchaser and NYHC are
corporations  duly  organized,  validly  existing and in good standing under the
laws of the State of New York, and have the full  corporate  power and authority
to own and operate their respective  properties and to carry on their respective
businesses. The nature of the business conducted by Purchaser and the properties
currently  owned,  leased or  operated by  Purchaser  do not  currently  require
Purchaser to qualify as a foreign corporation in any jurisdiction.

      4.2  Authorization.  This  Agreement  has been  approved by all  necessary
corporate  action on behalf of  Purchaser  and NYHC,  has been duly and  validly
executed  by  Purchaser  and  NYHC,  and the  agreements,  representations,  and
warranties   contained  herein   constitute   valid  and  binding   obligations,
representations,  and warranties of Purchaser and NYHC, enforceable against each
in accordance with their terms.

      4.3 No  Conflicting  Agreements.  Except  as set  forth in the  Disclosure
Schedule  with a reference to this  Section,  the execution and delivery of this
Agreement by Purchaser and NYHC does not, and consummation by Purchaser and NYHC
of the transactions  contemplated hereby will not: (i) violate any existing term
or provision of any law, regulation, order, writ, judgment, injunction or decree
applicable to Purchaser or NYHC, (ii) conflict with or result in a breach of any
of the terms,  conditions or provisions of the Certificate of  Incorporation  or
bylaws of Purchaser or of any agreement or instrument to which Purchaser or NYHC
is a party,  or (iii) result in the creation or imposition of any lien,  charge,
security interest,  encumbrance,  restriction or claim upon Purchaser or NYHC or
any of their assets.

      4.4  Compliance  with  Applicable  Law. None of Purchaser,  NYHC or any of
their respective officers, directors or employees knows of any facts which would
result  in,  nor has any of them  received  any  notice or  information  of, any
violation,  probable  violation  or  default  by  Purchaser  or NYHC  under  any
applicable law, regulation or order of any governmental department,  commission,
board or agency or  instrumentality,  domestic or foreign,  having  jurisdiction
over  Purchaser's   operations  which  could  materially  adversely  affect  the
business,


                                       12
<PAGE>

operations,  financial  condition,  properties  or  assets of  Purchaser  or its
ability to consummate the transaction contemplated hereby.

      4.5  Litigation.  There  are no  actions,  proceedings  or  investigations
pending, or to the knowledge of Purchaser, threatened, against Purchaser or NYHC
or any of their officers or directors, before any court or administrative agency
or administrative officer.

      4.6 Material  Misstatements  or Omissions.  Neither this Agreement nor any
other document,  certificate or statement furnished to Seller by or on behalf of
Purchaser in connection with this Agreement  contains any untrue  statement of a
material  fact,  or omits to  state  any  material  fact  necessary  to make the
statements  contained  herein and therein not misleading in light of the context
in which they were made.

      4.7 Consents and  Approvals.  The  execution and delivery by Purchaser and
NYHC of this  Agreement,  and the  performance  by  Purchaser  and NYHC of their
respective obligations hereunder, do not require Purchaser or NYHC to obtain any
consent,  approval  or action of, or make any filing with or give any notice to,
any  corporation,  person  or  firm  or any  public,  governmental  or  judicial
authority  except (i) such as have been duly  obtained or made,  as the case may
be, (ii) those consents and approvals  described in the Disclosure Schedule with
a reference to this Section and for which  application  has been made, and (iii)
those which the failure to obtain  would not have a material  adverse  effect on
the transactions contemplated hereby.

      4.8 Brokers. Except as set forth in Section 3.9, all negotiations relative
to this Agreement and the transactions contemplated hereby have been carried out
by  representatives  of Purchaser  and NYHC  directly  with Seller,  without the
intervention  of any person on behalf of  Purchaser or NYHC in such manner as to
give rise to any valid claim by any person retained by Purchaser or NYHC against
Seller for a finder's fee, brokerage commission or similar payment.

      4.9 SEC Filings.  Purchaser  has delivered to Seller copies of NYHC's Form
10K for its  fiscal  year  ended  December  31,  1996,  and its Form 10Q for the
periods  ending  March 31, 1997 and June 30,  1997.  The  financial  information
contained  in such  Forms  10K and 10Q of NYHC is  based  upon  the  information
contained  in the books and records of NYHC and fairly and  accurately  presents
the  financial  condition of NYHC as of the dates thereof and the results of the
operations of NYHC for the periods referred to therein.

5.  PRE-CLOSING  COVENANTS OF SELLER.  Seller hereby  covenants and agrees that,
between the date hereof and the Closing,  it will comply with the  provisions of
this Section, except to the extent Purchaser may otherwise consent in writing.

      5.1 Inspection of Properties and Books.

      (a)   Seller shall, at reasonable times acceptable to both parties, assist
            any   individual  or   individuals   designated  by  Purchaser  with
            reasonable  prior  notice to visit or inspect any property of Seller
            with  respect  to the  Business,  including  books of  accounts  and
            records with respect to the Business,  to make extracts or copies of
            such books and  records  and to discuss the  affairs,  finances  and
            accounts of Seller with its officers, and shall use its best efforts
            to  obtain  access  for  Purchaser  to  accountants'   work  papers.
            Purchaser  agrees  to  treat  all  such  material  (the  "Evaluation
            Material")  confidentially,  and shall not disclose  any  Evaluation
            Material or any information  contained therein to any party,  except
            as otherwise set forth herein; provided,  however, that Purchaser is
            authorized  to disclose the  Evaluation  Material to its  investment
            bankers,  financial  advisors  and legal  counsel.  Purchaser  shall
            instruct its investment bankers,  financial advisors, legal counsel,
            officers,  directors,  employees,  agents or  representatives of the
            confidential   nature  of  the  


                                       13
<PAGE>

            Evaluation  Material and shall be responsible  for insuring that the
            Evaluation Material is kept confidential by such persons.

      (b)   In the event the Closing is not consummated, all Evaluation Material
            shall be returned to Seller  within ten days of a request  therefor,
            with the understanding  that Purchaser shall retain no copies of the
            Evaluation  Material  and shall not  disclose to any other party the
            Evaluation  Material  or  information  contained  therein,  with the
            exception of (i) information  which becomes  generally  available to
            the public other than as a result of disclosure  by Purchaser,  (ii)
            information  included  in the  Evaluation  Material  which  is first
            disclosed by a third party not bound by a confidentiality  agreement
            with Seller or (iii)  information  required to be  disclosed  in any
            registration  statement  or  periodic  report  under the  disclosure
            requirements  of applicable  federal and state  securities  laws, it
            being  agreed that prior to making any  disclosure  pursuant to this
            clause (iii),  Purchaser  shall first provide Seller with reasonable
            (under the circumstances)  advance notice of the disclosure,  and if
            Seller does not consent to the  disclosure,  Purchaser  may make the
            disclosure  only after  providing  Seller with an opinion of counsel
            explaining the basis for the  disclosure and the legal  requirements
            therefor.

      5.2 Other  Contracts.  Except in the ordinary  course of business,  Seller
shall not  enter  into or  become  subject  to any  agreement,  transaction,  or
commitment which would restrict or impair the obligation or ability of Seller to
comply with all of the terms of this Agreement.

      5.3 Ongoing Operation.  Seller shall carry on its business  diligently and
substantially in the same manner as heretofore conducted.  The Business shall be
conducted  only in the  ordinary  course  and  Seller  shall not take any action
except in the ordinary  course of the Business,  on an  arm-length  basis and in
accordance  in all  material  respects  with  all  applicable  laws,  rules  and
regulations and Seller's past custom and industry practice.

      5.4  Indebtedness.  Seller will not create,  incur,  assume,  guarantee or
otherwise  become liable with respect to any  indebtedness  related or connected
with, or secured by, the Assets or the Business,  except in the ordinary  course
of its business.

      5.5 Records;  Monthly  Financial  Statements.  Seller  shall  maintain its
books,  accounts  and records in the usual,  regular and  ordinary  manner,  and
shall,  upon  Purchaser's  request,  promptly  provide  Purchaser  with  monthly
financial  statements  for such month  prepared on a basis  consistent  with the
Financial Statements.

      5.6 Notice of Breach.  Promptly  after becoming aware of the occurrence or
threatened  occurrence  of any event which would cause or constitute a breach of
any warranty, representation,  covenant or agreement of Seller contained herein,
Seller  shall  give  notice in  writing  of such  event or  threatened  event to
Purchaser  and use all  reasonable  efforts to prevent or  promptly  remedy such
breach or threatened breach.

      5.7 Employment  Matters.  With respect to the Business,  Seller shall not,
directly or indirectly,  (i) enter into or modify any  employment,  severance or
similar agreements or arrangements with, or grant any bonuses, salary increases,
severance  or  termination  paid to, any  officers  or  directors  or  executive
employees  who are not  shareholders  or (ii) except in the  ordinary  course of
business,  take any  action  with  respect to the grant of any  bonuses,  salary
increases,  severance  or  termination  pay or with  respect to any  increase of
benefits  payable in effect on the date hereof for any of its  employees who are
not officers,  directors or executive  employees.  With respect to the Business,
Seller shall not adopt or amend any bonus, profit sharing,  compensation,  stock
option, pension, retirement, deferred compensation, employment or other employee
benefit plan,  trust,  fund or group  arrangement for, the benefit or welfare of
any employees.


                                       14
<PAGE>

      5.8 Insurance.  Prior to Closing, Seller shall not cancel or terminate its
current  insurance  policies or cause any of the coverage  thereunder  to lapse,
unless simultaneously with such termination,  cancellation or lapse, replacement
policies  providing  coverage  equal to or greater than the  coverage  under the
canceled,  terminated or lapsed policies for substantially  similar premiums are
in full force and effect.

      5.9  Preservation  of Business.  Seller shall with respect to the Business
(i) use its best  efforts to  preserve  intact  the  business  organization  and
goodwill,  keep  available the services of Seller's  officers and employees as a
group and maintain  satisfactory  relationships  with  suppliers,  distributors,
customers  and others  having  business  relationships  with  Seller,  (ii) upon
request,  confer on a regular basis with  representatives of Purchaser to report
operational  matters and the  general  status of ongoing  operations,  (iii) not
intentionally  take any action which would render,  or which  reasonably  may be
expected  to  render,  any  representation  or  warranty  made by  Seller in the
Agreement untrue at the Closing, (iv) notify Purchaser of any emergency or other
change in the normal course of Seller's business or in the operation of Seller's
properties and of any governmental or third party complaints,  investigations or
hearings (or  communications  indicating that the same may be  contemplated)  if
such emergency,  change, complaint,  investigation or hearing would be material,
individually  or in the  aggregate,  to the  business,  operations  or financial
condition  of Seller or the  ability of Seller to  consummate  the  transactions
contemplated by this Agreement,  and (v) promptly notify Purchaser in writing if
Seller or its representatives shall discover that any representation or warranty
made by Seller in this  Agreement  was when made,  or has  subsequently  become,
untrue in any respect.

      5.10  Brokers.  Except  as set  forth in  Section  3.9,  all  negotiations
relative to this Agreement and the  transactions  contemplated  hereby have been
carried out by  representatives  of Seller  directly  with  Purchaser  and NYHC,
without the  intervention of any person on behalf of Seller in such manner as to
give rise to any valid claim by any person retained by Seller against  Purchaser
or NYHC for a finder's fee, brokerage commission or similar payment.

      5.11 Best Efforts.  Seller agrees to use its best efforts in good faith to
satisfy the various  conditions  to Closing and to consummate  the  transactions
provided  for  herein as  expeditiously  as  possible.  Seller  will not take or
knowingly  permit to be taken any action that would be in breach of the terms or
provisions of this Agreement or that would cause any of its  representations and
warranties contained herein to be or become untrue.

      5.12  Additional  Disclosure.  From  the  date  of this  Agreement  to and
including  the  Closing  Date,  Seller  will  advise  Purchaser  of  each  event
subsequent  to the date  hereof  which  would  have had to be  disclosed  on any
schedule or exhibit to this Agreement had it occurred prior to the date hereof.

6. PRE-CLOSING COVENANTS OF PURCHASER AND NYHC

      NYHC and Purchaser  hereby jointly and severally  covenant and agree that,
between  the date  hereof and the  Closing,  each of them will  comply  with the
provisions of this Section, except to the extent Seller may otherwise consent in
writing.

      6.1 Other  Contracts.  Except in the ordinary course of business,  neither
Purchaser  nor  NYHC  shall  enter  into or  become  subject  to any  agreement,
transaction  or  commitment  which would  restrict or impair the  obligation  or
ability of Purchaser or NYHC to comply with all of the terms of this Agreement.

      6.2 Best Efforts.  Purchaser and NYHC agree to use their  respective  best
efforts  in good faith to  satisfy  the  various  conditions  to Closing  and to
consummate the  transactions  provided for herein as  expeditiously as possible.
Neither  Purchaser nor NYHC will take or knowingly permit to be taken any action
that would be in breach of the terms or  provisions  of this  Agreement  or that
would cause any of its representation  and warranties  contained herein to be or
become untrue.


                                       15
<PAGE>

      6.3  Additional  Disclosure.  From  the  date  of  this  Agreement  to and
including the Closing Date,  Purchaser and NYHC will advise Seller of each event
subsequent  to the date  hereof  which  would  have had to be  disclosed  on any
schedule or exhibit to this Agreement had it occurred prior to the date hereof.

7. POST-CLOSING COVENANTS

      The parties  agree as follows  with  respect to the period  following  the
Closing:

      7.1  Further  Assurances.  If at any time after the  Closing,  any further
action is necessary  or  desirable to carry out the purposes of this  Agreement,
each of the parties will take such further  action  (including the execution and
delivery  of  such  further  instruments  and  documents)  as  any  other  party
reasonably may request, all at the sole cost and expense of the requesting party
unless the requesting party is entitled to  indemnification  therefor under this
Agreement.

      7.2  Litigation  Support.  If and  for so long as any  party  is  actively
contesting  or  defending  against  any  action,  suit,  proceedings,   hearing,
investigation,  charge,  complaint,  claim or demand in connection  with (a) any
transaction  contemplated  by  this  Agreement,  or  (b)  any  fact,  situation,
circumstance,  status, condition,  activity, practice, plan, occurrence,  event,
incident,  action, failure to act or transaction on or prior to the Closing Date
involving the Seller,  the other party will cooperate with it and its counsel in
the  contest or defense,  make  available  their  personnel,  and  provide  such
testimony  and  access  to their  books and  records  as shall be  necessary  in
connection with the contest or defense,  all at the sole cost and expense of the
contesting  or defending  party  unless the  contesting  or  defending  party is
entitled to indemnification  therefor under Section XI; provided,  however, that
neither party shall charge the other for its internal personnel costs.

      7.3  Non-Competition.  During  the  five-year  period  beginning  with the
Closing,  Seller shall not, directly or indirectly: 

      (a)   engage in any aspect of any home care  related  business  within the
            State of New Jersey.

            (i)   In the event Seller obtains a patient  referral  assignment in
                  the  State  of  New  Jersey,   Seller  agrees  to  refer  such
                  assignments/referrals to Purchaser,

            (ii)  In the event Seller obtains a patient  referral  assignment in
                  the State of New Jersey through "statewide" contracts obtained
                  by  Seller  subsequent  to  Closing,  then  Seller  agrees  to
                  subcontract  such  assignments/referrals  to  Purchaser  at an
                  agreed upon rate.

      7.4 For a period of one year following the Closing,  neither  Purchaser or
Seller will hire or otherwise retain any person who was an office staff employee
or  consultant  to the  other  party  at any time  during  the  one-year  period
immediately  prior to such hiring or other  retainer,  without the prior written
consent of the other party except as per attached schedule 7.4.

      7.5 Access to Records.  During a period after the Closing  consistent with
regulatory  requirements,  Purchaser will, on reasonable notice,  give to Seller
access  to the  books and  records  of the  Business  for  periods  prior to the
Closing. Seller will have the right to copy such records, as needed.

8. CONDITIONS PRECEDENT TO CLOSING

      8.1 Conditions Precedent to Obligation of Seller. The obligation of Seller
to consummate and effect this Agreement are subject to the  satisfaction  in all
material  respects,  on or before the Closing Date, of the following  conditions
(unless waived by Seller in writing in the manner provided in this Agreement):


                                       16
<PAGE>

      (a)   The  representations  and  warranties of Purchaser set forth in this
            Agreement  shall be accurate in all  material  respects on and as of
            the Closing as though made on and as of the  Closing  (except  where
            stated  to be as  of  an  earlier  date),  except  for  any  changes
            resulting from activities or transactions which may have taken place
            after  the  date  hereof  which  are  expressly  permitted  by  this
            Agreement or which have been entered into in the ordinary  course of
            business and are not expressly prohibited by this Agreement;

      (b)   Purchaser and NYHC shall have performed all obligations and complied
            with all  covenants  required to be performed or to be complied with
            by Purchaser  under this  Agreement  prior to or at the Closing Date
            including  payment of the  Purchase  Price and the  delivery  of all
            documents required at the Closing; and

      (c)   Seller shall have received a certificate  dated the Closing Date and
            signed by the President of Purchaser and NYHC to the effect that the
            representations  and warranties  made by Purchaser in this Agreement
            are true and  accurate  in all  material  respects as of the Closing
            (or, where  applicable,  as of the earlier  specified  date),  which
            certificate shall be in the form of an Exhibit to this Agreement.

      (d)   All action  necessary  to  authorize  the  execution,  delivery  and
            performance  of  this  Agreement  by  Purchaser  and  NYHC  and  the
            consummation of the transactions contemplated hereby shall have been
            duly and validly taken by Purchaser or NYHC, as the case may be.

      (e)   Purchaser  and NYHC shall have  furnished  Seller with copies of all
            consents or resolutions adopted or executed by Purchaser or NYHC, as
            the case may be, in connection  with such actions,  certified by the
            Secretary of Purchaser or NYHC, as the case may be.

      (f)   All material governmental filings, authorizations and approvals that
            are required for the consummation of the  transactions  contemplated
            hereby   shall  have  been  duly  made  and  obtained  by  Purchaser
            (excepting  filings  required  by  Purchaser  or  NYHC  pursuant  to
            applicable securities laws).

      (g)   Seller shall have  received  from  counsel to Purchaser  and NYHC an
            opinion dated the Closing, to the following effect:

            (i) Purchaser is a corporation duly organized,  validly existing and
            in good standing under the laws of the State of New York.

            (ii)  Execution and delivery of this Agreement and the Note, and the
            consummation  of  the  transactions  contemplated  hereby  have  and
            thereby, been duly and validly authorized by all necessary corporate
            action by Purchaser  and this  Agreement  and the Note are the valid
            and binding obligations of Purchaser,  enforceable against Purchaser
            in accordance with their  respective terms except as enforcement can
            be limited by general equitable principles or bankruptcy, insolvency
            or similar laws affecting creditor's rights generally.

            (iii) The execution and delivery of this Agreement and the Note will
            not violate or conflict with the  Certificate  of  Incorporation  or
            bylaws of Purchaser and NYHC or any agreement  known to such counsel
            to which  Purchaser or NYHC is a party or by which Purchaser or NYHC
            or its assets are bound.


                                       17
<PAGE>

            (iv) No consent, approval,  authorization or order of, and no notice
            to or filing with, any  governmental  agency or body or any court is
            required  to be  obtained  or made  by  Purchaser  pursuant  to this
            Agreement except such as has been obtained or made.

            (v) NYHC is a corporation  duly organized,  validly  existing and in
            good standing in the State of New York.

            (vi)  Execution  and  delivery  of this  Agreement  by NYHC  and the
            consummation of the  transactions  contemplated  hereby and thereby,
            have been duly and validly  authorized  by all  necessary  corporate
            acts by NYHC  and is the  valid  and  binding  obligation  of  NYHC,
            enforceable  against  NYHC in  accordance  with its terms  except as
            enforcement  can be  limited  by  general  equitable  principles  or
            bankruptcy,  insolvency or similar laws affecting  creditor's rights
            generally.

            (vii) The execution and delivery of this  Agreement by NYHC will not
            violate or conflict with the Certificate of  Incorporation or bylaws
            of NYHC or any  agreement  known to such  counsel to which NYHC is a
            party or by which NYHC or its assets are bound.

            (viii) No  consent,  approval,  authorization  or order  of,  and no
            notice to or filing  with,  any  governmental  agency or body or any
            court is required to be obtained or made by NYHC in connection  with
            the  execution or delivery of this  Agreement  and the Note,  except
            such as has been obtained or made.

            (ix) After due inquiry,  such counsel is not aware of any pending or
            threatened action,  proceeding or investigation against Purchaser or
            NYHC before any court or administrative agency which would result in
            any  materially  adverse  change  in  the  operations  or  financial
            condition of Purchaser.

      8.2  Waiver of  Conditions  Precedent.  Seller may waive any or all of the
conditions  precedent  set  forth  in  this  Section,  either  prospectively  or
retroactively,  by giving written notice of such waiver to Purchaser.  No waiver
of any condition  precedent  pursuant to this Section  shall,  unless  otherwise
expressly  stated in such  written  notice of waiver,  extend to any covenant or
agreement contained herein or to any other condition precedent.

9. Conditions Precedent to Obligation of Purchaser.  The obligation of Purchaser
to consummate and effect this Agreement are subject to the  satisfaction  in all
material  respects,  on or before the Closing Date, of the following  conditions
(unless  waived  by  Purchaser  in  writing  in  the  manner  provided  in  this
Agreement):

      9.1 Representations and Warranties of Seller Performance by Seller .

      (a)   The  representations  and  warranties  of  Seller  set forth in this
            Agreement  shall be accurate in all  material  respects on and as of
            the Closing as though made on and as of the  Closing  (except  where
            stated  to be as  of  an  earlier  date),  except  for  any  changes
            resulting from activities or transactions which may have taken place
            after  the  date  hereof  which  are  expressly  permitted  by  this
            Agreement;

      (b)   Seller shall have  performed all  obligations  and complied with all
            covenants  required to be  performed  or to be  complied  with by it
            under this Agreement prior to the Closing;

      (c)   Purchaser shall have received a certificate  dated as of the Closing
            and  signed  by the  President  of  Seller  to the  effect  that the
            representations  and warranties made by Seller 


                                       18
<PAGE>

            in this Agreement are true and accurate in all material  respects as
            of the Closing (or, where  applicable,  as of the earlier  specified
            date) in the form attached as an Exhibit;

      (d)   All action  necessary  to  authorize  the  execution,  delivery  and
            performance of this Agreement by Seller and the  consummation of the
            transactions  contemplated  hereby  shall have been duly and validly
            taken by Seller.

      (e)   Seller shall have furnished Purchaser with copies of all consents or
            resolutions  adopted or executed by Seller in  connection  with such
            actions, certified by the Secretary of Seller.

      (f)   There  shall  have been no event or  change  occurring  between  the
            execution of this  Agreement  and the Closing which in the aggregate
            may be deemed to have an adverse effect on the business, operations,
            financial  condition or properties of the Business which is material
            to Purchaser as purchaser of the Assets.

      (g)   Except as described in the  Disclosure  Schedule with a reference to
            this   Section,   there   shall  be  no  actions,   proceedings   or
            investigations pending, or threatened against Seller or its officers
            or  directors  before  any  court,  any  administrative   agency  or
            administrative  officer  or  executive,  which  could  result in any
            adverse change in the business,  operations,  financial condition or
            properties  of the  Business  which is material to the  Purchaser as
            purchaser of the Assets.

      (h)   Except as set forth in this  Agreement,  Seller shall have obtained,
            or caused to be obtained,  each  consent and  approval  necessary in
            order that the  transactions  contemplated  herein not  constitute a
            breach or  violation  of, or  result  in a right of  termination  or
            acceleration  of,  or  creation  of  any  encumbrance  on any of the
            Assets, pursuant to the provisions of any agreement,  arrangement or
            undertaking  of or  affecting  Seller or any  license,  franchise or
            permit of or affecting Seller .

      (i)   All material governmental filings, authorizations and approvals that
            are required for the consummation of the  transactions  contemplated
            hereby shall have been duly made and  obtained by Seller  (excepting
            filings  required by  Purchaser  pursuant to  applicable  securities
            laws).

      (j)   Purchaser  shall  not  have  discovered  any  fact  or  circumstance
            existing  as of the  date  of this  Agreement  which  has  not  been
            disclosed to Purchaser  as of the date of this  Agreement  regarding
            the business, assets, liabilities,  properties, condition (financial
            or  otherwise),  results of  operations or prospects of Seller which
            is,  individually  or in the  aggregate  with  other  such facts and
            circumstances,  materially  adverse  to  Seller  or the value of the
            Assets.

      (k)   There shall have been no damage, destruction or loss of or to any of
            the  Assets,  whether or not  covered  by  insurance  which,  in the
            aggregate,  has or would be  reasonably  likely to have,  a material
            adverse effect on Seller.

      (l)   Purchaser  shall have  received  from counsel to Seller,  an opinion
            dated the Closing, to the following effect:

            (i) Seller is a corporation duly organized,  validly existing and in
            good standing under the laws of the State of New Jersey;


                                       19
<PAGE>

            (ii) Execution and delivery of this  Agreement and the  consummation
            of the transactions  contemplated  hereby have been duly and validly
            authorized  by all  necessary  action,  corporate or  otherwise,  by
            Seller  and this  Agreement  is a valid and  binding  obligation  of
            Seller ,  enforceable  against  Seller in accordance  with its terms
            except as enforcement can be limited by general equitable principles
            or  bankruptcy,  insolvency  or similar  laws  affecting  creditor's
            rights generally;

            (iii) The execution  and delivery of this  Agreement and the sale of
            the  Assets  by  Seller  will  not  violate  or  conflict  with  the
            Certificate  of  Incorporation  or bylaws of Seller or any agreement
            known to such  counsel to which Seller is a party or by which Seller
            or its assets are bound  (except that no opinion need be given as to
            the  assignability  of any  contract  or  agreement  included in the
            Assets);

            (iv) No consent, approval,  authorization or order of, and no notice
            to or filing with, any  governmental  agency or body or any court is
            required to be obtained or made by Seller for the sale of the Assets
            pursuant to this  Agreement,  except  such as have been  obtained or
            made;

            (v)  Except  as  disclosed  in this  Agreement  or the  Exhibits  or
            Schedules,  after  due  inquiry  such  counsel  is not  aware of any
            pending or threatened action, proceeding or investigation before any
            court or  administrative  agency  which could result in any material
            adverse change in the operation or financial  condition of Seller or
            have a  materially  adverse  effect  on the  Assets  in the hands of
            Purchaser.

      9.2 Waiver of Conditions Precedent.  Purchaser may waive any or all of the
conditions  precedent  set  forth  in  this  Section,  either  prospectively  or
retroactively,  by giving written notice of such waiver to Seller.  No waiver of
any  condition  precedent  pursuant  to this  Section  shall,  unless  otherwise
expressly stated in such written notice of waiver,  extend to any other covenant
or agreement contained herein or to any other condition precedent.

10. SURVIVAL OF REPRESENTATIONS AND WARRANTIES

      10.1 The representations, warranties, covenants and agreements made by the
respective  parties  in  this  Agreement  or in  any  certificate  executed  and
delivered in connection with the transactions  contemplated hereby shall survive
the Closing for a period of two (2) years  following  the  Closing,  except that
representations  as to  Taxes  shall  survive  without  limit  as to  time.  All
covenants,  agreements,  representations  and warranties made herein or pursuant
shall be deemed to be  material  and to have been  relied  upon by the  parties,
notwithstanding  any investigation  heretofore or hereafter made by or on behalf
of the  parties  prior to the  Closing or any  knowledge  of any breach or other
event which is obtained or learned prior to the Closing.

11. INDEMNIFICATION

      11.1 Indemnification.

      (a)   Seller  agrees to  indemnify in respect of, and hold  Purchaser  and
            NYHC harmless against,  any and all damages,  claims,  deficiencies,
            losses,  and  expenses  (including,  without  limitation,  legal and
            investigatory  and  other  fees in  attempting  to avoid the same or
            defending against the same) (collectively "Damages") resulting from:

            (i) any misrepresentation, breach of warranty, or non-fulfillment or
            failure to perform any  covenant or  agreement on the part of Seller
            made  as a  part  of or  contained  


                                       20
<PAGE>

            in this  Agreement  or in any  certificate  executed  and  delivered
            pursuant to this  Agreement or in connection  with the  transactions
            contemplated hereby,

            (ii) any liabilities not expressly  assumed by Purchaser  hereunder;
            and (iii) Seller's operation of the Business prior to the Closing.

      (b)   Purchaser  and NYHC  jointly and  severally  agree to  indemnify  in
            respect of, and hold Seller  harmless  against,  any and all Damages
            resulting from:

            (i) any misrepresentation, breach of warranty, or non-fulfillment or
            failure  to  perform  any  covenant  or  agreement  on the  part  of
            Purchaser or NYHC made as a part of or  contained in this  Agreement
            or in any  certificate  executed  and  delivered  pursuant  to  this
            Agreement  or  in  connection  with  the  transactions  contemplated
            hereby,

            (ii) for periods after the Closing, the Assumed Liabilities, and

            (iii) Purchaser's operation of the Assets after the Closing.

      (c)   The party claiming indemnification hereunder is hereinafter referred
            to as the "Indemnified Party" and the party against whom such claims
            are   asserted   hereunder  is   hereinafter   referred  to  as  the
            "Indemnifying Party."

      11.2  Limitation of Liability.  Neither party shall be liable to the other
party to this  Agreement  except  to the  extent  that the  aggregate  amount of
Damages for which they would  otherwise (but for this provision) be liable under
this Section, net of any insurance payments, exceeds in the aggregate the sum of
five thousand dollars ($5000) and then only to the extent of such excess.

      11.3 Other Rights and Remedies Not Affected. The indemnification rights of
the parties under this Section are independent of and in addition to such rights
and  remedies as the parties may have at law or in equity or  otherwise  for any
misrepresentation,  breach of warranty or failure to fulfill  any  agreement  or
covenant  hereunder on the part of any party  including  without  limitation the
right to seek specific  performance,  rescission or  restitution,  none of which
rights or remedies shall be affected or diminished hereby.

12. RIGHT OF FIRST REFUSAL

      (a)   Purchaser may desire to purchase the remaining  staffing  operations
            of Seller not included in the Business ( the Remainder).  Seller has
            not  determined  whether or not it is prepared to sell  Remainder at
            this time and is willing  to grant  Purchaser  certain  preferential
            rights with respect to any eventual sale of the Remainder.

      (b)   For a period of three years from the date of closing;

            (i) Seller agrees to notify Purchaser,  in writing,  within ten (10)
            days of Seller's receipt of an acceptable bona fide written offer of
            purchase  of the  Remainder  or any  portion of the  Remainder.  The
            notice will contain, at a minimum, the name and address of the buyer
            and a copy of the offer to purchase or a detailed description of the
            material terms of the proposed transaction.

            (ii)  Purchaser  shall  have the right and  option to  purchase  the
            Remainder  or the portion of the  Remainder  which is subject of the
            notice  referred to in 12(b)(i) at the identical  offer.  This right


                                       21
<PAGE>

            and option may be  exercised  by the  Purchaser  at any time  within
            fifteen (15) business days after the receipt of the notice  referred
            to in 12 (b)(i) by providing written notice to the Seller.

      (c)   As of this date no other asset is being offered for sale.

13. CLOSING

      13.1 The closing is contingent upon the following:

      (a)   CAHC accreditation in good standing

      (b)   Unrestricted due diligence

      (c)   Visiting the 3 offices and meeting its staff

      13.2 Closing.  The closing of this  Agreement (the  "Closing")  shall take
place at the New York offices of Purchaser  during the week of February  9,1998,
unless  a later  time and  date is  mutually  agreed  upon by the  parties  (the
"Closing  Date").It is agreed between the parties that the effective date of the
sale shall be February 8,1998.

      13.3 Seller's  Deliveries at Closing.  At the Closing  Seller will deliver
the  following  documents  to the  Purchaser  all of which  shall be  reasonably
satisfactory in form and substance to the Purchaser and its counsel: 

      (a)   Bill of Sale for the Assets in the form attached as Exhibit 3.

      (b)   An opinion from counsel to Seller,  dated the Closing  Date,  in the
            form described elsewhere in this Agreement.

      (c)   All  consents,  approvals  and  authorizations,  all notices and all
            registrations  and filings  required to be  obtained,  given or made
            under  any  law,  statute,   rule,  regulation,   judgment,   order,
            injunction,  contract, agreement or other instrument to which Seller
            is  subject,  bound or a party,  or by  which  Seller  or any of its
            properties  is bound or  subject,  in each case which is required to
            permit the  consummation  of the  transactions  contemplated  by the
            Agreement  without  contravention,  violation or breach by Seller of
            any of the terms thereof.

      (d)   Certificate  of good  standing for Seller from the  Secretary of the
            State  of New  Jersey  dated  as of a date  reasonably  prior to the
            Closing Date.

      (e)   Certified  copy of  resolutions  of the Board of  Directors  and the
            shareholders  of Seller  authorizing,  inter alia, the execution and
            delivery  of this  Agreement,  the sale of the  Assets and the other
            transactions contemplated under this Agreement.

      (f)   At Seller's  office,  such business records related to the Assets as
            may be reasonably  requested by the  Purchaser,  including,  without
            limitation,   employee  and  personnel   folders  and  applications,
            payroll, tax related records and financial data.

      (g)   Officer's  Certificate  in the  form  described  elsewhere  in  this
            Agreement.


                                       22
<PAGE>

      (h)   Such other  documents,  instruments,  certificates  and  agreements,
            including  assignment of space lease to Purchaser,  as Purchaser and
            its counsel may reasonably request.

      13.4 Purchaser's Deliveries at Closing. At the Closing, Purchaser and NYHC
shall deliver the following  documents to Seller all of which shall be in a form
reasonably acceptable to Seller and its counsel:

      (a)   Satisfaction of Purchaser's purchase price obligations by payment of
            the cash  portion of the  Purchase  Price,  and the  issuance of the
            Note.

      (b)   All  consents,  approvals  and  authorizations,  all notices and all
            registrations  and filings  required to be  obtained,  given or made
            under  any  law,  statute,   rule,  regulation,   judgment,   order,
            injunction,  contract,  agreement or other  instrument  to which the
            Purchaser  or NYHC is a party,  or by which either of them or any of
            their respective  properties is bound or subject, in each case which
            is  required  to  permit  the   consummation  of  the   transactions
            contemplated by this Agreement without  contravention,  violation or
            breach by the Purchaser or NYHC of any of the terms thereof.

      (c)   An opinion from counsel to the Purchaser and NYHC, dated the Closing
            Date, in the form described elsewhere in this Agreement.

      (d)   Certificates of good standing,  dated as of a date reasonably  prior
            to the date of Closing,  from the Secretary of State of the State of
            New York as to the good standing of the Purchaser and NYHC.

      (e)   An assumption  agreement  pursuant to what the Purchaser assumes the
            Assumed Liabilities.

      (f)   Certified copy of resolutions of the Board of Directors of Purchaser
            and NYHC authorizing, inter alia, the execution and delivery of this
            Agreement and in the case of Purchaser, the Note, and in both cases,
            the purchase of the Assets, and the other transactions  contemplated
            hereby.

      (g)   Officer's  Certificate  in the  form  described  elsewhere  in  this
            Agreement.

      (h)   Such  other  documents,  instruments,  certificates  and  agreements
            including  without  limitation,  if assumed,  the  assumption of the
            lease, as Seller and its counsel may reasonably request.

14. MISCELLANEOUS

      14.1 Notice.  All notices and  communications  required or permitted to be
given  hereunder  shall be in writing,  signed by the sender,  and  delivered by
personal delivery overnight courier service or by registered mail to:

      If to Seller :
      c/o Metro Health Care services, Inc.
      85 Route 27
      Edison, New Jersey

      With a copy to:
      Richard M. Thuring, Esq.


                                       23
<PAGE>

      1253 Springfield Avenue
      New Providence, New Jersey 07974

      If to Purchaser :
      c/o New York Health Care, Inc.
      1850 McDonald Avenue
      Brooklyn New York 11223

      With a copy to:
      Avrohom P. Dubin, Esq.
      1140 East 19th Street
      Brooklyn New York 11230

      or such other address as shall have been furnished in writing. Receipt by,
or filing with, the respective parties of any communications  shall be deemed to
have occurred for the purpose of this Agreement,  when personally delivered,  or
next  business  day if sent by  overnight  courier,  or two days  after  deposit
thereof, postage prepaid, properly addressed, in the United States mail.

      14.2 Entire and Sole Agreement. This Agreement, including all Exhibits and
Schedules  (which by this reference shall  incorporate  herein all such Exhibits
and  Schedules  as if more  fully  set forth  herein),  constitutes  the  entire
agreement  between  the  parties and as of Closing  supersedes  all  agreements,
representations,  warranties,  statements, promises and understandings,  whether
oral or  written,  with  respect to the subject  matter  hereof.  After  Closing
neither party shall be bound by or charged with any oral or written  agreements,
representations,   warranties,   statements,   promises  or  understandings  not
specifically  set forth in this  Agreement or in the  certificates  or documents
delivered in connection herewith.

      14.3  Successors  and  Assigns.  Except  as  otherwise  provided  in  this
Agreement,  all  covenants  and  agreements  of the  parties  contained  in this
Agreement  shall be  binding  upon and inure to the  benefit  of the  respective
successors  and  permitted  assigns  of the  parties  and  the  heirs,  personal
representatives,  executors and assigns of Seller and Purchaser.  This Agreement
may not be assigned by any party  without the prior express  written  consent of
the other parties.

      14.4 Expenses.  Whether or not the transactions  contemplated hereby shall
be  consummated,  each  party  shall be solely  responsible  for  payment of all
expenses  incurred by it in connection  with the  consummation of this Agreement
and the  transactions  contemplated  hereunder,  except  as  otherwise  provided
herein.  None of Seller's  expenses  with respect to this  transaction  shall be
charged to the Business or shall otherwise reduce the Assets.

      14.5 Sales Taxes.  Seller shall collect from  Purchaser all New York,  New
Jersey  and any other  state or local  sales or use  taxes,  if any,  payable by
Purchaser in connection with this transaction.

      14.6  Severability.  Should  any  one or more  of the  provisions  of this
Agreement be determined to be illegal or unenforceable,  all other provisions of
this  Agreement  shall  be  given  effect  separately,  from  the  provision  or
provisions  determined to be illegal or unenforceable  and shall not be affected
thereby.


      14.7  Governing  Law.  This  Agreement  shall be construed and enforced in
accordance with and governed by the laws of the State of New York without regard
to conflicts of laws principles.

      14.8 Counterparts. This Agreement may be executed simultaneously in two or
more counterparts, each of which shall be an original, but all of which together
shall constitute one and the same Agreement.


                                       24
<PAGE>

      14.9  Amendments.  Neither  this  Agreement  nor any  term  hereof  may be
changed,  waived,  discharged or terminated orally, but only by an instrument in
writing.

      14.10 No  Third  Party  Beneficiary.  The  terms  and  provisions  of this
Agreement are intended solely for the benefit of the parties , and it is not the
intention of the parties to confer third-party beneficiary rights upon any other
person or entity.

      14.11  Headings.  The  headings  in this  Agreement  are for  purposes  of
convenience and easy reference only and shall not limit or otherwise  affect the
meaning hereof.

      14.12  Disputes.  In the event of any  dispute  which  arises  between the
parties and which relates to the subject matter of this  Agreement,  the parties
acknowledge  and agree that any such  dispute  shall be  submitted  for  binding
arbitration in New York, New York in accordance with the Arbitration  Commercial
Rules procedures established by the American Arbitration Association or, if such
association is not then in existence,  an independent association of arbitrators
which may be designated by,  agreement of the parties.  In the event the parties
are unable to agree on an  independent  association  of  arbitrators  from which
arbitrators  may be  drawn,  either  party  may  apply to a court  of  competent
jurisdiction for appointment of arbitrators, however, such application will only
be made  in the  event  the  American  Arbitration  Association  is not  then in
existence.  The  arbitrator(s)  shall make detailed  written findings to support
their award. The prevailing  party in any such  arbitration  proceeding shall be
awarded such costs and expenses (including reasonable attorney's fees and expert
witness  fees) as were  incurred  by the  prevailing  party  as a result  of the
institution and prosecution of the  arbitration  proceeding  including all costs
and expenses (including  reasonable  attorney's fees and expert witness fees) to
enter  judgment  upon  or  enforce  any  such  award   including  all  appellate
proceedings.

      IN WITNESS WHEREOF, the parties have executed this Agreement as of the day
and year first above written.

         NYHC NEWCO PAXXON, INC.

         By:________________________________

         Its:_________________________________

         NEW YORK HEALTH CARE, INC.

         By:________________________________

         Its:_________________________________

         METRO HEALTHCARE SERVICES, INC.

         By:________________________________

         Its: ________________________________



                          PURCHASE AND SALE AGREEMENT

      THIS  AGREEMENT is made and entered into  effective this February 25, 1998
among NYHC NEWCO PAXXON, INC., a New York corporation  ("Purchaser"),  and HEART
TO HEART HEALTHCARE SERVICES, INC., a New Jersey corporation ("Seller").

                                    RECITALS

      Seller  conducts  the  business of home care under the name Heart to Heart
Health Care Services, Inc. in East Orange, NJ, (the "Business").  Purchaser is a
wholly owned  subsidiary of New York Health Care,  Inc., a New York  corporation
("NYHC")  which  desires to purchase  the assets of the Business as described in
the Disclosure Schedule. Purchaser also desires to assume certain liabilities of
the Business described in the Disclosure Schedule.  Seller desires to enter into
these transactions with Purchaser.

      NOW,  THEREFORE,  in  consideration of the mutual covenants and agreements
contained  herein,  and in  reliance  upon the  representations  and  warranties
contained herein, the parties agree as follows:

1. DEFINITIONS

The following terms used in this Agreement  shall,  unless the context  requires
otherwise, have the meanings designated below:

      1.1 Assets means all of the assets and  properties of Seller used by it in
connection with the Business other than its cash, security deposits and accounts
receivable, including, without limitation, the following:


      (a)   goodwill and all slogans or trade names,  including  the name "Heart
            to Heart" and the other names listed in the Disclosure Schedule, and
            all customer lists relating to its customers ,

      (b)   all of Seller's  contracts and other arrangements with its customers
            in respect of the Business;

      (c)   client lists, client records,  client files and other client related
            materials and property;

      (d)   machinery,  equipment,  racking,  supplies,  leasehold improvements,
            furniture and fixtures;

      (e)   employee lists, files, papers, books, records, sales and advertising
            materials and records, sales and purchase correspondence;

      (f)   rights  and  interest  in  and  to  any  licenses  and  commercially
            practiced patents,  copyrights,  trademarks,  trademark registration
            applications (including all reissues,  divisions,  continuations and
            extensions  thereof),  patent  applications  and patent  disclosures
            docketed,  rights and interests in and to all intellectual  property
            rights and proprietary  expertise,  including,  without  limitation,
            proprietary information, technical and technological data, know-how,
            processes,  invention,  conception,  memoranda,   manufacturing  and
            engineering data, computer programs (including the licenses thereto)
            and sales and advertising information,

      (g)   permits, authorizations, approvals or indicia of authority;

      (h)   right,  title and interest of Seller in and to (A) the lease for the
            premises at 60 Evergreen Place,  East Orange,  New Jersey,  144 Main
            Street,  Hackensack, New Jersey and any leases for personal property
            which are listed in the Disclosure Schedule; (B) all purchase orders
            given by Seller for the purchase of products,  materials,  supplies,
            parts and other items used in the 


                                       1
<PAGE>

            ordinary course of business;  and (C) all purchase orders  submitted
            to Seller by customers of Seller in the ordinary  course of business
            with respect to which services remain to be rendered on or after the
            Closing Date;

      (i)   prepaid expenses (it being  understood,  however,  that no insurance
            policies are being assigned to Purchaser); and

      1.2 Closing Date has the meaning given to it in Section 12.1

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

      1.4  Disclosure  Schedule  means the  schedule  which will be delivered by
Seller to  Purchaser  prior to the closing date , and which will be initialed by
Seller and Purchaser

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

      1.6 Purchaser means NYHC Newco Paxxon,  Inc., a New York  corporation,  or
its designee.

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

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

      1.9 Uniform  Commercial Code means the Uniform  Commercial Code applicable
in the State of New York and New Jersey.

      1.10 Other terms are as defined herein.


                                       2
<PAGE>

2. ACQUISITION OF THE ASSETS

      2.1 Purchase of Assets.  Subject to the terms and  conditions set forth in
this Agreement, at the Closing, Purchaser shall purchase from Seller, and Seller
shall sell to Purchaser, the Assets, free and clear of all encumbrances,  liens,
security interests or other claims.

      2.2 Purchase Price for Assets; Allocation of Purchase Price.

      (a)   The aggregate  purchase price for the Assets (the "Purchase Price"),
            is: $1,150,000

            (i) one  promissory  note of  Purchaser in the  principal  amount of
            $1,150,000  and in the form of  Exhibit  1 (the  "Note")  . The Note
            shall be issued at the  Closing,  and is  referred  to herein as the
            "Note."

      (b)   Any  transfer or  assignment  to Purchaser by Seller of any contract
            which  requires  the consent or approval of any third party shall be
            made subject to such consent or approval  being  obtained and Seller
            shall be responsible for obtaining such consents or approvals.

      (c)   The Purchase  Price shall be allocated to the Assets as set forth in
            the Disclosure Schedule. The parties agree that they will not take a
            position on any income tax return or before any governmental  agency
            or in any judicial  proceeding  that is inconsistent in any way with
            this  allocation  and shall  cooperate  to complete IRS Form 8594 as
            soon as practical following the Closing Date.

      2.3 Liabilities.

      (a)   As part of the consideration for the Assets,  Purchaser shall assume
            and pay,  perform and discharge  those  liabilities  and obligations
            which  accrue  after  the  Closing  and are  described  as  "Assumed
            Liabilities"  in the  Disclosure  Schedule  with a reference to this
            Section (the "Assumed  Liabilities"),  as they become due. Purchaser
            shall  not be  obligated  to pay,  perform  or  discharge  any  such
            obligation  owed to a third  party  except to the  extent  that such
            obligation or liability  constitutes a valid and legally enforceable
            claim by such third party,  and  Purchaser may contest in good faith
            any such obligation or liability.  The Assumed Liabilities  include,
            to  the  extent  disclosed  in  the  Seller's  Disclosure  Schedule,
            obligations  of the Business to perform home care services after the
            Closing.

      (b)   With the exception of the Assumed  Liabilities,  all  obligations of
            Seller,  whether  known  or  unknown,  liquidated  or  unliquidated,
            absolute  or  contingent  and  whether  arising out of a contract or
            agreement  or tort shall remain the sole  liability  of Seller,  and
            neither  Purchaser  nor NYHC shall have any liability of any kind or
            nature with respect thereto.  Without limiting the generality of the
            foregoing, neither the NYHC nor Purchaser shall assume any liability
            or obligation for:

            (i) any foreign, federal, state, country or local income, franchise,
            gross receipts or value added taxes,  or any interest,  additions to
            tax or penalties thereon, accrued for, applicable to or arising from
            any period through the Closing; or


                                       3
<PAGE>

            (ii) legal, accounting or other professional fees of Seller.

      2.4 Collection of Receivables. The accounts receivable of the Business are
not  included  in the Assets and shall be retained  by Seller.  Any  payments by
customers received by Purchaser,  subsequent to Closing, which belong to Seller,
will be  immediately  forwarded  to  Seller.  Seller  shall  not  engage  in any
collection  activity  other than the sending of routine  invoices and statements
during the 30 day period following  Closing.  During the period following thirty
one (31) days after  closing,  should  Seller  encounter  difficulty  collecting
accounts receivable from a customer, which was recorded prior to closing, Seller
will discuss with,  and notify,  in writing,  the  Purchaser,  at least one week
prior to any  communication  with the  customer.  Accounts  Receivable of Seller
shall not be collected by Purchaser.

3. REPRESENTATIONS AND WARRANTIES OF SELLER

      Seller  represents  and warrants to Purchaser and NYHC that the statements
contained in this Section are true,  correct and complete as of the date of this
Agreement as follows:

      3.1  Organization  and   Qualification.   Seller  is  a  corporation  duly
organized,  validly existing and in good standing under the laws of the State of
New Jersey. Seller has all requisite corporate power and authority to own, lease
and operate its properties and to carry on its business as now being  conducted.
The  copies of the  Certificate  of  Incorporation  and the  bylaws of Seller as
amended to date,  which have been  delivered  to  Purchaser,  are  complete  and
correct,  and Seller is not in default under or in violation of any provision of
its Certificate of Incorporation or bylaws.

      3.2  Authorization.  This  Agreement  has been  approved by all  necessary
shareholder and corporate action on behalf of Seller,  has been duly and validly
executed by Seller, and the agreements, representations and warranties contained
herein constitute valid and binding obligations,  representations and warranties
of Seller, enforceable in accordance with their terms.

      3.3 Bulk Sale Law.  Seller is not  required  to comply  with the bulk sale
provisions of the Uniform  Commercial Code in connection  with the  transactions
contemplated hereby.

      3.4  No  Conflicting  Agreements.  The  execution  and  delivery  of  this
Agreement by Seller does not,  and  consummation  by Seller of the  transactions
contemplated  hereby will not: (i) violate any existing term or provision of any
law,  regulation,  order,  writ,  judgment,  injunction or decree  applicable to
Seller or the  Assets,  (ii)  conflict  with or result in a breach of any of the
terms, conditions or provisions of the Certificate of Incorporation or bylaws of
Seller or of any agreement or  instrument  to which Seller is a party,  or (iii)
result in the creation or imposition  of any lien,  charge,  security  interest,
encumbrance, restriction or claim upon the Assets.

      3.5 Compliance  with  Applicable Law. Seller has at all times been in full
compliance with each legal requirement that is or was applicable to the Business
it or to the conduct of its  operations  or the  ownership  or use of any of its
assets.  No event has  occurred  or  circumstance  exists  that (with or without
notice or lapse of time) (A) may  constitute  or result in a violation by Seller
of, or a failure on the part of Seller to comply with, any legal requirement, or
(B) may give rise to any  obligation on the part of Seller to  undertake,  or to
bear all or any portion of the cost of, any remedial action of any nature.

      3.6 Consents and  Approvals.  The execution and delivery by Seller of this
Agreement, and the performance by Seller of its obligations hereunder,  does not
require Seller to obtain any consent, approval, agreement, or action of, or make
any filing with or give any notice to, any corporation,  person, entity, or firm
or  any  public,   governmental  or  judicial  authority,   including,   without
limitation,  any landlord, other than such approvals as shall have been obtained
prior to the Closing.

      3.7  Litigation.  Except as described in the  Disclosure  Schedule  with a
reference to this Section,  there are no actions,  proceedings or investigations
pending or, to Seller's knowledge,  threatened,  against 


                                       4
<PAGE>

or  affecting  the Assets or the  Business  before  any court or  administrative
agency which could result in any adverse  change in the  operations or financial
condition of the Business.

      3.8 Schedules.

      (a)   Seller's  Disclosure  Schedule includes a separate schedule relating
            to the  Business  containing  an  accurate  and  complete  list  and
            description of:

            (i)   All real  property  owned by Seller in respect of the Business
                  or in which Seller has a leasehold or other  interest or which
                  is used by Seller in connection  with the  Business,  together
                  with a description of each lease,  sublease,  license,  or any
                  other  instrument  under  which  Seller  claims or holds  such
                  leasehold  or other  interest  or right to the use  thereof or
                  pursuant to which Seller has  assigned,  sublet or granted any
                  rights therein, identifying the parties thereto, the rental or
                  other payment  terms,  expiration  date and  cancellation  and
                  renewal terms thereof.

            (ii)  As of a date no earlier than February 13, 1998 all of Seller's
                  receivables  in respect of the Business  (which shall  include
                  accounts  receivable,  loans  receivable  and  any  advances),
                  together  with  detailed  information  as to each such  listed
                  receivable which has been outstanding for more than 30 days.

            (iii) All machinery, tools, equipment, motor vehicles, rolling stock
                  and other tangible personal property (other than inventory and
                  supplies),  owned,  leased or used by Seller in respect of the
                  Business  except  for  items  having a value of less than $500
                  which do not,  in the  aggregate,  have a total  value of more
                  than  $1,000,  setting  forth with  respect to all such listed
                  property a summary description of all leases,  liens,  claims,
                  encumbrances, charges, restrictions,  covenants and conditions
                  relating thereto,  identifying the parties thereto, the rental
                  or other payment terms,  expiration date and  cancellation and
                  renewal terms thereof.

            (iv)  All patents, patent applications, patent licenses, trademarks,
                  trademark  registrations,  and applications therefor,  service
                  marks,  service names,  trade names,  copyrights and copyright
                  registrations,  and applications therefor, wholly or partially
                  owned or held by Seller in respect of the  Business or used in
                  the operation of the Business.

            (v)   All fire,  theft,  casualty,  liability  and  other  insurance
                  policies   insuring   Seller  in  respect  of  the   Business,
                  specifying  with  respect to each such  policy the name of the
                  insurer, the risk insured against, the limits of coverage, the
                  deductible  amount  (if any),  the  premium  rate and the date
                  through  which  coverage  will  continue by virtue of premiums
                  already  paid.  Except as  disclosed  in  Seller's  Disclosure
                  Schedule,  such policies are with reputable insurers,  provide
                  adequate  coverage for all normal risks , incident to Seller's
                  assets,   properties  and  business   operations  and  are  in
                  character  and amount at least  equivalent  to that carried by
                  persons  engaged in a business  subject to the same or similar
                  perils or hazards.

            (vi)  All contracts, agreements, commitments or licenses relating to
                  computer   software,   patents,   trademarks,   trade   names,
                  copyrights, inventions, processes, know-how, formulae or trade
                  secrets to which Seller is a party or by which it is bound.


                                       5
<PAGE>

            (vii) All procedure and policy manuals.

            (viii)All  Governmental  Approvals  which have been issued to Seller
                  in respect of the Business  during the three year period prior
                  to the Closing (collectively, the "Seller Licenses").

            (ix)  All  institutional   customers  with  which  Seller  has  done
                  business in  connection  with the  Business  since  January 1,
                  1996.

            (x)   All   loan   agreements,   indentures,   mortgages,   pledges,
                  conditional  sale  or  title  retention  agreements,  security
                  agreements, equipment obligations, guaranties, leases or lease
                  purchase  agreements  to which Seller is a party in respect of
                  the  Business  or by  which  it is  bound  in  respect  of the
                  Business or in any way affecting the Business or the Assets.

            (xi)  All contracts, agreements, commitments or other understandings
                  or  arrangements  to which Seller is a party in respect of the
                  Business  or by  which it or any of its  property  is bound or
                  affected in respect of the Business but excluding

                  (A)   purchase  and sales orders and  commitments  made in the
                        ordinary  course  of  business   involving  payments  or
                        receipts  by Seller of less than $500 in any single case
                        but not more than $1,000 in the aggregate,

                  (B)   contracts   entered  into  in  the  ordinary  course  of
                        business and involving payments or receipts by Seller of
                        less than $500 in the case of any  single  contract  but
                        not more than $1,000 in the aggregate, and

                  (C)   contracts   entered  into  in  the  ordinary  course  of
                        business  which are terminable by Seller on less than 30
                        days' notice  without any penalty or  consideration  and
                        involving  payments  or  receipts by Seller of less than
                        $500 in the  case of any  single  contract  but not more
                        than $1,000 in the aggregate.

            (xii) All   collective   bargaining   agreements,   employment   and
                  consulting  agreements,  executive  compensation  plans, bonus
                  plans,  deferred  compensation  agreements,  employee  pension
                  plans or  retirement  plans,  employee  stock options or stock
                  purchase plans and group life,  health and accident  insurance
                  and other employee benefit plans, agreements,  arrangements or
                  commitments,   whether  or  not  legally  binding,  including,
                  without  limitation,  holiday,  vacation,  Christmas and other
                  bonus practices,  to which Seller is a party or is bound which
                  relate to the Business.

            (xiii)All current full time  employees of Seller with respect to the
                  Business and their current annual salaries or other methods of
                  direct or indirect compensation.

            (xiv) As of a date no  earlier  than  January  1, 1998 a list of the
                  rate or rates at which  each of the  customers  of  Seller  is
                  billed.

            (xv)  As of February 13, 1998 a list of all current  patients  being
                  serviced by Seller.

      (b)   All of the contracts,  agreements,  leases, licenses and commitments
            required to be listed on Seller's  Disclosure  Schedule  (other than
            those  which  have been  fully  performed)  are  valid and  binding,
            enforceable in accordance with their respective terms, in full force
            and effect and,  except as  otherwise  specified  in the  Disclosure
            Schedule,  the  enforceability  thereof  will not be 


                                       6
<PAGE>

            affected by the sale of Assets  contemplated  hereby, so that, after
            the  Closing  Purchaser  will  continue  to be  entitled to the full
            benefits thereof.

      (c)   Except as disclosed in Seller's  Disclosure  Schedule,  there is not
            under any such contract, agreement, lease, license or commitment any
            existing default,  or event which, after notice or lapse of time, or
            both,  would constitute a default or result in a right to accelerate
            or loss of rights, and none of such contracts,  agreements,  leases,
            licenses or commitments is, either when considered  singly or in the
            aggregate  with others,  unduly  burdensome,  onerous or  materially
            adverse to the  Business,  or its  properties,  assets,  earnings or
            prospects,  or likely, either before or after the Closing, to result
            in any  material  loss or  liability.  None of Seller's  existing or
            completed  contracts  in  respect  of the  Business  are  subject to
            renegotiating with any governmental body.

      (d)   True and complete copies of all such contracts,  agreements, leases,
            licenses and other documents listed on Seller's  Disclosure Schedule
            (together with any and all  amendments  thereto) have been delivered
            to Purchaser and initialed by Seller's Secretary or Seller's counsel
            and identified with a reference to this Section of this Agreement.

      3.9  Brokers.  All  negotiations   relative  to  this  Agreement  and  the
transactions  contemplated  hereby have been carried out by  representatives  of
Seller directly with Purchaser and NYHC,  without the intervention of any person
on behalf of  Seller  in such  manner as to give rise to any valid  claim by any
person  retained  by  Seller  against  Purchaser  or NYHC  for a  finder's  fee,
brokerage commission or similar payment.

      3.10 Taxes.  Seller shall be responsible  for all personal  property taxes
for the business of Seller through the date of the Closing.

      3.11 Ownership; Sufficiency.

      (a)   Except as otherwise  described  in the  disclosure  Schedule  with a
            reference to this Section, Seller is the owner,  beneficially and of
            record,  of  all  of the  Assets,  free  and  clear  of  all  liens,
            encumbrances,   security  agreements,   equities,  options,  claims,
            charges and  restrictions,  and Seller will  transfer  the Assets to
            Purchaser at the Closing, free and clear of all liens, encumbrances,
            security  agreements,   equities,   options,   claims,  charges  and
            restrictions.

      (b)   Except for  insubstantial  assets that can be replaced  for not more
            than an  aggregate  of $1,000,  the Assets  include  absolutely  all
            fixed,  non-fixed,  tangible and intangible assets that were used by
            Seller in connection with the Business on the date hereof.  All such
            assets are accepted as is , dependent  upon  inspection of Purchaser
            prior to Closing.

      (c)   There  are no  defects  in any  fixed  assets  or  other  conditions
            relating  thereto  which,  in the  aggregate,  materially  adversely
            affect  the   operation  or  value  of  such  fixed   assets.   3.12
            Intellectual  Property.  Seller's  use of the  name  Heart  to Heart
            Health Care Services.  Inc and each other trade name, servicemark or
            logo  currently  used by Seller in the conduct of the Business  does
            not conflict  with the rights of any third  party.  Seller has filed
            all such instruments and documents as are required for it duly to do
            business  in the State of New  Jersey  under the name Heart to Heart
            Health Care Services. Inc.

      3.13  JCAHO  and  CAHC  Accreditation.  The  East  Orange,  NJ  office  is
accredited  by JCAHO and  CAHC.  

      3.14 No Change in  Relations  with  Customers.  Neither  Seller nor any of
Seller's officers or directors, has knowledge that any customers of the Business
intend to cease doing  business  with the  Business,  or 


                                       7
<PAGE>

materially  to alter the amount of the business  that they are  presently  doing
with  Seller,  whether as a result of the  transactions  contemplated  hereby or
otherwise.

      3.15  Compliance  With  Environmental  Laws.  Seller does not own any real
property with respect to or in connection  with the Business and has been at all
times  prior , and  presently  is,  in  compliance  with all  federal  and state
environmental statutes or laws concerning  environmental  protection and the use
or  disposal  of  hazardous  substances  at or in  respect  of its  leased  real
property. Neither Purchaser nor NYHC will incur any environmental liability as a
result of actions or omissions by Seller or any of their predecessors and Seller
agrees  to  indemnify  Purchaser  and NYHC  against  any  liability  that may be
asserted.

      3.16 Financial Statements.

      (a)   Seller has  delivered  to  Purchaser  copies of  Seller's  financial
            statements  with  respect to the Business for the fiscal years ended
            December 31, 1995, 1996 and 1997 (the "Financial  Statements").  The
            Financial Statements are based upon the information contained in the
            books and  records of Seller and fairly and  accurately  present the
            financial  condition  of the  Business  as of the dates  thereof and
            results of  operations  for the periods  referred  to  therein.  The
            balance sheet of the Business as of December 31, 1997 is referred to
            herein as the "Balance  Sheet," and December  31,1997 is referred to
            herein as the "Balance Sheet Date."

      (b)   The books and  records of the  Business  are  adequate to permit the
            completion  within 30 days of an  independent  audit of the Business
            for such fiscal year.

      3.17 Absence of  Undisclosed or Contingent  Liabilities.  Except as and to
the  extent  reflected  or  reserved  against on the face of the  Balance  Sheet
(excluding  the notes  thereto),  or as  otherwise  set forth in the  Disclosure
Schedule, as of the Balance Sheet Date Seller, in respect of the Business had no
debts,  liabilities or obligations  (whether  absolute,  accrued,  contingent or
otherwise) of any nature whatsoever,  including, without limitation, any foreign
or domestic tax  liabilities or deferred tax liabilities for any period prior to
the close of business on the Balance Sheet Date or any other debts,  liabilities
or obligations in respect of the Business relating to or arising out of any act,
transaction,  circumstance  or state of facts  which  occurred  or existed on or
before the Balance Sheet Date, whether or not then known, due or payable. Except
as set forth in the Disclosure Schedule,  none of Seller's employees, in respect
of the  Business,  is now or,  will by the  passage  of time  hereafter  become,
entitled  to  receive  any  vacation   time,   vacation  pay  or  severance  pay
attributable  to services  rendered  prior to the  Balance  Sheet Date except as
disclosed on the face of the Balance Sheet  (excluding  the notes thereto) or as
otherwise set forth in the Disclosure Schedule.

      3.18 No Material Adverse Changes.  Since the Balance Sheet Date, there has
been no change materially adverse in the Business,  or in its assets,  financial
condition,  gross  profit,  operating  results,  customer,  employee or supplier
relations,  condition  or  prospects.  

      3.19 Absence of Developments. Seller in respect of the Business has at all
times:

      (a)   conducted  operations only in the regular and ordinary course and in
            compliance with all applicable laws and regulations;

      (b)   maintained reasonable business insurance;

      (c)   committed no waste of assets;

      (d)   not disposed or otherwise changed the nature of any asset other than
            in the ordinary course of business,


                                       8
<PAGE>

      (e)   not created or suffered to exist any lien,  charge or encumbrance on
            any Asset or incurred any indebtedness for borrowed money other than
            in the ordinary course which is secured by one or more of assets;

      (f)   used  its  best  efforts  to  maintain  and  preserve  its  business
            organization  intact and maintain its relationships  with suppliers,
            employees, customers and others;

      (g)   refrained  from  making  any  material   capital   expenditures   or
            commitments  for  additions to the  property,  plant or equipment or
            entering into  transactions  which could  materially alter or affect
            operations;

      (h)   not  experienced  any  changes  in  reimbursement  or  reimbursement
            policies  from  third-party  payers as a result of  changes in third
            party payer policies, practices, procedures or schedules;

      (i)   not  engaged  in  any  unusual  or  novel  methods  of  billing  and
            collection,  purchase, sale, lease, management,  equipment servicing
            or repair, accounting or operation that vary from Seller's usual and
            customary past practice; and

      (j)   not changed any aspect of its procedure for maintaining its books of
            account and records.

      3.20 Tax Matters.

      (a)   Seller has filed all Tax  Returns  that it was  required  to file in
            connection with the Business.  All such Tax Returns were correct and
            complete  in all  material  respects.  All Taxes owed by Seller with
            respect to the  Business  (whether  or not shown on any Tax  Return)
            have been  paid.  Seller is not  currently  the  beneficiary  of any
            extension of time within which to file any such Tax Return. No claim
            has ever been made by an  authority in a  jurisdiction  where Seller
            does not file Tax  Returns  that it is or may be subject to taxation
            by that jurisdiction. There are no encumbrances on any of the Assets
            that arose in  connection  with any failure (or alleged  failure) to
            pay any Taxes.

      (b)   Seller  has  withheld  and  paid all  Taxes  required  to have  been
            withheld and paid by it in connection  with amounts paid or owing to
            any employee, independent contractor, creditor, shareholder or other
            third party.

      (c)   There is no dispute or claim  concerning  any liability for Taxes of
            Seller in connection  with the Business (i) claimed or raised by any
            authority  in writing or orally  with any  directors  or officers of
            Seller, or (ii) as to which any such person has knowledge based upon
            personal  contact with any agent of such  authority.  The Disclosure
            Schedule  lists all  federal,  state,  local and foreign  income Tax
            Returns  filed by Seller with  respect to the  Business  for taxable
            periods  ended on or after  December 31, 1995,  indicates  those Tax
            Returns that have been audited, and indicates those Tax Returns that
            currently  are the  subject of audit.  Seller has  delivered  to the
            Purchaser  correct and  complete  copies of all  federal  income Tax
            Returns,  examination reports, and statements of deficiencies filed,
            assessed  against or agreed with  respect to the  Business by Seller
            since December 31, 1995.

      3.21 Employees.

      (a)   Except as  disclosed  in the  Disclosure  Schedule,  no  employee of
            Seller in respect of the Business has  notified  Seller,  and Seller
            does not have any knowledge, that any such employee will not, accept
            employment with Purchaser following the Closing;

      (b)   Seller,  to the best of  his/her  knowledge,  has in  respect of the
            Business  complied  in all  material  respects  with all  employment
            contracts  and  all  laws  relating  to  the  employment  


                                       9
<PAGE>

            of labor,  including  provisions  thereof relating to wages,  hours,
            equal opportunity,  collective  bargaining and the payment of social
            security and other taxes;

      (c)   Seller, to the best of his/her knowledge, does not have any material
            labor  relations   problem  pending  and  its  labor  relations  are
            satisfactory;

      (d)   To the best of Sellers' knowledge there has been no union organizing
            activity in respect of the Business;

      (e)   there   are   no   worker's    compensation,    sexual   harassment,
            discrimination  or other claims pending against Seller in respect of
            the  Business  nor is Seller aware of any facts that would give rise
            to such claims, except as set forth in the Disclosure schedule;

      (f)   except as disclosed in the  Disclosure  Schedule with a reference to
            this  Section,  no  employee  of Seller is subject to any secrecy or
            non-competition  agreement or any other  agreement or restriction of
            any kind that would  impede in any way the ability of such  employee
            to carry out fully all activities of such employee in furtherance of
            the business of Purchaser following the Closing; and

      (g)   To the best of Seller's  knowledge no employee or former employee of
            Seller  has any claim  with  respect  to any  intellectual  property
            rights of Seller.

      3.22 Gifts.

      (a)   Except as described in the  Disclosure  Schedule with a reference to
            this Section, neither Seller, nor any of its officers,  directors or
            shareholders  has  made or  agreed  to make  gifts of  money,  other
            property  or  similar  benefits  (other  than  incidental  gifts  of
            articles  of  nominal  value) to any actual or  potential  customer,
            supplier,  governmental  employee,  political  party,  candidate for
            office,  governmental  agency or instrumentality or any other person
            in a  position  to assist or hinder  Seller in  connection  with any
            actual or proposed business transaction.

      (b)   Neither Seller nor any of their  officers,  directors,  employees or
            agents  has  directly  or  indirectly  paid or  delivered  any  fee,
            occasion, or other money or property, however characterized,  to any
            physician or any other party that is in any manner  remuneration for
            the  referral of  patients to or that is in any manner  remuneration
            for purchasing any item or service from Seller.

      3.23 [omitted]

      3.24 Medicaid, Etc.

      (a)   Seller in respect of the Business is a  participating  provider,  in
            good  standing,  in the Medicaid  program and in federal,  state and
            local Department of Health,  Department of Education,  Department of
            Consumer  Affairs  ,workers  compensation and Blue Cross Blue Shield
            programs  and in the  health  maintenance  organizations,  preferred
            provider  organizations,  health  benefit  plans,  health  insurance
            plans,  and other third  party  reimbursement  and payment  programs
            listed in the Disclosure Schedule (the "Payment Programs").

      (b)   There is no  investigation  or civil,  administrative,  or  criminal
            proceeding,    threatened   or   pending,   relating   to   Seller's
            participation  in any of the  Payment  Programs  in  respect  of the
            Business.  Seller  is not in  respect  of the  Business  subject  to
            utilization  review by any 


                                       10
<PAGE>

            Payment  Program other than the ordinary and  customary  utilization
            review of all providers participating in such Payment Program.

      (c)   No Payment  Program has  requested  or  threatened  any  recoupment,
            refund,  adjustment  or  set-off  from  Seller  in  respect  of  the
            Business.

      (d)   No Payment  Program has imposed any fine,  penalty or other sanction
            on Seller in respect of the  Business,  nor has Seller in respect of
            the Business been excluded from participation in any Payment Program
            nor is Seller now threatened with such exclusion.

      (e)   Seller  has not  submitted  to any  Payment  Program  any  false  or
            fraudulent  claim for payment,  nor has Seller at any time  violated
            any condition for participation,  or any rule, regulation, policy or
            standard of any Payment Program. Seller has not at any time violated
            any law prohibiting Payment Program fraud or abuse.

      (f)   Seller will in a timely manner, after consultation with and approval
            by Purchaser,  give notice of the transactions  contemplated by this
            Agreement to Payment  Programs to the extent  required by law or the
            rules,  regulations  or  policies  of the  Payment  Programs  and in
            accordance  with  Seller's  provider  agreements  with  the  Payment
            Programs.

      3.25 Seller  Licenses.  Each of Seller Licenses is valid and in full force
and  effect as of the date  hereof,  and  except as  expressly  set forth in the
Disclosure  Schedule,   no  Seller's  License  is  subject  to  any  limitation,
restriction,  probation or other  qualification.  Seller has operated within the
scope  of the  provisions  of all  Seller  Licenses.  There is not  pending,  or
threatened,   any   investigation  or  proceeding  which  could  result  in  the
termination,  revocation,  limitation,  suspension, restriction or impairment of
any of Seller Licenses or the imposition of any fine, penalty or other sanctions
for violation of any requirements of any of Seller Licenses.  Seller now has and
has had at all relevant  times all  Governmental  Approvals as are  necessary in
respect  of the  Business  in order to  enable  Seller  to own and  conduct  the
Business  and to  occupy  and  lease  its real  property,  each  such  currently
effective item being listed in the Disclosure Schedule.

      3.26 Material  Misstatements or Omissions.  Neither this Agreement nor any
other document,  certificate or statement furnished to Purchaser by or on behalf
of Seller in connection  with this  Agreement or the  transactions  contemplated
hereby  contains any untrue  statement of a material fact, or omits any material
fact necessary to make the statements contained herein or therein not misleading
in light of the context in which they were made.

      3.27 No Known Adverse Effects.  Except for general economic conditions and
public information concerning health care regulatory and funding matters and the
health care industry  generally,  there are no facts known to Seller or to their
officers,  directors  or  employees  which have not been set forth in writing in
this  Agreement  or disclosed in the other  documents,  certificates  or written
statements  furnished  to  Purchaser  by or on behalf  of  Seller in  connection
herewith or the  transactions  contemplated  hereby,  and which  materially  and
adversely  affect or may in the future  materially  and  adversely  affect,  the
Assets in the hands of Purchaser or which would or may in the future  materially
and adversely affect the Purchaser's ability to operate the Business.

4. REPRESENTATIONS AND WARRANTIES OF PURCHASER AND NYHC

      NYHC and Purchaser  jointly and severally  represent and warrant to Seller
that the statements  contained in this Section are true, correct and complete as
of the date of this Agreement  and,  except as otherwise  expressly  provided in
this  Agreement,  shall be true,  correct and  complete  on the Closing  Date as
though made on the Closing Date as follows:

      4.1  Organization and  Qualification of Purchaser.  Purchaser and NYHC are
corporations  duly  organized,  validly  existing and in good standing under the
laws of the State of New York, and have the full 


                                       11
<PAGE>

corporate power and authority to own and operate their respective properties and
to carry on their respective businesses. Purchaser has additionally qualified to
do business as a foreign corporation in the State of New Jersey.

      4.2  Authorization.  This  Agreement  has been  approved by all  necessary
corporate  action on behalf of  Purchaser  and NYHC,  has been duly and  validly
executed  by  Purchaser  and  NYHC,  and the  agreements,  representations,  and
warranties   contained  herein   constitute   valid  and  binding   obligations,
representations,  and warranties of Purchaser and NYHC, enforceable against each
in accordance with their terms.

      4.3 No  Conflicting  Agreements.  Except  as set  forth in the  Disclosure
Schedule  with a reference to this  Section,  the execution and delivery of this
Agreement by Purchaser and NYHC does not, and consummation by Purchaser and NYHC
of the transactions  contemplated hereby will not: (i) violate any existing term
or provision of any law, regulation, order, writ, judgment, injunction or decree
applicable to Purchaser or NYHC, (ii) conflict with or result in a breach of any
of the terms,  conditions or provisions of the Certificate of  Incorporation  or
bylaws of Purchaser or of any agreement or instrument to which Purchaser or NYHC
is a party,  or (iii) result in the creation or imposition of any lien,  charge,
security interest,  encumbrance,  restriction or claim upon Purchaser or NYHC or
any of their assets.

      4.4  Compliance  with  Applicable  Law. None of Purchaser,  NYHC or any of
their respective officers, directors or employees knows of any facts which would
result  in,  nor has any of them  received  any  notice or  information  of, any
violation,  probable  violation  or  default  by  Purchaser  or NYHC  under  any
applicable law, regulation or order of any governmental department,  commission,
board or agency or  instrumentality,  domestic or foreign,  having  jurisdiction
over  Purchaser's   operations  which  could  materially  adversely  affect  the
business, operations,  financial condition, properties or assets of Purchaser or
its ability to consummate the transaction contemplated hereby.

      4.5  Litigation.  There  are no  actions,  proceedings  or  investigations
pending, or to the knowledge of Purchaser, threatened, against Purchaser or NYHC
or any of their officers or directors, before any court or administrative agency
or administrative officer.

      4.6 Material  Misstatements  or Omissions.  Neither this Agreement nor any
other document,  certificate or statement furnished to Seller by or on behalf of
Purchaser in connection with this Agreement  contains any untrue  statement of a
material  fact,  or omits to  state  any  material  fact  necessary  to make the
statements  contained  herein and therein not misleading in light of the context
in which they were made.

      4.7 Consents and  Approvals.  The  execution and delivery by Purchaser and
NYHC of this  Agreement,  and the  performance  by  Purchaser  and NYHC of their
respective obligations hereunder, do not require Purchaser or NYHC to obtain any
consent,  approval  or action of, or make any filing with or give any notice to,
any  corporation,  person  or  firm  or any  public,  governmental  or  judicial
authority  except (i) such as have been duly  obtained or made,  as the case may
be, (ii) those consents and approvals  described in the Disclosure Schedule with
a reference to this Section and for which  application  has been made, and (iii)
those which the failure to obtain  would not have a material  adverse  effect on
the transactions contemplated hereby.

      4.8  Brokers.  All  negotiations   relative  to  this  Agreement  and  the
transactions  contemplated  hereby have been carried out by  representatives  of
Purchaser and NYHC directly with Seller,  without the intervention of any person
on behalf of Purchaser or NYHC in such manner as to give rise to any valid claim
by any person  retained by Purchaser or NYHC against  Seller for a finder's fee,
brokerage commission or similar payment.

      4.9 SEC Filings.  Purchaser  has delivered to Seller copies of NYHC's Form
10K for its  fiscal  year  ended  December  31,  1996,  and its Form 10Q for the
periods  ending  March  31,  1997 , June 30,  1997 and  September  30,1997.  The
financial  information contained in such Forms 10K and 10Q of NYHC is based upon
the  information  contained  in the books and  records  of NYHC and  fairly  and
accurately  presents the financial condition of NYHC as of the dates thereof and
the results of the operations of NYHC for the periods referred to therein.


                                       12
<PAGE>

5.  PRE-CLOSING  COVENANTS OF SELLER.  Seller hereby  covenants and agrees that,
between the date hereof and the Closing,  it will comply with the  provisions of
this Section, except to the extent Purchaser may otherwise consent in writing.

      5.1 Inspection of Properties and Books.

      (a)   Seller shall, at reasonable times acceptable to both parties, assist
            any   individual  or   individuals   designated  by  Purchaser  with
            reasonable  prior  notice to visit or inspect any property of Seller
            with  respect  to the  Business,  including  books of  accounts  and
            records with respect to the Business,  to make extracts or copies of
            such books and  records  and to discuss the  affairs,  finances  and
            accounts of Seller with its officers, and shall use its best efforts
            to  obtain  access  for  Purchaser  to  accountants'   work  papers.
            Purchaser  agrees  to  treat  all  such  material  (the  "Evaluation
            Material")  confidentially,  and shall not disclose  any  Evaluation
            Material or any information  contained therein to any party,  except
            as otherwise set forth herein; provided,  however, that Purchaser is
            authorized  to disclose the  Evaluation  Material to its  investment
            bankers,  financial  advisors  and legal  counsel.  Purchaser  shall
            instruct its investment bankers,  financial advisors, legal counsel,
            officers,  directors,  employees,  agents or  representatives of the
            confidential   nature  of  the  Evaluation  Material  and  shall  be
            responsible  for  insuring  that  the  Evaluation  Material  is kept
            confidential by such persons.

      (b)   In the event the Closing is not consummated, all Evaluation Material
            shall be returned to Seller  within ten days of a request  therefor,
            with the understanding  that Purchaser shall retain no copies of the
            Evaluation  Material  and shall not  disclose to any other party the
            Evaluation  Material  or  information  contained  therein,  with the
            exception of (i) information  which becomes  generally  available to
            the public other than as a result of disclosure  by Purchaser,  (ii)
            information  included  in the  Evaluation  Material  which  is first
            disclosed by a third party not bound by a confidentiality  agreement
            with Seller or (iii)  information  required to be  disclosed  in any
            registration  statement  or  periodic  report  under the  disclosure
            requirements  of applicable  federal and state  securities  laws, it
            being  agreed that prior to making any  disclosure  pursuant to this
            clause (iii),  Purchaser  shall first provide Seller with reasonable
            (under the circumstances)  advance notice of the disclosure,  and if
            Seller does not consent to the  disclosure,  Purchaser  may make the
            disclosure  only after  providing  Seller with an opinion of counsel
            explaining the basis for the  disclosure and the legal  requirements
            therefor.

      5.2 Other  Contracts.  Except in the ordinary  course of business,  Seller
shall not  enter  into or  become  subject  to any  agreement,  transaction,  or
commitment which would restrict or impair the obligation or ability of Seller to
comply with all of the terms of this Agreement.

      5.3 Ongoing Operation.  Seller shall carry on its business  diligently and
substantially in the same manner as heretofore conducted.  The Business shall be
conducted  only in the  ordinary  course  and  Seller  shall not take any action
except in the ordinary  course of the Business,  on an  arm-length  basis and in
accordance  in all  material  respects  with  all  applicable  laws,  rules  and
regulations and Seller's past custom and industry practice.

      5.4  Indebtedness.  Seller will not create,  incur,  assume,  guarantee or
otherwise  become liable with respect to any  indebtedness  related or connected
with, or secured by, the Assets or the Business,  except in the ordinary  course
of its business.

      5.5 Records;  Monthly  Financial  Statements.  Seller  shall  maintain its
books,  accounts  and records in the usual,  regular and  ordinary  manner,  and
shall,  upon  Purchaser's  request,  promptly  provide  Purchaser  with  monthly
financial  statements  for such month  prepared on a basis  consistent  with the
Financial Statements.


                                       13
<PAGE>

      5.6 Notice of Breach.  Promptly  after becoming aware of the occurrence or
threatened  occurrence  of any event which would cause or constitute a breach of
any warranty, representation,  covenant or agreement of Seller contained herein,
Seller  shall  give  notice in  writing  of such  event or  threatened  event to
Purchaser  and use all  reasonable  efforts to prevent or  promptly  remedy such
breach or threatened breach.

      5.7 Employment  Matters.  With respect to the Business,  Seller shall not,
directly or indirectly,  (i) enter into or modify any  employment,  severance or
similar agreements or arrangements with, or grant any bonuses, salary increases,
severance  or  termination  paid to, any  officers  or  directors  or  executive
employees  who are not  shareholders  or (ii) except in the  ordinary  course of
business,  take any  action  with  respect to the grant of any  bonuses,  salary
increases,  severance  or  termination  pay or with  respect to any  increase of
benefits  payable in effect on the date hereof for any of its  employees who are
not officers,  directors or executive  employees.  With respect to the Business,
Seller shall not adopt or amend any bonus, profit sharing,  compensation,  stock
option, pension, retirement, deferred compensation, employment or other employee
benefit plan,  trust,  fund or group  arrangement for, the benefit or welfare of
any employees.

      5.8 Insurance.  Prior to Closing, Seller shall not cancel or terminate its
current  insurance  policies or cause any of the coverage  thereunder  to lapse,
unless simultaneously with such termination,  cancellation or lapse, replacement
policies  providing  coverage  equal to or greater than the  coverage  under the
canceled,  terminated or lapsed policies for substantially  similar premiums are
in full force and effect.

      5.9  Preservation  of Business.  Seller shall with respect to the Business
(i) use its best  efforts to  preserve  intact  the  business  organization  and
goodwill,  keep  available the services of Seller's  officers and employees as a
group and maintain  satisfactory  relationships  with  suppliers,  distributors,
customers  and others  having  business  relationships  with  Seller,  (ii) upon
request,  confer on a regular basis with  representatives of Purchaser to report
operational  matters and the  general  status of ongoing  operations,  (iii) not
intentionally  take any action which would render,  or which  reasonably  may be
expected  to  render,  any  representation  or  warranty  made by  Seller in the
Agreement untrue at the Closing, (iv) notify Purchaser of any emergency or other
change in the normal course of Seller's business or in the operation of Seller's
properties and of any governmental or third party complaints,  investigations or
hearings (or  communications  indicating that the same may be  contemplated)  if
such emergency,  change, complaint,  investigation or hearing would be material,
individually  or in the  aggregate,  to the  business,  operations  or financial
condition  of Seller or the  ability of Seller to  consummate  the  transactions
contemplated by this Agreement,  and (v) promptly notify Purchaser in writing if
Seller or its representatives shall discover that any representation or warranty
made by Seller in this  Agreement  was when made,  or has  subsequently  become,
untrue in any respect.

      5.10  Brokers.  All  negotiations  relative  to  this  Agreement  and  the
transactions  contemplated  hereby have been carried out by  representatives  of
Seller directly with Purchaser and NYHC,  without the intervention of any person
on behalf of  Seller  in such  manner as to give rise to any valid  claim by any
person  retained  by  Seller  against  Purchaser  or NYHC  for a  finder's  fee,
brokerage commission or similar payment.

      5.11 Best Efforts.  Seller agrees to use its best efforts in good faith to
satisfy the various  conditions  to Closing and to consummate  the  transactions
provided  for  herein as  expeditiously  as  possible.  Seller  will not take or
knowingly  permit to be taken any action that would be in breach of the terms or
provisions of this Agreement or that would cause any of its  representations and
warranties contained herein to be or become untrue.

      5.12  Additional  Disclosure.  From  the  date  of this  Agreement  to and
including  the  Closing  Date,  Seller  will  advise  Purchaser  of  each  event
subsequent  to the date  hereof  which  would  have had to be  disclosed  on any
schedule or exhibit to this Agreement had it occurred prior to the date hereof.

6. PRE-CLOSING COVENANTS OF PURCHASER AND NYHC

      NYHC and Purchaser  hereby jointly and severally  covenant and agree that,
between  the date  hereof and the  Closing,  each of them will  comply  with the
provisions of this Section, except to the extent Seller may otherwise consent in
writing.


                                       14
<PAGE>

      6.1 Other  Contracts.  Except in the ordinary course of business,  neither
Purchaser  nor  NYHC  shall  enter  into or  become  subject  to any  agreement,
transaction  or  commitment  which would  restrict or impair the  obligation  or
ability of Purchaser or NYHC to comply with all of the terms of this Agreement.

      6.2 Best Efforts.  Purchaser and NYHC agree to use their  respective  best
efforts  in good faith to  satisfy  the  various  conditions  to Closing  and to
consummate the  transactions  provided for herein as  expeditiously as possible.
Neither  Purchaser nor NYHC will take or knowingly permit to be taken any action
that would be in breach of the terms or  provisions  of this  Agreement  or that
would cause any of its representation  and warranties  contained herein to be or
become untrue.

      6.3  Additional  Disclosure.  From  the  date  of  this  Agreement  to and
including the Closing Date,  Purchaser and NYHC will advise Seller of each event
subsequent  to the date  hereof  which  would  have had to be  disclosed  on any
schedule or exhibit to this Agreement had it occurred prior to the date hereof.

7. POST-CLOSING COVENANTS

      The parties  agree as follows  with  respect to the period  following  the
Closing:

      7.1  Further  Assurances.  If at any time after the  Closing,  any further
action is necessary  or  desirable to carry out the purposes of this  Agreement,
each of the parties will take such further  action  (including the execution and
delivery  of  such  further  instruments  and  documents)  as  any  other  party
reasonably may request, all at the sole cost and expense of the requesting party
unless the requesting party is entitled to  indemnification  therefor under this
Agreement.

      7.2  Litigation  Support.  If and  for so long as any  party  is  actively
contesting  or  defending  against  any  action,  suit,  proceedings,   hearing,
investigation,  charge,  complaint,  claim or demand in connection  with (a) any
transaction  contemplated  by  this  Agreement,  or  (b)  any  fact,  situation,
circumstance,  status, condition,  activity, practice, plan, occurrence,  event,
incident,  action, failure to act or transaction on or prior to the Closing Date
involving the Seller,  the other party will cooperate with it and its counsel in
the  contest or defense,  make  available  their  personnel,  and  provide  such
testimony  and  access  to their  books and  records  as shall be  necessary  in
connection with the contest or defense,  all at the sole cost and expense of the
contesting  or defending  party  unless the  contesting  or  defending  party is
entitled to indemnification  therefor under Section XI; provided,  however, that
neither party shall charge the other for its internal personnel costs.

      7.3  Non-Competition.  During  the  five-year  period  beginning  with the
Closing, Seller shall not, directly or indirectly:

      (a)   engage in any aspect of any home care  related  business  within the
            State of New Jersey.

      7.4 Access to Records.  During a period after the Closing  consistent with
regulatory  requirements,  Purchaser will, on reasonable notice,  give to Seller
access  to the  books and  records  of the  Business  for  periods  prior to the
Closing. Seller will have the right to copy such records, as needed.

8. CONDITIONS PRECEDENT TO CLOSING

      8.1 Conditions Precedent to Obligation of Seller. The obligation of Seller
to consummate and effect this Agreement are subject to the  satisfaction  in all
material  respects,  on or before the Closing Date, of the following  conditions
(unless waived by Seller in writing in the manner provided in this Agreement).

      (a)   The  representations  and  warranties of Purchaser set forth in this
            Agreement  shall be accurate in all  material  respects on and as of
            the Closing as though made on and as of the  Closing  (except  where
            stated  to be as  of  an  earlier  date),  except  for  any  changes
            resulting from activities or transactions which may have taken place
            after  the  date  hereof  


                                       15
<PAGE>

            which are expressly  permitted by this  Agreement or which have been
            entered  into  in the  ordinary  course  of  business  and  are  not
            expressly prohibited by this Agreement;

      (b)   Purchaser and NYHC shall have performed all obligations and complied
            with all  covenants  required to be performed or to be complied with
            by Purchaser  under this  Agreement  prior to or at the Closing Date
            including  payment of the  Purchase  Price and the  delivery  of all
            documents required at the Closing; and

      (c)   Seller shall have received a certificate  dated the Closing Date and
            signed by the President of Purchaser and NYHC to the effect that the
            representations  and warranties  made by Purchaser in this Agreement
            are true and  accurate  in all  material  respects as of the Closing
            (or, where  applicable,  as of the earlier  specified  date),  which
            certificate shall be in the form of an Exhibit to this Agreement.

      (d)   All action  necessary  to  authorize  the  execution,  delivery  and
            performance  of  this  Agreement  by  Purchaser  and  NYHC  and  the
            consummation of the transactions contemplated hereby shall have been
            duly and validly taken by Purchaser or NYHC, as the case may be.

      (e)   Purchaser  and NYHC shall have  furnished  Seller with copies of all
            consents or resolutions adopted or executed by Purchaser or NYHC, as
            the case may be, in connection  with such actions,  certified by the
            Secretary of Purchaser or NYHC, as the case may be.

      (f)   All material governmental filings, authorizations and approvals that
            are required for the consummation of the  transactions  contemplated
            hereby   shall  have  been  duly  made  and  obtained  by  Purchaser
            (excepting  filings  required  by  Purchaser  or  NYHC  pursuant  to
            applicable securities laws).

      (g)   Seller shall have  received  from  counsel to Purchaser  and NYHC an
            opinion dated the Closing, to the following effect:

            (i) Purchaser is a corporation duly organized,  validly existing and
            in good standing under the laws of the State of New York.

            (ii)  Execution and delivery of this Agreement and the Note, and the
            consummation  of  the  transactions  contemplated  hereby  have  and
            thereby, been duly and validly authorized by all necessary corporate
            action by Purchaser  and this  Agreement  and the Note are the valid
            and binding obligations of Purchaser,  enforceable against Purchaser
            in accordance with their  respective terms except as enforcement can
            be limited by general equitable principles or bankruptcy, insolvency
            or similar laws affecting creditor's rights generally.

            (iii) The execution and delivery of this Agreement and the Note will
            not violate or conflict with the  Certificate  of  Incorporation  or
            bylaws of Purchaser and NYHC or any agreement  known to such counsel
            to which  Purchaser or NYHC is a party or by which Purchaser or NYHC
            or its assets are bound.

            (iv) No consent, approval,  authorization or order of, and no notice
            to or filing with, any  governmental  agency or body or any court is
            required  to be  obtained  or made  by  Purchaser  pursuant  to this
            Agreement except such as has been obtained or made.

            (v) NYHC is a corporation  duly organized,  validly  existing and in
            good standing in the State of New York.


                                       16
<PAGE>

            (vi)  Execution  and  delivery  of this  Agreement  by NYHC  and the
            consummation of the  transactions  contemplated  hereby and thereby,
            have been duly and validly  authorized  by all  necessary  corporate
            acts by NYHC  and is the  valid  and  binding  obligation  of  NYHC,
            enforceable  against  NYHC in  accordance  with its terms  except as
            enforcement  can be  limited  by  general  equitable  principles  or
            bankruptcy,  insolvency or similar laws affecting  creditor's rights
            generally.

            (vii) The execution and delivery of this  Agreement by NYHC will not
            violate or conflict with the Certificate of  Incorporation or bylaws
            of NYHC or any  agreement  known to such  counsel to which NYHC is a
            party or by which NYHC or its assets are bound.

            (viii) No  consent,  approval,  authorization  or order  of,  and no
            notice to or filing  with,  any  governmental  agency or body or any
            court is required to be obtained or made by NYHC in connection  with
            the  execution or delivery of this  Agreement  and the Note,  except
            such as has been obtained or made.

            (ix) After due inquiry,  such counsel is not aware of any pending or
            threatened action,  proceeding or investigation against Purchaser or
            NYHC before any court or administrative agency which would result in
            any  materially  adverse  change  in  the  operations  or  financial
            condition of Purchaser.

      8.2  Waiver of  Conditions  Precedent.  Seller may waive any or all of the
conditions  precedent  set  forth  in  this  Section,  either  prospectively  or
retroactively,  by giving written notice of such waiver to Purchaser.  No waiver
of any condition  precedent  pursuant to this Section  shall,  unless  otherwise
expressly  stated in such  written  notice of waiver,  extend to any covenant or
agreement contained herein or to any other condition precedent.

9. Conditions Precedent to Obligation of Purchaser.  The obligation of Purchaser
to consummate and effect this Agreement are subject to the  satisfaction  in all
material  respects,  on or before the Closing Date, of the following  conditions
(unless  waived  by  Purchaser  in  writing  in  the  manner  provided  in  this
Agreement):

      9.1 Representations and Warranties of Seller Performance by Seller .

      (a)   The  representations  and  warranties  of  Seller  set forth in this
            Agreement  shall be accurate in all  material  respects on and as of
            the Closing as though made on and as of the  Closing  (except  where
            stated  to be as  of  an  earlier  date),  except  for  any  changes
            resulting from activities or transactions which may have taken place
            after  the  date  hereof  which  are  expressly  permitted  by  this
            Agreement;

      (b)   Seller shall have  performed all  obligations  and complied with all
            covenants  required to be  performed  or to be  complied  with by it
            under this Agreement prior to the Closing;

      (c)   Purchaser shall have received a certificate  dated as of the Closing
            and  signed  by the  President  of  Seller  to the  effect  that the
            representations  and warranties made by Seller in this Agreement are
            true and  accurate in all  material  respects as of the Closing (or,
            where  applicable,  as of the  earlier  specified  date) in the form
            attached as an Exhibit;

      (d)   All action  necessary  to  authorize  the  execution,  delivery  and
            performance of this Agreement by Seller and the  consummation of the
            transactions  contemplated  hereby  shall have been duly and validly
            taken by Seller.

      (e)   Seller shall have furnished Purchaser with copies of all consents or
            resolutions  adopted or executed by Seller in  connection  with such
            actions, certified by the Secretary of Seller.


                                       17
<PAGE>

      (f)   There  shall  have been no event or  change  occurring  between  the
            execution of this  Agreement  and the Closing which in the aggregate
            may be deemed to have an adverse effect on the business, operations,
            financial  condition or properties of the Business which is material
            to Purchaser as purchaser of the Assets.

      (g)   Except as described in the  Disclosure  Schedule with a reference to
            this   Section,   there   shall  be  no  actions,   proceedings   or
            investigations pending, or threatened against Seller or its officers
            or  directors  before  any  court,  any  administrative   agency  or
            administrative  officer  or  executive,  which  could  result in any
            adverse change in the business,  operations,  financial condition or
            properties  of the  Business  which is material to the  Purchaser as
            purchaser of the Assets.

      (h)   Except as set forth in this  Agreement,  Seller shall have obtained,
            or caused to be obtained,  each  consent and  approval  necessary in
            order that the  transactions  contemplated  herein not  constitute a
            breach or  violation  of, or  result  in a right of  termination  or
            acceleration  of,  or  creation  of  any  encumbrance  on any of the
            Assets, pursuant to the provisions of any agreement,  arrangement or
            undertaking  of or  affecting  Seller or any  license,  franchise or
            permit of or affecting Seller.

      (i)   All material governmental filings, authorizations and approvals that
            are required for the consummation of the  transactions  contemplated
            hereby shall have been duly made and  obtained by Seller  (excepting
            filings  required by  Purchaser  pursuant to  applicable  securities
            laws).

      (j)   Purchaser  shall  not  have  discovered  any  fact  or  circumstance
            existing  as of the  date  of this  Agreement  which  has  not  been
            disclosed to Purchaser  as of the date of this  Agreement  regarding
            the business, assets, liabilities,  properties, condition (financial
            or  otherwise),  results of  operations or prospects of Seller which
            is,  individually  or in the  aggregate  with  other  such facts and
            circumstances,  materially  adverse  to  Seller  or the value of the
            Assets.

      (k)   There shall have been no damage, destruction or loss of or to any of
            the  Assets,  whether or not  covered  by  insurance  which,  in the
            aggregate,  has or would be  reasonably  likely to have,  a material
            adverse  effect on Seller.  

      (l)   Purchaser  shall have  received  from counsel to Seller,  an opinion
            dated the Closing, to the following effect:

            (i) Seller is a corporation duly organized,  validly existing and in
            good standing under the laws of the State of New Jersey;

            (ii) Execution and delivery of this  Agreement and the  consummation
            of the transactions  contemplated  hereby have been duly and validly
            authorized  by all  necessary  action,  corporate or  otherwise,  by
            Seller  and this  Agreement  is a valid and  binding  obligation  of
            Seller ,  enforceable  against  Seller in accordance  with its terms
            except as enforcement can be limited by general equitable principles
            or  bankruptcy,  insolvency  or similar  laws  affecting  creditor's
            rights generally;

            (iii) The execution  and delivery of this  Agreement and the sale of
            the  Assets  by  Seller  will  not  violate  or  conflict  with  the
            Certificate  of  Incorporation  or bylaws of Seller or any agreement
            known to such  counsel to which Seller is a party or by which Seller
            or its assets are bound  (except that no opinion need be given as to
            the  assignability  of any  contract  or  agreement  included in the
            Assets);


                                       18
<PAGE>

            (iv) No consent, approval,  authorization or order of, and no notice
            to or filing with, any  governmental  agency or body or any court is
            required to be obtained or made by Seller for the sale of the Assets
            pursuant to this  Agreement,  except  such as have been  obtained or
            made;

            (v)  Except  as  disclosed  in this  Agreement  or the  Exhibits  or
            Schedules,  after  due  inquiry  such  counsel  is not  aware of any
            pending or threatened action, proceeding or investigation before any
            court or  administrative  agency  which could result in any material
            adverse change in the operation or financial  condition of Seller or
            have a  materially  adverse  effect  on the  Assets  in the hands of
            Purchaser.

      9.2 Waiver of Conditions Precedent.  Purchaser may waive any or all of the
conditions  precedent  set  forth  in  this  Section,  either  prospectively  or
retroactively,  by giving written notice of such waiver to Seller.  No waiver of
any  condition  precedent  pursuant  to this  Section  shall,  unless  otherwise
expressly stated in such written notice of waiver,  extend to any other covenant
or agreement contained herein or to any other condition precedent.

10. SURVIVAL OF REPRESENTATIONS AND WARRANTIES

      10.1 The representations, warranties, covenants and agreements made by the
respective  parties  in  this  Agreement  or in  any  certificate  executed  and
delivered in connection with the transactions  contemplated hereby shall survive
the Closing for a period of two (2) years  following  the  Closing,  except that
representations  as to  Taxes  shall  survive  without  limit  as to  time.  All
covenants,  agreements,  representations  and warranties made herein or pursuant
shall be deemed to be  material  and to have been  relied  upon by the  parties,
notwithstanding  any investigation  heretofore or hereafter made by or on behalf
of the  parties  prior to the  Closing or any  knowledge  of any breach or other
event which is obtained or learned prior to the Closing.

11. INDEMNIFICATION

      11.1 Indemnification.

      (a)   Seller  agrees to  indemnify in respect of, and hold  Purchaser  and
            NYHC harmless against,  any and all damages,  claims,  deficiencies,
            losses,  and  expenses  (including,  without  limitation,  legal and
            investigatory  and  other  fees in  attempting  to avoid the same or
            defending against the same) (collectively "Damages") resulting from:

            (i) any misrepresentation, breach of warranty, or non-fulfillment or
            failure to perform any  covenant or  agreement on the part of Seller
            made  as a  part  of or  contained  in  this  Agreement  or  in  any
            certificate  executed and delivered pursuant to this Agreement or in
            connection with the transactions contemplated hereby,

            (ii) any liabilities not expressly  assumed by Purchaser  hereunder;
            and

            (iii) Seller's operation of the Business prior to the Closing.

      (b)   Purchaser  and NYHC  jointly and  severally  agree to  indemnify  in
            respect of, and hold Seller  harmless  against,  any and all Damages
            resulting from:

            (i) any misrepresentation, breach of warranty, or non-fulfillment or
            failure  to  perform  any  covenant  or  agreement  on the  part  of
            Purchaser or NYHC made as a part of or  contained in this  Agreement
            or in any  certificate  executed  and  delivered  pursuant  to  this
            Agreement  or  in  connection  with  the  transactions  contemplated
            hereby,


                                       19
<PAGE>

            (ii) for periods after the Closing, the Assumed Liabilities, and

            (iii) Purchaser's operation of the Assets after the Closing.

      (c)   The party claiming indemnification hereunder is hereinafter referred
            to as the "Indemnified Party" and the party against whom such claims
            are   asserted   hereunder  is   hereinafter   referred  to  as  the
            "Indemnifying Party."

      11.2  Limitation of Liability.  Neither party shall be liable to the other
party to this  Agreement  except  to the  extent  that the  aggregate  amount of
Damages for which they would  otherwise (but for this provision) be liable under
this Section, net of any insurance payments, exceeds in the aggregate the sum of
five thousand dollars ($5000) and then only to the extent of such excess.

      11.3 Other Rights and Remedies Not Affected. The indemnification rights of
the parties under this Section are independent of and in addition to such rights
and  remedies as the parties may have at law or in equity or  otherwise  for any
misrepresentation,  breach of warranty or failure to fulfill  any  agreement  or
covenant  hereunder on the part of any party  including  without  limitation the
right to seek specific  performance,  rescission or  restitution,  none of which
rights or remedies shall be affected or diminished hereby.

12. CLOSING

      12.1 Closing.  The closing of this  Agreement (the  "Closing")  shall take
place at the New York  offices of  Purchaser  during  the week of March  23,1998
unless  a later  time and  date is  mutually  agreed  upon by the  parties  (the
"Closing  Date").It is agreed between the parties that the effective date of the
sale shall be March 1,1998.

      12.2  Closing  is  contingent  upon the  following:  Receiving  a fairness
opinion and unrestricted due diligence.

      12.3 Seller's  Deliveries at Closing.  At the Closing  Seller will deliver
the  following  documents  to the  Purchaser  all of which  shall be  reasonably
satisfactory in form and substance to the Purchaser and its counsel:

      (a)   Bill of Sale for the Assets in the form attached as Exhibit 3.

      (b)   An opinion from counsel to Seller,  dated the Closing  Date,  in the
            form described elsewhere in this Agreement.

      (c)   All  consents,  approvals  and  authorizations,  all notices and all
            registrations  and filings  required to be  obtained,  given or made
            under  any  law,  statute,   rule,  regulation,   judgment,   order,
            injunction,  contract, agreement or other instrument to which Seller
            is  subject,  bound or a party,  or by  which  Seller  or any of its
            properties  is bound or  subject,  in each case which is required to
            permit the  consummation  of the  transactions  contemplated  by the
            Agreement  without  contravention,  violation or breach by Seller of
            any of the terms thereof.

      (d)   Certificate  of good  standing for Seller from the  Secretary of the
            State  of New  Jersey  dated  as of a date  reasonably  prior to the
            Closing Date.

      (e)   Certified  copy of  resolutions  of the Board of  Directors  and the
            shareholders  of Seller  authorizing,  inter alia, the execution and
            delivery  of this  Agreement,  the sale of the  Assets and the other
            transactions contemplated under this Agreement.


                                       20
<PAGE>

      (f)   At Seller's  office,  such business records related to the Assets as
            may be reasonably  requested by the  Purchaser,  including,  without
            limitation,   employee  and  personnel   folders  and  applications,
            payroll, tax related records and financial data.

      (g)   Officer's  Certificate  in the  form  described  elsewhere  in  this
            Agreement.

      (h)   Such other  documents,  instruments,  certificates  and  agreements,
            including  assignment of space lease to Purchaser,  as Purchaser and
            its counsel may reasonably request.

      12.4 Purchaser's Deliveries at Closing. At the Closing, Purchaser and NYHC
shall deliver the following  documents to Seller all of which shall be in a form
reasonably acceptable to Seller and its counsel:

      (a)   Satisfactions  of  Purchaser's  purchase  price  obligations  by the
            issuance of the Note.

      (b)   All  consents,  approvals  and  authorizations,  all notices and all
            registrations  and filings  required to be  obtained,  given or made
            under  any  law,  statute,   rule,  regulation,   judgment,   order,
            injunction,  contract,  agreement or other  instrument  to which the
            Purchaser  or NYHC is a party,  or by which either of them or any of
            their respective  properties is bound or subject, in each case which
            is  required  to  permit  the   consummation  of  the   transactions
            contemplated by this Agreement without  contravention,  violation or
            breach by the Purchaser or NYHC of any of the terms thereof.

      (c)   An opinion from counsel to the  Purchaser and NYHC dated the Closing
            Date, in the form described elsewhere in this Agreement.

      (d)   Certificates of good standing,  dated as of a date reasonably  prior
            to the date of Closing,  from the Secretary of State of the State of
            New York as to the good standing of the Purchaser and NYHC.

      (e)   An assumption  agreement  pursuant to what the Purchaser assumes the
            Assumed Liabilities.

      (f)   Certified copy of resolutions of the Board of Directors of Purchaser
            and NYHC authorizing, inter alia, the execution and delivery of this
            Agreement and in the case of Purchaser, the Note, and in both cases,
            the purchase of the Assets, and the other transactions  contemplated
            hereby.

      (g)   Officer's  Certificate  in the  form  described  elsewhere  in  this
            Agreement.

      (h)   Such  other  documents,  instruments,  certificates  and  agreements
            including  without  limitation,  if assumed,  the  assumption of the
            lease, as Seller and its counsel may reasonably request.

13. MISCELLANEOUS

      13.1 Notice.  All notices and  communications  required or permitted to be
given  hereunder  shall be in writing,  signed by the sender,  and  delivered by
personal delivery overnight courier service or by registered mail to:

      If to Seller :
- --------------------------------------------------------------------------------
      With a copy to:


                                       21
<PAGE>

      If to Purchaser :
      c/o New York Health Care, Inc.
      1850 McDonald Avenue
      Brooklyn New York 11223

      With a copy to:
      Avrohom P. Dubin, Esq.
      1140 East 19th Street
      Brooklyn New York 11230

      Or such other address as shall have been furnished in writing. Receipt by,
or filing with, the respective parties of any communications  shall be deemed to
have occurred for the purpose of this Agreement,  when personally delivered,  or
next  business  day if sent by  overnight  courier,  or two days  after  deposit
thereof, postage prepaid, properly addressed, in the United States mail.

      13.2 Entire and Sole Agreement. This Agreement, including all Exhibits and
Schedules  (which by this reference shall  incorporate  herein all such Exhibits
and  Schedules  as if more  fully  set forth  herein),  constitutes  the  entire
agreement  between  the  parties and as of Closing  supersedes  all  agreements,
representations,  warranties,  statements, promises and understandings,  whether
oral or  written,  with  respect to the subject  matter  hereof.  After  Closing
neither party shall be bound by or charged with any oral or written  agreements,
representations,   warranties,   statements,   promises  or  understandings  not
specifically  set forth in this  Agreement or in the  certificates  or documents
delivered in connection herewith.

      13.3  Successors  and  Assigns.  Except  as  otherwise  provided  in  this
Agreement,  all  covenants  and  agreements  of the  parties  contained  in this
Agreement  shall be  binding  upon and inure to the  benefit  of the  respective
successors  and  permitted  assigns  of the  parties  and  the  heirs,  personal
representatives,  executors and assigns of Seller and Purchaser.  This Agreement
may not be assigned by any party  without the prior express  written  consent of
the other parties.

      13.4 Expenses.  Whether or not the transactions  contemplated hereby shall
be  consummated,  each  party  shall be solely  responsible  for  payment of all
expenses  incurred by it in connection  with the  consummation of this Agreement
and the  transactions  contemplated  hereunder,  except  as  otherwise  provided
herein.  None of Seller's  expenses  with respect to this  transaction  shall be
charged to the Business or shall otherwise reduce the Assets.

      13.5 Sales Taxes.  Seller shall collect from  Purchaser all New York,  New
Jersey  and any other  state or local  sales or use  taxes,  if any,  payable by
Purchaser in connection with this transaction.

      13.6  Severability.  Should  any  one or more  of the  provisions  of this
Agreement be determined to be illegal or unenforceable,  all other provisions of
this  Agreement  shall  be  given  effect  separately,  from  the  provision  or
provisions  determined to be illegal or unenforceable  and shall not be affected
thereby.

      13.7  Governing  Law.  This  Agreement  shall be construed and enforced in
accordance with and governed by the laws of the State of New York without regard
to conflicts of laws principles.

      13.8 Counterparts. This Agreement may be executed simultaneously in two or
more counterparts, each of which shall be an original, but all of which together
shall constitute one and the same Agreement.

      13.9  Amendments.  Neither  this  Agreement  nor any  term  hereof  may be
changed,  waived,  discharged or terminated orally, but only by an instrument in
writing.


                                       22
<PAGE>

      13.10 No  Third  Party  Beneficiary.  The  terms  and  provisions  of this
Agreement are intended solely for the benefit of the parties , and it is not the
intention of the parties to confer third-party beneficiary rights upon any other
person or entity.

      13.11  Headings.  The  headings  in this  Agreement  are for  purposes  of
convenience and easy reference only and shall not limit or otherwise  affect the
meaning hereof.

      13.12  Disputes.  In the event of any  dispute  which  arises  between the
parties and which relates to the subject matter of this  Agreement,  the parties
acknowledge  and agree that any such  dispute  shall be  submitted  for  binding
arbitration in New York, New York in accordance with the Arbitration  Commercial
Rules procedures established by the American Arbitration Association or, if such
association is not then in existence,  an independent association of arbitrators
which may be designated by,  agreement of the parties.  In the event the parties
are unable to agree on an  independent  association  of  arbitrators  from which
arbitrators  may be  drawn,  either  party  may  apply to a court  of  competent
jurisdiction for appointment of arbitrators, however, such application will only
be made  in the  event  the  American  Arbitration  Association  is not  then in
existence.  The  arbitrator(s)  shall make detailed  written findings to support
their award. The prevailing  party in any such  arbitration  proceeding shall be
awarded such costs and expenses (including reasonable attorney's fees and expert
witness  fees) as were  incurred  by the  prevailing  party  as a result  of the
institution and prosecution of the  arbitration  proceeding  including all costs
and expenses (including  reasonable  attorney's fees and expert witness fees) to
enter  judgment  upon  or  enforce  any  such  award   including  all  appellate
proceedings.

      IN WITNESS WHEREOF, the parties have executed this Agreement as of the day
and year first above written.

         NYHC NEWCO PAXXON, INC.

         By:________________________________

         Its:_________________________________

         NEW YORK HEALTH CARE, INC.

         By:________________________________

         Its:_________________________________

         HEART TO HEAT HEALTH CARE SERVICES, INC.

         By:________________________________

         Its: ________________________________

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