STAFF BUILDERS INC /DE/
10-K, 1998-05-28
HOME HEALTH CARE SERVICES
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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 FEBRUARY 28, 1998
                                                                 
                                 OR
[ ]  TRANSITION REPORT SUBJECT TO SECTION 13 OR 15(d) OF THE           
     SECURITIES EXCHANGE ACT OF 1934

         FOR THE TRANSITION PERIOD FROM              TO             .

                Commission File Number:  0-11380

                      STAFF BUILDERS, INC.
       (Exact name of Registrant as specified in its charter)

DELAWARE                                     11-2650500             
(State or other jurisdiction      (I.R.S. Employer Identification No.)
of incorporation or organization)                 

1983 Marcus Avenue, Lake Success, NY                11042  
(Address of principal executive offices)          (Zip Code)

Registrant's telephone number, including area code:  (516) 358-1000

Securities registered pursuant to Section 12(b) of the Act:  None
Securities registered pursuant to Section 12(g) of the Act:
                Class A Common Stock, $.01 par value
                Class B Common Stock, $.01 par value

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 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 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.   X 

The aggregate market value of the voting stock (Class A and Class B
Common Stock, assuming conversions of Class B Common Stock into Class A
Common Stock on a share for share basis) held by non-affiliates of the
registrant based on the closing price of such stock on May 21, 1998, was
$34,168,250.     

The number of shares of Class A Common Stock and Class B Common Stock
outstanding on May 21, 1998 was 22,189,358 and 1,053,607 shares,
respectively.
                                   DOCUMENTS INCORPORATED BY REFERENCE
The information required by Items 10,11,12 and 13 will be included in
the Company's definitive Proxy Statement for the Annual Meeting of
Stockholders, which will be filed pursuant to Regulation 14A within 120
days after the close of the fiscal year for which this report is filed,
and which information is incorporated herein by reference.
                                                         PART I

ITEM 1.             BUSINESS

General

                    Staff Builders, Inc. is a Delaware corporation which was
incorporated in New York in 1978 and reincorporated in Delaware in
May 1983.  Unless the context otherwise requires, all references to
the "Company" include the Company and its subsidiaries.

                    The Company is a leading national provider of home
health care and supplemental staffing services.  As of February 28,
1998, the Company had 244 offices at 228 locations in 36 states and
the District of Columbia, as well as master franchise licenses in
Japan, Spain and Indonesia.  Of these offices, 40 were owned and
operated by the Company and 204 were operated by 78 franchisees,
through which services were provided by approximately 42,000
caregivers. Franchisees include 64 home health care and 35
supplemental staffing franchisees, of which 21 operate a separate
home health care and supplemental staffing franchise. The Company's
locations include 41 locations which were added from 34
acquisitions made during the three years ended February 28, 1998. 


Reimbursement Reductions and Related Restructuring

                    In August 1997, Congress enacted and President Clinton
signed into law the Balanced Budget Act of 1997 ("BBA"), resulting
in significant changes to cost based reimbursement for Medicare
home health care providers.  Although the new legislation enacted
by Congress presently retains a cost based reimbursement system,
the cost limits have been reduced for fiscal years which began on
or after October 1, 1997 and a new per-beneficiary limit is
effective for fiscal years which began after such date.  The BBA
provides  two payment systems -- an interim payment system ("IPS")
which is effective for the Company beginning March 1, 1998 until
the adoption of the successor payment system which is a new
prospective payment system scheduled to be effective for fiscal
years beginning on or after October 1, 1999.  The effect of the
changes under IPS is to reduce the limits for the amount of costs
that are reimbursable to home health care providers under the
Medicare program.  

                    During the fourth quarter of the year ended February 28,
1998 (fiscal 1998), management moved proactively to prepare the
Company for the impact of IPS and for long-term growth.  As a
result, the Company implemented a corporate-wide restructuring and
cost reduction program.  These actions, together with the Company's
assessment of the impact of health care reform legislation,
resulted in a pre-tax non-recurring charge in the fourth quarter of
fiscal 1998 of $33.4 million.  This accounting charge included a
$24.5 million write-off of goodwill and intangible assets and $8.9
million of other restructuring costs.  The other restructuring
costs included $1.0 million for employee severance arrangements and
the closure, consolidation or reduction in the size of operating 
                                                           -2-
locations, $6.3 million for the write-down of certain home health
care related investments and receivables, $1.2 million of
litigation related costs and $0.4 million of other costs.  The
write-off of goodwill and intangible assets is required under the
Statement of Financial Accounting Standards ("SFAS") No. 121,
"Accounting for the Impairment of Long-Lived Assets and for Long-
Lived Assets to be Disposed of."

Home Health Care

                    Operations

                    The Company provides a wide range of home health care
services by its health care personnel.  Skilled nursing services
which include cardiac care, pulmonary management, wound management,
maternal health, behavioral health care, infusion therapy
administration, hospice support, and extensive patient and family
education are rendered by licensed personnel.  Additional
professional services include physical therapy, occupational
therapy, speech therapy and medical social services.  The Company
also provides para-professional home health aide services and other
unlicensed personnel services, assisting patients with activities
of daily living. 
                    
                    The Company's home health care services are provided
through 198 offices in 35 states, of which 35 are owned and
operated by the Company and 163 are operated by 64 franchisees. 
Approximately 87% of the Company's home health care service
revenues in fiscal 1998 were generated by franchisees.  Home health
care service revenues were $451.1 million, $436.6 million and
$378.4 million in fiscal 1998, 1997 and 1996, respectively. 
Clients' requests for home health care are typically received at a
local office and all skilled home health care services are provided
pursuant to the orders of the patient's physician.  Generally,
after a referral is received, the director of clinical services
will schedule a physical assessment in order to identify the
patient's care needs.  Home care services are rendered in
accordance with the plan of care as prescribed by a physician.  

                    During the intake process, the Company contacts third-
party payors to confirm the extent of Medicare eligibility or
insurance coverage.  The primary payment sources for home health
care are Medicare, Medicaid, insurance, individuals, and state and
local government health programs.  

                    In ten locations, the Company operates hospices in
accordance with the Federal Medicare program.  Hospice services
include a full range of medical and nursing services as well as
spiritual and emotional support, specialized pain management and
bereavement counseling with interdisciplinary support for patients
and their families, where patients are expected to live less than
six months.

                    The quality and reputation of the Company's personnel
and operations is critical to the Company's success.  The Company
maintains uniform quality assurance programs for its home health 
                                                           -3-
care operations, including its consumer hotline and service
evaluation system in which patients are asked by the Company to
rate the quality of care provided.  These programs are administered
at the national and local levels.  The Company's clinical staff
conduct periodic on-site reviews to determine compliance with all
regulations.
                                                            
                    In addition to the on-site reviews conducted by Company
personnel, the Company seeks to maintain and improve the quality of
its home health care operations by seeking accreditation from the
Joint Commission on Accreditation of Healthcare Organizations
("JCAHO").  Currently, the Company has approximately 150 offices
which have been accredited by JCAHO, approximately 50 of which were
accredited with commendation.

                    The Company has developed the Staff Builders Clinical
Outcomes and Resource Evaluation System ("SCORES"TM). SCORES is a
clinical management process that identifies and analyzes patient
potential for variances upon admission to home care, customizes a
transdisciplinary plan of care and quantifies clinical outcomes and
resource utilization.  SCORESTM is currently being used in 30
locations and the Company plans to significantly expand the number
of locations using SCORESTM during the current fiscal year.

                    The Company has developed a number of proprietary
disease-specific programs designed to be used in the home.  These
programs include the areas of asthma, cardiac care, diabetes,
hospice, maternity, behavioral health, rehabilitative services,
pain management and wound care.

                    The Company offers its services on a national and local
basis.  Each office seeks to retain strong local identification in
order to best respond to prevailing market conditions and cultivate
local referrals.  The Company provides support including brochures,
training seminars and materials to assist in developing patient
care programs as needed within each community.

                    Local efforts principally involve communicating with
hospital discharge planners, nursing management, physicians and
other individuals at hospitals, nursing homes and other health care
facilities to advise them of the array of services available from
the Company.

                    Due to changes in health care reimbursement, insurance
companies and health maintenance organizations have become more
involved in directing services for those to whom they provide
coverage.  The Company has sought to adapt to the increased role of
these organizations in patient referrals.   The Company provides
services to members of health maintenance organizations or policy
holders of insurance companies at negotiated rates.  The Company
believes that some of these organizations, as a result of their
strict guidelines, centralized administration and geographic
diversity, retain the Company because of its ability to
consistently offer quality services on a national basis.  Moreover,
the Company believes that its ability to offer patients a wide 

                                                           -4-
variety of home health care services will provide it with a
competitive edge in obtaining additional business from these
organizations.

                    The Company's information systems provide for the input
of information at the branch office (including payroll, billing and
other administrative functions) for its home health care operations
which connects directly to its corporate headquarters in Lake
Success, NY.  Generally, bills are rendered, payroll is processed
and collections are received at the corporate headquarters or at
lock-boxes. 

                    Home health care services, including hospice and
management consulting services provided to hospital-based home
health agencies, accounted for approximately 87%, 91% and 93% of
revenues for fiscal 1998, the year ended February 28, 1997 (fiscal
1997) and the year ended February 29, 1996 (fiscal 1996),
respectively.  

                    Reimbursement

                    Revenues generated from the Company's home health care
services are paid by insurance carriers, health maintenance
organizations, individuals, Medicare, Medicaid and other state and
local government health insurance programs.  During fiscal 1998,
approximately 15% of the Company's home health care revenues
represented reimbursement from insurance carriers, health
maintenance organizations and individuals; 60% came from Medicare;
and 23% came from Medicaid and other local government health
programs.  Medicare is a Federally funded program available to
persons with certain disabilities and persons of age 65 or older. 
Medicaid, a program jointly funded by Federal and state
governments, and other local government health care programs is
designed to pay for certain health care and medical services
provided to low income individuals without regard to age.

                    The Company has 123 locations which are certified to
provide home health care services to Medicare patients.  Medicare
reimburses the Company for covered items and services at the lower
of the Company's cost, as determined by Medicare regulations, or
cost limits established by the Federal government. The Company
submits all Medicare claims to a single insurance company acting as
a fiscal intermediary which processes claims on behalf of the
Federal government.  As of February 28, 1998, the Company has 70
offices which participate in Medicare's periodic interim payments
("PIP") program.  Under PIP, the Company receives regular bi-weekly
payments based on past Medicare activity of participating offices,
which are adjusted quarterly  for actual levels of activity. As
presently amended by the BBA, the PIP program will terminate for
home health care providers effective for fiscal years beginning on
or after October 1, 1999.  Offices which are not participating in
the PIP program receive payment for services upon submission of
individual claims.  

                    The Company is also reimbursed for covered items by
Medicaid.  The Company has approximately 130 home health care 
                                                           -5-
offices in 30 states which are approved to provide services to
Medicaid recipients.  Medicaid reimbursement procedures vary from
state to state.

                    Government Regulation

                    The Company's home health care business is subject to
extensive and frequently changing regulation by Federal, state and
local authorities.  Such regulation imposes a significant
compliance burden on the Company, including state licensing and
Certificate of Need ("CON") requirements and Federal and state
eligibility standards for certification as a Medicare and Medicaid
provider.  The imposition of more stringent regulatory requirements
or the denial or revocation of any license or permit necessary for
the Company to operate in a particular market could have a material
adverse effect on the Company's operations. In addition, the
Company will be required to comply with the licensing and/or CON
requirements and applicable regulations in the jurisdictions in
which it plans to provide services, except for the states of
Colorado, Massachusetts, Michigan and Ohio which have neither CON
nor licensure requirements.

                    The Federal government and all states in which the
Company currently operates regulate various aspects of the
Company's business.  Home health agency certification by the Health
Care Financing Administration ("HCFA") is required to receive
reimbursement for services from Medicare.  The Company has 164
offices in 32 states and the District of Columbia which provide
services covered by Medicare.  HCFA requires, as conditions of
participation as a home health agency in the Medicare program,
among other things, the satisfaction of certain standards with
respect to:  personnel, services and supervision; the preparation
of annual budgets and capital expenditure plans; and the
establishment of a professional advisory group that includes at
least one physician, one registered nurse and other representatives
from related disciplines or consumer groups.

                    Certain states require a provider of home health care
services to obtain a license before rendering services.  Some
states, including many of the states in which the Company presently
operates, maintain CON legislation requiring an office to file an
application that must be approved by the appropriate state
authority before certain health care services can be provided in an
area.  Approval is dependent upon, among other things, good
character and competence, financial capability and a demonstration
that the need exists for such services.  In states having a CON
requirement, HCFA will grant Medicare certification to an office,
thereby permitting the office to provide services covered by
Medicare, only if the office has obtained a CON.

                    New York State requires the approval by the Public
Health Council of the New York State Department of Health ("NYPHC")
of any change in the "controlling person" of an operator of a
licensed health care services agency (an "LHCSA").  Control of an 


                                                           -6-
entity is presumed to exist if any person owns, controls or holds
the power to vote 10% or more of the voting securities of such
entity.  A person seeking approval as a controlling person of an
operator of a LHCSA must file an application for NYPHC approval
within 30 days of becoming a controlling person, and pending a
decision by the NYPHC, such person may not exercise control over
the LHCSA.  The Company has 15 offices in New York State which are
LHCSAs.  Such offices accounted for approximately 12% of the
Company's revenues in fiscal 1998.  If any person should become the
owner or holder, or acquire control, of the right to vote 10% or
more of the Common Stock of the Company, such person could not
exercise control of the Company's LHCSAs until such ownership,
control or holding has been approved by the NYPHC.

                    The Company's home health care revenues generated from
Medicare, Medicaid and other local government programs were $376
million, $361 million and $315 million in fiscal 1998, 1997 and
1996, respectively.

ATC Supplemental Staffing

                    The Company's supplemental staffing operations provide
clients with registered nurses, licensed practical nurses, medical
technicians and other personnel. Health care institutions use
supplemental staffing to cover for peak periods, vacations,
emergencies and permanent positions for which they have openings. 

                    The majority of the Company's supplemental staffing
services are provided through ATC Healthcare Services, Inc.
("ATC"), a wholly-owned subsidiary, with 46 offices in 19 states of
which five are owned and operated by the Company and 41 are
operated by 35 franchisees. The ATC supplemental staffing service
revenues were $67.3 million, $42.4 million and $30.5 million in
fiscal 1998, 1997 and 1996, respectively.  Fiscal 1998 and 1997 ATC
revenues included $17.5 million and $8.5 million, respectively,
resulting from the acquisition in September 1996 of a provider in
the metropolitan New York area.  Additionally, fiscal 1998 ATC
revenues included $4.5 million resulting from the acquisition in
September 1997 of Nursing Management Services (USA), Inc. ("NMS"),
an affiliate of an U.K. based company.  NMS provides nursing
professionals for long-term assignments away from the
professional's permanent domicile, often referred to as "travel
nurses."

                    Local offices are generally familiar with the
operations, procedures and policies of the institutions in their
service areas and use this knowledge in providing the training and
orientation to their personnel.  Accordingly, the supplemental
staffing personnel provided are able to assume responsibility
quickly and work effectively with permanent staff members.

                    The ATC division operates its own information systems
network (including payroll, billing and other administrative
functions) for its operations which connects its field offices with
its corporate headquarters in Atlanta, GA.  Generally, bills are 

                                                           -7-
rendered, payroll is processed and collections are received at the
Atlanta headquarters or at its own designated lock-boxes.  ATC
requires limited resources from the Company's Lake Success, NY
corporate headquarters.

                    ATC Supplemental staffing operations accounted for
approximately 13%, 9% and 7% of total Company service revenues in
fiscal 1998, 1997 and 1996, respectively.  

Franchise Program

                    The Company utilizes an unique form of franchising
whereby it licenses independent companies or contractors to
represent the Company within a designated territory using the
Company's trade names and service marks.  The Company owns all
necessary health care related permits and licenses and, where
required, CON's for operation of franchise offices.  All direct
service employees are employed by the Company.  These franchisees
(licensees) recruit direct service personnel, solicit orders and
assign Company personnel including registered nurses, therapists
and home health aides to service the Company's clients.  The
Company pays and distributes the payroll for the direct service
personnel, administers all payroll withholdings and payments, bills
the customers and receives and processes the accounts receivable. 
The franchisees are responsible for providing an office and paying
related expenses for administration including rent, utilities and
costs for administrative personnel.  All revenues and related
direct costs are included in the Company's consolidated service
revenues and operating costs.

                    The initial franchise term granted by the Company is
generally ten years.  A franchisee has the option to extend for an
additional five-year term, subject to the franchisee adhering to
the operating procedures and quality control standards established
by the Company.  The initial franchise fee is currently $29,500 for
home health care and $19,500 for the ATC supplemental staffing
operations.  When converting independently owned agencies into
franchises, the Company negotiates the terms of the conversion on
a transaction-by-transaction basis depending on the size of the
agency, the nature of the agency's business and the location of the
agency.

                    The Company pays a distribution or commission to its
domestic U.S. franchisees based upon a defined formula of gross
profit generated. Generally, the Company pays the franchisee 60% of
the gross profit attributable to the non-Medicare operations of the
franchise.  The payment to the Company's franchisees related to
Medicare operations is adjusted for cost limitations and
reimbursement of allowable Medicare costs.  For fiscal 1998, 1997
and 1996, total franchisee distributions of approximately
$93million, $89 million and $75 million, respectively, were
included in the Company's general and administrative expenses.

                    The Company is subject to Federal and certain state laws
that govern the offer and sale of franchises.  The Company is also 

                                                           -8-
subject to a number of state laws that regulate certain substantive
aspects of the franchisor-franchisee relationship.  If the Company
fails to comply with the franchise laws, rules and regulations of
a particular state relating to offers and sales of franchises, the
Company will be unable to engage in offering or selling franchises
in or from such state.  To offer and sell franchises, the Company
is required by the Federal Trade Commission to furnish to
prospective franchisees a current franchise offering disclosure
document.  The Company has used a Uniform Franchise Offering
Circular ("UFOC") to satisfy this disclosure obligation.  In
addition, in certain states the Company is required to register or
file its UFOC with such states and to provide prescribed
disclosures.  As of February 28, 1998, the Company was permitted to
offer home health care franchises in 39 states and ATC supplemental
staffing franchises in 45 states.

                    The Company is required to update its UFOC annually or
upon  the occurrence of certain material events.  The occurrence of
any such material events may from time to time require the Company
to stop offering and selling franchises until the document is so
updated.  

                    The Company has implemented its franchise program to
permit it to quickly penetrate new markets and realize economies of
scale.  The program also enables the Company to maintain stable
local management by reducing personnel turnover.

                    The Company has an international franchise program using
the Staff Builders name and service marks.  In October 1997, the
Company signed a Master License Agreement with Japan Welfare
Service Corporation ("JWS"), a home health care company based in
Tokyo, Japan.  Under this agreement, the Company granted rights to
develop home health care agencies throughout Japan using Staff
Builders' home health expertise and franchise model.  The Company
has received $1.2 million in a master license fee of which $502,000
was included in the Company's fiscal 1998 sales of franchises and
fees, net.  The Company will receive royalty payments based upon
JWS' service revenues during the 20 year term of this agreement. 
Additionally, the Company has separate master franchise licenses in
Spain and Indonesia.

                    Of the Company's 244 field offices, 204 were operated by
78 franchisees pursuant to the terms of a franchise agreement with
the Company. The locations operated by franchisees contributed
approximately $446 million, $398 million and $334 million, or
approximately 86%, 83% and 82% of the Company's service revenues in
fiscal 1998, 1997 and 1996, respectively.

Recruiting and Training

                    The Company and its franchisees recruit home health care
and supplemental staffing personnel principally through referrals
from other personnel, newspaper advertisements and direct mail
solicitations to nursing, paramedical and other recruiting sources.
A large percentage of these personnel are employed only when 

                                                           -9-
needed, and are paid for the actual number of hours worked or
visits made.  

                    The Company has standardized procedures for recruiting,
interviewing, testing and reference checking prospective personnel. 
All nurses and therapists must be licensed by the appropriate
licensing authorities.  Substantially all unlicensed health care
personnel must be certified either through a state-approved
certification program or must have had previous experience in
providing direct patient care in a hospital, nursing home or in the
home.  After selection, applicants receive instruction in the
Company's procedures and policies.  Subsequently, they are included
on a list of personnel eligible for placement.  The Company has an
in-service training program for its home health personnel which
satisfies the requirements for certification required by certain
states.

                    In addition to health care and supplemental staffing
personnel recruited and trained by the Company, the Company
contracts with third parties to meet its personnel requirements. 
These contracted personnel must meet the same qualifications
required of Company personnel.

Insurance

                    The Company's employees make decisions which can have
significant medical consequences to the patients in their care.  As
a result, the Company is exposed to substantial liability in the
event of negligence or wrongful acts of its personnel.  The Company
maintains medical professional and general liability insurance
providing for coverage in a maximum amount of $26 million per
claim, subject to a limitation of $26 million for all claims in any
single year.  In addition, franchisees are required to maintain
general liability insurance providing for coverage of at least $1
million.  

Competition

                    Although there are national home health care and
supplemental staffing companies, the industry is highly fragmented
and competitors are often localized in particular geographical
markets.  In general, there has been a trend toward consolidation
in the health care industry which is expected to continue,
especially in light of the Federal Medicare program's reductions in
cost limits and establishment of per beneficiary limits.  The
Company expects that it will continue to compete with the national
organizations as well as local providers including home health care
providers owned or otherwise controlled by hospitals.  Some of the
entities with which the Company competes have substantially greater
resources.  In addition, the Company's operations depend, to a
significant degree, on its ability to recruit qualified health care
and supplemental staffing personnel and the Company faces
competition from other companies in recruiting.  Generally, there
is a shortage of qualified health care personnel and, as a result,
the Company, from time to time, has experienced difficulties in
obtaining personnel to meet demands for services.  
                                                          -10-
                    The Company believes that prompt service, price, quality
and range of services offered are the principal competitive factors
which enable it to compete effectively.  The Company believes that
its rate structure is competitive with others in the industry. 
During fiscal 1998, no single client or group contract accounted
for ten percent or more of the consolidated revenues.  

Service Marks

                    The Company believes that its service marks, Staff
Builders, Staffline, the stick figure logo, Tender Loving Care
and the ATC logo have significant value and are important to the
marketing of its services.  These names and marks are registered as
service marks with the United States Patent and Trademark Office. 
The registration of the Staff Builders  service mark will remain
in effect through February 14, 1999, with respect to home care and
hospital staff relief, and through June 28, 2006 with respect to
temporary personnel for business and industry.  The registration of
the Staffline service mark will remain in effect through August 1,
1999.  The registration of the stick figure logo service mark will
remain in effect through August 16, 1998.  The registration of the
Tender Loving Care service mark will remain in effect through
January 8, 2005.  The ATC and design service mark will remain in
effect through January 9, 2000.  Each of these marks is renewable
for additional ten-year periods, provided the Company continues to
use them in the ordinary course of business.  The Company also owns
other federally registered marks for names used in connection with
its business.
                                                            
Personnel and Employees

                    The Company has approximately 42,000 individuals who
render home health care and medical staffing services and, at
February 28, 1998, the Company employed approximately 2,850 full-
time administrative and management personnel. 

                    The Company screens caregivers to ensure that they meet
all licensing requirements and the Company's eligibility standards. 
This screening process includes skills testing, reference checking,
professional license verification, personal interviews and a
physical examination.  In addition, new employees receive an
orientation on the Company's policies and procedures prior to their
initial assignment.  The Company is not a party to any collective
bargaining agreement and considers its relationship with its
employees to be satisfactory.
                                                            
                    Approximately 2,450 of the Company's administrative
employees were located at the Company's branch offices, 380 were
located at its corporate headquarters in Lake Success, NY, and 24
were located at its medical staffing division headquarters in
Atlanta, Georgia. The decrease of approximately 400 administrative
personnel to 2,850 at February 28, 1998 from 3,250 at February 28, 
1997 is primarily due to the Company's preparatory steps taken in
the fourth quarter of fiscal 1998 related to IPS as well as the
closing of approximately 30 locations during fiscal 1998.


                                                          -11-
ITEM 2.             PROPERTIES

                    The Company's corporate headquarters consists of
approximately 64,000 square feet of leased office space and 5,000
square feet of storage space in Lake Success, New York.  The lease
for the corporate headquarters expires on September 30, 2003 and
provides for current annual rent of approximately $1.4 million,
which increases annually by three percent.

                    The Company maintains its supplemental staffing division
headquarters in Atlanta, Georgia.  The lease for approximately
9,500 square feet of office space expires on May 31, 2000 and
provides for a current annual rent of approximately $126,000. 
Approximately 6,000 square feet of the office space is sublet to a
subtenant unaffiliated with the Company at an annual rental of
approximately $70,000 with annual increases of 4.5 percent.

                    The Company believes that its headquarters office space
is sufficient for its immediate needs and that it will be able to
obtain additional space as needed in the future.

                    The Company leases substantially all of its branch
office locations from landlords unaffiliated with the Company or
any of its executive officers or directors.  Most of these leases
are for a specified term, although several of them are month-to-
month leases.  As of February 28, 1998, there were 228 offices
including 40 operated by the Company and 188 operated by 78
franchisees; 8 of these franchise offices sublease the office space
from the Company and the remaining franchise offices are owned by
franchisees or are leased by the franchisee from third-party
landlords.  The Company believes that it will be able to renew or
find adequate replacement offices for all leases which are
scheduled to expire in the next twelve months at comparable costs.

ITEM 3.             LEGAL PROCEEDINGS

                    On September 20, 1995, the United States Attorney for
the Eastern District of Pennsylvania alleged that (i) between 1987
and 1989, a corporation, substantially all assets and liabilities
of which were acquired by a subsidiary of the Company in 1993,
submitted false claims to Medicare totaling approximately $1.5
million and (ii) officers and employees of that corporation
submitted false statements in support of such claims, and made a
pre-complaint civil settlement demand of approximately $4.5
million.  The alleged false claims and false statements were made
before the Company acquired that corporation in 1993.  There have
been significant discussions with the office of the United States
Attorney which the Company believes are likely to lead to an
arbitration within specified parameters.  

                    The Company is a defendant in several civil actions
which are routine and incidental to its business.  The Company
purchases insurance in such amounts which management believes to be
reasonable and prudent.

                    Although the Company cannot estimate the ultimate cost
of its open legal matters with precision, it has an accrued loss 

                                                          -12-

contingency at February 28, 1998 for the aggregate, estimated
amount to settle such matters.  This accrual, totalling 
approximately $1.2 million, was included in the Company's non-
recurring charge recorded in the fourth quarter of fiscal 1998
under restructuring costs. In the opinion of management, the
outcome of pending litigation will not have a material adverse
effect on the Company's consolidated financial condition, liquidity
or results of operations. 

ITEM 4.             SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

                    No matters were submitted to a vote of security holders
during the fourth quarter of fiscal 1998.

                                                         PART II

ITEM 5.           MARKET FOR REGISTRANT'S COMMON STOCK
                  AND RELATED STOCKHOLDER MATTERS

(A)               Market Information

                  The Company has outstanding two classes of common equity
securities: Class A Common Stock and Class B Common Stock.  These
two classes were created by a recapitalization of the Company's
Common Stock that was completed in October 1995.  The Company's
Class A Common Stock is traded in the over-the-counter market and
listed on the Nasdaq National Market under the symbol "SBLI" as was
its common stock prior to the recapitalization.  
   
                                          High          Low  
Fiscal Year Ended February 28, 1997
1st quarter ended May 31, 1996           $ 3.94       $ 2.50
2nd quarter ended August 31, 1996          4.50         2.88
3rd quarter ended November 30, 1996        3.63         2.25
4th quarter ended February 28, 1997        3.13         2.19

Fiscal Year Ended February 28, 1998
1st quarter ended May 31, 1997           $ 2.94       $ 1.81
2nd quarter ended August 31, 1997          2.84         1.94
3rd quarter ended November 30, 1997        2.81         2.16 
4th quarter ended February 28, 1998        2.75         1.53

                  There is no established public trading market for the
Company's Class B Common Stock, which has ten votes per share and
upon transfer is convertible automatically into one share of Class
A Common Stock, which has one vote per share.
                                                            
(B)               Holders

                  As of May 21, 1998, there were approximately 280 holders
of record of Class A Common Stock (including brokerage firms
holding stock in "street name" and other nominees) and 465 holders
of record of Class B Common Stock.


                                                          -13-




(C)               Dividends

                  Since its organization, the Company has not paid any
dividends on its shares of common stock.  Management anticipates
that for the foreseeable future all earnings will be retained for
use in its business and, accordingly, it does not intend to pay
cash dividends.  The Company's current revolving credit facility
prohibits the payment of cash dividends on the common stock.      












































                                                        -14-    <PAGE>
<TABLE>
ITEM 6.

SELECTED FINANCIAL DATA (in thousands, except per share data)

<CAPTION>
                                                                         Years Ended                       
                                                   February    February    February    February    February
                                                   28, 1998    28, 1997    29, 1996    28, 1995    28, 1994
<S>                                                <C>         <C>         <C>         <C>         <C>     
CONSOLIDATED OPERATIONS DATA: 
Revenues                                           $519,704    $480,355    $410,160    $325,111    $246,082 
Costs and expenses:
  Operating costs                                   332,739     301,508     256,719     201,365     152,824
  General and administrative expenses               176,783     170,290     146,382     113,893      86,082
  Amortization of intangible assets                   2,807       2,623       1,823       1,237         884 
  Interest expense                                    3,600       1,601         948       1,237       2,189 
  Interest income                                    (1,358)       (896)       (976)       (796)       (605)
  Other (income) expense, net                          (818)     (1,487)      1,791         (22)         36
  Restructuring costs                                33,447         -           -           -           -  
    Total costs and expenses                        547,200     473,639     406,687     316,914     241,410 
Income (loss)                                          
  before income taxes                               (27,496)      6,716       3,473       8,197       4,672 
Provision (benefit) for income taxes                 (5,864)      2,955       1,459       3,462       1,308 
Net income (loss)                                  $(21,632)   $  3,761    $  2,014    $  4,735    $  3,364 

Income (loss) applicable to 
  common stockholders                              $(21,632)   $  3,761    $  2,014    $  4,735    $  3,954

Income (loss) per common share:   
  Basic                                            $   (.90)   $    .16    $    .09    $    .21    $    .24
  Diluted                                          $   (.90)   $    .15    $    .08    $    .20    $    .23

Cash dividends per common share                    $    -      $    -      $    -      $    -      $    -  

Weighted average common shares
  outstanding:
  Basic                                              23,939      23,668      23,598      22,389      16,412
  Diluted                                            23,939      24,577      25,504      24,053      17,504

CONSOLIDATED BALANCE SHEET DATA:                       

Total assets                                       $150,401    $156,172    $120,527    $103,486    $ 87,310

Working capital                                      14,312      27,245      12,007      22,038      26,855

Current portion of long-term debt                     8,596       5,071       1,655       1,208         827

Long-term debt and other liabilities                 40,293      37,998       9,611       9,186      14,021

Total liabilities                                   112,032      96,706      65,217      51,135      48,035

Stockholders' equity                                 38,369      59,466      55,310      52,351      40,976



SUPPLEMENTAL DISCLOSURE:
The following information is provided to disclose net income and income per common share 
before restructuring costs:

Net income before
  restructuring costs                              $  3,274    $  3,761    $  2,014    $  4,735    $  3,364

Income per common
  share before restructuring costs                 $    .14    $    .16    $    .09    $    .21    $    .24
<FN>
<F1>



Certain prior period amounts have been reclassified to conform with the fiscal 1998 presentation.
</FN>
</TABLE>
                                                                   -15-

<PAGE>
ITEM 7.            MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL           
                   CONDITION AND RESULTS OF OPERATIONS


         The following discussion and analysis provides information
which the Company's management believes is relevant to an
assessment and understanding of the Company's results of operations
and financial condition.  This discussion should be read in
conjunction with the consolidated financial statements and notes
thereto appearing elsewhere herein.  


Results of Operations

Years Ended February 28, 1998 ("Fiscal 1998"), February 28, 1997
("Fiscal 1997") and February 29, 1996 ("Fiscal 1996")


                   Revenues.  Total revenues increased by $39.3 million or
8.2% to $519.7 million in fiscal 1998 from $480.4 million in fiscal
1997.  The increase included $24.9 million in revenues generated by
the Company's ATC supplemental staffing division to $67.3 million
in fiscal 1998 from $42.4 million in fiscal 1997.  The increase in
ATC revenues included $9.0 million resulting from the September
1996 acquisition of a provider in the metropolitan New York area
which generated revenues of $17.5 million and $8.5 million in
fiscal 1998 and fiscal 1997, respectively.  Additionally, the
increase in ATC revenues included $4.5 million resulting from the
September 1997 acquisition of a provider of nursing services
whereby nursing professionals render services in long-term
assignments, away from the professional's permanent domicile, often
referred to as "travel nurses."  The Company's health care revenues
increased by $14.5 million or 3.3% to $451.1 million in fiscal 1998
from $436.6 million in fiscal 1997.  This increase included $28.4
million primarily due to acquisitions made during fiscal 1997 which
are included in the full fiscal 1998 period offset by a decrease in
revenues of $13.9 million resulting from the closing or sale of
approximately 30 locations during fiscal 1998. Included in the
Company's fiscal 1998 revenues under sales of franchises and fees,
net, is $502 thousand for license fees earned in connection with a
master license agreement with a home health care company based in
Tokyo, Japan.  Under the agreement, the Company granted rights to
develop home health care agencies throughout Japan using Staff
Builders' home health expertise and franchise model.

         Total revenues increased by $70.2 million or 17.1% to $480.4
million in fiscal 1997 from $410.2 million in fiscal 1996.  This
increase included $24.6 million of revenues from acquisitions made
in fiscal 1997.  Additionally, revenues from acquisitions made in
fiscal 1996 which are included in the full fiscal 1997 period and
continued expansion of the Company's franchise program to new
locations resulted in increased revenues of $19.0 million in fiscal
1997.  Locations which were included for the entire two fiscal
periods generated increased revenues of $26.6 million, or 7%, in
fiscal 1997 over fiscal 1996. 

                                                          -16-
         The increase in Medicare and Medicaid revenues during the
three years ended February 28, 1998 results from the Company's
continued response to increasing market demand for patient care due
to demographic trends and the progressive movement of care from
institutions to patients' homes.  In order to be certified by the
Health Care Finance Administration as a home health agency which
may participate in the Medicare program, among other things, a
location must satisfy certain operational standards with respect to
the number and qualifications of personnel, service levels and
related supervision as well as meet certain financial standards
with respect to the preparation of annual budgets and capital
expenditure plans.  

         The Company's service revenues consist of the following:
                                         ($ in millions)
                                           Years Ended          
                                  February   February   February
                                  28, 1998   28, 1997   29, 1996 

Home health care and other          $451       $437       $379
 
ATC supplemental staffing             67         42         30
Total service revenues              $518       $479       $409


         The Company receives payment for its home health care 
services from several sources.  The following are the Company's
home health care service revenues by payment source:

                                           Years Ended         
                                 February   February   February
                                 28, 1998   28, 1997   29, 1996 

Medicare                           60.1%      61.0%      62.3%
Medicaid and other local 
 government programs               23.1       21.7       21.0
Insurance and individuals          15.1       15.4       14.5
Other                               1.7        1.9        2.2
Total                             100.0%     100.0%     100.0%

         The change in revenue mix reflects the majority of the
Company's revenue increase from its ATC supplemental staffing
division in fiscal 1998, while the growth of its home health care
operations was slower than in prior years.  The reduced rate of
growth in home health care primarily resulted from the effect of
more restrictive payments made for home health care by insurance
carriers and managed care organizations.

         The service revenues attributable to franchise offices
increased to 86% in fiscal 1998 from 83% in fiscal 1997 and from
82% in fiscal 1996. The increase in revenues attributable to
franchise offices was due to the increase in the number of
locations operated by franchisees from 126 locations operated by 70
franchisees as of March 1, 1995 to 188 locations operated by 78 

                                                          -17-

franchisees as of February 28, 1998.  The Company has expanded its 
operations in additional markets primarily through the recruitment
of new franchisees. These increases include the growth of the
Company's supplemental staffing franchises from 26 offices of which
seven were franchises at March 1, 1995 to 46 offices of which 42
were franchises at February 28, 1998.

                   Operating Costs.  Operating costs were 64.2%, 62.9% and
62.8% of service revenues in fiscal 1998, 1997 and 1996,
respectively. Operating costs represent the direct costs of
providing services to patients or clients, including wages, payroll
taxes, travel costs, insurance costs, medical supplies and the cost
of contracted services.  The increase in operating costs as a
percentage of service revenues has increased primarily due to the
increase in ATC supplemental staffing revenues which have higher
direct operating costs as a percentage of service revenues as
compared to home health care revenues. 

                   The payroll fringe costs, consisting primarily of payroll
taxes and workers compensation insurance, represents 16.0%, 15.9%
and 14.6% of direct service wages in fiscal 1998, 1997 and 1996,
respectively.  

                   The cost of contracted services represents 6.6%, 6.5% and
8.1% of service revenues in fiscal 1998, 1997 and 1996,
respectively.    

                   The revenues, operating costs and resultant gross margins
generated by the Company's franchise and Company-owned locations
are as follows:
                                             ($ in millions)
                                               Years Ended        
                                      February  February  February
                                      28, 1998  28, 1997  29, 1996

Total revenues - Franchise              $446      $398      $334
Total revenues - Company-Owned            74        82        76
Total revenues                          $520      $480      $410

Operating costs - Franchise             $285      $248      $207
Operating costs - Company-Owned           48        54        50
Operating costs                         $333      $302      $257

Gross margin - Franchise                $161      $150      $127
Gross margin - Company-Owned              26        28        26
Gross margin                            $187      $178      $153

                   The gross margin percentages generated by Company-owned
locations are lower than those for franchise locations primarily as
a result of a proportionately higher volume of home health care
services which have lower gross margin percentages.

                                                          -18-
<PAGE>
                   General and Administrative Expenses.  General and
administrative expenses increased by $6.5 million or 3.8% in fiscal
1998 to $176.8 million as compared to $170.3 million in fiscal 1997
and increased by $23.9 million or 16.3% in fiscal 1997 as compared
to $146.4 million in fiscal 1996.  

                   These costs expressed as a percentage of service revenues
were  34.1%, 35.5% and 35.8% in fiscal 1998, 1997 and 1996,
respectively.  The increase in general and administrative expenses
in fiscal 1998 was primarily due to the increase in ATC
supplemental staffing expenses of approximately $3.7 million and an
increase in corporate and regional home health care expenses of
approximately $2.4 million.  The increase in the ATC supplemental
staffing expenses is due to the expansion of that division.  The
increase in ATC general and administrative expenses include
approximately $900 thousand resulting from the September 1996
acquisition of a provider in the metropolitan New York area and
approximately $500 thousand resulting from the September 1997
acquisition of a provider of travel nurse services.  The increase
in corporate and regional expenses of $2.4 million, or 6.2% over
the prior year, is due to increased support for expansion of the
Company's home health care services, primarily resulting from
acquisitions made in fiscal 1997 which were included in the full
fiscal 1998 period.  

                   The increase in general and administrative expenses in
fiscal 1997 was due to approximately $13.2 million resulting from
expansion of the Company's franchise program for the amounts
distributed to new franchisees which were added in fiscal 1997 and
the addition of new franchise locations during fiscal 1996 which
were included in the entire fiscal 1997 period.  Additionally, an
increase of approximately $3.4 million resulted from locations
operated by the Company and acquired in fiscal 1997 and locations
added during fiscal 1996 which were included in the entire fiscal
1997 period.  Further, approximately $4.3 million was incurred in
fiscal 1997 to expand the capabilities of the Company's information
systems and to develop specialized programs to augment the
Company's home health care operations.  

                   Amortization of Intangible Assets.  Amortization of
intangible assets was approximately $2.8 million in fiscal 1998 as
compared to $2.6 million in fiscal 1997 and $1.8 million in fiscal
1996.  The increases are primarily due to acquisitions made in
those periods.

                   Interest Expense.  Interest expense was approximately
$3.6 million in fiscal 1998 as compared to $1.6 million in fiscal
1997 and $900 thousand in fiscal 1996.  The increase in interest
expense in fiscal 1998 over fiscal 1997 was primarily due to an
increase in the level of borrowings under the Company's revolving
line of credit and under its acquisition line.  On October 30,
1997, the Company borrowed $12.6 million under the acquisition line


                                                          -19-<PAGE>
to purchase an additional 60.9% of the outstanding common stock of
Chelsea Computer Consultants, Inc. ("Chelsea"), a provider of
information technology services to clients in the financial
services, communications, manufacturing and other industries. 
Together with the 20.9% of the common stock of Chelsea purchased
for $2.1 million in September 1996, the Company owns 81.8% of the
outstanding common stock of Chelsea.  

          The increase in interest expense in fiscal 1997 over fiscal
1996 was primarily due to an increase in the level of borrowings
under the Company's revolving line of credit and increases in the
amount of capital leases and other interest bearing debt.

                   Interest Income.  Interest income includes interest on
franchise notes receivable of $481 thousand, $527 thousand and $788
thousand in fiscal 1998, 1997 and 1996, respectively.  Interest
earned on franchise notes receivable is generally at the prime rate
plus three percent. Additionally, the Company earned interest from
funds on deposit for workers compensation premiums of $564 thousand
and $243 thousand in fiscal 1998 and 1997, respectively.

                   Other (Income) Expense, Net.  Other (income) expense, net
in fiscal 1998 includes income from the Company's investment in
Chelsea of $326 thousand and gain on the sale of several offices of
$313 thousand.  Fiscal 1997 income includes approximately $1.2
million resulting from the sale of a Company division.  Fiscal 1996
expense included approximately $1.6 million to provide for the
costs to close two divisions, $358 thousand in costs associated
with the Company's recapitalization and $165 thousand for
settlement of litigation.     

                   Restructuring Costs. In the fourth quarter of fiscal
1998, the Company recorded a pre-tax non-recurring charge of $33.4
million.  This accounting charge included a $24.5 million write-off
of goodwill and intangible assets and $8.9 million of other
restructuring costs.  See Note 2 to the consolidated financial
statements, "Reimbursement Reductions and Related Restructuring."

                   Provision (Benefit) for Income Taxes.  The provision
(benefit) for income taxes reflects an effective rate of 21%, 44%
and 42% in fiscal 1998, 1997 and 1996, respectively. The (benefit)
for income taxes in fiscal 1998 results from the non-recurring
charge for restructuring costs.  Excluding the effect of this
charge, the effective rate was 45% in fiscal 1998. 
                                                            
                   Net Income (Loss).  Net (loss) for fiscal 1998 was
$(21.6) million, or $(.90) per share, compared to net income in
fiscal 1997 of $3.76 million, or $.16 per share, and net income of
$2.01 million, or $.09 per share, in fiscal 1996. Before the non-
recurring charge for restructuring costs, the net income in fiscal
1998 was $3.27 million, or $.14 per share.                        
                                                            


                                                          -20-


Liquidity and Capital Resources

                   The Company has a secured credit facility which consists 
of a revolving line of credit, an acquisition line of credit and a
standby letter of credit facility, under which it can borrow up to
an aggregate amount of $50 million.  The secured credit facility
expires on July 31, 2000.  The Company is permitted to borrow up to
75% of eligible receivables up to the maximum amount of the credit
facility less amounts outstanding under the acquisition line of
credit and any outstanding letters of credit.  Eligible receivables
are defined principally as trade accounts receivable which have
been outstanding for less than 120 days.  Long-term and short-term
liquidity will be enhanced to the extent that the accounts
receivable on which the Company is not permitted to borrow are
reduced and by shortening the amount of time that its accounts
receivable are outstanding.  As of February 28, 1998, the
acquisition line of credit provided for borrowings up to $15 
million without collateral to finance acquisitions, provided that
the sum of all borrowings do not exceed $50 million. 

          Subsequent to February 28, 1998, an amendment was made to the
credit facility which increased the maximum available amount of the
acquisition line of credit from $15 millon to $25 million and
expanded the purpose to include stock repurchases in amounts up to
$10 million.  From March 6 to May 21, 1998, the Company purchased
and retired a total of 897,400 shares of its common stock at a cost
of $1.85 million.  No repurchases were made in fiscal 1998.  During
fiscal 1997 and 1996, the Company purchased and retired a total of
541,000 shares of its common stock at a cost of $1.4 million.  

          At February 28, 1998, the Company had $17.6 million
outstanding under the revolving line of credit and $11.8 million
outstanding under the acquisition line of credit.  The acquisition
line of credit is being repaid in 48 monthly installments of $263
thousand which began on December 1, 1997.  The average daily
balance outstanding under the revolving line of credit was
approximately $19.1 million, $6.3 million, and $1.4 million in
fiscal 1998, 1997 and 1996, respectively.  The increase in average
daily borrowings in fiscal 1998 over fiscal 1997 was primarily due
to the increase in the average amount of accounts receivable
outstanding during fiscal 1998 over the prior year. 

                   At February 28, 1998 and 1997, the amounts available for
borrowing under the credit facility were $18.6 million and $31.4
million, respectively. The decrease in availability is due to the
$11.8 million outstanding under the acquisition line of credit at
February 28, 1998.  No amounts were outstanding under the
acquisition line of credit as of February 28, 1997 or for any time
prior thereto.
                                                            
                   Trade accounts receivable at the end of fiscal 1998,
1997, and 1996 were outstanding for an average of approximately 58,
57 and 48 days, respectively.  As of February 28, 1998, the Company
has 70 offices which participate in Medicare's periodic interim 


                                                          -21-
payments ("PIP") program.  Under PIP, the Company receives regular
bi-weekly payments based on past Medicare activity of participating
offices, which are adjusted quarterly for actual volume.  As
presently amended by the Balanced Budget Act of 1997, the PIP
program will terminate for home health care providers effective for
fiscal years beginning on or after October 1, 1999.
                                                            
                   The Company funds the operating costs for all Company
owned and franchise locations as well as all regional and corporate
general and administrative expenses.  Operating costs primarily
consist of direct service salaries paid on a weekly cycle.  Each
franchisee funds its own general and administrative expenses. The
Company pays a distribution or commission to its franchisees, based
upon a percentage of gross profit generated by the franchise,
within 25 to 45 days after each month-end.  Some of the
administrative personnel for franchise locations are obtained
contractually from the Company for which the related cost is
deducted from monthly distributions or commissions paid.

                   The Company has several agreements under which it leases
computer and other capital equipment through September 2002.  The
net carrying value of the assets under these leases was
approximately $7.1 million at February 28, 1998 and 1997.

                   At February 28, 1998, the Company's debt obligations due
within the next twelve months were approximately $8.6 million.

                   There are various proposals under development to enact
health care reform on a national, state and local level.  It is not
possible currently to predict the cash flow impact, if any, which
any such changes may have on the Company.
                                                            
                   The Company expects that its existing working capital,
cash from operations and its credit facilities will be sufficient
to meet its needs for at least the next twelve months.  

Impact of Year 2000 Computer Issue

                   The year 2000 issue is the result of computer programs
which were written using two digits rather than four to define the
applicable year.  The Company is currently taking steps to adapt
its computer systems to accommodate the year 2000 issue.  The
Company is utilizing both internal and external resources to
reprogram or replace its computer software for year 2000
modifications.  The Company anticipates that modifications to
existing software and investments being made in new software will
provide compliance with the requirements to handle the year 2000
issue with no significant operational concerns.  However, there is
no guarantee that the Company's expected results will be achieved
and actual results could differ materially from those expected
results.  Specific factors that might cause such material
differences include, but are not limited to, the availability and
cost of personnel trained in this area.  System maintenance and
modification costs to existing software will be expensed as
incurred. The costs associated with externally developed computer
software that is year 2000 compliant will be capitalized and
amortized over the software's estimated useful life.  The costs to
modify and replace existing software cannot be reasonably
determined at this time.

                                                          -22-
Effect of Inflation

                   The rate of inflation was immaterial during the 1998
fiscal year.  In the past, the effects of inflation on salaries and
operating expenses have been offset by the Company's ability to
increase its charges for services rendered.  The Company 
anticipates that it will be able to continue to do so in the
future, subject to applicable restrictions with respect to services
provided to clients eligible for Medicare and Medicaid
reimbursement.  The Company continually reviews its costs in
relation to the pricing of its services.
 
Recently Issued Accounting Standards 

          In June 1997, the Financial Accounting Standards Board
("FASB") issued Statement of Financial Accounting Standards No.
130, "Reporting Comprehensive Income" ("SFAS No. 130"), which
requires that changes in comprehensive income be shown in financial
statement that is displayed with the same prominence as other
financial statements.  SFAS No. 130 becomes effective for fiscal
years beginning after December 15, 1997.  Management has not yet
evaluated the effects of this change on the Company's financial
statement disclosures.  

          In June 1997, the FASB issued Statement of Financial
Accounting Standards No. 131, "Disclosures About Segments of an
Enterprise and Related Information" ("SFAS No. 131"), which
establishes standards for reporting information about operating
segments.  It also establishes standards for disclosures regarding
products and services, geographic areas and major customers.  SFAS
No. 131 becomes effective for fiscal years beginning after December
15, 1997.  Management has not yet evaluated the effect of this
change on the Company's financial statement disclosures.

          In April 1998, the FASB adopted Statement of Position No. 128,
"Reporting on the Costs of Start-Up Activities" ("SOP No. 128")
which requires that costs previously capitalized as start-up costs
will be expensed as incurred.  SOP No. 128 becomes effective for
fiscal years beginning after December 15, 1998, with earlier
application encouraged.  Management does not expect the adoption of
SOP No. 128 to have a material effect on the Company's consolidated
financial statements.
                   
Forward Looking Statements

                   Certain statements in this report on Form 10-K constitute
"forward-looking statements" within the meaning of the Private
Securities Litigation Reform Act of 1995.  These statements are
typically identified by their inclusion of phrases such as "the
Company anticipates", "the Company believes" and other phrases of
similar meaning.  These forward looking statements are based on the
Company's current expectations.  Such forward-looking statements
involve known and unknown risks, uncertainties, and other factors
that may cause the actual results, performance or achievements of
the Company to be materially different from any future results,
performance or achievements expressed or implied by such forward-
looking statements.  The potential risks and uncertainties which
could cause actual results to differ materially from the Company's
expectations include the impact of further changes in the Medicare 

                                                          -23-
reimbursement system, including any changes to the current interim
payment system and/or the ultimate implementation of a prospective
payment system; government regulation; health care reform; pricing
pressures from third-party payors, including managed care
organizations; retroactive Medicare audit adjustments; and changes
in laws and interpretations of laws or regulations relating to the
health care industry.

GOVERNMENT REGULATION.  As a home health care provider, the Company
is subject to extensive and changing state and Federal regulations
relating to the licensing and certification of its offices and the
sale and delivery of its products and services.  The Federal
government and Medicare fiscal intermediaries have become more
vigilant in their review of Medicare reimbursements to home health
care providers generally, and are becoming more restrictive in
their interpretation of those costs for which reimbursement will be
allowed to such providers.  Changes in the law and regulations as
well as new interpretations enforced by the relevant regulatory
agencies could have an adverse effect on the Company's operations
and the cost of doing business.

THIRD-PARTY REIMBURSEMENT AND MANAGED CARE.  Because the Company is
reimbursed for its services primarily by the Medicare/Medicaid
programs, insurance companies, managed care companies and other
third-party payors, the implementation of alternative payment
methodologies for any of these payors could have an impact on
revenues and profit margins.  Generally, managed care companies
have sought to contain costs by reducing payments to providers.
Continued cost reduction efforts by managed care companies could
adversely affect the Company's results of operations. 

HEALTH CARE REFORM.  In August 1997, Congress enacted and President
Clinton signed into law the Balanced Budget Act of 1997 ("BBA"),
resulting in significant changes to cost based reimbursement for
Medicare home health care providers.  Although the new legislation
enacted by Congress retains a cost based reimbursement system, the
cost limits have been reduced for fiscal years which began on or
after October 1, 1997 and a new per-beneficiary limit is effective
for fiscal years which began after such date.  The BBA provides 
two payment systems -- an interim payment system ("IPS") which is
effective for the Company beginning March 1, 1998 until the
adoption of the successor payment system which is a new prospective
payment system scheduled to be effective for fiscal years beginning
on or after October 1, 1999.  The effect of the changes under IPS
is to reduce the limits for the amount of costs that are
reimbursable to home health care providers under the Medicare
program.  The Company anticipates a possible decrease in aggregate
net revenues during the course of the next fiscal year due
principally to reductions in the limits for the amount of costs
that are reimbursable in connection with the provision of Medicare
services.  The Company cannot quantify the full effect of IPS on
the Company's future performance because certain components of
health care reform legislation, such as the per-beneficiary limit,
require annual data which will not be known until a final
assessment by Medicare and/or its fiscal intermediary is completed
for each annual period.

          

                                                          -24-

                   As Congress and state reimbursement entities assess
alternative health care delivery systems and payment methodologies,
the Company cannot predict which additional reforms may be adopted
or what impact they may have on the Company.  Additionally,
uncertainties relating to the nature and outcomes of health care
reforms have also generated numerous realignments, combinations and
consolidations in the health care industry which may also have an
adverse impact on the Company's business strategy and results of
operations. The Company expects that in addition to industry
consolidation generally, there may be consolidations within Staff
Builders' company-owned and franchised locations, with the likely
result that there will be fewer offices by the end of the next
fiscal year. 

BUSINESS CONDITIONS.  The Company must continue to establish and
maintain close working relationships with physicians and physician
groups, managed care organizations, hospitals, clinics, nursing
homes, social service agencies and other health care providers. 
There can be no assurance that the Company will continue to
establish or maintain such relationships.  The Company expects
additional competition will develop in future periods given the
increasing market demand for the type of services offered.  

ATTRACTION AND RETENTION OF FRANCHISEES AND EMPLOYEES.  Maintaining
quality franchisees, managers and branch administrators will play
a significant part in the future success of the Company.  The
Company's professional nurses and other health care personnel are
also key to the continued provision of quality care to the
Company's patients .  The possible inability to attract and retain
qualified franchisees, skilled management and sufficient numbers of
credentialed health care professionals and para-professionals could
adversely affect the Company's operations and quality of service.























                                                          -25-<PAGE>

ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA


                                          STAFF BUILDERS, INC. AND SUBSIDIARIES

                                                    TABLE OF CONTENTS



                                                                   Page
 
INDEPENDENT AUDITORS' REPORT                                       F-1


CONSOLIDATED FINANCIAL STATEMENTS:
  
  Consolidated Balance Sheets as of February 28, 1998 
   and February 28, 1997                                           F-2

  Consolidated Statements of Operations
    for the Years ended February 28, 1998, February
    28, 1997 and February 29, 1996                                 F-3

  Consolidated Statements of Stockholders' Equity
    for the Years ended February 28, 1998, February
    28, 1997 and February 29, 1996                                 F-4

  Consolidated Statements of Cash Flows 
    for the Years ended February 28, 1998, February
    28, 1997 and February 29, 1996                                 F-5

  Notes to Consolidated Financial Statements                       F-6

FINANCIAL STATEMENT SCHEDULE FOR THE YEARS ENDED
  FEBRUARY 28, 1998, FEBRUARY 28, 1997 
  AND FEBRUARY 29, 1996

    II - Valuation and Qualifying Accounts                         F-23



All other schedules were omitted because they are not required, not
applicable or the information is otherwise shown in the financial
statements or the notes thereto.



<PAGE>







INDEPENDENT AUDITORS' REPORT

To the Stockholders and Board of Directors 
 of Staff Builders, Inc.:

We have audited the accompanying consolidated balance sheets of Staff
Builders, Inc. and subsidiaries (the "Company") as of February 28, 1998 and
1997, and the related consolidated statements of operations, stockholders'
equity and cash flows for each of the three years in the period ended
February 28, 1998.  Our audits also included the financial statement schedule
listed in the Table of Contents.  These financial statements and the
financial statement schedule are the responsibility of the Company's
management.  Our responsibility is to express an opinion on these financial
statements and the financial statement schedule based on our audits.

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

In our opinion, such consolidated financial statements present fairly, in all
material respects, the financial position of Staff Builders, Inc. and
subsidiaries at February 28, 1998 and 1997, and the results of their
operations and their cash flows for each of the three years in the period
ended February 28, 1998 in conformity with generally accepted accounting
principles.  Also, in our opinion, the financial statement schedule, when
considered in relation to the basic consolidated financial statements taken
as a whole, presents fairly in all material respects the information set
forth therein.


/s/ Deloitte & Touche, LLP

Jericho, New York
April 20, 1998







                                                                    F-1
<PAGE>
<TABLE>
STAFF BUILDERS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)                                           
<CAPTION>
                                                             February 28,  
ASSETS                                                      1998      1997  
<S>                                                        <C>       <C> 
CURRENT ASSETS:
  Cash and cash equivalents                                                                        $  1,931  $  2,006
  Accounts receivable, net of allowance                           
    for doubtful accounts of $3,600                        
    and $2,800, respectively                                                                         76,668    77,103
  Deferred income taxes                                                                               3,081     1,855 
  Prepaid expenses and other current assets                 4,371     4,989  
          Total current assets                                                                       86,051    85,953

FIXED ASSETS, net                                                                                    11,548    12,082
INTANGIBLE ASSETS, net                                                                               26,995    51,022
INVESTMENT IN UNCONSOLIDATED AFFILIATE                                                               15,125     2,125
OTHER ASSETS                                               10,682     4,990
TOTAL                                                    $150,401  $156,172

LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES:
  Accounts payable                                                                                 $ 17,039  $ 14,429
  Accrued expenses                                                                                   18,871    17,466  
  Accrued payroll and payroll related expenses                                                       27,233    21,742  
  Current portion of long-term debt                         8,596     5,071
          Total current liabilities                        71,739    58,708

LONG-TERM DEBT                                             36,293    35,449
OTHER LIABILITIES                                           4,000     2,549

COMMITMENTS AND CONTINGENCIES (Note 9)                                                         

STOCKHOLDERS' EQUITY:                                                                           
  Common stock -                                                                                         -         - 
    Class A Common Stock - $.01 par value;
    50,000,000 shares authorized; 23,009,247 and
    22,343,970 outstanding at February 28, 1998
    and February 28, 1997, respectively                                                                 230       223
    Class B Common Stock - $.01 par value;
    1,554,936 shares authorized; 1,056,356 and 
    1,462,361 outstanding at February 28, 1998 
    and February 28, 1997, respectively                                                                  10        15
  Preferred stock, 10,000 shares authorized;
    Class A - $1.00 par value; 666 2/3 shares
    outstanding at February 28, 1998 and
    February 28, 1997                                                                                     1         1
  Additional paid-in capital                                                                         73,692    73,159
  Accumulated deficit                                     (35,564)  (13,932)
          Total stockholders' equity                       38,369    59,466

  TOTAL                                                  $150,401  $156,172
<FN>
<F1>
                                                See notes to consolidated financial statements
</FN>
</TABLE>
                                                                          F-2
<PAGE>
<TABLE>
STAFF BUILDERS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)                                                           
<CAPTION>                                                                                       
                                                                        Years Ended             
                                                          February       February       February
                                                          28, 1998       28, 1997       29, 1996
<S>                                                       <C>            <C>            <C>
REVENUES:

  Service revenues:
  Home health care                                        $451,098       $436,599       $378,419
  ATC supplemental staffing                                 67,331         42,430         30,454
  Total service revenues                                   518,429        479,029        408,873
  Sales of franchises and fees, net                          1,275          1,326          1,287

    Total revenues                                         519,704        480,355        410,160

COSTS AND EXPENSES:

  Operating costs                                          332,739        301,508        256,719
  General and administrative expenses                      176,783        170,290        146,382
  Amortization of intangible assets                          2,807          2,623          1,823
  Interest expense                                           3,600          1,601            948
  Interest income                                           (1,358)          (896)          (976)
  Other (income) expense, net                                 (818)        (1,487)         1,791
  Restructuring costs                                       33,447             -              - 

    Total costs and expenses                               547,200        473,639        406,687

INCOME (LOSS) BEFORE INCOME TAXES                          (27,496)         6,716          3,473

PROVISION (BENEFIT) FOR INCOME TAXES                        (5,864)         2,955          1,459

NET INCOME (LOSS)                                         $(21,632)      $  3,761       $  2,014




EARNINGS (LOSS) PER COMMON SHARE:

  Basic                                                   $   (.90)      $    .16       $    .09

  Diluted                                                 $   (.90)      $    .15       $    .08

WEIGHTED AVERAGE COMMON
  SHARES OUTSTANDING:

  Basic                                                      23,939        23,668         23,598

  Diluted                                                    23,939        24,577         25,504
<FN>
<F1>


                                     See notes to consolidated financial statements
</FN>
</TABLE>
                                                           F-3
<PAGE>
<TABLE>
STAFF BUILDERS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(In thousands, except share data)                                                                                
<CAPTION>
                                                                     Preferred  Additional  
                                                    Common Stock       Stock     Paid-In   Accumulated                 
                                                  Shares     Amount   Class A    Capital     Deficit     Total  
<S>                                             <C>          <C>     <C>         <C>        <C>         <C>
Balances, March 1, 1995                         22,937,049    $229      $1       $71,828    $(19,707)   $ 52,351

Additional common stock in 
  connection with a 1987 acquisition                 1,360       -                                             -    

Common stock issued - exercise of
  stock options, net of 683,054 shares
  used to pay for shares and
  withholding taxes, net of related
  tax benefits of $772                             437,681       4                    405                    409

Exercise of common stock warrants                  398,016       4                  1,126                  1,130

Common stock issued-employee
  stock purchase plan                              149,214       2                    429                    431

Purchase and retirement of common stock           (386,000)     (4)                (1,021)                (1,025)

Net Income                                                                                     2,014       2,014

Balances, February 29, 1996                     23,537,320     235        1        72,767    (17,693)     55,310

Additional common stock in
  connection with a 1987 acquisition                 4,870       -                                             -

Common stock issued-exercise of 
  stock options, net of 15,232 shares
  used to pay for shares                            23,768       -                     29                     29

Exercise of common stock warrants                  160,680       2                    193                    195

Common stock issued-employee
  stock purchase plan                              234,693       2                    579                    581

Purchase and retirement of common stock           (155,000)     (1)                  (409)                  (410)

Net Income                                                                                     3,761       3,761

Balances, February 28, 1997                     23,806,331     238        1        73,159    (13,932)     59,466

Additional common stock in        
 connection with a 1987 acquisition                    171       -                     -                      -

Exercise of stock options                            5,000       -                     11                     11

Common stock issued-employee             
  stock purchase plan                              254,101       2                    522                    524

Net (Loss)                                                                                   (21,632)    (21,632)

Balances, February 28, 1998                     24,065,603    $240       $1       $73,692   $(35,564)   $ 38,369
                                                                                                                 
<FN>
<F1>


                                              See notes to consolidated financial statements
</FN>
</TABLE>
                                                                    F-4<PAGE>

<TABLE>
STAFF BUILDERS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)                                                                                                
<CAPTION>

                                                                               Years Ended            
                                                                  February      February      February
                                                                  28, 1998      28, 1997      29, 1996
                    
<S>                                                               <C>           <C>           <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
  Net income (loss)                                               $(21,632)     $  3,761      $  2,014
  Adjustments to reconcile net income (loss) to
    net cash provided by (used in) operations:
    Depreciation and amortization of fixed assets                    3,791         2,757         2,120
    Amortization of intangibles and other assets                     2,807         2,623         1,823
    Write-off of investments and other deferred charges              1,198            -             -
    Write-off of goodwill and intangible assets                     24,540            -             -
    Earnings of unconsolidated affiliate                              (326)           -             -
    Increase (decrease) in other long term liabilities                 424          (758)          477
    Allowance for doubtful accounts                                    800           600           450
    Deferred income taxes                                           (6,838)          548        (1,013)
    Gain on sale of assets                                            (290)       (1,247)           - 
  Change in operating assets and liabilities:
    Accounts receivable                                             (1,019)      (23,443)        3,993 
    Prepaid expenses and other current assets                          455        (1,193)       (1,447)
    Accounts payable                                                 2,611         4,977        (1,139)
    Accrued expenses                                                 6,703        (6,587)       13,889
    Income taxes payable                                                -             62        (1,098)
    Other assets                                                       226        (1,529)          (10)
    Net cash provided by (used in) 
     operating activities                                           13,450       (19,429)       20,059

CASH FLOWS FROM INVESTING ACTIVITIES:
  Acquisitions, net of cash acquired                                (3,724)       (8,202)       (7,981)
  Investment in unconsolidated affiliate                           (12,732)       (2,125)           - 
  Purchase of fixed assets                                          (1,023)       (2,334)       (1,127)
  Proceeds from disposal of assets                                     855           775            14
    Net cash used in investing activities                          (16,624)      (11,886)       (9,094)

CASH FLOWS FROM FINANCING ACTIVITIES:
  Proceeds from Employee Stock Purchase Plan                           524           581           431 
  Proceeds from exercise of stock options                               11            29           409 
  Proceeds from exercise of warrants                                    -            195         1,130 
  Purchase and retirement of common stock                               -           (410)       (1,025)
  Increase (decrease) in borrowings 
   under revolving line of credit                                   (3,978)       21,565        (6,461)
  Proceeds from acquisition line of credit                          12,625            -             - 
  Proceeds from other note payable                                      -          5,727            - 
  Payment of notes payable and other 
   long-term liabilities                                            (6,083)       (3,076)       (1,247)
    Net cash provided by (used in) financing
     activities                                                      3,099        24,611        (6,763)

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS                   (75)       (6,704)        4,202

CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD                       2,006         8,710         4,508
 
CASH AND CASH EQUIVALENTS, END OF PERIOD                          $  1,931      $  2,006      $  8,710

SUPPLEMENTAL DATA:
  Cash paid for:

    Interest                                                      $  3,343      $  1,081      $    806

    Income taxes, net                                             $  2,344      $  1,867      $  3,485

Fixed assets purchased through
  capital lease agreements                                        $  2,351      $  4,770      $  2,425
<FN>
<F1>


                               See notes to consolidated financial statements
</FN>
</TABLE>                                                            
                                                    F-5<PAGE>
STAFF BUILDERS, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
YEARS ENDED FEBRUARY 28, 1998 ("Fiscal 1998"), FEBRUARY 28, 1997
("Fiscal 1997") AND FEBRUARY 29, 1996 ("Fiscal 1996")               
(Dollars in Thousands, Except Where Indicated Otherwise and, for Per
Share Amounts)
      
1.   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

                   Nature of Business

                   Staff Builders, Inc. ("Staff Builders" or the "Company") is
a national provider of home health care personnel and supplemental
staffing to health care institutions.

                   Principles of Consolidation

                   The accompanying consolidated financial statements include
the accounts of Staff Builders and its wholly-owned subsidiaries.  The
Company maintains its records on a fiscal year ending the last day in
February.  All material intercompany accounts and transactions have
been eliminated. Certain prior period amounts have been reclassified
to conform with the fiscal 1998 presentation.

                   A majority of the Company's service revenues are derived
under an unique form of franchising where it licenses independent
companies or contractors to represent the Company within a designated
territory using the Company's trade names and service marks.  These
franchisees recruit direct service personnel and solicit orders and
assign Company personnel including registered nurses, therapists and
home health aides to service the Company's clients.  The Company pays
and distributes the payroll for the direct service personnel who are
all employees of the Company, administers all payroll withholdings and
payments, bills the customers and receives and processes the accounts
receivable.  The franchisees are responsible for providing an office
and paying related expenses for administration including rent,
utilities and costs for administrative personnel.

                   The Company owns all necessary health care related permits
and licenses and, where required, certificates of need for operation
of franchise offices.  The revenues generated by the franchise
operations along with the related accounts receivable belong to the
Company.  The revenues and related direct costs are included in the
Company's consolidated service revenues and operating costs. 

                   The Company pays a distribution or commission to the
franchisees based on a defined formula of gross profit generated. 
Generally, the Company pays the franchisee 60% of the gross profit
attributable to the non-Medicare operations of the franchise.  The
payment to the Company's franchises related to Medicare operations is
adjusted for cost limitations and reimbursement of allowable Medicare
costs.  

                   For fiscal 1998, 1997 and 1996, total franchisee
distributions or commissions of approximately $92.9 million, $88.6             
                                                             F-6
million and $75.4 million, respectively, were included in the
Company's general and administrative expenses.

                   Use of Estimates

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

                   Cash and Cash Equivalents

                   Cash and cash equivalents include certificates of deposit
and commercial paper purchased with a maturity of less than three
months.

                   Fixed Assets

                   Fixed assets, primarily consisting of equipment, furniture
and fixtures, and leasehold improvements, are stated at cost and
depreciated over the estimated useful lives of the assets using the
straight-line method. The estimated useful lives of the related assets
are generally five to seven years.

                   Goodwill and Intangible Assets

                   The excess of the purchase price and related acquisition
costs over the fair market value of the net assets of the businesses
acquired is amortized on a straight-line basis over periods ranging
from five to forty years.  Intangible assets include customer lists,
which are being amortized over five years on a straight-line basis. 

                   In fiscal 1997, the Company adopted Statement of Financial
Accounting Standards ("SFAS") No. 121, "Accounting for the Impairment
of Long-Lived Assets and for Long-Lived Assets to be Disposed of." 
This Statement requires that certain assets be reviewed for impairment
and, if impaired, remeasured at fair value, whenever events or changes
in circumstances indicate that the carrying amount of the asset may
not be recoverable.  In the fourth quarter of fiscal 1998, the Company
wrote off $24.5 million of goodwill and intangible assets.  This
amount primarily resulted from the Company's assessment of the adverse
change in health care reform (See Note 2).

                   The accumulated amortization as of February 28, 1998 and
February 28, 1997, was $10,413 and $9,126, respectively. 
Additionally, during fiscal 1998 and 1997, the Company wrote off
$1,206 and $659 of fully amortized intangible assets, respectively.

                   Revenue Recognition 

                   Revenues generated from the sales and licensing of
franchises and initial franchise fees are recognized when the Company
has performed substantially all of its obligations under its franchise

                                                             F-7

agreements and when collectibility of such amounts is reasonably
assured. In circumstances where a reasonable basis does not exist for
estimating collectibility of the proceeds of the sales of franchises
and initial franchise fees, such proceeds are deferred and recognized
as collections are made, utilizing the cost recovery method (see Note
3). 
                   
                   Medicare reimburses the Company for covered items and
services at the lower of the Company's cost, as determined by
Medicare, cost limits established by the Federal government, or the
amount charged by the Company.  Revenues generated from Medicare
services are recorded when services are provided at an estimated
reimbursement rate.  Certain factors used to develop these rates are
subject to review and adjustment by the appropriate governmental
authorities and may result in additional amounts due to or due from
the Company. Management reduces revenues by its estimate of the amount
of net adjustments which should ultimately occur. Adjustments, if any,
are recorded to these estimates in the period during which they arise. 
The Company reduced its Medicare revenues by $3 million in the third
quarter of fiscal 1996 for which the related amount of the third party
payor settlement liability is included in accrued expenses, due to a
revision in the methodology used to allocate corporate overhead.

                   Income Taxes

                   Deferred income taxes result from timing differences
between financial and income tax reporting which primarily include the
deductibility of certain expenses in different periods for financial
reporting and income tax purposes.  

                   Earnings per Share

                   The Financial Accounting Standards Board issued Statement
No. 128, "Earnings per Share" ("SFAS No. 128").  SFAS No. 128 replaced
the calculation of primary and fully diluted earnings per share with
basic and diluted earnings per share, effective with fiscal years
ending after December 15, 1997.  Earnings per share amounts for all
periods have been restated to conform to the SFAS No. 128
requirements.
                   
                   Fair Value of Financial Instruments

                   The carrying amount of cash and cash equivalents, franchise
notes receivable, obligations under capital leases and notes payable
and other liabilities related to acquisitions approximate fair value.


2.  REIMBURSEMENT REDUCTIONS AND RELATED RESTRUCTURING

                   In August 1997, Congress enacted and President Clinton
signed into law the Balanced Budget Act of 1997 ("BBA"), resulting in
significant changes to cost based reimbursement for Medicare home
health care providers.  Although the new legislation enacted by
Congress presently retains a cost based reimbursement system, the cost
                                                              

                                                             F-8

limits have been reduced for fiscal years which began on or after
October 1, 1997 and a new per-beneficiary limit is effective for
fiscal years which began after such date.  The BBA provided for two
payment systems -- an interim payment system ("IPS") which is
effective for the Company from March 1, 1998 until the adoption of the
successor payment system which is a new prospective payment system
scheduled to be effective for fiscal years beginning on or after
October 1, 1999.  The effect of the changes under IPS is to reduce the
limits for the amount of costs that are reimbursable to home health
care providers under the Medicare program. 

                   During the fourth quarter of fiscal 1998, management moved
proactively to prepare the Company for the impact of IPS and for long-
term growth. As a result, the Company implemented a corporate-wide
restructuring and cost reduction program.  These actions, together
with the Company's assessment of the impact of health care reform
legislation, resulted in a pre-tax non-recurring charge in the fourth
quarter of fiscal 1998 of $33.4 million.  This accounting charge
included a $24.5 million write-off of goodwill and intangible assets
and $8.9 million of other restructuring costs.  The other
restructuring costs included $1.0 million for employee severance
arrangements and the closure, consolidation or reduction in the size
of operating locations, $6.3 million for the write-down of certain
home health care related investments and receivables, $1.2 million of
litigation related costs and $0.4 million of other costs.  The write-
off of goodwill and intangible assets is required under SFAS No.
121.               

3.   FRANCHISE OPERATIONS

                   Franchise notes receivable generally bear interest at the
prevailing prime lending rate plus three percent and are generally
payable over a term of ten years.  The balance of these notes
receivable at February 28, 1998 and February 28, 1997 amounted to
$1,734 and $1,953, net of deferred income reflected as a valuation
reserve for financial reporting purposes of $4,387 and $5,600,
respectively.  The net balances of these notes at February 28, 1998
and February 28, 1997 include $306 and $302 in Prepaid Expenses and
Other Current Assets and $1,428 and $1,651 in Other Assets,
respectively.  During fiscal 1998, fiscal 1997 and fiscal 1996, $473,
$444 and $526, respectively, of notes receivable previously not
recognized into income were collected and included in revenues.

                   Sales of franchises and fees, net include $792, $827 and
$761 of initial franchise fees for fiscal 1998, 1997 and 1996,
respectively.  The initial franchise fees received in fiscal 1998,
1997 and 1996 include $135, $488 and $507 for health care franchises 
and $155, $339 and $254 for supplemental staffing franchises,
respectively. Further, these initial franchise fees include $502 of
a license fee received from its master license agreement with a home
health care company based in Tokyo, Japan.  In March 1998, the Company
received the remaining balance of the master license fee totalling
$1.2 million.  Under its 20 year agreement, the Company will receive
periodic royalty payments based upon the Japanese company's service 


                                                             F-9
revenues. The remaining amounts primarily represent charges to
franchisees for the use of Company assets including customer and
employee lists.  The Company has performed substantially all of its
obligations as required under the terms of its franchise agreements.

                   Interest income on franchise notes receivable is included
in other income.
                   
                   In September 1996, in connection with the acquisition of a
supplemental staffing business (see Note 4), a corporation acquired
the rights to operate this business as a franchise and paid a fee of
$75 to the Company.  A majority of the stock of this corporation is
owned by two family members of one of the Company's executive
officers.

                   In April 1992, one of the Company's franchises was acquired
by a corporation owned by a family member of one of the Company's
executive officers.  The purchase price for the franchise included the
assumption of a note payable to the Company of $845 of which $687
remains outstanding at February 28, 1998.  The note bears interest at
the prevailing prime lending rate and matures in 2009.

                   Two of the Company's officers own a portion of three
franchises.  One of these officers owns a portion of a franchise for
which a note payable was issued to the company of $300 of which $241
remains outstanding at February 28, 1998.  The other Company officer
owns a portion of two franchises for which liabilities to the Company
of $21 and $29, respectively, remain outstanding at February 28, 1998. 


4.   ACQUISITIONS

                   During fiscal 1998, 1997 and 1996, the Company made
numerous acquisitions for which consideration was paid in cash, the
issuance of notes payable and the assumption of certain liabilities. 
The transactions were accounted for as purchases and, accordingly, the
results of operations of the acquired businesses are included in the
accompanying consolidated financial statements from their respective
dates of acquisition.

                   In fiscal 1998, the Company acquired the assets of nine
businesses, consisting of seven home health care and two supplemental
staffing operations, which added six locations.  The aggregate
consideration included cash paid of approximately $3.7 million and
liabilities assumed of approximately $1.3 million.

                   In fiscal 1997, the Company acquired the assets of 19
businesses, consisting of 17 home health care and two supplemental 
staffing operations, which added 33 locations.  The aggregate
consideration included net cash paid of $8.2 million, the issuance of
notes payable of $3.1 million and liabilities assumed of $1.0 million.

                   In fiscal 1996, the Company acquired the assets of 13
businesses and the stock of one business, all consisting of home
health care providers, which added 30 locations.  The aggregate
consideration included cash paid of $8.0 million, the issuance of
notes payable of $4.5 million and liabilities assumed of $1.0 million.
                                                            F-10
                   The effect of the fiscal 1998 acquisitions on revenue, net
loss and net loss per share on an unaudited pro forma basis for fiscal
1998 is not material.  Revenues, net income and earnings per share,
on an unaudited pro forma basis for the year ended February 28, 1997,
if the fiscal 1998 and fiscal 1997 acquisitions had occurred on March
1, 1996, would have approximated $500 million, $4.9 million and $.20,
respectively.  Revenues, net income and earnings per share on an
unaudited pro forma basis for the year ended February 29, 1996, if the
fiscal 1997 and 1996 acquisitions had occurred on March 1, 1995, would
have approximated $448 million, $2.6 million and $.10, respectively. 
  
                   In connection with the fiscal 1998 and fiscal 1997
acquisitions, assets acquired and consideration paid was as follows:

                                               1998          1997 

        Fair value of assets acquired        $ 4,904       $12,310
        Net cash paid for acquired
         assets and stock                     (3,724)       (8,202)
        Liabilities assumed and notes
         payable issued for acquisitions     $ 1,180       $ 4,108

5.   FIXED ASSETS

     Fixed assets consist of the following:
                                                 February 28,    
                                               1998         1997 
        Equipment under capital leases
          (see Note 9)                       $11,196      $ 9,972
        Office equipment, furniture 
          and fixtures                         7,344        7,053
        Leasehold improvements                 1,089        1,000
        Land and buildings                       106          181
        Total, at cost                        19,735       18,206 
        Less accumulated depreciation 
          and amortization                     8,187        6,124
     
        Fixed assets, net                    $11,548      $12,082
                                                              
        During fiscal 1998 and 1997, the Company wrote off fully
depreciated fixed assets of approximately $1.7 million and $1.4
million, respectively.

6.   INVESTMENT IN UNCONSOLIDATED AFFILIATE 

                  On October 30, 1997, the Company purchased 60.9% of the
outstanding common stock of Chelsea Computer Consultants, Inc.
("Chelsea") for a total of $12.4 million plus purchase related costs
of $300.  The Company utilized $12.6 million under its acquisition
line of credit to fund this purchase (See Note 9). Chelsea is a
provider of information technology services to clients in the
financial services, communications, manufacturing and other
industries.  Together with the 20.9% of the common stock of Chelsea
purchased for $2.1 million in September 1996, the Company owns 81.8%
of the outstanding common stock of Chelsea.  The Company is actively
engaged in the selling process of its majority position in Chelsea and

                                                            F-11
will evaluate offers and believes that its majority control over
Chelsea will be temporary; accordingly, the Company has accounted for
Chelsea as an unconsolidated subsidiary.  The excess of the Company's
cost of its investment over its pro rata share of the net fair value
of assets acquired is being amortized on a straight-line basis.  The
Company performed certain consulting services for Chelsea amounting
to $700 and $500 in fiscal 1998 and 1997, respectively, which are
included in service revenues.  
                                                              
7.   ACCRUED EXPENSES

     Accrued expenses include $6,877 and $7,424 at February 28, 1998
and February 28, 1997, respectively, of accrued franchise
distributions.  Also included in accrued expenses at February 28, 1998
and February 28, 1997 was $7,330 and $7,372, respectively, reflecting
the Company's third-party payor settlement liability.

8.   ACCRUED PAYROLL AND PAYROLL RELATED EXPENSES

     Accrued payroll and payroll related expenses consist of the
following:
                                                 February 28,   
                                               1998        1997 

     Accrued payroll                         $ 8,131     $ 8,142
     Accrued insurance                        10,381       5,447
     Accrued payroll taxes                     4,755       5,002
     Other                                     3,966       3,151
     Total                                   $27,233     $21,742

9.   LONG-TERM DEBT
      
     Long-term debt consists of the following:
                                                 February 28,       
                                               1998        1997 
     Borrowings under a secured revolving
       line of credit(a)                     $17,587     $21,565
     Borrowings under acquisition
       line of credit (a)                     11,836          - 
     Obligations under capital leases(b)       6,606       6,768
     Notes payable and other liabilities
       related to acquisitions(c)              5,225       6,749
     Other note payable (d)                    3,635       5,438
     Total                                    44,889      40,520
     Less current portion                      8,596       5,071
     Long-term debt(e)                       $36,293     $35,449
                                                              
(a)  The Company has a secured credit facility which consists of a
revolving line of credit, an acquisition line of credit and a standby
letter of credit facility, under which the Company can borrow up to
an aggregate amount of $50 million. The Company has $11.8 million
outstanding at February 28, 1998 under its acquisition line of credit
which bears interest at .75% over the prevailing prime rate or at the
Company's option, at the London Interbank Offered Rate (LIBOR) plus
2.75%.  The acquisition line of credit is being repaid in 48 monthly
installments of $263 which began on December 1, 1997.  The secured
credit facility expires on July 31, 2000.

                                                            F-12
     Amounts borrowed under the revolving line of the credit are
collateralized by a pledge of all the stock of the Company's
subsidiaries, by all accounts receivable and by liens on substantially
all other assets of the Company and its subsidiaries.  The agreement
contains certain financial covenants which, among other things, (i)
require the maintenance of a specified minimum defined level of book
net worth, a minimum ratio of net income before depreciation and
amortization to the sum of payments made for long term debt, unfunded
capital expenditures, stock repurchases and permitted acquisitions,
and a maximum ratio of senior debt to book net worth, (ii) limit the
amount of unfunded capital expenditures, and (iii) prohibit the
declaration or payment of cash dividends. Based upon the non-recurring
charge recorded in the fourth quarter of fiscal 1998 (See Note 2), the
Company has obtained an amendment with its bank to provide relief from
the terms of those covenants which required a specified level of net
worth and net income before depreciation and amortization.

     At February 28, 1998 and 1997, the amounts available for
borrowing under the credit facility were $18.6 million and $31.4
million, respectively.  The decrease in availability is due to the
$11.8 million outstanding under the acquisition line of credit at
February 28, 1998.  No amounts were outstanding under the acquisition
line of credit as of February 28, 1997 or for any time during fiscal
1997.  The maximum amounts borrowed under the credit facility for
fiscal 1998 and 1997 were $37.0 million and $26.4 million,
respectively, including $24.6 million outstanding under the revolving
line of credit and $12.4 million outstanding under the acquisition
line of credit in fiscal 1998.  No amounts were borrowed under the
acquisition line of credit in fiscal 1997.  The maximum amount
outstanding under the revolving line of credit portion of the facility
was $28.1 million in fiscal 1998.  The average interest rates were
8.50% and 7.96%, in fiscal 1998 and 1997, respectively.
                                                              
     The credit facility bears interest at the prevailing prime
lending rate and, at the Company's option, borrowings may bear
interest based upon the London Interbank Offered Rate (LIBOR) plus
1.50% to 2.25%.  At February 28, 1998, $18 million of borrowings under
the revolving line of credit were bearing interest at the LIBOR
option, which was 7.875%, and borrowings in excess thereof were
bearing interest at the prime rate which was 8.50%. Additionally, $11
million of borrowings under the acquisition line of credit were
bearing interest at the LIBOR option, which was 8.375%, and borrowings
in excess thereof were bearing interest at .75% over the prime rate. 
A commitment fee on the unused portion of the credit facility is
payable at the rate of .375% per annum, together with an annual
collateral management fee of $85.

     The Company is permitted to borrow up to 75% of eligible accounts
receivable, up to the maximum amount of the credit facility less
amounts outstanding under the acquisition line of credit and any
outstanding letters of credit.  As of February 28, 1998, the
acquisition line of credit provided for borrowings up to $15 million
without collateral to finance acquisitions, provided that the sum of
all borrowings do not exceed $50 million.  Amounts borrowed under the
acquisition line of credit are subject to the Bank's approval and must
be repaid over twelve to forty-eight months as determined by the Bank,
at .75% over prime or, at the Company's option, at LIBOR plus 2.75%. 

                                                            F-13
      Subsequent to February 28, 1998, an amendment was made to the
credit facility which increased the maximum available amount of the
acquisition line of credit from $15 million to $25 million and
expanded the purpose to include stock repurchases in amounts up to a
new $10 million sublimit under the facility.  From March 6 to May 21,
1998, the Company purchased and retired a total of 897,400 shares of
its common stock at a cost of $1.85 million.  No repurchases were made
in fiscal 1998.  During fiscal 1997 and 1996, the Company purchased
and retired a total of 541,000 shares of its common stock at a cost
of $1.4 million.

(b)  At February 28, 1998, the Company had capital lease agreements
for computers and other equipment through September 2002.  The net
carrying value of the assets under capital leases was approximately
$7.1 million at February 28, 1998 and February 28, 1997, and such
amounts are included in Fixed Assets. 
  
(c)  At February 28, 1998, the Company had a balance of notes payable
related to acquisitions of $5.2 million.  The notes payable bear
interest at 4.0% to 8.25% and have maturity dates through September
2010. 

(d) The Company has a secured term loan which bears interest at 6.69%
and requires monthly payments of $176 through December 1999.

(e) Repayments of long-term debt at February 28, 1998 are due as
follows:

                                  Obligations
                                     Under
                                    Capital      Other
     Years Ending February          Leases       Debt      Total    

     1999                            $2,644    $ 5,952    $ 8,596
     2000                             2,250      5,086      7,336
     2001                             1,406     20,911     22,317
     2002                               304      2,646      2,950
     2003                                 2        290        292
     Thereafter                          -       3,398      3,398 
     Total                           $6,606    $38,283    $44,889


10.  OTHER LIABILITIES

     Other liabilities consist of the following:

                                               February 28,    
                                            1998         1997 
       Accrued litigation (a)             $1,168        $   -
       Accrued acquisition cost (b)          700            - 
       Rent escalation liability (c)         883           982
       Other                               1,249         1,567
       Total                              $4,000        $2,549


(a) At February 28, 1998, the Company has an accrued loss
contingency for the aggregate, estimated amount to settle open
legal matters.
                                                          F-14
(b) In connection with the Company's September 1997 acquisition of
a provider of travel nurse services, the Company is liable to pay
additional amounts based upon the attainment of certain gross
margin levels.  The Company's estimate of such amounts at February
28, 1998 is $1,124, of which $424 is included in accrued expenses.

(c)  The lease on the Company's corporate headquarters requires
scheduled rent increases through September 30, 2003.  A rent
escalation liability is recorded for the amounts required to record
the expense of this lease on a straight-line basis over the life of
the lease, in excess of payments made. The balance of this
liability was $982 and $1,049 at February 28, 1998 and 1997 of
which $99 and $67, respectively, was included in accrued expenses. 

                                        
11.  INCOME TAXES

     The provision (benefit) for income taxes consists of the
following:

                                            Years Ended         
                                  February   February   February
                                  28, 1998   28, 1997   29, 1996
     Current:
       Federal                    $ 1,051     $1,709     $1,829
       State                          377        558        643
     Deferred                      (7,292)       688     (1,013)
     Total                        $(5,864)    $2,955     $1,459
                       

         The deferred tax assets (liabilities) at February 28, 1998       
and February 28, 1997 are comprised of the following:

                                               February 28,    
                                            1998         1997 
     Current:
       Allowance for doubtful
        accounts receivable               $1,215        $  903
       Nondeductible accruals              1,866           952
         Current                           3,081         1,855

     Non-Current:
       Goodwill and intangible assets      5,623            -
       Revenue recognition                   409           464
       Accelerated depreciation             (972)         (516)
       Other assets (liabilities)            305          (196)
         Non-current                       5,365          (248)

           Total                          $8,446        $1,607


         The non-current deferred tax assets (liabilities) are 
included in Other Assets and Long-Term Liabilities on the 
accompanying balance sheets.



                                                               F-15

         The following is a reconciliation of the effective 
income tax rate to the Federal statutory rate: 
<TABLE>
                                                Years Ended        
                                       February  February  February       
                                       28, 1998  28, 1997  29, 1996
         <S>                           <C>       <C>       <C>
         Federal statutory rate           34.0%     34.0%     34.0%
         State and local income taxes,
          net of Federal income
          tax benefit                      3.8       7.6       8.7
         Write-off of goodwill and 
          intangible assets              (12.3)     (0.2)       -
         Tax credits                        -       (0.4)     (3.9)
         Goodwill amortization            (1.1)      4.6       8.9
         Reversal of prior year 
          accrual                         (1.8)     (2.3)     (7.4)
         Other                            (1.3)      0.7       1.7 
         Effective rate                   21.3%     44.0%     42.0%

</TABLE>
12.      COMMITMENTS AND CONTINGENCIES

         Approximate minimum annual rental commitments for the
remaining terms of the Company's noncancellable operating leases
relating to office space and equipment rentals are as follows:

         Years Ending February

            1999                        $ 4,044     
            2000                          3,249     
            2001                          2,298     
            2002                          1,556     
            2003                          1,505     
            Thereafter                    1,304
            Total                       $13,956

         Certain leases require additional payments based upon property
tax and maintenance expense escalations.

         Aggregate rental expense for fiscal 1998, 1997 and 1996
approximated $4,823, $3,967 and $3,409, respectively.

         The Company has entered into employment or consulting
agreements with several officers and other individuals which
require minimum aggregate payments of approximately $3,459, $2,310,
$1,951, $1,490 and $1,684 over the next five fiscal years. 
Agreements with two executives provide, in the event of their
death, for the continued payment of their compensation to their
beneficiaries for the duration of their agreements.  Additionally,
certain officers have entered into agreements which provide that in
the event of change in control of, and the discontinuance of such
employee's employment, the Company will pay a lump sum amount of
2.99 times the average annual compensation paid to the employee
during the five-year period immediately preceding the date of the
discontinuance of employment.
                                                          F-16              
         On September 20, 1995, the United States Attorney for the
Eastern District of Pennsylvania alleged that (i) between 1987 and
1989, a corporation, substantially all assets and liabilities of
which were acquired by a subsidiary of the Company in 1993,
submitted false claims to Medicare totaling approximately $1.5
million and (ii) officers and employees of that corporation
submitted false statements in support of such claims, and made a
pre-complaint civil settlement demand of approximately $4.5
million.  The alleged false claims and false statements were made
before the Company acquired that corporation in 1993.  There have
been significant discussions with the office of the United States
Attorney which the Company believes are likely to lead to an
arbitration within specified parameters.  

         The Company is a defendant in several civil actions which are
routine and incidental to its business.  The Company purchases
insurance in such amounts which management believes to be
reasonable and prudent.  

         Although the Company cannot estimate the ultimate cost of its
open legal matters with precision, it has an accrued loss
contingency at February 28, 1998 for the aggregate, estimated
amount to settle such matters (See Note 10).  In management's
opinion, settlement of these actions will not have a material
adverse effect on the Company's consolidated financial position,
liquidity or results of operations.  Accrued expenses include $120
at February 28, 1998 which represents the estimated amount of
liability claims payable.  Such amount represents the deductible
amount for which the Company is liable, net of payments by the
Company's insurers which are probable of realization, estimated at
approximately $1.3 million.

13.      STOCKHOLDERS' EQUITY

         Common Stock - Recapitalization and Voting Rights

         During fiscal 1996, the shareholders approved a plan of
recapitalization by which the existing Common Stock, $.01 par
value, was reclassified and converted into either Class A Common
Stock, $.01 par value per share, or Class B Common Stock, $.01 par
value per share.  Prior to the recapitalization, shares of common
stock that were held by the beneficial owner for at least 48
consecutive months were considered long-term shares, and, were
entitled to ten votes for each share of stock.  Pursuant to the
recapitalization, long-term shares were converted into Class B
Common Stock and short-term shares (beneficially owned for less
than 48 months) were converted into Class A Common Stock.  As a
result of the recapitalization, 1,554,936 shares of Class B common 
stock were issued.
                                                            
         A holder of Class B Common Stock is entitled to ten votes for
each share and each share is convertible into one share of Class A
Common Stock (and will automatically convert into one share of
Class A Common Stock upon any transfer subject to certain limited
exceptions).  Except as otherwise required by the Delaware General
Corporation Law, all shares of common stock vote as a single class
                                                          F-17

on all matters submitted to a vote by the stockholders.

         The recapitalization included all outstanding options and
warrants to purchase shares of common stock which were converted
automatically into options and warrants, to purchase an equal
number of shares of Class A Common Stock.

         Stock Options

         The Company has adopted the disclosure provisions of the
Statement of Financial Accounting Standards No. 123, Accounting for
Stock-Based Compensation ("SFAS 123"). Accordingly, no compensation
expense has been recognized for the stock option plans.  Had the
Company recorded compensation expense for the stock options based
on the fair value at the grant date for awards in fiscal years
ended 1998, 1997 and 1996 consistent with the provisions of SFAS
123, the Company's net income (loss) and net income (loss) per
share would have reflected to the following pro forma amounts:

                              February    February   February     
                              28, 1998    28, 1997   29, 1996
Net income (loss) 
  -as reported                $(21,632)   $  3,761   $  2,014
Net income (loss) 
  -pro forma                   (22,075)      3,708      2,008
Basic earnings per share       
  -as reported                 (  0.90)        .16        .09
Basic earnings per share
  -pro forma                   (  0.92)        .16        .09
Diluted earnings per share
  -as reported                 (  0.90)        .15        .08
Diluted earnings per share
  -pro forma                   (  0.92)        .15        .08

         Because the SFAS 123 method of accounting has not been applied
to options granted prior to March 1, 1995, the resulting pro forma
compensation cost may not be representative of that to be expected
in future years.

         The fair value of each option grant is estimated on the date
of grant using the Black Scholes option pricing model with the
following weighted-average assumptions used for grants in fiscal
years 1998, 1997 and 1996, respectively: expected volatility of
56%, 48% and 48%; risk-free interest rate averaging 5.8%, 7.1% and
7.1%; and expected lives of 10 years for all.
                                   
         During the year ended February 28, 1994 ("fiscal 1994"), the
Company adopted a stock option plan (the "1993 Stock Option Plan")
under which an aggregate of one million shares of common stock are
reserved for issuance upon exercise of options thereunder.  Options
granted under this plan may be incentive stock options ("ISO's") or
non-qualified options ("NQSO's").  This plan replaces the 1986 Non-
Qualified Plan ("1986 NQSO Plan") and the 1983 Incentive Stock
Option Plan ("1983 ISO Plan") which terminated in 1993 except as to
options then outstanding.  Employees, officers, directors and
consultants are eligible to participate in the plan.  Options are
granted at not less than the fair market value of the common stock
at the date of grant.  


                                                          F-18

         A total of 1,308,000 stock options were granted under the 1993
Stock Option Plan, at prices ranging from $2.28 to $3.87, of which
951,000 remain outstanding at February 28, 1998.  A summary of
activity under the 1993 Stock Option Plan, the 1986 NQSO Plan and
the 1983 ISO Plan is as follows:
<TABLE>
                                   Options
                                     for Shares    Price per Share
         <S>                                            <C>                              <C>
         Options outstanding at
           February 28, 1995                               3,664,865                     $1.63 to $6.38
         Granted                                              31,000                     $2.63 to $2.94
         Exercised                                        (1,120,735)                    $1.75 to $3.00
         Terminated                                          (72,100)                    $2.19 to $4.00

         Options outstanding at
           February 29, 1996                               2,503,030                     $1.63 to $6.38
         Granted                                             222,500                     $2.50 to $3.19
         Exercised                                           (39,000)                    $2.27         
         Terminated                                         (213,500)                    $2.19 to $6.38           
                                                               
         Options outstanding at                                     
           February 28, 1997                               2,473,030                     $1.63 to $6.13
         Granted                                             414,000                     $2.28 to $2.50
         Exercised                                            (5,000)                    $2.19 
         Terminated                                         (392,750)                    $2.19 to $4.00

         Options outstanding at
           February 28, 1998                               2,489,280                     $1.63 to $6.13
</TABLE>
         Included in the outstanding options are 627,091 ISO's and
1,809,358 NQSO's which were exercisable at February 28, 1998.  The
remaining options to purchase 52,831 shares become exercisable at
various dates through March 2000.

         The following tables summarize information about stock options
outstanding at February 28, 1998:

                         Options Outstanding                     

                                       Weighted
                                        Average        Weighted
       Range of                        Remaining       Average
       Exercise         Number     Contractual Life    Exercise
        Prices       Outstanding      (In Years)        Price
     $1.63 to $2.50   1,819,780          4.6            $2.05
     $2.51 to $3.50     267,000          6.1            $2.98
     $3.51 to $6.13     402,500          5.9            $3.76
                      2,489,280          5.0            $2.42
                                                            
                         Options Exercisable

                                       Weighted
                                        Average        Weighted
        Range of                       Remaining       Average
        Exercise        Number     Contractual Life    Exercise
         Prices      Exercisable      (In Years)        Price
     $1.63 to $2.50   1,817,280          4.6            $2.05
     $2.51 to $3.50     216,669          5.5            $3.00
     $3.51 to $6.13     402,500          5.9            $3.76
                      2,436,449          4.9            $2.41

                                                          F-19

       During the year ended February 28, 1995, the Company adopted
a stock option plan (the "1994 Performance-Based Stock Option
Plan") which provides for the issuance of up to 3,400,000 shares of
its common stock.  Executive officers of the Company and its
wholly-owned subsidiaries are eligible for grants.  Performance-
based stock options are granted for periods of up to ten years and
the exercise price is equal to the average of the closing price of
the common stock for the twenty consecutive trading days prior to
the date on which the option is granted.  Vesting of performance
based options is during the first four years after the date of
grant, and is dependent upon increases in the market price of the
common stock.

         A total of 3,330,714 stock options were granted under the 1994
Performance-Based Stock Option Plan, at option prices ranging from 
$1.81 to $3.14, of which 3,280,714 remain outstanding at February
28, 1998.  Of the outstanding options, 1,115,000 are currently
exercisable through September 2004, an additional 1,115,000 options
may become exercisable through September 2004 and the remaining
1,050,714 may become exercisable through February 2008.
                                                            
         During fiscal 1994, the Company adopted an Employee Stock
Purchase Plan which provides for the issuance of up to one million
shares of its common stock.  The purchase price of the shares is
the lesser of 90 percent of the fair market value at the enrollment
date, as defined, or the exercise date.  Since inception of this
plan a total of 777,174 shares were issued. 

         Preferred Stock, Class A

         Each issued and outstanding share of Preferred Stock, Class A
is entitled to a noncumulative dividend of $1.00, and has a
preference on liquidation of $1.00.  The holders of the Preferred
Stock, Class A do not have any voting rights except on matters
concerning the substantive rights, privileges and preferences of
the Preferred Stock, Class A and on issues related to certain
business combinations.

         Common Shares Reserved

         The following represents common shares reserved and 
available for issuance, at February 28, 1998, for options granted 
and outstanding warrants and employee stock purchases:

                                                     Available
                                         Reserved   for Issuance
  1994 Performance-Based Stock 
   Option Plan                          3,280,714      119,286         
  1993, 1986 and 1983 Stock 
   Option Plans                         2,494,280          -           
  1993 Employee Stock Purchase Plan           -        222,826
  Other                                    45,177          -  
  Total                                 5,820,171      342,112




                                                            F-20
                                                              
14.      EARNINGS (LOSS) PER COMMON SHARE
         
         The following table sets forth the computation of the basic 
and diluted earnings (loss) per share (In thousands, except per 
share amounts):
                                             Years Ended        
                                    February  February  February    
                                    28, 1998  28, 1997  29, 1996

Numerator:
  Net income (loss)                 $(21,632)  $ 3,761   $ 2,014

Denominator:          
  Share reconciliation:   
  Shares used for basic earnings 
    (loss) per share                  23,939    23,668    23,598
  Effect of dilutive items:-
    Stock options                         -        864     1,856
    Other                                 -         45        50
  Shares used for dilutive earnings
    (loss) per share                  23,939    24,577    25,504

Earnings (loss) per share:
  Basic                              $ (0.90)  $  0.16   $  0.09
  Diluted                            $ (0.90)  $  0.15   $  0.08


15.      UNAUDITED QUARTERLY FINANCIAL DATA

         Summarized unaudited quarterly financial data for fiscal 
1998 and 1997 are as follows (in thousands, except per share data):
<TABLE>
                                        First          Second       Third         Fourth 
                                        Quarter        Quarter      Quarter       Quarter 
Fiscal 1998
<S>                                     <C>            <C>          <C>           <C>
Revenues                                $130,501       $131,617     $131,262      $126,324
Gross profit                            $ 46,525       $ 47,548     $ 46,994      $ 45,898
Net income (loss)                       $    849       $    989     $    975      $(24,445)
Income (loss) per common share:       
   Basic                                $    .04       $    .04     $    .04      $  (1.02)
   Diluted                              $    .04       $    .04     $    .04      $  (1.02)
Weighted average number
 of common shares:   
   Basic                                  23,842         23,910       23,970        24,035
   Diluted                                24,080         24,246       24,388        24,035

                                        First          Second       Third         Fourth 
                                        Quarter        Quarter      Quarter       Quarter

Fiscal 1997
Revenues                                $113,421       $114,824     $123,307      $128,803
Gross profit                            $ 42,803       $ 43,705     $ 45,754      $ 46,585
Net income                              $    884       $    979     $    989      $    909
Income per common share:
   Basic                                $    .04       $    .04     $    .04      $    .04
   Diluted                              $    .04       $    .04     $    .04      $    .04
Weighted average number
 of common shares:   
   Basic                                  23,530         23,614       23,762        23,759
   Diluted                                24,527         24,826       24,454        24,195
</TABLE>

                                                 F-21
     During the fourth quarter of fiscal 1998, the Company recorded
a pre-tax non-recurring charge of $33.4 million.  (See Note 2).

     During the fourth quarter ended February 28, 1997, the Company
recorded a gain of approximately $834 from the sale of a closed
division.

     The Company reduced its revenues by $3 million in the third
quarter of fiscal 1996 due to a change in the method of allocating
overhead to the Company's Medicare operations.  The Company also
recorded charges in other (income) expense, net including $1.6
million during the third quarter of fiscal 1996 for the closure of
two divisions,  $165 for settlement of litigation and $358 of costs
associated with the Company's recapitalization (see Note 13).

                                                            


         

         




                                                            



























                                                          F-22<PAGE>

<TABLE>
<CAPTION>                                                                                            
SCHEDULE II

STAFF BUILDERS, INC. AND SUBSIDIARIES

VALUATION AND QUALIFYING ACCOUNTS
(In Thousands)                                                    

                                                                         Years Ended           
                                                                 February         February           February
                                                                 28, 1998         28, 1997           29, 1996
<S>                                                              <C>              <C>                <C>
ALLOWANCE FOR DOUBTFUL ACCOUNTS:

  Balance, beginning of period                                   $ 2,800          $ 2,200            $ 1,750

  Charged to costs and expenses                                    4,800            2,740              2,678

  Deductions                                                      (4,000)          (2,140)            (2,228)

  Balance, end of period                                         $ 3,600          $ 2,800            $ 2,200


ACCUMULATED AMORTIZATION OF
  INTANGIBLE ASSETS:

  Balance, beginning of period                                   $ 9,126          $ 7,282            $ 6,532

  Charged to costs and expenses                                    2,493            2,503              1,764

  Write-off of fully 
    amortized assets                                              (1,206)          (  659)            (1,014)

  Balance, end of period                                         $10,413          $ 9,126            $ 7,282



DEFERRED INCOME (NETTED AGAINST
  FRANCHISE NOTES RECEIVABLE):

  Balance, beginning of period                                   $ 5,600          $ 5,735            $ 5,050

  Charged to notes receivable                                         89              341              1,315

  Deductions                                                      (1,302)          (  476)            (  630)
  
  Balance, end of period                                         $ 4,387          $ 5,600            $ 5,735

</TABLE>

                                                          F-23<PAGE>

ITEM 9.           CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON  
                  ACCOUNTING AND FINANCIAL DISCLOSURE              

                  There have been no such changes or disagreements.




                                                        PART III



ITEM 10.  DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

ITEM 11.  EXECUTIVE COMPENSATION

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS 
          AND MANAGEMENT

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

                  The information required by Items 10, 11, 12 and 13 
is included in the Company's definitive Proxy Statement for the
Annual Meeting of Stockholders, which will be filed pursuant to
Regulation 14A within 120 days after the close of the fiscal 
year for which this Report is filed, and which information is
incorporated herein by reference.


                                                         PART IV


ITEM 14.          EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND 
                  REPORTS ON FORM 8-K

(A)  Financial Statements and Financial Statement Schedules

The financial statements, including the supporting schedules,
filed as part of the report, are listed in the Table of Contents
to the Consolidated Financial Statements.

(B)  Reports on Form 8-K

No reports on Form 8-K were filed by the Registrant for the
quarter ended February 28, 1998.

(C)  Exhibits



                                                          -26-
<PAGE>
                                                      EXHIBIT INDEX

Exhibit No.                        Description

3.1            Restated Certificate of Incorporation of the 
               Company, filed July 11, 1988. (A)

3.2            Certificate of Amendment to the Restated 
               Certificate of Incorporation of the Company, 
               filed August 22, 1991. (B)

3.3            Certificate of Amendment to the Restated 
               Certificate of Incorporation of the Company, 
               filed September 3, 1992. (A)

3.4            Certificate of Retirement of Stock of the 
               Company, filed February 28, 1994. (C)

3.5            Certificate of Retirement of Stock of the 
               Company, filed June 3, 1994. (A)

3.6            Certificate of Designation, Rights and 
               Preferences of the Class A Preferred Stock 
               of the Company, filed June 6, 1994. (A)

3.7            Certificate of Amendment of Restated 
               Certificate of Incorporation of the Company, 
               filed August 23, 1994. (A)

3.8            Certificate of Amendment of Restated 
               Certificate of Incorporation of the Company, 
               filed October 26, 1995. (D)

3.9            Certificate of Amendment of Restated 
               Certificate of Incorporation of the Company, 
               filed December 19, 1995. (E)

3.10           Plan Of Recapitalization dated as of May 12, 
               1995. (E)  

3.11           Amended and Restated By-Laws of the Company. 
               (A)

4.1            Specimen Class A Common Stock Certificate.(F)

4.2            Specimen Class B Common Stock Certificate.(G)

4.3            Non-Qualified Option Agreement, dated March 27,
               1998 between the Company and Ephraim Koschitzki. 
- ---------------------
See Notes to Exhibits
10.1          1983 Incentive Stock Option Plan (incorporated 
              by reference to Exhibit 18.1 to the Company's 
              Registration Statement on Form S-18, (File No.
              1-83939NY), filed with the Commission on 
              September 15, 1983).

10.2          Amendment to the 1983 Incentive Stock Option 
              Plan (adopted on May 15, 1986). (A)

10.3          Amendment to the 1983 Incentive Stock Option 
              Plan, dated January 1, 1987. (A)

10.4          Amendment to the 1983 Incentive Stock Option 
              Plan, dated as of December 1, 1987. (A)

10.5          Amendment to the 1983 Incentive Stock Option 
              Plan, dated as of August 3, 1988. (A)

10.6          Amendment to the 1983 Incentive Stock Option 
              Plan, dated as of August 8, 1990.  (A)

10.7          Amendment to the 1983 Incentive Stock Option 
              Plan, dated as of October 27, 1995. (H)

10.8          1986 Non-Qualified Stock Option Plan of the 
              Company. (I)

10.9          First Amendment to the 1986 Non-Qualified 
              Stock Option Plan, effective as of May 11, 
              1990. (A)

10.10         Amendment to the 1986 Non-Qualified Stock 
              Option Plan, dated as of October 27, 1995. (J)

10.11         Resolutions of the Company's Board of 
              Directors amending the 1983 Incentive Stock 
              Option Plan and the 1986 Non-Qualified Stock 
              Option Plan, dated as of June 3, 1991.  (A)

10.12         1993 Stock Option Plan of the Company. (A)

10.13         Amended and Restated 1993 Employee Stock 
              Purchase Plan of the Company. (K)

10.14         Executive Deferred Compensation Plan, 
              effective as of March 1, 1994. (C)

10.15         Form of Split-Dollar Life Insurance 
              Agreement. (C)

10.16         1994 Performance-Based Stock Option 
              Plan of the Company (incorporated by 
              reference to Exhibit B to the Company's 
              Proxy Statement, dated July 18, 1994, filed 
              with the Commission on July 27, 1994.)

- ---------------------
See Notes to Exhibits

10.17         Stock Option Agreement, dated April 22, 1993, 
              under the Company's 1983 Incentive Stock Option 
              Plan between the Company and Stephen Savitsky. (A)


10.18         Stock Option Agreement, dated as of March 28, 
              1990, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              Stephen Savitsky. (A)

10.19         Stock Option Agreement, dated as of June 17, 
              1991, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              Stephen Savitsky. (A)

10.20         Stock Option Agreement, dated February 3, 1994, 
              under the Company's 1993 Stock Option Plan 
              between the Company and Stephen Savitsky. (A)

10.21         Stock Option Agreement, dated July 1, 1997, 
              under the Company's 1993 Stock Option Plan 
              between the Company and Stephen Savitsky. (L)

10.22         Amendment to Stock Option Agreement, dated 
              April 23, 1998, between the Company and 
              Stephen Savitsky.

10.23         Stock Option Agreement, dated October 1, 1994, 
              under the Company's 1994 Performance-Based 
              Stock Option Plan between the Company and 
              Stephen Savitsky. (A)

10.24         Stock Option Agreement, dated July 1, 1997, 
              under the Company's 1994 Performance-Based 
              Stock Option Plan between the Company and 
              Stephen Savitsky. (L)

10.25         Stock Option Agreement, dated April 22, 1993, 
              under the Company's 1983 Incentive Stock 
              Option Plan between the Company and David 
              Savitsky. (A)

10.26         Stock Option Agreement, dated as of March 28, 
              1990, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              David Savitsky. (A)

10.27         Stock Option Agreement, dated as of June 17, 
              1991, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              David Savitsky. (A)

10.28         Stock Option Agreement, dated February 3, 
              1994, under the Company's 1993 Stock Option 
              Plan between the Company and David Savitsky.(A)

- ---------------------
See Notes to Exhibits


10.29         Stock Option Agreement, dated July 1, 1997 
              under the Company's 1993 Stock Option Plan 
              between the Company and David Savitsky. (L)

10.30         Amendment to Stock Option Agreement, dated 
              April 23, 1998, between the Company and 
              David Savitsky.

10.31         Stock Option Agreement, dated October 1, 
              1994, under the Company's 1994 Performance-
              Based Stock Option Plan between the Company 
              and David Savitsky. (A)

10.32         Stock Option Agreement, dated July 1, 1997, 
              under the Company's 1994 Performance-Based 
              Stock Option Plan between the Company and 
              David Savitsky. (L)                                

10.33         Stock Option Agreement, dated May 26, 1992, 
              under the Company's 1983 Incentive Stock 
              Option Plan between the Company and Gary 
              Tighe. (A)

10.34         Stock Option Agreement, dated April 22, 1993, 
              under the Company's 1983 Incentive Stock Option 
              Plan between the Company and Gary Tighe. (A)

10.35         Stock Option Agreement, dated as of April 15, 
              1991, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              Gary Tighe.(A)

10.36         Stock Option Agreement, dated October 1, 1994, 
              under the Company's 1994 Performance-Based 
              Stock Option Plan between the Company and 
              Gary Tighe.(A)

10.37         Stock Option Agreement, dated June 17, 1991, 
              under the Company's 1983 Incentive Stock Option 
              Plan between the Company and Edward Teixeira. 
              (A)

10.38         Stock Option Agreement, dated May 26, 1992, 
              under the Company's 1983 Incentive Stock 
              Option Plan between the Company and Edward 
              Teixeira. (A)

10.39         Stock Option Agreement, dated as March 28, 
              1990, under the Company's 1986 Non-Qualified 
              Stock Option Plan between the Company and 
              Edward Teixeira. (A)

10.40         Stock Option Agreement, dated as of October 1, 
              1994, under the Company's 1994 Performance-
              Based Stock Plan between the Company and 
              Edward Teixiera. (A)

- ---------------------
See Notes to Exhibits

10.41         Stock Option Agreement, dated as of September 
              25, 1996, under the Company's 1993 Stock 
              Option Plan between the Company and 
              Edward Teixeira. (M)

10.42         Stock Option Agreement, dated as of February 9,
              1998, under the Company's 1994 Performance-
              Based Stock Option Plan between the Company 
              and Dale R. Clift.

10.43         Employment Agreement, dated as of June 1, 1987, 
              between the Company and Stephen Savitsky. (A)

10.44         Amendment, dated as of October 31, 1991, to the
              Employment Agreement between the Company and 
              Stephen Savitsky. (A)

10.45         Amendment, dated as of December 7, 1992, to the
              Employment Agreement between the Company and 
              Stephen Savitsky. (A)

10.46         Employment Agreement, dated as of June 1, 1987, 
              between the Company and David Savitsky. (A)

10.47         Amendment, dated as of October 31, 1991, to the
              Employment Agreement between the Company and 
              David Savitsky. (A)

10.48         Amendment, dated as of January 3, 1992, to the
              Employment Agreement between the Company and 
              David Savitsky. (A)

10.49         Amendment, dated as of December 7, 1992, to the
              Employment Agreement between the Company and 
              David Savitsky.  (A)

10.50         Employment Agreement, dated as of June 1, 1997, 
              between Staff Builders, Inc. (NY) and Gary 
              Tighe. (N)

10.51         Agreement and Release, dated as of February 19,
              1998, between Staff Builders, Inc. (NY) and 
              Gary Tighe.

10.52         Employment Agreement, dated as of December 1, 
              1996, between Staff Builders, Inc. (NY) and 
              Edward Teixeira. (M)
                            
10.53         Employment Agreement, dated as of February 9, 
              1998, between Staff Builders, Inc. (NY) and 
              Dale R. Clift.

10.54         Agreement and Release, dated as of February 28,
              1997, between Staff Builders, Inc. (NY) and 
              Larry Campbell. (M)

- ---------------------
See Notes to Exhibits

10.55         Amended and Restated Loan and Security 
              Agreement, dated as of January 8, 1997, between 
              the Company, its subsidiaries and Mellon Bank, 
              N.A.  (M)

10.56         First Amendment to Amended and Restated Loan 
              and Security Agreement dated as of April 27, 
              1998, between the Company, its subsidiaries 
              and Mellon Bank, N.A.

10.57         Master Lease Agreement dated as of December 4, 
              1996, between the Company and Chase Equipment 
              Leasing, Inc. (M)

10.58         Premium Finance Agreement, Disclosure Statement
              and Security Agreement dated as of December 26,                   
              1996, between the Company and A.I. Credit Corp. 
              (M)  

10.59         Agreement of Lease, dated as of October 1, 
              1994, between Triad III Associates and Staff 
              Builders, Inc. (NY). (A)

10.60         Supplemental Agreement, dated as of January 21, 
              1994, between General Electric Capital 
              Corporation, Triad III Associates and Staff 
              Builders, Inc. (NY) (A)

10.61         Agreement of Lease, dated as of June 19, 1995,
              between Triad III Associates and Staff Builders,
              Inc. (NY). (E)

10.62         Agreement of Lease, dated as of February 12, 
              1996, between Triad III Associates and Staff 
              Builders, Inc. (NY). (E)

10.63         License Agreement, dated as of April 23, 1996,
              between Matterhorn One, Ltd. and Staff Builders,
              Inc. (NY). (M)

10.64         License Agreement, dated as of January 3, 1997,
              between Matterhorn USA, Inc. and Staff Builders,
              Inc. (NY) (M)

10.65         License Agreement, dated as of January 16, 1997,
              between Matterhorn USA, Inc. and Staff Builders, 
              Inc. (NY). (M)

10.66         Lease Agreement, dated as of November 4, 1996,
              between Airport Landing Center, L.L.C. and 
              Staff Builders Home Health Care, Inc. (M)

10.67         Asset Purchase Agreement dated as of June 22, 
              1993, between Albert Gallatin Home Care, Inc 
              and Albert Gallatin Visiting Nurse Association, 
              Inc. (C)

- ---------------------
See Notes to Exhibits

10.68         Stock Purchase Agreement, dated as of June 22, 
              1993, between Staff Builders, Inc. (NY) and 
              Albert Gallatin Planning and Development 
              Corporation. (C)

10.69         Stock Purchase Agreement, dated as of August 
              30, 1995, between Staff Builders Services, Inc.,
              MedVisit, Inc. and Roger Jack Pleasant. (E)

10.70         Asset Purchase and Sale Agreement, dated as of
              September 1, 1995, between Staff Builders 
              Services, Inc. and Accredicare, Inc. (E)

10.71         Management and Stock Option Agreement, dated 
              as of February 29, 1996, between Staff 
              Builders, Inc. and Time Insurance Company. (M)

10.72         Stock Purchase Agreement and Receipt, dated 
              as of February 28, 1997, between the Company 
              and Time Insurance Company. (M)

10.73         Asset Purchase and Sale Agreement, dated as 
              of September 6, 1996, by and among ATC 
              Healthcare Services, Inc. and Staff 
              Builders, Inc. and William Halperin and 
              All Care Nursing Service, Inc. (O)

10.74         Stock Redemption Agreement, dated as of 
              March 18, 1997, between the Company and 
              American HomeCare Management Corp. (M)

10.75         Stock Purchase Agreement by and among 
              the Company and Raymond T. Sheerin, 
              Michael Altman, Stephen Fleischner and 
              Chelsea Computer Consultants, Inc.,
              dated September 24, 1996. (L)

10.76         Amendment No. 1 to Stock Purchase 
              Agreement by and among the Company and 
              Raymond T. Sheerin, Michael Altman, 
              Stephen Fleischner and Chelsea Computer
              Consultants, Inc., dated October 30, 1997. (L)

10.77         Shareholders Agreement between Raymond T. 
              Sheerin and Michael Altman and Stephen 
              Fleischner and the Company and Chelsea 
              Computer Consultants, Inc., dated 
              September 24, 1996. (L)

10.78         Amendment No. 1 to Shareholders Agreement 
              among Chelsea Computer Consultants, Inc., 
              Raymond T. Sheerin, Michael Altman and the 
              Company, dated October 30, 1997. (L)

- ---------------------
See Notes to Exhibits





10.79         Common Stock Purchase Option to purchase 
              shares of common stock in Chelsea Computer 
              Consultants, Inc., dated November 19, 1997 
              between the Company and David Savitsky. (L)

10.80         Common Stock Purchase Option to purchase 
              shares of common stock in Chelsea Computer 
              Consultants, Inc., dated November 19, 1997 
              between the Company and Stephen Savitsky. 
              (L)

10.81         Indemnification Agreement, dated as of 
              September 1, 1987, between the Company and 
              Stephen Savitsky. (A)

10.82         Indemnification Agreement, dated as of 
              September 1, 1987, between the Company and 
              David Savitsky. (A) 

10.83         Indemnification Agreement, dated as of 
              September 1, 1987, between the Company and 
              Bernard J. Firestone. (A)

10.84         Indemnification Agreement, dated as of 
              September 1, 1987, between the Company and 
              Jonathan Halpert. (A)

10.85         Indemnification Agreement, dated as of May 
              2, 1995, between the Company and Donald 
              Meyers. (M)

10.86         Indemnification Agreement, dated as of 
              February 10, 1992, between the Company and 
              Gary Tighe. (A)

10.87         Indemnification Agreement, dated as of May 
              2, 1995, between the Company and Edward 
              Teixeira. (A)

10.88         Form of Home Health Care Services Franchise 
              Agreement. (B)

10.89         Form of Medical Staffing Services Franchise
              Agreement (E)

21            Subsidiaries of the Company. 

24            Powers of Attorney.







- ---------------------
See Notes to Exhibits


                                                         NOTES TO EXHIBITS

(A)               Incorporated by reference to the Company's exhibit
                  booklet to its Form 10-K for the fiscal year ended
                  February 28, 1995 (File No. 0-11380), filed with 
                  the Commission on May 5, 1995.

(B)               Incorporated by reference to the Company's 
                  Registration Statement on Form S-1 (File No. 
                  33-43728), dated  January 29, 1992.

(C)               Incorporated by reference to the Company's exhibit 
                  booklet to its Form 10-K for the fiscal year ended 
                  February 28, 1994, (File No. 0-11380), filed with 
                  the Commission on May 13, 1994.

(D)               Incorporated by reference to the Company's Form 
                  8-K filed with the Commission on October 31, 1995.

(E)               Incorporated by reference to the Company's exhibit 
                  booklet to its Form 10-K for the fiscal year ended 
                  February 28, 1996 (File No. 0-11380), filed with 
                  the Commission on May 13, 1995. 

(F)               Incorporated by reference to the Company's Form 
                  8-A filed with the Commission on October 24, 1995.

(G)               Incorporated by reference to the Company's Form 
                  8-A filed with the Commission on October 24, 1995.

(H)               Incorporated by reference to the Company's 
                  Registration Statement on Form S-8 (File No. 
                  33-63941), filed with the Commission on 
                  November 2, 1995.

(I)               Incorporated by reference to the Company's 
                  Registration Statement on Form S-4, as amended 
                  (File No. 33-9261), dated April 9, 1987.

(J)               Incorporated by reference to the Company's 
                  Registration Statement on Form S-8 (File No. 
                  33-63939), filed with the Commission on 
                  November 2, 1995.

(K)               Incorporated by reference to the Company's 
                  Registration Statement on Form S-1 (File No. 
                  33-71974), filed with the Commission on 
                  November 19, 1993.

(L)               Incorporated by reference to the Company's 
                  Form 10-Q for the quarterly period ended 
                  November 30, 1997 (File No. 0-11380), filed 
                  with the Commission on January 14, 1998.

(M)               Incorporated by reference to the Company's 
                  exhibit booklet to its Form 10-K for the fiscal
                  year ended February 28, 1997 (File No.0-11380),
                  filed with the Commission on May 27, 1997.

(N)               Incorporated by reference to the Company's 
                  Form 10-Q for the quarterly period ended 
<PAGE>
                  August 31, 1997 (File No. 0-11380), filed with 
                  the Commission on October 14, 1997.

(O)               Incorporated by reference to the Company's Form 
                  10-Q for the quarterly period ended November 30, 
                  1996 (File No. 0-11380), filed with the Commission 
                  on January 14, 1997.<PAGE>
                                   

                                                    SIGNATURES

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

                                                STAFF BUILDERS, INC.

                                                By:  /S/ STEPHEN SAVITSKY
                                                Stephen Savitsky
                                                Chairman of the Board,
                                                President, and Chief
                                                Executive Officer

Dated:   May 27, 1998

               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.

     SIGNATURE                   TITLE                    DATE     


/S/ STEPHEN SAVITSKY     Chairman of the Board,      May 27, 1998
Stephen Savitsky         President and Chief
                         Executive Officer
                         (Principal Executive
                         Officer) and Director

/S/ DAVID SAVITSKY       Executive Vice President,   May 27, 1998
David Savitsky           Chief Operating Officer,
                         Secretary, Treasurer
                         and Director

/S/ DALE R. CLIFT        Executive Vice President,   May 27, 1998
Dale R. Clift            Finance and Chief Financial
                         Officer (Principal Financial
                         Officer)
                        
/S/ WILLARD T. DERR      Sr. Vice President-         May 27, 1998
Willard T. Derr          Controller (Principal
                         Accounting Officer)

/S/Bernard J. Firestone  Director                    May 27, 1998
Bernard J. Firestone,
  Ph.D.

         *               Director                    May 27, 1998
Jonathan Halpert,
  Ph.D.

         *               Director                    May 27, 1998
Donald Meyers

* By:  /S/ STEPHEN SAVITSKY
       (Stephen Savitsky,
        Attorney-in-Fact) 
                                                            -27-

<TABLE> <S> <C>

<ARTICLE> 5
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                          FEB-28-1998
<PERIOD-START>                             MAR-01-1997
<PERIOD-END>                               FEB-28-1998
<CASH>                                            1931
<SECURITIES>                                         0
<RECEIVABLES>                                    80268
<ALLOWANCES>                                      3600
<INVENTORY>                                          0
<CURRENT-ASSETS>                                 86051
<PP&E>                                           19735
<DEPRECIATION>                                    8187
<TOTAL-ASSETS>                                  150401
<CURRENT-LIABILITIES>                            71739
<BONDS>                                              0
                                0
                                          1
<COMMON>                                           240
<OTHER-SE>                                       38128
<TOTAL-LIABILITY-AND-EQUITY>                    150401
<SALES>                                              0
<TOTAL-REVENUES>                                519704
<CGS>                                                0
<TOTAL-COSTS>                                   332739
<OTHER-EXPENSES>                                   631
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                3600
<INCOME-PRETAX>                                (27496)
<INCOME-TAX>                                    (5864)
<INCOME-CONTINUING>                            (21632)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                  (21,632)
<EPS-PRIMARY>                                    (.90)
<EPS-DILUTED>                                    (.90)
        

</TABLE>






















                                 EXHIBIT
                                  10.22<PAGE>



Amendment to the 
Stock Option Agreement


      This Amendment to the Stock Option Agreement, made as
of the 23rd day of April, 1998, is between Staff Builders,
Inc., a Delaware corporation (the 'Corporation') and Stephen
Savitsky (the 'Optionee').

      WHEREAS, the Corporation and Optionee entered into a
Stock Option Agreement dated July 1, 1997 (the 'Agreement');
and 

      WHEREAS, the parties now desire to amend the Agreement
so as to reduce the number of shares as to which the option
is granted;

      NOW THEREFORE, in consideration of the mutual covenants
and agreements contained herein, the parties hereto agree as
follows:

      Schedule A of the Agreement is hereby amended so that
        the number of shares as to which the option is
        granted shall be 197,000.

      Except as expressly amended herein, all other terms,
conditions, agreements, representations and warranties
contained in the agreement shall remain in full force and
effect. 
      
      IN WITNESS WHEREOF, the parties have executed this
Amendment as of the date and year first written above.
      
                                    STAFF BUILDERS, INC.:
      
      
                                    BY:/s/David Savitsky
      
                                    GRANTEE:
      
      
                                    /s/ Stephen Savitsky
                                    Stephen Savitsky






















                                    EXHIBIT
                                     10.30<PAGE>



Amendment to the 
Stock Option Agreement


      This Amendment to the Stock Option Agreement, made as
of the 23rd day of April, 1998, is between Staff Builders,
Inc., a Delaware corporation (the 'Corporation') and David
Savitsky (the 'Optionee').

      WHEREAS, the Corporation and Optionee entered into a
Stock Option Agreement dated July 1, 1997 (the 'Agreement');
and 

      WHEREAS, the parties now desire to amend the Agreement
so as to reduce the number of shares as to which the option
is granted;

      NOW THEREFORE, in consideration of the mutual covenants
and agreements contained herein, the parties hereto agree as
follows:

      Schedule A of the Agreement is hereby amended so that
        the number of shares as to which the option is 
        granted shall be 197,000.

      Except as expressly amended herein, all other terms,
conditions, agreements, representations and warranties
contained in the agreement shall remain in full force and
effect. 
      
      IN WITNESS WHEREOF, the parties have executed this
Amendment as of the date and year first written above.
      
                              STAFF BUILDERS, INC.:
      
      
                              BY:/s/Stephen Savitsky
      
                              GRANTEE:
      
      
                              /s/ David Savitsky
                              David Savitsky




















                             EXHIBIT
                              10.42<PAGE>


                      STAFF BUILDERS, INC.

                                             
                                             February 9, 1998


To the Person Named as 
Optionee on Schedule A
to this Agreement


               Re:  Grant of Nonqualifying Stock Options
                    to Purchase Shares of the Common
                    Stock of Staff Builders, Inc.  


Dear Optionee:

          You and Staff Builders, Inc., a Delaware corporation (the
"Corporation"), hereby agree as follows:

          1.   Reference.  This is the Stock Option Agreement
referred to in Section 7(1) of the Corporation's 1994 Performance-
Based Stock Option Plan (the "Plan").  The stock option this
Agreement grants is a Nonqualifying Stock Option, as set forth in
Section 5 below.  This Agreement incorporates all terms, conditions
and provisions of the Plan. 

          2.   Stock Option.

               (a)  The Corporation hereby grants to the Optionee
the option (the "Stock Option") to purchase that number of shares
of Class A Common Stock of the Corporation, par value $.01 per
share, set forth in Paragraph (b) of this Section.  The Corporation
will issue these shares as fully paid and nonassessable shares upon
the Optionee's exercise of the Stock Option.  The Optionee may
exercise the Stock Option in accordance with this Agreement any
time between six months and the tenth anniversary of the date of 
grant of the Stock Option evidenced by this Agreement, unless
earlier terminated according to the terms of this Agreement.

               (b)  The Stock Option shall vest and become
exercisable pursuant to Section 7(c) of the plan.

          3.   Exercise of Stock Option.  The Optionee may 









To the Person Named as 
Optionee on Schedule A
February 9, 1998
Page 2



exercise the Stock Option in whole or in part by written notice
delivered to the Corporation in the form of Schedule B to this
Agreement.  The Optionee shall enclose with each such notice
payment by cash or by valid check in an amount equal to the number
of shares as to which his exercise is made, multiplied by the
option price therefor.  The Optionee must exercise the Stock Option
on or before February 9, 2008 after which it will lapse.

          4.   Purchase Price.  The option price per share shall 
be the Option Price as defined in Section 7(b) of the Plan.

          5.   Tax Treatment of the Stock Option.  The following 
is a summary of the federal income tax consequences of the issuance
and exercise of nonqualifying stock options under the Plan to
optionees and to the Corporation under the Internal Revenue Code of
1986, as amended (the "Code").  The following discussion does not
purport to be complete and does not cover, among other things,
state and local tax treatment of participation in the Plan. 
Furthermore, differences in optionees' financial situations may
cause federal, state and local tax consequences of participation in
the Plan to vary.  Therefore, each optionee in the Plan is urged to
consult his own accountant, legal counsel or other financial
advisor regarding the particular tax consequences to him of
participation in the Plan, including the applicability and effect
of any state or local tax laws, and of changes in applicable tax 
laws.

          The grant of a nonqualifying stock option will not result
in the recognition of taxable income to the optionee for federal
income tax purposes or in deduction to the Corporation.  Upon the
exercise of a nonqualifying stock option, the optionee will
recognize ordinary income for federal income tax purposes in an
amount equal to the excess of the fair market value of the shares
of Common Stock of the Corporation over the exercise price. Such
amount may be deductible by the Corporation if it complies with
applicable reporting requirements.

          If an optionee disposes of any shares of Class A Common
Stock received upon the exercise of a nonqualifying stock option,
such optionee will recognize a capital gain or loss for federal
income tax purposes equal to the difference between the amount
realized on the disposition of such shares and the fair market
value of such shares at the time the option was exercised.  The 




To the Person Named as
 Optionee on Schedule A
February 9, 1998
Page 3



gain or loss will be either long-term or short-term, depending on
the holding period.  The Corporation will not be entitled to any 
tax deduction in connection with such disposition of shares.

          6.   No Rights in Option Stock.  Optionee shall have no
rights as a stockholder in respect of any shares subject to the
Stock Option unless and until Optionee has exercised the Stock
Option in complete accordance with the terms hereof, and shall have
no rights with respect to shares not expressly conferred by this 
Agreement.

          7.   Shares Reserved.  The Corporation shall at all times
during the term of this Agreement reserve and keep available such
number of shares of Class A Common Stock as will be sufficient to
satisfy the requirements of this Agreement, and shall pay all
original issue taxes on the exercise of the Stock Option, and all
other fees and expenses necessarily incurred by the Corporation in
connection therewith; provided, however, that pursuant to Section
7(g) of the Plan, upon settlement of the Stock Option, it shall be
a condition to the obligation of the Corporation that the Optionee
pay to the Corporation such amount as the Corporation may request
for the purpose of satisfying its liability to withhold federal, 
state or local income or other taxes.  

          8.   Nonassignability.  The Stock Option and this
Agreement shall not be encumbered, disposed of, assigned or
transferred in whole or part, and, except as described in the Plan,
may only be exercised by the Optionee unless the prior written
consent of the Corporation has been obtained.  All shares of Class
A Common Stock purchased pursuant to this Agreement shall be
purchased for investment by the Optionee.

          9.   Effect Upon Employment.  Nothing in this Agreement
shall confer on the Optionee any right to continue in the
employment of the Corporation or shall interfere in any way with 
the right of the Corporation to terminate Optionee's employment at
any time.

          10.  Successors.  This agreement shall be binding upon 
any successor of the Corporation.







          In order to indicate your acceptance of the Stock Option
on the above terms and conditions, kindly sign the enclosed copy of
this letter agreement and return it to the Corporation.


                         

                              STAFF BUILDERS, INC.



                              /s/ Stephen Savitsky
                              By: Stephen Savitsky     
                        



Accepted and Agreed to:

               

/s/ Dale Clift             
       Dale Clift  
































                                                  SCHEDULE A


                   Nonqualifying Stock Options





Date of Grant: February 9, 1998

Name of Optionee: Dale Clift

Number of Shares as to
which the Option is Granted: 333,332

Option Price per Share: $1.81







































                                                  SCHEDULE B


                                
                 NOTICE OF ELECTION TO EXERCISE


STAFF BUILDERS, INC.
1981 Marcus Avenue
Lake Success, New York  11042


Attention:                   


Gentlemen:

          I hereby irrevocably elect to exercise the Stock Option
held by me under the 1994 Performance-Based Stock Option Plan of 
Staff Builders, Inc. (the "Company") to purchase shares of the
Class A Common Stock, par value $.01 per share, of the Company at
an option price of $          per share.

          Enclosed is a check, payable to the order of the Company,
in the amount of $           .

          A completed Exercise of Stock Option Payment Remittance
Form is attached.

          Please issue           certificate(s) for            
shares each and, if applicable, a separate certificate for the
remaining            shares in my name as shown below.


                                                  
                              Name

                                                  
                      Taxpayer I.D. Number
             (i.e. Social Security/Insurance Number)

                                                  
                        Number and Street

                                                   
                   City     State     Zip Code









Please forward the certificate(s) to me at the following address:


                                                   
                        Number and Street

                                                   
                   City     State     Zip Code

          This election incorporates, and is subject to, all terms
and conditions of the Plan and my Stock Option Agreement with the
Company.

          I am acquiring the foregoing shares for investment
purposes only, and not with a view to their sale or distribution.


Dated:                    


                                                                  
                                   Signature


                                                                  
                                   Print Name


























                                


                                                  SCHEDULE B-1



                      STAFF BUILDERS, INC.

                              1994
               PERFORMANCE-BASED STOCK OPTION PLAN

        Exercise of Stock Option Payment Remittance Form



     In fulfillment of the accompanying Notice of Election to
Exercise, which advises you of my intention to exercise options to
purchase              shares of Staff Builders, Inc. Class A Common
Stock at an option price of $            per share, for a total
purchase price of $           , I enclose in full payment of the 
purchase price a check in the amount of $             made payable
to Staff Builders, Inc.




Dated:                                                            
                                        Signature

                                                                 
 
                                        Type Name



























EXHIBIT
10.51<PAGE>
AGREEMENT AND RELEASE

         THIS AGREEMENT AND RELEASE is entered into by and between
GARY TIGHE ("TIGHE") who resides at 51 Euston Road, Garden
City, New York 11530 and STAFF BUILDERS, INC., a New York
corporation, 1983 Marcus Avenue New York, 11042 ("STAFF
BUILDERS") (collectively the "Parties")  on the date set forth
below.

         WHEREAS the Parties have entered into an Employment
Agreement ("Employment Agreement") executed as of June 1,
1997, and 

         WHEREAS the Parties now desire to terminate said
Employment Agreement and to modify certain terms of same that
survive the termination of said Employment Agreement.

         NOW THEREFORE, in consideration of the mutual promises 
set forth herein and the mutual benefits which the parties
will gain by performance thereof, the parties hereto agree as
follows:

         1.      The Parties agree that effective at the close of
business February 20, 1998, TIGHE'S employment with STAFF
BUILDERS shall cease and except as provided herein and except
for the terms of the Employment Agreement that survive its
termination, the Employment Agreement shall be terminated. As
of February 21, 1998, TIGHE shall have no duties,
responsibilities or authority on behalf of STAFF BUILDERS, nor
shall he otherwise act as an employee of STAFF BUILDERS. 
TIGHE shall provide STAFF BUILDERS with a letter of
resignation dated February 18, 1998, attached hereto as
Exhibit B.
         2.      In consideration for his compliance with all of the
         provisions of this Agreement And Release the Parties
         agree as follows:
                 STAFF BUILDERS shall provide and TIGHE all accept a
         lump sum payment of $243,647.22 payable eight (8) days
         after TIGHE returns an executed copy of this Agreement,
         provided TIGHE has not exercised his right to rescind
         this Agreement, or February 27, 1998, whichever is later.

         b. STAFF BUILDERS will also extend TIGHE's right to elect
         to purchase health insurance coverage under COBRA up to
         June 1, 2000, provided TIGHE has not otherwise become
         eligible for other health insurance coverage.  Staff
         Builders agrees to pay the cost of said COBRA.

         c. The Parties agree to amend Paragraph 10 of the
         Employment Agreement by substituting a ninety (90) day
         time period for the one (1) year time period contained in
         subparagraph (a). The Parties further agree to amend
         Paragraph 10 of the Employment Agreement by substituting
         a twenty eight (28) month time period for the one (1)
         year time period contained in subparagraph (b). 

         d. Subject to the terms and conditions of the Staff
         Builders Deferred Compensation Plan, Staff Builders will
         use its best efforts to have TIGHE paid all entitlements
         thereunder within 30 days of the date of this Agreement.

         e. Staff Builders will use its best efforts to have
         TIGHE's name removed from all company forms and
         documents, such as the use of facsimile of Tighe's
         signature on any corporate checks.


         3.      The Parties hereto agree and understand that the
payments, specified in paragraph 2 above and the other
consideration contained herein, are in excess of that which 
STAFF BUILDERS is obligated to provide to TIGHE or which would
normally be provided to an individual who was leaving or had
left the Employer and that it is provided solely in
consideration of TIGHE's execution of this Agreement And
Release.

         4.      TIGHE understands that there are various state and
federal laws that prohibit employment discrimination on the 
basis of  age, race, sex, religion, national origin, martial
status and disability and that these laws are enforced by the
courts and various government agencies.  By signing this
Agreement And Release, TIGHE intends to give up any rights he
may have under these laws or any other laws with respect to 
his employment or the termination of his employment with or 
by STAFF BUILDERS and acknowledges that STAFF BUILDERS has not
(a) discriminated against him; (b) breached any express or
implied contract with him; or (c) otherwise acted unlawfully
towards him.
 
         5.      As a material inducement to the Parties to enter
into this Agreement And Release, TIGHE covenants not to sue 
and hereby irrevocably and unconditionally releases, acquits
and forever discharges STAFF BUILDERS, and all other
affiliated, subsidiary or related organizations, parents,
companies or divisions, and their respective present, former
or future officers, directors, shareholders, agents,
employees, representatives, consultants, attorneys,
successors, and assigns, and all STAFF BUILDERS' employee
benefit plans and the current and former Trustees of all of 
them (collectively the "Releasees"), of and from any claim, 
right, demand, charge, complaint, action, cause of action,
obligation, or liability of any and every kind based on any 
federal, state, or local law, statute or regulation, whether
known  or unknown, suspected or unsuspected, fixed or
contingent, whether in tort or in contract or by statute,
which arises or results from any event, action or inaction
occurring prior to the execution of this Agreement And
Release, as well as any and all claims arising out of or
relating to any alleged tortious, wrongful, discriminatory, 
defamatory, improper or unlawful act or omission of STAFF
BUILDERS, including without limitation, claims alleging a
violation of the Age Discrimination In Employment Action of 
1967, as amended 29 U.S.C. 621 et seq.   The Americans with
Disabilities Act of 1990, 42 U.S.C.  12101 et seq., which
arose prior to the execution of this Agreement And Release, 
or which might exist under the qui tam provisions of the False
Claims Act, 31 U.S.C.  3730.  TIGHE represents that he has
received complete satisfaction of any and all claims, whether
known, suspected or unknown, that he may have or have had
against any of the Releasees as of the date of this Agreement
And Release, and he hereby waives any and all relief for such
claims not explicitly provided for herein.

         6.      TIGHE expressly agrees and acknowledges that the
amounts specified in paragraph 2 include all monies, costs and
attorneys' fees which could be claimed against the Releasees
by him or on his behalf.

         7.      TIGHE affirms that he  is not aware of any
outstanding administrative or judicial claims, charges,
lawsuits or proceedings of any kind against any of the
Releasees to which he is a party or which were filed on his 
behalf, and promises not to commence any proceeding or action
against STAFF BUILDERS except to enforce this Agreement And 
Release.  TIGHE further agrees not only to release and
discharge the Releasees of and from any and all claims which
he could make on his own behalf, but also those which may have
been or may be made by any other person or organization on his
behalf as of the date of this Agreement And Release.

         8.      TIGHE hereby agrees to surrender any and all Stock
Options of  STAFF BUILDERS, Inc. (Delaware)  ("SBD") granted
to him pursuant to the 1983 Incentive Stock Option Plan, the
1986 Non-Qualified Stock Option Plan, and the 1994
Performance-Based Stock Option Plan (as more particularly
described in Exhibit A), or otherwise, including any options
which are vested as of the date hereof, within 90 days of this
Agreement.  Within the 90 day period, TIGHE may exercise any
such options.  

         9.      TIGHE acknowledges that as a result of his
employment by STAFF BUILDERS, he has had access to
confidential, proprietary business information belonging to 
STAFF BUILDERS, as those terms are defined in paragraph 11 of
the Employment Agreement, and hereby agrees not to use or
disclose any such information personally or for the benefit 
of others.  TIGHE also agrees (1) not to disclose to anyone 
any such confidential and proprietary information; and (2) to
comply with any and all provisions of his Employment Agreement
that, by their terms, survive the termination of his
employment. On the date he signs this Agreement And Release,
TIGHE further promises and agrees to return to STAFF BUILDERS
any and all documents or diskettes now in his possession which
he received, sent, generated or had access to in the course of
his employment by STAFF BUILDERS, together with any and all
property of STAFF BUILDERS he has in his possession.

         10.     TIGHE further agrees that except for the press
release to be mutually agreed to between the Parties, and
disclosure in any documents filed with the Securities and
Exchange Commission, he will not disclose, either directly or
indirectly, in any manner whatsoever, any specific
information, fact or opinion of any kind regarding the terms
of this Agreement And Release, to any person or organization,
including, but not limited to, members of the press and media,
present and former officers, employees (except with respect to
certain restrictions upon him concerning future solicitation
of Staff Builders' employees) and agents of the Releasees, and
other members of the public, except to his wife, whom shall be
bound by this paragraph to the same extent as TIGHE and whose
violation of this paragraph shall be deemed to constitute a
violation by TIGHE as if he himself had personally violated
this paragraph.  TIGHE shall specifically advise his wife,
that she must comply with this paragraph and shall
specifically advise him or her that a violation by him or her
of this paragraph shall be deemed to be a violation by TIGHE.

         11.     If  in violation of paragraphs 4 or 5 or 7 above, 
TIGHE files or causes to be filed a claim, charge or lawsuit
against any of the Releasees with any governmental agency,
court or other forum concerning, in whole or in part, any
event occurring as of or prior to the date of this Agreement
And Release or any claim that has been released herein, or in
the event TIGHE violates the provisions contained in
paragraphs 9, 10 or 11 herein, TIGHE agrees to immediately
repay to STAFF BUILDERS all monies that he received pursuant
to paragraph 2 hereof, and to waive and forego any claim to 
any additional monies or benefits he might otherwise have a 
claim to receive pursuant to this Agreement And Release or
otherwise.  TIGHE further agrees that the release set forth 
in paragraphs 4 and 5 remains in full force and effect, and 
that the balance of this Agreement And Release provides
adequate consideration for such Release.  Should any
governmental agency, court or other forum determine that such
claim, charge or lawsuit is barred by this Agreement And
Release, TIGHE agrees to pay STAFF BUILDERS, in addition, the
attorneys' fees and expenses it incurs in enforcing the terms
of this Agreement And Release and otherwise defending against
said claim, charge or lawsuit.

         12.     The waiver by any Party of a breach of any provision
hereof shall not operate or be construed as a waiver of any
subsequent breach by any Party.

         13.     This Agreement And Release and the exhibits attached
hereto contain the full agreement between TIGHE and STAFF
BUILDERS, and may not be modified, altered or changed except
upon the express prior written consent of both TIGHE and STAFF
BUILDERS.

         14.     TIGHE affirms that he has been given at least 21
days to consider this Agreement And Release and that he has 
voluntarily chosen not to wait 21 days to execute this
Agreement And Release.  His choice to execute this Agreement
And Release was knowing and voluntary and made after
consultation with his counsel.  TIGHE understands that he may
revoke his agreement hereto by so notifying STAFF BUILDERS' 
General Counsel in writing within seven (7) days after he
signs this Agreement And Release.  

         15.     TIGHE acknowledges and agrees that: (a) no promise
or inducement for this Agreement And Release has been made by
STAFF BUILDERS, except as set forth in this Agreement And
Release; (b) this Agreement And Release is executed by him
without reliance upon any statement or representation by STAFF
BUILDERS other than as set forth herein; (c) he fully
understands this Agreement And Release and the meaning of its
provisions; (d) he fully understands that he is giving up
important rights set forth herein; (e) he is legally competent
to enter into this Agreement And Release and to accept full
responsibility therefor; (f) he consulted with his counsel
before entering into this Agreement And Release; and (g) he
voluntarily enters into this Agreement And Release.

         16.     This Agreement And Release may be executed in
counterparts, and, when each party has signed and delivered 
at lease one such counterpart, each counterpart shall be
deemed an original and taken together, shall constitute one 
and the same agreement, which shall be binding and effective
to all parties.

         17.     This Agreement And Release shall be construed in
accordance with the laws of the State of New York.  Any action
or proceeding relating to or arising from this Agreement And
Release  or any other dispute between the parties hereto shall
be brought solely in the Supreme Court of the State of New
York, Nassau County.  TIGHE hereby consents to personal
jurisdiction and venue in New York State Supreme Court, County
of Nassau any such action or proceeding.  The parties
expressly waive their  right to trial by jury in any action or
proceeding against the other and consent to trial before a
judge.  
         18.     This Agreement And Release is the product of
negotiation and mutual discussion.  The rule of construction
that an agreement may be construed against its drafter shall
not apply in any action or proceeding arising from or based,
in whole or in part, on this Agreement And Release.

         19.     TIGHE ACKNOWLEDGES AND AGREES THAT HE HAS READ AND
FULLY UNDERSTANDS THE MEANING OF EACH PROVISION OF THIS
AGREEMENT AND RELEASE, THAT HE HAS HAD THE OPPORTUNITY TO
CONSULT WITH COUNSEL CONCERNING IT, AND THAT HE FREELY AND
VOLUNTARILY ENTERS INTO IT.

         IN WITNESS WHEREOF, the Parties have hereunto set their
hand on the dates indicated below.
                                                  STAFF BUILDERS, INC.

                                                  By: /s/ Stephen Savitsky
                                                  Date: 2/19/98
         
                                                  /s/ Gary Tighe
                                                  GARY  TIGHE

                                                  Date: 2/19/98<PAGE>

STATE OF NEW YORK                 )
                                  ) ss.:
COUNTY OF NASSAU                  )



                      I, Gary Marcus do hereby certify that
GARY TIGHE, personally known to me to be the same person whose
name is subscribed to the foregoing instrument, appeared
before me this day in person and acknowledged that he signed
and delivered the said instrument as his free and voluntary
act, for the uses and purposes therein set forth.

         Given under my hand and official seal  this 19th day of
February, 1998.

                                                           
Gary Marcus
Notary Public


My Commission Expires:


11/39/98


                                                           
























                                                     EXHIBIT

                                                      10.53<PAGE>
           
EMPLOYMENT AGREEMENT

         Employment Agreement ("Agreement"), dated as of February
9, 1998 by and between STAFF BUILDERS INC., a New York
Corporation ("Staff Builders" or the "Corporation"), and DALE
R. CLIFT who resides at 2940 South Tamarac St., Denver,
Colorado 80231 ("Executive").

         WHEREAS, Staff Builders wishes to secure the services of
the Executive on the  terms and conditions set forth below;
and

         WHEREAS, the Executive is willing to accept employment
with Staff Builders on such terms and conditions.

         NOW, THEREFORE, in consideration of their mutual promises
and other adequate consideration, Staff Builders and the
Executive do hereby agree as follows:

         1.      EMPLOYMENT.  Staff Builders will employ the
Executive as Executive Vice President-Finance & Chief
Financial Officer, in accordance with the terms and
provisions of this Agreement.

         2.      DUTIES. The Executive shall be responsible for all
financial aspects of the Corporation and its affiliates and
subsidiaries, as directed by the CEO. The Executive shall
report directly to the Chief Executive Officer of the
Corporation or such other officer of the Corporation as the
Board of Directors may from time to time designate.  The
Executive shall devote his full business time, attention and
skill to the performance of his duties hereunder and to the
advancement of the business and interests of Staff Builders.
         
         3.      TERM.  This Agreement shall be effective upon
execution by Staff Builders and the Executive, and shall
remain in effect until February 8, 2001, unless terminated
earlier pursuant to the terms hereof.
         
         4.      COMPENSATION.
                 Salary.  The Executive shall be paid a salary of
                      $225,000 per annum during the term hereof,
                      payable in weekly installments.  The Executive's
                      salary will be reviewed by Staff Builders on
                      March 1, 1999 and March 1, 2000.
                 Benefits.  The Executive shall be eligible to
                      receive and participate in all health, medical or
                      other insurance benefits which Staff Builders
                      provides or makes available to its employees. 
                      The Executive may enroll in the Staff Builders
                      health program effective upon the first date of
                      employment.
                 Expenses.  Staff Builders shall reimburse the
                      Executive for all reasonable and necessary
                      expenses upon submission by the Executive of
                      receipts, accounts or such other documents
                      reasonably requested by Staff Builders.  
                 Relocation Expenses.   Staff Builders will
                      reimburse the Executive for relocation expenses
                      incurred during the first six (6) months of
                      employment directly related to the Executive's
                      move to the Long Island area.  Reimbursable
                      expenses will include: packing and shipping of
                      household goods, Realtor fees and closing costs
                      related to the sale of the Executive's current
                      residence. The total amount of relocation
                      expenses to be reimbursed to the Executive will
                      not exceed $40,000.
                 (a)       Car Allowance.  The Executive will be paid a
                      car allowance of 
                 ($575) per month.
                 Misc. Expense.  In connection with the Executive's
                      start of employment at Staff Builders, the
                      Executive will be paid a one time payment of
                      $18,000, on or before February 27, 1998.
                 Vacation.  The Executive shall be entitled to three
                      (3) weeks of paid vacation during each twelve
                      (12) month period of employment during the term.
                 Incentive Compensations.   The Executive is
                      entitled to participate in the TIP TOP Program.
                 Deferred Compensation.  The Executive is entitled
                      to participate in the Deferred Compensation
                      Program as described in the plan documents.
                 Employee Stock Purchase Plan.  The Executive is
                      entitled to participate in the Employee Stock
                      Purchase Plan as described in the plan documents.
         
         5.      TERMINATION:  RIGHTS AND OBLIGATIONS UPON
TERMINATION.
                 If the Executive dies during the Term, then the
                      Executive's employment under this Agreement shall
                      terminate.  In such event, the Executive's estate
                      shall be entitled only to compensation and
                      expenses accrued and unpaid as at the date of the
                      Executive's death.
                 (a)      If, as a result of the Executive's incapacity
                      due to physical or mental illness, whether or not
                      job related, the Executive is absent from his
                      duties hereunder for 90 consecutive days, or an
                      aggregate of 120 days during the Term, the
                      Executive's employment hereunder and this
                      Agreement shall terminate.  In such event, the
                      Executive shall be entitled only to compensation
                      and expenses accrued and unpaid as at the date of
                      termination of the  Executive's employment.
                 (b)      The Corporation shall have the right to
                      terminate the Executive's employment under this
                      Agreement for Cause.  For purposes of the
                      Agreement, the Corporation shall have "Cause" to
                      terminate the Executive's employment if (i) the
                      Executive assigns, pledges, or otherwise disposes
                      of his rights and obligations under this
                      Agreement, or attempts to do the same without the
                      prior written consent of the Corporation; or (ii)
                      the Executive fails to  fulfill his obligations
                      under this Agreement, has breached any of the
                      terms or conditions hereof, has engaged in
                      willful misconduct or has acted in bad faith; or
                      (iii) the Executive has breached Section 7 of
                      this Agreement; or (iv) the Executive has
                      committed a felony or perpetrated a fraud against
                      the Corporation.  If the Corporation terminates
                      this Agreement for Cause, the Corporation's
                      obligations hereunder shall cease, except for the
                      Corporation's obligation to pay the Executive the
                      compensation and expenses accrued and unpaid as
                      of the date of termination in accordance with the
                      provisions hereof.
                 In the event that at any time after a Change of
                      Control (as defined below) but prior to the end
                      of twelve (12) months after such Change of
                      Control, the Executive is discharged for any
                      reason other than for Cause (as defined below)
                      or resigns for any reason (other than due to
                      termination for Cause), the Executive shall
                      begin to receive within thirty (30) days after
                      such discharge or resignation a severance
                      payment equal to 2.99 times the "average annual
                      base salary" paid to him at the same rate of
                      pay in effect at the date of the Change of
                      Control to be paid in weekly installments for
                      the three (3) year period following such
                      discharge or resignation.  For the purposes of
                      this Section 5, "average annual base salary"
                      shall mean the average of Employee"s annual
                      income in the nature of compensation payable by
                      the Company and includible in gross income over
                      the three most recent taxable years ending
                      before the Change of Control.  Anything
                      contained herein to the contrary
                      notwithstanding, for a Change of Control
                      occurring before 2001, "average annual base
                      salary" shall be equal to the average salary
                      paid the employee as follows:
                                   Years Considered in Calculating
                      Year of Change in Control Average Base Salary  
                          1998-1999                          1998
                          1999                               1998
                          2000                               1999
                          2001                               2000
                      
                      A "Change of Control" shall be deemed to occur
                      when a person, corporation, partnership,
                      association or entity (exclusive of the
                      currently contemplated reorganization) (x)
                      acquires a majority of the outstanding voting
                      securities of Staff Builders, Inc., a Delaware
                      corporation ("SBD") or (y) acquires securities
                      of the bearing a majority of voting power with
                      respect to election of directors of SBD or (z)
                      acquires all or substantially all of SBD's
                      assets.
                 Notwithstanding anything to the contrary contained
                      herein, all payments owed to the Executive upon
                      termination of this Agreement shall be subject to
                      offset by the Corporation for amounts owed to the
                      Corporation by the Executive hereunder or
                      otherwise.
                 (a)      The obligations of the Corporation and the
                      Executive pursuant to this Section 5 shall
                      survive the termination of this Agreement.
         
         6.      NOTICES.          Any written notice permitted or required
under this Agreement shall be deemed sufficient when hand
delivered or posted by certified or registered mail, postage
prepaid, and addressed to:
                          if to Staff Builders:
                                   Staff Builders, Inc.
                                   1983 Marcus Avenue
                                   Lake Success, New York 11042
                                   Attention:  Stephen Savitsky, President
                                              or
                          if to the Executive:
                                   Dale R. Clift 
                                   2940 South Tamarac Street
                                   Denver, Colorado 80231

         Either party may, in accordance with the provisions of
this Section, give written notice of a change of address, in
which event all such notices and requests shall thereafter be
given as above provided at such changed address.

         7.      CONFIDENTIALITY   OBLIGATIONS;  NON-COMPETITION BY
                 EXECUTIVE
                 The Executive acknowledges that in the course of
performing his duties hereunder, he will be made privy to
confidential and proprietary information. The Executive
covenants and agrees that during the term of this Agreement
and at any time after the termination of this Agreement, he
will not directly or indirectly, for his own account or as
anemployee, officer, director, partner, joint venturer,
shareholder, investor, or otherwise, disclose to others or use
for his own benefit or cause or induce others to do the same,
any proprietary or confidential information or trade secrets
of Staff Builders, including but not limited to, any matters
concerning the business of Staff Builders.
                 (b)      The Executive agrees that, during the term
                      hereof and for six (6) months following the
                      termination hereof, he will not, within the
                      United States (A) compete, directly or
                      indirectly, for his own account or as an
                      employee, officer, director, partner, joint
                      venturer, shareholder, investor, or otherwise,
                      with the home health care or supplemental
                      staffing business conducted by Staff Builders; or
                      (B) during the term hereof and for one (1) year
                      following the termination hereof directly or
                      indirectly solicit, recruit or hire any employee
                      of Staff Builders to leave the employ of Staff
                      Builders; or (C) solicit any client or customer
                      of Staff Builders to terminate or modify its
                      business relationship with Staff Builders.               
                          
                 (c)      The foregoing restrictions on the Executive
                      set forth in this Section 7 shall be operative
                      for the benefit of Staff Builders and of any
                      business owned or controlled by Staff Builders,
                      or any successor or assign of any of the
                      foregoing.
                 (d)      Executive acknowledges that the restricted
                      period of time and geographical area specified in
                      this Section 7 is reasonable, in view of the
                      nature of the business in which Staff Builders is
                      engaged and the Executive's knowledge of Staff
                      Builders' business. Notwithstanding anything
                      herein to the contrary, if the period of time or
                      the geographical area specified in this Section
                      7 should be determined to be unreasonable in a 
                      judicial proceeding, then the period of time and
                      territory of the restriction shall be reduced so
                      that this Agreement may be enforced in such area
                      and during such period of time as shall be
                      determined to be reasonable.
                 (e)      The parties acknowledge that any breach of
                      this Section 7 will cause Staff Builders
                      irreparable harm for which there is no adequate
                      remedy at law, and as a result of this, Staff
                      Builders shall be entitled to the issuance of an
                      injunction, restraining order or other equitable
                      relief in favor of Staff Builders restraining
                      Executive from committing or continuing any such
                      violation.  Any right to obtain an injunction,
                      restraining order or other equitable relief
                      hereunder shall not be deemed a waiver of any
                      right to assert any other remedy Staff Builders
                      may have at law or in equity.
                 (f)      For purposes of this Section 7, the term
                      "Staff Builders" shall refer to the Corporation
                      and all of its parents, subsidiaries and
                      affiliated corporations.
         
         8.      JURISDICTION.  The Executive consents to the
jurisdiction of the Supreme Court of the State of New York or
of any Federal Court in the City of New York for a
determination of any dispute as to any matters whatsoever
arising out of or in any way connected with this Agreement and
authorizes the service of process on him by registered mail
sent to him at his address shown on the records of Staff
Builders.
         
         9.      HANDBOOK GROUP INSURANCE PROGRAM BOOKLET.   The
Executive acknowledges receipt of Staff Builders Employee
Handbook and Group Insurance Program booklet (together, the
"Handbook").  The terms of the Handbook are incorporated
herein by reference.  
       
         10.     STOCK OPTIONS.  The Executive will be granted stock
options to purchase 250,000 shares of Staff Builders, Inc.
(Delaware) stock, which will be issued and will vest in
accordance with the terms of an Option Agreement between the
Executive and the Corporation.
       
         11.     BINDING EFFECT.  This Agreement shall bind and inure
to the benefit of Staff Builders, its successors and assigns
and shall inure to the benefit of, and be binding upon, the
Executive, his heirs, executors and legal representatives.                 

         12.     SEVERABILITY.  The invalidity or unenforceability of
any provision of this Agreement shall in no way affect the
validity or enforceability of any other provision, or any part
thereof.
       
         13.     APPLICABLE LAW.   This Agreement shall be governed
by and construed in accordance with the laws of the State of
New York.
       
         14.     ENTIRE AGREEMENT.   This Agreement constitutes the
entire Agreement between the parties hereto pertaining to the
subject matter hereof and supersedes all prior and
contemporaneous agreements, understandings, negotiations, and
discussions, whether oral or written, of the parties.
       
         15.     MODIFICATION, TERMINATION OR WAIVER.  This Agreement
may only be amended or modified by a written instrument
executed by the parties hereto.  The failure of any party at
any time to require performance of any provision of this
Agreement shall in no manner affect the right of such party at
a later time to enforce the same.

         IN WITNESS WHEREOF, Staff Builders and the Executive have
executed this Employment Agreement as of the date first above
written.

                                    
                          STAFF BUILDERS, INC.

                          By:      /s/Stephen Savitsky 
                                    Stephen Savitsky, CEO                       
                 


                          By:      /s/ Dale R. Clift
                                   Dale R. Clift























                                                         EXHIBIT
                                                          10.56<PAGE>
           
FIRST AMENDMENT TO AMENDED AND RESTATED
  LOAN AND SECURITY AGREEMENT

         This First Amendment to Amended and Restated Loan and Security
Agreement ("Amendment"), dated April 27, 1998, is made by and among
STAFF BUILDERS, INC., with a place of business at 1983 Marcus
Avenue, Lake Success, NY 11042, the direct and indirect
Subsidiaries of Staff Builders, Inc. listed on the signature pages
attached hereto (all of the foregoing severally a "Borrower" and
jointly "Borrowers"), ADVANCED MANAGEMENT SOLUTIONS, INC., a
Delaware corporation ('Advanced Management') and MELLON BANK, N.A.
("Lender").


                                                       Background

         A.       Lender and Borrowers are parties to a certain Amended and
Restated Loan and Security Agreement, dated January 8, 1997 (as
amended, modified, supplemented or replaced from time to time,
'Loan Agreement'). Capitalized terms used but not otherwise defined
in this Amendment shall have the meanings set forth in the Loan
Agreement.

         B.       Lender and Borrowers desire to modify the terms and
conditions of the Loan Agreement as more fully described herein.
         

         NOW, THEREFORE, the parties hereto, intending to be legally
bound, hereby promise and agree as follows:

         1.       Joinder.

                  (a)       Advanced Management hereby joins in, assumes,
adopts, and becomes a Co-Borrower under the Loan Agreement, the
Revolving Credit Note and all other Loan Documents.  All references
to Borrowers contained in the Loan Agreement, Revolving Credit Note
and other Loan Documents are hereby deemed, for all purposes, to
also refer to and include Advanced Management as a Borrower and
Advanced Management hereby agrees that it has become a party to and
agrees to comply with all of the terms and conditions of the Loan
Agreement, Revolving Credit Note and other Loan Documents as if it
were an original signatory thereto.

                  (b)       Without limiting the generality of the provisions of
subparagraph (a) above, Advanced Management is therefore liable, on
a joint and several basis, with each other Borrower, for all
Obligations now or at any time outstanding under the Loan
Documents, as amended hereby or as may hereafter be amended,
supplemented or replaced and (ii) as security for the payment of
all Obligations and performances of all covenants and undertakings
in the Loan Documents, Advanced Management assigns and grants to
Lender a continuing first lien on and security interest in all of
the items and types of Collateral described in Section 3.1 of the
Loan Agreement and agrees to execute and deliver to Lender UCC-1
financing statements for filing in all jurisdictions which Lender
may deem appropriate.

         2.       Section 1 of the Loan Agreement is modified by deleting
the definitions of 'Cash Flow Coverage Ratio' and 'Loans'in their
entirety and replacing them with the following:

                  Cash Flow Coverage Ratio - For the fiscal period,
         the ratio of (a) the sum of (i) Net Income plus (ii)
         depreciation plus (iii) amortization to (b) the sum of
         (i) the Unfunded Capital Expenditures plus (ii) the long
         term indebtedness repaid plus (iii)  the cash
         consideration for permitted acquisitions actually paid
         pursuant to Section 7.2.

                  Loans - All advances and extensions of credit under
         the Revolving Credit and the Acquisition Line.


         3.       Subsection 2.1(c) of the Loan Agreement is deleted in its
entirety and replaced with the following:

                            (c)      The term ("Initial Term") of the Revolving
         Credit and Acquisition Line shall expire on July 31,
         2000.  On such date, all Obligations of Borrowers to
         Lender of every kind whatsoever in connection with the
         Revolving Credit and Acquisition Line, unless sooner
         accelerated by Lender in accordance with Section 8 below,
         shall be due and payable in full and after which date no
         further advances or extensions of credit shall be
         available from Lender.


         4.       Section 2.2 of the Loan Agreement is deleted in its
entirety and replaced with the following:

                  2.2       Revolving Credit - Borrowing Base:  Subject to
         the terms and conditions of this Agreement, Advances
         under the Revolving Credit shall be considered against
         and shall at no time exceed up to the lesser of (i)
         seventy-five percent (75%) of Borrowers' Qualified
         Accounts due from a Qualified Payor less the outstanding
         principal balance under the Stock Repurchase Sublimit or
         (ii) The Maximum Revolving Credit Amount less the
         outstanding principal balance under the Acquisition Line
         ("Borrowing Base").


         5.       Section 2.5 of the Loan Agreement is deleted in its
entirety and replaced with the following:
                  
                  2.5       Acquisition Line:
                            (a)      Lender hereby establishes for the benefit
         of Borrowers an Acquisition Line (the "Acquisition Line")
         in an amount up to the maximum principal sum of Twenty
         Five Million Dollars ($25,000,000) at any one time
         outstanding, provided however, that an amount not to
         exceed Ten Million Dollars ($10,000,000) of the
         Acquisition Line shall only be used by Borrowers from
         time to time to repurchase the capital stock of any of
         the Borrowers ('Stock Repurchase Sublimit') and that an
         amount not to exceed Fifteen Million Dollars
         ($15,000,000) of the Acquisition Line shall only be used
         by Borrowers from time to time to finance the intangible
         portion of all other acquisitions by Borrowers.

                            (b)      At no time shall the sum of the principal
         balance of Advances outstanding under the Acquisition
         Line and the Revolving Credit exceed the Maximum
         Revolving Credit Amount.

                            (c)      Each requested Advance under the
         Acquisition Line  (except for requested Advances under
         the Stock Repurchase Sublimit) is subject to Lender's
         approval and must be made at least thirty (30) days prior
         to the date of the requested approval.

                            (d)      Each requested Advance under the
         Acquisition Line (except for requested Advances under the
         Stock Repurchase Sublimit) must be accompanied by the
         following (all in form and substance acceptable to the
         Lender):

                                     (i) Historical and projected
                  financial information regarding the company to
                  be acquired;

                                     (ii) A proforma opening balance
                  sheet of company to be acquired;
         
                                     (iii) A statement of the sources and use
                  of cash;
                  
                                     (iv) The draft acquisition agreement
                  or term sheet for the acquisition; and
         
                                     (v) All other documents and
                  information that Lender may request.

                            (e)      Each company to be acquired in connection
         with a Loan under the Acquisition Line (except for a Loan
         under the Stock Repurchase Sublimit) must be in the same
         general business as the Borrowers.
         
                            (f)      Each Loan under the Acquisition Line
         (except for Loans under the Stock Repurchase Sublimit
         which are repaid pursuant to Subsection (h) of this
         Section 2.5) shall be fully amortized over 12-48 months
         depending on the acquisition as determined by Lender in
         its sole discretion.

                            (g)      Each requested Advance under the Stock
         Repurchase Sublimit is subject to Lender's approval and
         must be made at least two (2) days prior to the date of
         the requested approval.

                            (h)      Borrowers may repay to Lender the
         outstanding principal balance of each Advance under the
         Stock Repurchase Sublimit in monthly installments not to
         exceed One Million Dollars ($1,000,000), commencing sixty
         (60) days after the date of such Advance, provided
         however, that Borrowers maintain, for a period of five
         (5) days prior to each monthly payment, an average
         minimum excess availability of not less than Seven
         Million Five Hundred Thousand Dollars ($7,500,000), after
         giving effect to such payment.  Each monthly payment made
         pursuant to this Subsection (h) shall be funded by an
         Advance under the Revolving Credit in an amount equal to
         the monthly payment.  Any amounts under the Stock
         Repurchase Sublimit, including principal, accrued and
         unpaid interest, costs and expenses outstanding as of the
         date of termination or expiration of the Acquisition Line
         shall be paid in full by Borrowers to Lender on such
         date.
         

         6.       Section 2.7 of the Loan Agreement is modified by adding
the following new Subsection (e):

                            (e) After an amount equal to Three Million
         Dollars ($3,000,000) has been advanced under the Stock
         Repurchase Sublimit, Borrowers shall pay to Lender a
         utilization fee ('Utilization Fee') in an amount equal to
         one percent (1%) of all amounts thereafter advanced under
         the Stock Repurchase Sublimit.
         

         7.       Subsection 6.12(e) of the Loan Agreement is deleted in
its entirety and replaced with the following:

                            (e) Book Net Worth: Borrowers shall have and
         maintain at all times a Book Net Worth, measured at the
         end of each fiscal year, of not less than the following
         amounts with respect to the corresponding period:

                       Amount                               Period        

         $40,926,000                           For the fiscal year ending
                                               February 28, 1998;

         The greater of (i) the                For the fiscal year ending
         actual Book Net Worth as              February 28, 1999 and for each
         of such date or (ii) the              fiscal year thereafter (each
         covenant amount of Book               respective year end covenant
         Net Worth as of the last              amount to be maintained
         day of the immediately                through the next to last day
         preceding fiscal year                 of the following fiscal year).
         plus $3,000,000.

         The covenant amount of Book Net Worth shall be increased
         by the amount of net proceeds of any sale of capital
         stock, options or warrants at the time of such sale and
         shall be decreased by any permitted repurchases of common
         stock at the time of such repurchase.


         8.       Subsection 6.12(f) of the Loan Agreement is deleted in
its entirety and replaced with the following:

                       (f) Senior Debt to Book Net Worth Ratio: 
         Borrowers shall have and maintain a ratio of Senior Debt
         to Book Net Worth of not more than 2.78 to 1.00 for
         fiscal year ending February 28, 1998; 3.00 to 1.00 at all
         times thereafter.


         9.       Subsection 6.12(g) of the Loan Agreement is deleted in
its entirety and replaced with the following:

                       (g) Cash Flow Coverage Ratio:  Borrowers shall
         have and maintain a Cash Flow Coverage Ratio of not less
         than 1.33 to 1.00 for fiscal year ending February 28,
         1998; 1.25 to 1.00 for fiscal year ending February 28,
         1999; 1.35 to 1.00 for fiscal year ending February 29,
         2000.


         10.      Section 7.2 of the Loan Agreement is deleted in its
entirety and replaced with the following:

                  7.2       Acquisitions:  Neither Borrowers nor any
         Subsidiaries shall acquire all or a material portion of
         the stock, securities or assets of any Person in any
         transaction or in any series of related transactions or
         enter into any sale or leaseback transaction without
         prior written approval of Lender.  Provided, however, if,
         after giving effect to the potential acquisition:

                       (a)           Borrowers may acquire all or a material
         portion of the stock, securities or assets of any Person
         (except any of the Borrowers) in any transaction or in
         any series of related transactions or enter into any sale
         or leaseback transaction for an amount not to exceed
         Three Million Dollars ($3,000,000) in the aggregate for
         all transactions during any fiscal year, so long as (i)
         No Event of Default has occurred or would occur with the
         giving of notice, the passage of time, or both, (ii)
         Borrowers have a minimum excess availability of
         $10,000,000 for a period of thirty (30) days prior to and
         on the date of such acquisition, and (iii) there are no
         outstanding Advances under the Acquisition Line; and

                       (b)           Borrowers may acquire all or a material
         portion of the stock, securities or assets of any Person
         (except any of the Borrowers) in any transaction or in
         any series of related transactions or enter into any sale
         or leaseback transaction for an amount not to exceed One
         Million Dollars ($1,000,000) in the aggregate for all
         transactions during any fiscal year, so long as (i) No
         Event of Default has occurred or would occur with the
         giving of notice, the passage of time, or both, and (ii)
         Borrowers have a minimum excess availability of
         $7,500,000 for a period of thirty (30) days prior to and
         on the date of such acquisition.

                       (c)           At no time shall the sum for all
         transactions permitted under Subsections (a) and (b) of
         this Section 7.2 exceed Three Million Dollars
         ($3,000,000) in the aggregate during any fiscal year.                 


         11.      Section 7.6 of the Loan Agreement is deleted in its
entirety and replaced with the following:                                      

                  7.6       Distributions, Redemptions and Other
         Indebtedness:  None of the Borrowers shall other than in
         connection with the Closing:

                       (a) declare, pay or make any forms of
         Distribution to its shareholders, their successors and
         assigns, except as permitted in Section 2.5;

                       (b) make any payments on any existing or future
         indebtedness for borrowed money to any Person other than
         a Borrower (including subordinated indebtedness) except
         for payments to the holders of the indebtedness listed on
         Exhibit 7.6 in accordance with the existing terms of such
         indebtedness; or

                       (c) hereafter borrow money from any Person other
         than Lender or, if in the ordinary course, another
         Borrower.


         12.      Waiver.  An Event of Default has occurred under
Subsection 8.1(t) of the Loan Agreement as a result of the
departure of Gary Tighe from the management of Borrowers.  Lender
hereby waives such Event of Default.  This waiver relates only to
the departure of Gary Tighe and compliance with Subsection 8.1(t)
of the Loan Agreement shall be required for all periods hereafter. 
This waiver shall in no way constitute a waiver of any other Event
of Default now existing or at any time hereafter occurring and
shall in no way obligate Lender to provide any further waiver of
the same or similar Events of Default at any time in the future.


         13.      Amendment Fee.  In consideration of the agreements and
undertakings of the Lender set forth in this Amendment, and
contemporaneously with the execution hereof, Borrowers shall pay to
Lender an amendment fee of Fifty Thousand Dollars ($50,000) (the
'Amendment Fee').

         
         14.      Conditions to Closing.  Lender's obligation to enter into
this Amendment are subject to the following conditions having been
satisfied in full to Lender's satisfaction:

                  (a)       Execution and delivery of this Amendment to Lender;

                  (b)       Execution and delivery by Advanced Management of an
allonge to the Revolving Credit Note;

                  (c)       Execution and delivery by Advanced Management of an
allonge to Term Note A (Acquisition Line);

                  (d)       Execution and delivery by Advanced Management of
UCC-1 financing statements for filing in all jurisdictions which
Lender may deem appropriate;

                  (e)       Delivery of certified copies of resolutions of
Borrowers' board of directors authorizing execution of this
Amendment and each document required under any provision hereof;

                  (f)       Delivery of certified copies of resolutions of
Advanced Management's board of directors authorizing execution of
this Amendment and each document required under any provision
hereof;

                  (g)       Execution and delivery of such other documents,
instruments and writings, in form satisfactory to Lender, as Lender
may reasonably require to carry out the intentions of parties
hereunder;

                  (h)       Except as set forth in Section 12 of this Amendment,
no Event of Default shall have occurred under the Loan Agreement
and be continuing and no event shall have occurred which with the
passage of time, the giving of notice or both would constitute an
Event of Default under the Loan Agreement;

                  (i)       Payment of the Amendment Fee by Borrowers to Lender;
                       and

                  (j)       Payment or reimbursement to Lender for all legal
expenses incurred by Lender to analyze, prepare and negotiate and
conclude this Amendment and all related agreements and transactions
described herein.


         15.      Representations and Warranties.  Borrowers represent and
warrant to Lender that:

                  15.1  The execution, delivery and performance by
Borrowers of this Amendment and the transactions contemplated
herein:

                       (a) are and will be within Borrowers' corporate powers;

                       (b) have been authorized by all necessary corporate
action;

                       (c) are not and will not be in contravention of any
order of any court or other agency of government, or of any law to
which any Borrower or property of any Borrower is bound; and

                       (d) are not and will not be in conflict with, or result
in a breach of or constitute (with due notice and/or lapse of time)
a default under any indenture, agreement or undertaking to which
any Borrower is a party or by which any Borrower or property of any
Borrower is bound.

                  15.2      This Amendment and any other agreements, instruments
or documents executed and/or delivered in connection herewith,
shall be valid, binding and enforceable against Borrowers in
accordance with their respective terms.

                  15.3      Borrowers hereby reassert each of the
representations and warranties contained in the Loan Agreement and
all related agreements, instruments and documents and all such
representations and warranties are true and correct as of the date
hereof.

                  15.4      Borrowers hereby reassert each of the covenants,
whether affirmative or negative, contained in the Loan Agreement
and all related agreements, instruments and documents and all such
covenants are incorporated herein by reference and made part
hereof.

                  15.5      Borrowers represent to Lender that no Event of
Default and no event which, with the passage of time, giving of
notice or both would become an Event of Default under the Loan
Agreement, has occurred or is existing.


         16.      Collateral.  Borrowers hereby confirm and agree that all
security interests and liens granted to Lender continue unimpaired
and in full force and effect and shall continue to cover and secure
the indebtedness of Borrowers to Lender to the full extent set
forth in the Loan Agreement as amended, including, without limita-
tion, all of Borrowers' liabilities under the Loans.  All
Collateral remains free and clear of all liens other than those in
favor of Lender.  Nothing herein contained is intended to in any
way impair or limit the validity, priority or extent of Lender's
security interest in and liens upon the Collateral.


         17.      Incorporation.  This Amendment shall amend and is
incorporated into and made part of the Loan Agreement.  To the
extent that any term or provision of this Amendment is or may be
deemed expressly inconsistent with any term or provision in the
Loan Agreement, the terms and provisions hereof shall control. 
Except as expressly amended by this Amendment, all of the terms and
conditions of the Loan Agreement continue unchanged and remain in
full force and effect.


         18.      Governing Law.  This Amendment shall be governed by, and
construed and enforced in accordance with the laws of the
Commonwealth of Pennsylvania.


         19.      Counterparts.  This Amendment 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 taken together shall
constitute one and the same agreement.





                           [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
<PAGE>
         IN WITNESS WHEREOF, the parties have executed this Amendment
as of the date first above written.

                                                  LENDER:

                                                  Mellon Bank, N.A.             


                                                  By:/s/ Jeffrey G. Saperstein
                                                  Jeffrey G. Saperstein
                                                  Assistant Vice President


                                                  BORROWERS:

                                                  Staff Builders, Inc.,        
                                                                              
                                                  a Delaware corporation

Albert Gallatin Home Care, Inc.,                  Albert Gallatin Services
                                                  Corporation,
a Delaware corporation                            a Pennsylvania corporation

ATC Healthcare Services,                          ATC Staffing Services, Inc.,
Incorporated,               
a Georgia corporation                             a Delaware corporation       
                  
Careco, Inc.,                                     Ethicare Certified Services,
                                                   Inc.,
a Massachusetts corporation                       a New York corporation        

Home Health Care, Inc.,                           Loving Home Care, Inc.,
a Maryland corporation                            a New York corporation

Medvisit, Inc.,                                   Professional Detail Services,
                                                           Inc.,             
a North Carolina corporation                      a New York corporation
                  
A Reliable Homemaker of Martin -                  S.B. Assured Home Care, Inc.,
St. Lucie County, Inc.,                              a Delaware corporation
a Florida corporation

S.B.H.F., Inc.,                                   Staff Builders, Inc.,         
a New York corporation                            a New York corporation

Staff Builders Home Health Care,                  Staff Builders
Inc.                                                 International,Inc.,
a Delaware corporation                            a New York corporation


                                           [Borrowers continued on next page]




                                        [Borrowers continued from previous page]

Staff Builders Personnel                       Staff Builders
Services, Inc.                                 Prescription Services, Inc.,
a New York corporation                           a New York corporation

Staff Builders Services, Inc.,                 St. Lucie Home Health Agency,
                                                  Inc.,
a New York corporation                          a Florida corporation           

T.L.C. Home Health Care, Inc.,                  T.L.C. Medicare Services, Inc.,
a Florida corporation                            a Delaware corporation
T.L.C. Medicare Services                        T.L.C. Medicare Services of
Broward, Inc.                                       Dade, Inc.,
a Florida corporation                            a Florida corporation

T.L.C. Midwest, Inc.,                           Tender Loving Care Health Care
                                                 Services, Inc.
a Delaware corporation                           a Connecticut corporation

Tender Loving Care Home Care                    Tender Loving Care Private
Services Inc.                                    Patient Company, Inc.
a New York corporation                           a Florida corporation

U.S. Ethicare Corporation,                       U.S. Ethicare Albany
                                                  Corporation,
a Delaware corporation                            a New York corporation

U.S. Ethicare Chautauqua                         U.S. Ethicare Erie
Corporation                                       Corporation,
a New York Corporation                            a New York Corporation

U.S. Ethicare Niagara Corporation,               U.S. Ethicare Onondaga
                                                  Corporation,
a New York corporation                            a New York corporation

By:/s/ Dale R. Clift 
Name: Dale R. Clift
Title:Executive V.P.

On behalf of and as EVP of each of the foregoing Borrowers


Attest:/s/ Willard T. Derr
Name:Willard T. Derr
Title:Senior V.P. 

On behalf of and as Senior V.P. of each of the foregoing Borrowers




                                     [Signatures continued on next page]


                                  [Signatures continued from previous page]


                                          NEW BORROWER:
                                          Advanced Management Solutions, Inc.,
                                            a Delaware corporation


                                          By:/s/ Dale R. Clift
                                          Name:Dale R. Clift
                                          Title:Executive V.P.
                                                                 

                                          Attest:
                                          Name: 
                                          Title: 




















                             EXHIBIT
                               21<PAGE>
Staff Builders, Inc. (DE)
     
     Staff Builders International, Inc. (NY)
     ATC Healthcare Services, Incorporated (GA)
          ATC Staffing Services, Inc. (DE)
     Albert Gallatin Home Care, Inc. (DE)
     Careco, Inc. (MA)
     T.L.C. Medicare Services, Inc. (DE)
     T.L.C. Midwest, Inc. (DE)
     Tender Loving Care Health Care Services, Inc. (CT)
     Loving Home Care, Inc. (NY)
     Home Health Care, Inc. (MD)
     Personnel Industries, Inc. (MD)
     T.L.C. Home Health Care, Inc. (FL)
     
          T.L.C. Medicare Services of Dade, Inc. (FL)
          T.L.C. Medicare Services of Broward, Inc. (FL)
          Tender Loving Care Private Patient Company, Inc. (FL)

     Tender Loving Care Home Care Services, Inc. (NY)

          U.S. Ethicare Corporation (DE)

               U.S. Ethicare Albany Corporation (NY)
               U.S. Ethicare Chautauqua Corporation (NY)
               U.S. Ethicare Erie Corporation (NY)
               U.S. Ethicare Niagara Corporation (NY)
               U.S. Ethicare Onondaga Corporation (NY)
               Ethicare Certified Services, Inc. (NY)

     Staff Builders, Inc. (NY)

          Advanced Management Solutions, Inc. (DE)
          Albert Gallatin Services Corporation (PA)
          S.B.H.F., Inc. (NY)
          Staff Builders Services, Inc. (NY)
               MedVisit, Inc. (NC)
          Staff Builders Home Health Care, Inc. (DE)
          Staff Builders Personnel Services, Inc. (NY)
          Staff Builders Prescription Services, Inc. (CO)
          Professional Detail Services, Inc. (NY)
          A Reliable Homemaker of Martin-St. Lucie County,
               Inc.(FL)
          St. Lucie Home Health Agency, Inc. (FL)
          S.B. Assured Home Care, Inc. (DE)























                                    EXHIBIT
                                      24<PAGE>
                              POWER OF ATTORNEY



      KNOW ALL MEN BY THESE PRESENTS, that the
undersigned director of STAFF BUILDERS, INC., a Delaware
corporation (the "Corporation"), hereby constitutes and
appoints David Savitsky or Stephen Savitsky, his true
and lawful attorney-in-fact and agent, with full power
to act for him and in his name, place and stead, in any
and all power to act for him and in his name, place and
stead, in any and all capacities, to sign the
Corporation's Annual Report pursuant to Section 13 or
15(d) of the Securities Exchange Act of 1934 on Form 10-
K for the fiscal year ended February 28, 1998, or any
amendments or supplements thereto, including without
limitation on Form 8, with power where appropriate to
affix the corporate seal of the Corporation thereto and 
to attest said seal, and to file such Form 10-K and each
such amendment and supplement, with all exhibits
thereto, and any and all other documents in connection
therewith, with the Securities and Exchange Commission,
hereby granting unto said attorneys-in-fact and agents,
and each of them, full power and authority to do and
perform any and all acts and things requisite and
necessary to be done in and about the premises, as fully
to all intents and purposes as he might or could do in
person, hereby ratifying and confirming all that said
attorneys-in-fact and agents, may lawfully do or cause
to be  done by virtue hereof.


      IN WITNESS WHEREOF, the undersigned has hereunto
set his name as of the 27th day of May, 1998.



/s/ Donald Meyers
Donald Meyers,
Director of the Corporation





<PAGE>
POWER OF ATTORNEY



      KNOW ALL MEN BY THESE PRESENTS, that the
undersigned director of STAFF BUILDERS, INC., a Delaware
corporation (the "Corporation"), hereby constitutes and
appoints David Savitsky or Stephen Savitsky, his true
and lawful attorney-in-fact and agent, with full power
to act for him and in his name, place and stead, in any
and all power to act for him and in his name, place and
stead, in any and all capacities, to sign the
Corporation's Annual Report pursuant to Section 13 or
15(d) of the Securities Exchange Act of 1934 on Form 10-
K for the fiscal year ended February 28, 1998, or any
amendments or supplements thereto, including without
limitation on Form 8, with power where appropriate to
affix the corporate seal of the Corporation thereto and
to attest said seal, and to file such Form 10-K and each
such amendment and supplement, with all exhibits
thereto, and any and all other documents in connection
therewith, with the Securities and Exchange Commission,
hereby granting unto said attorneys-in-fact and agents,
and each of them, full power and authority to do and
perform any and all acts and things requisite and
necessary to be done in and about the premises, as fully
to all intents and purposes as he might or could do in
person, hereby ratifying and confirming all that said
attorneys-in-fact and agents, may lawfully do or cause
to be done by virtue hereof.

      IN WITNESS WHEREOF, the undersigned has hereunto
set his name as of the 27th day of May, 1998.


 /s/ Jonathan J. Halpert
Jonathan J. Halpert,
Director of the Corporation




























                                                   EXHIBIT
                                                     4.3<PAGE>
THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
(THE "ACT").  SUCH SECURITIES MAY NOT BE OFFERED OR SOLD
UNLESS REGISTERED UNDER THE ACT OR UNLESS AN EXEMPTION
FROM THE REGISTRATION REQUIREMENTS OF THE ACT IS
AVAILABLE.

NON-QUALIFIED OPTION AGREEMENT

                NON-QUALIFIED OPTION AGREEMENT (the
"Agreement"), dated as of March 28, 1997, between STAFF
BUILDERS, INC., a Delaware corporation (the
"Corporation), and Ephraim Koschitzki, (the "Grantee").

                Pursuant to the terms of the Employment
Agreement between the Corporation and the Grantee dated
June 1, 1987, as amended on November 1, 1991 and August
17, 1995, Grantee is entitled to receive a Non-Qualified
Option to replace the option for 225,440 shares of Class
A Common Stock issued to him under the Corporation's
1986 Non-Qualified Stock Option Plan (the 'Replaced
Option').  Grantee has requested that the Corporation
issue the Non-Qualified Option.

                The Corporation and Grantee agree as follows:

                1.   Grant of Option - The Corporation hereby
grants to the Grantee, effective as of March 28, 1997 a
non-qualified option (the 'Option') to purchase an
aggregate of 225,440 shares of Class A Common Stock of
the Corporation (the 'Shares') at an exercise price of
$1.75 per Share (the 'Option Price').  Effective upon
the grant of the Option the Replaced Option shall be
cancelled and null and void.  

                2.  Option Period - The Option granted hereby
shall expire on March 28, 2000.                           
                3.  Medium and Time Of Payment - The exercise
price of this option shall be payable in United States
dollars and may be paid in cash or by certified or
cashier's check, payable to the order of the
Corporation.  The Corporation shall have the power to
accept full or partial payment in Shares which shall be
valued at fair market value on the date of payment
("Payment Date").  Payment in full shall be required
prior to the issuance of any Shares pursuant to this
Option.  

                4.        Exercise of the Option - The Option
may be exercised by written notice to the Corporation
indicating the number of Shares with respect to which it
is being exercised.  Such notice shall be signed by the
Grantee (or his transferee) and shall be accompanied by
full payment of the exercise price.  This Option shall
not be exercisable either in whole or in part prior to
compliance with all requirements of law governing the
issuance and exercise of options.  The Corporation shall
exercise reasonable due diligence in order to ensure
that the aforementioned requirements are satisfied.

                5.       Issuance of Shares of Common Stock -
Certificates for Shares of Class A Common Stock shall be
issued upon the exercise of this Option only when all
necessary action shall have been taken by the
Corporation to render the Class A Common Stock, when
issued, validly issued, fully paid and non-assessable. 
The Corporation shall exercise reasonable due diligence
in order to ensure that the aforementioned actions are
satisfied.

                6.       Non-Transferability - This Option shall
be exercisable only by the Grantee, his heirs and
personal representatives, and shall not be assignable or
transferable by him except to his estate or through the
laws of intestacy.  

                7.       Recapitalizations, Mergers,
Consolidations, and Similar Transactions
                (a)      In the event the Shares, as presently
constituted, shall be changed into or exchanged for a
different number or kind of shares or other securities
of the Corporation or of another corporation (whether by
reason of merger, consolidation, recapitalization,
reclassification, split, reverse split, combination of
shares, or otherwise) or if the number of such Shares
shall be increased through the payment of a share
dividend, then the Grantee shall have the right to
receive upon exercise of the Option, the number and kind
of shares or other securities into which each
outstanding Share shall be so changed, or for which each
such Share shall be exchanged, or to which each such
Share shall be entitled, as the case may be.  The Option
Price and other terms of the Option shall be
appropriately amended to reflect the foregoing events;
provided, however, that in no event may the Option Price
on any outstanding options be increased above that
existing on the date of issuance of the Option.  In the
event there shall be any other change in the number or
kind of the outstanding Shares, or of any shares or
other securities into which such Shares shall have been
changed, or for which it shall have been exchanged,
then, if the Board of Directors shall, in its sole
discretion, determine that such change equitably
requires an adjustment in the Option, such adjustment
shall be made in accordance with such determination,
subject to the proviso set forth in the immediately
preceding sentence.  Notice of any adjustment shall be
given by the Corporation to the Grantee and such
adjustment (whether or not such notice is given) shall
be effective and binding on the Grantee.               


                (b)      Fractional shares resulting from any
adjustment in options pursuant to Section 7 may be
settled in cash or otherwise as the Board of Directors
shall determine.

                (c)      The Board of Directors shall have the
power, in the event of the disposition of all or
substantially all of the assets of the Corporation, or
the dissolution of the Corporation, or the merger or
consolidation of the Corporation with or into any other
corporation, or the merger or consolidation of any other
corporation into the Corporation, or the making of a
tender offer to purchase all or a substantial portion of
the shares of the Corporation, to amend all outstanding
options (upon such conditions as it shall deem fit) to
permit the exercise of all such options prior to the
effective date of any such transaction and to terminate
such options as of such effective date.  If the Board of
Directors exercise such power, all options then
outstanding shall be deemed to have been amended to
permit the exercise thereof in whole or in part by the
Grantee at any time or from time to time as determined
by the Board of Directors prior to the effective date of
such transaction and such options shall be deemed to
terminate upon such effective date.

                8.       No Limitation on Rights of the
Corporation - The grant of this Option shall not in any
way affect the right or power of the Corporation to make
adjustments, reclassifications or changes in its capital
or business structure or to merge, consolidate,
dissolve, liquidate or sell or transfer all or any part
of its business or assets.

                9.       Rights as a Shareholder - The Grantee or
a transferee of the Grantee shall have no rights as a
shareholder with respect to any Shares covered by the
Option prior to the date the Option is exercised by the
Grantee or the transferee of the Grantee.  No adjustment
shall be made for dividends (ordinary or extraordinary,
whether in cash, securities or other property) or
distributions or other rights for which the record date
is prior to such date.
                10.      Shares of Common Stock - The Shares of
Class A Common Stock covered by this Option shall be
nonvoting and entitled to no dividends prior to the
exercise of the Option.
                11.      Registration of Class A Common Stock -
The Corporation shall file with the Securities and
Exchange Commission, and shall use its best efforts to
maintain in effect, a registration statement under the
Act with respect to the sale of the Shares, for a period
ending April 28, 2000.  The Grantee shall promptly
furnish to the Corporation all information requested of
him for inclusion in the registration statement and
shall promptly furnish the Corporation with any changes
to such information.  The Grantee may sell the Shares
only pursuant to such registration statement or pursuant
to an applicable exemption from registration under the
Act.  The Corporation shall promptly advise the Grantee
of the effectiveness of such registration statement and
any stop order or other reason which would prevent the
Grantee from being permitted to sell the Shares pursuant
to such registration statement.
                12.      Disposition of Class A Common Stock - The
Corporation may, as a condition precedent to the
exercise of the Option, require the Grantee or a
transferee of the Grantee to enter into such agreements
or to make such representations as may be required to
make lawful under the laws of the United States or any
state the exercise of the Option and the ultimate
disposition of the Shares acquired by such exercise.

                13.      No Obligation to Exercise Option - The
granting of the Option shall impose no obligation upon
the Grantee to exercise the Option.

                14.     Issuance of Form 1099 - The
Corporation shall issue to Grantee a Form 1099 for any
year in which Grantee exercises all or a portion of the
Option.  The Form 1099 will report as income to the
Grantee the difference between the Option Price and the
fair market value per share of the Corporation's Class
A Common Stock as of the date of exercise.  
                15.      Notice - Notice to the Corporation shall
be deemed given if in writing and mailed to the
Secretary of the Corporation by first-class, certified
mail at the then principal office of the Corporation.

                16.      Governing Law - Except to the extent
preempted by federal law, this Agreement shall be
construed and enforced in accordance with, and governed
by, the laws of the State of Delaware.  
                         IN WITNESS WHEREOF, the Corporation and
the Grantee have duly executed this Agreement.
Attest:                                           STAFF BUILDERS, INC.
/s/ David Savitsky                                BY:/s/ Stephen Savitsky 
Secretary

                                                  /s/ Ephraim Koschitzki
                                                   Grantee


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