GERIATRIC & MEDICAL COMPANIES INC
10-K405, 1994-10-12
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
 
                                   FORM 10-K
 
_X_ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
    OF 1934
 
     For the Fiscal Year Ended May 31, 1994
 
                                       OR
 
_____ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
      EXCHANGE ACT OF 1934
 
             FOR THE TRANSITION PERIOD FROM _________ TO _________
 
                         COMMISSION FILE NUMBER 0-3997
 
                      GERIATRIC & MEDICAL COMPANIES, INC.
          ------------------------------------------------------------
             (Exact name of registrant as specified in the charter)
 
<TABLE>
<S>                                                          <C>
                              Delaware                                               23-1713341
- -----------------------------------------------------------  -----------------------------------------------------------
               (State or other jurisdiction                                         (IRS Employer
             of incorporation or organization)                                 Identification Number)
</TABLE>
 
             5601 Chestnut Street, Philadelphia, Pennsylvania 19139
       ------------------------------------------------------------------
          (Address of principal executive offices)         (zip code)
 
       Registrant's telephone number, including area code (215) 476-2250
 
          Securities registered pursuant to Section 12(b) of the Act:
 
                                      NONE
 
          Securities registered pursuant to Section 12(g) of the Act:
 
                 _________Common Stock, $.10 par value_________
                                (Title of Class)
 
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes __X__ No _____
 
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of the registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. Yes __X__ No _____
 
On October 6, 1994, the aggregate market value of the registrant's Common Stock,
$.10 par value (its only voting stock), held by non-affiliates of the registrant
was $23,013,916.
 
On October 6, 1994, there were 15,202,629 shares of the registrant's Common
Stock, $.10 par value, outstanding.
 
                      DOCUMENTS INCORPORATED BY REFERENCE
 
                                      NONE
<PAGE>
ITEM 1. BUSINESS
 
     Geriatric & Medical Companies, Inc., a Delaware Corporation organized in
July, 1968, (hereinafter, together with its subsidiaries, referred to as the
'Company') is a holding company which conducts its business through its
principal subsidiaries: Life Support Medical, Inc, (formerly known as the Life
Support Medical Group) and Geriatric and Medical Services, Inc. (formerly known
as the GeriMed Services Group) as described below.
 
                           LIFE SUPPORT MEDICAL, INC.
 
     Through its subsidiaries listed below, Life Support Medical, Inc. (LSM)
provides a broad line of healthcare support services to the managed care
industry, including long term care facilities, hospitals, health maintenance
organizations (HMO's), and physician groups. LSM operates from multiple
locations in New Jersey and Pennsylvania.
 
     LIFE SUPPORT AMBULANCE, INC. (LSA) provides a full range of medical
transport services, including basic life support, advanced life support,
critical care and coach transportation. LSA is fully accredited by the
Commission on Accreditation of Ambulance Services and utilizes state-of-the-art,
high-tech computer aided dispatch and a satellite vehicle tracking system to
deliver these services on a cost effective basis. UNITED HEALTH CARE SERVICES,
INC. (UHCS) provides infusion, parenteral/enteral nutrition, respiratory
therapy, medical equipment and supplies to adult and pediatric patients,
primarily in the home care setting. UHCS is accredited by the Joint Commission
on the Accreditation of Healthcare Organizations (JCAHO).
 
     INNOVATIVE PHARMACY SERVICES, INC. (IPS) is a full service institutional
pharmacy which provides Prescription and Non-prescription Medications, Infusion,
Parenteral/Enteral Nutritional and Medical Supplies to approximately 6,200
long-term care and residential beds.
 
     HEALTHCARE HOSPITALITY SERVICES (HCHS) is a provider of contract management
services including dietary, housekeeping, laundry, pest control, plant
operations and facilities management to approximately 6,600 long term care,
residential and independent living beds.
 
     DIVERSIFIED DIAGNOSTICS, INC. (Diversified) and Rehab Technologies, Inc.
(Rehab) provide diagnostic and rehabilitative management services to
approximately 6,500 long term care and residential beds. Diversified is a
provider of portable x-ray, echocardiograms, Holter Monitor, electrocardiograms,
Doppler Studies, pacemaker evaluation and ultrasound. Rehab supplies a
comprehensive therapy and management program which includes: occupational
therapy, physical therapy and speech therapy services.
 
                      GERIATRIC AND MEDICAL SERVICES, INC.
 
     Through its subsidiaries and divisions, Geriatric and Medical Services,
Inc. (GMS) owns, operates and provides services to long term care, residential
and independent living facilities in Pennsylvania and New Jersey. The services
provided include management and consulting, financial and information, and
insurance.
 
     MANAGEMENT AND CONSULTING SERVICES. GMS, through its various subsidiaries,
provides management and consulting services to approximately 3,900 beds,
principally its owned facilities. Generally, subject to the terms of the
specific contractual arrangement, GMS will act as the general manager for the
facility and monitor substantial compliance with all licensure and certification
requirements applicable to the facility and the operations conducted at the
facility. GMS also conducts comprehensive quality assurance reviews and monitors
each facility for substantial compliance with Federal and State regulations. As
general manager for the facility, GMS has the overall responsibility for the
daily operation of the facility in conformity with pre-established budgetary
guidelines and monitors the quality of services provided to the facility by
other service contractors. The long-term care facilities managed by GMS provide
services to patients ranging from subacute rehabilition units,
 
                                       2
<PAGE>
to skilled nursing care for bedridden patients to basic nursing care for
custodial or ambulatory patients. Services provided include the prescribed type
of nursing care, room and board, special diets as needed, occupational, physical
and recreational therapy and other services as specified by the patient's
physician. Staff size and composition vary depending on the size and location of
the facility, acuity or level of care, and state requirements.
 
     The residential and independent living facilities operated by GMS are
available for rental without regard to age; however, substantially all residents
are senior citizens. Services at these facilities include meals, recreation and
housekeeping, but generally only limited nursing care. Each of these facilities
is subject to various state and local licensing requirements and building codes.
 
     HEALTHCARE FINANCIAL SERVICES AND INFORMATION SYSTEMS. Through its GMC
Financial Services, Inc. subsidiary, GMS provides accounting, financing,
management information, health care benefit management and insurance services to
approximately 5,300 long term care and residential beds.
 
     The following table sets forth pertinent information concerning the
long-term care, residential and independent living facilities operated by the
Company.
 
<TABLE>
<CAPTION>
                                                                                   NUMBER OF          LICENSED BEDS
                                                                                  FACILITIES         OR UNITS AS OF
                                                                                 OPERATED (1)       MAY 31, 1994 (1)
                                                                              -------------------  -------------------
<S>                                                                           <C>                  <C>
LONG TERM CARE FACILITIES
  New Jersey................................................................               9                1,686
  Pennsylvania..............................................................               9                1,479
                                                                                          --
                                                                                                          -------
        Total...............................................................              18                3,165
                                                                                          --
                                                                                          --
                                                                                                          -------
                                                                                                          -------
RESIDENTIAL FACILITIES
  New Jersey................................................................               5                  177
  Pennsylvania..............................................................               3                  266
                                                                                          --
                                                                                                          -------
        Total...............................................................               8                  443
                                                                                          --
                                                                                                          -------
INDEPENDENT LIVING FACILITIES (2)
  Pennsylvania..............................................................               2                  296
                                                                                          --
                                                                                                          -------
        Grand Total.........................................................              28                3,904
                                                                                          --
                                                                                          --
                                                                                                          -------
                                                                                                          -------
</TABLE>
 
- ------------------
(1) Includes a long term care facility of 280 beds and a residential facility of
    55 beds which are owned by a Company controlled by the Chairman of the
    Board, President and Chief Executive Officer of the Company. These
    facilities were managed by the Company as of May 31, 1994.
(2) Facilities managed by the Company
 
     The Company has obtained Certificates of Need and will add 123 nursing home
beds to 3 existing facilities in New Jersey and Pennsylvania during fiscal 1995.
In addition, the Company is currently developing a 120 bed facility in
Pennsylvania and a 60 bed nursing home and 60 bed residential facility in New
Jersey. Certificates of Need have been obtained for both projects with
construction anticipated to commence during fiscal 1995.
 
OTHER FACTORS MARKETING
 
     The Company engages in local marketing efforts to promote and maintain
occupancy rates and to improve its quality mix. The Company's marketing
activities are conducted primarily by each facility and business unit who seek
to establish relationships with referring physicians, hospital discharge
planners, social workers, community organizations and other support groups.
 
     The Company is increasingly concentrating its market efforts to managed
care and insurance companies, as well as hospital executives and discharge
planners, thereby developing referral sources for both LSM and GMS.
 
                                       3
<PAGE>
THIRD PARTY PAYOR PROGRAMS
 
     The Company derives substantially all its revenues from third party payors,
including Medicare, Medicaid and private insurers. The collection of accounts
receivable from third party payors is critical to the Company's success and
therefore is a high priority for all levels of management. Funds received under
Medicare and Medicaid by all companies in the health care industry are subject
to audit with respect to the proper application of various regulations and
payment formulas. Such audits can result in retroactive adjustments resulting in
amounts due to or from the governmental agency. While the Company believes that
the charges it has submitted are appropriate, no assurance can be given that
such adjustments will not be made, and if made, that they will not be material.
 
     The levels of revenues and profitability of the Company, like those of
other health care companies, are affected by the continuing efforts of third
party payors to contain or reduce the costs of health care by lowering
reimbursement rates, increasing case management review of services and
negotiating contract pricing. The implementation of managed care programs either
mandated by government action or adopted by the industry is expected to continue
to bring additional pressures on pricing. Such programs also favor providers who
can efficiently deliver a continuum of products and services to a large defined
population on a captitated basis. Home health, long term care facilities and
other sub-acute care facilities, which are generally less costly to third party
payors than hospital-based care, have benefitted from those cost containment
objectives. However, as expenditures in these segments continue to grow,
initiatives aimed at reducing the costs of health care delivery at non-hospital
sites are increasing. Such initiatives have been implemented in the past and
have negatively impacted the operating results of LSM. A significant change in
coverage or a reduction in payment rates by third party payors would have a
material adverse effect upon the Company's business and financial condition.
 
     All of the Company's long-term care facilities are currently certified and
substantially all of the Company's other business units are qualified to receive
payments under Medicare, and all are certified under the Medicaid programs of
the Commonwealth of Pennsylvania or the State of New Jersey to provide medical
assistance to the 'medically indigent'. Both initial and continuing
certification or qualification to participate in such programs is dependent upon
many factors including, among others, accommodations, equipment, services,
patient care, safety, personnel, physical environment, and adequate policies,
procedures and controls.
 
     The Company's long-term care facilities are primarily made up of Medicaid,
Medicare and private pay patients. During the fiscal year ended May 31, 1994,
the total number of patient days at the long-term care facilities owned by the
Company were attributable to: 81% Medicaid patients, 5% Medicare patients and
14% private pay and other patients, and the related revenues earned were from:
77% Medicaid patients, 9% Medicare patients and 14% private pay and other
patients. Revenues derived with respect to products and services provided by LSM
were attributable 20% from Medicaid, 26% from Medicare and 54% from private
insurance and private pay.
 
     The Company is dependent upon the continuation of the present reimbursement
system, or something similar thereto, pursuant to which third-party payors
(principally Medicaid and Medicare) pay for the services and products provided
by the Company.
 
     Because of the significance of Medicaid Reimbursement on the Company's
operations, significant increases in costs have an adverse impact on the
Company's operating results. This occurs because the Medicaid reimbursement
rates set by each state, which are applicable throughout the ensuing year, are
established periodically and are based on historical data. Additionally, the
Company tends to build up Medicaid receivables due to differences between
interim payments and final cost report audits and settlements. Although
Pennsylvania Medicaid regulations require audits within one year of the filing
of cost reports and the audit of the Medicare home office cost report, audits
and settlements thereof may take up to four years after the costs involved are
incurred.
 
     Both the Medicare and Medicaid programs are subject to statutory and
regulatory changes, administrative rulings, interpretations of policy,
determinations by the Medicare carrier and
 
                                       4
<PAGE>
governmental funding restrictions, all of which may materially increase or
decrease the rate of program payments to health care providers. Congress is
attempting to limit the growth of Federal spending on health care programs,
including limitations on payments under the Medicare and Medicaid programs. The
Company can give no assurance that payments under such programs will in the
future remain at a level comparable to the present level. See 'Healthcare
Reform' below.
 
GOVERNMENT REGULATION
 
     The Federal government and each state in which the Company currently
operates regulate various aspects of its business. LSM's pharmacy operations are
subject to the Federal laws covering the repackaging and dispensing of drugs.
LSM is also subject to Federal laws covering the dispensing of oxygen and
interstate motor-carrier transportation, as well as state laws governing
pharmacies, nursing services and certain types of home health care activities.
The failure to obtain, renew or maintain any of the required regulatory
approvals or licenses could adversely affect expansion of the business conducted
by the Company and could prevent the delivery of one or more products and
services.
 
     Operation and development of long term care facilities are subject to
various federal, state and local statutes and regulations. The states in which
the Company operates have statutes which require that prior to the addition or
construction of new beds, the addition of new services or certain capital
expenditures in excess of defined levels, the Company must obtain a certificate
of need ('CON') which certifies that the state has made a determination that a
need exists for such new or additional beds, new services or capital
expenditures. These state determinations of need or CON programs are designed to
comply with certain minimum Federal standards and to enable states to
participate in certain federal and state health related programs. Elimination or
relaxation of CON requirements may result in increased competition and may also
result in increased expansion possibilities.
 
     Since August 1982, Pennsylvania has refused to reimburse long time care
providers for depreciation and interest on facilities built after that date even
though the Commonwealth issued a CON for the facility. The Company has received
legal counsel opinion that Pennsylvania's position violates various provisions
of federal law. The Company is negotiating to receive reimbursement for the beds
it has added since August 1982 and if it is not successful, the Company is
prepared to litigate the issue. Even if the Company is successful, there is no
assurance that the amount of reimbursement will be sufficient to cover all costs
incurred.
 
     The Company presently has CON applications in Pennsylvania pertaining to
330 beds.
 
     The Company's long term care facilities are also subject to licensure
regulations. Each of the long term care facilities is licensed as a nursing
facility. The Company believes it is in substantial compliance with all material
statues and regulations applicable to its long term care, residential and
independent living facilities. In addition, all healthcare facilities are
subject to various local building codes and other ordinances. It is not possible
to predict the content or impact of future legislation and regulations affecting
the healthcare industry.
 
     State and local agencies survey all long term care facilities on a regular
basis to determine whether such facilities are in compliance with governmental
operating and health standards and conditions for participation in government
medical assistance programs. Such surveys include review of patient utilization
of healthcare facilities and standards for patient care. The Company endeavors
to maintain and operate its facilities in substantial compliance with all such
standards and conditions. However, in the ordinary course of business the
facilities receive notices of deficiencies for failure to comply with various
regulatory requirements. Generally, the facility and the reviewing agency will
agree upon the measures to be taken to bring the facility into compliance with
the regulatory requirements. In some cases or upon repeat violations, the
reviewing agency may take adverse actions against a facility, including the
imposition of fines, temporary suspension of admission of new patients to the
facility ('bed holds'), suspension or decertification from participation in the
Medicare or Medicaid programs, and, in extreme circumstances, revocation of a
facility's license. These adverse actions may adversely affect the ability of a
facility to operate or to provide certain services and its eligibility to
participate in the Medicare or Medicaid programs. In addition, such adverse
actions may
 
                                       5
<PAGE>
adversely affect other facilities operated by the Company. Certain of the
Company's owned or managed facilities have in the past received notices from
governmental agencies to the effect that if certain alleged deficiencies are not
rectified, such facilities would be decertified from participation in Medicare
and Medicaid programs. In all such cases, the alleged deficiencies were
rectified before any such facilities were decertified. Enforcement of these
regulations is becoming more stringent. As a result the Company has in recent
years experienced bed holds in certain facilities and other administrative
activities, however, the Company has not had any of its operating licenses
revoked. The Company believes that such actions will not have a material impact
on its operations or financial condition. See 'Business -- Federal and State
Assistance Programs' and 'Business -- Legal Proceedings.'
 
     As a provider of services under the Medicare and Medicaid programs, the
Company is subject to the Medicare and Medicaid fraud and abuse laws. These laws
prohibit any bribe, kickback or rebate in return for the referral of Medicare or
Medicaid patients. Violations of these provisions may result in civil and
criminal penalties and exclusion from participation in the Medicare and Medicaid
programs. In July 1991, the Office of the Inspector General of the United States
Department of Health and Human Services promulgated regulations setting forth
certain safe harbors under the fraud and abuse laws (the 'Safe Harbors'). These
laws and regulations were updated under OBRA'93 and pursuant to clarifying
regulations adopted in July, 1994. In addition, certain states in which the
Company operates have laws that prohibit certain direct or indirect payments or
fee-splitting arrangements between health care providers, if such arrangements
are designed to induce or encourage the referral of patients to a particular
provider. Possible sanctions for violation of these state-created restrictions
include loss of licensure and civil and criminal penalties.
 
     Such laws and regulations vary from state to state, often are vague and
seldom have been interpreted by the courts or regulatory agencies. Some states
enacted laws which, with some exceptions, have the effect of prohibiting a
physician from referring to an ancillary service which the physician has either
an ownership interest or a contractual arrangement. As a result of the various
statutes and interpretations, the Company has reviewed its joint venture and
management arrangements and has terminated these arrangements as deemed
appropriate. The Company believes that its operations including joint venture
and management arrangements with other health care providers substantially
comply with applicable laws and regulations; however, there can be no assurance
that judicial or administrative interpretation of existing laws, including the
fraud and abuse laws, or legislative enactment of new laws will not have a
material adverse effect on the Company's business. The Company's subsidiary,
United Health Care Services, Inc. ('United') had been involved in certain joint
ventures, most of which were in place when the Company purchased United, which
were subsequently terminated. In connection with a recent review of such
arrangements in the industry, the Company was requested by the Office of the
United States Attorney for the Eastern District of Pennsylvania and the
Commonwealth of Pennsylvania, Department of Welfare to provide certain
information concerning such joint venture arrangements. As a result of such
inquiry, the Company has reached a tentative settlement with the Office of the
United States Attorney for the Eastern District of Pennsylvania and is
discussing a settlement with the Commonwealth of Pennsylvania Department of
Public Welfare regarding such joint ventures. (See Item 3 'Legal Proceedings'.)
 
     The Medicare program consists of two separate insurance programs: 'Hospital
Insurance,' Part A, provides certain benefits covering inpatient hospital,
nursing facility, home health and hospice services; and 'Supplementary Medical
Insurance,' Part B of the Social Security Act, provides benefits in the areas of
outpatient hospital visits, physician services, pertaining to other types of
outpatient services, respiratory therapy, infusion therapy, home medical
equipment and prosthetic devices. The Company is an authorized supplier eligible
to receive direct reimbursement under Medicare Part B. Health care providers
must meet 'conditions of participation' to receive Medicare payments. The
conditions of participation are Federal requirements intended to insure the
quality of the medical services provided. Part A providers such as hospitals and
skilled nursing facilities are required to sign a provider agreement to
participate in Medicare.
 
                                       6
<PAGE>
     Under Part B, there is an annual deductible of $100 that the beneficiary
must pay before Medicare will make any payments. After the Part B deductible is
satisfied, Medicare will ordinarily pay 80% of the Medicare-approved payment
amount, and the beneficiary is responsible for paying the remaining 20%. If a
patient or customer is not covered by a medigap policy, the ability of the
Company to collect the 20% Part B co-pay is limited.
 
     OBRA 1987 created six categories for durable medical equipment
reimbursement under the Medicare Part B program. OBRA 1987 also defined whether
products would be paid for on a rental or sale basis and established fixed
payment rates for oxygen service as well as a 15-month rental ceiling on certain
medical equipment. The Omnibus Budget Reconciliation Act of 1990 ('OBRA 1990')
made new changes to Medicare Part B reimbursement that were implemented in 1991.
The substantive changes included a national standardization of Medicare rates
for certain equipment categories and reductions in amounts paid for certain
durable medical equipment. The changes mandated by OBRA'93 are not expected to
have a material effect on the Company.
 
QUALITY ASSURANCE
 
     The Company maintains quality assurance programs in all of its operating
entities. The Quality Review Committee of the Board of Directors reviews and
maintains these programs and reports to the Board with respect to compliance
with these programs.
 
COMPETITION
 
     A dramatic growth in the health care market in recent years has attracted a
large number of providers, some of which are national in scope and a greater
number of which, like the Company, operate only in limited geographic areas.
Accordingly, the market for health care service is highly competitive.
Competition is encountered from a variety of health care organizations including
major national chains which are larger than the Company. Some existing
competitors in the home health care business also manufacture their own products
and equipment. Other competitors include health care organizations, hospital and
health maintenance organizations. Some of the significant competitive factors
include reputation, quality and diversity of services offered, family and
physician preferences, referral networks and price. The Company's ability to
successfully compete in the delivery of health care services is dependent, among
other things, on its ability to adjust to a changing regulatory environment,
obtain payment from third-party payors, control costs, deliver a consistently
high quality of care, adapt to the changing needs of the population it serves
and position itself to provide a continuum of cost efficient products and
services to the managed care industry.
 
     The long-term care, residential and independent living facilities operated
by the Company compete with all types of health care facilities, nursing and
convalescent centers, extended care centers, retirement facilities and
communities, and similar institutions. There are a large number of skilled
nursing facilities and other facilities in each of the geographic areas served
by the Company's facilities. The degree of success with which the Company's care
facilities compete varies from location to location and is dependent on a number
of factors. The Company believes that the quality of care provided, reputation
and physical appearance of facilities, and in the case of private patients,
charges for services, are significant competitive factors. There is limited, if
any, competition in price with respect to Medicaid and Medicare patients, since
revenues for services to such patients are strictly controlled and based on
fixed rates and cost reimbursement principles. See 'Federal and State Assistance
Programs', above. Provision of quality care by the Company is dependent in part
on its ability to adequately staff its facilities.
 
HEALTHCARE REFORM
 
     The Clinton Administration has made healthcare reform one of its top
priorities. The White House Task Force on Health Care Reform studied the issue
of health care reform and presented its report and recommendations to the
Administration. The Administration proposed health care reform legislation to
Congress. Various other legislative and industry groups continue to study
numerous health care issues,
 
                                       7
<PAGE>
including access, delivery, and financing of long-term health care. These and
other groups' recommendations will likely impact the form and content of future
health care reform legislation. As a result, the Company is unable to predict
the type of legislation or regulations that may be adopted affecting the future
of the Health Care Industry and their impact on the Company. There can be no
assurance that any health care reform will not adversely affect the Company's
financial position or results of operations.
 
     Bills and proposed regulations have been pending in Pennsylvania to
substantially change Pennsylvania's Medicaid System. The new System, expected to
be implemented no later than July 1, 1994, was not adopted. The Company is not
able to determine, at this time, whether or when a new system will be adopted,
or, if adopted, the effect on the financial results of the Company.
 
LIABILITY INSURANCE
 
     In recent years, participants in the health care market have become subject
to an increasing number of lawsuits alleging malpractice, product liability or
related legal theories, many of which involve large claims and significant
defense costs. The Company is from time to time subject to such suits as a
result of the nature of its business. The Company currently maintains liability
insurance intended to cover such claims. However, there can be no assurance that
the coverage limits of the Company's insurance policies will be adequate. While
the Company has been able to obtain liability insurance in the past, such
insurance varies in cost, is difficult to obtain and may not be available in the
future on acceptable terms or at all. A successful claim against the Company in
excess of the Company's insurance coverage could have a material adverse effect
upon the Company and its financial condition.
 
     The Company currently has in force general liability insurance, including
professional liability, with an aggregate annual limit of $11,000,000 covering
operations at all of its owned long-term care and residential health care
facilities and the other operations of the Company other than the ambulance
services for which the limit of coverage is $3,000,000. In addition, the
ambulance services has in force automobile insurance coverage with an aggregate
annual limit of $1,000,000. The Company also currently has in force two general
liability policies, with aggregate annual limits of $6,000,000 each, covering
the operations of UHCS and IPS, respectively. These insurance policies have no
deductibles, are subject to annual renewal, and provide coverage on a claims
made basis for professional liability. All other policies provide coverage on an
occurrence basis.
 
     The Company makes available health plan coverage to certain of its
employees under a fully insured program. The Company also maintains
retroactively rated workers' compensation insurance with an A+ rated insurance
carrier in all states of operation. The Company has implemented and continues to
maintain programs to minimize the number and severity of occurrences and to
control the costs of existing and future claims. The Company's ultimate
liability is limited under the terms of the worker's compensation insurance
contracts and by state statute.
 
EMPLOYEES
 
     As of May 31, 1994, the Company employed approximately 4,150 full and part
time employees. The majority of those employees, primarily the service worker
employees of GMS, are represented by labor unions. The Company believes that its
employee relations are generally satisfactory. However, it cannot predict the
effect of organizational activities on its future operations. In the present
labor market, the prospect of demands for higher wages or strikes is a
possibility.
 
     The health care industry is labor intensive and dependent upon skilled
personnel. On occasion, a shortage of skilled and entry level healthcare
personnel may occur which could adversely affect the operating results of the
Company.
 
     In the conduct of its business, the Company does not discriminate against
any individual on account of his/her race, color, religion, sex, national origin
or physical disability.
 
                                       8
<PAGE>
ITEM 2. PROPERTIES
 
     Reference is made to Item 1 of this Report for a description of the
long-term care, residential and independent living facilities operated by the
Company. All owned facilities listed in Item 1 are subject to mortgages. See
Note 2 of the Notes to Consolidated Financial Statements. In addition, the
Company owns and occupies a 175,000 square foot building in West Philadelphia
which houses its management and administrative activities as well as the
operations of its pharmacy and durable medical equipment businesses. The Company
believes that all of the properties are adequately maintained and are suitable
for the purposes intended.
 
     The Company also holds various improved and unimproved properties for
development which, in the aggregate, are not material.
 
ITEM 3. LEGAL PROCEEDINGS
 
     In September, 1992 a class action law suit was commenced against the
Company, GMS Management, Inc., and various current or former officers of the
Company in the United States District Court for the Eastern District of
Pennsylvania. The Complaint alleges that, among other things, various reports
and press releases issued by the Company misrepresented and omitted adverse
material facts concerning the quality of care provided at two nursing facilities
previously managed by a subsidiary of the Company. The plaintiff did not seek a
specified sum other than 'to pay to plaintiff and to all members of the class
damages in an amount to be proven at trial, with interest thereon.' Although the
outcome cannot be predicted, the Company and the individual defendants deny any
wrongdoing and are vigorously defending this action. A trial of this law suit is
scheduled to start in October, 1994.
 
     The Company's subsidiary UHCS was the subject of an inquiry by the Office
of the United States Attorney for the Eastern District of Pennsylvania and the
Commonwealth of Pennsylvania, Department of Public Welfare regarding its joint
ventures and management arrangements. UHCS reached a tentative agreement with
the United States Attorney whereby the Company will be required to pay $320,000
no later than September 30, 1994, $340,000 in September, 1995 and $440,000 in
September, 1996. The Company is anticipates settling this matter with the
Commonwealth of Pennsylvania.
 
     The Company is involved in routine government inquiries, audit surveys and
administrative proceedings concerning its activities and operations. The Company
is also involved in various claims and legal actions arising in the ordinary
course of business. The Company believes that the outcome of all of these
matters will not have a material adverse effect on the Company's operations,
financial position and cash flows.
 
                                       9
<PAGE>
                                    PART II
 
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS
 
     The Company's Common Stock is traded in the over-the-counter market and
listed on the Automated Quotations System of the National Association of
Securities Dealers, Inc. (NASDAQ symbol: GEMC). The following table sets forth,
for the fiscal periods indicated, the high and low sale prices of the Company's
Common Stock as reported by the National Quotation Bureau, Inc., together with
information concerning cash dividends paid per share during those periods. The
following quotations represent prices between dealers and do not include retail
markup, markdown, or commissions. They do not necessarily represent actual
transactions. The high and low sales prices for each quarterly period for the
two most recent fiscal years are:
 
<TABLE>
<CAPTION>
                               HIGH        LOW      DIVIDENDS PER SHARE
                             ---------  ---------  ---------------------
<S>                          <C>        <C>        <C>
FISCAL 1995
Second Quarter (Thru
October 6, 1994)...........  2 7/16     1 5/8                   --
First Quarter..............  3 1/16     2                       --
 
FISCAL 1994
Fourth Quarter.............  3 5/8      2 1/4                   --
Third Quarter..............  3 3/8      1 15/16                 --
Second Quarter.............  2 5/8      1 1/4                   --
First Quarter..............  2          1 3/8                   --

FISCAL 1993
Fourth Quarter.............  2 1/8      1 3/8                   --
Third Quarter..............  2 1/4      1 1/4                   --
Second Quarter.............  2 1/2      1 3/8                   --
First Quarter..............  3 3/8      2                       --
</TABLE>
 
     On October 6, 1994, the last sale price for the Company's Common Stock was
2 1/4. As of May 31, 1994, the Company had 1,458 stockholders of record of its
Common Stock.
 
     The Company did not declare or pay cash dividends in fiscal year 1994 and
future dividends will depend, among other things, upon the earnings of the
Company, its working capital needs, capital requirements, its debt service
requirements, its general financial condition and other factors. Pursuant to a
guaranty in connection with the issuance of certain 1992 tax-exempt bonds, the
Company has agreed not to pay any dividends or make any distribution which could
have the effect of reducing the Company's consolidated tangible net worth and
subordinated indebtedness, if the Company's consolidated tangible net worth and
subordinated indebtedness is at such time or would be reduced to less than
$9,000,000. No assurance can be given that the Company will declare or pay
dividends in the future. However, the Company has, in the past, declared and
paid stock dividends in the form of stock splits.
 
                                       10
<PAGE>
ITEM 6. SELECTED FINANCIAL DATA
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
                     CONSOLIDATED SELECTED FINANCIAL DATA*
 
<TABLE>
<CAPTION>
                                                                    YEARS ENDED MAY 31,
                                              ---------------------------------------------------------------
                                                 1990         1991         1992         1993         1994
                                              -----------  -----------  -----------  -----------  -----------
<S>                                           <C>          <C>          <C>          <C>          <C>
Operating Revenues, Net.....................  $134,766,000  $144,633,000 $164,551,000  $164,364,000  $177,957,000
Income before Interest and Taxes (a)........  $ 16,817,000  $ 14,205,000 $ 10,986,000  $ 14,623,000  $  9,152,000
Interest Expense, Net.......................  $(10,589,000) $(10,096,000)$ (9,463,000) $(11,377,000) $(10,889,000)
Pre-Tax Income (Loss).......................  $  6,228,000  $  4,109,000 $  1,523,000  $  3,246,000  $ (1,737,000)
Income Tax Provision (Benefit)..............  $  2,492,000  $  2,014,000 $    380,000  $    812,000  $   (299,000)
Extraordinary Items:
  Utilization of Net Operating Loss
    Carryforwards...........................  $  2,492,000  $  1,400,000 $     66,000           --           --
  Extinguishment of Debt -- net of tax
    benefit.................................           --           --   $   (650,000)          --           --
Net Income (Loss)...........................  $  6,228,000  $  3,495,000 $    559,000  $ 2,434,000    $(1,438,000)
Per Common Share:
  Net Income (Loss) before
    Extraordinary Item(s)...................  $       .25  $       .14  $       .08  $       .16  $      (.09)
  Extraordinary Item(s).....................  $       .17  $       .09  $      (.04)          --           --
  Net Income (Loss).........................  $       .42  $       .23  $       .04  $       .16  $      (.09)
Cash Dividends Declared Per Common Share....           --           --           --           --           --
</TABLE>
 
<TABLE>
<CAPTION>
                                                                    YEARS ENDED MAY 31,
                                              ---------------------------------------------------------------
                                                 1990         1991         1992         1993         1994
                                              -----------  -----------  -----------  -----------  -----------
<S>                                           <C>          <C>          <C>          <C>          <C>
Total Assets*...............................  $137,280,000 $144,504,000 $163,479,000 $169,619,000 $162,724,000
Long-Term Debt and Subordinated
  Debentures (b)............................  $ 87,426,000 $ 75,991,000 $115,834,000 $122,582,000 $119,343,000
Shareholders' Equity........................  $  5,022,000 $  8,618,000 $  9,382,000 $ 11,951,000 $ 10,545,000
Patient Days (c)............................     1,158,221    1,061,035    1,039,403    1,039,204      983,671
Average Occupancy Based on Beds in
  Service (c)...............................           95%          94%          95%          94%          93%
Revenues from Government Programs (c).......           71%          71%          78%          83%          86%
Number of Company Employees.................         3,997        4,105        4,018        3,887        4,150
Number of Beds -- Operated..................         5,520        5,486        5,530        4,942        3,904
</TABLE>
 
- ------------------
 
(a) Includes recognition of deferred and current gains on facilities sold:
 
<TABLE>
<S>        <C>
1990        $11,814,000
1991         $4,452,000
1992         $3,175,000
1993         $6,365,000
1994         $1,576,000
</TABLE>
 
(b) Excludes current portion of long-term debt and subordinated debentures.
 
(c) Pertains to owned long-term care facilities only.
 
* Reclassified for comparative purposes.
 
                                       11
<PAGE>

ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS.
 
     Geriatric & Medical Companies, Inc. is a holding company which conducts its
business through its principal subsidiaries: LIFE SUPPORT MEDICAL, INC. (LSM)
(formerly known as the Life Support Medical Group) and GERIATRIC AND MEDICAL
SERVICES, INC. (GMS) (formerly known as the GeriMed Services Group) as described
below.
 
     LSM provides ambulance transportation services, home infusion therapy, home
respiratory therapy, home medical equipment, pharmaceutical services, medical
supplies and related billing services and intravenous therapy. This group also
offers portable diagnostic services, speech, occupational and physical therapy,
nutritional services, environmental services, facility maintenance, design,
construction management services and a full range of health care financial and
information services. The Company provides these services to other health care
providers, long term care facilities, including its own facilities, health
maintenance organizations and the home care health care market.
 
     GMS owns, operates and provides services to long term care, residential and
independent living facilities. The services offered include management and
consulting, financial information and insurance.
 
LIQUIDITY AND CAPITAL RESOURCES
 
     On May 31, 1993, the Company sold its Mount Laurel, New Jersey facilities
to Tomahawk Capital Investments, Inc., (Tomahawk) which is controlled by the
Chairman of the Board of the Company, for a purchase price of $8.5 million, the
fair market value as established by an independent appraisal. The Company
received $2.5 million in cash and a $6.0 million note bearing interest at nine
percent (9%) per annum. The note is based on a 25-year amortization with a
balloon payment due June of 2005. Tomahawk prepaid $1,000,000 of this note in
January, 1994.
 
     During fiscal 1994, the Company refinanced approximately $1,315,000 of
industrial development bonds, which allowed the Company to replace cash
collateralized letters of credit with other property. This resulted in
additional working capital of $1,197,000 during fiscal 1994.
 
     On November 4, 1993, the Company entered into a $25 million accounts
receivables sale agreement, with recourse. This is a three year agreement with
program costs charged at 9.84% of the outstanding receivables sold. The Company
accounts for this as a sale of receivables. On May 19, 1994 the Company entered
into an additional agreement to sell certain receivables due from third party
payors. The program cost charged is 9.75% of outstanding amounts sold. The
maximum amount to be sold under this agreement will be $5,000,000. The amount
sold by the Company at May 31, 1994 under this agreement was $628,000. The
agreement expires in November, 1997. The Company has accounted for the
transaction as a sale of receivables (See Note 4 to the Notes to Consolidated
Financial Statements.)
 
     The Company redeemed $2,868,000 of 16% subordinated debentures due December
31, 1994 on February 1, 1994 at par plus accrued interest. The Company funded
this redemption through the collection of outstanding accounts receivables and
the prepayment of the mortgage due from Tomahawk.
 
     A substantial part of the Company's revenues consists of reimbursements
under the Pennsylvania Medicaid Program, a retrospective cost based program that
typically results in the generation of large receivables which are periodically
settled. Pennsylvania had planned to switch to a prospective Medicaid
reimbursement system effective January, 1994 which did not occur. It is not
known whether Pennsylvania will institute a prospective system during fiscal
1995 and the effects of the final plan on the cash flow or operations of the
Company are not known. The Company anticipates the State of Pennsylvania
increasing its rates as of July, 1994 and also anticipates Pennsylvania will pay
tentative settlements on its fiscal 1994 cost reports during fiscal 1995.
 
                                       12
<PAGE>
     At May 31, 1994, the Company has restricted cash of approximately
$1,733,000 to be used for capital improvements and construction projects. In
addition to the capitalized improvements which will be funded from the
restricted cash account the Company anticipates commencing construction on two
facilities in fiscal 1995 for a total cost of $13,188,000. The Company has
tentative commitments for $11,240,000 to finance construction. Of the remaining
amount, approximately $1,250,000 has been funded and approximately $700,000 will
need to be funded by the Company.
 
     The Company reached a tentative settlement with the Office of the United
States Attorney for the Eastern District of Pennsylvania regarding the joint
venture and management arrangements of its subsidiary United Health Care
Services, Inc. whereby the Company will pay $320,000 by September 30, 1994,
$340,000 by September 30, 1995 and $440,000 by September 30, 1996.
 
     The Company intends to meet its capital commitments and working capital
requirements in fiscal 1995 from operations, existing financing arrangements
including the $25 million and $5 million receivable funding facilities, or the
sale or refinancing of other assets.
 
COMPARISON OF CONSOLIDATED RESULTS OF OPERATIONS FOR FISCAL 1994 AND FISCAL 1993
 
     The following table derived from the Company's consolidated statements of
operations sets forth for the items listed the respective charges when compared
between the periods:
 
<TABLE>
<CAPTION>
                                                                                               INCREASE        %
                                                                       1994         1993      (DECREASE)    CHANGE
                                                                    -----------  -----------  -----------  ---------
<S>                                                                 <C>          <C>          <C>          <C>
Operating revenues, net...........................................  $   177,957  $   164,364   $  13,593         8.3%
Other revenues....................................................        1,576        6,654      (5,078)      (76.3)%
                                                                    -----------  -----------  -----------
                                                                        179,533      171,018       8,515         5.0%
                                                                    -----------  -----------  -----------
Operating expenses................................................      157,612      142,018      15,594        11.0%
Depreciation and amortization.....................................        9,238        9,000         238         2.6%
Interest expense, net.............................................       10,889       11,377        (488)       (4.3)%
Provision for costs on sale of accounts receivable................        3,531        5,377      (1,846)      (34.3)%
                                                                    -----------  -----------  -----------
                                                                        181,270      167,772      13,498         8.0%
                                                                    -----------  -----------  -----------
Income (loss) before taxes........................................       (1,737)       3,246      (4,983)     (153.5)%
Tax provision (benefit)...........................................         (299)         812      (1,111)     (136.8)%
Net income (loss).................................................  $    (1,438) $     2,434   $  (3,872)     (159.1)%
                                                                    -----------  -----------  -----------
                                                                    -----------  -----------  -----------
</TABLE>
 
     Net loss was $1,438,000 for the twelve months ended May 31, 1994 compared
to net income of $2,434,000 in 1993. Income (loss) before income taxes was a
loss of $1,737,000 in 1994 compared to income of $3,246,000 in 1993 which
includes $1,576,000 in 1994 and $6,365,000 in 1993 related to a gain on
facilities sold and recognition of deferred income.
 
     Operating revenues increased $13,593,000 in 1994 when compared to 1993. LSM
increased its operating revenues in 1994 when compared to 1993, by $4,062,000
principally as a result of increased volume in the ambulance, pharmaceuticals
and hospitality businesses. GMS increased its operating revenues, $9,531,000 in
1994 compared with the same period in 1993. The increase resulted from an
increase in rates from government and private payors of $9,665,000 and a
reduction in the allowance for third party receivables of approximately
$1,100,000 resulting from a change in the estimation of the allowance needed for
various issues. These increases were offset by a decrease in revenue related to
the sale of a facility on May 31, 1993 which was offset by staffing and other
services provided to the new owners and 60 new beds added during fiscal, 1994.
The net effect of these items was a net loss of revenue of approximately
$811,000. In addition, management fees decreased by approximately $423,000
resulting from the termination of substantially all non owned management
agreements. These terminations represent a change in business whereby the
Company will emphasize providing support services versus general management to
long term care facilities. The Company anticipates replacing these revenues in
fiscal 1995 through bed additions and an increase in other services.
 
                                       13
<PAGE>
     Operating expenses increased $15,594,000 in 1994 compared to 1993. LSM
operating expenses increased $8,027,000 in 1994 resulting primarily from the
Company providing a non cash charge of approximately $4,500,000 for possible
uncollectible receivables. The Company completed in 1994 the installation of new
billing and collection systems for several of the entities within LSM and has
provided for possible uncollectibles related to receivables still outstanding on
the replaced systems. In addition LSM recorded its estimate of a tentative
settlement of $1,100,000 with the Office of the United States Attorney for the
Eastern District of Pennsylvania and its anticipated settlement with the
Commonwealth of Pennsylvania regarding joint ventures and management agreements
(See Note 17 of the Notes to Consolidated Financial Statements). The remaining
expense increase of $2,427,000 relates to increased volume at new and existing
customers. GMS had an increase in operating expenses of $7,567,000 in 1994
relating principally to salary and other inflationary increases and the
recording of a $700,000 non cash charge relating to a change in estimating
workers' compensation expense in 1994.
 
     Depreciation and amortization increased $238,000 in 1994 as a result of the
amortization of costs incurred in connection with bond refinancings in July
1993.
 
     Interest expense, net, for the year ended May 31, 1994 decreased
approximately $488,000 over 1993. The net decrease is principally attributable
to the redemption of $2.8 million of subordinated debentures in February 1, 1994
combined with capitalization of interest on construction and development
projects.
 
COMPARISON OF CONSOLIDATED RESULTS OF OPERATIONS FOR FISCAL 1993 AND FISCAL 1992
 
     The following table derived from the Company's consolidated statements of
operations sets forth, for the items listed, the respective changes when
compared between the periods:
 
<TABLE>
<CAPTION>
                                                                                               INCREASE        %
                                                                       1993         1992      (DECREASE)    CHANGE
                                                                    -----------  -----------  -----------  ---------
<S>                                                                 <C>          <C>          <C>          <C>
Operating revenues, net...........................................  $   164,364  $   164,551   $    (187)       (0.1)%
Other revenues....................................................        6,654        3,175       3,479       109.6%
                                                                    -----------  -----------  -----------
                                                                        171,018      167,726       3,292         2.0%
                                                                    -----------  -----------  -----------
Operating expenses................................................      142,018      146,123      (4,105)       (2.8)%
Depreciation and amortization.....................................        9,000        7,705       1,295        16.8%
Interest expense, net.............................................       11,377        9,463       1,914        20.2%
Provision for costs on sale of accounts receivable................        5,377        2,912       2,465        84.6%
                                                                    -----------  -----------  -----------
                                                                        167,772      166,203       1,569          .9%
                                                                    -----------  -----------  -----------
Income before taxes and extraordinary items.......................        3,246        1,523       1,723       113.1%
Tax provision.....................................................          812          380         432       113.7%
Income before extraordinary items.................................        2,434        1,143       1,291       113.0%
Extraordinary items, net..........................................           --         (584)        584       100.0%
                                                                    -----------  -----------  -----------
Net income........................................................  $     2,434  $       559   $   1,875       335.4%
                                                                    -----------  -----------  -----------
                                                                    -----------  -----------  -----------
</TABLE>
 
     Net income was $2,434,000 for the year ended May 31, 1993, as compared to
net income of $559,000 for the same period in 1992. Income before income taxes
and extraordinary charges for 1993 was $3,246,000 compared to $1,523,000 for
1992. Other revenues in fiscal 1993 included $6,365,000 and fiscal 1992 included
$3,175,000 related to recognition of deferred and current gains on facilities
sold. During fiscal 1992, the Company recorded extraordinary items of $66,000
reflecting utilization of net operating loss carryforwards and an extraordinary
charge of $650,000, net of tax, related to the early repayment and refinancing
of its bank group debt.
 
     Operating revenues, decreased $187,000 in 1993 compared with the same
period in 1992. LSM's operating revenues, decreased $2,661,000 resulting from
discontinuance of certain product lines as a result of Medicare Part B
Reimbursement changes, which totalled $5,096,000, offset by increased volume
with new and existing customers totalling $2,435,000. GMS had an increase in
operating revenues, of $2,474,000 in 1993 resulting primarily from increases in
government reimbursement and
 
                                       14
<PAGE>
private room rates totaling $5,780,000 offset by decreases in Medicare and
Private census of $2,874,000 and decreased miscellaneous other items of
$432,000.
 
     Operating expenses decreased in 1993 by $4,105,000 compared to the same
period in 1992. LSM's operating expenses decreased $2,801,000 resulting from
cost efficiencies and reductions, costs related to discontinuance of certain
product lines offset by costs associated with volume increases. GMS decreased
operating expenses by $1,304,000 principally as a result of cost reduction and
efficiency programs.
 
     Depreciation and amortization expense increased $1,295,000 in fiscal 1993
compared to same period in 1992 relating to capital expenditures which were
depreciated in 1993 and the amortization of financing costs related to the
refinancing which occurred in April, 1992.
 
     Interest expense, net, for the year ended May 31, 1993 increased
approximately $1,914,000 over last year. The net increase is attributed to
additional debt combined with an increased weighted average interest rate.
 
     The increase in provision for costs on sale of accounts receivable is
principally related to increased costs associated with the review, servicing and
management of the receivables previously sold. The Company entered into an
accounts receivable funding facility in November 1991 and thereby utilized such
facility for six months in fiscal 1992 versus the full year in fiscal 1993.
 
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
 
     The consolidated financial statements of the Company for the years ended
May 31, 1994, 1993 and 1992, and the report of the Company's independent
certified public accountants with respect thereto, are included in this report
beginning on the following page.
 
                                       15
<PAGE>
                       REPORT OF INDEPENDENT ACCOUNTANTS
 
To the Shareholders and
Board of Directors of
Geriatric & Medical Companies, Inc.
and Subsidiaries
 
We have audited the consolidated financial statements and the financial
statement schedules of Geriatric & Medical Companies, Inc. and Subsidiaries
listed in Item 14(a) of this form 10-K. These financial statements and financial
statement schedules are the responsibility of the Company's management. Our
responsibility is to express an opinion on these financial statements and
financial statement schedules based on our audits.
 
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free from
material misstatement. An audit includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial statements. An audit
also includes assessing the accounting principles used and significant estimates
made by management, as well as evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable basis for our
opinion.
 
In our opinion, the financial statements referred to above present fairly, in
all material respects, the consolidated financial position of Geriatric &
Medical Companies, Inc. and Subsidiaries as of May 31, 1994 and May 31, 1993,
and the consolidated results of their operations and their cash flows for each
of the three years in the period ended May 31, 1994 in conformity with generally
accepted accounting principles. In addition, in our opinion, the financial
statement schedules referred to above, when considered in relation to the basic
financial statements taken as a whole, present fairly, in all material respects,
the information required to be included therein.
 
As more fully discussed in Note 17, a class action shareholder lawsuit has been
brought against the Company. The ultimate outcome of the foregoing cannot
presently be determined. Accordingly, no provision for any liability has been
made to the accompanying consolidated financial statements.
 
2400 Eleven Penn Center
Philadelphia, Pennsylvania 19103
October 11, 1994
 
                                          COOPERS & LYBRAND, L.L.P.
 
                                       16
<PAGE>
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                  (IN THOUSANDS EXCEPT PAR VALUES AND SHARES)
 
<TABLE>
<CAPTION>
                                                                                                    MAY 31,
                                                                                              --------------------
                                                                                                1994       1993*
                                                                                              ---------  ---------
<S>                                                                                           <C>        <C>
ASSETS
Current Assets:
  Cash......................................................................................  $     927  $   2,845
  Restricted cash...........................................................................        837        947
  Patients' funds...........................................................................        311        271
  Accounts receivable, net of allowance of $6,776 and $6,595 at May 31, 1994 and 1993,
    respectively............................................................................     20,716     19,231
  Other receivables, net of allowance of $975 at May 31, 1994 and 1993......................      5,555      4,741
  Prepaids and other assets.................................................................      4,039      4,332
  Inventories...............................................................................      4,204      4,612
  Due from third-party payors, net of allowance of $3,877 and $4,090 at May 31, 1994 and
    1993, respectively......................................................................      9,314      9,635
                                                                                              ---------  ---------
    Total current assets....................................................................     45,903     46,614
                                                                                              ---------  ---------
Property and equipment:
  Land......................................................................................      3,702      3,702
  Building and improvements.................................................................     89,471     84,097
  Equipment and fixtures....................................................................     36,248     36,425
  Construction-in-progress..................................................................     10,591      8,991
                                                                                              ---------  ---------
                                                                                                140,012    133,215
Less accumulated depreciation...............................................................     53,688     47,533
                                                                                              ---------  ---------
                                                                                                 86,324     85,682
                                                                                              ---------  ---------
Other noncurrent assets:
  Restricted cash...........................................................................      7,090     12,605
  Investments in joint ventures.............................................................        582        921
  Goodwill net of accumulated amortization of $245 and $166 at May 31, 1994 and 1993,
    respectively............................................................................      2,236      1,457
  Notes and other receivables...............................................................     10,432     11,459
  Deferred charges and other, net of amortization of $4,130 and $2,419 at May 31, 1994 and
    1993, respectively......................................................................     10,157     10,881
                                                                                              ---------  ---------
                                                                                                 30,497     37,323
                                                                                              ---------  ---------
                                                                                              $ 162,724  $ 169,619
                                                                                              ---------  ---------
                                                                                              ---------  ---------
Current Liabilities:
  Current portion of long-term debt and subordinated debentures.............................  $   2,026  $   2,378
  Accounts payable..........................................................................     16,943     15,871
  Accrued expenses..........................................................................      9,937     11,539
                                                                                              ---------  ---------
    Total current liabilities...............................................................     28,906     29,788
                                                                                              ---------  ---------
Other long-term liabilities.................................................................      3,438      3,230
                                                                                              ---------  ---------
Long-term debt..............................................................................    119,343    119,714
                                                                                              ---------  ---------
Subordinated debentures.....................................................................         --      2,868
                                                                                              ---------  ---------
Deferred gains..............................................................................        492      2,068
                                                                                              ---------  ---------
Commitments and contingencies
STOCKHOLDERS' EQUITY (DEFICIT)
  Preferred Stock, $.10 par, authorized 15,000,000 shares; none were issued or
    outstanding.............................................................................         --         --
  Common Stock, $.10 par, authorized 30,000,000 shares in 1994 and 1993 issued and
    outstanding 15,159,661 and 15,273,531 in 1994 and 1993 respectively.....................      1,516      1,527
  Capital in excess of par value............................................................     14,601     14,558
  Accumulated deficit.......................................................................     (5,572)    (4,134)
                                                                                              ---------  ---------
                                                                                                 10,545     11,951
                                                                                              ---------  ---------
                                                                                              $ 162,724  $ 169,619
                                                                                              ---------  ---------
                                                                                              ---------  ---------
</TABLE>
 
- ------------------
* Reclassified for comparative purposes
 
          See accompanying notes to consolidated financial statements.
 
                                       17
<PAGE>
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                   ($'S IN THOUSANDS EXCEPT PER COMMON SHARE)
 
<TABLE>
<CAPTION>
                                                                                      YEARS ENDED MAY 31,
                                                                             -------------------------------------
                                                                                1994         1993*        1992*
                                                                             -----------  -----------  -----------
<S>                                                                          <C>          <C>          <C>
Operating revenues, net....................................................  $   177,957  $   164,364  $   164,551
Other revenues.............................................................        1,576        6,654        3,175
                                                                             -----------  -----------  -----------
                                                                                 179,533      171,018      167,726
                                                                             -----------  -----------  -----------
Cost and Expenses:
Operating expenses.........................................................      157,612      142,018      146,123
Depreciation and amortization..............................................        9,238        9,000        7,705
Interest expense, net......................................................       10,889       11,377        9,463
Provision for costs on sale of accounts receivable.........................        3,531        5,377        2,912
                                                                             -----------  -----------  -----------
                                                                                 181,270      167,772      166,203
                                                                             -----------  -----------  -----------
Income (loss) before income taxes and extraordinary items..................       (1,737)       3,246        1,523
Income taxes...............................................................         (299)         812          380
                                                                             -----------  -----------  -----------
Income (loss) before extraordinary items...................................       (1,438)       2,434        1,143
Extraordinary Items:
Utilization of net operating loss carryforwards............................           --           --           66
Extinguishment of debt, net of $290 tax benefit............................           --           --         (650)
                                                                             -----------  -----------  -----------
Net Income (Loss)..........................................................  $    (1,438) $     2,434  $       559
                                                                             -----------  -----------  -----------
                                                                             -----------  -----------  -----------
Earnings (Loss) per common share:
Income (Loss) before extraordinary items...................................  $     (0.09) $      0.16  $      0.08
Extraordinary items........................................................           --           --        (0.04)
                                                                             -----------  -----------  -----------
Net Income (Loss)..........................................................  $     (0.09) $      0.16  $      0.04
                                                                             -----------  -----------  -----------
                                                                             -----------  -----------  -----------
</TABLE>
 
- ------------------
*Reclassified for comparative purposes.
 
          See accompanying notes to consolidated financial statements.
 
                                       18
<PAGE>
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                               ($'S IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                                                             YEARS ENDED MAY 31,
                                                                                       -------------------------------
                                                                                         1994       1993*      1992*
                                                                                       ---------  ---------  ---------
<S>                                                                                    <C>        <C>        <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
  Income (loss) before extraordinary items...........................................  $  (1,438) $   2,434  $   1,143
  Extraordinary items................................................................         --         --       (584)
                                                                                       ---------  ---------  ---------
  Net (loss) income..................................................................     (1,438)     2,434        559
  Adjustments to reconcile net income (loss) to net cash provided by operating
    activities:
    Provision for uncollectible accounts.............................................      7,102      3,855      7,184
    Depreciation and amortization....................................................      9,238      9,000      7,705
    Gain on sale of facilities and other assets, net and recognition of deferred
     income..........................................................................       (115)    (5,962)    (3,256)
    Noncash change in workers' compensation expense..................................       (405)        --         --
    Loss on extinguishment of debt...................................................         --         --        650
    (Increase) decrease in patients' funds and other, net............................        (40)        55        789
    Increase in accounts and other receivables.......................................     (9,401)    (8,892)   (17,178)
    (Increase) decrease in prepaids and other assets and inventories.................        701       (761)    (1,635)
    Decrease (increase) in net third-party payor amounts.............................        321     (2,604)     5,469
    Increase (decrease) in accounts payable and accrued expenses.....................     (1,098)     3,954        778
    Increase in other long-term liabilities..........................................        815         --         --
                                                                                       ---------  ---------  ---------
    Net cash provided by operating activities........................................      5,680      1,079      1,065
                                                                                       ---------  ---------  ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
  Capital expenditures...............................................................     (5,067)    (3,958)   (11,381)
  Capital expenditures financed by construction and property improvement funds.......     (4,450)   (10,121)        --
  Increase (decrease) in joint ventures, net.........................................        339       (301)       417
  Decrease in notes and other receivables............................................      1,027        233        394
  Other investing activities, net....................................................        323       (416)      (338)
  Proceeds from sale of facilities and other assets, net.............................         --      2,305         71
                                                                                       ---------  ---------  ---------
  Net cash used in investing activities..............................................     (7,828)   (12,258)   (10,837)
                                                                                       ---------  ---------  ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
  Proceeds from borrowings...........................................................      7,545     19,294    119,961
  Repayment of debt and subordinated debentures......................................    (11,351)   (17,542)   (99,188)
  (Increase) decrease in restricted cash.............................................      5,625      9,056    (22,608)
  Expenditures for deferred charges..................................................     (1,621)    (1,405)    (4,359)
  Net proceeds from sale of accounts receivable net of $27,118 utilized in operating
    activities in fiscal 1992........................................................         --         --     18,326
  Proceeds from issuance of common stock.............................................         32         80         66
                                                                                       ---------  ---------  ---------
  Net cash provided by financing activities..........................................        230      9,483     12,198
                                                                                       ---------  ---------  ---------
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS.................................     (1,918)    (1,696)     2,426
CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR.......................................      2,845      4,541      2,115
                                                                                       ---------  ---------  ---------
CASH AND CASH EQUIVALENTS AT END OF YEAR.............................................  $     927  $   2,845  $   4,541
                                                                                       ---------  ---------  ---------
                                                                                       ---------  ---------  ---------
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
  Cash paid during the year for:
    Interest.........................................................................  $  16,123  $  14,974  $  11,400
    Income taxes.....................................................................  $     179  $     129  $     586
SUPPLEMENTAL SCHEDULE OF NONCASH ITEMS:
  Note receivable from sale of facilities (see Note 3)...............................  $      --  $   6,000  $      --
  Note receivable charged to deferred income (see Note 3)............................  $      --  $     427  $      --
  Acquisition of ambulance company (see Note 3)......................................  $     683  $      --  $      --
</TABLE>
 
- ------------------
* Reclassified for comparative purposes
 
          See accompanying notes to consolidated financial statements.
 
                                       19
<PAGE>
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                FOR THE YEARS ENDED MAY 31, 1994, 1993 AND 1992
                                 (IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                                                            CAPITAL
                                                                         COMMON STOCK      IN EXCESS
                                                                     --------------------   OF PAR    ACCUMULATED
                                                                      SHARES     AMOUNT      VALUE      DEFICIT
                                                                     ---------  ---------  ---------  ------------
<S>                                                                  <C>        <C>        <C>        <C>
Balance, May 31, 1991..............................................     15,076  $   1,508  $  14,237   $   (7,127)
  Net Income.......................................................         --         --         --          559
  Restricted shares issued to key employees net of cancellations...         42          4         (4)          --
  Stock options exercised..........................................         55          5         61           --
  Amortization of unearned compensation............................         --         --        139           --
                                                                     ---------  ---------  ---------  ------------
Balance, May 31, 1992..............................................     15,173      1,517     14,433       (6,568)
  Net income.......................................................         --         --         --        2,434
  Restricted shares issued to key employees net of cancellations...         34          3         (3)          --
  Stock options exercised..........................................         67          7         73           --
  Amortization of unearned compensation............................         --         --         55           --
                                                                     ---------  ---------  ---------  ------------
Balance, May 31, 1993..............................................     15,274      1,527     14,558       (4,134)
  Net Loss.........................................................         --         --         --       (1,438)
  Restricted shares cancelled net of issued shares to key
     employees.....................................................       (153)       (15)        --           --
  Stock options exercised..........................................         39          4         43           --
                                                                     ---------  ---------  ---------  ------------
Balance, May 31, 1994..............................................     15,160  $   1,516  $  14,601   $   (5,572)
                                                                     ---------  ---------  ---------  ------------
                                                                     ---------  ---------  ---------  ------------
</TABLE>
 
          See accompanying notes to consolidated financial statements.
 
                                       20
<PAGE>
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
(A) PRINCIPLES OF CONSOLIDATION AND PRESENTATION:
 
     The consolidated financial statements include the accounts of Geriatric &
Medical Companies, Inc., and Subsidiaries and its investments in majority owned
joint ventures hereafter referred to as the 'Company'. The Company uses the
equity method to account for its ownership interest in other joint ventures.
Under the equity method, the Company recognizes its proportionate share of the
net income or loss of joint ventures currently, rather than when realized
through dividends or disposals. All material intercompany transactions and
accounts have been eliminated in consolidation.
 
(B) NET PATIENT SERVICE REVENUE:
 
     The Company's operations and cash flows are dependent upon the payments for
patient services by third-party payors and, in particular, Federal and State
administered programs. Reimbursement under these programs is limited to certain
expenditures in accordance with Federal and State regulations and is subject to
retroactive adjustment upon audit by Federal and State agencies. Accordingly,
net patient service revenue is recorded at the estimated realizable amounts due
from third-party payors and others.
 
     Differences between the amounts accrued and subsequent settlements will be
recorded in operations in the year of settlement. Management maintains an
allowance that it considers adequate to provide for potential disallowances on
its recorded revenues under Federal and State administered programs. This
allowance is based on the estimated net realizable value of the Company's
revenues. Management periodically evaluates specific past experience and the
results of the most recent regulatory examinations, as well as other relevant
factors. While management uses the best information available to make such
evaluations, no assurance can be given that future adjustments to the allowance
may be necessary if regulatory agencies interpret the Company's claims for
reimbursement on a basis different than the Company's historical experience with
regulatory examinations.
 
     Although receivables due from third-party payors may be outstanding in
excess of one year, in accordance with industry practices, such amounts are
classified as current.
 
(C) CASH AND CASH EQUIVALENTS:
 
     For purposes of the statements of cash flows, the Company considers cash
and cash equivalents to be cash on hand, cash in banks and overnight
investments.
 
(D) RESTRICTED CASH:
 
     Restricted cash represents funds held in trust to be used for construction
expenditures and to repay debt obligations.
 
(E) PATIENTS' FUNDS:
 
     Patients' funds represent cash balances which have been deposited by the
Company into a separate bank account and are restricted for the use of patients.
The related liability is included in accounts payable.
 
(F) INVENTORIES:
 
     Inventories, principally consisting of durable medical and respiratory
therapy equipment, medical supplies and pharmaceuticals, are stated at the lower
of cost or market. Cost is determined principally on the first-in, first-out
basis (FIFO).
 
                                       21
<PAGE>
(G) PROPERTY, EQUIPMENT AND RELATED DEPRECIATION:
 
     Property and equipment are stated at cost. Depreciation is provided over
the estimated useful lives of the respective assets using the straight-line
method. The annual depreciation rates range from 2.5% to 10% for buildings and
improvements and 5% to 33% for equipment and fixtures. Normal maintenance and
repair costs are charged to expense as incurred. Major expenditures for renewals
and betterments which extend useful lives are capitalized. Upon sale or
retirement the costs and related accumulated depreciation are eliminated from
the respective accounts and the resulting gain or loss is included in income.
 
(H) OTHER NONCURRENT ASSETS:
 
     Goodwill represents the excess of the cost of purchased businesses over the
fair value of their net assets. Goodwill arising after October 31, 1970 is being
amortized by the straight-line method over 40 years. Goodwill in the amount of
$565,000 relating to acquisitions prior to November 1, 1970 is not being
amortized. In the opinion of Management, there has been no impairment of
goodwill.
 
     Notes and other receivables consist primarily of term loans, issuance cost
loans and operating deficits advances related to facility sales.
 
     Costs incurred in obtaining long-term borrowings are amortized over the
term of the loan. Pre-opening costs incurred in connection with the expansion of
existing or with the construction of new long-term care facilities, are
capitalized until the facility nursing units admit the initial patient or are
substantially completed and then amortized using the straight-line method over a
five-year period which coincides with the amortization period required by
government reimbursement regulations.
 
(I) INCOME TAXES:
 
     In 1993 and 1992, the provision for deferred income taxes is applicable to
timing differences between taxable income and income for financial reporting
purposes. Beginning in fiscal 1994, the Company adopted Statement of Financial
Accounting Standards (SFAS) No. 109, Accounting for Income Taxes, which provides
that income taxes be accounted for under the liability method. Under the
liability method, deferred income taxes are recognized by applying enacted
statutory tax rates, applicable to future years, to temporary differences
between the tax bases and financial statement carrying values of the Company's
assets and liabilities. The adoption of SFAS No. 109 did not have a material
effect on the Company's consolidated financial statements.
 
(J) WORKERS' COMPENSATION INSURANCE:
 
     The Company self-insures for certain levels of Workers' Compensation
Insurance and estimated costs for the workers' compensation programs are accrued
at present values based upon actuarially projected claims. Related workers'
compensation expense for 1994, 1993, and 1992 amount to $4,928,000, $4,429,000
and $4,900,000, respectively. During 1994 the Company refined its estimate of
its workers' compensation expense which resulted in an additional charge of
$700,000. Included in other assets is $3,028,000, and $3,230,000 relating to the
future revenue associated with the difference in accounting for workers'
compensation expense under third party payor programs which is different than
the method used for financial reporting purposes. The accrued workers'
compensation expense amounting to $2,623,000 in 1994 and $3,230,000 in 1993 is
included in other long term liabilities in the accompanying consolidated
financial statements.
 
(K) FINANCIAL INSTRUMENTS:
 
     Effective May 31, 1993, the Company adopted Statement of Financial
Accounting Standards No. 107 'Disclosures about Fair Value of Financial
Instruments.' The statement requires disclosure of the fair value of certain of
the Company's financial instruments for which it is practicable to estimate the
 
                                       22
<PAGE>
fair value. Fair value amounts disclosed do not affect financial results and do
not necessarily represent
the amounts that could be realized in a sale or settlement. See Note 18 of the
Notes to Consolidated Financial Statements.
 
2. LONG-TERM DEBT AND SUBORDINATED DEBENTURES:
 
     A summary of long-term debt and subordinated debentures follows:
 
<TABLE>
<CAPTION>
                                                                              FISCAL MAY 31,
                                                             YEAR OF     ------------------------
                                                             MATURITY       1994         1993
                                                           ------------  -----------  -----------
                                                                           ($'S IN THOUSANDS)
<S>                                                        <C>           <C>          <C>
Mortgages:
  Credit Facility (a)....................................      2002      $    84,766  $    85,445
  Revolvers -- Collateralized (b)........................       --                --           --
  Industrial Development Authority (c)...................     2000-2005       11,065       10,925
  Other (d)..............................................      2033            8,125        8,140
Bonds payable (e)........................................     2000-2022       14,975       15,180
Other bank loans (f).....................................     1994-1998        2,438        1,991
                                                                         -----------  -----------
                                                                             121,369      121,681
Less amounts due within one year.........................                      2,026        1,967
                                                                         -----------  -----------
                                                                         $   119,343  $   119,714
                                                                         -----------  -----------
                                                                         -----------  -----------
Subordinated debentures (g)..............................      1995      $        --  $     3,279
Less amounts due within one year.........................                         --          411
                                                                         -----------  -----------
                                                                         $        --  $     2,868
                                                                         -----------  -----------
                                                                         -----------  -----------
</TABLE>
 
          (a) On April 24, 1992, the Company completed an agreement with
     Meditrust Mortgage Investments, Inc. ('Meditrust'), pursuant to which
     Meditrust extended to the Company and certain of its operating subsidiaries
     a credit facility of approximately $86,000,000 ('Credit Facility'),
     collateralized by mortgages on various nursing home facilities located in
     Pennsylvania and New Jersey (the 'Mortgaged Facilities'). Approximately
     $72,000,000 of such facility was used by the Company for the payment in
     full of all of its obligations under its revolvers discussed in (b), which
     was approximately $55,000,000, the refinancing of certain other outstanding
     long-term indebtedness totalling approximately $6,500,000 and the placement
     in restricted cash of approximately $10,500,000 to service debt and cash
     collateral. Approximately $12,000,000 of such facility was restricted to be
     used by the Company to provide for various capital improvements and
     additions to the Mortgaged Facilities, with the remaining $2,000,000
     utilized for working capital. As of May 31, 1994, restricted cash includes
     approximately $5,300,000 to service debt and approximately $1,733,000 for
     capital improvements.
 
          The Credit Facility converted a substantial portion of the Company's
     current liabilities into long-term indebtedness, payable over ten years
     based upon a twenty-five year amortization schedule, at an initial interest
     rate of 11.5% per annum ('Base Rate') which may increase prospectively
     (based upon revenues) at a maximum rate of .25% ('Additional Interest')
     over the initial five-year period. At the end of five years, the Base Rate
     will be reset prospectively at either the higher of 11.5% or the five-year
     treasury note interest rate plus 4%, or the rate in effect at the end of
     the initial five-year period. The Additional Interest of .25% will continue
     through maturity in the second five-year period. At the Company's election,
     such Credit Facility may be prepaid at 103% of the outstanding principal at
     the end of the fifth year. The interest rate as of May 31, 1994 was 11.68%.
 
          In connection with this agreement the Company may not pay dividends
     under certain circumstances and is required to comply with certain
     financial covenants, the most restrictive of which is the debt service
     coverage ratio, at May 31, 1994. The Company has complied with the
 
                                       23
<PAGE>
     provision of the agreement or in instances of non compliance has received
     waivers or Meditrust has agreed to temporary modifications of the ratios
     through October 15, 1995.

          (b) In fiscal 1992, the Company made an early retirement of its bank
     debt which resulted in an extraordinary charge totalling $650,000, net of
     tax benefit of $290,000, relating to deferred charges associated with the
     Loan Agreements.
 
          (c) The Company's facilities are owned and are subject to mortgages.
     Mortgage loans made through Pennsylvania Industrial Development Authorities
     bear interest at fixed rates of 7% to 9% payable semi-annually. Pursuant to
     the Meditrust loans discussed in (a), above, $10,471,000 of economic
     development authority mortgage loans were collateralized with cash which
     was held in an irrevocable trust. At May 31, 1992, the Company executed an
     'in-substance defeasance' upon depositing $5,981,000 into an irrevocable
     trust to cover the outstanding principal for certain economic development
     authority mortgage loans. In July 1992, $5,981,000 of cash in the
     irrevocable trust was used to satisfy the loans and in August 1992 a
     scheduled annual principal payment of $325,000 was made. In December 1992,
     an additional $3,050,000 of cash in the irrevocable trust was used to
     satisfy the loans. The remaining $1,115,000 is reflected as restricted cash
     on the May 31, 1993 consolidated balance sheet. Subsequent to May 31, 1993,
     the $1,115,000 became unrestricted upon the refinancing of the remaining
     mortgage loan.
 
          (d) The Company has a mortgage loan insured under Section 232 of the
     National Housing Act by the United States Department of Housing and Urban
     Development, Federal Housing Administration. The borrower, Northwest Total
     Care Associates, Limited Partnership ('LP'), is owned by subsidiaries of
     the Company. Construction of the LP owned facility ('Care Center of
     Brakeley Park') was completed during fiscal 1993. The loan had a balance of
     approximately $8,125,000 as of May 31, 1994 and bears interest at 10.35%
     per annum. The loan is payable in equal monthly payments over forty years.
     The obligation is collateralized by the assets of the Limited Partnership
     without recourse to the partners.
 
          (e) The Company refinanced on April 1, 1992, $2,025,000 and $850,000
     of Demand Revenue Bonds and Demand Revenue Refunding Bonds, respectively,
     which were issued by the New Jersey Economic Development Authority
     ('NJEDA'). These bonds had been supported by letters of credit provided by
     its principal banks. The refinancing was accomplished through a public
     offering. These bonds bear interest at a fixed rate of 9.625% payable
     quarterly beginning July 15, 1992. Principal on the $2,025,000 and $850,000
     Demand Revenue Bonds is payable quarterly beginning July 15, 2004 and July
     15, 1992, respectively. Additionally, at May 31, 1994, the Company had
     $6,025,000 of Economic Development Refunding Bonds which are secured by a
     skilled and intermediate care facility. Interest on these bonds is at a
     fixed rate of 10.5% payable semi-annually over a thirty year period.
 
          At May 31, 1991, the Company had $2,660,000 and $3,660,000 of bonds
     bearing interest at 8.25% and 15.42%, respectively. Pursuant to the
     Meditrust loan discussed in (a) above, these bonds were collateralized with
     $6,145,000 in cash which was deposited into an irrevocable trust to cover
     the outstanding principal of these bonds and the bonds were in-substance
     defeased. In July, 1992, the $6,145,000 was used to satisfy the bonds it
     was collateralizing. At May 31, 1994, the Company had $6,160,000 of NJEDA
     First Mortgage Gross Revenue Bonds. These bonds are collateralized by
     mortgages on two facilities and bear interest at 9.0% payable semi-annually
     beginning July 1, 1993.
 
          The Company did not meet certain financial ratios as required under
     the bond issues discussed above at May 31, 1994. In accordance with the
     agreements the Company will, if required, hire a consultant to review the
     facilities operations and make changes, as required.
 
          With respect to certain Industrial and Economic Development Authority
     loans, the Company has agreed not to pay any dividends or make any
     distribution which could have the effect of
 
                                       24
<PAGE>
     reducing consolidated tangible net worth and subordinated indebtedness, 
     if consolidated tangible net worth and subordinated indebtedness is at 
     such time or would thereby be reduced to less than $9,000,000.

          (f) Other bank loans consist primarily of capitalized leases and
     promissory notes bearing interest at 5.75% to 12.9%.
 
          (g) On February 1, 1994, the Company redeemed $2,868,000 of 16%
     subordinated debentures due December 31, 1994. The debentures were redeemed
     at par plus accrued interest to the date of redemption. At May 31, 1993,
     the Company had outstanding $3,279,000 of 16% Subordinated Debentures with
     interest outstanding payable on June 30 and December 31 of each year. These
     debentures were subordinated to all current and future indebtedness of the
     Company and its subsidiaries, except for any indebtedness expressly stated
     not to be senior indebtedness.
 
          Amounts due on long-term debt in each of the next five fiscal years
     are as follows:
 
<TABLE>
<CAPTION>
                                                                                    ($'S IN
                                                                                   THOUSANDS)
                                                                                ----------------
<S>                                                                             <C>
1995..........................................................................    $      2,026
1996..........................................................................           1,979
1997..........................................................................           1,933
1998..........................................................................           1,703
1999..........................................................................           1,758
Thereafter....................................................................         111,970
                                                                                ----------------
  Total.......................................................................    $    121,369
                                                                                ----------------
                                                                                ----------------
</TABLE>
 
          All assets of Life Support Medical, Inc. (formerly known as the Life
     Support Medical Group) (excluding property under capital lease and certain
     accounts receivable) are unencumbered. Substantially all of the Company's
     property related to Geriatric and Medical Services, Inc. (formerly known as
     the GeriMed Services Group) is pledged as collateral on borrowings.
 
3. ACQUISITIONS AND DISPOSALS:
 
     Concurrent with the sale of nursing or residential facilities in prior
years, the Company entered into long-term agreements to provide management and
other services in operating these facilities. All of these management agreements
have expired or been terminated as of May 31, 1994.
 
     Under the terms of these sales of nursing and residential facilities, the
Company was required to lend the purchaser amounts to cover certain issuance
costs of bond offerings and to enter into operating deficits agreements under
which the Company lends the purchaser, if needed, funds for working capital
requirements. These working capital advances, plus related interest, were not
payable to the Company until certain conditions were achieved or over a
five-year period upon termination or expiration of the management agreements. In
conjunction with the expiration or termination of these agreements, the Company
has converted the operating deficits advances as well as certain subordinated
management fees, as appropriate, into term loans.
 
                                       25
<PAGE>
 
     As of May 31, 1994 and 1993, with respect to the aforementioned facility
sales, the Company was owed the following:
 
<TABLE>
<CAPTION>
                                                                                     MAY 31,
                                                                               --------------------
                                                                                 1994       1993
                                                                               ---------  ---------
                                                                               ($'S IN THOUSANDS)
<S>                                                                            <C>        <C>
Operating deficits advances..................................................  $     735  $   2,996
Issuance cost loans..........................................................        934      1,125
Term loans and accrued interest..............................................      3,664         --
Management and other fees....................................................      6,636      5,965
                                                                               ---------  ---------
  Total......................................................................  $  11,969  $  10,086
                                                                               ---------  ---------
                                                                               ---------  ---------
</TABLE>
 
     Included in noncurrent notes and other receivables are $4,851,000 and
$4,619,000 of receivables related to the aforementioned transactions at May 31,
1994 and 1993, respectively.

     The Company has deferred the recognition of gain on sale of facilities
related to guarantees under an operating deficit agreement. As of May 31, 1994,
the Company may ultimately recognize as additional gain on sale of facilities
$492,000 if certain minimum operating cash flow requirements and other factors
are achieved. In fiscal 1994 the Company recognized $1,576,000 of deferred gain
on facilities sold in prior years.
 
     On February 28, 1993, Tomahawk Capital Investments, Inc., (Tomahawk) which
is controlled by Geriatric & Medical Companies, Inc.'s Chairman of the Board,
purchased a note receivable from the Company for $773,000, the fair market value
of the note as established by an independent appraisal, plus accrued interest of
$57,000. This resulted in the recognition of $773,000 of associated deferred
gain on facilities sold which is included in other revenue at May 31, 1993.
 
     On May 31, 1993, the Company sold its Mt. Laurel, New Jersey facilities to
Tomahawk for a purchase price of $8.5 million, the fair market value as
established by an independent appraisal. The Company received $2.5 million in
cash and a $6.0 million note bearing interest at nine percent (9%) per annum.
The note is payable based on a 25-year amortization with a balloon payment due
June of 2005. This resulted in the recognition of a $4,678,000 gain on the sale
of these facilities which is included in other revenue at May 31, 1993. The
Company received a prepayment of $1,000,000 on this mortgage in January, 1994.
As of May 31, 1994, the Company has a note receivable balance of $5,000,000 and
management/other fees due from Tomahawk of $2,255,000.
 
     On May 20, 1994, the Company acquired all of the outstanding stock of an
ambulance transportation company in exchange for the assumption of $782,000 in
liabilities. Goodwill of $683,000, was recorded in connection with the
acquisition. The transaction has been accounted for as a purchase for financial
reporting purposes. The operating results of the acquired company are included
in the Company's consolidated results of operations from the date of acquisition
and do not have a material effect on the Company's consolidated financial
statements.
 
4. ACCOUNTS RECEIVABLE:
 
     Effective November 4, 1993, the Company entered into a three year $25
million accounts receivable sale agreement with recourse with a financial
institution, retiring its previous arrangement. The Company may sell, on a
continuing basis, up to $25,000,000 of certain qualifying accounts receivable.
The Company receives, net of reserves, approximately 80% of accounts receivable
submitted. This transaction has been accounted for as a sale under Financial
Accounting Standards Board Statement No. 77 guidelines but may be treated as a
financing (borrowing) transaction for Medicare/Medicaid purposes.
 
     Under the terms of the agreement, the Company will pay program costs at
9.84% on the outstanding receivables submitted. During fiscal 1994 and 1993, the
Company sold approximately 
 
                                       26
<PAGE>

$92,739,000 and $82,569,000 respectively, of certain qualifying accounts 
receivables. As of May 31, 1994 and 1993, the balance of the receivables 
submitted for sale was approximately $16,746,000 and $22,457,000 of
which approximately $13,397,000 and $17,555,000 were funded, respectively. The
unfunded portion is included in other receivables on the balance sheet.
 
     In May 1994, the Company entered into an agreement to sell certain
receivables due from third-party payors. The program costs charged are 9.75% of
the outstanding receivables sold. The maximum amount of receivables to be sold
is $5,000,000. The Company receives, net of reserves, approximately 80% of
third-party payor receivables sold. The unfunded portion is included in other
receivables on the balance sheet. As of May 31, 1994, the amount of the
receivables sold was $628,000.
 
     As of May 31, 1994, 1993 and 1992 , the Company has recognized a provision
for costs on sale of accounts receivable of $3,531,000, $5,377,000 and
$2,912,000 respectively. The provision for costs on sale of accounts receivable
consists of: (A) program and other costs incurred on receivables sold and (B)
servicing costs relating to the collection of receivables sold. Under the sale
agreement, the Company continues and is required to service the accounts
receivable sold.


5. INVENTORIES:
 
     The components of inventories are as follows:
 
<TABLE>
<CAPTION>
                                                                                       MAY 31,
                                                                                 --------------------
                                                                                   1994       1993
                                                                                 ---------  ---------
                                                                                 ($'S IN THOUSANDS)
<S>                                                                              <C>        <C>
Durable medical equipment......................................................  $   3,082  $   2,069
Institutional pharmacy drugs and supplies......................................        605      1,868
Other..........................................................................        517        675
                                                                                 ---------  ---------
     Total.....................................................................  $   4,204  $   4,612
                                                                                 ---------  ---------
                                                                                 ---------  ---------
</TABLE>
 
6. CAPITALIZED INTEREST:
 
     The Company capitalized interest expense of approximately $1,388,000,
$1,485,000, and $450,000 in fiscal 1994, 1993 and 1992, respectively, relating
to the cost of additions to existing nursing home facilities and construction of
new facilities.
 
7. DEFERRED CHARGES AND OTHER:
 
     The components of deferred charges and other are as follows:
 
<TABLE>
<CAPTION>
                                                                                     MAY 31,
                                                                               --------------------
                                                                                 1994       1993
                                                                               ---------  ---------
                                                                               ($'S IN THOUSANDS)
<S>                                                                            <C>        <C>
Deferred financing costs.....................................................  $   8,395  $   7,663
Deferred pre-opening costs...................................................        692        308
Accumulated amortization.....................................................     (4,130)    (2,419)
                                                                               ---------  ---------
                                                                                   4,957      5,552
Deferred reimbursement -- workers' compensation..............................      3,028      3,230
Deposits.....................................................................        285        449
Prepaid bedding and linen and other miscellaneous costs......................      1,887      1,650
                                                                               ---------  ---------
                                                                               $  10,157  $  10,881
                                                                               ---------  ---------
                                                                               ---------  ---------
</TABLE>
 
                                       27
<PAGE>
 
8. ACCRUED EXPENSES:
 
     The components of accrued expenses are as follows:
 
<TABLE>
<CAPTION>
                                                                                      MAY 31,
                                                                                --------------------
                                                                                  1994       1993
                                                                                ---------  ---------
                                                                                ($'S IN THOUSANDS)
<S>                                                                             <C>        <C>
Interest......................................................................  $   1,745  $   2,308
Payroll and payroll taxes.....................................................      4,714      5,148
Taxes.........................................................................        566      1,511
Vacation and sick pay.........................................................      1,534      1,315
Professional services.........................................................        270        504
Utilities.....................................................................        183        115
Miscellaneous.................................................................        925        638
                                                                                ---------  ---------
                                                                                $   9,937  $  11,539
                                                                                ---------  ---------
                                                                                ---------  ---------
</TABLE>
 
9. INCENTIVE PLANS AND OPTION ARRANGEMENTS:
 
     The Company's 401(k) profit sharing plan covers substantially all full-time
employees not covered by collective bargaining agreements. 'Highly Compensated
Employees,' as defined within IRS Code Section 414(O) (which includes all
executive officers), are excluded from the plan.

Contributions under the plan are at the discretion of the Board of Directors. No
contributions were made in fiscal 1994, 1993 and 1992.
 
     Effective November 1989, the Company adopted a 1989 stock option and
restricted stock plan, for cert in key employees, whereby eligible employees may
be issued up to an aggregate of 281,250 shares of the Company's common stock,
subject to certain restrictions, and up to an additional 343,750 shares upon the
exercise of incentive and/or non-qualified stock options granted pursuant to the
plan. The restricted share portion of this plan expired as of May 31, 1994. No
restricted shares vested during fiscal 1994. As of May 31, 1994, there were
135,565 shares under option under this plan, of which 76,003 were exercisable at
an average price of $2.03. During fiscal 1994, 8,500 shares under option under
this plan were granted at exercise prices ranging from $1.375 to $1.625 of which
1,500 shares were exercisable. During fiscal 1994, 2,750 shares were exercised
at an average exercise price of $1.72 per share. During fiscal 1993, 129,815
shares under option under this plan were granted at exercise prices ranging from
$1.375 to $2.4375 of which 47,315 shares are exercisable. None of these options
were exercised in fiscal 1993.
 
     The Company has a 1982 incentive stock option plan for key executive and
management personnel. At May 31, 1994, there were 307,355 shares under option
under this plan at exercise prices ranging from $.80 to $2.50 of which 266,823
shares were exercisable at an average price of $1.60. During fiscal 1994, 1993,
and 1992, 46,484, 66,060, and 54,738 options were exercised, respectively, at an
average price of $1.14, $1.22 and $1.21, respectively. Effective January 28,
1992 additional options cannot be granted under this plan.
 
     In April 1985, a stock option plan was approved under which options to
purchase 23,438 shares may be granted to nonemployees. At May 31, 1994, there
were 6,250 shares under option an exercise price of $2.30, all of which were
exercisable.
 
     The Company has a 1990 stock option plan for directors under which options
to purchase up to a total of 120,313 shares may be granted to outside directors.
Under this plan, a total of 100,078 options have been granted to outside
directors at exercise prices ranging from $.96 to $2.30 per share. At May 31,
1994, 65,823 shares under this plan were exercisable.
 
     Under all stock option plans maintained by the Company, the exercise price
of options issued is the same as the market price at the date of grant.
 
                                       28
<PAGE>
 
     Effective June 1, 1993, the Company entered into an employment agreement
with the Chairman of the Board of Geriatric & Medical Companies, Inc. The term
of the agreement is for an initial five year period with a provision for annual
extensions. The employment agreement provides for a short-term and long-term
incentive plan in addition to a base compensation package. The short-term
incentive plan provides for an incentive bonus contingent upon the Company's
annual operating results. No short-term incentive bonus was awarded for the
fiscal year ended May 31, 1994. The long-term incentive plan provides for
long-term compensation based upon the increase in market value of the Company's
stock to the shareholders. As of May 31, 1994, the Company accrued $11,000
relating to this plan. The employment agreement, while in effect, also provides
for a death benefit of $1,000,000 payable in forty equal quarterly installments.
As of May 31, 1994, the Company accrued the present value of the actuarially
computed benefit which totaled $27,000.
 
10. MEDICARE AND MEDICAID REVENUE:
 
     The Company's long-term care facilities, which are located in Pennsylvania
and New Jersey, receive reimbursement under the Medicare and Medicaid programs,
which is subject to adjustment upon audit by Federal and State agencies (see
Note 1b). Revenue from these programs related to the Company's long-term care
facilities totaled approximately $98,200,000, $91,600,000, and $84,005,000 for
the years ended May 31, 1994, 1993 and 1992, respectively. At May 31, 1994, the
Company had a net third-party receivable of approximately $9,314,000. The total
amounts due from third-party payors generally are not paid in full until audit
issues are resolved. The Company is continually negotiating to resolve the audit
findings and accelerate interim payments due under the reimbursement system.


     At May 31, 1994, approximately $70,847 of appeals pertaining to 1991 were
outstanding under the Medicare program.
 
     On September 15, 1992, the Company entered into a settlement agreement with
the Pennsylvania Department of Public Welfare ('DPW') in which all issues were
settled for fiscal years 1986 to 1989, inclusive. With the completion of this
settlement, all open issues with DPW from 1989 and prior have been resolved in
full. This settlement will not deter the ability of the Company to contest the
issues for fiscal years 1990 through 1994 inclusive.
 
     For the fiscal years 1990 through 1994, the Company has receivables of
approximately $4,310,000 for open issues with DPW. Management believes that any
reduction of the amount recorded that results from final settlement of these
open issues will not have a material adverse effect on the financial position of
the Company. In 1994 the Company reduced its allowance for third party
receivables approximately $1,100,000 resulting from a change in the estimation
of allowance needed for various issues on appeal.
 
11. INCOME TAXES:
 
     A summary of the components of the tax provision and charge equivalents for
fiscal years 1994, 1993 and 1992 is as follows:
 
<TABLE>
<CAPTION>
                                                                                        1994       1993       1992
                                                                                      ---------  ---------  ---------
                                                                                           ($'S IN THOUSANDS)
<S>                                                                                   <C>        <C>        <C>
Current Federal.....................................................................  $      --  $     261  $      35
Current State and Local.............................................................        165        163        177
Deferred federal & State, Net of Credits............................................       (464)       388        102
Charge Equivalents:
  Federal...........................................................................         --         --         56
  State.............................................................................         --         --         10
                                                                                      ---------  ---------  ---------
                                                                                      $    (299) $     812  $     380
                                                                                      ---------  ---------  ---------
                                                                                      ---------  ---------  ---------
</TABLE>
 
                                       29
<PAGE>
 
     The effective net income tax rates before the utilization of the Company's
operating loss carryforwards are different than the statutory Federal income tax
rates of 34% in 1994, 1993 and 1992 as indicated below:
 
<TABLE>
<CAPTION>
                                                                                      1994       1993       1992
                                                                                    ---------  ---------  ---------
                                                                                          ($'S IN THOUSANDS)
<S>                                                                                 <C>        <C>        <C>
Statutory Federal income tax......................................................  $    (591) $   1,104  $     517
Permanent Differences.............................................................         25         53         --
State and Local Taxes, net of Federal benefit.....................................        109        195        120
Investment and other tax credits..................................................         --       (493)      (220)
Other.............................................................................        158        (47)       (37)
                                                                                    ---------  ---------  ---------
                                                                                    $    (299) $     812  $     380
                                                                                    ---------  ---------  ---------
                                                                                    ---------  ---------  ---------
</TABLE>


     The following is a summary of the significant components of the Company's
deferred tax assets and liabilities as of May 31, 1994 determined in accordance
with the provisions of SFAS No. 109.
 
<TABLE>
<CAPTION>
                                                                                          ($'S IN
                                                                                         THOUSANDS)
                                                                                      ----------------
<S>                                                                                   <C>
DEFERRED TAX ASSETS:
  Tax Gain on Asset Dispositions....................................................     $    3,789
  Net, Tax Operating Loss Carryforwards.............................................          3,430
  Bad Debts.........................................................................          2,412
  Tax Credits.......................................................................          1,826
  Deferred Startup Costs............................................................          1,714
  Accrued Workers' Compensation Liability...........................................          1,154
  Inventories.......................................................................            182
  Other.............................................................................             62
                                                                                      ----------------
  TOTAL DEFERRED TAX ASSETS.........................................................     $   14,569
                                                                                      ----------------
                                                                                      ----------------
 
DEFERRED TAX LIABILITIES:
  Accelerated Depreciation..........................................................     $    5,775
  Deferred Income...................................................................          2,514
  Deferred Reimbursement Workers' Compensation......................................          1,332
  Deferred Costs....................................................................          1,223
  Accrued Vacation..................................................................            614
                                                                                      ----------------
  TOTAL DEFERRED TAX LIABILITIES....................................................     $   11,458
                                                                                      ----------------
                                                                                      ----------------
DEFERRED TAX ASSETS IN EXCESS OF DEFERRED TAX LIABILITIES BEFORE VALUATION
  ALLOWANCE.........................................................................     $    3,111
VALUATION ALLOWANCE.................................................................     $   (3,111)
                                                                                      ----------------
NET DEFERRED TAX ASSETS.............................................................     $       --
                                                                                      ----------------
                                                                                      ----------------
</TABLE>
 
     For financial statement purposes, the Company has unused state net
operating loss carryovers of approximately $4,567,000 and Federal tax credit
carryovers of approximately $436,000. Differences between state and Federal NOLs
for financial statement and tax purposes result from timing differences and
utilization of previous years' NOL carryforwards.
 
12. REVENUES:
 
     Operating revenues, net are presented net of contractual allowances of
$36,997,000, $33,239,000, and $30,436,000 for the years ended May 31, 1994, 1993
and 1992, respectively. Included in other revenues are deferred and current
gains recognized on facilities sold of $1,576,000, $6,365,000 and $3,175,000 for
the years ended May 31, 1994, 1993 and 1992, respectively.

                                       30
<PAGE>
 
13. INTEREST EXPENSE:
 
     Interest expense is reflected net of approximately $1,405,000, $844,000,
and $785,000 of interest income for the years ended May 31, 1994, 1993, and
1992, respectively. The interest income is principally related to overnight
investments, restricted cash and notes receivables.
 
14. EARNINGS (LOSS) PER COMMON SHARE:
 
     Earnings (loss) per common share is based on the weighted average number of
shares of common stock outstanding. Potential dilution from common stock
equivalents is not material. The weighted average number of shares of common
stock outstanding used to compute earnings (loss) per common share are
15,314,000, 15,231,000, and 15,152,000 for the fiscal years ended May 31, 1994,
1993 and 1992, respectively.
 
15. QUARTERLY RESULTS (UNAUDITED):
 
     The following table summarizes the Company's quarterly results of
operations for the fiscal years ending May 31, 1994 and 1993:
 
<TABLE>
<CAPTION>
                                                                                1994
                                                       -------------------------------------------------------
                                                          1ST        2ND        3RD      4TH(C)       TOTAL
                                                       ---------  ---------  ---------  ---------  -----------
                                                            ($'S IN THOUSANDS EXCEPT PER SHARE DATA)
<S>                                                    <C>        <C>        <C>        <C>        <C>
Operating and other revenues, net....................  $  43,053  $  44,404  $  43,520  $  46,980  $   177,957
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Net income (loss)....................................  $     722  $     885  $     778  $  (3,823) $    (1,438)
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Net income (loss) per share of common
  stock..............................................  $    0.05  $    0.06  $    0.05  $    (.25) $      (.09)
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Common stock price range:
  High...............................................      2          2 5/8    3 3/8        3 5/8        3 5/8
  Low................................................      1 3/8      1 1/4    1 15/16      2 1/4        1 1/4
</TABLE>
 
<TABLE>
<CAPTION>
                                                                                1993
                                                       -------------------------------------------------------
                                                          1ST        2ND      3RD(A)     4TH(B)       TOTAL
                                                       ---------  ---------  ---------  ---------  -----------
                                                            ($'S IN THOUSANDS EXCEPT PER SHARE DATA)
<S>                                                    <C>        <C>        <C>        <C>        <C>
Operating revenues, net..............................  $  40,606  $  41,238  $  40,781  $  41,739  $   164,364
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Net income...........................................  $     401  $     607  $     743  $     683  $     2,434
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Net income per share of common stock.................  $     .03  $     .04  $     .05  $     .04  $       .16
                                                       ---------  ---------  ---------  ---------  -----------
                                                       ---------  ---------  ---------  ---------  -----------
Common stock price range:
  High...............................................      3 3/8      2 1/2      2 1/4      2 1/8        3 3/8
  Low................................................      2          1 3/8      1 1/4      1 3/8        1 1/4
</TABLE>
 
- ------------------
Primary earnings per share were used to calculate net income (loss) per share of
common stock.
 
Price range of Common Stock: The Company's common stock is listed on the
Automated Quotation System of the National Association of Securities Dealers,
Inc. (NASDAQ symbol: GEMC). On October 6, 1994, the last sale price for the
Company's Common Stock was 2 1/4. There were 1,458 stockholders of record of its
Common Stock at as of May 31, 1994. The table above sets forth for the periods
indicated the range of high and low sale prices of the common stock as reported
by The Wall Street Journal.
 
(a) Net income includes $773,000 recognition of deferred income related to the
    sale of a facility.
 
(b) The decrease in net income in the fourth quarter of Fiscal 1993 resulted
    from the increase in the allowance for amounts due from third-party payors
    based upon an adjustment to the historical reserve percentages based upon
    recent settlements. In addition, net income includes $4,678,000 gain on sale
    of a facility and $820,000 recognition of deferred income related to
    facility sales.
 
                                       31
<PAGE>
 
(c) The net loss in the fourth quarter of Fiscal 1994 resulted primarily from an
    increase in the provision for uncollectible receivables to provide for
    potential uncollectibles related to the conversion of billing and collection
    systems and a charge of $700,000 related to a change in estimating
    workermans' compensation expense.
 
16. BUSINESS SEGMENT INFORMATION:
 
     Geriatric & Medical Companies, Inc. is a holding company which conducts its
business through its principal subsidiaries: LIFE SUPPORT MEDICAL, INC. (LSM)
(formerly known as the Life Support Medical Group) and GERIATRIC AND MEDICAL
SERVICES, INC. (GMS) (formerly known as the GeriMed Services Group) as described
below.
 
     LSM provides ambulance transportation services, home infusion therapy, home
respiratory therapy, home medical equipment, pharmaceutical services, medical
supplies and related billing services and intravenous therapy. This group also
offers portable diagnostic services, speech, occupational and physical therapy,
nutritional services, environmental services, facility maintenance, design,
construction management services and a full range of health care financial and
information services. The Company provides these services to other health care 
providers, long term care facilities, including its own facilities, health 
maintenance organizations and the home care health care market.
 
     GMS owns, operates and provides services to long term care, residential and
independent living facilities. The services offered include contract management,
financial and insurance services.
 
<TABLE>
<CAPTION>
                                                                                 YEARS ENDED MAY 31,
                                                                        -------------------------------------
                                                                           1994         1993*        1992*
                                                                        -----------  -----------  -----------
                                                                             ($'S IN THOUSANDS)
<S>                                                                     <C>          <C>          <C>
BUSINESS SEGMENTS
Operating revenues, Net
  LSM.................................................................  $    48,832  $    44,770  $    48,583
  GMS.................................................................      129,125      119,594      115,968
                                                                        -----------  -----------  -----------
                                                                        $   177,957  $   164,364  $   164,551
                                                                        -----------  -----------  -----------
                                                                        -----------  -----------  -----------
Depreciation and Amortization Expense
  LSM.................................................................  $     2,130  $     2,084  $     1,414
  GMS.................................................................        7,108        6,916        6,291
                                                                        -----------  -----------  -----------
                                                                        $     9,238  $     9,000  $     7,705
                                                                        -----------  -----------  -----------
                                                                        -----------  -----------  -----------
Income (Loss) Before Income Taxes and Extraordinary Items
  LSM.................................................................  $    (4,101) $    (2,178) $     2,235
  GMS.................................................................        2,364        5,424         (712)
                                                                        -----------  -----------  -----------
                                                                        $    (1,737) $     3,246  $     1,523
                                                                        -----------  -----------  -----------
                                                                        -----------  -----------  -----------
Identifiable Assets
  LSM.................................................................  $    26,562  $    34,981  $    35,962
  GMS.................................................................      136,162      134,638      127,517
                                                                        -----------  -----------  -----------
                                                                        $   162,724  $   169,619  $   163,479
                                                                        -----------  -----------  -----------
                                                                        -----------  -----------  -----------
Capital Expenditures
  LSM.................................................................  $     1,487  $     2,103  $     5,530
  GMS.................................................................        8,030       11,976        5,851
                                                                        -----------  -----------  -----------
                                                                        $     9,517  $    14,079  $    11,381
                                                                        -----------  -----------  -----------
                                                                        -----------  -----------  -----------
</TABLE>
 
- ------------------
* Reclassified for comparative purposes.
 
     Net operating revenues for GMS include contract management revenues of
$6,761,000, $8,414,000, and $11,978,000 in fiscal 1994, 1993 and 1992,
respectively.
 
                                       32
<PAGE>
 
     Net operating revenues for LSM include revenues from equipment rentals of
$5,435,000, $5,850,000, and $9,176,000 in fiscal 1994, 1993 and 1992,
respectively.
 
17. COMMITMENTS AND CONTINGENCIES:
 
     On September 1, 1992, GMS Management, Inc., and four of its employees were
indicted in connection with the death of two nursing home residents. The charges
included involuntary manslaughter and improper Medicaid billing for these two
residents, technically constituting Medicaid fraud. Subsequently, one case
against two individuals was directed by the Judge in favor of the defendants and
the other case against two other individuals was withdrawn. On November 12,
1993, the Company entered into a settlement agreement between GMS Management,
Inc. and the Pennsylvania Department of Attorney General by pleading nolo
contendere to two misdemeanor counts of involuntary manslaughter and agreeing to
pay fines and settlement costs associated with the counts.
 
     Following the initiation of the above described litigation, in September,
1992 a class action law suit was commenced against the Company, GMS Management,
Inc., and various current or former officers of the Company in the United States
District Court for the Eastern District of Pennsylvania. The Complaint alleges
that, among other things, various reports and press releases issued by the
Company misrepresented and omitted to state adverse material facts concerning
the quality of care given at two of the Company's nursing homes. The plaintiff
did not seek a specified sum other than 'to pay to plaintiff and to all members
of the class damages in an amount to be proven at trial, with interest thereon.'
Although the outcome cannot be predicted, the Company and the individual
defendants deny any wrong doing and are vigorously defending this action. Trial
in this law suit is scheduled to commence in October, 1994.
 
     The Company's subsidiary United Health Care Services, Inc. (UHCS) has been
the subject of an inquiry by the Office of the United States Attorney for the
Eastern District of Pennsylvania and the Commonwealth of Pennsylvania Department
of Public Welfare regarding its joint ventures and management arrangements. UHCS
reached a tentative agreement with the United States Attorney whereby the
Company will be required to pay $320,000 no later than September 30, 1994,
$340,000 in September, 1995 and $440,000 in September, 1996. The Company is
anticipating settling this matter with the Commonwealth of Pennsylvania. The
Company has recorded its estimated settlement amounts in fiscal, 1994.
 
     The Company received an assessment from the New Jersey Division of Taxation
totalling $612,000 as a result of an audit of sales, use and corporate business
taxes for the years 1986 to 1992. The Company is currently involved with
negotiations regarding this matter with the State of New Jersey. The Company has
recorded in the accompanying consolidated financial statements its estimate
(which is less than the assessment) of the liability to be paid in connection
with this assessment.
 
     The Company is involved in various routine government inquiries, audit
surveys and administrative proceedings concerning its activities and operations.
 
     The Company is also involved in various claims and legal actions arising in
the ordinary course of business. The Company believes that the ultimate
disposition of all of these matters will not have a material adverse effect on
the Company's Consolidated Financial Statements.
 
18. FAIR VALUE OF FINANCIAL INSTRUMENTS:
 
     As of May 31, 1994, the estimated fair values of the Company's financial
instruments and significant assumptions made in determining fair values are as
follows:
 
          -- Cash, accounts receivable, accounts payable and accrued expenses:
     The amounts reported in the balance sheet approximate fair value due to the
     short-term maturities of these instruments.
 
          -- Due from third party payors, net: The approximate fair value of the
     amount reported in the balance sheet is $7,381,000 based upon the Company's
     current discount rate.
 
                                       33
<PAGE>
 
          -- Notes receivable: The amounts reported in the balance sheet were
     negotiated at May 31, 1993 or are subject to fluctuating market rates of
     interest and approximate fair value.
 
          -- Long-term debt: Substantially all of the amounts reported in the
     balance sheet had been negotiated since April, 1992 and approximate fair
     value.
 
19. OTHER TRANSACTIONS:
 
     Dedicated Staffing Services, Inc. (formerly 'Today's Staffing Services,
Inc.'), a Pennsylvania non-profit corporation, provides registered nurses,
licensed practical nurses, nursing assistants and other personnel to the Company
on a temporary employment basis. Certain officers of the Company are members of
Dedicated Staffing's Board of Directors. The Company's subsidiary, Rite Care
Resources had previously supplied the Company's owned and managed long-term care
facilities with such nursing services. The Company paid Dedicated Staffing
Services, Inc. approximately $6,809,000 and $6,655,000 for these services in
fiscal 1994 and 1993, respectively. At May 31, 1994 and 1993, the Company owed
Dedicated Staffing Services, Inc. a net amount of approximately $389,580 and
$442,517 respectively. Dedicated Staffing Services, Inc. and Community Care and
Development Corporation (parent corporation of Dedicated Staffing Services,
Inc.) has agreed to charge the Company at cost for these services. The Company
believes that the amounts charged by Dedicated Staffing Services, Inc. are at or
below the fair market value for the services rendered. During fiscal 1994,
Dedicated Staffing Services, Inc. leased office space from the Company in
Pennsauken, New Jersey for which it paid rent at the rate of $5,167 per month
and for which it paid the Company $77,430 in rent. This lease arrangement was 
terminated effective January 1994. As of May 31, 1994, Dedicated Staffing 
Services, Inc. owed the Company $36,134 in rent.
 
     The Company sold various assets during fiscal 1993. See Note 3 of the Notes
to Consolidated Financial Statements for a description of the transactions.
 
     The Company provides certain services which are priced at or above
projected cost, and include staffing services, dietary, environmental,
financial, and other services, to Mount Laurel Convalescent Center and
Laurelview Manor which are owned by Tomahawk. The total services rendered during
fiscal 1994 were $6,754,000. At May 31, 1994 the Company had a receivable of
$2,255,000 due from Tomahawk for these services.
 
     The Company receives additional revenues of approximately $1,500,000
related to its provision of ancillary services at the Tomahawk facilities. These
services, including provision of ambulance transportation, diagnostics,
rehabilitation, pharmacy and medical supplies are provided at market rates.
 
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
        FINANCIAL DISCLOSURE
 
     None.
 
                                       34


<PAGE>
                                    PART III
 
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
 
     Set forth below is certain information regarding the executive officers of
the Company as of May 31, 1994.
 
<TABLE>
<CAPTION>
           NAME                 AGE      POSITION
- --------------------------  -----------  --------------------------------------------------------------------------------
<S>                         <C>          <C>
Daniel Veloric                      66   Chairman of the Board, President and Chief Executive Officer
Esther Ponnocks                     62   Senior Executive Vice President
Arthur A. Carr, Jr.                 44   Executive Vice President and Secretary
Michael Veloric                     37   Vice President and Assistant Secretary
James J. O'Malley                   43   Vice President and Chief Financial Officer
James J. Wankmiller                 40   Vice President -- Legal & Human Resources and Assistant Secretary
</TABLE>
 
     Each executive officer of the Company is elected or appointed by the Board
of Directors of the Company and holds office until his or her successor is
elected or until the earlier of his or her death, resignation or removal.
 
     DANIEL VELORIC is a founder of the Company and has been a Director and
Executive Officer for more than twenty-five years. Mr. Veloric has been
personally named in the class action suit (See Item 3 -- 'Legal Proceedings').
 
     ESTHER PONNOCKS has been Senior Executive Vice President since October
1991, Executive Vice President -- Long Term Care Operations of the Company
(April 1990 until October 1991), Senior Vice President -- Operations of the
Company (1985 until April 1990) and has been a member of the Company's
Management for over twenty-five years. Ms. Ponnocks was elected a Director in
1985.
 
     ARTHUR A. CARR, JR. joined the Company in March 1989 as Assistant to the
President and was appointed Executive Vice President in July 1989 and Secretary
in August 1992.
 
     MICHAEL VELORIC (the son of Daniel Veloric) has been a Vice President of
the Company since June 1987 and has held the position of Assistant Secretary
since October 1984. Mr. Veloric has been a member of the Company's Management
for over ten years. Mr. Veloric was elected a Director in August, 1992.
 
     JAMES J. O'MALLEY joined the Company in April, 1989 as the Chief Financial
Officer of its Life Support Group and has held various positions with the
Company since that time. Mr. O'Malley was appointed Vice President and Chief
Financial Officer in August, 1992.
 
     JAMES J. WANKMILLER joined the Company in March 1987 and was elected Vice
President of Human Resources in February, 1989. He was appointed as Legal
Administrator in May, 1991 and promoted to Vice President -- Legal & Human
Resources and Assistant Secretary in 1992. Mr. Wankmiller has been personally
named in the class action suit (see Item 3 -- 'Legal Proceedings').
 
ITEM 11. EXECUTIVE COMPENSATION
 
          COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION
 
     Except for the 1990 Stock Option Plan Committee, no compensation committee
interlocks nor insider participation exists on the Compensation Committee.
 
                                       35
<PAGE>
                           SUMMARY COMPENSATION TABLE
 
     The Summary Compensation Table includes individual compensation information
on the Chief Executive Officer and the four most highly paid executive officers
of the Company whose salary and bonus exceeded $100,000, for services rendered
in all capacities during the fiscal years ended May 31, 1994, 1993 and 1992.
 
<TABLE>
<CAPTION>
                                                                              LONG TERM COMPENSATION AWARDS
                                                                  -----------------------------------------------------
                                       ANNUAL COMPENSATION                        RESTRICTED
NAME AND                         -------------------------------   OTHER ANNUAL    (*) STOCK     OPTIONS     ALL OTHER
PRINCIPAL POSITION                 YEAR      SALARY      BONUS    COMPENSATION(3)   AWARDS     (IN SHARES)  COMPENSATION
- -------------------------------  ---------  ---------  ---------  --------------  -----------  -----------  -----------
<S>                              <C>        <C>        <C>        <C>             <C>          <C>          <C>
Daniel Veloric                        1994  $ 450,008         --    $   12,359     $( 115,126)7)         --  $  34,125(5)
  Chairman, President                 1993  $ 450,008         --    $   75,808     $  16,500           --           --
  and Chief Executive                 1992  $ 447,592         --    $   26,736     $  56,250           --           --
  Officer
Esther Ponnocks                       1994  $ 166,425  $  20,000        46,902     $(  50,437)7)         --  $   9,375(6)
  Senior Executive                    1993  $ 154,950         --    $  120,079     $   8,250        5,000           --
  Vice President                      1992  $ 138,847  $  50,000(2)   $   14,093   $  24,000       25,000           --
Arthur A. Carr, Jr.                   1994  $ 156,600  $  17,500    $   14,519     $(  32,437)7)         --  $   3,994(4)
  Executive Vice                      1993  $ 147,750         --    $   32,964     $   8,250        7,500    $   7,250(4)
  President & Secretary               1992  $ 140,537         --    $   23,575            --       15,625           --
James J. O'Malley (1)                 1994  $ 115,050  $  15,000    $   12,996     $(   8,725)7)         --  $   2,902(4)
  Vice President and                  1993  $ 105,219         --    $   15,283     $   5,500       10,000    $   4,550(4)
  Chief Financial Officer             1992  $  89,603  $  15,619    $   11,234     $   6,000        3,125           --
James J. Wankmiller                   1994  $ 110,951  $  15,000    $    8,925     $(  12,787)7)         --  $   2,822(4)
  Esquire, Vice                       1993  $ 102,850         --    $   15,037     $   4,125       10,406    $   4,950(4)
  President Legal &                   1992  $  97,216         --    $   11,708            --        6,250           --
  Assistant Secretary
</TABLE>
 
- ------------------
(1) Promoted to current position in June 1992.
(2) Bonuses paid to employee with more than 20 years dedicated service to the
    Company as an added incentive to Miss Ponnocks to continue her employment.
(3) Includes all other compensation reported on IRS Form W-2.
(4) Includes Company contribution relating to the Incentive Deferred
    Compensation Plan.
(5) Represents the value at May 31, 1994 of 13,000 phantom shares issued to his
    Long Term Incentive Plan.
(6) Represents the value of 25,000 unregistered shares issued on December 16,
    1993 in recognition of 25 years of service.
(7) Amount represents the forfeiture as of May 31, 1994 of restricted shares
    previously granted.
(*) Other Annual Comp shows W-2 wages for release of restrictions. This is
    estimated $ amount of award.
NOTE: During fiscal 1994, no executive officer received personal benefits from
      the Company valued at more than 10% of total Annual Compensation or
      $50,000, whichever is less.
 
                                       36
<PAGE>
     Effective June 1, 1993, the Company entered into an Employment Agreement
with Daniel Veloric, Chairman and President of the Company, which provides for
an annual base compensation of $450,000 per year and an original term of five
years (which, until terminated, extends one additional year each year). The
Agreement also provides for a death benefit of $1,000,000 as well as benefits
under the previously described short term incentive plan and long term incentive
plan for Daniel Veloric.
 
     Effective June 1, 1992, the Company entered into an Employment Agreement
with Esther Ponnocks, Senior Executive Vice President, which provides for an
annual base compensation of $150,000 for an original term of three years, with
annual extensions through not later than May 31, 2002. If a person acquires more
than 20% of the outstanding voting stock of the Company without the prior
approval of the Company's Board of Directors, or if the Company materially
breaches the employment agreement or under certain other circumstances; the
Company will owe Ms. Ponnocks the remainder of the compensation due under the
agreement through as long as May 31, 2002.
 
COMPENSATION PURSUANT TO PLANS
 
     The Company's Profit Sharing Plan was merged into a 401(k) Profit Sharing
Plan effective June 1, 1989. Under the 401(k) Plan, eligible employees may
contribute up to 15% of their total compensation on a tax-deferred basis subject
to maximum annual limitations. 'Highly Compensated Employees', as defined within
IRS Code Section 414(O) which included all executive officers of the Company,
are excluded from participation in the Plan. Pursuant to the terms of the plan,
the Company may make matching contributions at a percentage or amount determined
at the sole discretion of the Company. During the fiscal year ended May 31,
1994, no contribution was made by the Company to the plan.
 
     The Company's 1989 Stock Option and Restricted Stock Plan ('the 1989 Plan')
provides that incentive and non-qualified stock options may be granted to key
employees of the Company and its subsidiaries. The 1989 plan is administered by
the Compensation Committee which has the discretion to determine those key
employees who will receive options and the amount of options to be granted to
said employees; to determine when options will be granted and the exercise price
of each option, which price cannot, however, be less than the fair market value
of the Common Stock on the date of grant; and to determine when each option can
be exercised and the term (up to ten years) of each option granted. All options
will expire within ten years from the date of grant and no options may be
granted after November 9, 1999. If an optionee is terminated other than for
wrongful conduct, the optionee may exercise his/her options within three months
(one year for an optionee who ceases to be employed because of permanent and
total disability) provided that his/her right to exercise said options has
vested at the date of termination and provided that the exercise of the option
is within ten years from the date it was granted (five years for an incentive
stock option granted to a 10% stockholder). If optionee dies while in the employ
of the Company or within three months (one year in the case of disability) after
the termination of employment, and provided that his/her options have vested at
the time of his/her death and the exercise of the options are within ten years
from the date of grant (five years for an incentive stock option granted to a
10% stockholder), then the optionee's personal representative may exercise said
options within one year after the optionee's death.
 
     The 1989 Plan also provided for the issuance of up to 281,250 shares of the
Company's Common Stock, subject to restriction ('Restricted Shares'), to
eligible employees of the Company, including the Chairman, President and Chief
Executive Officer, Senior Executive and Executive Vice Presidents, Senior Vice
Presidents, Vice Presidents, certain Division Presidents and other key
employees. The Restricted Shares were held by the Company pending the vesting of
such shares in whole or in part upon the achievement by the Company of the
following financial performance levels: (1) increases in revenues by 50% over
revenues reported for fiscal 1989; (2) earnings before capital gains or losses
and before income taxes reaching break-even or higher; (3) said earnings
exceeding $4,000,000 for any fiscal year; (4) a reduction in the ratio of
debt-to-total capital to 85-100 or less; and (5) an increase in the price of the
Company's Common Stock to $5 per share or higher based upon 1989 share level
 
                                       37
<PAGE>
(prior to the May 20, 1991 stock split) for any five days during a 30-day
period. As of May 31, 1994 255,353 shares were issued of which 67,616 shares
vested and 187,737 shares were forfeited.
 
     In 1992, the Company implemented an Incentive Deferred Compensation Plan
for selected key employees. Under this Plan, the Company makes discretionary
awards to such executives, which amount, if any, can vary annually and by
participant, and is generally expressed as a percentage of salary. The amounts
are credited to a book-entry account established in such participant's name.
Such account is also credited with the equivalent of interest and such interest
rate is determined annually by the Company. Participants become vested in the
amounts credited to the deferred compensation account on a graduated basis.
However, full vesting cannot occur prior to attainment of age 65 while actively
employed by the Company. Upon retirement at age 65 or later, the vested deferred
compensation account is paid out as a 15 year annuity. Participants who
terminate employment prior to age 65 will receive a 10 year annuity at
retirement based on the vested account balance. In the event of the death of a
participant while actively employed, the plan provides to the participant's
survivor a continuation of 50% of the final salary for one year, followed by 25%
of final salary until the participant would have attained age 65, subject to a
minimum of 10 years of total payments. All benefits under the incentive Deferred
Compensation Plan are unfunded, unsecured general obligations of the Company.
The Company has purchased corporate owned life insurance on the participants
estimated to be sufficient to recover the distributions to be made under this
Plan.
 
                AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
                       AND FISCAL YEAR-END OPTION VALUES
 
     The following table provides information, with respect to the named
executive officers, concerning the exercise of options during the last fiscal
year and unexercised options held as of the end of the fiscal year, May 31,
1994. There are no outstanding stock appreciation rights.
 
<TABLE>
<CAPTION>
                                                                                                VALUE OF UNEXERCISED IN-
                                                                    NUMBER OF UNEXERCISED         THE-MONEY OPTIONS AT
                                         SHARES                   OPTIONS AT FISCAL YEAR END        FISCAL YEAR-END
                                       ACQUIRED ON     VALUE     ----------------------------  --------------------------
NAME                                    EXERCISE     REALIZED    EXERCISABLE   UNEXERCISABLE   EXERCISABLE  UNEXERCISABLE
- -------------------------------------  -----------  -----------  -----------  ---------------  -----------  -------------
<S>                                    <C>          <C>          <C>          <C>              <C>          <C>
Daniel Veloric                                 --           --           --             --             --            --
Esther Ponnocks                                --           --       69,688          8,750      $  91,123     $   1,250
Arthur A. Carr, Jr.                        15,625    $  32,125       15,469          7,656      $   3,340     $   2,363
James J. O'Malley                              --           --        9,297          5,781      $   6,045     $   2,598
James J. Wankmiller                            --           --       23,563          4,812      $  23,977     $   1,820
</TABLE>
 
                                       38
<PAGE>
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
 
     The following table sets forth information as of October 7, 1994, with
respect to the beneficial ownership of the Company's Common Stock by all persons
known to the Company to be the beneficial owner of more than five percent of its
outstanding Common Stock, by each Director of the Company, by each Executive
Officer of the Company, and by all Directors and Executive Officers of the
Company as a group. Unless otherwise indicated, each such person has sole voting
and dispositive power with respect to the shares listed opposite his/her name.
 
<TABLE>
<CAPTION>
                                                                                  NUMBER OF SHARES     APPROXIMATE
                                                                                    BENEFICIALLY       PERCENTAGE
                                                                                        OWNED           OF CLASS
                                                                                  -----------------  ---------------
<S>                                                                               <C>                <C>
Daniel Veloric..................................................................        3,746,178            24.4%
  601 Chestnut Street
  Philadelphia, PA 19139
Thomas J. Gorman................................................................        1,018,946(1),(2)      6.6%
  1608 Walnut Street
  Philadelphia, PA 19103
Robert P. Krauss................................................................        1,000,000(2)          6.5%
  1735 Market Street
  Philadelphia, PA 19103
Esther Ponnocks.................................................................          107,345(3)      (10)
Gerald E. Bissbee, Jr...........................................................           16,603(4)      (10)
Anthony C. Salvo................................................................          118,035(5)      (10)
Michael Veloric.................................................................           87,426(6)      (10)
Arthur A. Carr, Jr..............................................................           32,187(7)      (10)
James J. Wankmiller.............................................................           23,563(8)      (10)
James J. O'Malley...............................................................            9,297(8)      (10)
All Directors and Executive Officers
  as a group (9 persons)........................................................        5,159,580(9)         33.6%
</TABLE>
 
- ------------------
 
(1) Includes 18,946 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    1990 Stock Option Plan for Directors.
 
(2) Includes 1,000,000 shares held in Trusts of which Mr. Gorman and Mr. Krauss
    are co-Trustees.
 
(3) Includes 69,688 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    Company's 1982 and 1989 Stock Option Plans.
 
(4) Represents shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    1990 Stock Option Plans for Directors.
 
(5) Includes 18,947 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    1990 Stock Option Plan for Directors.
 
(6) Includes 3,595 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    Company's 1982 and 1989 Stock Option Plans.
 
(7) Includes 15,469 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    Company's 1982 and 1989 Stock Option Plans. Does not include 1000 shares
    owned by Mr. Carr's wife, beneficial ownership of which he disclaims.
 
(8) Represents shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    Company's 1982 and 1989 Stock Option Plans.
 
(9) Includes 176,108 shares which may be purchased pursuant to options that are
    immediately exercisable or will become exercisable within 60 days under the
    Company's Stock Option Plans. Also, included is 1,000,000 shares held in
    Trusts as noted in (3) above.
 
(10) Less than 1%.
 
                                       39
<PAGE>
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
 
     On May 31, 1993, the Company sold its Mount Laurel Convalescent Center and
Laurelview Manor facilities in Mount Laurel, New Jersey to Tomahawk Capital
Investments, Inc. ('Tomahawk') for a purchase price of $8.5 million, the fair
market value as established by an independent appraisal. The Company received
$2.5 million in cash and a $6.0 million note bearing interest at nine percent
(9%) per annum. The note is payable based on a 25-year amortization with a
balloon payment due June of 2005. This resulted in the recognition of a
$4,678,000 nonoperating gain on the sale of these facilities. Tomahawk prepaid
$1,000,000 of this note in January, 1994.
 
     In conjunction with the sale to Tomahawk, the Company entered into various
contracts to provide certain services, priced at or above projected cost, to the
Tomahawk facilities. These services including staffing, dietary, environmental,
financial and management and consulting services generated $6,754,000 of
revenues for the Company during 1994. At May 31, 1994, the Company had a
receivable of $2,255,000 due from Tomahawk for these services.
 
     The Company receives additional revenues of approximately $1,500,000
related to its provision of ancillary services at the Tomahawk facilities. These
services, including provision of ambulance transportation, diagnostics,
rehabilitation, pharmacy and medical supplies are provided at market rates.
 
     During the fiscal year ended May 31, 1994, various operating subsidiaries
and divisions of the Company had business transactions with Community Care and
Development Corporation ('CCDC') and/or its related organization, Dedicated
Staffing Services, Inc. ('DSSI'), both of which are Pennsylvania non-profit
corporations. The Board of Directors and officers of CCDC and DSSI included
Daniel Veloric, Esther Ponnocks and Michael Veloric, who are also directors and
officers of the Company. CCDC and DSSI paid Esther Ponnocks and Michael Veloric
$55,500 and $12,000 respectively for consulting services in fiscal 1994. No
payments were made to Daniel Veloric in fiscal 1994.
 
     During fiscal 1994, the Company purchased from DSSI approximately
$6,809,000 of staffing services, including the provision of registered nurses,
licensed practical nurses, nursing assistants and other personnel on a temporary
employment basis. DSSI has agreed to charge the Company at cost for the
services, which the Company believes to be at or below the fair market value for
the services rendered. The Company leases office space to DSSI in Pennsauken,
New Jersey at the current rate of $5,162 per month and received $61,944 in rent
for the fiscal year ended May 31, 1994. The Company also leased-back certain
properties previously sold at fair market value to CCDC. The Company paid rent
to CCDC at the rate of $5,167 per month, approximately $62,000 for the fiscal
year ended May 31, 1994. The Company believes its transactions with CCDC and
DSSI have been on terms at least as favorable to the Company as those which
would have been available in the general marketplace.
 
                                    PART IV
 
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.
 
(A) EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.
 
<TABLE>
<S>        <C>
1. FINANCIAL STATEMENTS (COVERED BY INDEPENDENT ACCOUNTANT'S REPORT)
Auditors' Report
Consolidated Financial Statements
Balance Sheets -- May 31, 1994 and 1993
Consolidated Statements of Operations for the Years
Ended May 31, 1994, 1993, and 1992
Consolidated Statements of Cash Flows for the Years
Ended May 31, 1994, 1993, and 1992
</TABLE>
 
                                       40
<PAGE>
<TABLE>
<S>        <C>
Consolidated Statements of Shareholders' Equity (Deficit)
for the Years Ended May 31, 1994, 1993 and 1992.
Notes to Consolidated Financial Statements
2. FINANCIAL STATEMENT SCHEDULES (COVERED BY INDEPENDENT ACCOUNTANT'S REPORT)
      II.  Amounts Receivable From Related Parties and Underwriters, Promoters, and Employees Other Than
           Related Parties
       V.  Property, Plant and Equipment
      VI.  Accumulated Depreciation of Property, Plant and Equipment
    VIII.  Valuation and Qualifying Accounts
       X.  Supplemental Income Statement Information
</TABLE>
 
     Schedules other than those listed above have been omitted because they are
not applicable or the required information is shown in or can be derived from
the financial statements and notes thereto.
 
                                       41
<PAGE>
                                                                     SCHEDULE II
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
             SCHEDULE II -- AMOUNTS RECEIVABLE FROM RELATED PARTIES
                   AND UNDERWRITERS, PROMOTERS, AND EMPLOYEES
                           OTHER THAN RELATED PARTIES
                FOR THE YEARS ENDED MAY 31, 1994, 1993, AND 1992
                                ($ IN THOUSANDS)
 
                            ------------------------
 
<TABLE>
<CAPTION>
                                                                                                           COLUMN E
                                                                                COLUMN D           ------------------------
                                                                       --------------------------
                                              COLUMN B                                                    BALANCE AT
                                             -----------                       DEDUCTIONS               END OF PERIOD
COLUMN A                                     BALANCE AT    COLUMN C    --------------------------  ------------------------
- -------------------------------------------   BEGINNING   -----------    AMOUNTS       AMOUNTS                      NOT
NAME OF DEBTOR                                OF PERIOD    ADDITIONS    COLLECTED    WRITTEN OFF     CURRENT      CURRENT
- -------------------------------------------  -----------  -----------  -----------  -------------  -----------  -----------
<S>                                          <C>          <C>          <C>          <C>            <C>          <C>
MAY 31, 1994
Tomahawk Capital Investments, Inc..........   $   6,000           --    $   1,000            --            --    $   5,000
 
MAY 31, 1993
Tomahawk Capital Investments, Inc..........          --    $   6,000(a)         --           --            --    $   6,000
</TABLE>
 
- ------------------
(a) Represents a note receivable from the sale of the Mt. Laurel, New Jersey
    facilities (See Note 3 of the Notes to Consolidated Financial Statements).
 
                                       42
<PAGE>
                                                                      SCHEDULE V
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
                  SCHEDULE V -- PROPERTY, PLANT AND EQUIPMENT
                FOR THE YEARS ENDED MAY 31, 1994, 1993, AND 1992
                                ($ IN THOUSANDS)
 
                            ------------------------
 
<TABLE>
<CAPTION>
                                                                                            COLUMN E
                                                                                    ------------------------
                                              COLUMN B                                                         COLUMN F
                                             -----------   COLUMN C     COLUMN D         OTHER CHANGES        -----------
COLUMN A                                     BALANCE AT   -----------  -----------  ------------------------  BALANCE AT
- -------------------------------------------   BEGINNING    ADDITIONS    SALES AND       ADD       (DEDUCT)      END OF
CLASSIFICATION                                OF PERIOD     AT COST    RETIREMENTS   DESCRIBE     DESCRIBE      PERIOD
- -------------------------------------------  -----------  -----------  -----------  -----------  -----------  -----------
<S>                                          <C>          <C>          <C>          <C>          <C>          <C>
               MAY 31, 1994
Land.......................................   $   3,702    $      --    $      --    $      --    $      --    $   3,702
Buildings and improvements.................      84,097          782           --        4,613          (21)      89,471
Equipment and fixtures.....................      36,425        2,587       (3,264)         603         (103)      36,248
Construction in progress...................       8,991        6,148           --       (4,546)(a)         (2)     10,591
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                              $ 133,215    $   9,517    $  (3,264)   $     670(c)  $    (126)  $ 140,012
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                             -----------  -----------  -----------  -----------  -----------  -----------
 
               MAY 31, 1993
Land.......................................   $   4,235    $      --    $    (533)(b)  $      --  $      --    $   3,702
Buildings and improvements.................      78,866          501       (4,705)(b)      9,435(a)         --     84,097
Equipment and fixtures.....................      35,641        3,457       (3,175)(b)        502(a)         --     36,425
Construction in progress...................       8,890       10,121          (83)(b)     (9,937)(a)         --      8,991
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                              $ 127,632    $  14,079    $  (8,496)   $      --    $      --    $ 133,215
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                             -----------  -----------  -----------  -----------  -----------  -----------
 
               MAY 31, 1992
Land.......................................   $   4,235    $      --    $      --    $      --    $      --    $   4,235
Buildings and improvements.................      78,334          858         (390)          64(a)         --      78,866
Equipment and fixtures.....................      31,097        4,572         (317)         289(a)         --      35,641
Construction in progress...................       3,298        5,951           (6)        (353)(a)         --      8,890
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                              $ 116,964    $  11,381    $    (713)   $      --    $      --    $ 127,632
                                             -----------  -----------  -----------  -----------  -----------  -----------
                                             -----------  -----------  -----------  -----------  -----------  -----------
</TABLE>
 
- ------------------
(a) Construction in progress completed, transferred to building and fixtures.
 
(b) Includes sale of Mt. Laurel, New Jersey facilities.
 
(c) Relates to acquisition of ambulance company (see Note 3 of the Notes to
    Consolidated Financial Statements).
 
                                       43
<PAGE>
                                                                     SCHEDULE VI
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
              SCHEDULE VI -- ACCUMULATED DEPRECIATION OF PROPERTY,
                              PLANT AND EQUIPMENT
                FOR THE YEARS ENDED MAY 31, 1994, 1993, AND 1992
                                ($ IN THOUSANDS)
 
                            ------------------------
 
<TABLE>
<CAPTION>
                                                   COLUMN B                                  COLUMN E        COLUMN F
                                                  -----------   COLUMN C     COLUMN D    -----------------  -----------
COLUMN A                                          BALANCE AT   -----------  -----------    OTHER CHANGES    BALANCE AT
- ------------------------------------------------   BEGINNING    ADDITIONS    SALES AND     ADD (DEDUCT)       END OF
CLASSIFICATION                                     OF PERIOD     AT COST    RETIREMENTS     -- DESCRIBE       PERIOD
- ------------------------------------------------  -----------  -----------  -----------  -----------------  -----------
<S>                                               <C>          <C>          <C>          <C>                <C>
                  MAY 31, 1994
Buildings and improvements......................   $  25,982    $   4,949    $      --       $      22(b)    $  30,953
Equipment and fixtures..........................      21,551        2,565       (1,931)            550(b)       22,735
                                                  -----------  -----------  -----------          -----      -----------
                                                   $  47,533    $   7,514    $  (1,931)      $     572       $  53,688
                                                  -----------  -----------  -----------          -----      -----------
                                                  -----------  -----------  -----------          -----      -----------
                  MAY 31, 1993
Buildings and improvements......................   $  25,812    $   3,764    $  (3,594)(a)     $      --     $  25,982
Equipment and fixtures..........................      18,657        3,745         (851)(a)            --        21,551
                                                  -----------  -----------  -----------          -----      -----------
                                                   $  44,469    $   7,509    $  (4,445)(a)     $      --     $  47,533
                                                  -----------  -----------  -----------          -----      -----------
                                                  -----------  -----------  -----------          -----      -----------
                  MAY 31, 1992
Buildings and improvements......................   $  22,368    $   3,626    $    (182)      $      --       $  25,812
Equipment and fixtures..........................      15,254        3,413          (10)             --          18,657
                                                  -----------  -----------  -----------          -----      -----------
                                                   $  37,622    $   7,039    $    (192)      $      --       $  44,469
                                                  -----------  -----------  -----------          -----      -----------
                                                  -----------  -----------  -----------          -----      -----------
</TABLE>
 
- ------------------
(a) Includes sale of Mt. Laurel, New Jersey facilities.
 
(b) Relates to acquisition of ambulance company (See Note 3 of the Notes to
Consolidated Financial Statements).
 
                                       44
<PAGE>
                                                                   SCHEDULE VIII
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
               SCHEDULE VIII -- VALUATION AND QUALIFYING ACCOUNTS
                FOR THE YEARS ENDED MAY 31, 1994, 1993, AND 1992
                                ($ IN THOUSANDS)
 
                            ------------------------
 
<TABLE>
<CAPTION>
                                                                          COLUMN C
                                                                 --------------------------
                                                     COLUMN B            ADDITIONS            COLUMN D     COLUMN E
                                                    -----------  --------------------------  -----------  -----------
COLUMN A                                            BALANCE AT   CHARGED TO    CHARGED TO     ADDITIONS   BALANCE AT
- --------------------------------------------------   BEGINNING    COSTS AND       OTHER      (DEDUCTIONS)   END OF
DESCRIPTION                                          OF PERIOD    EXPENSES    ACCOUNTS (A)   (DESCRIBE)     PERIOD
- --------------------------------------------------  -----------  -----------  -------------  -----------  -----------
<S>                                                 <C>          <C>          <C>            <C>          <C>
Year ended May 31, 1994:
  Allowance for doubtful accounts.................   $   7,570    $   7,102     $      --     $  (6,921)(b)  $   7,751
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
Allowance for third-party receivables.............   $   4,090    $      --     $   1,546     $  (1,759)(b)  $   3,877
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
Year ended May 31, 1993:
  Allowance for doubtful accounts.................   $   6,950    $   3,855     $   2,441     $  (5,676)(b)  $   7,570
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
  Allowance for third-party receivables...........   $   5,922    $      --     $   3,157     $  (4,989)(b)  $   4,090
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
Year ended May 31, 1992:
  Allowance for doubtful accounts.................   $   6,486    $   7,184     $      --     $  (6,720)(b)  $   6,950
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
  Allowance for third-party receivables...........   $   6,237    $      --     $   1,632     $  (1,947)(b)  $   5,922
                                                    -----------  -----------  -------------  -----------  -----------
                                                    -----------  -----------  -------------  -----------  -----------
</TABLE>
 
- ------------------
(a) Amounts reflected as a reduction of revenues.
 
(b) Amounts written off, net of recoveries.
 
                                       45
<PAGE>
                                                                      SCHEDULE X
 
              GERIATRIC & MEDICAL COMPANIES, INC. AND SUBSIDIARIES
            SCHEDULE X -- SUPPLEMENTAL INCOME STATEMENT INFORMATION
                FOR THE YEARS ENDED MAY 31, 1994, 1993, AND 1992
                                ($ IN THOUSANDS)
 
                            ------------------------
 
<TABLE>
<CAPTION>
                                                                                           COLUMN B
                                                                                -------------------------------
COLUMN A                                                                                ACCOUNT CHARGED
- ------------------------------------------------------------------------------  -------------------------------
DESCRIPTION                                                                       1994       1993       1992
- ------------------------------------------------------------------------------  ---------  ---------  ---------
<S>                                                                             <C>        <C>        <C>
State and local taxes, other than income and payroll taxes....................  $   3,020(a) $   2,871(c) $   2,682(e)
Amortization of intangibles...................................................  $   1,724(b) $   1,491(d) $     728(f)
</TABLE>
 
- ------------------
(a) State and local taxes, other than income and payroll taxes increased
    $149,000 (5.2%) in fiscal 1994. The increase resulted primarily from an
    increase in use taxes based upon current year purchases and an increase in
    capital stock taxes.
 
(b) Amortization expense increased $233,000 (15.6%) in fiscal 1994 primarily due
    to costs associated with debt refinancings.
 
(c) State and local taxes, other than income and payroll taxes increased 7.0% in
    fiscal 1993. The increase resulted primarily from an increase in real estate
    taxes due to increased rates and the addition of a 150 bed nursing facility
    and related financing charges.
 
(d) Amortization expense increased $763,000 (104.8%) in fiscal 1993 primarily
    due to costs associated with the Company's Credit Facility (see Note 2 of
    the Notes to Consolidated Financial Statements).
 
(e) State and local taxes, other than income and payroll taxes, decreased
    $83,000 (3.0%) in fiscal 1992 due primarily to reductions in property
    assessments at several facilities.
 
(f) Amortization expense decreased $717,000 (49.6%) in fiscal 1992 due primarily
    to various intangible assets becoming fully amortized during fiscal 1992.
 
                                       46

<PAGE>

3. EXHIBITS
 
     3(a). Articles of Incorporation of the Registrant, as amended. Incorporated
by reference to Exhibit 3(a) to the Registrant's Registration Statement on Form
S-1 (File No. 2-94822) (the '1984 Registration Statement') and as amended in the
Registrant's Current Report on Form 8-K dated December 31, 1992.
 
     3(b). By-Laws of the Registrant, as amended. Incorporated by reference to
Exhibit 3 (b) to the Registrant's Annual Report on Form 10-K for the fiscal year
ended May 31, 1990.
 
     4(a). Master Loan Agreement between Registrant and the New Jersey National
Bank dated as of October 1, 1983. Incorporated by reference to Exhibit 4(e) to
the Registrant's Annual Report on Form 10-K for the fiscal year ended May 31,
1984.
 
     4(b). Loan Agreement, dated as of November 1, 1986 between New Jersey
Economic Development Authority and Geriatric and Medical Services, Inc. relating
to $2,025,000 principal amount New Jersey Economic Development Authority Demand
Revenue Bonds and related Trust Indenture. Incorporated by reference to Exhibit
4(b) to the Registrant's Annual Report on Form 10-K for the fiscal year ended
May 31, 1987.
 
     4(c). Amended and Restated Reimbursement Agreement, dated as of November 1,
1986 by and among Geriatric and Medical Services, Inc., First Pennsylvania Bank
N.A. and Mellon Bank, N.A. Incorporated by reference to Exhibit 4(c) to the
Registrant's Annual Report on Form 10-K for the fiscal year ended May 31, 1987.
 
     4(d). Loan Agreement, dated as of November 1, 1986 between New Jersey
Economic Development Authority and Geriatric and Medical Services, Inc. relating
to $850,000 principal amount New Jersey Economic Development Authority Demand
Revenue Refunding Bonds and related Trust Indenture. Incorporated by reference
to Exhibit 4(f) to the Registrant's Annual Report on Form 10-K for the fiscal
year ended May 31, 1987.
 
     4(e). Amended and Restated Reimbursement Agreement, dated as of November 1,
1986 by and among Geriatric and Medical Services, Inc., First Pennsylvania Bank
N.A. and Mellon Bank, N.A. Incorporated by reference to Exhibit 4(g) to the
Registrant's Annual Report on Form 10-K for the fiscal year ended May 31, 1987.
 
     4(f). Loan Agreement, dated as of May 1, 1990 between New Jersey Economic
Development Authority and Geriatric and Medical Services, Inc. relating to
$5,000,000 and $1,175,000 of Demand Revenue Bonds and Demand Revenue Refunding
Bonds, respectively. Incorporated by reference to Exhibit 4(t) to the
Registrant's Annual Report on Form 10-K for the fiscal year ended May 31, 1990.
 
     10(a). 1982 Incentive Stock Option Plan as amended. Incorporated by
reference to Exhibit 10(a) to the Registrant's Annual Report on Form 10-K for
the fiscal year ended May 31, 1989.
 
     10(b). 1984 Stock Option Plan Incorporated by reference to Exhibit 10(b) to
the 1984 Registration Statement.
 
     10(c). 1990 Stock Option Plan for Directors. Incorporated by reference to
Exhibit 10(c) to the Registrant's Annual Report on Form 10-K for the fiscal year
ended May 31, 1990.
 
     10(d). 1989 Stock Option and Restricted Stock Plan. Incorporated by
reference to Exhibit 4(a) to the Registrant's Registration Statement on Form S-8
(File No. 33-34803).
 
     10(e)(i). Operating Deficits Agreement, dated February 1, 1988 among the
Company and Resource Housing of America, Inc. Incorporated by reference to
exhibit 10(c)(iii) to the Registrant's Quarterly Report on Form 10-Q for the
quarter ended February 29, 1988.
 
     10(e)(ii). Revolving Credit and Term Loan Agreement, dated February 1, 1988
by and among the Company and Resource Housing of America, Inc. Incorporated by
reference to exhibit 10(c)(v) to the Registrant's Quarterly Report on Form 10-Q
for the quarter ended February 29, 1988.
 
                                       47
<PAGE>
     10(f)(i). $175,000 Purchase Money Note, dated November 30, 1988, given by
RHA/Philadelphia Nursing Homes, Inc. to Geriatric and Medical Services, Inc.
Incorporated by reference to exhibit 10(c) to the Registrant's Current Report on
Form 8-K, dated November 30, 1988.
 
     10(f)(ii). Revolving Credit and Term Loan Agreement, dated as of November
1, 1988, by and between RHA/Philadelphia Nursing Homes, Inc. and Geriatric &
Medical Centers, Inc. Incorporated by reference to exhibit 10(f) to the
Registrant's Current Report on Form 8-K, dated November 30, 1988.
 
     10(f)(iii). $2,455,000 Promissory Note dated as of November 1, 1988, given
by RHA/Philadelphia Nursing Homes, Inc. to Geriatric & Medical Centers, Inc.
Incorporated by reference to exhibit 10(g) to the Registrant's Current Report on
Form 8-K, dated November 30, 1988.
 
     10(f)(iv). Operating Deficits Agreement, dated as of November 1, 1988, by
and between RHA/Philadelphia Nursing Homes, Inc. and Geriatric & Medical
Centers, Inc. Incorporated by reference to exhibit 10(h) to the Registrant's
Current Report on Form 8-K, dated November 30, 1988.
 
     10(f)(v). Second Mortgage and Security Agreement, dated as of November 30,
1988, between RHA/Philadelphia Nursing Homes, Inc., Geriatric & Medical Centers,
Inc., Geriatric and Medical Services, Inc. and Total Care Development
Corporation Incorporated by reference to exhibit 10(i) to the Registrant's
Current Report on Form 8-K, dated November 30, 1988.
 
     10(f)(vi). Subordination Agreement, dated as of November 1, 1988, between
and among Geriatric & Medical Centers, Inc., Total Care Development Corporation,
Geriatric and Medical Services, Inc. and RHA/Philadelphia Nursing Homes, Inc.
Incorporated by reference to exhibit 10(j) to the Registrant's Current Report on
Form 8-K, dated November 30, 1988.
 
     10(g)(i). Term Loan Agreement, dated as of August 1, 1989, by and between
RHA/Pennsylvania Nursing Homes, Inc. and Geriatric & Medical Centers, Inc.
Incorporated by reference to the Registrant's Current Report on Form 8-K, dated
August 31, 1989.
 
     10(g)(ii). $724,500 Promissory Note dated as of August 1, 1989 given by
RHA/Pennsylvania Nursing Homes, Inc. to Geriatric & Medical Centers, Inc.
Incorporated by reference to the Registrant's Current Report on Form 8-K, dated
August 31, 1989.
 
     10(g)(iii). Operating Deficits Agreement, dated as of August 1, 1989 by and
between RHA/Pennsylvania Nursing Homes, Inc. and Geriatric & Medical Centers,
Inc. Incorporated by reference to the Registrant's Current Report on Form 8-K,
dated August 31, 1989.
 
     10(g)(iv). Second Mortgage and Security Agreement, dated as of August 31,
1989, by and among RHA/ Pennsylvania Nursing Homes, Inc., Geriatric & Medical
Centers, Inc., GMS Management, Inc., GMC Financial Services, Inc., Total Care
Insurance Corporation, d/b/a Rite Care Resources and Total Care Management Inc.
Incorporated by reference to the Registrant's Current Report on Form 8-K, dated
August 31, 1989.
 
     10(g)(v). Subordination Agreement, dated as of August 1, 1989, between and
among Geriatric & Medical Centers, Inc., GMS Management, Inc., GMC Financial
Services, Inc., Total Care Inn Corporation, d/b/a Rite Care Resources,
RHA/Pennsylvania Nursing Homes, Inc., and RHA/Home Office, Inc. Incorporated by
reference to the Registrant's Current Report on Form 8-K, dated August 31, 1989.
 
     10(h)(i). Operating Deficits Agreement, dated as of October 1, 1988 by and
among Walnut Park Plaza Associates, Villas Realty & Investments, Inc. and
Maryland National Bank, exclusive of exhibits thereto. Incorporated by reference
to Exhibit 10(e)(ii) to the Registrant's report on Form 8 dated September 26,
1989.
 
     10(i)(i). Operating Deficits and Term Loan Agreement, dated as of September
1, 1990, between AHF/Montgomery, Inc. and Geriatric & Medical Centers, Inc.
Incorporated by reference to Exhibit 10(b) to the Registrant's Current Report on
Form 8-K dated October 26, 1990.
 
                                       48
<PAGE>
     10(i)(ii). Subordination Agreement, dated as of September 1, 1990, between
and among Montgomery County Higher Education and Health Authority (the
'Authority'), Geriatric & Medical Centers, Inc., GMS Management, Inc., GMC
Financial Services, Inc., AHF/Montgomery, Inc., and AHF/Home Office, Inc.
Incorporated by reference to Exhibit 10(c) to the Registrant's Current Report on
Form 8-K dated October 26, 1990.
 
     10(i)(iii). Loan and Security Agreement, dated as of September 1, 1990,
between the Authority, AHF/Montgomery, Inc., and Assignment of the Authority's
Interest to Geriatric & Medical Centers, Inc. as Bondholder. Incorporated by
reference to Exhibit 10(d) to the Registrant's Current Report on Form 8-K dated
October 26, 1990.
 
     10(j). Management Incentive Bonus Program. Incorporated by reference to
Exhibit 10(i) to the Registrant's Annual Report on Form 10-K for the fiscal year
ended May 31, 1990.
 
     10(l)(i). Supplemental Loan Agreement, dated as of April 15, 1992 between
New Jersey Economic Development Authority and Geriatric and Medical Services,
Inc. relating to $2,025,000 and $850,000 of Revenue Bonds and Revenue Refunding
Bonds, respectively. Incorporated by reference to Exhibit 10(l)(i) to the
Registrant's Current Report on Form 8-K dated May 14, 1992.
 
     10(l)(ii). Loan Agreement, dated as of April 23, 1992, by and among
Meditrust Mortgage Investments, Inc. and Geriatric and Medical Services, Inc.,
Crestview Convalescent Home, Inc., Burlington Woods Convalescent Center, Inc.,
Geriatric & Medical Centers, Inc. and Crestview North, Inc. relating to a loan
in the amount of $86,003,000. Incorporated by reference to Exhibit 10(l)(ii) to
the Registrant's Current Report on Form 8-K dated May 14, 1992.
 
     10(l)(iii). Loan Agreement, dated as of April 23, 1992, between Geriatric
and Medical Services, Inc. and Geriatric & Medical Centers, Inc. and CoreStates
Enterprise Fund relating to a loan in the amount of $5,000,000. Incorporated by
reference to Exhibit 10(l)(iv) to the Registrant's Current Report on Form 8-K
dated May 14, 1992.
 
     10(m)(i) Loan Agreement, dated as of May 1, 1992 between New Jersey
Economic Development Authority and Geriatric and Medical Services, Inc. relating
to $6,215,000 of Mortgage Revenue Refunding Bonds.
 
     10(m)(ii) Loan Agreement, dated as of May 1, 1992 between Montgomery County
(Pennsylvania) Industrial Development Authority and Geriatric and Medical
Services, Inc., relating to $2,105,000 of Mortgage Revenue Refunding Bonds.
 
     10(n) Accounts Financing Agreement, dated as of December 6, 1991, between
American Insured Receivables Fund, Inc. and Geriatric & Medical Centers, Inc.
and certain of its subsidiaries.
 
     10(o) Master Trust Indenture, dated May 1, 1992, by and between Geriatric
and Medical Services, Inc. and Fidelity Bank, National Association.
 
     10(p)(i) Loan Agreement, dated as of June 1, 1992 between Chester County
(Pennsylvania) Industrial Development Authority and Geriatric and Medical
Services, Inc., relating to $2,285,000 of Mortgage Revenue Refunding Bonds.
 
     10(p)(ii) Loan Agreement, dated as of June 1, 1992, between Bucks County
(Pennsylvania) Industrial Development Authority and Geriatric and Medical
Services, Inc., relating to $2,370,000 of Mortgage Revenue Refunding Bonds.
 
     10(q) Loan Agreement, dated as of December 1, 1992, between Lancaster
(Pennsylvania) Industrial Development Authority and Geriatric and Medical
Services, Inc., relating to $855,000 of Mortgage Revenue Refunding Bonds and
Loan Agreement, dated as of December 1, 1992, between Montgomery County
(Pennsylvania) Industrial Development Authority and Geriatric and Medical
Services, Inc., relating to $1,195,000 of Mortgage Revenue Refunding Bonds.
 
                                       49
<PAGE>
     10(r)(i) Assignment Agreement, dated February 26, 1993, by and between
Geriatric & Medical Companies, Inc., and Robert P. Krauss, Esquire, as agent,
regarding the assignment of $1,200,000 Subordinated Revenue Bond
(AHF/Montgomery, Inc., Project) - Series 1990B to agent.
 
     10(r)(ii) Agency Agreement, dated February 26, 1993, by, between and among
the Daniel Veloric Individual Retirement Account, Transcorp, Inc., Custodian;
Tomahawk Capital Investments, Inc.; and Robert P. Krauss, Esquire, as agent.
 
     10(s)(i) Agreement of Sale, dated as of May 31, 1993, by and between
Geriatric and Medical Services, Inc, and Tomahawk Capital Investments, Inc.
 
     10(s)(ii) Mortgage Note, dated as of May 31, 1993, given by Tomahawk
Capital Investments, Inc., to Geriatric and Medical Services, Inc.
 
     10(s)(iii) Mortgage and Security Agreement, dated as of May 31, 1993, by
and between Tomahawk Capital Investments, Inc, and Geriatric and Medical
Services, Inc.
 
     10(t) Sale and Subservicing Agreement, dated as of November 4, 1993, by and
among certain subsidiaries of Geriatric & Medical Companies, Inc. as Seller and
Subservicer, NPF-PW, Inc. as Purchaser and National Premier Financial Services,
Inc., as Servicer.
 
     10(u) Sale and Subservicing Agreement, dated as of May 19, 1994, by and
among certain subsidiaries of Geriatric & Medical Companies, Inc. as Seller and
Subservicer, NPF-PW, Inc. as Purchaser and National Premier Financial Services,
Inc, as Servicer.
 
     10(v) Employment Agreement dated March 4, 1993, effective June 1, 1993 by
and between Geriatric & Medical Companies, Inc. and Daniel Veloric - Chairman of
the Board, Chief Executive Officer and President.
 
     22. Subsidiaries of the Registrant.
 
     28(a). Stipulation and Settlement Agreement (City of Philadelphia).
Incorporated by reference to Exhibit 28(a) to the Registrant's Annual Report on
form 10-K for the fiscal year May 31, 1990.
 
     28(b). Stipulation of Settlement in Whole and In Part (Commonwealth of
Pennsylvania - Department of Public Welfare). Incorporated by reference to
Exhibit 28(b) to the Registrant's Annual Report on Form 10-K for the fiscal year
ended May 31, 1990.
 
(B) REPORTS ON FORM 8-K
 
     None.
 
                                       50
<PAGE>
                                   SIGNATURES
 
     Pursuant to requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized.
 
                      GERIATRIC & MEDICAL COMPANIES, INC.
                                  (Registrant)
 
<TABLE>
<S>                                                       <C>
                                                          By: /s/JAMES J. O'MALLEY
                                                              James J. O'Malley
                                                              Vice President -- Finance
Dated: October 11, 1994                                       and Chief Financial Officer
</TABLE>
 
     Pursuant to the requirements of the Securities Exchange Act of 1934, this
report has been signed below by the following persons on behalf of the
registrant and in the capacities and on the dates indicated.
 
<TABLE>
<CAPTION>
                   SIGNATURE                      CAPACITY                                        DATE
 
<S>                                               <C>                                     <C>
/s/DANIEL VELORIC                                 Chairman of the Board,                      October 11, 1994
Daniel Veloric                                    President and Director
                                                  (Chief Executive Officer)
 
/s/JAMES J. O'MALLEY                              Vice President --                           October 11, 1994
James J. O'Malley                                 Finance and Chief
                                                  Financial Officer
 
/s/GERALD E. BISBEE, JR.                          Director                                    October 11, 1994
Gerald E. Bisbee, Jr.
 
/s/THOMAS J. GORMAN                               Director                                    October 11, 1994
Thomas J. Gorman
 
/s/ANTHONY C. SALVO                               Director                                    October 11, 1994
Anthony C. Salvo
 
/s/MICHAEL VELORIC                                Director                                    October 11, 1994
Michael Veloric
 
/s/ESTHER PONNOCKS                                Director                                    October 11, 1994
Esther Ponnocks
 
/s/GREG BRONCZYK                                  Corporate Controller                        October 11, 1994
Greg Bronczyk
</TABLE>
 
                                       51
<PAGE>
                      GERIATRIC & MEDICAL COMPANIES, INC.
 
             ANNUAL REPORT ON FORM 10-K FOR YEAR ENDED MAY 31, 1994
                                 EXHIBIT INDEX
 
<TABLE>
<S>        <C>
10(u)      Sale and Subservicing Agreement, dated as of May 19, 1994, by and among certain subsidiaries of Geriatric
           & Medical Companies, Inc. as Seller and Subservicer, NPF-PW, Inc. as Purchaser and National Premier
           Financial Services, Inc. as Servicer. (See Page 75 of 112)
10(v)      Employment Agreement, dated March 4, 1993, effective June 1, 1993 by and between Geriatric & Medical
           Companies, Inc. and Daniel Veloric-Chairman of the Board, Chief Executive Officer and President.
           (See Page 70 of 112)
27         Article 5 FDS-Financial Data Summary for the fiscal year ended May 31, 1994. (See Page 112 of 112)
</TABLE>
 
                              EMPLOYMENT AGREEMENT
 
     This Employment Agreement (the 'Agreement') is made and entered into as of
this 4th day of March, 1993, effective June 1, 1993, by and between GERIATRIC &
MEDICAL COMPANIES, INC., a Delaware Corporation, (hereinafter the 'Company') and
DANIEL VELORIC (hereinafter 'Employee').
 
                                   BACKGROUND
 
     Company deems it to be in its best interests to secure and retain the
services of Employee and Employee desires to work for Company upon the terms and
under the conditions hereinafter set forth.
 
     The Compensation Committee of the Board of Directors determined, in 1993,
that this Employment Agreement would become effective June 1, 1993
notwithstanding the fact that the final terms of the Agreement and the Bonus
Plans referred to herein would take several months to finalize. The Compensation
Committee engaged an outside consultant to review this Employment Agreement and
the Bonus Plans referred to herein to determine that they were fair and
reasonable in the marketplace and the Committee approved this Agreement and the
Plans at their meetings held on February 3, 1994.
 
     NOW, THEREFORE, in consideration of the mutual promises and undertakings
contained herein and intending to be legally bound hereby, the parties hereto
agree as follows:
 
          1. EMPLOYMENT. The Company hereby employs Employee and Employee hereby
     accepts such employment, on the terms and under the conditions hereinafter
     set forth.
 
          2. TERM. The original term of this Agreement shall begin as of June 1,
     1993 and shall continue for five years, ending May 31, 1998 (the 'Term').
     This Agreement shall be extended for one additional year until this
     Agreement terminates in accordance with the provisions of Paragraph 11
     hereof so that the Term of this Agreement shall always remain five years.
 
          3. DUTIES. Employee is engaged hereunder as Chairman and CEO of
     Company (the 'Position'), and he agrees to perform the duties of the
     Position, or such other or further duties and services of a similar nature
     as may be reasonably required of him by the Board of Directors of the
     Company (the 'Board'). Employee shall have such power and authority as
     shall reasonably be required to enable him to perform his duties hereunder
     in an efficient manner; provided that, in exercising such power and
     authority and performing such duties, Employee shall at all times be
     subject to the authority and control of the Board. Employee shall perform
     his duties and services hereunder based at the Company's Philadelphia,
     Pennsylvania location. Employee shall devote his full business time,
     attention, energies and best efforts to the performance of all of the
     duties required of the Position.
 
                                       52
<PAGE>
          4. COMPENSATION. For all services rendered by Employee during the Term
     of this Agreement, and any renewal hereof, Company agrees to pay Employee a
     salary of Four Hundred Fifty Thousand Dollars ($450,000) per annum ('Base
     Compensation'), which shall be paid in equal installments every two weeks,
     plus such additional compensation and bonuses as may be awarded from time
     to time to the Employee by the Board or its Compensation Committee.
 
          5. FRINGE BENEFITS AND PENSION PLAN. During the term of this
     Agreement, or so long as compensation is required to be paid by Company to
     Employee hereunder, Employee shall be entitled to participate in (or to
     continue his participation in) all the fringe benefit programs provided for
     executive employees of the Company, including, without limitation, all
     medical, disability, and life insurance programs and incentive compensation
     plans now in existence or hereinafter adopted by the Company for its
     Executive Officers; provided, however, that Employee shall be entitled to
     and shall receive the benefits provided for in the plans described on
     Exhibit 'A' and Exhibit 'B' attached hereto (the 'Incentive Plans'), in
     lieu of, and not in addition to, any retirement or bonus program provided
     for executive employees of Company.
 
          6. CAR ALLOWANCE. Company agrees to provide Employee with a Company
     owned and maintained luxury class vehicle.
 
          7. VACATIONS. Employee shall be entitled each year to vacation time of
     four weeks, during which time his Base Compensation shall continue to be
     paid to him. Each vacation shall be taken by Employee at such time or times
     as agreed upon by Company and Employee.
 
          8. REIMBURSEMENT OF EXPENSES. Company shall reimburse Employee for all
     reasonable expenses incurred by Employee in connection with his employment
     hereunder in accordance with procedures established by Company, from time
     to time.
 
          9. DISABILITY OF EMPLOYEE. If Employee is unable to substantially
     perform his services by reason of incapacity, either physical or mental,
     for a period of ninety consecutive days, Company shall have the option of
     reducing, in whole or in part, the Base Compensation or other compensation
     thereafter payable to Employee pursuant to this Agreement during the
     continued period of illness or incapacity, or of declaring at any time
     thereafter during the continuation of such disability, upon thirty days
     notice, that Employee's employment hereunder is terminated.
 
          In the event this Agreement is terminated due to disability of
     Employee, Company shall pay to Employee all sums owed to him as Base
     Compensation, and all earned and accrued bonuses which would otherwise be
     payable to Employee up to the end of the month in which Employee's
     employment is terminated hereunder. The Disability Payment shall be made
     within thirty days of the date of termination. In addition, Company shall
     pay Employee, as a further Disability Payment, an amount equal to 100% of
     his Base Compensation at the time any such disability commences each year
     such disability continues (or having commenced, he does not again become an
     Employee of the Company) for three years. Company shall have no obligation
     to Employee upon termination due to disability of Employee, except as
     expressly provided for in this Paragraph 9.
 
          10. DEATH. If Employee dies during the term of this Agreement,
     including any renewals hereof, this Agreement shall terminate immediately
     and Company shall pay to Employee's Estate (i) all sums owed to Employee as
     Base Compensation; (ii) all earned and accrued but unpaid bonuses
     (including payments pursuant to Paragraph 9 hereof), which would otherwise
     be payable to Employee up to the end of the month in which Employee's death
     occurs; and a Death Benefit of One Million Dollars ($1,000,000) payable in
     forty equal quarterly payments commencing on the last day of the third
     month after the date of Employee's death. Company shall have no obligation
     to Employee upon termination due to death of Employee, except as expressly
     provided for in this Paragraph 10.
 
                                       53
<PAGE>
        11. TERMINATION.
 
                 11.1. Company may terminate this Agreement only (a) with Cause
            (as hereinafter defined); (b) upon the disability of Employee
            pursuant to Paragraph 9 hereof; or (c) upon the death of Employee
            pursuant to Paragraph 10 hereof. Any termination pursuant to (a) or
            (b) of this Paragraph 11.1 must be preceded by not less than ninety
            days written notice to Employee.
 
                 11.2. Employee may terminate this Agreement by giving written
            notice to Company thirty days prior to the expiration of the Term of
            this Agreement or any extension(s) hereof or at any time upon
            Company's breach of any material provision hereof upon giving 90
            days prior written notice thereof to Company.
 
        12. CAUSE.
 
                 12.1. Cause, as the term is used herein, shall include only the
            following: engagement by Employee in willful misconduct, fraud,
            embezzlement, theft constituting a felony, an act intentionally
            against the interests of the Company which causes Company material
            harm, or a final determination by a court of competent jurisdiction
            that Employee has committed a material breach of the provisions of
            Paragraph 3 of this Agreement.
 
                 12.2. For the purpose of this Agreement, Company's exercise of
            its right to terminate Employee shall require a vote of two-thirds
            of the Board.
 
                 12.3. If Employee is terminated hereunder for Cause, Company
            shall not be obligated to provide to Employee any compensation or
            benefits whatsoever, which Employee might otherwise be entitled to
            hereunder accruing hereunder after the date of a termination for
            cause.
 
          13. ETHICS, NON-COMPETITION AND CONFIDENTIALITY. In consideration of
     the employment of Employee as herein provided, Employee agrees to execute
     and abide by the Company's standard statements for business ethics,
     conflicts of interest and confidentiality and any Reaffirmations as from
     time-to-time are requested. Employee understands and acknowledges that such
     covenants are required for the fair and reasonable protection of Company
     and that said covenants shall be construed as an agreement independent of
     any other provisions of Employee's employment and that they shall survive
     termination of this Agreement.
 
          14. NOTICES. Any notice required or permitted to be given under this
     Agreement shall be sufficient, if delivered in person or if delivered by
     any nationally recognized overnight delivery service.
 
          15. BINDING EFFECT. This Agreement shall be binding upon and inure to
     the benefit of Company and Employee and their respective successors,
     assigns and legal representatives; provided, however, that neither party
     shall have the right to assign or otherwise transfer (by operation of law
     or otherwise) its or his rights or obligations under this Agreement (other
     than as referred to herein) except with the prior written consent of the
     other.
 
          16. GOVERNING LAW. This Agreement shall be deemed to be a contract
     made and performed under the laws of the Commonwealth of Pennsylvania, and
     for all purposes it shall be construed in accordance with and governed by
     the laws of the Commonwealth of Pennsylvania.
 
          17. SPECIFIC PERFORMANCE. The parties to this Agreement, in addition
     to all other remedies allowed by law for its enforcement, expressly consent
     to the enforcement of this Agreement by specific performance or by
     injunction in any court having competent jurisdiction.
 
          18. ENFORCEMENT. If Employee seeks to enforce his rights under this
     Agreement, and Employee prevails, Company shall pay all actual attorneys'
     fees and attorneys' costs which were reasonably incurred by Employee in
     enforcing his rights hereunder.
 
                                       54
<PAGE>
          19. ARBITRATION. In any dispute regarding this Agreement, including
     its applicability, and the applicability of this Paragraph 19, Employee may
     require Company to submit the dispute to binding arbitration for resolution
     ('Arbitration'). If Employee requests Arbitration, Employee and Company
     shall each choose one arbitrator, and the two arbitrators so chosen shall
     choose a third arbitrator. The Arbitration shall be according to the rules
     of the American Arbitration Association, and any final decision reached by
     the arbitrators shall be final and unappealable. Company agrees to and
     shall pay all costs of the Arbitration, including all costs incurred in
     enforcing Employee's rights, if any, pursuant to a final decision of the
     arbitrators. If Company files an action in any court regarding a matter
     which the Company was required to submit to arbitration, or if the Company
     attempts to or does appeal to any court any decision of the arbitrators,
     Company shall pay all costs of such subsequent action, including those of
     Employee, regardless of whether or not Company prevails.
 
          20. SEVERABILITY. Whenever possible, each provision of this Agreement
     shall be interpreted in such manner as to be effective and valid under
     applicable law, but if any provision of this Agreement shall be prohibited
     by or invalid under applicable law, such provision shall be ineffective
     only to the extent of such prohibition or invalidity, without invalidating
     the remainder of such provision or the remaining provisions of this
     Agreement.
 
          21. MODIFICATION. This Agreement shall not be and shall not be deemed
     or construed to have been modified, amended, rescinded, canceled, or waived
     in whole or in part, except by a written instrument signed by the parties
     hereto.
 
          22. ENTIRE AGREEMENT. This Agreement constitutes and expresses the
     entire agreement and understanding between the parties hereto in reference
     to all the matters referred to herein, and any previous discussions,
     promises, representations, and understanding relative thereto are merged
     into the terms of this Agreement and shall have no further force and
     effect.
 
     IN WITNESS WHEREOF, the parties hereto have signed this Agreement as of the
date first set forth above.
 
                                          GERIATRIC & MEDICAL COMPANIES, INC.
 
                                          By: __________________________________
                                              ARTHUR A. CARR, JR., Executive
                                              Vice President
 
<TABLE>
<S>                                                     <C>
WITNESS                                                                        EMPLOYEE
 
                                                                            DANIEL VELORIC
</TABLE>
 
                                       55
<PAGE>
                        SALE AND SUBSERVICING AGREEMENT
 
                            Dated as of May 19, 1994
 
                                  by and among
 
                       THOSE PARTIES LISTED ON SCHEDULE 4
                                ATTACHED HERETO
 
                         as Seller and as Subservicer,
 
                                 NPF III, INC.
 
                                 AS PURCHASER,
 
                                      AND
 
                   NATIONAL PREMIER FINANCIAL SERVICES, INC.,
 
                                  AS SERVICER
 
                                       56
<PAGE>
                          TABLE OF CONTENTS ARTICLE I
 
                                  DEFINITIONS
 
<TABLE>
<S>                   <C>                                                                                     <C>
SECTION 1.01.         Certain Defined Terms.................................................................          2
SECTION 1.02.         Other Terms...........................................................................         12
 
                                                      ARTICLE II
 
                                     PURCHASE AND SALE; ESTABLISHMENT OF ACCOUNTS
SECTION 2.01.         Purchase and Sale.....................................................................         13
SECTION 2.02.         Conveyance of Receivables.............................................................         13
SECTION 2.03.         Establishment of Accounts; Conveyance of Interests Therein; Investment................         15
SECTION 2.04.         Grant of Security Interest............................................................         16
SECTION 2.05.         Further Action Evidencing Purchases...................................................         16
SECTION 2.06.         Eligible Receivables..................................................................         17
SECTION 2.07.         Medicare and Medicaid Offsets.........................................................         17
SECTION 2.08.         Assignment of Agreement...............................................................         18
 
                                                      ARTICLE III
 
                                                CONDITIONS OF PURCHASES
SECTION 3.01.         Conditions Precedent to Effectiveness of Agreement....................................         18
SECTION 3.02.         Conditions Precedent to All Purchases.................................................         19
 
                                                      ARTICLE IV
 
                                     REPRESENTATIONS AND WARRANTIES OF THE SELLER
SECTION 4.01.         Representations and Warranties as to the Seller.......................................         20
SECTION 4.02.         Representations and Warranties of the Seller as to Purchased Receivables..............         25
SECTION 4.03.         Repurchase Obligations................................................................         27
 
                                                       ARTICLE V
 
                                            GENERAL COVENANTS OF THE SELLER
SECTION 5.01.         Affirmative Covenants of the Seller...................................................         28
SECTION 5.02.         Reporting Requirements of the Seller..................................................         29
SECTION 5.03.         Negative Covenants of the Seller......................................................         30
 
                                                      ARTICLE VI
 
                                                ACCOUNTS ADMINISTRATION
SECTION 6.01.         Collection Account....................................................................         31
SECTION 6.02.         Determinations of the Servicer........................................................         31
SECTION 6.03.         Distributions from Accounts...........................................................         32
SECTION 6.04.         Allocation of Moneys following Termination Date.......................................         32
SECTION 6.05          Accounting............................................................................         33
 
                                                      ARTICLE VII
 
                                            APPOINTMENT OF THE SUBSERVICER,
                                       SPECIAL SERVICER, AND SUCCESSOR SERVICER
SECTION 7.01.         Appointment of the Subservicer........................................................         33
SECTION 7.02.         Additional Subservicers...............................................................         34
SECTION 7.03.         Duties and Responsibilities of the Subservicer........................................         34
SECTION 7.04.         Authorization of the Servicer.........................................................         36
</TABLE>
 
                                       57
<PAGE>
<TABLE>
<S>                   <C>                                                                                     <C>
SECTION 7.05.         Subservicing Fee; Subservicing Expenses...............................................         37
SECTION 7.06.         Annual Statement as to Compliance.....................................................         37
SECTION 7.07.         Transfer of Servicing Between Subservicer and Special Servicer........................         37
SECTION 7.08.         Subservicer Not to Resign.............................................................         38
SECTION 7.09.         Appointment of the Successor Subservicer..............................................         38
SECTION 7.10.         Authorization of the Special Servicer.................................................         39
SECTION 7.11.         Duties of the Subservicer to the Successor Servicer...................................         39
SECTION 7.12.         Effect of Termination or Resignation..................................................         40
 
                                                     ARTICLE VIII
                                               EVENTS OF SELLER DEFAULT
SECTION 8.01.         Events of Seller Default..............................................................         40
 
                                                      ARTICLE IX
                                                    INDEMNIFICATION
SECTION 9.01.         Indemnities by the Seller.............................................................         42
 
                                                       ARTICLE X
                                                     MISCELLANEOUS
SECTION 10.01.        Notices, Etc..........................................................................         43
SECTION 10.02.        Remedies..............................................................................         43
SECTION 10.03.        Binding Effect; Assignability.........................................................         44
SECTION 10.04.        Costs, Expenses and Taxes.............................................................         44
SECTION 10.05.        No Proceedings........................................................................         45
SECTION 10.06.        Amendments; Waivers; Consents.........................................................         45
SECTION 10.07.        GOVERNING LAW; CONSENT TO JURISDICTION; WAIVER OF JURY TRIAL..........................         45
SECTION 10.08.        Execution in Counterparts; Severability...............................................         46
</TABLE>
 
<TABLE>
<S>            <C>
Schedule 1     Ineligible Medicaid States
Schedule 2     Names of Sellers and Provider Numbers
Schedule 3     Names Under Which and Addresses At which Seller Is Doing Business
               Names of Sellers and States in which Seller is Incorporated and States in which Seller is Qualified
Schedule 4     to do Business
Schedule 5     Purchase Commitments
Schedule 6     Date of Medicare and Medicaid Cost Reports For Each Seller
Schedule 7     Purchase Dates
Schedule 8     Disclosures by the Seller
Exhibit A      Form of Notice to Commercial Payors
Exhibit B      Form of Lockbox Account Agreement
Exhibit C      Form of Purchase Assignment
Exhibit D      Form of Officer's Certificate for the Seller
Exhibit E      Form of Opinion of Counsel for the Seller
Exhibit F      Form of Repurchase Assignment
Exhibit G      Form of Section 6.02 Determination of the Servicer
</TABLE>
 
                                       58
<PAGE>
     SALE AND SUBSERVICING AGREEMENT (the 'Agreement'), dated as of May 19,
1994, by and among those corporations identified and set forth on Schedule 4
attached hereto, each of which is incorporated in the state adjacent to its name
set forth on Schedule 4 attached hereto, as Seller (as such, together with its
successors and permitted assigns, the 'Seller') and as Subservicer hereunder (as
such, together with its successors and permitted assigns, the 'Subservicer'),
NPF III, INC., an Ohio corporation, as Purchaser (as such, together with its
successors and permitted assigns, the 'Purchaser'), and NATIONAL PREMIER
FINANCIAL SERVICES, INC., an Ohio corporation, as Servicer (as such, together
with its successors and permitted assigns, the 'Servicer').
 
                                  WITNESSETH:
 
     WHEREAS, each Seller desires to sell to the Purchaser certain health care
receivables originated by such Seller and, unless otherwise specifically
provided herein to the contrary, each Seller constitutes a separate party to
this Agreement with respect to each Seller's duties, responsibilities,
obligations, representations, warranties and covenants set forth in this
Agreement;
 
     WHEREAS, the Purchaser is a special purpose corporation formed for the
purpose of purchasing certain health care receivables and funding such purchases
with the proceeds from the issuance of promissory notes;
 
     WHEREAS, the Seller and the Purchaser intend that the Purchaser will
purchase certain health care receivables from the Seller from time to time;
 
     WHEREAS, the Purchaser has appointed the Servicer to perform certain
servicing, administrative and collection functions in respect of the receivables
purchased by the Purchaser under this Agreement (the 'Purchased Receivables');
 
     WHEREAS, in order to effectuate the purposes of this Agreement, the
Purchaser and the Servicer desire that a subservicer (the 'Subservicer') be
appointed to perform certain servicing, administrative and collection functions
in respect of the Purchased Receivables;
 
     WHEREAS, the Seller has been requested and is willing to act as the
Subservicer; and
 
     WHEREAS, each Seller acknowledges and consents to the Purchaser's
anticipated assignment to an affiliate of the Purchaser of all its right, title,
interest and obligations with respect to this Agreement.
 
     NOW, THEREFORE, the parties agree as follows:
 
                                   ARTICLE I
                                  DEFINITIONS
 
     SECTION 1.01. Certain Defined Terms. Except as otherwise agreed by the
parties, as used in this Agreement, the following terms shall have the following
meanings:
 
     'ACCREDITATION' means certification by the JCAHO that a facility fully
complies with the standards set by the JCAHO for operation of such facility.
 
     'ADDITIONAL SUBSERVICER' has the meaning specified in Section 7.02.
 
     'ADDITIONAL SUBSERVICING AGREEMENT' has the meaning specified in Section
7.02.
 
     'ADVERSE CLAIM' means any claim of ownership or any lien, security interest
or other charge or encumbrance, or other type of preferential arrangement having
the effect of a lien or security interest.
 
     'AFFILIATE' means, as to any Person, any other Person that, directly or
indirectly, is in control of, is controlled by, or is under common control with,
such Person within the meaning of control under Section 15 of the Securities Act
of 1933.
 
     'BASE RATE' means, as of any Purchase Date a percentage, determined by the
Servicer, equal to 9.75% per annum.
 
                                       59
<PAGE>
     'BILLING DATE' means the date on which the claim with respect to a
Receivable was submitted to the related Payor.
 
     'BLUE CROSS/BLUE SHIELD CONTRACT' means any and all agreements currently in
force between the Seller and any Blue Cross/Blue Shield plan.
 
     'BUSINESS DAY' means any day of the year other than a Saturday, Sunday or
any day on which banks are required, or authorized, by law to close in the State
of Ohio or the State of New York.
 
     'CHAMPUS' means the Civilian Health and Medical Program of the Uniformed
Service, a program of medical benefits covering retirees and dependents of a
member or a former member of a uniformed service, provided, financed and
supervised by the United States Department of Defense established by 10 USC 1071
et seq.
 
     'CHAMPUS RECEIVABLE' means a Receivable payable pursuant to CHAMPUS.
 
     'CHAMPUS REGULATIONS' means collectively, all regulation of the Civilian
Health and Medical Program of the Uniformed Services including (a) all federal
statutes (whether set forth in 10 USC 1071 or elsewhere) affecting CHAMPUS; and
(b) all applicable provisions of all rules, regulations (including 32 CFR 199),
manuals, orders, and administrative, reimbursement and other guidelines of all
Governmental Authorities (including, without limitation, HHS, the Department of
Defense, the Department of Transportation, the Assistant Secretary of Defense
(Health Affairs), and the Office of CHAMPUS, or any Person or entity succeeding
to the functions of any of the foregoing) promulgated pursuant to or in
connection with any of the foregoing (whether or not having the force of law),
in each case as may be amended, supplemented or otherwise modified from time to
time.
 
     'CLOSING DATE' means May 19, 1994.
 
     'COLLECTION ACCOUNT' means the trust account maintained with the Trustee
described in Section 2.03(c).
 
     'COLLECTIONS' means, with respect to any Receivable, all cash collections
and other cash proceeds of such Receivable.
 
     'COMMERCIAL LOCKBOX ACCOUNT' has the meaning specified in Section 2.03(a).
 
     'CONCENTRATION LIMIT' means: (a) the following expressed as a percentage of
the aggregate Net Value of the total outstanding Purchased Receivables:
 
          (i) Receivables payable by Blue Cross and Blue Shield plans - 20%;
 
          (ii) Receivables for which any one commercial insurer or HMO/PPO is
     Payor during the time such Payor has a long-term rating of A or better but
     less than AAA from S&P - 8%; and
 
          (iii) Receivables payable by all commercial insurance Payors and
     HMO/PPO Payors which are unrated or which have a long-term rating of below
     A from S&P - 1%; and
 
     (b) the following expressed as a dollar amount of the aggregate Net Value
of Purchased Receivables:
 
          (i) Medicare Receivables, Medicaid Receivables and CHAMPUS Receivables
     - $2,000,000; and
 
          (ii) Medicare Receivables and Medicaid Receivables for which no DRG
     Code is assigned - $200,000.
 
     'CONTRACT' means an agreement (or agreements), pursuant to, or under which,
a Payor shall be obligated to pay for services rendered or merchandise sold to
patients of the Seller from time to time.
 
     'CREDIT DEFICIENCY' has the meaning specified in Section 6.02(e).
 
     'DEBT' of any Person means (a) indebtedness of such Person for borrowed
money, (b) obligations of such Person evidenced by bonds, debentures, notes or
other similar instruments, (c)
 
                                       60
<PAGE>
obligations of such Person to pay the deferred purchase price of property or
services, (d) obligations of such Person as lessee under leases which have been
or should be, in accordance with generally accepted accounting principles,
recorded as capital leases, (e) obligations secured by any lien or other charge
upon property or assets owned by such Person, even though such Person has not
assumed or become liable for the payment of such obligations, (f) obligations of
such Person under direct or indirect guaranties in respect of, and obligations
(contingent or otherwise) to purchase or otherwise acquire, or otherwise to
assure a creditor against loss in respect of, indebtedness or obligations of
others of the kinds referred to in clauses (a) through (e) above, and (g)
liabilities in respect of unfunded vested benefits under plans covered by Title
IV of the Employee Retirement Income Security Act of 1974, as amended.
 
     'DEFAULTED AMOUNT' has the meaning specified in Section 6.02(b).
 
     'DEFAULTED RECEIVABLE' means a Receivable as to which, on any Determination
Date (a) any part of the Net Value thereof remains unpaid for more than 150 days
from the Discharge Date for such Receivable; or (b) the Payor thereof has taken
any action, or suffered any event to occur, of the type described in Section
8.01(c); or (c) the Servicer or the Subservicer otherwise deems any part of the
Net Value thereof to be uncollectible.
 
     'DEFAULTED RECEIVABLES PAYMENTS' has the meaning specified in Section
6.02(f).
 
     'DETERMINATION DATE' means the Business Day preceding the Purchase Date of
each week.
 
     'DISCHARGE DATE' means, with respect to any Receivable, the date of
discharge by a Seller of the related patient, in the case of an in-patient and
the date of the provision of services or merchandise to the related patient in
the case of an out-patient.
 
     'DOLLAR' and '$' means lawful money of the United States of America.
 
     'DRG CODE' means the Diagnosis Related Group code assigned by HCFA.
 
     'ELIGIBLE PAYOR' means a Payor which is (a) (i) a commercial insurance
company, organized under the laws of any jurisdiction in the United States,
having its principal office in the United States, (ii) a Blue Cross/Blue Shield
plan, or (iii) during such time as the Seller is the Subservicer hereunder, (A)
Medicare, (B) Medicaid plans other than those administered by the states listed
on Schedule 1, (C) CHAMPUS or (iv) a HMO or PPO, organized under the laws of any
jurisdiction in the United States, having its principal office in the United
States;
 
          (b) not an Affiliate of any of the parties hereto;
 
          (c) in the case of (a) (i), (ii) and (iv) above, in receipt of a
     letter substantially in the form of Exhibit A hereto; and
 
          (d) not subject to bankruptcy or insolvency proceedings at the time of
     sale of the Receivable to the Purchaser.
 
     'ELIGIBLE RECEIVABLE' means, at any time, a Receivable; (a) which is a
primary liability of an Eligible Payor and is recognized by the Eligible Payor
as its primary liability; and
 
          (b) as to which the representations and warranties of Section 4.02 are
     true and correct in all respects at the time of Purchase.
 
     'EQUITY ACCOUNT' means the trust account of the Purchaser maintained with
the Trustee titled 'NPF III - Equity Account'.
 
     'EVENT OF SELLER DEFAULT' has the meaning specified in Section 8.01.
 
     'GOVERNMENTAL AUTHORITY' means the United States of America, federal, any
state, local or other political subdivision thereof and any entity exercising
executive, legislative, judicial, regulatory or administrative functions thereof
or pertaining thereto.
 
     'GOVERNMENTAL CONSENTS' has the meaning specified in Section 4.01(i).
 
                                       61
<PAGE>
     'GROSS LIQUIDATION RATE' means a factor, conclusively determined by the
Servicer, with respect to a designated Payor Class based on the Seller's
historical experience with respect to Collections for such Payor Class,
estimated on the basis of actual Collections which are expected to be received
on a Receivable within 180 days of its Discharge Date. The Servicer will notify
the Seller and the Purchaser, from time to time (subject to the requirements of
Section 2.06), of its determination of such factors, and such determinations
shall conclusively bind the Seller and the Purchaser.
 
     'GROSS RECEIVABLE AMOUNT' means, with respect to any Receivable, the amount
billed to the related Payor with respect thereto.
 
     'HCFA' means the Health Care Financing Administration, an agency of the HHS
charged with administering and regulating, inter alia, certain aspects of
Medicaid and Medicare.
 
     'HEALTH FACILITY LICENSE' means a license issued by a state health agency
or similar agency or body certifying that the facility has been inspected and
found to comply with applicable laws for operating such a health facility.
 
     'HHS' means the Department of Health and Human Services, an agency of the
Federal Government of the United States.
 
     'HMO' means a health maintenance organization.
 
     'INDEMNIFIED AMOUNTS' has the meaning specified in Section 9.01(a).
 
     'INDEMNIFIED PARTY' has the meaning specified in Section 9.01(a).
 
     'INTERNAL REVENUE CODE' means the Internal Revenue Code of 1986, as
amended.
 
     'INVESTMENT INCOME' means income on Permitted Investments.
 
     'JCAHO' means the Joint Commission for Accreditation of Health Care
Organizations.
 
     'LOCKBOX ACCOUNT' has the meaning specified in Section 2.03(a).
 
     'LOCKBOX ACCOUNT AGREEMENT' means an agreement among the Seller, the
Purchaser, and a depository institution satisfactory to the Purchaser with
respect to either Lockbox Account, (a) providing that all Collections therein
shall be remitted directly to the Collection Account within one Business Day of
receipt and (b) otherwise satisfactory to the Purchaser.
 
     'MEDICAID' means the medical assistance program established by Title XIX of
the Social Security Act (42 USC SectionSection 1396 et seq.) and any statutes
succeeding thereto.
 
     'MEDICAID CERTIFICATION' means certification of a facility by HCFA or a
state agency or entity under contract with HCFA that the facility fully complies
with all the conditions of participation set forth in Medicaid Regulations.
 
     'MEDICAID PROVIDER AGREEMENT' means an agreement entered into between a
federal or state agency or other such entity administering the Medicaid program
and a health care facility under which the health care facility agrees to
provide services or merchandise for Medicaid patients in accordance with the
terms of the agreement and Medicaid Regulations.
 
     'MEDICAID RECEIVABLE' means a Receivable payable pursuant to a Medicaid
Provider Agreement.
 
     'MEDICAID REGULATIONS' means, collectively, (a) all federal statutes
(whether set forth in Title XIX of the Social Security Act or elsewhere)
affecting Medicaid; (b) all state statutes and plans for medical assistance
enacted in connection with such statutes and federal rules and regulations
promulgated pursuant to or in connection with such statutes; and (c) all
applicable provisions of all rules, regulations, manuals, orders and
administrative, reimbursement and other guidelines of all Governmental
Authorities (including, without limitation, HHS, HCFA, the office of the
Inspector General for HHS, or any Person succeeding to the functions of any of
the foregoing) promulgated
 
                                       62
<PAGE>
pursuant to or in connection with any of the foregoing (whether or not having
the force of law), in each case as may be amended, supplemented or otherwise
modified from time to time.
 
     'MEDICARE' means the health insurance program for the aged and disabled
established by Title XVIII of the Social Security Act (42 USC 1395 et seq.) and
any statutes succeeding thereto.
 
     'MEDICARE CERTIFICATION' means certification of a facility by HCFA or a
state agency or entity under contract with HCFA that the facility fully complies
with all the conditions of participation set forth in Medicare Regulations.
 
     'MEDICARE LOCKBOX ACCOUNT' has the meaning specified in Section 2.03(a).
 
     'MEDICARE PROVIDER AGREEMENT' means an agreement entered into between a
state agency or other such entity administering the Medicare program and a
health care facility under which the health care facility agrees to provide
services or merchandise for Medicare patients in accordance with the terms of
the agreement and Medicare Regulations.
 
     'MEDICARE RECEIVABLE' means a Receivable payable pursuant to a Medicare
Provider Agreement.
 
     'MEDICARE REGULATIONS' means, collectively, (a) all federal statutes
(whether set forth in Title XVIII of the Social Security Act or elsewhere)
affecting Medicare; and (b) all applicable provisions of all rules, regulations,
manuals, orders and administrative, reimbursement and other guidelines of all
Governmental Authorities (including, without limitation, HHS, HCFA, the Office
of the Inspector General for HHS, or any Person succeeding to the functions of
any of the foregoing) promulgated pursuant to or in connection with the
foregoing (whether or not having the force of law), as each may be amended,
supplemented or otherwise modified from time to time.
 
     'NET VALUE' of any Receivable at any time means an amount (not less than
zero) equal to (a)(i) its Gross Receivable Amount multiplied by (ii) the Gross
Liquidation Rate of the Payor thereof multiplied by (iii) 0.97; minus (b) all
payments received from the Payor with respect thereto; provided, that if the
Servicer makes a determination that all payments by the Payor with respect to
such Receivable have been made, the Net Value shall be zero.
 
     'NET VALUE AMOUNT' has the meaning specified in Section 6.02(a).
 
     'NOTES' means the promissory notes issued by the Purchaser the proceeds of
which shall be principally used to fund the purchase of Receivables by the
Purchaser.
 
     'OFFICERS' CERTIFICATE' means a certificate delivered to the Trustee or, as
specified, the Purchaser or the Servicer signed by two persons, one of whom
shall (a) hold the office of the Chairman of the Board, President, Vice
President or Treasurer and (b) the second of whom shall hold (i) any of the
offices described in the preceding clause (a) or (ii) the office of Assistant
Treasurer, Secretary or Assistant Secretary of the Purchaser.
 
     'OTHER SELLERS' has the meaning specified in Section 2.07.
 
     'PAID RECEIVABLE' means, as of any Purchase Date, a Purchased Receivable as
to which a payment by the Payor with respect to such Receivable has been
received.
 
     'PAID RECEIVABLES AMOUNT' has the meaning specified in Section 6.02(c).
 
     'PAYOR' means, with respect to any Receivable, the Person primarily
obligated to make payments in respect thereto.
 
     'PAYOR CLASS' means, with respect to any Payor, one of the following: (a)
commercial insurance Payors; (b) Medicare Payors; (c) Medicaid Payors; (d) Blue
Cross/Blue Shield Payors; (e) CHAMPUS Payors; and (f) HMO and PPO Payors.
 
     'PERMITTED INVESTMENTS' means (a) U.S. Government Obligations having a
maturity of not more than 180 days from the date of acquisition; (b) marketable
obligations directly and fully guaranteed by the United States having a maturity
of not more than 180 days from the date of
 
                                       63
<PAGE>
acquisition; (c) repurchase agreements on obligations specified in clause (a)
maturing not more than two months from the date of acquisition thereof, provided
that the long-term unsecured obligations of the party agreeing to repurchase are
at the time rated AAA by S&P; (d) federal funds, certificates of deposit and
time deposits of any depository institution or trust company incorporated under
the laws of the United States or any state, provided that the long-term
unsecured obligations of the obligor are at the time rated AAA by S&P or the
short-term unsecured obligations of the obligor are at the time rated A-1 + by
S&P; (e) commercial paper of any corporation incorporated under the laws of the
United States or any state thereof which on the date of acquisition is rated
A-1+ by S&P and (f) securities of money market funds rated AAAm or AAAm-G by
S&P.
 
     'PERSON' means an individual, partnership, corporation (including a
business trust), joint stock company, trust, voluntary association, joint
venture, a government or any agency or political subdivision thereof, or any
other entity of whatever nature.
 
     'PPO' means a preferred provider organization.
 
     'PRINCIPAL AMORTIZATION EVENT' means the earlier to occur of (a) a default
with respect to any interest or principal payment on the Notes; (b) a default
with respect to any promissory note in favor of the Purchaser payable by an
affiliate of the Purchaser; (c) the Purchaser generally not paying its Debts,
the Purchaser admitting in writing its inability to pay its Debts generally, the
Purchaser making a general assignment for the benefit of creditors, the
institution of any proceeding by or against the Purchaser seeking to adjudicate
the Purchaser bankrupt or insolvent or seeking liquidation, winding up,
reorganization or other similar official action for it or for any substantial
part of its property; (d) the commencement by the Purchaser of a voluntary case
or proceeding under any applicable Federal or state bankruptcy, insolvency,
reorganization or other similar law or any other case or proceeding to be
adjudicated bankrupt or insolvent or consent by it to the entry of a decree or
order for relief in respect of the Purchaser in an involuntary case or
proceeding; provided that in the event of a proceeding brought by a third party
and not consented to by the Purchaser in (c) and (d) above, a Principal
Amortization Event shall not be deemed to have occurred until 10 days after the
commencement of such proceeding; or (e) a default in the performance or breach
of any covenant, representation or warranty of the Purchaser to the Trustee
which remains uncured for a period of 30 days. 'PROGRAM FEE' means, (a) as of
the first Purchase Date in any month, an amount determined by the Servicer,
equal to (i) 1/12 of the annualized Base Rate multiplied by (ii) the aggregate
Net Value of all Purchased Receivables (including those to be purchased on such
Purchase Date) other than Defaulted Receivables; and (b) as of any subsequent
Purchase Date in any month, an amount determined by the Servicer, equal to (i)
7/360 of the annualized Base Rate multiplied by (ii) any increase in the
aggregate Net Value of all Purchased Receivables (including those to be
purchased on such Purchase Date) other than Defaulted Receivables since such
first Purchase Date.
 
     'PURCHASE' means a purchase by the Purchaser of Eligible Receivables from
the Seller pursuant to Section 2.02.
 
     'PURCHASE ACCOUNT' means the trust account of the Purchaser maintained with
the Trustee titled 'NPF III - Purchase Account.'
 
     'PURCHASE ASSIGNMENT' means the assignment of Purchased Receivables entered
into between the Seller and the Purchaser on any Purchase Date substantially in
the form of Exhibit C.
 
     'PURCHASE COMMITMENT' means the dollar amount adjacent to each Seller's
name set forth on Schedule 5 attached hereto, and in the aggregate an amount not
to exceed $7,500,000.
 
     'PURCHASE DATE' means the Closing Date and thereafter, the day of each week
adjacent to each Seller's name set forth on Schedule 7 attached hereto, or the
preceding Business Day if such day is not a Business Day.
 
     'PURCHASE PRICE' has the meaning specified in Section 2.02(b).
 
                                       64
<PAGE>
     'PURCHASE NOTICE' means a notice in a form of acceptable to the Purchaser,
which enables the Purchaser to identify all Eligible Receivables owned on such
date by the Seller, and the Required Information with respect thereto,
segregated by the Payor Class.
 
     'PURCHASED RECEIVABLE' means any Receivable which has been purchased by the
Purchaser hereunder regardless of whether a Receivable is determined to be an
Eligible Receivable as of its Purchase Date. Notwithstanding anything to the
contrary herein, Purchased Receivable shall only refer to a Receivable (or part
thereof) payable by the primary Payor thereof.
 
     'PURCHASER' means NPF III, Inc., an Ohio corporation, together with its
successors and assigns.
 
     'RECEIVABLE' means (a) an account receivable billed to a Payor arising from
the provision of health care services (and any services or sales ancillary
thereto) by the Seller including the right to payment of any interest or finance
charges and other obligations of such Payor with respect thereto;
 
          (b) all security interests or liens and property subject thereto from
     time to time purporting to secure payment by the Payor;
 
          (c) all guarantees, indemnities and warranties and proceeds thereof,
     proceeds of insurance policies, UCC financing statements and other
     agreements or arrangements of whatever character from time to time
     supporting or securing payment of such Receivable;
 
          (d) all Collections with respect to any of the foregoing;
 
          (e) all Records with respect to any of the foregoing; and
 
          (f) all proceeds of any of the foregoing.
 
     'RECORDS' means all Contracts and other documents, books, records and other
information (including, without limitation, computer programs, tapes, disks,
punch cards, data processing software and related property and rights) prepared
and maintained by the Seller or the Subservicer with respect to Receivables
(including Purchased Receivables) and the related Payors.
 
     'REJECTED RECEIVABLE' has the meaning specified in Section 4.03.
 
     'RELATED DOCUMENTS' means each Purchase Assignment, the Lockbox Account
Agreement and all documents required to be delivered thereunder and under this
Agreement.
 
     'REQUIRED INFORMATION' means, with respect to a Receivable, (a) the Payor,
(b) the DRG Code, (c) the Gross Receivable Amount, (d) the Billing Date, (e) the
patient account number and (f) date on which the patient was discharged by the
Seller, if applicable.
 
     'S & P' means Standard & Poor's Corporation, and its successors and
assigns.
 
     'SELLER' means each of those corporations identified and set forth on
Schedule 4 attached hereto, each of which is incorporated in the state adjacent
to its name set forth on Schedule 4 attached hereto, together with its
successors and permitted assigns.
 
     'SELLER CREDIT RESERVE ACCOUNT' means the trust account maintained with the
Trustee.
 
     'SELLER EQUITY ACCOUNT REQUIREMENT' means, with respect to the Equity
Account, as of any Purchase Date, an amount equal to 5.25% of the Net Value of
Purchased Receivables (including Receivables to be purchased as of such Purchase
Date) other than Defaulted Receivables.
 
     'SELLER LIQUIDITY RESERVE ACCOUNT' means the trust account maintained with
the Trustee.
 
     'SERVICER' means National Premier Financial Services, Inc., an Ohio
corporation, or any Person designated as the successor Servicer, and its
successors and assigns, from time to time.
 
     'SERVICING OFFICER' means any officer of the Subservicer involved in, or
responsible for, the administration and servicing of the Purchased Receivables
whose name appears on an Officer's Certificate listing servicing officers
furnished to the Purchaser and the Servicer by the Subservicer, as amended, from
time to time.
 
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     'SERVICING RECORDS' means all documents, books, records and other
information (including, without limitation, computer programs, tapes, disks,
punch cards, data processing software and related property and rights) prepared
and maintained by the Subservicer or the Servicer with respect to the Purchased
Receivables and the related Payors.
 
     'SERVICING TRANSFER EVENT' means, with respect to any Purchased Receivable,
that payment in full of such Purchased Receivables has not been received from
the Payor within 150 days of the Discharge Date.
 
     'SPECIAL SERVICER' means any Person designated as the Special Servicer,
from time to time, by the Servicer for the purposes of servicing Purchased
Receivables following a Servicing Transfer Event.
 
     'SPECIFIED CREDIT RESERVE BALANCE' means, as of any Purchase Date, an
amount to be deposited with respect to the Seller in the Seller Credit Reserve
Account equal to 6.5% of the Net Value of Purchased Receivables (including
Receivables to be purchased as of such Purchase Date) other than Defaulted
Receivables.
 
     'SPECIFIED LIQUIDITY RESERVE BALANCE' means, as of any Purchase Date, an
amount to be deposited with respect to the Seller in the Seller Liquidity
Reserve Account equal to 5.25% of the Net Value of Purchased Receivables
(including Receivables to be purchased as of such Purchase Date) other than
Defaulted Receivables.
 
     'SUBSERVICER' means the Seller, or any Person designated as Subservicer,
from time to time, hereunder.
 
     'SUBSERVICING OFFICER' means any officer of the Subservicer involved in, or
responsible for, the administration and servicing of the Purchased Receivables
whose name appears on an Officer's Certificate listing servicing officers
furnished to the Servicer by the Subservicer, as amended, from time to time.
 
     'SUBSIDIARY' means, as to any Person, any corporation or other entity of
which securities or other ownership interests having ordinary voting power to
elect a majority of the board of directors or other Persons performing similar
functions are at the time directly or indirectly owned by such Person.
 
     'TERMINATION DATE' means the earlier of (a) July 31, 1995, or (b) the date
of declaration or automatic occurrence of the Termination Date pursuant to
Section 8.01.
 
     'TRUSTEE' means Bankers Trust Company, a national banking association, or
any successor Trustee properly appointed by a majority of the noteholders to
monitor and administer the Purchaser's activities for and on behalf of the
noteholders.
 
     'UCC' means the Uniform Commercial Code as from time to time in effect in
the State of the location of the Seller's chief executive office.
 
     SECTION 1.02. Other Terms. All accounting terms not specifically defined
herein shall be construed in accordance with generally accepted accounting
principles. All terms used in Article 9 of the UCC, and not specifically defined
herein, are used herein as defined in such Article 9.
 
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                                   ARTICLE II
 
                  PURCHASE AND SALE; ESTABLISHMENT OF ACCOUNTS
 
     SECTION 2.01. Purchase and Sale. The Seller does hereby agree to sell,
transfer, assign, set over and convey to the Purchaser, without recourse, all
right, title and interest of the Seller in and to the Purchased Receivables sold
pursuant to this Agreement and the Purchaser does hereby agree to purchase
Eligible Receivables pursuant to the terms of this Agreement; provided, that
with respect to each Purchased Receivable which is a Medicare Receivable, a
Medicaid Receivable or a CHAMPUS Receivable, the Seller, as Subservicer
hereunder, shall retain all rights of collection with respect to such
Receivable.
 
     SECTION 2.02. Conveyance of Receivables. (a) No later than 2:00 p.m. on the
fifth Business Day prior to each Purchase Date, the Seller will deliver, or
cause to be delivered, to the Servicer a Purchase Notice. In the event that the
Seller does not provide such notification, the Purchaser will have no obligation
to purchase any Eligible Receivable on such Purchase Date. Upon receipt of a
Purchase Notice, the Servicer, in its sole discretion, as agent for the
Purchaser, shall determine which, if any, of the Eligible Receivables specified
therein the Purchaser shall purchase. In the event the Servicer determines (the
determination of the Servicer being conclusive in this regard) that any
Receivables identified on such notice are not Eligible Receivables, such
Receivables shall not be eligible for sale on such Purchase Date. On each
Purchase Date, following its selection, if any, of Eligible Receivables, the
Servicer will complete, execute and deliver a Purchase Assignment to the
Purchaser and the Seller. The Purchaser and the Seller shall thereupon execute
such Purchase Assignment and deliver executed copies thereof to each other and
to the Servicer. Notwithstanding the foregoing, the Purchaser shall have no
obligation to purchase Receivables from the Seller to the extent the aggregate
Net Value of all Purchased Receivables (other than Defaulted Receivables) is in
excess of the Purchase Commitment.
 
          (b) The Purchase Price with respect to Purchased Receivables purchased
     on any Purchase Date shall be an amount (not less than zero) equal to (i)
     the aggregate Net Values of such Purchased Receivables; minus (ii) the sum
     of (A) the Program Fee as of such Purchase Date; (B) the amount, if any, by
     which the amount in the Seller Credit Reserve Account deposited hereunder
     (net of withdrawals required hereunder) is less than the Specified Credit
     Reserve Balance as of such Purchase Date; (C) the amount, if any, by which
     the amount in the Equity Account deposited hereunder is less than the
     Seller Equity Account Requirement as of such Purchase Date; and (D) the
     amount, if any, by which the amount in the Seller Liquidity Reserve Account
     deposited hereunder (net of withdrawals required hereunder) is less than
     the Specified Liquidity Reserve Balance as of such Purchase Date. Following
     delivery of a duly executed Purchase Assignment, subject to the
     satisfaction of the conditions set forth in Section 3.02, the Purchaser
     shall, by withdrawal from the Purchase Account, (v) pay to the Seller the
     Purchase Price for all Purchased Receivables purchased on such Purchase
     Date, (w) deposit the Program Fee in the Equity Account, (x) make a deposit
     in the amount set forth in (B) above, if any, in the Seller Credit Reserve
     Account, (y) make a deposit in the amount set forth in (C) above, if any,
     in the Equity Account and (z) make a deposit in the amount set forth in (D)
     above, if any, in the Seller Liquidity Reserve Account. Payment of such
     Purchase Price shall be made by the Servicer, as agent for the Purchaser,
     causing the Trustee to effect such payment. In the event the Purchase Price
     is zero on any Purchase Date, the Purchaser shall only be required to make
     deposits specified in (w), (x), (y), and (z) above in an amount equal to
     the Net Value of such Purchased Receivables as of such Purchase Date, with
     priority being given in the foregoing order. In the event the Net Value of
     such Purchased Receivables is less than the Program Fee (including where no
     Receivables are purchased on the relevant Purchase Date), to the extent
     funds deposited hereunder (net of withdrawals required hereunder) are
     sufficient, the Servicer shall cause the Trustee to withdraw the difference
     from the Seller Liquidity Reserve Account on such Purchase Date and deposit
     such amount in the Equity Account. In the event the Servicer causes the
     Trustee to withdraw all or a portion of the Program Fee from the Seller
     Liquidity Reserve Account and as a result thereof there is a deficiency in
     the Seller Liquidity Reserve Account, the Servicer shall
 
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     notify the Seller of such deficiency in the Seller Liquidity Reserve
     Account and the Seller shall cure the deficiency within 10 Business Days of
     notice thereof.
 
          (c) Following payment of the Purchase Price on any Purchase Date,
     ownership of each Purchased Receivable will be vested in the Purchaser. The
     Seller shall not take any action inconsistent with such ownership and shall
     not claim any ownership interest in any Purchased Receivable. The Seller
     shall indicate in its Records that ownership of each Purchased Receivable
     is held by the Purchaser. In addition, the Seller shall respond to any
     inquiries with respect to ownership of a Purchased Receivable by stating
     that it is no longer the owner of such Purchased Receivable and that
     ownership of such Purchased Receivable is held by the Purchaser. Documents
     (other than medical records, which shall be retained by the Seller)
     relating to the Purchased Receivables shall be held in trust by the Seller
     and the Subservicer, for the benefit of the Purchaser as the owner thereof,
     and possession of any Required Information or incident relating to the
     Purchased Receivables so retained is for the sole purpose of facilitating
     the servicing of the Purchased Receivables. Such retention and possession
     is at the will of the Purchaser and in a custodial capacity for the benefit
     of the Purchaser only. To further evidence such sale, at the request of the
     Purchaser, the Seller shall (i) mark conspicuously each invoice evidencing
     each Purchased Receivable with a legend, acceptable to the Purchaser,
     evidencing that the Purchaser has purchased all right and title thereto and
     interest therein as provided in this Agreement; (ii) mark its master data
     processing records evidencing such Purchased Receivables with such legend;
     and (iii) send notification to Payors as to the transfer of such interest
     in the Purchased Receivables.
 
     SECTION 2.03. Establishment of Accounts; Conveyance of Interests Therein;
Investment.
 
          (a) Lockbox Account. Prior to the execution and delivery of this
     Agreement, the Seller shall (i) establish and maintain (A) an account in
     the name of the Seller with a depository institution satisfactory to the
     Purchaser (the 'Medicare Lockbox Account') into which all Collections in
     respect of Medicaid, Medicare and CHAMPUS Receivables shall be deposited
     and (B) an account in the name of the Trustee into which all Collections
     from Eligible Payors in respect of other Receivables shall be deposited
     (the 'Commercial Lockbox Account'; the Medicare Lockbox Account and the
     Commercial Lockbox Account are referred to collectively in this Agreement
     as the 'Lockbox Account') and (ii) enter into the Lockbox Account
     Agreement.
 
          (b) Seller Credit Reserve Account; Seller Liquidity Reserve
     Account. The Purchaser has established and shall maintain trust accounts
     with the corporate trust department of the Trustee titled 'NPF III --
     Seller Credit Reserve Account' (the 'Seller Credit Reserve Account') and
     'NPF III -- Seller Liquidity Reserve Account' (the 'Seller Liquidity
     Reserve Account').
 
          (c) Collection Account. The Purchaser has established and shall
     maintain a trust account with the corporate trust department of the Trustee
     titled 'NPF III -- Collection Account' (the 'Collection Account').
 
          (d) The Seller does hereby sell, transfer, assign, set over and convey
     to the Purchaser all right, title and interest of the Seller in and to (i)
     all amounts deposited, from time to time, in the Seller Credit Reserve
     Account and the Seller Liquidity Reserve Account and (ii) subject to the
     provisions of Article VI hereunder, all amounts deposited, from time to
     time, in the Lockbox Account and the Collection Account. Any Collections in
     respect of Purchased Receivables held by the Seller or the Subservicer
     pending transfer to the Collection Account as provided in this Agreement,
     shall be held by the Seller in trust for the benefit of the Purchaser until
     such amounts are deposited into the Collection Account or the Lockbox
     Account. In the event Collections in respect of Purchased Receivables held
     by the Seller (whether in the Lockbox Account or otherwise) shall not be
     remitted to the Collection Account on the day of receipt or the following
     Business Day if the day of receipt is not a Business Day in addition to its
     other remedies hereunder, the Purchaser shall be entitled to receive a late
     charge (which shall be in addition to the Program Fee) equal to 12% per
     annum or the maximum rate legally permitted if less than such rate,
     calculated as of the first Business Day of such delinquency.
 
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          (e) To the extent there are uninvested amounts in the Collection
     Account, the Seller Credit Reserve Account or the Seller Liquidity Reserve
     Account, the Servicer shall cause the Trustee to invest all such amounts in
     Permitted Investments selected by the Trustee.
 
          (f) Notwithstanding anything to the contrary herein, the Seller may,
     but shall not be obligated to, make a deposit at any time in the Seller
     Credit Reserve Account or the Seller Liquidity Reserve Account.
 
     SECTION 2.04. Grant of Security Interest. It is the intention of the
parties hereto that each payment by the Purchaser to the Seller with respect to
Purchased Receivables to be made hereunder shall constitute part of the purchase
and sale of such Purchased Receivables and not a loan. In the event, however,
that a court of competent jurisdiction were to hold that the transaction
evidenced hereby constitutes a loan and not a purchase and sale, it is the
intention of the parties hereto that this Agreement shall constitute a security
agreement under the UCC and any other applicable law, and that the Seller shall
be deemed to have granted to the Purchaser a first priority perfected security
interest in all of the Seller's right, title and interest in, to and under the
Purchased Receivables; all payments of principal of or interest on such
Purchased Receivables; all amounts on deposit from time to time in the Seller
Credit Reserve Account, the Seller Liquidity Reserve Account; and all amounts on
deposit with respect to Purchased Receivables from time to time in the Lockbox
Account and the Collection Account, all other rights relating to and payments
made in respect of this Agreement, and all proceeds of any of the foregoing.
 
     SECTION 2.05. Further Action Evidencing Purchases. (a) The Seller agrees
that, from time to time, at its expense, it will promptly execute and deliver
all further instruments and documents, and take all further action, that may be
necessary or appropriate, or that the Purchaser may reasonably request, in order
to perfect, protect or more fully evidence the transfer of ownership of the
Purchased Receivables or to enable the Purchaser to exercise or enforce any of
its rights hereunder or under any Purchase Assignment. Without limiting the
generality of the foregoing, the Seller will, upon the request of the Purchaser,
execute and file such financing or continuation statements, or amendments
thereto or assignments thereof, and such other instruments or notices, as may be
necessary or appropriate, or as the Purchaser may request. (b) The Seller hereby
authorizes the Purchaser to file one or more financing or continuation
statements, and amendments thereto and assignments thereof, relating to all or
any of the Purchased Receivables and Collections with respect thereto without
the signature of the Seller.
 
     SECTION 2.06. Eligible Receivables. The Servicer may from time to time
unilaterally amend the Gross Liquidation Rate for each Payor Class to reflect,
in its reasonable judgment, the historical experience of the Seller, the
Purchaser, and the Servicer, with respect to Receivables. Such amendment shall
be made solely at the discretion of the Servicer and shall be effected by
delivery by the Servicer of a notice to each other party hereto setting forth
such amendment. The effective date of such revision shall be five Business Days
after such delivery. All determinations of the Servicer under this Agreement
including, without limitation, whether Receivables are Eligible Receivables and
the Gross Liquidation Rate, shall be conclusive.
 
     SECTION 2.07. Medicare and Medicaid Offsets. The parties acknowledge that
the Purchaser and the Servicer have entered into a series of agreements in
substantially the form as this Agreement with other sellers of Receivables
('Other Sellers') and that the Seller Liquidity Reserve Account has been
established to provide liquidity to the Purchaser with respect to Medicare
Receivables and Medicaid Receivables as to which an offset against payment
thereof has occurred, whether such Receivables were sold to the Purchaser by the
Seller or by Other Sellers. In the event of an offset against payment with
respect to a Medicare Receivable or a Medicaid Receivable purchased by the
Purchaser from the Seller or an Other Seller, the Servicer will cause the
Trustee to withdraw the amount of such offset from the Seller Liquidity Reserve
Account and deposit it in the Purchase Account. If such Receivable was sold to
the Purchaser by the Seller, the Seller shall repurchase such Medicare
Receivable or Medicaid Receivable in the same manner as set forth in Section
4.03. The amount of the offset by the Seller shall be deposited in the Seller
Liquidity Reserve Account. The
 
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remaining amount of the Net Value of the Receivable shall be deposited in the
Purchase Account. In the event such Receivable was sold to the Purchaser by an
Other Seller, the Purchaser agrees to enforce the Other Seller's obligation to
repurchase such Receivable under the terms of its agreement with such Other
Seller and to cause the amount of such repurchase by the Other Seller to be
deposited in the Seller Liquidity Reserve Account. The Servicer will maintain a
detailed accounting record of all deposits and withdrawals from the Seller
Liquidity Reserve Account including whether a withdrawal was made with respect
to an offset against payment on a Medicare Receivable or Medicaid Receivable
sold to the Purchaser by the Seller or an Other Seller. For purposes of
calculating whether the amount in the Seller Liquidity Reserve Account deposited
by the Seller (net of withdrawals required hereunder with respect to the Seller)
is equal to the Specified Liquidity Reserve Balance, only withdrawals with
respect to an offset on a Medicare Receivable or Medicaid Receivable sold to the
Purchaser by the Seller will be deemed to be with respect to the Seller.
 
     SECTION 2.08. Assignment of Agreement. The Seller does hereby acknowledge
and consent to the assignment by the Purchaser to an Affiliate of all the
Purchaser's right, title, interest and obligations with respect to this
Agreement. The Seller does hereby further agree to execute and deliver to the
Purchaser all documents and amendments presented to the Seller by the Purchaser
in furtherance of this Section 2.08 consistent with the terms and provisions of
this Agreement.
 
                                  ARTICLE III
 
                            CONDITIONS OF PURCHASES
 
     SECTION 3.01. Conditions Precedent to Effectiveness of Agreement. The
effectiveness of this Agreement is subject to the condition precedent that the
Purchaser and the Servicer shall have received on or before the Closing Date the
following, in form and substance satisfactory to the Purchaser and the Servicer:
 
        (a) With respect to the Seller:
 
             (i) the certificate or articles of incorporation of the Seller
        certified, as of a date no more than ten days prior to the Closing Date,
        by the Secretary of State of its state of incorporation;
 
             (ii) a Good Standing Certificate, dated no more than ten days prior
        to the Closing Date, from the respective Secretary of State of its state
        of incorporation and each state in which the Seller is required to
        qualify to do business;
 
             (iii) a certificate of the Secretary or Assistant Secretary of the
        Seller (on which certificate the Servicer and the Purchaser may
        conclusively rely until such time as the Servicer shall receive from the
        Seller a revised certificate meeting the requirements of this
        subsection) certifying as of the Closing Date: (A) the names and true
        signatures of the officers authorized on its behalf to sign this
        Agreement and the Related Documents, (B) a copy of the Seller's by-laws
        or code of regulations, and (C) a copy of the resolutions of the board
        of directors of the Seller approving this Agreement, the Related
        Documents and the transactions contemplated thereby;
 
             (iv) an Officer's Certificate in the form of Exhibit D hereto;
 
             (v) certified copies of Requests for Information or Copies (Form
        UCC-11) (or a similar search report certified by a party acceptable to
        the Purchaser), dated a date no more than ten days prior to the Closing
        Date listing all effective financing statements which name the Seller
        (under its present name and any previous name) as debtor, together with
        copies of such financing statements, and searches of applicable federal
        and state court and agency dockets and lien records showing all judgment
        liens affecting the Seller or the Eligible Receivables and tax liens;
        and
 
             (vi) Acknowledgment copies of proper financing statements (Form
        UCC-3), if any, necessary to release all security interests and other
        rights of any Person in Purchased
 
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        Receivables previously granted by the Seller including, without
        limitation, all such releases specified by the Seller prior to the date
        hereof;
 
          (b) Consents required by, or of, any Person or Governmental Authority,
     if any, to the closing of the transactions contemplated hereby, in form and
     substance satisfactory to the Purchaser;
 
          (c) Acknowledgement copies of proper financing statements (Form
     UCC-1), duly filed, in respect of Purchased Receivables, naming (i) the
     Seller as the assignor and the Purchaser as the assignee or other, similar
     instruments or documents, as may be necessary or, in the opinion of the
     Purchaser or the Servicer, desirable under the UCC of all appropriate
     jurisdictions or any comparable law to perfect the Purchaser's ownership
     interests in all Purchased Receivables in which an interest may be assigned
     hereunder;
 
          (d) Fully executed copies of the Lockbox Account Agreement;
 
          (e) The favorable opinion of counsel to the Seller substantially in
     the form attached hereto as Exhibit E;
 
          (f) Such other approvals, opinions, documents and instruments, as the
     Purchaser or the Servicer may reasonably request; and
 
          (g) The Seller shall have paid such closing costs as have previously
     been agreed with the Purchaser.
 
     SECTION 3.02. Conditions Precedent to All Purchases. Each Purchase
(including the initial Purchase) from the Seller by the Purchaser shall be
subject to the further conditions precedent that:
 
          (a) On the related Purchase Date, the Seller shall have certified in
     the related Purchase Assignment that:
 
             (i) the representations and warranties of the Seller set forth in
        Sections 4.01 and 4.02 are true and correct on and as of such date,
        before and after giving effect to such Purchase and to the application
        of the proceeds therefrom, as though made on and as of such date;
 
             (ii) no event has occurred, or would result from such Purchase or
        from the application of the proceeds therefrom, which constitutes an
        Event of Seller Default or would constitute an Event of Seller Default,
        but for the requirement that notice be given or time elapse or both; and
 
             (iii) the Seller is in compliance with each of its covenants set
        forth herein;
 
          (b) The Termination Date shall not have occurred;
 
          (c) Each Receivable submitted by the Seller for purchase is an
     Eligible Receivable; and
 
          (d) The Seller shall have taken such other action, including delivery
     of approvals, opinions or documents to the Purchaser, as the Purchaser may
     reasonably request.
 
                                   ARTICLE IV
 
                  REPRESENTATIONS AND WARRANTIES OF THE SELLER
 
     SECTION 4.01. Representations and Warranties as to the Seller. The Seller
(in its capacities as Seller and Subservicer hereunder) represents and warrants
to the Purchaser and the Servicer, as of the date hereof and on each subsequent
Purchase Date, as follows:
 
          (a) The Seller is a corporation duly organized, validly existing and
     in good standing under the laws of its state of incorporation and is duly
     qualified to do business, and is in good standing in each jurisdiction in
     which the nature of its business requires it to be so qualified;
 
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<PAGE>
          (b) The Seller has the power and authority to own and convey all of
     its properties and assets and to execute and deliver, this Agreement and
     the Related Documents and to perform the transactions contemplated hereby
     and thereby;
 
          (c) The execution, delivery and performance by the Seller of this
     Agreement and the Related Documents, and the transactions contemplated
     thereby, (i) have been duly authorized by all necessary corporate or other
     action on the part of the Seller, (ii) do not contravene or cause the
     Seller to be in default under (A) the Seller's certificate or articles of
     incorporation or by-laws or code of regulations, (B) any contractual
     restriction contained in any indenture, loan or credit agreement, lease,
     mortgage, security agreement, bond, note, or other agreement or instrument
     binding on or affecting the Seller or its property or (C) any law, rule,
     regulation, order, writ, judgment, award, injunction, or decree applicable
     to, binding on or affecting the Seller or its property and (iii) do not
     result in or require the creation of any Adverse Claim upon or with respect
     to any of the property of the Seller (other than in favor of the Purchaser
     as contemplated hereunder);
 
          (d) This Agreement and the Related Documents have each been duly
     executed and delivered on behalf of the Seller;
 
          (e) No consent of, or other action by, and no notice to or filing
     with, any Governmental Authority or any other party, is required for the
     due execution, delivery and performance by the Seller of this Agreement or
     any of the Related Documents or for the perfection of or the exercise by
     the Purchaser or the Servicer of any of their rights or remedies
     thereunder;
 
          (f) Each of this Agreement and each other Related Document is (or will
     be if not executed and delivered as of the date hereof) the legal, valid
     and binding obligation of the Seller enforceable against the Seller in
     accordance with its respective terms;
 
          (g) Except as disclosed by the Seller on Schedule 8 hereto, there is
     no pending or threatened action, suit or proceeding, of a material nature
     against or affecting the Seller, its officers or directors, or the property
     of the Seller, in any court or tribunal, or before any arbitrator of any
     kind or before or by any Governmental Authority (i) asserting the
     invalidity of this Agreement or any of the Related Documents, (ii) seeking
     to prevent the sale and assignment of any Receivable or the consummation of
     any of the transactions contemplated thereby, (iii) seeking any
     determination or ruling that might materially and adversely affect (A) the
     performance by the Seller or the Subservicer of its obligations under this
     Agreement or any of the Related Documents (B) the validity or
     enforceability of this Agreement or any of the Related Documents, (C) the
     Receivables or the Contracts or (D) the federal income tax attributes of
     the Purchases, or (iv) asserting a claim for payment of money in excess of
     $100,000 (other than such judgments or orders in respect of which adequate
     insurance is maintained by the Seller for the payment thereof);
 
          (h) No injunction, writ, restraining order or other order of any
     material nature adverse to the Seller or the conduct of its business or
     which is inconsistent with the due consummation of the transactions
     contemplated by this Agreement has been issued by a Governmental Authority;
 
          (i) The Seller has complied in all material respects with all
     applicable laws, rules, regulations, and orders with respect to it, its
     business and properties and all Receivables and related Contracts
     (including without limitation, all applicable environmental, health and
     safety requirements) and all restrictions contained in any indenture, loan
     or credit agreement, mortgage, security agreement, bond, note, or other
     agreement or instrument binding on or affecting the Seller or its property,
     and has and maintains all permits, licenses, authorizations, registrations,
     approvals and consents of Governmental Authorities, and all certificates of
     need for the construction or expansion of or investment in health care
     facilities, all Health Facility Licenses, Accreditations, Medicaid
     Certifications and Medicare Certifications necessary for the activities and
     business of the Seller and each of its Subsidiaries as currently conducted
     and as proposed to be conducted, the ownership, use, operation and
     maintenance by each of them of its properties,
 
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     facilities and assets and the performance by the Seller of this Agreement
     and the related Documents (hereinafter referred to collectively as
     'Governmental Consents');
 
          (j) Without limiting the generality of the prior representation: (A)
     each Health Facility License, Medicaid Certification, Medicare
     Certification, Medicaid Provider Agreement, Medicare Provider Agreement and
     each of the Blue Cross/Blue Shield Contracts of the Seller and each of its
     Subsidiaries is in full force and effect and has not been amended or
     otherwise modified, rescinded or revoked or assigned, (B) the Seller and
     each Subsidiary is in compliance with the requirements of Medicaid,
     Medicare, CHAMPUS and related programs, and the Blue Cross/Blue Shield
     Contracts, and (C) no condition exists or event has occurred which, in
     itself or with the giving of notice or lapse of time or both, would result
     in the suspension, revocation, impairment, forfeiture, non-renewal of any
     Governmental Consent applicable to the Seller or any other health care
     facility owned or operated by the Seller or any of its Subsidiaries, or
     such facility's participation in any Medicaid, Medicare, CHAMPUS or other
     similar program, or of any Blue Cross/Blue Shield Contracts and there is no
     claim that any such Governmental Consent, participation or contract is not
     in full force and effect;
 
          (k) The Seller has filed on a timely basis all tax returns (federal,
     state, and local) required to be filed and has paid or made adequate
     provisions for the payment of all taxes, assessments, and other
     governmental charges due from the Seller;
 
          (l) The primary business of the Seller is the provision of health care
     services and/or equipment;
 
          (m) Except as set forth on Schedule 6, the Medicaid and Medicare cost
     reports of each facility and of the home office of each Seller have been
     examined and audited by (A) as to Medicaid, the state agency, or other
     HCFA-designated agents or agents of such state agency, charged with such
     responsibility or (B) as to Medicare, the Medicare intermediary or other
     HCFA-designated agents charged with such responsibility for the respective
     cost reporting periods set forth opposite each Seller's name;
 
          (n) All information heretofore or hereafter furnished by or on behalf
     of the Seller to the Servicer or the Purchaser in connection with this
     Agreement or any transaction contemplated hereby is and will be true and
     complete in all material respects and does not and will not omit to state a
     material fact necessary to make the statements contained therein not
     misleading;
 
          (o) With respect to the Seller or any of its Subsidiaries, there has
     occurred no event which has or is reasonably likely to have a material
     adverse effect on the Seller's financial condition, business or operations,
     including its ability to perform its obligations under this Agreement;
 
          (p) The Seller is solvent and will not become insolvent after giving
     effect to the transactions contemplated by this Agreement; the Seller has
     not incurred Debts beyond its ability to pay; the Seller, after giving
     effect to the transactions contemplated by this Agreement, will have an
     adequate amount of capital to conduct its business in the foreseeable
     future; and the sales of Purchased Receivables hereunder are made in good
     faith and without intent to hinder, delay or defraud present or future
     creditors of the Seller;
 
          (q) The Seller is licensed or otherwise has the lawful right to use
     all patents, trademarks, servicemarks, tradenames, copyrights, technology,
     know-how and processes used in or necessary for the conduct of its business
     as currently conducted which are material to its financial condition,
     business, operations, assets and prospects, individually or taken as a
     whole;
 
          (r) The consolidated balance sheet of Geriatric & Medical Companies,
     Inc. and its consolidated Subsidiaries as of February 28, 1994, and the
     related statements of income and shareholders' equity of Geriatric &
     Medical Companies, Inc. and its consolidated Subsidiaries for the nine
     month period then ended, prepared internally by Geriatric & Medical
     Companies, Inc., copies of which have been furnished to the Purchaser and
     Servicer, fairly present the consolidated financial condition, business and
     operations of Geriatric & Medical Companies, Inc. and its
 
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     consolidated Subsidiaries as at such date and the consolidated results of
     the operations of Geriatric & Medical Companies, Inc. and its consolidated
     Subsidiaries for the period ended on such date, all in accordance with
     generally accepted accounting principles consistently applied, and since
     February 28, 1994 there has been no material adverse change in any such
     condition, business or operations;
 
          (s) The Medicare Lockbox Account and the Commercial Lockbox Account
     are the only lockbox accounts maintained by the Seller;
 
          (t) The principal place of business and chief executive office of the
     Seller are located at the address of the Seller set forth under its
     signature below and there are now no, and during the past four months there
     have not been, any other locations where the Seller is located (as that
     term is used in the UCC) or keeps Records except as set forth in the
     designated space beneath its signature line in this Agreement;
 
          (u) The legal name of the Seller is as set forth at the beginning of
     this Agreement and except as set forth in the designated space beneath its
     signature line in this Agreement the Seller has not changed its name in the
     last six years, and during such period, the Seller did not use, nor does
     the Seller now use any tradenames, fictitious names, assumed names or
     'doing business as' names;
 
          (v) No transaction contemplated by this Agreement requires compliance
     with any bulk sales act or similar law;
 
          (w) Each pension plan or profit sharing plan to which the Seller is a
     party has been fully funded in accordance with the obligations of the
     Seller set forth in such plan;
 
          (x) Each Payor of an Eligible Receivable has been directed, and is
     required to, remit all payments with respect to such Receivable for deposit
     in the Commercial Lockbox Account (other than the Payors of Medicaid,
     Medicare and CHAMPUS Receivables which has been directed to remit all
     payments with respect to such Receivables for deposit in the Medicare
     Lockbox Account);
 
          (y) The Receivables of the Seller have been and will continue to be
     adjusted to reflect reimbursement policies of the Payors with respect
     thereto; in particular, the Gross Receivable Amounts of Receivables
     relating to such Payors do not and shall not exceed the Net Value with
     respect thereto which amounts the Seller is entitled to receive under any
     capitation arrangement, fee schedule, discount formula, cost-based
     reimbursement, or other adjustment or limitation to the usual charges of
     the Seller;
 
          (z) No Payor of an Eligible Receivable being sold on any Purchase Date
     has any claim of a material nature against or affecting the Seller or the
     property of the Seller;
 
          (aa) The Seller has not done and shall not do anything to impede or
     interfere with the collection by the Purchaser of the Purchased Receivables
     and shall not amend, waive or otherwise permit or agree to any deviation
     from the terms or conditions of any Purchased Receivable or any related
     Contract;
 
          (bb) The Seller has made and will continue to make all payments to
     Payors necessary to prevent any Payor from offsetting any earlier
     overpayment to the Seller against any amounts such Payor owes on a
     Purchased Receivable;
 
          (cc) Each Purchase Notice contains a complete and accurate list of all
     Eligible Receivables of the Seller as of its date;
 
          (dd) For federal income tax reporting and accounting purposes, the
     Seller will treat the sale of each Purchased Receivable pursuant to this
     Agreement as a sale of, or absolute assignment of its full right, title and
     ownership interest in, such Purchased Receivable to the Purchaser and the
     Seller has not in any other manner accounted for or treated the
     transactions in Purchased Receivables by the Seller contemplated hereby;
 
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          (ee) This Agreement and each Purchase Assignment constitute a valid
     transfer, assignment, set-over and conveyance to the Purchaser of all
     right, title and interest of the Seller in and to the Purchased Receivables
     now existing and hereafter created;
 
          (ff) The Seller has valid business reasons for selling its interests
     in the Purchased Receivables rather than obtaining a loan with the
     Purchased Receivables as collateral; and
 
          (gg) As of the date first above written, the Seller operates the
     facilities included on Schedule 3 hereto. The Seller is not doing business
     under any name other than those listed on Schedule 3 hereto. Further, one
     or more but no more than those names listed on Schedule 3 hereto are payees
     on the checks received from Eligible Payors under the respective provider
     numbers included on Schedule 2 hereto.
 
     SECTION 4.02. Representations and Warranties of the Seller as to Purchased
Receivables. With respect to each Purchased Receivable sold pursuant to this
Agreement (including, without limitation, claims which may be satisfied by
set-off of any amounts due under any Receivable) the Seller (in its capacities
as Seller and Subservicer hereunder) represents and warrants, as of the date
hereof and on each subsequent Purchase Date, as follows:
 
          (a) Such Receivable is an Eligible Receivable;
 
          (b) The Required Information contained in the Purchase Notice is true
     and correct;
 
          (c) Such Receivable is not a Defaulted Receivable and has not become a
     Paid Receivable;
 
          (d) The Seller has submitted all necessary documentation and supplied
     all necessary information for payment of such Receivable to the Payor and
     has fulfilled all its other obligations, in respect thereof, including
     verification of the eligibility of the Receivable for payment by such
     Payor;
 
          (e) Neither the Receivable nor the related Contract has been
     satisfied, subordinated or rescinded, or except as disclosed in writing to
     the Purchaser, amended in any manner;
 
          (f) The Net Value of such Receivable is net of contractual allowances
     or other modifications and neither the Receivable nor the related Contract
     has or will be compromised, adjusted, extended, satisfied, subordinated,
     rescinded, set-off or modified by the Seller, and is not nor will be
     subject to compromise, adjustment, extension, satisfaction, subordination,
     rescission, set-off, counterclaim, defense or modification, whether arising
     out of transactions concerning the Contract or otherwise which would reduce
     the Net Value of such Receivable;
 
          (g) Such Receivable is an account receivable created through the
     provision of medically necessary services or merchandise supplied by the
     Seller in the ordinary course of its business and the sales prices of such
     services or merchandise were usual, customary and reasonable in the
     Seller's community for such services;
 
          (h) Such Receivable is an 'account' within the meaning of the UCC and
     is not evidenced by an 'instrument' within the meaning of the UCC;
 
          (i) Such Receivable has a Net Value which, when added to the Net Value
     of all other Receivables in such Payor Class and which constitute Purchased
     Receivables hereunder, does not exceed the Concentration Limit;
 
          (j) Such Receivable has a Billing Date (A) no earlier than 120 days
     from its Purchase Date, and (B) with respect to all Purchases following the
     initial Purchase, no later than 30 days after the Discharge Date of the
     patient to whom the health care services giving rise to the Receivable were
     rendered;
 
          (k) Such Receivable is denominated and payable in Dollars in the
     United States;
 
          (l) The related Contract is, and was at the time of the services
     giving rise to the Receivable, in full force and effect and constitutes the
     legal, valid and binding obligation of the Payor
 
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<PAGE>
     enforceable against such Payor in accordance with its terms, such
     Receivable was created in accordance with the requirements of the Contract
     and applicable law, including, without limitation, to the extent the
     Receivable is subject to limitations imposed by workers' compensation law
     or a related Contract and is entitled to be paid pursuant to the terms of
     the related Contract, and a copy of any related Contract to which the
     Seller is a party has been delivered to the Purchaser, the amount of the
     Eligible Receivable does not exceed the limitations so imposed, and each
     Receivable to which the fees are so restricted has been clearly identified
     as being subject to such restrictions;
 
          (m) Such Receivable is the primary liability of the applicable Payor;
 
          (n) Such Receivable is owned by the Seller free and clear of any
     Adverse Claim, and the Seller has the right to sell, assign and transfer
     the same and interests therein as contemplated under this Agreement and,
     subject to Medicaid Regulations, upon such sale, the Purchaser has acquired
     a valid ownership interest in such Receivable, free and clear of any
     Adverse Claim;
 
          (o) No consent from the Payor or any other Person shall be required to
     effect the sale of any Purchased Receivables;
 
          (p) The Payor of such Receivable has not been the Payor of any
     Defaulted Receivables in the past 12 months (other than, for the purpose of
     this clause, for good faith disputes);
 
          (q) There are no procedures or investigations pending or threatened
     before any Governmental Authority (i) asserting the invalidity of such
     Receivable or such Contract, (ii) asserting the bankruptcy or insolvency of
     the related Payor, (iii) seeking the payment of such Receivable or payment
     and performance of such Contract or (iv) seeking any determination or
     ruling that might materially and adversely affect the validity or
     enforceability of such Receivable or such Contract;
 
          (r) Neither such Receivable nor the related Contract contravenes in
     any material respect any laws, rules or regulations applicable thereto
     (including, without limitation, laws, rules and regulations relating to
     usury, consumer protection, truth in lending, fair credit billing, fair
     credit reporting, equal credit opportunity, fair debt collection practices
     and privacy) and no party to such related Contract is in violation of any
     such law, rule or regulation in any material respect;
 
          (s) Such Receivable complies with such additional criteria and
     requirements (other than those relating to the collectibility of such
     Receivables) as the Purchaser may from time to time specify to the Seller
     following 30 days' notice;
 
          (t) The Gross Receivable Amount of such Receivable is not in excess of
     $100,000; and
 
          (u) The Seller has no knowledge of any fact which should have led it
     to expect at the time of sale of such Receivable to the Purchaser that the
     Net Value of such Receivable would not be paid in full.
 
The Seller hereby agrees that the benefits of such representations and
warranties of the Seller have been assigned to the Trustee for the benefit of
the holders of the Notes. The parties acknowledge that some of the foregoing
representations and warranties may have been made only to the best of the
Seller's knowledge. Nevertheless, notwithstanding the Seller's lack of knowledge
with respect to an inaccuracy of a representation and warranty, the parties
agree that any such inaccuracy shall be deemed a breach of the applicable
representation or warranty.
 
     SECTION 4.03. Repurchase Obligations. Upon discovery by any party hereto of
a breach of any representation or warranty in this Article IV which materially
and adversely affects the value of a Purchased Receivable or the interests of
the Purchaser therein, the party discovering such breach shall give prompt
written notice to the other parties hereto. Thereafter, upon notice from the
Purchaser, the Seller shall (a) cure such breach within 15 days of the date of
notice of such breach or (b) substitute one or more Eligible Receivables that
are less than 40 days past the Discharge Date and have an aggregate Net Value of
not less than that of each such Purchased Receivable. In the event the Seller
 
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does not take either of the actions specified in the foregoing sentence, no
later than 15 days succeeding the date of such notice, the Seller shall
repurchase such Receivable (each such Receivable, a 'Rejected Receivable') by
remitting to the Purchaser the Net Value of such Receivable. Such amount shall
be deemed to be Collections of such Rejected Receivable received and shall be
deposited in the Collection Account. Any such repurchase shall be made without
recourse to, or warranty, express or implied, of, the Purchaser or the Servicer.
The Purchaser and the Servicer shall execute and deliver an assignment
substantially in the form of Exhibit F hereto to vest ownership of such Rejected
Receivable in the entity effecting such repurchase. It is understood and agreed
that the obligation of the Seller to repurchase any Rejected Receivable pursuant
to this Section 4.03 shall constitute the sole remedy for the breach of any
representation or warranty in respect of such Receivable; provided, that the
foregoing limitation shall not be construed to limit in any manner the
Purchaser's right to (a) in the event the Seller fails to effect a repurchase as
set forth hereinabove offset against any amounts it owes the Seller under this
Agreement, the Net Value of such Rejected Receivable; or (b) declare the
Termination Date to have occurred or to terminate the responsibilities of the
Servicer hereunder to the extent that such breaches also constitute an Event of
Seller Default. Except as set forth in this Section 4.03, the Seller shall have
no right to repurchase any Purchased Receivable from the Purchaser.
 
                                   ARTICLE V
 
                        GENERAL COVENANTS OF THE SELLER
 
     SECTION 5.01. Affirmative Covenants of the Seller. The Seller shall, unless
the Purchaser shall otherwise consent in writing:
 
          (a) Comply in all material respects with all applicable laws, rules,
     regulations and orders with respect to it, its business and properties and
     all Receivables, related Contracts and Collections with respect thereto;
 
          (b) Preserve and maintain its corporate existence, rights, franchises
     and privileges in the jurisdiction of its incorporation;
 
          (c) Continue to operate its business in the manner set forth in
     Section 4.01(a);
 
          (d) Cause to be delivered to the Purchaser on or before September 30
     of each year commencing with September 30, 1994 (i) an Officer's
     Certificate of the Seller in the form of Exhibit D, dated the date of such
     delivery; and (ii) an opinion of counsel, in form and substance
     satisfactory to the Purchaser, reaffirming as of the date of its delivery
     of the opinion of counsel which the Seller delivered to the Purchaser and
     the Servicer on the Closing Date pursuant to Section 3.01(e);
 
          (e) Deposit all Collections received in respect of Medicaid, Medicare
     and CHAMPUS Receivables into the Medicare Lockbox Account within one
     Business Day of receipt; and
 
          (f) Make all payments to any Payors necessary to prevent the Payor
     from offsetting a prior overpayment to the Seller against any amount the
     Payor owes on a Purchased Receivable.
 
     SECTION 5.02. Reporting Requirements of the Seller. The Seller shall
furnish, or cause to be furnished, to the Purchaser:
 
          (a) As soon as available and in any event within 45 days after the end
     of each of the first three quarters of its fiscal year a consolidated
     balance sheet of Geriatric & Medical Companies, Inc. and its consolidated
     Subsidiaries as of the end of such quarter, for the period commencing at
     the end of the previous fiscal year and ending with the end of such
     quarter, certified by the chief financial officer or chief accounting
     officer of Geriatric & Medical Companies, Inc.; (b) As soon as available
     and in any event within 120 days after the end of its fiscal year, a copy
     of the consolidated financial statements of Geriatric & Medical Companies,
     Inc. and its consolidated Subsidiaries as of the end of such year and the
     related consolidated statements of income and retained earnings, and of
     cash flow, of Geriatric & Medical Companies, Inc. and its consolidated
 
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     Subsidiaries for such year, in each case reviewed by a nationally
     recognized firm of independent public accountants as is acceptable to the
     Purchaser and the Servicer;
 
          (c) Promptly after the sending or filing thereof, copies of all
     reports which the Seller files with any Governmental Authority as they
     relate to the Seller's Receivables or sends to any of its security holders
     and a copy of the annual report (if any) of the Seller;
 
          (d) As soon as possible and in any event within five days after the
     occurrence of an Event of Seller Default (including without limitation a
     material adverse change in the financial condition of the Seller as
     determined by the Servicer) or each event which, with the giving of notice
     or lapse of time or both, would constitute an Event of Seller Default, the
     statement of the chief executive officer of the Seller setting forth
     complete details of such Event of Seller Default and the action which the
     Seller has taken, is taking and proposes to take with respect thereto; and
 
          (e) Promptly, from time to time, such other information, documents,
     records or reports respecting the Receivables or the Contracts or the
     condition or operations, financial or otherwise, of the Seller, or the
     Seller or any of its Subsidiaries, if any, as the Purchaser may, from time
     to time, reasonably request.
 
     SECTION 5.03. Negative Covenants of the Seller. The Seller shall not,
without the written consent of the Purchaser and the Servicer:
 
          (a) Sell, assign (by operation of law or otherwise) or otherwise
     dispose of, or create or suffer to exist any Adverse Claim upon or with
     respect to, any Eligible Receivable or related Contract with respect
     thereto, or, upon or with respect to the Lockbox Account, the Seller Credit
     Reserve Account, the Seller Credit Liquidity Account, the Collection
     Account, or any other account in which any Collections of any Receivable
     are deposited, or assign any right to receive income in respect of any
     Purchased Receivable;
 
          (b) Extend, amend or otherwise modify the terms of any Purchased
     Receivable, or amend, modify or waive any term or condition of any Contract
     related thereto or in any manner impede or interfere with the collection by
     the Subservicer, Servicer, Special Servicer or Purchaser of such Purchased
     Receivable;
 
          (c) Make any material change in the character of its business;
 
          (d) Make any change in its instructions to Payors regarding payments
     to be made to the Seller or payments to be deposited to the Lockbox
     Account;
 
          (e) To the extent it has a material adverse effect on its business,
     merge with or into or consolidate with or into, or convey, transfer, lease
     or otherwise dispose of all or substantially all of its assets (whether now
     owned or hereafter acquired), or acquire all or substantially all of the
     assets or capital stock or other ownership interest of, any Person;
 
          (f) Make any change to (i) the location of its chief executive office
     or the location of the office where Records are kept or (ii) its corporate
     name or use any tradenames, fictitious names, assumed names or 'doing
     business as' names; or
 
          (g) Prepare any financial statements which shall account for the
     transactions contemplated hereby in any manner other than as a sale of the
     Purchased Receivables by the Seller to the Purchaser, and will not in any
     other respect account for or treat the transactions contemplated hereby
     (including but not limited to, for accounting, tax and reporting purposes)
     in any manner other than as a sale of the Purchased Receivables by the
     Seller to the Purchaser. It is understood and agreed that the obligation of
     the Seller to comply with the covenants set forth in this Section 5.03
     shall be subject to the Seller's obligation to comply with any order or
     directive of a Governmental Authority of competent jurisdiction and that
     compliance with such order or directive shall not constitute a breach of
     such covenant; provided, that the foregoing shall not be construed to limit
     in any manner the Purchaser's right to declare the Termination Date to have
     occurred to the extent that such noncompliance with such covenant (whether
     or not resulting from
 
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     such an order or directive) shall constitute, or contribute to the
     determination of, an Event of Seller Default.
 
                                   ARTICLE VI
 
                            ACCOUNTS ADMINISTRATION
 
     SECTION 6.01. Collection Account. The Purchaser and the Servicer
acknowledge that certain amounts deposited in the Collection Account may relate
to Receivables other than Purchased Receivables and that such amounts continue
to be owned by the Seller. All such amounts shall be returned to the Seller in
accordance with Section 6.03.
 
     SECTION 6.02. Determinations of the Servicer. On each Determination Date,
the Servicer will determine:
 
          (a) the Net Value of Purchased Receivables, as of the prior
     Determination Date, as to which payments were received since such
     Determination Date (the 'Net Value Amount');
 
          (b) the Net Value of Purchased Receivables which became Defaulted
     Receivables since the prior Determination Date (the 'Defaulted Amount');
 
          (c) the amount of payments on Purchased Receivables received since the
     prior Determination Date (the 'Paid Receivables Amount');
 
          (d) the Net Value of the Purchased Receivables referred to in (c)
     above as of the current Determination Date;
 
          (e) the sum of (i)(a) plus (b) above minus (ii) (c) plus (d) above
     (but not less than zero) (the 'Credit Deficiency'); and
 
          (f) the amount of payments on Defaulted Receivables received since the
     prior Determination Date (the 'Defaulted Receivables Payments').
 
     The Servicer's determinations of the foregoing amounts shall be conclusive
in the absence of manifest error. The Servicer shall notify the Seller and the
Purchaser of such determinations.
 
     SECTION 6.03. Distributions from Accounts. (a) No later than 11:00 a.m. on
each Determination Date, following the determinations set forth in Section 6.02,
the Servicer will notify the Trustee of such determinations and will cause the
Trustee to withdraw in the following priority:
 
          (i) (A) the Paid Receivables Amount from the Collection Account; and
     (B) the Credit Deficiency, if any, from the Seller Credit Reserve Account;
     and deposit such amounts in the Purchase Account;
 
          (ii) Investment Income from the Collection Account, the Seller Credit
     Reserve Account and the Seller Liquidity Reserve Account and deposit it in
     the Equity Account;
 
          (iii) the amount of Defaulted Receivables Payments from the Collection
     Account and deposit it in the Seller Credit Reserve Account; and
 
          (iv) the remaining amount from the Collection Account and pay such
     amount by check to the Seller.
 
          (b) Until the Termination Date on each Purchase Date following the
     Purchase on such date, the Servicer shall cause the Trustee to withdraw (i)
     all amounts deposited hereunder (net of withdrawals required hereunder)
     from the Seller Credit Reserve Account in excess of the Specified Credit
     Reserve Balance and (ii) all amounts deposited hereunder (net of
     withdrawals required hereunder) from the Seller Liquidity Reserve Account
     in excess of the Specified Liquidity Reserve Balance and shall pay such
     amounts by check to the Seller.
 
          (c) To the extent that, on any Determination Date, all amounts
     deposited hereunder (net of withdrawals hereunder) from the Seller Credit
     Reserve Account by the Seller are less than the
 
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     Credit Deficiency, the withdrawal contemplated by Section 6.03(a)(i) shall
     only be in amounts of such deposit and the balance of such withdrawal shall
     be made when next available; and the amount of any deficiency with respect
     thereto shall be deposited on the next Determination Date when an
     additional deposit is made in the Seller Credit Reserve Account in such
     amount by the Seller.
 
     SECTION 6.04. Allocation of Moneys following Termination Date.
 
          (a) Following the Termination Date, the Servicer shall cause the
     Trustee to the extent funds deposited hereunder (net of withdrawals
     required hereunder) are sufficient, to withdraw an amount equal to the
     Program Fee from the Seller Liquidity Reserve Account on each Purchase Date
     and deposit it in the Equity Account.
 
          (b) On the first Determination Date on which the aggregate Net Value
     of all Purchased Receivables (other than Defaulted Receivables) (i) is less
     than 10% of the aggregate Net Value of Purchased Receivables (other than
     Defaulted Receivables) on the Termination Date and (ii) is less than the
     aggregate amounts deposited hereunder (net of withdrawals required
     hereunder) and remaining in the Seller Credit Reserve Account and the
     Seller Liquidity Reserve Account, the Servicer shall cause the Trustee to
     withdraw an amount equal to such aggregate Net Value from such accounts and
     deposit it in the Purchase Account. Thereupon the Servicer shall cause the
     Trustee to disburse all remaining amounts held in the Collection Account,
     the Seller Credit Reserve Account and the Seller Liquidity Reserve Account
     to the Seller and all interests of the Purchaser in all Purchased
     Receivables owned by the Purchaser shall be reconveyed by the Purchaser to
     the Seller. Following such disbursement and reconveyance, this Agreement
     shall be deemed terminated.
 
     SECTION 6.05 Accounting. The Servicer shall make all determinations of
actual and required amounts in each of the accounts established pursuant to this
Agreement, maintain detailed accounting records of all deposits and withdrawals
for each such account, including the Seller and the Receivables with respect to
which such deposits and withdrawals were made and notify the Trustee as to such
determinations.
 
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                                  ARTICLE VII
                        APPOINTMENT OF THE SUBSERVICER,
                    SPECIAL SERVICER, AND SUCCESSOR SERVICER
 
        SECTION 7.01. Appointment of the Subservicer. The Servicer and the
Purchaser hereby appoint the Seller to act as Subservicer hereunder. The
Subservicer shall service the Purchased Receivables and enforce the Purchaser's
respective rights and interests in and under each Purchased Receivable and each
related Contract and shall serve in such capacity until the termination of its
responsibilities pursuant to Section 7.09, 7.11 or 8.01. The Subservicer hereby
agrees to perform the duties and obligations with respect thereto set forth
herein. The Purchaser hereby acknowledges and consents to the appointment of the
Subservicer, provided, that (a) the Subservicer shall remain liable for the
performance of the duties and obligations of the Subservicer and (b) the
appointment of the Subservicer pursuant to this Agreement shall be deemed to be
between the Servicer and the Subservicer alone and the Purchaser shall not be
deemed to be a party thereto and shall have no duties or obligations with
respect to the Subservicer. Notwithstanding any term or provision hereof to the
contrary, the Seller, the Subservicer and the Purchaser hereby acknowledge and
agree that the Servicer acts as agent hereunder for the Purchaser and has no
duties or obligations to, will incur no liabilities or obligations to, and does
not act as an agent in any capacity for, the Seller or the Subservicer.
 
        SECTION 7.02. Additional Subservicers. The Subservicer may, with the
prior consent of the Purchaser and the Servicer, which consent shall not be
unreasonably withheld, subcontract with a subservicer (each such servicer, an
'Additional Subservicer') for collection, servicing or administration of the
Receivables, provided, that (a) the Subservicer shall continue to perform its
obligations with respect to collections of Medicaid Receivables, Medicare
Receivables and CHAMPUS Receivables, (b) the Subservicer shall remain liable for
the performance of the duties and obligations of the Additional Subservicer
pursuant to the terms hereof and (c) any subservicing agreement that may be
entered into and any other transactions or services relating to the Purchased
Receivables involving an Additional Subservicer (each such agreement, an
'Additional Subservicing Agreement') shall be deemed to be between the
Additional Subservicer and the Subservicer alone and the Purchaser and Servicer
shall not be deemed parties thereto and shall have no obligations, duties or
liabilities with respect to the Additional Subservicer.
 
        SECTION 7.03. Duties and Responsibilities of the Subservicer.
 
     (a) The Subservicer shall conduct the servicing, administration and
collection of the Purchased Receivables and shall take, or cause to be taken,
all such actions as may be necessary or advisable to service, administer and
collect each Purchased Receivable, from time to time, all in accordance with (i)
customary and prudent servicing procedures for health care receivables of a
similar type, and (ii) all applicable laws, rules and regulations.
 
          (b) The duties of the Subservicer shall include, without limitation:
 
             (i) preparation and submission of claims to, and post-billing
        liaison with, Eligible Payors;
 
             (ii) arranging for the direct remittance of all Collections on
        Purchased Receivables to the Commercial Lockbox Account (other than
        Collections with respect to Medicaid Receivables, Medicare Receivables
        and CHAMPUS Receivables, in respect of which it shall arrange for the
        direct remittance of such Collections to the Lockbox Account);
 
             (iii) remitting any Collections with respect to Medicaid
        Receivables, Medicare Receivables and CHAMPUS Receivables it may receive
        directly for deposit in the Medicare Lockbox Account and remitting any
        Collections on other Purchased Receivables it may receive directly for
        deposit in the Commercial Lockbox Account, in each case no later than
 
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        by the end of the day of receipt or the following Business Day if the
        day of receipt is not a Business Day;
 
             (iv) maintaining all necessary Servicing Records with respect to
        the Purchased Receivables and promptly delivering such reports to the
        Purchaser or the Servicer in respect of the servicing of the Purchased
        Receivables (including information relating to its performance under
        this Agreement) as may be required hereunder or as the Purchaser or the
        Servicer may reasonably request;
 
             (v) maintaining and implementing administrative and operating
        procedures (including, without limitation, an ability to recreate
        Servicing Records evidencing the Purchased Receivables in the event of
        the destruction of the originals thereof) and keeping and maintaining
        all documents, books, records and other information reasonably necessary
        or advisable for the collection of the Purchased Receivables (including,
        without limitation, records adequate to permit the identification of
        each new Purchased Receivable and all Collections of and adjustments to
        each existing Purchased Receivable);
 
             (vi) identifying each Purchased Receivable clearly and
        unambiguously in its Servicing Records to reflect that such Purchased
        Receivable is owned by the Purchaser;
 
             (vii) complying in all material respects with all applicable laws,
        rules, regulations and orders with respect to it, its business and
        properties and all Purchased Receivables and related Contracts and
        Collections with respect thereto;
 
             (viii) preserving and maintaining its corporate existence, rights,
        franchises and privileges in the jurisdiction of its incorporation, and
        qualifying and remaining qualified in good standing as a foreign
        corporation and qualifying to and remaining authorized to perform
        obligations as Subservicer (including enforcement of collection of
        Purchased Receivables on behalf of the Purchaser) in each jurisdiction
        where the failure to preserve and maintain such existence, rights,
        franchises, privileges and qualification would materially adversely
        affect (A) the rights or interests of the Purchaser in the Purchased
        Receivables, (B) the collectibility of any Purchased Receivable or (C)
        the ability of the Subservicer to perform its obligations hereunder or
        under the Contracts;
 
             (ix) any time and from time to time at reasonable intervals upon
        notice to the Subservicer and during regular business hours, permitting
        the Purchaser, the Servicer or any of their agents or representatives,
        (A) to examine and make copies of and abstracts from all Servicing
        Records, and (B) to visit the offices and properties of the Subservicer
        for the purpose of examining such Servicing Records, and to discuss
        matters relating to the Receivables or the Subservicer's performance
        under this Agreement with any officer or employee of the Subservicer
        having knowledge of such matters;
 
             (x) at the request of the Servicer, maintaining at its own expense,
        a blanket fidelity bond with broad coverage, with responsible companies
        acceptable to the Servicer, on all officers, employees or other persons
        acting on behalf of the Subservicer in any capacity with regard to the
        Purchased Receivables, including those handling funds, money, documents
        and papers relating to the Purchased Receivables. Any such fidelity bond
        shall protect and insure the Subservicer (and through the Subservicer,
        the Servicer and the Purchaser) against losses commonly protected
        against by bonds of a similar type, including forgery, theft,
        embezzlement, fraud, and negligent acts of such persons and shall be
        maintained at a level acceptable to the Servicer. No provision of this
        Section requiring such fidelity bond shall diminish or relieve the
        Subservicer from its duties and obligations as set forth in this
        Agreement. Any amounts received under any such bond with respect to
        Purchased Receivables shall be deposited by the Subservicer in the
        Collection Account and treated in the same manner as Collections with
        respect to such Purchased Receivables. Upon request of the Purchaser or
        the Servicer, the Subservicer shall cause to be delivered to the
        Purchaser and the Servicer a certification evidencing coverage under
        such fidelity bond. Promptly upon
 
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        receipt of any notice from the surety or the insurer that such fidelity
        bond has been terminated or modified in a materially adverse manner, the
        Subservicer shall notify the Servicer of any such termination or
        modification;
 
             (xi) notifying the Purchaser and the Servicer of any action, suit,
        proceeding, dispute, offset, deduction, defense or counterclaim that is
        or may be asserted by a Payor with respect to any Purchased Receivable;
        and
 
             (xii) providing the Purchaser and the Servicer with a report on
        each Determination Date in the form of Exhibit G.
 
          (c) Notwithstanding anything herein to the contrary, all collection
     functions in respect of Medicaid Receivables, Medicare Receivables and
     CHAMPUS Receivables shall be performed in accordance with Medicaid
     Regulations, Medicare Regulations and CHAMPUS Regulations.
 
          (d) The Purchaser shall not have any obligation or liability with
     respect to any Purchased Receivables or related Contracts, nor shall it be
     obligated to perform any of the obligations of the Subservicer hereunder.
 
     SECTION 7.04. Authorization of the Servicer. The Seller hereby authorizes
the Servicer (including any successors thereto) to take any and all reasonable
steps in its name and on its behalf necessary or desirable and not inconsistent
with the sale of the Purchased Receivables to the Purchaser, in the
determination of the Servicer as the case may be, to collect all amounts due
under any and all Purchased Receivables and, to the extent permitted under and
in compliance with applicable law and regulations, to commence proceedings with
respect to enforcing payment of such Purchased Receivables and the related
Contracts, and adjusting, settling or compromising the account or payment
thereof, to the same extent as the Seller could have done if it had continued to
own such Receivable. The Seller shall furnish the Servicer (and any successors
thereto) with any powers of attorney and other documents necessary or
appropriate to enable the Servicer to carry out its servicing and administrative
duties hereunder, and shall cooperate with the Servicer to the fullest extent in
order to ensure the collectibility of the Purchased Receivables. Notwithstanding
anything to the contrary contained herein, the Servicer shall have the absolute
and unlimited right to direct the Subservicer to commence or settle any legal
action to enforce collection of any Purchased Receivable or to foreclose upon,
repossess or take any other action which the Servicer deems necessary or
advisable with respect thereto. In no event shall the Subservicer be entitled to
make the Purchaser, the Servicer or the Special Servicer a party to any
litigation without such party's express prior written consent.
 
     SECTION 7.05. Subservicing Fee; Subservicing Expenses. Upon termination of
this Agreement, the Subservicer shall be paid a Subservicing Fee by the Servicer
in the amount of 5.25% of the highest Net Value of Purchased Receivables on any
Purchase Date (including Receivables purchased on such Purchase Date) other than
Defaulted Receivables; provided that, if the Seller ceases to be Subservicer
hereunder prior to the Termination Date, the Subservicer shall be paid a pro
rata amount of such Subservicing Fee based on the number of complete months
elapsed from the Closing Date not to exceed 36 months. The Subservicer shall be
required to pay for all expenses incurred by the Subservicer in connection with
its activities hereunder (including any payments to accountants, counsel or any
other Person) and shall not be entitled to any payment or reimbursement
therefor.
 
     SECTION 7.06. Annual Statement as to Compliance. The Subservicer shall
deliver to the Purchaser and the Servicer on or before September 30 of each
year, beginning with September 30, 1994 an Officer's Certificate stating, as to
each signer thereof, that (a) a review of the activities of the Subservicer
during the preceding calendar year and of performance under this Agreement has
been made under such officer's supervision; (b) to the best of such officer's
knowledge, based on such review, the Subservicer has fulfilled all its
obligations as Subservicer under this Agreement throughout such year, or, if
there has been a default in the fulfillment of any such obligation, specifying
each such default known to such officer and the nature and status thereof.
 
     SECTION 7.07. Transfer of Servicing Between Subservicer and Special
Servicer.
 
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     (a) The Subservicer shall inform the Servicer promptly of any event or
condition that may constitute a Servicing Transfer Event. Upon determination
that a Servicing Transfer Event has occurred with respect to any Purchased
Receivable, the Servicer may and if Servicing Transfer Events with respect to
Purchased Receivables with a Net Value greater than 10% of all outstanding
Purchased Receivables have occurred, the Servicer shall, immediately give notice
to the Subservicer that servicing of all Purchased Receivables as to which a
Servicing Transfer Event has occurred will be transferred to the Special
Servicer. Thereupon, the Special Servicer shall assume the servicing
responsibilities of Subservicer in respect of such Purchased Receivables
pursuant to the Special Servicing Agreement. The Subservicer shall thereupon
provide the Special Servicer with all information, documents and records
(including original copies of documents), to the extent required by the Special
Servicer to perform its duties under the Special Servicing Agreement (including
such records stored electronically on computer tapes, magnetic discs and the
like as may be reasonably requested by the Special Servicer).
 
     (b) Notwithstanding the provisions of the preceding clause (a), the
Subservicer shall maintain ongoing payment records with respect to each
Purchased Receivable serviced by the Special Servicer.
 
     (c) The Subservicer shall pay all fees and costs of the Special Servicer in
connection with its duties hereunder. SECTION 7.08. Subservicer Not to Resign.
The Subservicer shall not resign from the obligations and duties hereby imposed
on it except upon determination that (a) the performance of its duties hereunder
has become impermissible under applicable law and (b) there is no reasonable
action which the Subservicer could take to make the performance of its duties
hereunder permissible under applicable law. Any such determination permitting
the resignation of the Subservicer shall be evidenced as to clause (a) above by
an opinion of counsel to such effect delivered to the Purchaser and the
Servicer. No such resignation shall become effective until the Special Servicer
shall have assumed the responsibilities and obligations of the Subservicer in
accordance with Section 7.09.
 
     SECTION 7.09. Appointment of the Successor Subservicer. In connection with
the termination of the Subservicer's responsibilities under this Agreement
pursuant to Section 8.01, the Servicer may, in its discretion, (a) succeed to
and assume all of the Subservicer's responsibilities, rights, duties and
obligations as Servicer (but not in any other capacity) under this Agreement
except with respect to Medicaid Receivables, Medicare Receivables and CHAMPUS
Receivables (and except that the Servicer makes no representations and
warranties pursuant to Section 7.05) or (b) require the Seller to continue to
act as Subservicer for all of its outstanding Purchased Receivables at the time
of the Event of Seller Default.
 
     SECTION 7.10. Authorization of the Special Servicer. Subject to the
provisions of Section 2.01 hereof, in the event that the Servicer has appointed
the Special Servicer as Subservicer with respect to specific Purchased
Receivables pursuant to Section 7.07, the Seller hereby authorizes the Special
Servicer (including any successors thereto) to take any and all reasonable steps
in its name and on its behalf necessary or desirable and not inconsistent with
the sale of such Purchased Receivables to the Purchaser, in the determination of
the Special Servicer as the case may be, to collect all amounts due with respect
to such Purchased Receivables, including, without limitation, endorsing any of
their names on checks and other instruments representing Collections, executing
and delivering any and all instruments of satisfaction or cancellation, or of
partial or full release or discharge, and all other comparable instruments, with
respect to such Purchased Receivables and, after the delinquency of such
Purchased Receivables and to the extent permitted under and in compliance with
applicable law and regulations, to commence proceedings with respect to
enforcing payment of such Purchased Receivables and the related Contracts, and
adjusting, settling or compromising the account or payment thereof, to the same
extent as the Seller could have done if it had continued to own such Receivable.
The Seller shall furnish the Special Servicer (and any successors thereto) with
any powers of attorney and other documents necessary or appropriate to enable
the Special Servicer to carry out its servicing and administrative duties
hereunder, and shall cooperate with the Special Servicer to the fullest extent
in order to ensure the collectibility of such Purchased Receivables.
 
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     SECTION 7.11. Duties of the Subservicer to the Successor Servicer. At any
time following the succession of the Servicer to the responsibilities of
Subservicer under Section 7.09(a):
 
          (a) The Subservicer agrees that it will terminate its activities as
     Subservicer hereunder, except its collection functions in respect of
     Medicaid, Medicare and CHAMPUS Receivables, in a manner acceptable to the
     Servicer so as to facilitate the transfer of servicing to the Servicer
     including, without limitation, timely delivery (i) to the Servicer of any
     funds that were required to be remitted to the Servicer for deposit in the
     Collection Account, and (ii) to the Servicer, at a place selected by the
     Servicer, of all information, documents and records (including original
     copies of documents), to the extent required by the Servicer to perform its
     duties under the Agreement (including such records stored electronically on
     computer tapes, magnetic discs and the like as may be reasonably requested
     by the Servicer). The Subservicer shall account for all funds and shall
     execute and deliver such instruments and do such other things as may
     reasonably be required to more fully and definitely vest and confirm in the
     Servicer all rights, powers, duties, responsibilities, obligations and
     liabilities of the Subservicer.
 
          (b) The Subservicer shall terminate each Additional Subservicing
     Agreement that may have been entered into and the Servicer shall not be
     deemed to have assumed any of the Subservicer's interest therein or to have
     replaced the Subservicer as a party to any such Additional Sub-Servicing
     Agreement.
 
          (c) Notwithstanding any termination of the Seller as Subservicer
     hereunder, the Seller agrees that it will continue to follow the procedures
     set forth in Section 7.03(b)(iii) with respect to Collections on Purchased
     Receivables.
 
     SECTION 7.12. Effect of Termination or Resignation. Any termination or
resignation of the Subservicer under this Agreement shall not affect any claims
that the Purchaser or the Servicer may have against the Subservicer for events
or actions taken or not taken by the Subservicer arising prior to any such
termination or resignation.
 
                                  ARTICLE VIII
 
                            EVENTS OF SELLER DEFAULT
 
     SECTION 8.01. Events of Seller Default. If any of the following events
(each, an 'Event of Seller Default') shall occur and be continuing:
 
          (a) The Seller (either as Seller or Subservicer) shall materially fail
     to perform or observe any term, covenant or agreement contained in this
     Agreement;
 
          (b) A default shall have occurred and be continuing under any
     instrument or agreement evidencing, securing or providing for the issuance
     of Debt of the Seller resulting in a demand or call (automatic or
     otherwise) for the satisfaction of such Debt;
 
          (c) The Seller shall generally not pay any of its respective Debts as
     such Debts become due, or shall admit in writing its inability to pay its
     Debts generally, or shall make a general assignment for the benefit of
     creditors; or any proceeding shall be instituted by or against the Seller
     seeking to adjudicate it a bankrupt or insolvent, or seeking liquidation,
     winding up, reorganization, arrangement, adjustment, protection, relief, or
     composition of it or any of its Debts under any law relating to bankruptcy,
     insolvency or reorganization or relief of debtors, or seeking the entry of
     an order for relief or the appointment of a receiver, trustee, custodian or
     other similar official for it or for any substantial part of its property,
     or any of the actions sought in such proceeding (including, without
     limitation, the entry of an order for relief against, or the appointment of
     a receiver, trustee, custodian or other similar official for, it or for any
     substantial part of its property) shall occur; or the Seller shall take any
     corporate action to authorize any of the actions set forth in this
     subsection;
 
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          (d) Judgments or orders for the payment of money (other than such
     judgments or orders in respect of which adequate insurance is maintained
     for the payment thereof) in excess of $100,000 in the aggregate against the
     Seller or any of its Affiliates shall remain unpaid, unstayed on appeal,
     undischarged, unbonded or undismissed for a period of 30 days or more;
 
          (e) There is a material breach of any of the representations and
     warranties of the Seller set forth in Sections 4.01 or 4.02 that has
     remained uncured for a period of 30 days;
 
          (f) Any Governmental Authority shall file notice of a lien with regard
     to any of the assets of the Seller or with regard to the Seller other than
     a lien that does not materially adversely affect the financial condition of
     the Seller or the Seller's ability to perform as Subservicer and that (1)
     is limited by its terms to assets other than Receivables or (2) remains
     undischarged for a period of 30 days;
 
          (g) As of the first day of any month, the aggregate Net Values of
     Purchased Receivables which became Defaulted Receivables (net of recoveries
     with respect thereto) or Rejected Receivables (other than those with
     respect to which a withdrawal has previously been made from the Seller
     Liquidity Reserve Account) during the prior three-month period shall exceed
     5% of the average aggregate Net Values of all Purchased Receivables then
     owned by the Purchaser (other than Defaulted Receivables) at the end of
     each of such three months;
 
          (h) The Servicer shall have reasonably determined that any event which
     materially adversely affects the collectibility of the Receivables has
     occurred, or that any other event which materially adversely affects the
     financial condition of the Seller, the ability of the Seller to collect
     Receivables in its capacity as Subservicer or the ability of the Seller
     (either as Seller or Subservicer) to perform hereunder has occurred;
 
          (i) A deterioration has taken place in the quality of servicing of
     Purchased Receivables or other Receivables serviced by the Seller (in its
     capacity as Subservicer) which the Servicer, in its sole discretion,
     determines to be material;
 
          (j) This Agreement shall for any reason cease to evidence the transfer
     to the Purchaser (or its assignees or transferees) of the legal and
     equitable title to, and ownership of, the Purchased Receivables;
 
          (k) The Lockbox Account Agreement shall have been amended or
     terminated without the written consent of the Purchaser and the Servicer;
 
          (l) The amount deposited hereunder (net of withdrawals required
     hereunder) in the Seller Credit Reserve Account has remained at less than
     the Specified Credit Reserve Balance for more than 30 days;
 
          (m) The amount deposited hereunder (net of withdrawals required
     hereunder) in the Seller Liquidity Reserve Account has remained at less
     than the Specified Liquidity Reserve Balance for more than 30 days; or
 
          (n) A Principal Amortization Event shall have been declared by the
     Trustee; then and in any such event, the Servicer shall, by notice to the
     Seller and the Purchaser declare that an Event of Seller Default shall have
     occurred and, the Termination Date shall forthwith occur, without demand,
     protest or further notice of any kind, all of which are hereby expressly
     waived by the Seller and the Purchaser shall make no further Purchases from
     the Seller. Upon any such declaration or automatic occurrence, the
     Purchaser and the Servicer shall have, in addition to all other rights and
     remedies under this Agreement, all other rights and remedies provided under
     the UCC and other applicable law, which rights shall be cumulative.
 
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                                   ARTICLE IX
                                INDEMNIFICATION
 
     SECTION 9.01. Indemnities by the Seller. (a) Without limiting any other
rights that the Purchaser, the Servicer, or any director, officer, employee or
agent of either such party (each an 'Indemnified Party') may have hereunder or
under applicable law, the Seller hereby agrees to indemnify each Indemnified
Party from and against any and all claims, losses, liabilities, obligations,
damages, penalties, actions, judgments, suits, and related costs and expenses of
any nature whatsoever, including reasonable attorneys' fees and disbursements
(all of the foregoing being collectively referred to as 'Indemnified Amounts')
which may be imposed on, incurred by or asserted against an Indemnified Party in
any way arising out of or relating to any breach of the Seller's obligations
(including its obligations as Subservicer) under this Agreement or the ownership
of the Purchased Receivables or in respect of any Receivable or any Contract,
excluding, however, (i) Indemnified Amounts to the extent resulting from gross
negligence or willful misconduct on the part of such Indemnified Party or (ii)
recourse for unpaid Purchased Receivables. Without limiting or being limited by
the foregoing, the Seller shall pay on demand to each Indemnified Party any and
all amounts necessary to indemnify such Indemnified Party from and against any
and all Indemnified Amounts relating to or resulting from:
 
          (A) reliance on any representation or warranty made or deemed made by
     the Seller (or any of its officers) under or in connection with this
     Agreement (except with respect to a Purchased Receivable, as to which the
     Purchaser's remedies are set forth in Section 4.03), any report or any
     other information delivered by the Seller pursuant hereto, which shall have
     been incorrect in any material respect when made or deemed made or
     delivered;
 
          (B) the failure by the Seller to comply with any term, provision or
     covenant contained in this Agreement, or any agreement executed by it in
     connection with this Agreement or with any applicable law, rule or
     regulation with respect to any Purchased Receivable, the related Contract,
     or the nonconformity of any Purchased Receivable or the related Contract
     with any such applicable law, rule or regulation; or
 
          (C) the failure to vest and maintain vested in the Purchaser, or to
     transfer to the Purchaser, legal and equitable title to and ownership of
     the Receivables which are, or are purported to be, Purchased Receivables,
     together with all Collections in respect thereof, free and clear of any
     Adverse Claim (except as permitted hereunder) whether existing at the time
     of the Purchase of such Receivable or at any time thereafter.
 
             (b) Any Indemnified Amounts subject to the indemnification
        provisions of this Section shall be paid to the Indemnified Party within
        five Business Days following demand therefor, together with interest at
        the lesser of 12% per annum or the highest rate permitted by law from
        the date of demand for such Indemnified Amount.
 
                                   ARTICLE X
                                 MISCELLANEOUS
 
     SECTION 10.01. Notices, Etc. All notices and other communications provided
for hereunder shall, unless otherwise stated herein, shall be in writing and
mailed or telecommunicated, or delivered as to each party hereto, at its address
set forth under its name on the signature pages hereof or at such other address
as shall be designated by such party in a written notice to the other parties
hereto. All such notices and communications shall not be effective until
received by the party to whom such notice or communication is addressed.
 
     SECTION 10.02. Remedies. No failure on the part of the Purchaser or the
Servicer to exercise, and no delay in exercising, any right hereunder or under
any Purchase Assignment shall operate as a waiver thereof; nor shall any single
or partial exercise of any right hereunder preclude any other or
 
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further exercise thereof or the exercise of any other right. The remedies herein
provided are cumulative and not exclusive of any remedies provided by law.
 
     SECTION 10.03. Binding Effect; Assignability. This Agreement shall be
binding upon and inure to the benefit of the Seller, the Subservicer, the
Purchaser, the Servicer and their respective successors and permitted assigns.
Neither the Seller nor the Subservicer may assign any of their rights and
obligations hereunder or any interest herein without the prior written consent
of the Purchaser and the Servicer. The Purchaser may, at any time, without the
consent of the Seller or the Subservicer, assign any of its rights and
obligations hereunder or interest herein to any Person. Any such assignee may
further assign at any time its rights and obligations hereunder or interests
herein without the consent of the Seller or the Subservicer. Without limiting
the generality of the foregoing, the Seller acknowledges that the Purchaser has
assigned its rights hereunder to the Trustee for the benefit of the holders of
the Notes. This Agreement shall create and constitute the continuing obligations
of the parties hereto in accordance with its terms, and shall remain in full
force and effect until its termination; provided, that the rights and remedies
with respect to any breach of any representation and warranty made by the Seller
or the Servicer pursuant to Article IV and the indemnification and payment
provisions of Article IX shall be continuing and shall survive any termination
of this Agreement.
 
     SECTION 10.04. Costs, Expenses and Taxes. (a) In addition to the rights of
indemnification under Article IX, the Seller agrees to pay upon demand, all
reasonable costs and expenses in connection with the adminstration (including
periodic auditing, modification and amendment) of this Agreement, and the other
documents to be delivered hereunder, including, without limitation: (i) the
reasonable fees and out-of-pocket expenses of counsel for the Purchaser or the
Servicer with respect to (A) advising the Purchaser as to its rights and
remedies under this Agreement or (B) the enforcement (whether through
negotiations, legal proceedings or otherwise) of this Agreement, the Purchase
Assignment or the other documents to be delivered hereunder; and (ii) any and
all stamp, sales, excise and other taxes and fees payable or determined to be
payable in connection with the execution, delivery, filing or recording of this
Agreement, each Purchase Assignment or the other agreements and documents to be
delivered hereunder, and agrees to indemnify and save each Indemnified Party
from and against any and all liabilities with respect to or resulting from any
delay in paying or omission to pay such taxes and fees.
 
     (b) If the Seller or the Subservicer fails to perform any agreement or
obligation contained herein, the Purchaser may, or may direct the Servicer to,
(but shall not be required to) itself perform, or cause performance of, such
agreement or obligation, and the expenses of the Purchaser or the Servicer
incurred in connection therewith shall be payable by the party which has failed
to so perform upon the Purchaser's or the Servicer's demand therefor.
 
     SECTION 10.05. No Proceedings. The Seller and the Subservicer each hereby
agree that it will not, directly or indirectly, institute, or cause to be
instituted, against the Purchaser any proceeding of the type referred to in
Section 8.01(c) so long as there shall not have elapsed one year plus one day
since the latest maturing Note has been paid in full in cash. SECTION 10.06.
Amendments; Waivers; Consents. No modification, amendment or waiver of, or with
respect to, any provision of this Agreement, and all other agreements,
instruments and documents delivered pursuant hereto or thereto, nor consent to
any departure by the Seller or the Subservicer from any of the terms or
conditions thereof, shall be effective unless it shall be in writing and signed
by each of the parties hereto. Any waiver or consent shall be effective only in
the specific instance and for the purpose for which given. No consent to or
demand on the Seller or the Subservicer in any case shall, in itself, entitle it
to any other consent or further notice or demand in similar or other
circumstances. This Agreement, the Related Documents and the documents referred
to therein embody the entire agreement among the Seller, the Subservicer, the
Purchaser and the Servicer, and supersede all prior agreements and
understandings relating to the subject hereof, whether written or oral.
 
     SECTION 10.07. GOVERNING LAW; CONSENT TO JURISDICTION; WAIVER OF JURY
TRIAL. (a) THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE
WITH, THE INTERNAL LAWS (AS OPPOSED TO CONFLICT OF LAWS
 
                                       88
<PAGE>
PROVISIONS) OF THE STATE OF OHIO, EXCEPT TO THE EXTENT THAT THE VALIDITY OR
PERFECTION OF THE INTERESTS OF THE PURCHASER IN THE PURCHASED RECEIVABLES OR
REMEDIES HEREUNDER OR THEREUNDER, IN RESPECT THEREOF, ARE GOVERNED BY THE LAWS
OF A JURISDICTION OTHER THAN THE STATE OF OHIO.
 
     (b) THE SELLER AND THE SUBSERVICER HEREBY SUBMIT TO THE NON-EXCLUSIVE
JURISDICTION OF THE COURTS OF THE STATE OF OHIO AND THE UNITED STATES DISTRICT
COURT LOCATED IN THE SOUTHERN DISTRICT OF OHIO, AND EACH WAIVES PERSONAL SERVICE
OF ANY AND ALL PROCESS UPON IT AND CONSENTS THAT ALL SUCH SERVICE OF PROCESS BE
MADE BY REGISTERED MAIL DIRECTED TO THE ADDRESS SET FORTH ON THE SIGNATURE PAGE
HEREOF AND SERVICE SO MADE SHALL BE DEEMED TO BE COMPLETED FIVE DAYS AFTER THE
SAME SHALL HAVE BEEN DEPOSITED IN THE U.S. MAILS, POSTAGE PREPAID. THE SELLER,
AND THE SUBSERVICER EACH HEREBY WAIVES ANY OBJECTION BASED ON FORUM NON
CONVENIENS, AND ANY OBJECTION TO VENUE OF ANY ACTION INSTITUTED HEREUNDER AND
CONSENTS TO THE GRANTING OF SUCH LEGAL OR EQUITABLE RELIEF AS IS DEEMED
APPROPRIATE BY THE COURT. NOTHING IN THIS SECTION SHALL AFFECT THE RIGHT OF THE
PURCHASER TO SERVE LEGAL PROCESS IN ANY OTHER MANNER PERMITTED BY LAW OR AFFECT
THE RIGHT OF THE PURCHASER TO BRING ANY ACTION OR PROCEEDING AGAINST THE SELLER
OR ITS PROPERTY, OR THE SUBSERVICER OR ITS PROPERTY IN THE COURTS OF ANY OTHER
JURISDICTION.
 
     (c) THE SELLER, AND THE SUBSERVICER EACH HEREBY WAIVES ANY RIGHT TO HAVE A
JURY PARTICIPATE IN RESOLVING ANY DISPUTE, WHETHER SOUNDING IN CONTRACT, TORT,
OR OTHERWISE ARISING OUT OF, CONNECTED WITH, RELATED TO, OR IN CONNECTION WITH
THIS PURCHASER AGREEMENT. INSTEAD, ANY DISPUTE RESOLVED IN COURT WILL BE
RESOLVED IN A BENCH TRIAL WITHOUT A JURY.
 
     SECTION 10.08. Execution in Counterparts; Severability. This Agreement may
be executed in any number of counterparts, each of which when so executed shall
be deemed to be an original and all of which when taken together shall
constitute one and the same agreement. In case any provision in or obligation
under this Agreement shall be invalid, illegal or unenforceable in any
jurisdiction, the validity, legality and enforceability of the remaining
provisions or obligations, or of such provision or obligation in any other
jurisdiction, shall not in any way be affected or impaired thereby.
 
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by
their respective officers thereunto duly authorized, as of the date first above
written.
 
                                BURLINGTON WOODS CONVALESCENT CENTER, INC., as
                                Seller and as Subservicer
                                By _____________________________________________
                                Name: James J. O'Malley
                                Title: Vice President
                                Address at which the chief executive office is
                                located: Address: 5601 Chestnut Street
                                Philadelphia, PA 19139
                                Attention: Arthur A. Carr, Jr.
                                Phone number: (215) 476-2250
                                Telecopier number: (215) 748-8118
                                Additional locations at which Records are
                                maintained:
                                ________________________________________________
                                ________________________________________________
                                ________________________________________________
 
                                       89
<PAGE>
                                Additional names under which, and locations at
                                which, Seller does business:
                                115 Sunset Road
                                Burlington, NJ 08016
                                CRESTVIEW CONVALESCENT HOME, INC., as Seller and
                                as Subservicer
                                By______________________________________________
                                Name: James J. O'Malley
                                Title: Vice President
 
                                Address at which the chief executive office is
                                located:
                                Address: 5601 Chestnut Street
                                Philadelphia, PA 19139
                                Attention: Arthur A. Carr, Jr.
                                Phone number: (215) 476-2250
                                Telecopier number:(215) 748-8118
 
                                Additional locations at which Records are
                                maintained:
                                ________________________________________________
                                ________________________________________________
                                ________________________________________________
 
                                Additional names under which, and locations at
                                which, Seller does business:
                                Crestview Wyncote Convalescent Center
                                Church Road
                                Wyncote, PA 19095
                                CRESTVIEW NORTH, INC., as Seller and as
                                Subservicer
                                By _____________________________________________
                                Name: James J. O'Malley
                                Title:Vice President
                                Address at which the chief executive office is
                                located:
                                Address: 5601 Chestnut Street
                                Philadelphia, PA 19139
                                Attention: Arthur A. Carr, Jr.
                                Phone number: (215) 476-2250
                                Telecopier number: (215) 748-8118
                                Additional locations at which Records are
                                maintained:
                                ________________________________________________
                                ________________________________________________
                                ________________________________________________
 
                                Additional names under which, and locations at
                                which, Seller does business:
                                Crestview North Nursing and Rehabilitation
                                Center
                                202 Toll Gate Road
                                Langhorne, PA 19047
                                GERIATRIC AND MEDICAL SERVICES, INC. (NJ), as
                                Seller and as Subservicer
                                By______________________________________________
 
                                       90
<PAGE>
                                Name: James J. O'Malley
                                Title: Vice President
                                Address at which the chief executive office is
                                located:
                                Address: 5601 Chestnut Street
                                Philadelphia, PA 19139
                                Attention: Arthur A. Carr, Jr.
                                Phone number: (215) 476-2250
                                Telecopier number:(215) 748-8118
                                Additional locations at which Records are
                                maintained:
                                ________________________________________________
                                ________________________________________________
                                ________________________________________________
 
                                Additional names under which, and locations at
                                which, Seller does business:
                                Cooper River East Convalescent Center
                                5101 North Park Drive
                                Pennsauken, NJ 08109
                                Cooper River West Convalescent Center
                                5101 North Park Drive
                                Pennsauken, NJ 08109
                                Care Center of Lopatcong
                                Red School Lane & Coventry Drive
                                Phillipsburg, NJ 08865
                                Care Center of Phillipsburg
                                843 Wilbur Avenue
                                Phillipsburg, NJ 08865
                                Lacey Nursing and Rehabilitation Center
                                916 Lacey Road
                                Forked River, NJ 08731
                                GERIATRIC AND MEDICAL SERVICES, INC. (PA), as
                                Seller and as Subservicer
                                By _____________________________________________
                                Name: James J. O'Malley
                                Title:Vice President
                                Address at which the chief executive office is
                                located:
                                Address: 5601 Chestnut Street
                                Philadelphia, PA 19139
                                Attention: Arthur A. Carr, Jr.
                                Phone number: (215) 476-2250
                                Telecopier number: (215) 748-8118
                                Additional locations at which Records are
                                maintained:
                                ________________________________________________
                                ________________________________________________
                                ________________________________________________
 
                                Additional names under which, and locations at
                                which, Seller does business:
 
                                       91
<PAGE>
                                Brandywine Hall Care Center
                                800 West Miner Street
                                West Chester, PA 19382
                                Fairview Care Center of Paper Mill Road
                                850 Paper Mill Road
                                Philadelphia, PA 19118
                                Mayo Nursing and Convalescent Center
                                650 Edison Avenue
                                Philadelphia, PA 19116
                                Silver Stream Nursing and Rehabilitation Center
                                905 Penllyn Pike
                                Spring House, PA 19477
                                Fairview Care Center of Bethlehem Pike
                                184 Bethlehem Pike
                                Philadelphia, PA 19118
                                Rittenhouse Care Center
                                1526 Lombard Street
                                Philadelphia, PA 19146
                                Hamilton Arms Nursing & Rehabilitation Center
                                336 West End Avenue
                                Lancaster, PA 17603
                                NPF III, INC.
                                By _____________________________________________
                                Name: Donald H. Ayers
                                Title: Chairman
                                Address: 6125 Memorial Drive
                                Dublin, OH 43017
                                Attention: Donald H. Ayers
                                Phone number: (614) 764-9944
                                Telecopier number: (614) 764-0602
                                NATIONAL PREMIER FINANCIAL SERVICES, INC.
                                By _____________________________________________
                                Name: Donald H. Ayers
                                Title: Vice President
                                Address: 6125 Memorial Drive
                                Dublin, OH 43017
                                Attention: Lance K. Poulsen
                                Phone number: (614) 764-9944
                                Telecopier number: (614) 764-0602
 
                                       92

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<S>                          <C>
<PERIOD-TYPE>                        YEAR <F3>
<FISCAL-YEAR-END>             MAY-31-1994
<PERIOD-START>                JUN-01-1993
<PERIOD-END>                  MAY-31-1994
<CASH>                            927,000 <F4>
<SECURITIES>                            0
<RECEIVABLES>                  47,213,000
<ALLOWANCES>                   11,628,000
<INVENTORY>                     4,204,000
<CURRENT-ASSETS>               45,903,000
<PP&E>                        140,012,000
<DEPRECIATION>                 53,688,000
<TOTAL-ASSETS>                162,724,000
<CURRENT-LIABILITIES>          28,906,000
<BONDS>                                 0
<COMMON>                        1,516,000
                   0
                             0
<OTHER-SE>                      9,029,000
<TOTAL-LIABILITY-AND-EQUITY>  162,724,000
<SALES>                       177,957,000
<TOTAL-REVENUES>              179,533,000
<CGS>                                   0
<TOTAL-COSTS>                 159,748,000
<OTHER-EXPENSES>                        0
<LOSS-PROVISION>               10,633,000
<INTEREST-EXPENSE>             10,889,000
<INCOME-PRETAX>                (1,737,000)
<INCOME-TAX>                     (299,000)
<INCOME-CONTINUING>            (1,438,000)
<DISCONTINUED>                          0
<EXTRAORDINARY>                         0
<CHANGES>                               0
<NET-INCOME>                   (1,438,000)
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