BALANCED CARE CORP
8-K, 1998-02-25
NURSING & PERSONAL CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

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

                                    FORM 8-K

                                 CURRENT REPORT

                     Pursuant to Section 13 or 15(d) of the

                         Securities Exchange Act of 1934

      Date of Report (Date of earliest event reported): February 18, 1998

                            Balanced Care Corporation

             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)

           Delaware               1-13845        25-1761898

   -----------------------------    --------------      -------------------
   (State or other jurisdiction    (Commission          (IRS Employer
   of incorporation)               File Number)         Identification No.)


   5021 Louise Drive, Suite 200 Mechanicsburg, PA     17055
   -----------------------------------------------   ----------
     (Address of principal executive offices)        (Zip code)

   Registrant's telephone number, including area code: 717-796-6100


                                 Not Applicable
         ---------------------------------------------------------------
         (Former name or former address, if changed since last report.)





                               Page 1 of 4 pages.
                         Exhibit Index begins on page 4.

<PAGE>


Item 5.     Other Events.

            On February 18, 1998,  Balanced  Care  Corporation  (the  "Company")
completed its initial public  offering (the  "Offering") of 7,000,000  shares of
its common  stock,  par value $.001 per share  ("Common  Stock"),  at a price of
$6.50 per share. The Company received approximately $40,215,000 from the sale of
the shares of Common  Stock in the  Offering  after  deduction  of  underwriting
discounts and commissions and estimated expenses. The Company intends to use the
net proceeds from the Offering to repay  outstanding  long-term  indebtedness of
$8,151,000 and indebtedness of $29,473,000 incurred to fund the purchase of four
completed acquisitions; the balance will be used for general corporate purposes,
including  working  capital  and  possible  future  acquisitions.  A copy of the
Company's  press release dated  February 19, 1998 is attached  hereto as Exhibit
99.1 and incorporated by reference herein in its entirety.

Item 7.     Financial Statements and Exhibits.

            (c)   Exhibits

            Exhibit No.          Description

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

            1.1                  Underwriting Agreement dated as of February 11,
                                 1998, among Balanced Care Corporation,
                                 BancAmerica Robertson Stephens, Smith
                                 Barney, Inc. and BT Alex. Brown
                                 Incorporated

            99.1                 Press  Release  dated February 19, 1998, issued
                                 by the Registrant



                               Page 2 of 4 pages.
                         Exhibit Index begins on page 4.


<PAGE>


                                    SIGNATURE

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

                                    Balanced Care Corporation

Date:  February 25, 1998            By:   /s/ Brad E. Hollinger          
                                          -------------------------
                                          Brad E. Hollinger
                                          Chairman of the Board, President
                                          and Chief Executive Officer



                               Page 3 of 4 pages.
                         Exhibit Index begins on page 4.

<PAGE>


                                  EXHIBIT INDEX

Exhibit No.            Description

- -----------            -----------
 1.1                   Underwriting Agreement dated as of February 11, 1998,
                       among Balanced Care Corporation, BancAmerica
                       Robertson Stephens, Smith Barney, Inc. and BT
                       Alex. Brown Incorporated

99.1                   Press Release dated February 19, 1998






                                                                Exhibit 1.1



                                                                EXECUTION COPY

                               7,000,000 SHARES(1)

                           BALANCED CARE CORPORATION
                                 COMMON STOCK


UNDERWRITING AGREEMENT

                                                             February 11, 1998


BANCAMERICA ROBERTSON STEPHENS
SMITH BARNEY, INC.
BT ALEX. BROWN INCORPORATED
    As Representatives of the several Underwriters
c/o BancAmerica Robertson Stephens
555 California Street
Suite 2600
San Francisco, California  94104

Ladies/Gentlemen:

            Balanced Care Corporation,  a Delaware  corporation (the "Company"),
addresses  you  as  the  Representatives  of  each  of the  persons,  firms  and
corporations  listed  in  Schedule  A hereto  (herein  collectively  called  the
"Underwriters") and hereby confirms its agreement with the several  Underwriters
as follows:

            1.  DESCRIPTION  OF SHARES.  The Company  proposes to issue and sell
7,000,000  shares of its authorized and unissued common stock,  par value $0.001
per share (the "Firm  Shares") to the  several  Underwriters.  The Company  also
proposes to grant to the  Underwriters  an option to  purchase  up to  1,050,000
additional shares of the Company's common stock, par value $0.001 per share (the
"Option  Shares"),  as provided in Section 7 hereof.  As used in this Agreement,
the term  "Shares"  shall  include  the Firm Shares and the Option  Shares.  All
shares of common  stock,  par value  $0.001  per  share,  of the  Company  to be
outstanding after giving effect to the sales of the Shares contemplated  hereby,
are hereinafter referred to as "Common Stock."

- ----------------------
1     Plus an option to  purchase  up to  1,050,000  additional  shares from the
      Company to cover over-allotments.
<PAGE>
                                       2



            2.  REPRESENTATIONS,  WARRANTIES AND AGREEMENTS OF THE COMPANY.  The
Company represents and warrants to and agrees with each Underwriter that:

            (a) A registration  statement on Form S-1 (File No.  333-37833) with
      respect to the Shares,  including a prospectus subject to completion,  has
      been prepared by the Company in conformity  with the  requirements  of the
      Securities Act of 1933, as amended (the "Act"),  and the applicable  rules
      and  regulations  (the  "Rules and  Regulations")  of the  Securities  and
      Exchange  Commission (the  "Commission")  under the Act and has been filed
      with the Commission;  amendments to such registration  statement,  amended
      prospectuses subject to completion and abbreviated registration statements
      pursuant  to Rule  462(b) of the Rules  and  Regulations  as may have been
      required prior to the date hereof have been  similarly  prepared and filed
      with the Commission;  and the Company will file  additional  amendments to
      such  registration   statement,   such  amended  prospectuses  subject  to
      completion and such abbreviated  registration  statements as may hereafter
      be required. Copies of such registration statement and amendments, of each
      related prospectus subject to completion (the "Preliminary  Prospectuses")
      and of any abbreviated  registration  statement pursuant to Rule 462(b) of
      the Rules and Regulations have been delivered to you.

                  If the registration  statement relating to the Shares has been
      declared  effective  under the Act by the  Commission,  the  Company  will
      prepare and promptly file with the Commission the information omitted from
      the  registration  statement  pursuant to Rule 430A(a) or, if  BancAmerica
      Robertson Stephens, on behalf of the several Underwriters,  shall agree to
      the utilization of Rule 434 of the Rules and Regulations,  the information
      required to be included in any term sheet filed pursuant to Rule 434(b) or
      (c), as applicable,  of the Rules and Regulations pursuant to subparagraph
      (1), (4) or (7) of Rule 424(b) of the Rules and  Regulations or as part of
      a  post-effective  amendment to the  registration  statement  (including a
      final form of prospectus).  If the registration  statement relating to the
      Shares has not been declared  effective  under the Act by the  Commission,
      the  Company  will   prepare  and  promptly   file  an  amendment  to  the
      registration  statement,  including  a final  form of  prospectus,  or, if
      BancAmerica  Robertson  Stephens,  on behalf of the several  Underwriters,
      shall agree to the  utilization of Rule 434 of the Rules and  Regulations,
      the  information  required to be included in any term sheet filed pursuant
      to Rule 434(b) or (c), as applicable,  of the Rules and  Regulations.  The
      term  "Registration  Statement" as used in this Agreement  shall mean such
      registration  statement,  including  financial  statements,  schedules and
      exhibits,  in the form in which it became or becomes,  as the case may be,
      effective  (including,   if  the  Company  omitted  information  from  the
      registration  statement  pursuant  to Rule  430A(a)  or files a term sheet
      pursuant to Rule 434 of the Rules and Regulations,  the information deemed
      to be a part of the registration statement at the time it became effective
      pursuant to Rule 430A(b) or Rule 434(d) of the Rules and Regulations) and,
      in the event of any  amendment  thereto or the  filing of any  abbreviated
      registration   statement   pursuant  to  Rule  462(b)  of  the  Rules  and
      Regulations relating thereto after the effective date of such registration
      statement,  shall  also mean  (from and  after the  effectiveness  of such
      amendment or the filing of such abbreviated  registration  statement) such
      registration  statement as so amended,  together with any such abbreviated
      registration


<PAGE>
                                       3


      statement.  The term "Prospectus" as used in this Agreement shall mean the
      prospectus  relating  to the  Shares  as  included  in  such  Registration
      Statement  at the time it becomes  effective  (including,  if the  Company
      omitted  information  from the  Registration  Statement  pursuant  to Rule
      430A(a) of the Rules and Regulations,  the information deemed to be a part
      of the Registration  Statement at the time it became effective pursuant to
      Rule 430A(b) of the Rules and Regulations);  PROVIDED, HOWEVER, that if in
      reliance on Rule 434 of the Rules and  Regulations and with the consent of
      BancAmerica Robertson Stephens, on behalf of the several Underwriters, the
      Company shall have provided to the  Underwriters  a term sheet pursuant to
      Rule 434(b) or (c), as  applicable,  prior to the time that a confirmation
      is sent or given for  purposes of Section  2(10)(a)  of the Act,  the term
      "Prospectus" shall mean the "prospectus subject to completion" (as defined
      in  Rule  434(g)  of the  Rules  and  Regulations)  last  provided  to the
      Underwriters  by the Company and  circulated  by the  Underwriters  to all
      prospective  purchasers of the Shares (including the information deemed to
      be a part of the  Registration  Statement at the time it became  effective
      pursuant to Rule 434(d) of the Rules and Regulations). Notwithstanding the
      foregoing, if any revised prospectus shall be provided to the Underwriters
      by the Company for use in connection  with the offering of the Shares that
      differs  from the  prospectus  referred  to in the  immediately  preceding
      sentence  (whether or not such revised  prospectus is required to be filed
      with the Commission pursuant to Rule 424(b) of the Rules and Regulations),
      the term  "Prospectus"  shall refer to such  revised  prospectus  from and
      after the time it is first provided to the  Underwriters  for such use. If
      in reliance on Rule 434 of the Rules and  Regulations and with the consent
      of BancAmerica  Robertson Stephens, on behalf of the several Underwriters,
      the Company shall have provided to the  Underwriters a term sheet pursuant
      to  Rule  434(b)  or  (c),  as  applicable,  prior  to  the  time  that  a
      confirmation is sent or given for purposes of Section 2(10)(a) of the Act,
      the  Prospectus  and the term  sheet,  together,  will  not be  materially
      different from the prospectus in the Registration Statement.

            (b) The Commission has not issued any order preventing or suspending
      the use of any Preliminary  Prospectus or instituted  proceedings for that
      purpose,  and  each  such  Preliminary  Prospectus  has,  as of its  date,
      conformed in all material  respects to the requirements of the Act and the
      Rules and  Regulations  and, as of its date,  has not  included any untrue
      statement of a material fact or omitted to state a material fact necessary
      to make the statements  therein,  in the light of the circumstances  under
      which they were made,  not  misleading;  and at the time the  Registration
      Statement  became or  becomes,  as the case may be,  effective  and at all
      times  subsequent  thereto  up to  and on the  Closing  Date  (hereinafter
      defined) and on any later date on which Option Shares are to be purchased,
      (i) the  Registration  Statement  and  Prospectus,  and any  amendments or
      supplements  thereto,  contained and will contain all material information
      required to be included  therein by the Act and the Rules and  Regulations
      and will in all material  respects  conform to the requirements of the Act
      and the Rules and Regulations,  (ii) the Registration  Statement,  and any
      amendments or supplements thereto, did not and will not include any untrue
      statement of a material  fact or omit to state a material fact required to
      be  stated  therein  or  necessary  to make  the  statements  therein  not
      misleading,  and (iii) the  Prospectus,  and any amendments or supplements
      thereto,  did not and will not include any untrue  statement of a material
      fact 


<PAGE>
                                       4


      or omit to state a material fact necessary to make the statements therein,
      in the  light  of the  circumstances  under  which  they  were  made,  not
      misleading;  PROVIDED,  HOWEVER,  that  none  of the  representations  and
      warranties  contained in this  subparagraph (b) shall apply to information
      contained in or omitted from the Registration Statement or the Prospectus,
      or  any  amendment  or  supplement  thereto,  in  reliance  upon,  and  in
      conformity with, written information relating to any Underwriter furnished
      to the Company by such Underwriter specifically for use in the preparation
      thereof.

            (c)  Each  of  the  Company  and  its  subsidiaries  has  been  duly
      incorporated  and is validly  existing as a  corporation  in good standing
      under  the  laws  of the  jurisdiction  of  its  incorporation  with  full
      corporate power and authority to own, lease and operate its properties and
      conduct its business as described in the  Prospectus;  except as set forth
      on Annex I  attached  hereto,  the  Company  owns  all of the  outstanding
      capital  stock of its  subsidiaries  free and clear of any  pledge,  lien,
      security interest,  encumbrance,  claim or equitable interest; each of the
      Company and its subsidiaries is duly qualified to do business as a foreign
      corporation  and is in good  standing  in each  jurisdiction  in which the
      ownership  or leasing of its  properties  or the  conduct of its  business
      requires such  qualification,  except where the failure to be so qualified
      or be in good  standing  would not have a material  adverse  effect on the
      condition  (financial or  otherwise),  earnings,  operations,  business or
      business  prospects of the Company and its subsidiaries  considered as one
      enterprise;  no proceeding has been  instituted in any such  jurisdiction,
      revoking,  limiting or curtailing, or seeking to revoke, limit or curtail,
      such power and  authority  or  qualification;  each of the Company and its
      subsidiaries  is in possession  of and  operating in  compliance  with all
      authorizations,  licenses, certificates, consents, orders and permits from
      state, federal and other regulatory  authorities which are material to the
      conduct  of its  business,  all of which are  valid and in full  force and
      effect; neither the Company nor any of its subsidiaries is in violation of
      its  respective  charter  or bylaws or in default  in the  performance  or
      observance of any material  obligation,  agreement,  covenant or condition
      contained  in any  material  bond,  debenture,  note or other  evidence of
      indebtedness,  or in any material lease,  contract,  indenture,  mortgage,
      deed of  trust,  loan  agreement,  joint  venture  or other  agreement  or
      instrument to which the Company or any of its  subsidiaries  is a party or
      by which it or any of its subsidiaries or their respective  properties may
      be bound;  and  neither  the  Company  nor any of its  subsidiaries  is in
      material violation of any law, order, rule, regulation,  writ, injunction,
      judgment  or decree of any court,  government  or  governmental  agency or
      body, domestic or foreign,  having jurisdiction over the Company or any of
      its  subsidiaries  or over  their  respective  properties  of which it has
      knowledge.  The Company does not own or control,  directly or  indirectly,
      any  corporation,  association  or other entity other than as set forth on
      Annex II attached hereto.

            (d) The Company has full legal right,  power and  authority to enter
      into this Agreement and perform the transactions contemplated hereby. This
      Agreement has been duly authorized,  executed and delivered by the Company
      and is a  valid  and  binding  agreement  on  the  part  of  the  Company,
      enforceable   in   accordance   with  its  terms,   except  as  rights  to
      indemnification  hereunder may be limited by applicable  law and except as
      the   


<PAGE>
                                       5


      enforcement  hereof may be limited by applicable  bankruptcy,  insolvency,
      reorganization,  moratorium or other similar laws relating to or affecting
      creditors'  rights  generally  or by  general  equitable  principles;  the
      performance of this  Agreement and the  consummation  of the  transactions
      herein  contemplated  will not result in a material breach or violation of
      any of the terms and provisions of, or constitute a default under, (i) any
      bond,  debenture,  note or other  evidence of  indebtedness,  or under any
      lease, contract, indenture, mortgage, deed of trust, loan agreement, joint
      venture or other  agreement or  instrument  to which the Company or any of
      its  subsidiaries is a party or by which it or any of its  subsidiaries or
      their  respective  properties may be bound,  (ii) the charter or bylaws of
      the Company or any of its  subsidiaries,  or (iii) any law,  order,  rule,
      regulation, writ, injunction,  judgment or decree of any court, government
      or governmental agency or body,  domestic or foreign,  having jurisdiction
      over the  Company  or any of its  subsidiaries  or over  their  respective
      properties.   No  consent,   approval,   authorization   or  order  of  or
      qualification with any court,  government or governmental  agency or body,
      domestic or foreign,  having  jurisdiction  over the Company or any of its
      subsidiaries  or over their  respective  properties  is  required  for the
      execution  and  delivery of this  Agreement  and the  consummation  by the
      Company  or  any  of  its   subsidiaries   of  the   transactions   herein
      contemplated,  except such as may be required under the Act or under state
      or other securities or Blue Sky laws, all of which  requirements have been
      satisfied in all material respects.

            (e) There is no pending or, to the best of the Company's  knowledge,
      threatened action,  suit, claim or proceeding against the Company,  any of
      its  subsidiaries  or any of  their  respective  officers  or any of their
      respective  properties,  assets or rights before any court,  government or
      governmental agency or body, domestic or foreign, having jurisdiction over
      the Company or any of its subsidiaries or over their  respective  officers
      or properties or otherwise which, if determined  adversely to the Company,
      such  subsidiary or such officer,  (i) would likely result in any material
      adverse  change  in the  condition  (financial  or  otherwise),  earnings,
      operations,  business  or  business  prospects  of  the  Company  and  its
      subsidiaries  considered as one enterprise or would likely  materially and
      adversely  affect their  properties,  assets or rights,  (ii) would likely
      prevent  consummation of the transactions  contemplated hereby or (iii) is
      required to be disclosed in the  Registration  Statement or Prospectus and
      is not so disclosed;  and there are no  agreements,  contracts,  leases or
      documents  of  the  Company  or any of  its  subsidiaries  of a  character
      required to be described or referred to in the  Registration  Statement or
      Prospectus or to be filed as an exhibit to the  Registration  Statement by
      the Act or the  Rules  and  Regulations  which  have not  been  accurately
      described  in all  material  respects  in the  Registration  Statement  or
      Prospectus or filed as exhibits to the Registration Statement.

            (f) All outstanding shares of capital stock of the Company have been
      duly  authorized and validly issued and are fully paid and  nonassessable,
      have been issued in compliance with all federal and state securities laws,
      were not issued in  violation  of or subject to any  preemptive  rights or
      other rights to subscribe for or purchase  securities,  and the authorized
      and  outstanding  capital  stock  of the  Company  is as set  forth in the
      Prospectus under the caption "Capitalization" and conforms in all material
      respects to the statements


<PAGE>
                                       6


      relating  thereto   contained  in  the  Registration   Statement  and  the
      Prospectus  (and such  statements  correctly  state the  substance  of the
      instruments  defining the capitalization of the Company);  the Firm Shares
      and the Option Shares have been duly  authorized  for issuance and sale to
      the Underwriters pursuant to this Agreement and, when issued and delivered
      by the Company  against  payment  therefor in accordance with the terms of
      this  Agreement,  will be duly  and  validly  issued  and  fully  paid and
      nonassessable,  and will be sold  free  and  clear  of any  pledge,  lien,
      security  interest,  encumbrance,  claim  or  equitable  interest;  and no
      preemptive  right,  co-sale  right,  registration  right,  right  of first
      refusal or other similar right of shareholders  exists with respect to any
      of the Firm Shares or Option Shares or the issuance and sale thereof other
      than those that have been  expressly  waived  prior to the date hereof and
      those  that  will  automatically  expire  upon and  will not  apply to the
      consummation  of the  transactions  contemplated  on the Closing  Date. No
      further  approval  or  authorization  of any  shareholder,  the  Board  of
      Directors  of the Company or others is required  for the issuance and sale
      or transfer of the Shares except as may be required under the Act or under
      state or other  securities  or Blue Sky laws.  All issued and  outstanding
      shares of capital  stock of each  subsidiary of the Company have been duly
      authorized  and validly issued and are fully paid and  nonassessable,  and
      were not issued in violation  of or subject to any  preemptive  right,  or
      other rights to subscribe for or purchase  shares.  Except as disclosed in
      the Prospectus, neither the Company nor any subsidiary has outstanding any
      options to purchase, or any preemptive rights or other rights to subscribe
      for or to purchase, any securities or obligations convertible into, or any
      contracts or commitments to issue or sell,  shares of its capital stock or
      any such  options,  rights,  convertible  securities or  obligations.  The
      description  of the Company's  stock  option,  stock bonus and other stock
      plans or  arrangements,  and the  options  or  other  rights  granted  and
      exercised  thereunder,  set forth in the Prospectus  accurately and fairly
      presents the information  required to be shown with respect to such plans,
      arrangements, options and rights.

            (g) KPMG Peat  Marwick  LLP,  which has  examined  the  consolidated
      financial  statements of the Company,  together with the related  schedule
      and  notes,  as of June 30,  1997 and 1996 and for each of the years  then
      ended and for the period  April 17, 1995 (date of  inception)  to June 30,
      1995 filed with the  Commission as a part of the  Registration  Statement,
      which are included in the Prospectus,  are independent  accountants within
      the  meaning  of the  Act and  the  Rules  and  Regulations;  the  audited
      consolidated  financial  statements  of the  Company,  together  with  the
      related  schedule  and notes,  and the  unaudited  consolidated  financial
      statements  and financial  information,  forming part of the  Registration
      Statement and the  Prospectus,  fairly present the financial  position and
      the  results of  operations  of the Company  and its  subsidiaries  at the
      respective  dates and for the respective  periods to which they apply; and
      all audited  consolidated  financial  statements of the Company,  together
      with the  related  schedule  and  notes,  and the  unaudited  consolidated
      financial statements and financial information,  filed with the Commission
      as part of the  Registration  Statement,  have been prepared in accordance
      with  generally  accepted  accounting   principles   consistently  applied
      throughout the periods involved except as may be otherwise stated therein.
      The  selected  and summary  financial  data  included in the  Registration
      Statement  present  fairly the  information  shown  therein  and have been
   


<PAGE>
                                       7


      compiled on a basis  consistent  with the audited  consolidated  financial
      statements presented therein.  Except as set forth in paragraphs (h), (i),
      (j) and (k) below, no other financial statements or schedules are required
      to be  included in the  Registration  Statement.  The pro forma  financial
      statements  and the related  notes  thereto  included in the  Registration
      Statement and  Prospectus  present fairly the  information  shown therein,
      have  been  prepared  in  accordance  with  the  Commission's   rules  and
      guidelines  with respect to pro forma  financial  statements and have been
      properly compiled on the bases described therein, and the assumptions used
      in the preparation thereof are reasonable and the adjustments used therein
      are  appropriate  to give  effect to the  transactions  and  circumstances
      referred to therein.

            (h)  Baird,  Kurtz & Dobson,  which has  examined  (i) the  combined
      financial   statements   of  Foster   Health  Care   Affiliates   ("Foster
      Healthcare"),  together  with the related  notes,  as of June 30, 1996 and
      1995 and for each of the two (2) years  ended  June 30,  1996 and (ii) the
      combined  financial  statements of Heavenly  Health Care,  Inc.  d/b/a Joe
      Clark Residential Homes ("Joe Clark"),  together with the related notes as
      of December 31, 1996 for the year ended December 31, 1996,  filed with the
      Commission as a part of the Registration Statement,  which are included in
      the Prospectus,  are independent accountants within the meaning of the Act
      and the Rules and Regulations;  the audited combined financial  statements
      of  Foster  Healthcare  and of Joe  Clark,  together  with the  respective
      related notes,  forming part of the Registration  Statement and Prospectus
      fairly  present  the  respective  financial  positions  and the results of
      operations of Foster  Healthcare  and its affiliates and Joe Clark and its
      subsidiaries  at the respective  dates and for the  respective  periods to
      which they apply; and all audited combined financial  statements of Foster
      Healthcare  and  of  Joe  Clark,  together  with  the  respective  related
      schedules and notes,  and the unaudited  combined  financial  information,
      filed with the Commission as part of the Registration Statement, have been
      prepared in  accordance  with  generally  accepted  accounting  principles
      consistently  applied  throughout  the periods  involved  except as may be
      otherwise stated therein.

            (i) Snyder & Clemente,  which has examined  the  combined  financial
      statements of Keystone Affiliates,  together with the related notes, as of
      December 31, 1996 and 1995 and for the three (3) years ended  December 31,
      1996 filed with the  Commission as a part of the  Registration  Statement,
      which are included in the Prospectus,  are independent  accountants within
      the meaning of the Act and the Rules and Regulations; the audited combined
      financial  statements  of Keystone  Affiliates,  together with the related
      notes, forming part of the Registration  Statement and Prospectus,  fairly
      present the  financial  position and the results of operations of Keystone
      Affiliates  and  its  affiliates  at the  respective  dates  and  for  the
      respective periods to which they apply; and all audited combined financial
      statements of Keystone Affiliates,  together with the related notes, filed
      with the  Commission  as part of the  Registration  Statement,  have  been
      prepared in  accordance  with  generally  accepted  accounting  principles
      consistently  applied  throughout  the periods  involved  except as may be
      otherwise stated therein.
<PAGE>
                                       8


            (j) Coopers & Lybrand,  L.L.P.,  which has examined (i) the combined
      financial statements of Gethsemane  Affiliates,  together with the related
      notes, as of June 30, 1997 and 1996 and for the three (3) years ended June
      30, 1997,  (ii) the  financial  statements  of Butler  Senior  Care,  Inc.
      ("Butler"),  together with the related notes, as of June 30, 1997 and 1996
      and for each of the  three  (3) years  ended  June 30,  1997 and (iii) the
      financial statements of Feltrop's Personal Care Home ("Feltrop"), together
      with the related notes, as of June 30, 1997 and 1996 and for the three (3)
      years  ended June 30,  1997,  filed with the  Commission  as a part of the
      Registration  Statement,   which  are  included  in  the  Prospectus,  are
      independent  accountants  within the  meaning of the Act and the Rules and
      Regulations;  the respective  combined financial  statements of Gethsemane
      Affiliates,  Butler and Feltrop,  together with the related notes, forming
      part of the  Registration  Statement and  Prospectus,  fairly  present the
      respective financial positions and the results of operations of Gethsemane
      Affiliates,  Butler and Feltrop and their  respective  subsidiaries at the
      respective  dates and for the respective  periods to which they apply; and
      all  financial  statements of  Gethsemane  Affiliates,  Butler and Feltrop
      together with the related notes,  filed with the Commission as part of the
      Registration  Statement,  have been prepared in accordance  with generally
      accepted accounting principles consistently applied throughout the periods
      involved except as may be otherwise stated therein.

            (k) Hodge, Steward & Company, P.A., which has examined the financial
      statements  of Triangle  Retirement  Services,  together  with the related
      notes,  as of  December  31, 1997 and 1996 and for the two (2) years ended
      December 31, 1997, filed with the Commission as a part of the Registration
      Statement,   which  are  included  in  the  Prospectus,   are  independent
      accountants  within the meaning of the Act and the Rules and  Regulations;
      the financial  statements of Triangle Retirement  Services,  together with
      the  related  notes,  forming  part  of  the  Registration  Statement  and
      Prospectus,  fairly  present  the  financial  position  and the results of
      operations of Triangle  Retirement  Services and its  subsidiaries  at the
      respective  dates and for the respective  periods to which they apply; and
      all financial statements of Triangle Retirement Services together with the
      related  notes,  filed  with the  Commission  as part of the  Registration
      Statement,  have been  prepared  in  accordance  with  generally  accepted
      accounting principles consistently applied throughout the periods involved
      except as may be otherwise stated therein.

            (l)  Subsequent to the respective  dates as of which  information is
      given in the Registration Statement and Prospectus, there has not been (i)
      any material  adverse  change in the condition  (financial or  otherwise),
      earnings,  operations,  business or business  prospects of the Company and
      its subsidiaries  considered as one enterprise,  (ii) any transaction that
      is  material  to  the  Company  and  its  subsidiaries  considered  as one
      enterprise,  except  transactions  entered into in the ordinary  course of
      business, (iii) any obligation,  direct or contingent, that is material to
      the Company and its subsidiaries considered as one enterprise, incurred by
      the  Company  or its  subsidiaries,  except  obligations  incurred  in the
      ordinary  course of  business,  (iv) any  change in the  capital  stock or
      outstanding indebtedness of the Company or any of its subsidiaries that is
      material to the Company and its subsidiaries considered as one enterprise,
      (v) any dividend or distribution of any kind 


<PAGE>
                                       9


      declared,  paid or made on the capital  stock of the Company or any of its
      subsidiaries,  or (vi) any loss or damage  (whether or not insured) to the
      property  of  the  Company  or  any of its  subsidiaries  which  has  been
      sustained or will have been sustained which has a material  adverse effect
      on the condition (financial or otherwise),  earnings, operations, business
      or business  prospects of the Company and its  subsidiaries  considered as
      one enterprise.

            (m)  Except  as  set  forth  in  the   Registration   Statement  and
      Prospectus,  (i) each of the  Company  and its  subsidiaries  has good and
      marketable   title  to  all  properties   and  assets   described  in  the
      Registration Statement and Prospectus as owned by it free and clear of any
      pledge, lien, security interest, encumbrance, claim or equitable interest,
      other  than  such as  would  not have a  material  adverse  effect  on the
      condition  (financial or  otherwise),  earnings,  operations,  business or
      business  prospects of the Company and its subsidiaries  considered as one
      enterprise,  (ii)  the  agreements  to  which  the  Company  or any of its
      subsidiaries  is a  party  described  in the  Registration  Statement  and
      Prospectus  are  valid  agreements,  enforceable  by the  Company  and its
      subsidiaries  (as  applicable),  except as the enforcement  thereof may be
      limited by applicable bankruptcy, insolvency,  reorganization,  moratorium
      or other similar laws relating to or affecting creditors' rights generally
      or by  general  equitable  principles  and,  to the best of the  Company's
      knowledge,  the other  contracting  party or  parties  thereto  are not in
      material  breach or material  default  under any of such  agreements,  and
      (iii) each of the Company and its  subsidiaries  has valid and enforceable
      leases for all  properties  described in the  Registration  Statement  and
      Prospectus  as leased  by it,  except as the  enforcement  thereof  may be
      limited by applicable bankruptcy, insolvency,  reorganization,  moratorium
      or other similar laws relating to or affecting creditors' rights generally
      or  by  general  equitable   principles.   Except  as  set  forth  in  the
      Registration Statement and Prospectus, the Company owns or leases all such
      properties  as are  necessary  to its  operations  as now  conducted or as
      proposed to be conducted.

            (n) The Company and its subsidiaries have timely filed all necessary
      federal,  state and foreign income and franchise tax returns and have paid
      all taxes shown  thereon as due, and there is no tax  deficiency  that has
      been or, to the best of the Company's knowledge, might be asserted against
      the Company or any of its subsidiaries  that might have a material adverse
      effect on the condition  (financial or otherwise),  earnings,  operations,
      business  or  business  prospects  of the  Company  and  its  subsidiaries
      considered  as one  enterprise;  and all tax  liabilities  are  adequately
      provided for on the books of the Company and its subsidiaries.

            (o)  The  Company  and  its  subsidiaries  maintain  insurance  with
      insurers of recognized  financial  responsibility  of the types and in the
      amounts  generally  deemed  adequate for their  respective  businesses and
      consistent  with  insurance  coverage  maintained by similar  companies in
      similar businesses, including, but not limited to, insurance covering real
      and personal  property owned or leased by the Company or its  subsidiaries
      against theft, damage, destruction,  acts of vandalism and all other risks
      customarily  insured against,  all of which insurance is in full force and
      effect;  neither the Company nor any such  subsidiary has been refused any
      insurance  coverage sought or applied for; and neither the Company nor


<PAGE>
                                       10


      any such  subsidiary has any reason to believe that it will not be able to
      renew its existing insurance coverage as and when such coverage expires or
      to obtain  similar  coverage from similar  insurers as may be necessary to
      continue its business at a cost that would not  materially  and  adversely
      affect the  condition  (financial  or  otherwise),  earnings,  operations,
      business  or  business  prospects  of the  Company  and  its  subsidiaries
      considered as one enterprise.

            (p) To the best of Company's knowledge,  no labor disturbance by the
      employees of the Company or any of its subsidiaries exists or is imminent.
      No  collective  bargaining  agreement  exists  with any  employees  of the
      Company  or any of its  subsidiaries  and,  to the  best of the  Company's
      knowledge, no such agreement is imminent.

            (q) The Common Stock has been approved for quotation on The American
      Stock Exchange, Inc. subject to official notice of issuance.

            (r) The Company has been advised  concerning the Investment  Company
      Act of 1940,  as amended (the "1940 Act"),  and the rules and  regulations
      thereunder,  and conducts,  and has in the past conducted,  and intends in
      the future to  conduct,  its affairs in such a manner as to ensure that it
      will not become an "investment  company" or a company  "controlled"  by an
      "investment company" within the meaning of the 1940 Act and such rules and
      regulations.

            (s) The Company has not distributed and will not distribute prior to
      the later of (i) the Closing  Date, or any date on which Option Shares are
      to be  purchased,  as  the  case  may  be,  and  (ii)  completion  of  the
      distribution of the Shares,  any offering  material in connection with the
      offering and sale of the Shares other than any  Preliminary  Prospectuses,
      the Prospectus,  the Registration  Statement and other materials,  if any,
      permitted by the Act.

            (t) Neither the Company nor any of its  subsidiaries has at any time
      during the last five (5) years (i) made any unlawful  contribution  to any
      candidate for foreign office or failed to disclose fully any  contribution
      in  violation  of law,  or (ii) made any  payment to any  federal or state
      governmental  officer or official,  or other  person  charged with similar
      public or quasi-public  duties,  other than payments required or permitted
      by the laws of the United States or any jurisdiction thereof.

            (u) The  Company  has not  taken  and will  not  take,  directly  or
      indirectly, any action designed to or that might reasonably be expected to
      cause or  result  in  stabilization  or  manipulation  of the price of the
      Common Stock to facilitate the sale or resale of the Shares.

            (v) Each  officer and  director  of the Company and each  beneficial
      owner of shares of Common Stock or warrants or options to purchase  Common
      Stock set forth on Annex III  attached  hereto has agreed in writing  that
      such  person  will  not,  for a period  of 180 days from the date that the
      Registration  Statement  is  declared  effective  by the  Commission  (the
      "Lock-up  Period"),  offer to sell,  contract to sell, or otherwise  sell,
      dispose  of,   loan,   



<PAGE>
                                       11


      pledge or grant any rights with respect to (collectively, a "Disposition")
      any shares of Common Stock, any options or warrants to purchase any shares
      of Common Stock or any securities  convertible  into or  exchangeable  for
      shares of Common Stock (collectively, "Securities") now owned or hereafter
      acquired  directly by such person or with respect to which such person has
      or hereafter  acquires the power of  disposition,  otherwise than (i) as a
      bona fide gift or gifts,  provided  the donee or donees  thereof  agree in
      writing  to be  bound  by  this  restriction,  (ii) as a  distribution  to
      partners or  shareholders of such person,  provided that the  distributees
      thereof agree in writing to be bound by the terms of this restriction,  or
      (iii) with the prior written  consent of BancAmerica  Robertson  Stephens.
      The foregoing restriction has been expressly agreed to preclude the holder
      of the Securities from engaging in any hedging or other  transaction which
      is  designed  to  or  reasonably  expected  to  lead  to  or  result  in a
      Disposition  of  Securities  during  the  Lock-up  Period,  even  if  such
      Securities  would be disposed of by someone  other than such holder.  Such
      prohibited   hedging  or  other   transactions   would  include,   without
      limitation,  any  short  sale  (whether  or not  against  the  box) or any
      purchase, sale or grant of any right (including,  without limitation,  any
      put or call option) with respect to any  Securities or with respect to any
      security (other than a broad-based  market basket or index) that includes,
      relates to or derives any significant part of its value from,  Securities.
      Furthermore,  such  person has also agreed and  consented  to the entry of
      stop transfer  instructions with the Company's  transfer agent against the
      transfer of Securities  held by such person except in compliance with this
      restriction.  The Company has provided to counsel for the  Underwriters  a
      complete and accurate list of all security  holders of the Company and the
      number and type of securities  held by each security  holder.  The Company
      has provided to counsel for the Underwriters  true,  accurate and complete
      copies of all of the agreements pursuant to which its officers,  directors
      and shareholders have agreed to such or similar restrictions (the "Lock-up
      Agreements")  presently in effect or effected  hereby.  The Company hereby
      represents  and  warrants  that it will not release  any of its  officers,
      directors  or other  shareholders  from any Lock-up  Agreements  currently
      existing  or  hereafter  effected,  without the prior  written  consent of
      BancAmerica Robertson Stephens.

            (w)  Except  as  set  forth  in  the   Registration   Statement  and
      Prospectus, (i) the Company is in compliance in all material respects with
      all rules, laws and regulations  relating to the use,  treatment,  storage
      and  disposal  of  toxic  substances  and  protection  of  health  or  the
      environment  ("Environmental  Laws") which are applicable to its business,
      (ii) the Company has received no notice from any governmental authority or
      third party of an asserted claim under  Environmental Laws, which claim is
      required to be disclosed in the  Registration  Statement  and  Prospectus,
      (iii) the Company  will not be required  to make future  material  capital
      expenditures to comply with  Environmental Laws and (iv) no property which
      is owned,  leased or  occupied by the  Company  has been  designated  as a
      Superfund site pursuant to the Comprehensive Response,  Compensation,  and
      Liability  Act of 1980,  as amended  (42 U.S.C.  ss.  9601,  ET SEQ.),  or
      otherwise  designated as a  contaminated  site under  applicable  state or
      local law.


<PAGE>
                                       12


            (aa) The Company and each of its  subsidiaries  maintain a system of
      internal accounting  controls sufficient to provide reasonable  assurances
      that (i) transactions are executed in accordance with management's general
      or specific authorizations, (ii) transactions are recorded as necessary to
      permit  preparation of financial  statements in conformity  with generally
      accepted accounting principles and to maintain  accountability for assets,
      (iii) access to assets is permitted only in accordance  with  management's
      general or specific  authorization,  and (iv) the recorded  accountability
      for assets is compared  with existing  assets at reasonable  intervals and
      appropriate action is taken with respect to any differences.

            (bb)  There  are  no  outstanding  loans,  advances  (except  normal
      advances  for  business  expenses in the  ordinary  course of business) or
      guarantees of  indebtedness by the Company to or for the benefit of any of
      the  officers  or  directors  of the  Company or any of the members of the
      families of any of them, except as disclosed in the Registration Statement
      and the  Prospectus and with respect to a loan to Brian Barth of less than
      $60,000.

            (cc) The  Company  has  complied  with  all  provisions  of  Section
      517.075, Florida Statutes applicable to it relating to doing business with
      the Government of Cuba or with any person or affiliate located in Cuba.

            3.  PURCHASE,  SALE AND  DELIVERY  OF  SHARES.  On the  basis of the
representations,  warranties and agreements herein contained, but subject to the
terms  and  conditions  herein  set  forth,  the  Company  agrees to sell to the
Underwriters,  and  each  Underwriter  agrees,  severally  and not  jointly,  to
purchase  from the  Company,  at a  purchase  price of  $6.045  per  share,  the
respective  number of Firm Shares as  hereinafter  set forth.  The obligation of
each  Underwriter  to the  Company  shall be to purchase  from the Company  that
number of Firm Shares which is set forth  opposite the name of such  Underwriter
in Schedule A hereto (subject to adjustment as provided in Section 10).

            Delivery  of  definitive  certificates  for the  Firm  Shares  to be
purchased by the  Underwriters  pursuant to this Section 3 shall be made against
payment of the purchase price therefor by the several  Underwriters by certified
or official bank check or checks drawn in next-day  funds,  payable to the order
of the Company (and the Company agrees not to deposit any such check in the bank
on which it is  drawn,  and not to take any other  action  with the  purpose  or
effect  of  receiving  immediately  available  funds,  until  the  business  day
following  the date of its  delivery  to the  Company,  and, in the event of any
breach of the foregoing,  the Company shall reimburse the  Underwriters  for the
interest lost and any other expenses borne by them by reason of such breach), at
the offices of Shearman & Sterling,  599 Lexington  Avenue,  New York,  New York
10022 (or at such other  place as may be agreed  upon among the  Representatives
and the Company),  at 7:00 A.M.,  San Francisco time (a) on the third (3rd) full
business  day  following  the  first day that  Shares  are  traded,  (b) if this
Agreement is executed and delivered  after 1:30 P.M.,  San Francisco  time,  the
fourth (4th) full business day following the day that this Agreement is executed
and  delivered  or (c) at such other time and date not later than seven (7) full
business   days   following  the  first  day  that  Shares  are  traded  as  the
Representatives and the Company may determine (or at such time and date to which
payment and delivery shall have been  postponed  pursuant to Section 10

<PAGE>
                                       13


hereof),  such time and date of payment and  delivery  being  herein  called the
"Closing Date"; PROVIDED, HOWEVER, that if the Company has not made available to
the Representatives copies of the Prospectus within the time provided in Section
4(d) hereof,  the  Representatives  may, in their sole discretion,  postpone the
Closing Date until no later than two (2) full business days  following  delivery
of copies of the Prospectus to the  Representatives.  The  certificates  for the
Firm Shares to be so delivered  will be made  available to you at such office or
such other location including,  without limitation, in New York City, as you may
reasonably  request for checking at least one (1) full business day prior to the
Closing  Date and will be in such names and  denominations  as you may  request,
such request to be made at least two (2) full business days prior to the Closing
Date. If the  Representatives so elect,  delivery of the Firm Shares may be made
by credit  through full fast  transfer to the accounts at The  Depository  Trust
Company designated by the Representatives.

            It  is   understood   that  you,   individually,   and  not  as  the
Representatives of the several Underwriters, may (but shall not be obligated to)
make payment of the purchase price on behalf of any  Underwriter or Underwriters
whose check or checks  shall not have been  received by you prior to the Closing
Date for the Firm Shares to be purchased by such  Underwriter  or  Underwriters.
Any such payment by you shall not relieve any such  Underwriter or  Underwriters
of any of its or their obligations hereunder.

            After the  Registration  Statement  becomes  effective,  the several
Underwriters  intend  to  make an  initial  public  offering  (as  such  term is
described in Section 11 hereof) of the Firm Shares at an initial public offering
price of $6.50 per  share.  After  the  initial  public  offering,  the  several
Underwriters may, in their discretion, vary the public offering price.

            The  information  set forth in the last paragraph on the front cover
page (insofar as such information  relates to the  Underwriters),  on the inside
front cover concerning stabilization and over-allotment by the Underwriters, and
under the 2nd, 6th, 7th and 9th paragraphs under the caption  "Underwriting"  in
any  Preliminary   Prospectus  and  in  the  Prospectus   constitutes  the  only
information  furnished by the  Underwriters  to the Company for inclusion in any
Preliminary Prospectus,  the Prospectus or the Registration Statement,  and you,
on behalf of the respective  Underwriters,  represent and warrant to the Company
that the  statements  made  therein do not  include  any untrue  statement  of a
material fact or omit to state a material fact required to be stated  therein or
necessary  to make the  statements  therein,  in the light of the  circumstances
under which they were made, not misleading.

            4. FURTHER  AGREEMENTS OF THE COMPANY.  The Company  agrees with the
several Underwriters that:

            (a) The Company will use its best efforts to cause the  Registration
      Statement and any amendment thereof, if not effective at the time and date
      that this  Agreement is executed and delivered by the parties  hereto,  to
      become  effective as promptly as  possible;  the Company will use its best
      efforts to cause any abbreviated  registration  statement pursuant to Rule
      462(b) of the Rules and  Regulations as may be required  subsequent to the
      date the Registration  Statement is declared effective to become effective
      as promptly as



<PAGE>
                                       14


      possible;  the Company will notify you,  promptly  after it shall  receive
      notice  thereof,  of  the  time  when  the  Registration  Statement,   any
      subsequent  amendment to the  Registration  Statement  or any  abbreviated
      registration  statement  has become  effective  or any  supplement  to the
      Prospectus has been filed;  if the Company  omitted  information  from the
      Registration Statement at the time it was originally declared effective in
      reliance upon Rule 430A(a) of the Rules and Regulations,  the Company will
      provide  evidence  satisfactory  to you that the Prospectus  contains such
      information and has been filed,  within the time period  prescribed,  with
      the Commission  pursuant to subparagraph  (1) or (4) of Rule 424(b) of the
      Rules and  Regulations  or as part of a  post-effective  amendment to such
      Registration  Statement as originally declared effective which is declared
      effective by the Commission; if the Company files a term sheet pursuant to
      Rule 434 of the Rules and  Regulations,  the Company will provide evidence
      satisfactory  to you  that  the  Prospectus  and term  sheet  meeting  the
      requirements  of Rule  434(b)  or (c),  as  applicable,  of the  Rules and
      Regulations,  have been filed, within the time period prescribed, with the
      Commission  pursuant to  subparagraph  (7) of Rule 424(b) of the Rules and
      Regulations;  if for any reason the filing of the final form of Prospectus
      is required  under Rule  424(b)(3) of the Rules and  Regulations,  it will
      provide  evidence  satisfactory  to you that the Prospectus  contains such
      information and has been filed with the Commission  within the time period
      prescribed;  it will notify you promptly of any request by the  Commission
      for the amending or  supplementing  of the  Registration  Statement or the
      Prospectus or for additional  information;  promptly upon your request, it
      will prepare and file with the Commission any amendments or supplements to
      the Registration  Statement or Prospectus which, in the opinion of counsel
      for the several Underwriters  ("Underwriters'  Counsel"), may be necessary
      or  advisable in  connection  with the  distribution  of the Shares by the
      Underwriters;  it will promptly prepare and file with the Commission,  and
      promptly notify you of the filing of, any amendments or supplements to the
      Registration Statement or Prospectus which may be necessary to correct any
      statements or omissions, if, at any time when a prospectus relating to the
      Shares is required  to be  delivered  under the Act,  any event shall have
      occurred  as a result of which  the  Prospectus  or any  other  prospectus
      relating  to the  Shares  as then  in  effect  would  include  any  untrue
      statement of a material fact or omit to state a material fact necessary to
      make the statements therein, in the light of the circumstances under which
      they were made,  not  misleading;  in case any  Underwriter is required to
      deliver a prospectus  nine (9) months or more after the effective  date of
      the Registration  Statement in connection with the sale of the Shares,  it
      will  prepare   promptly  upon  request,   but  at  the  expense  of  such
      Underwriter,  such amendment or amendments to the  Registration  Statement
      and  such  prospectus  or  prospectuses  as may  be  necessary  to  permit
      compliance with the  requirements  of Section  10(a)(3) of the Act; and it
      will file no  amendment or  supplement  to the  Registration  Statement or
      Prospectus  which  shall  not  previously  have  been  submitted  to you a
      reasonable time prior to the proposed filing thereof or to which you shall
      reasonably object in writing, subject, however, to compliance with the Act
      and the Rules and Regulations and the provisions of this Agreement.

            (b) The Company  will advise you,  promptly  after it shall  receive
      notice or  obtain  knowledge,  of the  issuance  of any stop  order by the
      Commission  suspending the 


<PAGE>
                                       15


      effectiveness of the Registration Statement or of the initiation or threat
      of any  proceeding  for that  purpose;  and it will  promptly use its best
      efforts  to  prevent  the  issuance  of any stop  order or to  obtain  its
      withdrawal  at the earliest  possible  moment if such stop order should be
      issued.

            (c) The Company  will use its best efforts to qualify the Shares for
      offering and sale under the securities laws of such  jurisdictions  as you
      may designate and to continue such qualifications in effect for so long as
      may be required for  purposes of the  distribution  of the Shares,  except
      that the Company  shall not be required in  connection  therewith  or as a
      condition  thereof  to qualify  as a foreign  corporation  or to execute a
      general  consent to service of process in any  jurisdiction in which it is
      not  otherwise  required  to be so  qualified  or to so  execute a general
      consent to service of process.  In each  jurisdiction  in which the Shares
      shall have been  qualified  as above  provided,  the Company will make and
      file such statements and reports in each year as are or may be required by
      the laws of such jurisdiction.

            (d) The Company will furnish to you, as soon as  available,  and, in
      the case of the Prospectus  and any term sheet or  abbreviated  term sheet
      under Rule 434, in no event later than the first (1st) full  business  day
      following the first day that Shares are traded, copies of the Registration
      Statement  (three of which  will be  signed  and which  will  include  all
      exhibits), each Preliminary Prospectus,  the Prospectus and any amendments
      or supplements  to such  documents,  including any prospectus  prepared to
      permit compliance with Section 10(a)(3) of the Act, all in such quantities
      as you may  from  time to time  reasonably  request.  Notwithstanding  the
      foregoing,  if BancAmerica  Robertson  Stephens,  on behalf of the several
      Underwriters,  shall agree to the utilization of Rule 434 of the Rules and
      Regulations,  the  Company  shall  provide to you copies of a  Preliminary
      Prospectus  updated in all respects  through the date  specified by you in
      such quantities as you may from time to time reasonably request.

            (e) The  Company  will  make  generally  available  to its  security
      holders  as soon as  practicable,  but in any  event  not  later  than the
      forty-fifth  (45th)  day  following  the end of the fiscal  quarter  first
      occurring  after  the  first  anniversary  of the  effective  date  of the
      Registration Statement, an earnings statement (which will be in reasonable
      detail but need not be audited)  complying  with the provisions of Section
      11(a) of the Act and covering a twelve (12) month period  beginning  after
      the effective date of the Registration Statement.

            (f)  During a period of five (5) years  after the date  hereof,  the
      Company will furnish to its shareholders as soon as practicable  after the
      end  of  each  respective  period,  annual  reports  (including  financial
      statements  audited  by  independent  certified  public  accountants)  and
      unaudited  quarterly  reports of  operations  for each of the first  three
      quarters of the fiscal year,  and will furnish to you and,  upon  request,
      the other several Underwriters  hereunder (i) concurrently with furnishing
      such reports to its shareholders,  statements of operations of the Company
      for each of the first  three (3)  quarters  in the form  furnished  to the
      Company's   shareholders,   (ii)   concurrently  with  furnishing  to  its
      shareholders,  a balance 


<PAGE>
                                       16


      sheet of the  Company as of the end of such  fiscal  year,  together  with
      statements of operations,  of shareholders'  equity,  and of cash flows of
      the Company for such fiscal year, accompanied by a copy of the certificate
      or report thereon of independent  certified public  accountants,  (iii) as
      soon as they are  available,  copies of all reports  (financial  or other)
      mailed to shareholders,  (iv) as soon as they are available, copies of all
      reports  and  financial   statements   furnished  to  or  filed  with  the
      Commission,  any  securities  exchange  or  the  National  Association  of
      Securities  Dealers,  Inc. ("NASD"),  (v) every material press release and
      every  material  news item or article  in  respect  of the  Company or its
      affairs which was generally  released to  shareholders  or prepared by the
      Company or any of its subsidiaries, and (vi) any additional information of
      a  public  nature  concerning  the  Company  or its  subsidiaries,  or its
      business  which  you may  reasonably  request.  During  such five (5) year
      period,  if the Company  shall have  active  subsidiaries,  the  foregoing
      financial  statements shall be on a consolidated  basis to the extent that
      the accounts of the Company and its  subsidiaries  are  consolidated,  and
      shall be accompanied by similar  financial  statements for any significant
      subsidiary which is not so consolidated.

            (g) The  Company  will apply the net  proceeds  from the sale of the
      Shares  being sold by it in the manner set forth under the caption "Use of
      Proceeds" in the Prospectus.

            (h) The Company  will  maintain a transfer  agent and, if  necessary
      under the jurisdiction of incorporation of the Company, a registrar (which
      may be the same entity as the transfer agent) for its Common Stock.

            (i) If the transactions  contemplated  hereby are not consummated by
      reason of any failure,  refusal or inability on the part of the Company to
      perform any agreement on its parts to be performed hereunder or to fulfill
      any  condition  of  the  Underwriters'  obligations  hereunder,  or if the
      Company shall  terminate this Agreement  pursuant to Section 11(a) hereof,
      or if the Underwriters  shall terminate this Agreement pursuant to Section
      11(b)(i),  the Company will  reimburse  the several  Underwriters  for all
      out-of-pocket  expenses (including fees and disbursements of Underwriters'
      Counsel)  incurred by the  Underwriters in  investigating  or preparing to
      market or marketing the Shares.

            (j) If at any time  during  the  ninety  (90) day  period  after the
      Registration Statement becomes effective,  any rumor, publication or event
      relating to or affecting  the Company  shall occur as a result of which in
      your opinion the market price of the Common Stock has been or is likely to
      be materially affected  (regardless of whether such rumor,  publication or
      event  necessitates a supplement to or amendment of the  Prospectus),  the
      Company will,  after  written  notice from you advising the Company to the
      effect set forth above, forthwith prepare, consult with you concerning the
      substance of and  disseminate a press  release or other public  statement,
      reasonably satisfactory to you, responding to or commenting on such rumor,
      publication or event.

            (k) During the Lock-up  Period,  the Company  will not,  without the
      prior  written  consent  of  BancAmerica  Robertson  Stephens,  effect the
      Disposition of, directly or 


<PAGE>
                                       17


      indirectly,  any Securities other than the sale of the Firm Shares and the
      Option Shares  hereunder  and the Company's  issuance of options or Common
      Stock under the Company's presently authorized 1996 Stock Option Plan (the
      "Option Plan").

            (l) During a period of forty-five  (45) days from the effective date
      of the  Registration  Statement,  the Company will not file a registration
      statement  registering  shares  under the  Option  Plan or other  employee
      benefit plan.

            5. EXPENSES. The Company agrees with each Underwriter that:

            (a) The  Company  will  pay and  bear  all  costs  and  expenses  in
      connection with the  preparation,  printing and filing of the Registration
      Statement  (including  financial  statements,   schedules  and  exhibits),
      Preliminary   Prospectuses  and  the  Prospectus  and  any  amendments  or
      supplements thereto;  the printing of this Agreement,  the Agreement Among
      Underwriters,  the Selected Dealer  Agreement,  the  Preliminary  Blue Sky
      Survey  and  any   Supplemental   Blue  Sky  Survey,   the   Underwriters'
      Questionnaire and Power of Attorney, and any instruments related to any of
      the  foregoing;  the issuance and delivery of the Shares  hereunder to the
      several  Underwriters,  including  transfer taxes, if any, the cost of all
      certificates  representing the Shares and transfer agents' and registrars'
      fees; the fees and disbursements of counsel for the Company;  all fees and
      other charges of the Company's  independent  certified public accountants;
      the  cost  of  furnishing  to  the  several  Underwriters  copies  of  the
      Registration  Statement  (including  appropriate  exhibits),   Preliminary
      Prospectus and the Prospectus, and any amendments or supplements to any of
      the  foregoing;  NASD  filing fees and the cost of  qualifying  the Shares
      under  the  laws of such  jurisdictions  as you may  designate  (including
      filing  fees  and fees  and  disbursements  of  Underwriters'  Counsel  in
      connection  with such NASD filings and Blue Sky  qualifications);  and all
      other  expenses  directly  incurred by the Company in connection  with the
      performance of their obligations hereunder.

            (b) In addition to its other  obligations under Section 8(a) hereof,
      the Company agrees that, as an interim  measure during the pendency of any
      claim,  action,  investigation,  inquiry or other proceeding  described in
      Section 8(a) hereof, it will reimburse the Underwriters on a monthly basis
      for all  reasonable  legal or other expenses  incurred in connection  with
      investigating or defending any such claim, action, investigation,  inquiry
      or  other   proceeding,   notwithstanding   the   absence  of  a  judicial
      determination  as to the  propriety  and  enforceability  of the Company's
      obligation  to  reimburse  the  Underwriters  for  such  expenses  and the
      possibility  that such payments  might later be held to have been improper
      by a court of competent jurisdiction.  To the extent that any such interim
      reimbursement  payment is so held to have been improper,  the Underwriters
      shall promptly return such payment to the Company  together with interest,
      compounded  daily,  determined  on the basis of the  prime  rate (or other
      commercial  lending  rate for  borrowers of the highest  credit  standing)
      listed from time to time in The Wall Street  Journal which  represents the
      base rate on  corporate  loans  posted by a  substantial  majority  of the
      nation's  thirty (30) largest banks (the "Prime  Rate").  Any such interim
      reimbursement  payments  which  are not  made to the  


<PAGE>
                                       18


      Underwriters  within thirty (30) days of a request for reimbursement shall
      bear interest at the Prime Rate from the date of such request.

            (c) In  addition  to their  other  obligations  under  Section  8(c)
      hereof,  the  Underwriters  severally  and not jointly  agree that,  as an
      interim measure during the pendency of any claim,  action,  investigation,
      inquiry or other  proceeding  described in Section 8(c) hereof,  they will
      reimburse the Company on a monthly basis for all reasonable legal or other
      expenses  incurred in connection with  investigating or defending any such
      claim, action, investigation, inquiry or other proceeding, notwithstanding
      the  absence  of  a  judicial   determination  as  to  the  propriety  and
      enforceability  of the  Underwriters'  obligation to reimburse the Company
      for such expenses and the  possibility  that such payments  might later be
      held to have been  improper by a court of competent  jurisdiction.  To the
      extent that any such interim reimbursement payment is so held to have been
      improper,   the  Company  shall  promptly   return  such  payment  to  the
      Underwriters together with interest,  compounded daily,  determined on the
      basis of the Prime Rate. Any such interim reimbursement payments which are
      not  made  to the  Company  within  thirty  (30)  days  of a  request  for
      reimbursement  shall bear interest at the Prime Rate from the date of such
      request.

            (d) It is agreed that any  controversy  arising out of the operation
      of the interim  reimbursement  arrangements set forth in Sections 5(b) and
      5(c)  hereof,   including  the  amounts  of  any  requested  reimbursement
      payments,  the method of  determining  such amounts and the basis on which
      such amounts shall be apportioned among the reimbursing parties,  shall be
      settled by arbitration  conducted under the provisions of the Constitution
      and Rules of the Board of Governors of the New York Stock  Exchange,  Inc.
      or pursuant to the Code of  Arbitration  Procedure  of the NASD.  Any such
      arbitration  must  be  commenced  by  service  of  a  written  demand  for
      arbitration  or a  written  notice  of  intention  to  arbitrate,  therein
      electing  the  arbitration  tribunal.  In the event  the  party  demanding
      arbitration does not make such  designation of an arbitration  tribunal in
      such demand or notice,  then the party responding to said demand or notice
      is  authorized  to do so.  Any such  arbitration  will be  limited  to the
      operation of the interim  reimbursement  provisions  contained in Sections
      5(b) and 5(c)  hereof  and will not  resolve  the  ultimate  propriety  or
      enforceability  of the  obligation  to  indemnify  for  expenses  which is
      created  by the  provisions  of  Sections  8(a)  and  8(c)  hereof  or the
      obligation to contribute to expenses which is created by the provisions of
      Section 8(d) hereof.

            6. CONDITIONS OF UNDERWRITERS'  OBLIGATIONS.  The obligations of the
several Underwriters to purchase and pay for the Shares as provided herein shall
be subject to the  accuracy,  as of the date hereof and the Closing Date and any
later date on which Option  Shares are to be  purchased,  as the case may be, of
the  representations and warranties of the Company herein, to the performance by
the  Company  of its  obligations  hereunder  and to  the  following  additional
conditions:

            (a) The Registration Statement shall have become effective not later
      than 2:00 P.M., San Francisco time, on the date following the date of this
      Agreement,  or such later 


<PAGE>
                                       19


      date as  shall  be  consented  to in  writing  by you;  and no stop  order
      suspending  the  effectiveness  thereof  shall  have  been  issued  and no
      proceedings  for that purpose  shall have been  initiated or threatened by
      the  Commission,   and  any  request  of  the  Commission  for  additional
      information  (to  be  included  in  the  Registration   Statement  or  the
      Prospectus or otherwise) shall have been complied with to the satisfaction
      of Underwriters' Counsel.

            (b) All corporate  proceedings and other legal matters in connection
      with  this  Agreement,   the  form  of  Registration   Statement  and  the
      Prospectus, and the registration,  authorization, issue, sale and delivery
      of the Shares,  shall have been reasonably  satisfactory to  Underwriters'
      Counsel,  and such counsel shall have been  furnished with such papers and
      information as they may  reasonably  have requested to enable them to pass
      upon the matters referred to in this Section.

            (c)  Subsequent to the execution and delivery of this  Agreement and
      prior to the Closing Date, or any later date on which Option Shares are to
      be purchased,  as the case may be, there shall not have been any change in
      the condition (financial or otherwise),  earnings, operations, business or
      business  prospects of the Company and its subsidiaries  considered as one
      enterprise  from  that  set  forth  in  the   Registration   Statement  or
      Prospectus, which, in your sole judgment, is material and adverse and that
      makes it, in your sole judgment,  impracticable  or inadvisable to proceed
      with the public offering of the Shares as contemplated by the Prospectus.

            (d) You shall have  received  on the  Closing  Date and on any later
      date on which Option Shares are to be  purchased,  as the case may be, the
      following  opinion of counsel for the  Company,  dated the Closing Date or
      such later date on which Option  Shares are to be  purchased  addressed to
      the Underwriters and with reproduced copies or signed counterparts thereof
      for each of the Underwriters, to the effect that:

                  (i) The  Company  and  each  subsidiary  listed  on  Annex  IV
            attached  hereto  (each a  "Significant  Subsidiary")  has been duly
            incorporated  and is  validly  existing  as a  corporation  in  good
            standing under the laws of the jurisdiction of its incorporation;

                  (ii) The  Company  and  each  Significant  Subsidiary  has the
            corporate  power  and  authority  to  own,  lease  and  operate  its
            properties   and  to  conduct  its  business  as  described  in  the
            Prospectus;

                  (iii) The  Company  and each  Significant  Subsidiary  is duly
            qualified  to do  business as a foreign  corporation  and is in good
            standing in each  jurisdiction,  if any, in which the  ownership  or
            leasing of its  properties  or the conduct of its business  requires
            such  qualification,  except where the failure to be so qualified or
            be in good standing,  individually  or in the  aggregate,  would not
            have a  material  adverse  effect  on the  condition  (financial  or
            otherwise),  earnings, operations or business of the Company and its
            subsidiaries  considered  as  one  enterprise.   To  such  counsel's
         

<PAGE>
                                       20


            knowledge,  the Company  does not own a majority of the voting power
            of or directly or indirectly  possess  majority voting control over,
            any  corporation,  association  or other  entity  other  than  those
            identified  in  Annex  II  of  this  Agreement  (collectively,   the
            "Subsidiaries");

                  (iv) The authorized,  issued and outstanding  capital stock of
            the  Company  is as set forth in the  Prospectus  under the  caption
            "Capitalization"  as of the dates stated therein.  All of the issued
            and outstanding shares of capital stock of the Company (a) have been
            authorized  and  are  duly  and  validly  issued,   fully  paid  and
            nonassessable,  and (b) to such counsel's  knowledge,  have not have
            been  issued in  violation  of or subject to any  preemptive  right,
            co-sale right,  registration  right, right of first refusal or other
            similar right  existing  under  statute,  the  Company's  charter or
            by-laws,  or the terms of any  agreement or  instrument to which the
            Company is a party;

                  (v) (a) The  Company  is the  record  holder of all issued and
            outstanding  shares of capital stock of each Significant  Subsidiary
            of the  Company,  (b) all the issued and  outstanding  stock of each
            Significant  Subsidiary has been authorized and are duly and validly
            issued,  fully  paid and  nonassessable,  and (c) to such  counsel's
            knowledge,  such  shares  have not been  issued in  violation  of or
            subject to any preemptive right, co-sale right,  registration right,
            right of  first  refusal  or other  similar  right,  existing  under
            statute,  such  subsidiary's  charter or by-laws or any agreement or
            instrument  to which the Company or any such  subsidiary is a party,
            and, except as set forth in Annex I to this Agreement,  are owned by
            the Company free and clear of any pledge,  lien,  security interest,
            encumbrance, claim or equitable interest;

                  (vi) The Firm Shares or the Option Shares, as the case may be,
            to be issued by the Company  pursuant to the terms of this Agreement
            have been duly  authorized  and, upon issuance and delivery  against
            payment  therefor in accordance with the terms hereof,  will be duly
            and validly  issued and fully paid and  nonassessable,  and will not
            have been issued in violation of or subject to any preemptive right,
            co-sale right,  registration  right, right of first refusal or other
            similar  right,  existing under  statute,  the Company's  charter or
            by-laws or any  agreement  or  instrument  to which the Company is a
            party; the capital stock of the Company conforms as to legal matters
            to the  descriptions  thereof  contained in the Prospectus under the
            caption   "Description   of  Capital   Stock";   and  the  forms  of
            certificates  evidencing  the Common  Stock and filed as exhibits to
            the Registration Statement comply with Delaware law;

                  (vii) The Company has the  corporate  power and  authority  to
            enter  into this  Agreement  and to issue,  sell and  deliver to the
            Underwriters the Shares to be issued and sold by it hereunder;


<PAGE>
                                       21


                  (viii)  This  Agreement  has  been  duly   authorized  by  all
            necessary  corporate  action on the part of the Company and has been
            duly  executed  and  delivered  by the  Company  and,  assuming  due
            authorization, execution and delivery by you, is a valid and binding
            agreement of the Company,  enforceable in accordance with its terms,
            except  insofar  as  indemnification  provisions  may be  limited by
            applicable  law and  except  as  enforceability  may be  limited  by
            bankruptcy,   insolvency,   fraudulent   transfer,   reorganization,
            receivership,  moratorium  and similar laws relating to or affecting
            creditors'  rights or  remedies  generally  or by general  equitable
            principles;

                  (ix)  The  Registration   Statement  and  all   post-effective
            amendments  (if any) have  become  effective  under the Act. To such
            counsel's  knowledge,  no stop order suspending the effectiveness of
            the  Registration  Statement has been issued and no proceedings  for
            that purpose have been instituted or are pending or threatened under
            the Act. Any  required  filings of the  Prospectus  pursuant to Rule
            424(b) have been made in accordance with Rule 424(b);

                  (x) The  Registration  Statement  and the  Prospectus  and any
            further  amendment or supplement  thereto  (other than the financial
            statements  (including  supporting  schedules)  and  financial  data
            derived therefrom as to which such counsel need express no opinion),
            as of the effective date of the Registration Statement,  complied as
            to form in all material  respects with the  requirements  of the Act
            and the applicable Rules and Regulations;

                  (xi) The  description  in the  Registration  Statement and the
            Prospectus of the charter and bylaws of the Company and of statutes,
            legal and  governmental  proceedings,  contracts and other documents
            are  accurate  and fairly  present  the  information  required to be
            disclosed  with  respect  thereto   pursuant  to  the  Act  and  the
            applicable Rules and Regulations;  and such counsel does not know of
            any  statutes or legal or  governmental  proceedings  required to be
            described in the Prospectus  that are not described as required,  or
            of  any  contracts  or  documents  of a  character  required  to  be
            described  or  referred  to  or  be  filed  as  an  exhibit  to  the
            Registration Statement or the Prospectus that has not been described
            or referred to therein or filed as required;

                  (xii)    The    statements    under   the    captions    "Risk
            Factors--Government Regulation," "Risk Factors--Health Care Reform,"
            "Risk Factors--Environmental  Risks," "Risk Factors--Shares Eligible
            for     Future     Sale,"     "Business--Government     Regulation,"
            "Management--Certain   Relationships   and  Related   Transactions,"
            "Description of Capital Stock" and "Shares Eligible for Future Sale"
            in the  Prospectus  and  in  items  14  and  15 of the  Registration
            Statement,  insofar  as such  statements  constitute  a  summary  of
            documents  referred  to therein or of matters of law,  are  accurate
            summaries and fairly and correctly  present the  information  called
            for with respect to such documents and matters;


<PAGE>
                                       22


                  (xiii) The performance of this Agreement and the  consummation
            of the transactions  herein  contemplated (other than performance of
            the Company's indemnification obligations hereunder concerning which
            no opinion  need be  expressed)  do not (a)  violate  the  Company's
            charter or bylaws or (b)  constitute a material  breach or violation
            of any existing  obligation of the Company,  or constitute a default
            under, any bond, debenture,  note or other evidence of indebtedness,
            or any lease,  contract,  indenture,  mortgage,  deed of trust, loan
            agreement,  joint venture or other agreement or instrument  known to
            such counsel to which the Company or any Subsidiary is a party or by
            which  its  or  their  respective   properties  are  bound,  or  any
            applicable statute,  rule or regulation known to such counsel or, to
            such counsel's  knowledge,  any order,  writ or decree of any court,
            government or governmental  agency or body having  jurisdiction over
            the  Company  or any of  its  Subsidiaries,  or  over  any of  their
            properties or operations;

                  (xiv)  No  consent,  approval,  authorization  or  order of or
            qualification with any court,  government or governmental  agency or
            body   having   jurisdiction   over  the   Company  or  any  of  its
            Subsidiaries,  or over  any of their  properties  or  operations  is
            necessary  as a condition to the  performance  by the Company of the
            transactions  contemplated  by this  Agreement,  except such as have
            been obtained  under the Act or such as may be required  under state
            or other securities or Blue Sky laws in connection with the purchase
            and the distribution of the Shares by the Underwriters;

                  (xv) To such  counsel's  knowledge,  no legal or  governmental
            proceedings are pending or threatened  against the Company or any of
            its  Subsidiaries,  of a character  required to be  described in the
            Registration Statement or the Prospectus by the Act or the Rules and
            Regulations, other than those described therein;

                  (xvi) To such counsel's knowledge,  none of the Company or any
            of its  subsidiaries is presently (a) in violation of its respective
            charter or bylaws or (b) in breach of any applicable  statute,  rule
            or regulation known to such counsel or, to such counsel's knowledge,
            any  order,  writ or decree of any court or  governmental  agency or
            body having  jurisdiction  over the Company or any of its respective
            subsidiaries, or over any of their properties or operations, in each
            case  except as would not  likely  result  in any  material  adverse
            effect  on  the  condition   (financial  or  otherwise),   earnings,
            operations   or  business  of  the  Company  and  its   subsidiaries
            considered as one  enterprise  (this opinion may be give by in-house
            counsel);

                  (xvii) The Company is not an "investment  company"  within the
            meaning of the Investment  Company Act of 1940, as amended,  and the
            rules and regulations thereunder; and

                  (xviii) To such  counsel's  knowledge,  except as set forth in
            the  Registration  Statement  and  Prospectus,  no holders of Common
            Stock or other  securities of the Company have  registration  rights
            with respect to securities  of the Company  


<PAGE>
                                       23


            pursuant to the terms of any  agreement or  instrument  to which the
            Company  is a party  and,  except as set  forth in the  Registration
            Statement and  Prospectus,  all holders of securities of the Company
            having rights known to such counsel to  registration  of such shares
            of Common  Stock or other  securities,  because of the filing of the
            Registration  Statement  by the Company  have,  with  respect to the
            offering  contemplated  thereby,  waived  such rights or such rights
            have expired by reason of lapse of time  following  notification  of
            the  Company's  intent to file the  Registration  Statement  or have
            included  securities in the Registration  Statement  pursuant to the
            exercise of and in full satisfaction of such rights.

            In  addition,  such  counsel  shall  state  that  such  counsel  has
      participated in conferences  with officials and other  representatives  of
      the  Company,   the   Representatives,   Underwriters'   Counsel  and  the
      independent  certified  public  accountants of the Company,  at which such
      conferences the contents of the Registration  Statement and Prospectus and
      related  matters were  discussed,  and although they have not verified the
      accuracy or completeness of the statements  contained in the  Registration
      Statement  or the  Prospectus,  nothing has come to the  attention of such
      counsel  which leads them to believe  that,  at the time the  Registration
      Statement became  effective and at all times subsequent  thereto up to and
      on the Closing Date and on any later date on which Option Shares are to be
      purchased,  as the  case  may  be,  the  Registration  Statement  and  any
      amendment or  supplement  thereto  (other than the  financial  statements,
      including supporting schedules and other financial and statistical data or
      information  derived  therefrom,  as to which such counsel need express no
      comment)  contained any untrue  statement of a material fact or omitted to
      state a material fact  required to be stated  therein or necessary to make
      the statements therein not misleading, or at the Closing Date or any later
      date on which the Option Shares are to be  purchased,  as the case may be,
      the Registration Statement, the Prospectus and any amendment or supplement
      thereto (except as aforesaid) contained any untrue statement of a material
      fact or omitted to state a material fact  necessary to make the statements
      therein, in the light of the circumstances under which they were made, not
      misleading.

            Counsel  rendering the foregoing opinion may rely as to questions of
      fact upon  representations  or certificates of officers of the Company and
      of government officials, in which case their opinion is to state that they
      are  so  relying  and  that  they  have  no   knowledge  of  any  material
      misstatement  or inaccuracy  in any such  representation  or  certificate.
      Copies  of any  representation  or  certificate  so relied  upon  shall be
      delivered  to  you,  as  Representatives  of  the  Underwriters,   and  to
      Underwriters' Counsel.

            The  foregoing  opinions  shall be limited to the laws of the United
      States  of  America,  the  States  of  Pennsylvania  and New  York and the
      corporate law of the State of Delaware.

            (e) You shall have  received  on the  Closing  Date and on any later
      date on which Option  Shares are to be  purchased,  as the case may be, an
      opinion of Shearman & Sterling, in form and substance satisfactory to you,
      with respect to the  sufficiency  of all such  corporate  proceedings  and
      other  legal  matters  relating  to this  Agreement  and the


<PAGE>
                                       24


            transactions  contemplated  hereby  as  you  may reasonably require,
            and the Company shall have  furnished to such counsel such documents
            and  certificates  as they may have  requested  for the  purpose  of
            enabling them to pass upon such matters.

            (f) You shall have  received  on the  Closing  Date and on any later
      date on which  Option  Shares are to be  purchased,  as the case may be, a
      letter from KPMG Peat Marwick LLP addressed to the Underwriters, dated the
      Closing  Date  or  such  later  date  on  which  Option  Shares  are to be
      purchased,  as the  case may be,  confirming  that  they  are  independent
      certified  public  accountants  with  respect  to the  Company  within the
      meaning of the Act and the applicable  published Rules and Regulations and
      based  upon the  procedures  described  in such  letter  delivered  to you
      concurrently with the execution of this Agreement (herein called the "KPMG
      Original  Letter"),  but  carried  out to a date  not more  than  five (5)
      business days prior to the Closing Date or such later date on which Option
      Shares are to be  purchased,  as the case may be, (i)  confirming,  to the
      extent true,  that the  statements and  conclusions  set forth in the KPMG
      Original  Letter are accurate as of the Closing Date or such later date on
      which  Option  Shares  are to be  purchased,  as the case may be, and (ii)
      setting  forth  any  revisions  and  additions  to  the   statements   and
      conclusions  set forth in the KPMG Original  Letter which are necessary to
      reflect any changes in the facts  described  in the KPMG  Original  Letter
      since the date of such  letter,  or to reflect  the  availability  of more
      recent  financial  statements,  data or information.  The letter shall not
      disclose any change in the condition  (financial or otherwise),  earnings,
      operations,  business  or  business  prospects  of  the  Company  and  its
      subsidiaries  considered  as one  enterprise  from  that set  forth in the
      Registration  Statement or Prospectus,  which,  in your sole judgment,  is
      material   and  adverse  and  that  makes  it,  in  your  sole   judgment,
      impracticable  or inadvisable  to proceed with the public  offering of the
      Shares as contemplated  by the Prospectus.  The KPMG Original Letter shall
      be addressed to or for the use of the  Underwriters  in form and substance
      satisfactory to the  Underwriters  and shall (i) represent,  to the extent
      true, that they are independent  certified public accountants with respect
      to the Company within the meaning of the Act and the applicable  published
      Rules and Regulations,  (ii) set forth their opinion with respect to their
      examination  of the  consolidated  balance sheet of the Company as of June
      30,  1997 and 1996 and  related  consolidated  statements  of  operations,
      shareholders'  equity, and cash flows for the years then ended and for the
      period from April 17, 1995 (date of  inception) to June 30, 1995 and (iii)
      address  other  matters  agreed upon by KPMG Peat  Marwick LLP and you. In
      addition,  you shall have  received  from KPMG Peat  Marwick  LLP a letter
      addressed  to the  Company  and made  available  to you for the use of the
      Underwriters stating that their review of the Company's system of internal
      accounting  controls,  to the extent they deemed necessary in establishing
      the  scope  of  their  audit  of  the  Company's   consolidated  financial
      statements  as of June  30,  1997,  did not  disclose  any  weaknesses  in
      internal controls that they considered to be material weaknesses.

            (g) You shall have  received  on the  Closing  Date and on any later
      date on which  Option  Shares are to be  purchased,  as the case may be, a
      letter from Baird, Kurtz & Dobson addressed to the Underwriters, dated the
      Closing  Date  or  such  later  date  on  which  Option  Shares  are to be
      purchased,  as the  case may be,  confirming  that  they  are  independent

<PAGE>
                                       25


      certified  public  accountants  with respect to Foster  Healthcare and Joe
      Clark within the meaning of the Act and the applicable published Rules and
      Regulations  and  based  upon  the  procedures  described  in such  letter
      delivered to you concurrently with the execution of this Agreement (herein
      called the "Baird  Original  Letter"),  but carried out to a date not more
      than five (5)  business  days prior to the Closing Date or such later date
      on which  Option  Shares  are to be  purchased,  as the  case may be,  (i)
      confirming,  to the extent true,  that the statements and  conclusions set
      forth in the Baird Original  Letter are accurate as of the Closing Date or
      such later date on which Option  Shares are to be  purchased,  as the case
      may be,  and  (ii)  setting  forth  any  revisions  and  additions  to the
      statements and  conclusions  set forth in the Baird Original  Letter which
      are  necessary to reflect any changes in the facts  described in the Baird
      Original  Letter  since  the  date  of  such  letter,  or to  reflect  the
      availability of more recent financial statements, data or information. The
      letter  shall not  disclose  any  change in the  condition  (financial  or
      otherwise), earnings, operations, business or business prospects of Foster
      Health Care or Joe Clark from that set forth in the Registration Statement
      or Prospectus,  which, in your sole judgment,  is material and adverse and
      that makes it, in your sole  judgment,  impracticable  or  inadvisable  to
      proceed  with the public  offering  of the Shares as  contemplated  by the
      Prospectus. The Baird Original Letter shall be addressed to or for the use
      of the Underwriters in form and substance satisfactory to the Underwriters
      and shall (i)  represent,  to the extent true,  that they are  independent
      certified  public  accountants  with respect to Foster  Healthcare and Joe
      Clark within the meaning of the Act and the applicable published Rules and
      Regulations, (ii) set forth their opinion with respect to their audits of:
      (A) the combined  balance sheets of Foster  Healthcare as of June 30, 1996
      and 1995 and related  combined  statements  of  operations,  shareholders'
      equity,  and cash flows for the two (2) years  ended June 30, 1996 and (B)
      the  balance  sheet  of Joe  Clark as of  December  31,  1996 and  related
      statements  of  income,  shareholders'  equity and cash flows for the year
      ended  December 31, 1996,  and (iii) address other matters  agreed upon by
      Baird, Kurtz & Dobson and you.

            (h) You shall have  received  on the  Closing  Date and on any later
      date on which  Option  Shares are to be  purchased,  as the case may be, a
      letter from Snyder & Clemente  addressed  to the  Underwriters,  dated the
      Closing  Date  or  such  later  date  on  which  Option  Shares  are to be
      purchased,  as the  case may be,  confirming  that  they  are  independent
      certified public  accountants with respect to Keystone  Affiliates  within
      the meaning of the Act and the applicable  published Rules and Regulations
      and based upon the  procedures  described in such letter  delivered to you
      concurrently  with the  execution  of this  Agreement  (herein  called the
      "Snyder  Original  Letter"),  but carried out to a date not more than five
      (5)  business  days prior to the Closing  Date or such later date on which
      Option Shares are to be purchased, as the case may be, (i) confirming,  to
      the extent true,  that the  statements  and  conclusions  set forth in the
      Snyder  Original  Letter are accurate as of the Closing Date or such later
      date on which Option Shares are to be  purchased,  as the case may be, and
      (ii) setting  forth any  revisions  and  additions to the  statements  and
      conclusions set forth in the Snyder Original Letter which are necessary to
      reflect any changes in the facts  described in the Snyder  Original Letter
      since the date of such  letter,  or to reflect  the  availability  of more
      recent  financial  statements,  data or information.  The letter shall not
      disclose any 


<PAGE>
                                       26


            change  in  the  condition   (financial  or  otherwise),   earnings,
            operations,  business or business  prospects of Keystone  Affiliates
            from that set forth in the  Registration  Statement  or  Prospectus,
            which, in your sole judgment, is material and adverse and that makes
            it, in your sole judgment,  impracticable  or inadvisable to proceed
            with the  public  offering  of the  Shares  as  contemplated  by the
            Prospectus.  The Snyder Original Letter shall be addressed to or for
            the use of the  Underwriters  in form and substance  satisfactory to
            the Underwriters  and shall (i) represent,  to the extent true, that
            they are independent  certified  public  accountants with respect to
            Keystone Affiliates within the meaning of the Act and the applicable
            published Rules and  Regulations,  (ii) set forth their opinion with
            respect  to their  audit of the  combined  financial  statements  of
            Keystone Affiliates, together with the related notes, as of December
            31,  1996 and 1995 and for the three (3) years  ended  December  31,
            1996  and  (iii)  address  other  matters  agreed  upon by  Snyder &
            Clemente and you.

            (i) You shall have  received  on the  Closing  Date and on any later
      date on which  Option  Shares are to be  purchased,  as the case may be, a
      letter from Hodge, Steward & Company,  P.A. addressed to the Underwriters,
      dated the Closing Date or such later date on which Option Shares are to be
      purchased,  as the  case may be,  confirming  that  they  are  independent
      certified public accountants with respect to Triangle  Retirement Services
      within  the  meaning  of the Act and the  applicable  published  Rules and
      Regulations  and  based  upon  the  procedures  described  in such  letter
      delivered to you concurrently with the execution of this Agreement (herein
      called the "Hodge  Original  Letter"),  but carried out to a date not more
      than five (5)  business  days prior to the Closing Date or such later date
      on which  Option  Shares  are to be  purchased,  as the  case may be,  (i)
      confirming,  to the extent true,  that the statements and  conclusions set
      forth in the Hodge Original  Letter are accurate as of the Closing Date or
      such later date on which Option  Shares are to be  purchased,  as the case
      may be,  and  (ii)  setting  forth  any  revisions  and  additions  to the
      statements and  conclusions  set forth in the Hodge Original  Letter which
      are  necessary to reflect any changes in the facts  described in the Hodge
      Original  Letter  since  the  date  of  such  letter,  or to  reflect  the
      availability of more recent financial statements, data or information. The
      letter  shall not  disclose  any  change in the  condition  (financial  or
      otherwise),  earnings,  operations,  business  or  business  prospects  of
      Triangle  Retirement  Services  from  that set  forth in the  Registration
      Statement or Prospectus,  which,  in your sole  judgment,  is material and
      adverse  and that  makes  it,  in your  sole  judgment,  impracticable  or
      inadvisable  to  proceed  with  the  public  offering  of  the  Shares  as
      contemplated  by the  Prospectus.  The  Hodge  Original  Letter  shall  be
      addressed  to or for the use of the  Underwriters  in form  and  substance
      satisfactory to the  Underwriters  and shall (i) represent,  to the extent
      true, that they are independent  certified public accountants with respect
      to  Triangle  Retirement  Services  within the  meaning of the Act and the
      applicable  published Rules and Regulations,  (ii) set forth their opinion
      with  respect to their  audit of the  combined  balance  sheet of Triangle
      Retirement  Services as of December 31, 1996 and 1995 and related combined
      statements of operations, shareholders' equity, and cash flows for the two
      (2) years ended  December 31, 1996 and (iii) address other matters  agreed
      upon by Hodge, Steward & Company, P.A, and you.


<PAGE>
                                       27


            (j) You shall have  received  on the  Closing  Date and on any later
      date on  which  Option  Shares  are to be  purchased,  as the case may be,
      letters from  Coopers & Lybrand,  L.L.P.  addressed  to the  Underwriters,
      dated the Closing Date or such later date on which Option Shares are to be
      purchased,  as the  case may be,  confirming  that  they  are  independent
      certified public accountants with respect to Gethsemane Affiliates, Butler
      and  Feltrop  within the meaning of the Act and the  applicable  published
      Rules and  Regulations  and based upon the  procedures  described  in such
      letter delivered to you concurrently  with the execution of this Agreement
      (herein called the "Coopers Original Letters"),  but carried out to a date
      not more than five (5)  business  days prior to the  Closing  Date or such
      later date on which Option Shares are to be purchased, as the case may be,
      (i)  confirming,  to the extent true,  that the statements and conclusions
      set forth in the Coopers  Original  Letters are accurate as of the Closing
      Date or such later date on which Option Shares are to be purchased, as the
      case may be, and (ii) setting  forth any  revisions  and  additions to the
      statements and conclusions set forth in the Coopers Original Letters which
      are necessary to reflect any changes in the facts described in the Coopers
      Original  Letters  since  the  date  of such  letter,  or to  reflect  the
      availability of more recent financial statements, data or information. The
      letters  shall not  disclose  any change in the  condition  (financial  or
      otherwise),  earnings,  operations,  business  or  business  prospects  of
      Gethsemane  Affiliates,  Butler  or  Feltrop  from  that set  forth in the
      Registration  Statement or Prospectus,  which,  in your sole judgment,  is
      material   and  adverse  and  that  makes  it,  in  your  sole   judgment,
      impracticable  or inadvisable  to proceed with the public  offering of the
      Shares as  contemplated by the Prospectus.  The Coopers  Original  Letters
      shall  be  addressed  to or for the use of the  Underwriters  in form  and
      substance satisfactory to the Underwriters and shall (i) represent, to the
      extent true, that they are independent  certified public  accountants with
      respect to Gethsemane Affiliates, Butler and Feltrop within the meaning of
      the Act and the applicable published Rules and Regulations, (ii) set forth
      their opinion with respect to their audits of: (A) the combined  financial
      statements of Gethsemane  Affiliates,  together with the related notes, as
      of June 30, 1997 and 1996 and for the three (3) years ended June 30, 1997,
      (B) the financial  statements of Butler,  together with the related notes,
      as of June 30,  1997 and for each of the three (3)  years  ended  June 30,
      1997  and (C) the  financial  statements  of  Feltrop,  together  with the
      related notes,  as of June 30, 1997 and for the three (3) years ended June
      30, 1997 and (iii) address other matters agreed upon by Coopers & Lybrand,
      L.L.P. and you.

            (k) You shall have  received  on the  Closing  Date and on any later
      date on which  Option  Shares are to be  purchased,  as the case may be, a
      certificate  of the Company,  dated the Closing Date or such later date on
      which Option Shares are to be purchased, as the case may be, signed by the
      Chief Executive Officer and Chief Financial Officer of the Company, to the
      effect that, and you shall be satisfied that:

                  (i) The  representations and warranties of the Company in this
            Agreement are true and correct,  as if made on and as of the Closing
            Date or any later date on which Option  Shares are to be  purchased,
            as the  case  may be,  and the  Company  has  complied  with all the
            agreements  and  satisfied  all  the  conditions  on its  

<PAGE>
                                       28


            part to be performed or satisfied at or prior to the Closing Date or
            any later date on which Option  Shares are to be  purchased,  as the
            case may be;

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

                  (iii) When the Registration  Statement became effective and at
            all times subsequent thereto up to the delivery of such certificate,
            the Registration Statement and the Prospectus, and any amendments or
            supplements thereto,  contained all material information required to
            be included  therein by the Act and the Rules and Regulations and in
            all material  respects  conformed to the requirements of the Act and
            the Rules  and  Regulations,  the  Registration  Statement,  and any
            amendment or  supplement  thereto,  did not and does not include any
            untrue statement of a material fact or omit to state a material fact
            required to be stated  therein or necessary  to make the  statements
            therein  not  misleading,  the  Prospectus,  and  any  amendment  or
            supplement  thereto,  did  not  and  does  not  include  any  untrue
            statement  of a  material  fact  or omit to  state a  material  fact
            necessary  to make  the  statements  therein,  in the  light  of the
            circumstances under which they were made, not misleading, and, since
            the effective date of the Registration Statement, there has occurred
            no event  required  to be set forth in an  amended  or  supplemented
            Prospectus which has not been so set forth; and

                  (iv)   Subsequent  to  the   respective   dates  as  of  which
            information is given in the  Registration  Statement and Prospectus,
            there has not been (a) any material  adverse change in the condition
            (financial or otherwise), earnings, operations, business or business
            prospects  of the Company  and its  subsidiaries  considered  as one
            enterprise,  (b) any transaction that is material to the Company and
            its subsidiaries  considered as one enterprise,  except transactions
            entered into in the ordinary course of business, (c) any obligation,
            direct  or  contingent,  that is  material  to the  Company  and its
            subsidiaries  considered as one enterprise,  incurred by the Company
            or its  subsidiaries,  except  obligations  incurred in the ordinary
            course  of  business,  (d)  any  change  in  the  capital  stock  or
            outstanding  indebtedness of the Company or any of its  subsidiaries
            that is material to the Company and its  subsidiaries  considered as
            one  enterprise,  (e)  any  dividend  or  distribution  of any  kind
            declared, paid or made on the capital stock of the Company or any of
            its subsidiaries, or (f) any loss or damage (whether or not insured)
            to the property of the Company or any of its subsidiaries  which has
            been  sustained  or will have been  sustained  which has a  material
            adverse effect on the condition (financial or otherwise),  earnings,
            operations,  business or business  prospects  of the Company and its
            subsidiaries considered as one enterprise.

            (l)  The  Company  shall  have  obtained  and  delivered  to  you an
      agreement  from  each  officer  and  director  of  the  Company  and  each
      beneficial  owner shares of Common 


<PAGE>
                                       29


      Stock or warrants or options to acquire  shares of Common Stock (set forth
      on Annex III  attached  hereto) in writing  prior to the date  hereof that
      such person will not, during the Lock-up Period, effect the Disposition of
      any Securities now owned or hereafter  acquired directly by such person or
      with respect to which such person has or  hereafter  acquires the power of
      disposition, otherwise than (i) as a bona fide gift or gifts, provided the
      donee or donees thereof agree in writing to be bound by this  restriction,
      (ii) as a  distribution  to  partners  or  shareholders  of  such  person,
      provided that the distributees thereof agree in writing to be bound by the
      terms of this  restriction,  or (iii)  with the prior  written  consent of
      BancAmerica Robertson Stephens.  The foregoing restriction shall have been
      expressly agreed to preclude the holder of the Securities from engaging in
      any  hedging  or other  transaction  which is  designed  to or  reasonably
      expected to lead to or result in a Disposition  of  Securities  during the
      Lock-up Period,  even if such  Securities  would be disposed of by someone
      other than the such holder.  Such prohibited hedging or other transactions
      would  including,  without  limitation,  any short  sale  (whether  or not
      against the box) or any purchase,  sale or grant of any right  (including,
      without limitation, any put or call option) with respect to any Securities
      or with respect to any security (other than a broad-based market basket or
      index) that includes,  relates to or derives any  significant  part of its
      value from Securities.  Furthermore, such person will have also agreed and
      consented to the entry of stop  transfer  instructions  with the Company's
      transfer agent against the transfer of the Securities  held by such person
      except in compliance with this restriction.

            (m)  The  Company   shall  have   furnished   to  you  such  further
      certificates  and  documents as you shall  reasonably  request  (including
      certificates  of  officers  of the  Company),  as to the  accuracy  of the
      representations   and  warranties  of  the  Company  herein,   as  to  the
      performance  by the  Company of its  obligations  hereunder  and as to the
      other  conditions  concurrent  and  precedent  to the  obligations  of the
      Underwriters hereunder.

            All such  opinions,  certificates,  letters and documents will be in
      compliance  with  the  provisions  hereof  only  if  they  are  reasonably
      satisfactory to Underwriters'  Counsel.  The Company will furnish you with
      such number of conformed  copies of such opinions,  certificates,  letters
      and documents as you shall reasonably request.


<PAGE>
                                       30


            7.    OPTION SHARES.

            (a) On the basis of the  representations,  warranties and agreements
      herein  contained,  but  subject  to the terms and  conditions  herein set
      forth,  the Company  hereby  grants to the several  Underwriters,  for the
      purpose of covering  over-allotments  in connection with the  distribution
      and sale of the Firm Shares only, a nontransferable  option to purchase up
      to an aggregate of 1,050,000 Option Shares at the purchase price per share
      for the Firm  Shares  set forth in  Section 3 hereof.  Such  option may be
      exercised by the Representatives on behalf of the several  Underwriters on
      one (1) or more  occasions in whole or in part during the period of thirty
      (30) days after the date on which the Firm Shares are initially offered to
      the public, by giving written notice to the Company.  The number of Option
      Shares to be  purchased  by each  Underwriter  upon the  exercise  of such
      option shall be the same  proportion  of the total number of Option Shares
      to be  purchased by the several  Underwriters  pursuant to the exercise of
      such option as the number of Firm  Shares  purchased  by such  Underwriter
      (set forth in Schedule A hereto)  bears to the total number of Firm Shares
      purchased  by the several  Underwriters  (set forth in Schedule A hereto),
      adjusted  by the  Representatives  in such  manner as to avoid  fractional
      shares.

            Delivery  of  definitive  certificates  for the Option  Shares to be
      purchased  by the several  Underwriters  pursuant  to the  exercise of the
      option  granted  by this  Section 7 shall be made  against  payment of the
      purchase  price  therefor  by the several  Underwriters  by  certified  or
      official  bank check or checks  drawn in  next-day  funds,  payable to the
      order of the Company (and the Company agrees not to deposit any such check
      in the bank on which it is drawn,  and not to take any other  action  with
      the purpose or effect of receiving  immediately available funds, until the
      business day following  the date of its delivery to the  Company).  In the
      event of any breach of the  foregoing,  the Company  shall  reimburse  the
      Underwriters for the interest lost and any other expenses borne by them by
      reason of such breach.  Such  delivery and payment shall take place at the
      offices of Shearman & Sterling,  599 Lexington Avenue,  New York, New York
      10022  or  at  such  other   place  as  may  be  agreed   upon  among  the
      Representatives and the Company (i) on the Closing Date, if written notice
      of the exercise of such option is received by the Company at least two (2)
      full  business  days prior to the  Closing  Date,  or (ii) on a date which
      shall not be later than the third (3rd) full  business day  following  the
      date the Company  receives  written notice of the exercise of such option,
      if such notice is received by the Company less than two (2) full  business
      days prior to the Closing Date.

            The  certificates  for the Option Shares to be so delivered  will be
      made  available  to you at such office or such other  location  including,
      without  limitation,  in New York City, as you may reasonably  request for
      checking at least one (1) full  business  day prior to the date of payment
      and  delivery  and  will be in such  names  and  denominations  as you may
      request, such request to be made at least two (2) full business days prior
      to such date of payment and  delivery.  If the  Representatives  so elect,
      delivery  of the  Option  Shares may be made by credit  through  full fast
      transfer to the accounts at The Depository Trust Company designated by the
      Representatives.
<PAGE>
                                       31


            It  is   understood   that  you,   individually,   and  not  as  the
      Representatives  of  the  several  Underwriters,  may  (but  shall  not be
      obligated  to)  make  payment  of the  purchase  price  on  behalf  of any
      Underwriter  or  Underwriters  whose  check or checks  shall not have been
      received by you prior to the date of payment and  delivery  for the Option
      Shares to be  purchased  by such  Underwriter  or  Underwriters.  Any such
      payment by you shall not relieve any such  Underwriter or  Underwriters of
      any of its or their obligations hereunder.

            (b) Upon exercise of any option provided for in Section 7(a) hereof,
      the obligations of the several Underwriters to purchase such Option Shares
      will be subject  (as of the date  hereof and as of the date of payment and
      delivery for such Option  Shares) to the accuracy of and  compliance  with
      the  representations,  warranties and agreements of the Company herein, to
      the accuracy of the  statements of the Company and officers of the Company
      made pursuant to the provisions  hereof, to the performance by the Company
      of its  obligations  hereunder,  to the  conditions set forth in Section 6
      hereof, and to the condition that all proceedings taken at or prior to the
      payment  date in  connection  with the sale and  transfer  of such  Option
      Shares  shall  be  satisfactory  in  form  and  substance  to  you  and to
      Underwriters'  Counsel,  and you shall have been  furnished  with all such
      documents,  certificates  and  opinions  as you may  request  in  order to
      evidence  the  accuracy and  completeness  of any of the  representations,
      warranties  or  statements,  the  performance  of any of the  covenants or
      agreements  of the Company or the  satisfaction  of any of the  conditions
      herein contained.

      8.     INDEMNIFICATION AND CONTRIBUTION.

                     (a) The Company agrees to indemnify and  hold harmless each
      Underwriter against any losses, claims,  damages or liabilities,  joint or
      several, to which such Underwriter may become subject (including,  without
      limitation,  in  its  capacity  as  an  Underwriter  or  as  a  "qualified
      independent underwriter" within the meaning of Schedule E of the Bylaws of
      the NASD),  under the Act,  the Exchange  Act or  otherwise,  specifically
      including,  but not limited to, losses, claims, damages or liabilities (or
      actions in respect thereof) arising out of or based upon (i) any breach of
      any representation,  warranty, agreement or covenant of the Company herein
      contained,  (ii) any untrue  statement or alleged untrue  statement of any
      material fact contained in the Registration  Statement or any amendment or
      supplement thereto, or the omission or alleged omission to state therein a
      material  fact  required  to be stated  therein or  necessary  to make the
      statements  therein  not  misleading,  or (iii) any  untrue  statement  or
      alleged untrue statement of any material fact contained in any Preliminary
      Prospectus or the  Prospectus or any amendment or supplement  thereto,  or
      the omission or alleged omission to state therein a material fact required
      to be stated therein or necessary to make the statements  therein,  in the
      light of the circumstances under which they were made, not misleading, and
      agrees to  reimburse  each  Underwriter  for any  legal or other  expenses
      reasonably  incurred by it in connection with  investigating  or defending
      any such loss, claim, damage, liability or action; PROVIDED, HOWEVER, that
      the  Company  shall not be liable in any such case to the extent  that any
      such 


<PAGE>
                                       32


      loss, claim, damage, liability or action arises out of or is based upon an
      untrue  statement  or alleged  untrue  statement  or  omission  or alleged
      omission made in the Registration  Statement,  such Preliminary Prospectus
      or the  Prospectus,  or any  such  amendment  or  supplement  thereto,  in
      reliance upon, and in conformity with, written information relating to any
      Underwriter  furnished  to the  Company by such  Underwriter,  directly or
      through you,  specifically for use in the preparation thereof and PROVIDED
      FURTHER that the  indemnity  agreement  provided in this Section 8(a) with
      respect to any  Preliminary  Prospectus  shall not inure to the benefit of
      any  Underwriter  from  whom the  person  asserting  any  losses,  claims,
      damages, liabilities or actions based upon any untrue statement or alleged
      untrue statement of material fact or omission or alleged omission to state
      therein a material fact purchased  Shares,  if a copy of the Prospectus in
      which such untrue  statement  or alleged  untrue  statement or omission or
      alleged  omission was  corrected had not been sent or given to such person
      within the time required by the Act and the Rules and Regulations,  unless
      such  failure is the result of  noncompliance  by the Company with Section
      4(d) hereof.

            (b) Each Underwriter, severally and not jointly, agrees to indemnify
      and hold  harmless  the Company  against any  losses,  claims,  damages or
      liabilities,  joint or several,  to which the  Company may become  subject
      under the Act or otherwise,  specifically  including,  but not limited to,
      losses,  claims,  damages or liabilities  (or actions in respect  thereof)
      arising  out of or  based  upon  (i)  any  breach  of any  representation,
      warranty, agreement or covenant of such Underwriter herein contained, (ii)
      any untrue  statement or alleged  untrue  statement  of any material  fact
      contained in the  Registration  Statement or any  amendment or  supplement
      thereto,  or the omission or alleged  omission to state therein a material
      fact  required to be stated  therein or necessary  to make the  statements
      therein not  misleading,  or (iii) any untrue  statement or alleged untrue
      statement of any material fact contained in any Preliminary  Prospectus or
      the Prospectus or any amendment or supplement  thereto, or the omission or
      alleged  omission to state therein a material  fact  necessary to make the
      statements  therein,  in the light of the  circumstances  under which they
      were made, not misleading,  in the case of subparagraphs (ii) and (iii) of
      this Section 8(b) to the extent, but only to the extent,  that such untrue
      statement or alleged untrue  statement or omission or alleged omission was
      made in reliance upon and in conformity with written information furnished
      to the Company by such Underwriter,  directly or through you, specifically
      for use in the  preparation  thereof,  and agrees to reimburse the Company
      for any legal or other  expenses  reasonably  incurred  by the  Company in
      connection with  investigating or defending any such loss, claim,  damage,
      liability or action.

            The  indemnity  agreement in this Section 8(b) shall extend upon the
      same terms and  conditions  to, and shall  inure to the  benefit  of, each
      officer of the  Company  who signed the  Registration  Statement  and each
      director of the Company, and each person, if any, who controls the Company
      within  the  meaning  of the  Act  or the  Exchange  Act.  This  indemnity
      agreement shall be in addition to any liabilities  which each  Underwriter
      may otherwise have.



<PAGE>
                                       33


            (c)  Promptly  after  receipt  by an  indemnified  party  under this
      Section 8 of notice of the  commencement of any action,  such  indemnified
      party  shall,  if a claim in  respect  thereof is to be made  against  any
      indemnifying  party under this Section 8, notify the indemnifying party in
      writing of the  commencement  thereof  but the  omission  so to notify the
      indemnifying  party will not  relieve it from any  liability  which it may
      have to any indemnified party otherwise than under this Section 8. In case
      any such action is brought against any indemnified  party, and it notified
      the indemnifying party of the commencement thereof, the indemnifying party
      will be entitled to  participate  therein and, to the extent that it shall
      elect by written notice delivered to the indemnified  party promptly after
      receiving the aforesaid notice from such indemnified  party, to assume the
      defense thereof, with counsel reasonably  satisfactory to such indemnified
      party;  PROVIDED,  HOWEVER,  that if the  defendants  in any  such  action
      include  both the  indemnified  party and the  indemnifying  party and the
      indemnified party shall have reasonably  concluded that there may be legal
      defenses  available  to it  and/or  other  indemnified  parties  which are
      different from or additional to those available to the indemnifying party,
      the  indemnified  party or parties shall have the right to select separate
      counsel to assume such legal defenses and to otherwise  participate in the
      defense of such  action on behalf of such  indemnified  party or  parties.
      Upon  receipt of notice from the  indemnifying  party to such  indemnified
      party of the  indemnifying  party's  election  so to assume the defense of
      such  action  and  approval  by the  indemnified  party  of  counsel,  the
      indemnifying party will not be liable to such indemnified party under this
      Section 8 for any legal or other  expenses  subsequently  incurred by such
      indemnified  party in connection  with the defense  thereof unless (i) the
      indemnified  party shall have employed separate counsel in accordance with
      the proviso to the next preceding sentence (it being understood,  however,
      that the  indemnifying  party shall not be liable for the expenses of more
      than one  separate  counsel  (together  with  appropriate  local  counsel)
      approved  by the  indemnifying  party  representing  all  the  indemnified
      parties under  Section  8(a),  8(b) or 8(c) hereof who are parties to such
      action),  (ii) the  indemnifying  party  shall not have  employed  counsel
      satisfactory to the indemnified  party to represent the indemnified  party
      within a  reasonable  time after notice of  commencement  of the action or
      (iii) the indemnifying  party has authorized the employment of counsel for
      the  indemnified  party at the expense of the  indemnifying  party.  In no
      event  shall any  indemnifying  party be liable in respect of any  amounts
      paid in settlement of any action unless the indemnifying  party shall have
      approved the terms of such  settlement;  PROVIDED  that such consent shall
      not be unreasonably  withheld.  No indemnifying  party shall,  without the
      prior written consent of the indemnified  party,  effect any settlement of
      any pending or threatened  proceeding in respect of which any  indemnified
      party is or could  have been a party and  indemnification  could have been
      sought  hereunder  by  such  indemnified  party,  unless  such  settlement
      includes  an  unconditional  release  of such  indemnified  party from all
      liability on all claims that are the subject matter of such proceeding.

            (d) In order to provide for just and equitable  contribution  in any
      action  in which a claim  for  indemnification  is made  pursuant  to this
      Section  8 but it is  judicially  determined  (by  the  entry  of a  final
      judgment or decree by a court of competent jurisdiction and the expiration
      of time to appeal or the  denial of the last  right of  appeal)  that such
   

<PAGE>
                                       34


      indemnification may not be enforced in such case  notwithstanding the fact
      that this Section 8 provides  for  indemnification  in such case,  all the
      parties hereto shall contribute to the aggregate losses,  claims,  damages
      or  liabilities  to which they may be  subject  (after  contribution  from
      others) in such  proportion  so that the  Underwriters  severally  and not
      jointly  are  responsible  pro rata  for the  portion  represented  by the
      percentage  that the  underwriting  discount  bears to the initial  public
      offering price, and the Company is responsible for the remaining  portion,
      PROVIDED, however, that (i) no Underwriter shall be required to contribute
      any  amount  in excess of the  amount by which the  underwriting  discount
      applicable to the Shares purchased by such Underwriter  exceeds the amount
      of damages which such  Underwriter has otherwise  required to pay and (ii)
      no person guilty of a fraudulent  misrepresentation (within the meaning of
      Section  11(f) of the Act)  shall be  entitled  to  contribution  from any
      person  who  is not  guilty  of  such  fraudulent  misrepresentation.  The
      contribution  agreement  in this  Section  8(d) shall extend upon the same
      terms and  conditions  to, and shall inure to the benefit of, each person,
      if any, who controls any  Underwriter or the Company within the meaning of
      the Act or the Exchange Act and each officer of the Company who signed the
      Registration Statement and each director of the Company.

            (e) The parties to this Agreement  hereby  acknowledge that they are
      sophisticated  business persons who were represented by counsel during the
      negotiations   regarding  the   provisions   hereof   including,   without
      limitation,  the  provisions  of this  Section  8, and are fully  informed
      regarding said provisions. They further acknowledge that the provisions of
      this  Section 8 fairly  allocate  the risks in light of the ability of the
      parties to  investigate  the Company  and its  business in order to assure
      that  adequate  disclosure  is  made  in the  Registration  Statement  and
      Prospectus as required by the Act and the Exchange Act.

            9. REPRESENTATIONS,  WARRANTIES, COVENANTS AND AGREEMENTS TO SURVIVE
DELIVERY.  All  representations,  warranties,  covenants  and  agreements of the
Company  and the  Underwriters  herein  or in  certificates  delivered  pursuant
hereto,  and the indemnity and  contribution  agreements  contained in Section 8
hereof shall remain  operative  and in full force and effect  regardless  of any
investigation  made by or on behalf of any Underwriter or any person controlling
any  Underwriter  within the meaning of the Act or the Exchange Act, or by or on
behalf of the Company or any of its officers,  directors or controlling  persons
within  the  meaning  of the Act or the  Exchange  Act,  and shall  survive  the
delivery of the Shares to the several  Underwriters  hereunder or termination of
this Agreement.

            10. SUBSTITUTION OF UNDERWRITERS. If any Underwriter or Underwriters
shall  fail to take up and pay for the  number  of Firm  Shares  agreed  by such
Underwriter or Underwriters  to be purchased  hereunder upon tender of such Firm
Shares in accordance with the terms hereof,  and if the aggregate number of Firm
Shares which such defaulting Underwriter or Underwriters so agreed but failed to
purchase  does not exceed 10% of the Firm  Shares,  the  remaining  Underwriters
shall be  obligated,  severally in proportion  to their  respective  commitments
hereunder, to take up and pay for the Firm Shares of such defaulting Underwriter
or Underwriters.


<PAGE>
                                       35


            If any  Underwriter  or  Underwriters  so defaults and the aggregate
number of Firm Shares which such defaulting  Underwriter or Underwriters  agreed
but failed to take up and pay for exceeds 10% of the Firm Shares,  the remaining
Underwriters  shall have the right,  but shall not be obligated,  to take up and
pay for (in such  proportions  as may be agreed upon among them) the Firm Shares
which  the  defaulting  Underwriter  or  Underwriters  so agreed  but  failed to
purchase.  If such remaining  Underwriters  do not, at the Closing Date, take up
and pay for the Firm Shares which the defaulting  Underwriter or Underwriters so
agreed  but  failed  to  purchase,  the  Closing  Date  shall be  postponed  for
twenty-four  (24)  hours to allow the  several  Underwriters  the  privilege  of
substituting  within  twenty-four  (24)  hours  (including  non-business  hours)
another  underwriter  or  underwriters  (which  may  include  any  nondefaulting
Underwriter) satisfactory to the Company. If no such underwriter or underwriters
shall have been  substituted  as aforesaid by such  postponed  Closing Date, the
Closing  Date may,  at the option of the  Company,  be  postponed  for a further
twenty-four  (24) hours,  if  necessary,  to allow the Company the  privilege of
finding another  underwriter or  underwriters,  satisfactory to you, to purchase
the Firm Shares which the defaulting  Underwriter or  Underwriters so agreed but
failed to purchase.  If it shall be arranged for the remaining  Underwriters  or
substituted  underwriter  or  underwriters  to take up the  Firm  Shares  of the
defaulting  Underwriter or  Underwriters as provided in this Section 10, (i) the
Company  shall have the right to postpone  the time of delivery  for a period of
not more than seven (7) full business days, in order to effect whatever  changes
may thereby be made necessary in the  Registration  Statement or the Prospectus,
or in any other  documents or  arrangements,  and the Company agrees promptly to
file any amendments to the Registration Statement, supplements to the Prospectus
or other  such  documents  which may  thereby  be made  necessary,  and (ii) the
respective  number of Firm Shares to be purchased by the remaining  Underwriters
and substituted underwriter or underwriters shall be taken as the basis of their
underwriting obligation. If the remaining Underwriters shall not take up and pay
for all such Firm Shares so agreed to be purchased by the defaulting Underwriter
or Underwriters or substitute  another  underwriter or underwriters as aforesaid
and the Company shall not find or shall not elect to seek another underwriter or
underwriters  for such Firm  Shares as  aforesaid,  then  this  Agreement  shall
terminate.

            In the event of any  termination of this  Agreement  pursuant to the
preceding  paragraph of this Section 10,  neither the Company shall be liable to
any  Underwriter  (except as  provided in Sections 5 and 8 hereof) nor shall any
Underwriter (other than an Underwriter who shall have failed, otherwise than for
some reason  permitted  under this  Agreement,  to  purchase  the number of Firm
Shares agreed by such Underwriter to be purchased  hereunder,  which Underwriter
shall remain liable to the Company,  and the other Underwriters for damages,  if
any, resulting from such default) be liable to the Company (except to the extent
provided in Sections 5 and 8 hereof).

            The term  "Underwriter"  in this Agreement  shall include any person
substituted for an Underwriter under this Section 10.

            11. EFFECTIVE DATE OF THIS AGREEMENT AND TERMINATION.

            (a) This Agreement shall become effective at the earlier of (i) 6:30
      A.M.,  San  Francisco  time,  on the first full business day following the
      effective  date of the  Registration


<PAGE>
                                       36



      Statement,  or (ii) the time of the initial public  offering of any of the
      Shares  by the  Underwriters  after  the  Registration  Statement  becomes
      effective.  The time of the initial public offering shall mean the time of
      the release by you, for publication,  of the first newspaper advertisement
      relating  to the  Shares,  or the  time at  which  the  Shares  are  first
      generally offered by the Underwriters to the public by letter,  telephone,
      telegram or telecopy, whichever shall first occur. By giving notice as set
      forth in Section 12 before the time this Agreement becomes effective, you,
      as  Representatives  of the  several  Underwriters,  or the  Company,  may
      prevent this Agreement from becoming  effective  without  liability of any
      party to any other  party,  except as provided in Sections  4(i),  5 and 8
      hereof.

            (b) You, as Representatives of the several Underwriters,  shall have
      the right to  terminate  this  Agreement by giving  notice as  hereinafter
      specified  at any time on or prior to the  Closing  Date or on or prior to
      any later date on which Option Shares are to be purchased, as the case may
      be, (i) if the  Company  shall  have  failed,  refused  or been  unable to
      perform any  agreement on its part to be  performed,  or because any other
      condition  of  the  Underwriters'  obligations  hereunder  required  to be
      fulfilled is not fulfilled,  including,  without limitation, any change in
      the condition (financial or otherwise),  earnings, operations, business or
      business  prospects of the Company and its subsidiaries  considered as one
      enterprise  from  that  set  forth  in  the   Registration   Statement  or
      Prospectus, which, in your sole judgment, is material and adverse, or (ii)
      if additional material governmental restrictions,  not in force and effect
      on the date hereof,  shall have been  imposed  upon trading in  securities
      generally  or  minimum  or  maximum   prices  shall  have  been  generally
      established  on the New  York  Stock  Exchange  or on the  American  Stock
      Exchange  or in the over the  counter  market by the NASD,  or  trading in
      securities  generally shall have been suspended on either such exchange or
      in the over the  counter  market by the NASD,  or if a banking  moratorium
      shall have been declared by federal,  New York or California  authorities,
      or (iii) if the  Company  shall have  sustained  a loss by  strike,  fire,
      flood,  earthquake,  accident or other  calamity of such  character  as to
      interfere  materially  with the conduct of the business and  operations of
      the  Company  regardless  of  whether  or not such  loss  shall  have been
      insured, or (iv) if there shall have been a material adverse change in the
      general  political or economic  conditions or financial markets as in your
      reasonable  judgment makes it inadvisable or impracticable to proceed with
      the offering,  sale and delivery of the Shares, or (v) if there shall have
      been an outbreak or escalation of hostilities or of any other insurrection
      or armed  conflict or the  declaration  by the United States of a national
      emergency which, in the reasonable opinion of the  Representatives,  makes
      it impracticable or inadvisable to proceed with the public offering of the
      Shares as  contemplated  by the  Prospectus.  In the event of  termination
      pursuant to subparagraph  (i) above, the Company shall remain obligated to
      pay costs and  expenses  pursuant to Sections  4(i),  5 and 8 hereof.  Any
      termination  pursuant to any of subparagraphs (ii) through (v) above shall
      be without liability of any party to any other party except as provided in
      Sections 5 and 8 hereof.

            If you elect to prevent this Agreement from becoming effective or to
      terminate  this  Agreement  as  provided  in this  Section  11,  you shall
      promptly  notify the Company by 

<PAGE>
                                       37


      telephone,  telecopy or telegram, in each case confirmed by letter. If the
      Company shall elect to prevent this Agreement from becoming effective, the
      Company shall promptly notify you by telephone,  telecopy or telegram,  in
      each case, confirmed by letter.

            12.  NOTICES.  All notices or  communications  hereunder,  except as
herein otherwise specifically  provided,  shall be in writing and if sent to you
shall be mailed, delivered,  telegraphed (and confirmed by letter) or telecopied
(and  confirmed  by  letter)  to you c/o  BancAmerica  Robertson  Stephens,  555
California  Street,  Suite 2600, San  Francisco,  California  94104,  telecopier
number (415) 781-0278,  Attention: General Counsel; if sent to the Company, such
notice  shall be mailed,  delivered,  telegraphed  (and  confirmed by letter) or
telecopied (and confirmed by letter) to Balanced Care  Corporation,  5020 Louise
Drive, Suite 200,  Mechanicsburg,  Pennsylvania  17055,  telecopier number (717)
796-6150, Attention: Brad E. Hollinger, Chief Executive Officer.

            13.  PARTIES.  This  Agreement  shall inure to the benefit of and be
binding  upon the several  Underwriters  and the  Company  and their  respective
executors,   administrators,   successors  and  assigns.  Nothing  expressed  or
mentioned in this Agreement is intended or shall be construed to give any person
or  entity,  other  than the  parties  hereto  and their  respective  executors,
administrators,  successors and assigns,  and the controlling persons within the
meaning of the Act or the Exchange Act,  officers and  directors  referred to in
Section 8 hereof,  any legal or equitable  right,  remedy or claim in respect of
this  Agreement or any  provisions  herein  contained,  this  Agreement  and all
conditions and provisions hereof being intended to be and being for the sole and
exclusive  benefit  of  the  parties  hereto  and  their  respective  executors,
administrators,  successors  and assigns and said  controlling  persons and said
officers and  directors,  and for the benefit of no other  person or entity.  No
purchaser  of any of the  Shares  from  any  Underwriter  shall be  construed  a
successor or assign by reason merely of such purchase.

            In all dealings with the Company under this Agreement, you shall act
on behalf of each of the several Underwriters, and the Company shall be entitled
to act and rely upon any statement,  request,  notice or agreement made or given
by you jointly or by BancAmerica Robertson Stephens on behalf of you.

            14.  APPLICABLE  LAW.  This  Agreement  shall be  governed  by,  and
construed in accordance with, the internal laws of the State of New York.

            15.  COUNTERPARTS.   This   Agreement   may  be  signed  in  several
counterparts, each of which will constitute an original.

<PAGE>
                                       38



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



                                          Very truly yours,

                                          BALANCED CARE CORPORATION


                                          By /s/ Brad E. Hollinger
                                             -------------------------------
                                             Brad E. Hollinger
                                             President and  Chief Executive
                                             Officer



Accepted as of the date first above written:

BANCAMERICA ROBERTSON STEPHENS
SMITH BARNEY, INC.
BT ALEX. BROWN INCORPORATED
      On their behalf and on behalf of each of the several Underwriters named in
      Schedule A hereto.


By    BANCAMERICA ROBERTSON STEPHENS


By     /s/ Kenneth R. Fitzsimmons
       ---------------------------
          Authorized Signatory



<PAGE>


                                  SCHEDULE A


                                                          Number of Firm Shares
           UNDERWRITERS                                     TO BE PURCHASED
           ------------                                     ---------------
BancAmerica Robertson Stevens                                   3,050,000
Smith Barney, Inc.                                              1,525,000
BT Alex. Brown Incorporated                                     1,525,000
Ferris, Baker Watts, Inc.                                         180,000
Furman Selz LLC                                                   180,000
Lehman Brothers Inc.                                              180,000
McDonald & Company Securities,                                    180,000
Inc.
Wheat First Securities, Inc.                                      180,000
                                                                  -------
                                                                7,000,000
                                                                =========






                                                                    Exhibit 99.1

                 IPO COMPLETED FOR BALANCED CARE CORPORATION

February 19, 1998 9:20 AM EST

MECHANICSBURG,  Pa.,  Feb.  19 -- Balanced  Care  Corporation  (Amex:  BAL) (the
"Company")  announced  that on February 18, 1998 it completed its initial public
offering of common stock with the sale of 7,000,000  shares of its common stock,
par value $.001 per share ("Common Stock"),  at an initial public offering price
of $6.50 per share.  Net proceeds of $40.215 million will be used to retire debt
and for other  corporate  purposes.  The  Company's  stock began  trading on the
American Stock Exchange on February 12, 1998. BancAmerica Robertson Stephens, BT
Alex.  Brown and Salomon  Smith  Barney were the managing  underwriters  for the
offering.  A copy of a written prospectus meeting the requirements of Section 10
of the  Securities  Act  with  respect  to the  offering  may be  obtained  from
BancAmerica   Robertson   Stephens,   555  California   Street,  San  Francisco,
California,  94104,  415-781-9700;  BT Alex. Brown, One South Street, Baltimore,
Maryland,  21202,  410-727-1700;  or Salomon Smith Barney, 388 Greenwich Street,
New York, New York, 10013, 212-816-6000.

Balanced Care  Corporation was formed to develop senior care  continuums,  which
meet the needs of upper  middle,  middle  and  moderate  income  populations  in
non-urban secondary markets.  The Company operates assisted living,  independent
living and skilled nursing facilities, providing its residents with a package of
health care and  hospitality  services.  Balanced Care  Corporation  is based in
Mechanicsburg, Pennsylvania.




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