NEW YORK HEALTH CARE INC
8-K, 1998-01-21
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 ) December 8, 1997

                           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 2: Aquisition or Disposition of Assets

     On December 8, 1997, a newly-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 West  Orange,  Budd Lake and Jersey  City,  New Jersey for a
purchase price  consisting of $580,000 paid at closing and a promissory  note in
the  principal  sum of $200,000  payable in eight equal  quarterly  installments
commencing  March 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
December 8, 1997, 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 three offices located in West Orange  (expiring  October 31,
2000), Budd Lake (expiring November 30, 2001) and Jersey City (expiring June 30,
1998),  New Jersey in the aggregate  sum of $5,638.67  per month,  together with
various equipment leases for items of business equipment.

      The Company  expects to account for the  acquisition  as a  "purchase"  in
accordance with Generally Accepted Accounting Principles.

Item 7: FINANCIAL STATEMENTS AND EXHIBITS

      (a)   Financial Statements of Businesses Acquired:

            The  Company  does not  believe  that  financial  statements  of the
      acquired  businesses  are  required  to be filed  pursuant  to Item 310 of
      Regulation SB.

      (b)   Pro Forma Financial Information.

            The Company  does not believe that pro forma  financial  information
      with regard to the acquired businesses is required to be filed pursuant to
      Item 310 of Regulation SB.

      (c)   Exhibits.

      2.1   Purchase and Sale Agreement  dated December 7, 1997 among NYHC Newco
            Paxxon, Inc. and Metro 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.

January 20, 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 December 7, 1997,
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 West
Orange, NJ, Budd Lake, NJ, and Jersy City, 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.  The  name
               "Metro"  or any  derivatives  of  "Metro"  used by  seller in the
               furtherance  of the  Business  may be used by  purchaser on a non
               exclusive  basis  for an  interim  period of no more than six (6)
               months after closing;

          (b)  Seller's  policy  and  procedure  manuals  with  respect  to  the
               Business;

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

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

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

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

          (g)  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,  The name  "Metro" or any  derivatives  of
               "Metro" used by seller in the furtherance of the


                                       1
<PAGE>

               Business may be used by Purchaser on a non exclusive basis for an
               interim period of six (6) months after closing;

          (h)  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,  The
               name "Metro" or any  derivatives of "Metro" used by seller in the
               furtherance  of the  Business  may be used by  purchaser on a non
               exclusive  basis  for an  interim  period of no more than six (6)
               months after closing;

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

          (j)  right,  title and  interest of Seller in and to (A) the lease for
               the premises at 11 Northfield  Avenue,  West Orange,  New Jersey,
               955 West Side Avenue,  Jersey City,  New Jersey and 398 Route 46,
               Budd Lake, 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;


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

          (l)  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,  including but not limited to Helping  Hands,  (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 


                                       2
<PAGE>

(g) all copies and tangible  embodiments  thereof (in whatever  form or medium).
This  paragraph  is modified by paragraph  1.1 (a) 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.

     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)  $580,000 payable at the Closing to Seller; plus

               (ii) one promissory note of Purchaser in the principal  amount of
                    $200,000  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


                                       3
<PAGE>

     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

               (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.


                                       4
<PAGE>

     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 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  September 30, 1997, 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.


                                       5
<PAGE>

          (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.

          (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,


                                       6
<PAGE>

               (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,  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 December 5,
               1997.

          (xiv)As of a date no earlier  than  September  1, 1997,  a list of the
               rate or rates at which each of the customers of Seller is billed.

          (xv) As of December  5, 1997,  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.


                                       7
<PAGE>

     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.

          (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 West Orange, NJ and Jersey City, NJ,
offices is accredited by JCAHO and CAHC. The Budd Lake, NJ, office is accredited
by 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 and 1996 and for the 


                                       8
<PAGE>

               six months ended June 30, 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 June 30, 1997 is referred
               to herein as the  "Balance  Sheet," and June 30, 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 60 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. 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;


                                       9
<PAGE>

          (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 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;


                                       10
<PAGE>

          (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 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.


                                       11
<PAGE>

          (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  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,  


                                       12
<PAGE>

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.  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.


                                       13
<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.


                                       14
<PAGE>

     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.

     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.


                                       15
<PAGE>

     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.

     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
               northern New Jersey counties of Bergen;  Essex;  Hudson;  Morris;
               Passaic; Sussex and Warren.


                                       16
<PAGE>

               (i)  In the event Seller obtains a patient referral assignment in
                    the  designated  counties,   Seller  agrees  to  refer  such
                    assignments/referrals to Purchaser,

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

               (iii)Purchaser  cannot use "Metro" name outside of the designated
                    counties for purposes of  advertising,  marketing or signing
                    of contracts.

     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.

     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):

          (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.


                                       17
<PAGE>

          (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.

               (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 


                                       18
<PAGE>

                    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.

          (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,  


                                       19
<PAGE>

               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);

               (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 


                                       20
<PAGE>

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,

               (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.


                                       21
<PAGE>

     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  home care  related
          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)  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.

     (c)  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) at the  identical  offer.  This  right 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) by
          providing written notice to the Seller.

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

13. CLOSING

     13.1 Closing.  The closing of this  Agreement  (the  "Closing")  shall take
place at the New York offices of  Purchaser on December 8, 1997,  unless a later
time and date is mutually agreed upon by the parties (the "Closing Date").

     13.2 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.


                                       22
<PAGE>

          (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.

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

     13.3 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:


                                       23
<PAGE>

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

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


                                       24
<PAGE>

     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.

     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: /s/ 
        --------------------------------
     Its: President

     NEW YORK HEALTH CARE, INC.

     By: /s/ 
        --------------------------------
     Its: President

     METRO HEALTHCARE SERVICES, INC.

     By: /s/ 
        --------------------------------
     Its: Predident


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