NATIONAL HOME HEALTH CARE CORP
10-K, 1996-10-29
HOME HEALTH CARE SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

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

                                   FORM 10-K

                ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF
                       THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended July 31, 1996           Commission File Number 0-12927

                         NATIONAL HOME HEALTH CARE CORP.
             ------------------------------------------------------
             (Exact name of Registrant as specified in its charter)

          Delaware                                               22-2981141
- -------------------------------                              -------------------
(State or other jurisdiction of                               (I.R.S. Employer
incorporation or organization)                               Identification No.)

700 WHITE PLAINS ROAD, SCARSDALE, NEW YORK                         10583
- --------------------------------------------------------------------------------
(Address of principal executive offices)                         (Zip Code)

Registrant's telephone number, including area code:  914-722-9000

Securities registered pursuant to Section 12(b) of the Act:  None

Securities registered pursuant to Section 12(g) of the Act:

Common Stock, par value $.001 per share

Indicate  by check  mark  whether  the  Registrant:  (1) has filed  all  reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934 during the preceding 12 months (or for such shorter period that  registrant
was  required  to file such  reports),  and (2) has been  subject to such filing
requirements for the past 90 days.

                     Yes  [X]               No  [_]

Indicate by check mark if disclosure of delinquent  filers  pursuant to Item 405
of Regulation  S-K is not contained  herein,  and will not be contained,  to the
best of 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. [_]

As of October 25, 1996,  the  aggregate  market value of the Common Stock of the
Registrant,  its only class of voting securities,  held by non-affiliates of the
Registrant was approximately $19,228,699, calculated on the basis of the average
closing  bid and  asked  prices of such  stock on the  National  Association  of
Securities  Dealers Automated  Quotation System on that date, as reported by the
National Association of Securities Dealers, Inc.

The number of shares outstanding of the Registrant's Common Stock on October 25,
1996 was 4,806,907.

Portions of the  Registrant's  Proxy  Statement  for its 1996 Annual  Meeting of
Stockholders  (which  Proxy  Statement  will be filed  with the  Securities  and
Exchange  Commission  on or  before  November  28,  1996)  are  incorporated  by
reference in Part III hereof.



<PAGE>



                                     PART I

ITEM 1.  BUSINESS

GENERAL

           National  Home  Health  Care  Corp.  (the  "Company")  is a  Delaware
corporation  which was  incorporated  on July 27,  1983 under the name of Family
Treatment  Centers of America,  Inc.  Effective  December 14, 1984,  the Company
changed its name to National HMO Corp.  and  effective  December  20, 1991,  the
Company  changed  its name to  National  Home  Health  Care  Corp.  The  Company
completed  its  initial  public  offering  in  December  1983.  The Company is a
provider of home health care services  throughout the New York City metropolitan
area and Long  Island  in the  State of New York and in both  Fairfield  and New
Haven Counties in the State of Connecticut.

           The Company has three operating subsidiaries:

           *          Health  Acquisition  Corp.,  formerly  Allen  Health  Care
                      Services,  Inc.,  a New York  corporation,  of which Allen
                      Health Care  Services  ("Allen  Health  Care") is the sole
                      operating division.

           *          New England  Home Care,  Inc., a  Connecticut  corporation
                      ("New England"),  which conducts  business in the State of
                      Connecticut.

           *          Nurse  Care,  Inc.,  a  Connecticut   corporation  ("Nurse
                      Care"),   which   conducts   business   in  the  State  of
                      Connecticut.

           In January  1996,  the  outpatient  medical  service  business of the
Company,  formerly known as Brevard Medical Center,  Inc. and First Health, Inc.
was  reorganized  as  SunStar  Healthcare,   Inc.  ("SunStar")  a  newly-formed,
wholly-owned  subsidiary  of the Company.  On May 21, 1996,  the initial  public
offering of common stock by SunStar was consummated, thus reducing the Company's
ownership percentage of SunStar to approximately 37.6%. As a result,  SunStar is
no longer  consolidated with the Company for accounting purposes and the Company
accounts for its investment in SunStar using the equity method of accounting.

HEALTH ACQUISITION CORP.
ALLEN HEALTH CARE SERVICES

           Allen Health Care  maintains its principal  administrative  office in
Jamaica,  New York and has  satellite  offices  in New York  City,  Farmingdale,
Mineola and Hempstead,  New York. The Company provides personal home health care
services,  including  registered nurses,  personal care aides, home health aides
and  homemakers  in the  following  counties  in the State of New York:  Nassau,
Suffolk,  Queens,  Kings,  New York and the Bronx. All personnel are licensed or
are agency  certified under a New York State approved program and can be engaged
on a full-time, part-time or live-in basis.

        
                                       -2-

<PAGE>



Allen  Health  Care is a  participating  provider in both the Nassau and Suffolk
Counties  Department of Social  Services  Medicaid  Programs.  The Public Health
Council  of the  State  of New  York  Department  of  Health  has  approved  the
application for licensure of Health  Acquisition  Corp.  d/b/a Allen Health Care
with no limited life restrictions.

           Allen Health Care was  resurveyed  during the past fiscal year by the
Joint  Commission of  Accreditation of Health Care  Organizations  (JCAHO),  the
accrediting  body  for  all  health-care   providers.   JCAHO  accreditation  is
associated with providing quality  services.  This status is required by many of
the  certified  home  health care  agencies  that Allen  Health  Care  currently
services.  The resurvey resulted in Allen Health Care extending their accredited
status  through  the year 1999.  Reimbursement  for the  company's  services  is
primarily  provided  by the  Department  of Social  Services  of both Nassau and
Suffolk  Counties,  New York, as well as by certified  home health care agencies
and long term health care provider programs which contract with the company.  In
addition, services of this subsidiary were expanded in 1995 to include home care
pediatric skilled nursing for medically fragile children and their families.

           Allen Health Care  provides  home health care services to its clients
twenty-four  hours per day, seven days per week.  Although the company's offices
are open during normal business hours, personnel are available twenty-four hours
per day to respond to  emergencies  and to provide other service  requests.  The
registered  nurses of Allen  Health  Care,  in  accordance  with New York  State
Department  of Health  Regulations  and Contract  Requirements,  visit  patients
regularly  and review the  records of service  which are  completed  by the home
health and personal  care aides daily.  These  records are  maintained  by Allen
Health Care. In addition,  the home care  coordinator  ensures that  appropriate
coverage is  maintained  for all patients  and acts as the liaison  among family
members, aides and the professional staff.

           To a large extent,  Allen Health Care's growth potential depends upon
its ability to recruit and maintain qualified personnel.  The company's training
programs for home health aides and personal care aides have been approved by the
New York  State  Department  of  Health.  The  company  believes  that it offers
competitive  salaries  and  fringe  benefits  and has been able to keep its home
health aides working on a steady basis.

NEW ENGLAND HOME CARE

           On August 4, 1995, the Company consummated the acquisition of 100% of
the capital stock of Nurse Care, Inc. ("Nurse Care"),  the parent company of New
England Home Care ("New  England") for  $3,150,000 in cash. In addition,  one of
the two former  shareholders  of Nurse Care entered  into a one-year  employment
contract as the Administrator of New England with a base salary of $125,000. The
other former shareholder entered into a one-year consulting agreement to provide
certain  consulting  services  with respect to the  operations of New England in
consideration of $20,000 in consulting  fees.  During the fiscal year ended July
31, 1996, Nurse Care contributed all of the outstanding shares of New England to
National  Home  Health  Care  Corp.,  whereby New England as well as Nurse Care,
became a direct, wholly-owned subsidiary of the Company.

        
                                       -3-

<PAGE>



           New England is a Medicare  certified  and  licensed  home health care
company in the State of  Connecticut.  In December  1995,  New England  received
JCAHO  accreditation  through the year 1998. The company provides a wide variety
of  skilled  nursing  services  including  physical  therapy,   speech  therapy,
occupational therapy and social work throughout Fairfield and New Haven Counties
in the State of Connecticut.  In addition, the Company has recently added mental
health,   pediatric  and  perinatal  specialty  nursing  services.  New  England
maintains its principal administrative office in Milford,  Connecticut,  and has
branch  offices in  Norwalk,  Hamden and  Waterbury,  and  satellite  offices in
Danbury and  Seymour.  Reimbursement  for New  England's  services is  primarily
provided by the Federal Medicare  Program and the State of Connecticut  Medicaid
Programs.  Additional  sources of revenue are from  managed  care  programs  and
commercial insurance carriers.

NURSE CARE

           Nurse Care is a licensed  home health  care  company  providing  home
health aide services throughout  Fairfield and New Haven Counties,  Connecticut.
In December 1995, Nurse Care received JCAHO accreditation through the year 1998.
Similar to the  operations  of New England,  Nurse Care  maintains its principal
administrative  office in  Milford,  Connecticut  and has  satellite  offices in
Norwalk, Hamden, Waterbury, Danbury and Seymour.  Reimbursement for Nurse Care's
services is primarily  provided by New England,  which  subcontracts  all of its
home health aide services from Nurse Care and from hospices and other  certified
home care agencies.

NATIONAL HMO (NEW YORK), INC.

           On April 30,  1994,  Boro Medical P.C. and Boro Health Care of Union,
P.C.  (collectively  "Boro  Medical"),  a medical provider to which National HMO
(New York), Inc. ("National New York") and National HMO Corp. of Elizabeth, Inc.
("National  Elizabeth")  provided  non-medical  and  administrative   management
services,  terminated  its  relationship  with  National  New York and  National
Elizabeth.  In  addition,  on April 30,  1994,  National  New York and  National
Elizabeth entered into an asset purchase agreement with Boro Medical.  Under the
terms of the agreement,  as consideration  for the sale by National New York and
National  Elizabeth of certain  assets,  Boro  Medical  agreed to pay a purchase
price of $750,000,  as well as all  outstanding  management fees due to National
New York  through  April 30,  1994 in the  aggregate  amount of  $500,000.  Boro
Medical  delivered at closing  five-year and three-year  promissory notes in the
aggregate  amounts of $750,000 and $500,000,  respectively,  each at an interest
rate of seven percent.  In May 1996, the promissory notes were paid in full. The
leases at all of the medical  offices  subject to the former  relationship  were
assumed by Boro  Medical  and  National  New York and  National  Elizabeth  were
released from any further obligations under the applicable lease agreements.  In
addition,  National New York, National Elizabeth and certain of its officers and
Boro Medical and certain of its officers  delivered mutual releases with respect
to all prior claims that may have existed  between them relating to their former
relationship  and  further  agreed  not to compete  with one  another in certain
operations and in specific areas relating to their respective businesses.


        
                                       -4-

<PAGE>



           In  addition,   in  July  1994,  National  New  York  terminated  its
management  agreement  with the dental  practitioner  to which it also  provided
administrative   and   management   services.   Accordingly,   the  Company  has
reclassified  its  financial  statements  to  show  separately  the  results  of
discontinued  operations.  See "Notes to  Financial  Statements  -  Discontinued
Operations".

INSURANCE

           The Company and its subsidiaries  maintain  professional  malpractice
liability  coverage on  professionals  employed in the  rendering of health care
services  providing coverage in an amount of up to $1,000,000 per occurrence and
up to $6,000,000 in the aggregate and coverage for the customary  risks inherent
in the operation of business in general.  Recent market  conditions with respect
to  liability   insurances  have  caused  wide  fluctuations  in  the  cost  and
availability of coverage.  The Company carries directors and officers  liability
with a limit of $2,000,000.  While the Company  believes its insurance  policies
are adequate in the amount and coverage for its current operations, there can be
no assurance that coverage will continue to be available in adequate  amounts or
at a reasonable cost.

EMPLOYEES AND LABOR RELATIONS

           As of October 27, 1996, the Company had approximately  1,600 full and
part-time  employees of whom 15 were employed in various  management  capacities
and 3 were employed in marketing capacities.  None of the Company's employees is
represented by a labor organization.  The Company believes its relationship with
its  employees is  satisfactory.  The Company has  standardized  procedures  for
recruiting,   interviewing  and  reference  checking   prospective  health  care
personnel. All nurses and home health aides must be licensed or certified by the
appropriate authorities.

COMPETITION

           The home  health  care field is highly  competitive.  The  Company is
competing  with numerous  other  licensed as well as certified  home health care
agencies. In addition,  the Company competes with companies that, in addition to
providing  home health  aide and  skilled  nursing  services,  also,  unlike the
Company,  provide  pharmaceutical  products and other home health care  services
that generate additional referrals.

           The Company's  ability to attract a staff of highly trained personnel
is a material  element of its business.  There currently is intense  competition
for qualified  personnel and there can be no assurance  that the Company will be
successful in maintaining or in securing  additional  qualified  personnel.  The
Company recruits personnel  principally through referral from existing personnel
and through newspaper advertisements.



        
                                       -5-

<PAGE>


CUSTOMERS

           One or more  customers  have each  accounted for more than 10% of the
Company's revenues. For the fiscal years ended July 31, 1996, 1995 and 1994, VNS
Home Care, a non-profit  Medicare  certified home health care agency,  accounted
for 24%, 40% and 39%,  respectively,  and the State of New York,  Department  of
Social Service personal care aide program for the counties of Suffolk and Nassau
accounted for 7%, 13% and 17%,  respectively,  of the Company's consolidated net
patient  revenues  from  continuing  operations.  The  total  loss of any of the
foregoing customers would have a material adverse effect on the Company.

GOVERNMENT REGULATIONS AND LICENSING

           The health care industry is highly regulated.  The Company's business
is subject to  substantial  and frequently  changing  regulations by Federal and
state authorities.  The Company must comply with state licensing requirements as
well as state eligibility standards for certification as a Medicare and Medicaid
provider.

           In recent years, a number of legislative  proposals have been made in
Congress and in state legislatures that could effect major changes in the health
care system. Many of the proposals include cost containment  features that could
lower  Medicare  and  Medicaid  reimbursement  rates and  otherwise  change  the
environment in which the Company  operates.  The Company cannot predict with any
certainty  what impact,  if any,  these  proposals  might have on the  Company's
business.

           The ability of the Company to operate  profitably will depend in part
upon the Company  obtaining and  maintaining  all  necessary  licenses and other
approvals in compliance with applicable health care regulations.

MEDICARE FRAUD AND ABUSE

           Provisions  of the Social  Security  Act under  Medicare and Medicaid
generally  prohibit  soliciting,  receiving,  offering  or paying,  directly  or
indirectly,  any form of  remuneration in return for the referral of Medicare or
state health care program patients or patient care  opportunities,  or in return
for the purchase, lease or order of any facility item or service that is covered
by Medicare or a state health care program. In July 1991, the federal government
published  regulations that provide exceptions,  or "safe harbors," for business
transactions  that will be deemed  not to  violate  the  anti-kickback  statute.
Violations  of the  statute  may  result in civil  and  criminal  penalties  and
exclusion from participation in the Medicare and Medicaid programs.  The Company
believes that its current  operations are not in violation of the  anti-kickback
statute.

REGULATORY COMPLIANCE

           The Company  believes that health care  regulations  will continue to
change and, therefore,  regularly monitors  developments in health care law. The
Company expects to modify its agreements and operations from time to time as the
business and regulatory environment changes. While the

        
                                       -6-

<PAGE>



Company  believes it will be able to structure all its agreements and operations
in  accordance  with  applicable  law,  there  can  be  no  assurance  that  its
arrangements will not be successfully challenged.

ITEM 2.  PROPERTIES.

           The Company, directly or through certain subsidiaries, leases various
office  facilities under lease agreements with various  expiration dates through
the year  2000.  The  following  sets  forth the  location,  approximate  square
footage, use of each office and expiration date of each lease:


                     Approximate                            Expiration Date
    Location         Square Feet         Use                  of Lease
    --------         -----------    --------------          ---------------

Scarsdale, NY           2,095     Corporation headquarters  July 31, 1997
Queens, NY              5,200     Administrative office     January 31, 1998
Farmingdale, NY         3,519     Satellite office          April 30, 1997
Hempstead, NY             700     Satellite office          Month to Month
Mineola, NY             1,300     Satellite office          July 31, 1997
Manhattan, NY           1,265     Satellite office          April 30, 1997
Milford, CT             9,600     Administrative office     May 31, 1997
Norwalk, CT             2,772     Branch office             May 31, 1999
Hamden, CT              2,605     Branch office             July 31, 1998
Waterbury, CT           2,000     Branch office             July 31, 2000
Seymour, CT             2,000     Satellite office          May 31, 1997
Danbury, CT             1,200     Satellite office          November 30, 1996
                                               
           The Company believes that its office  facilities are adequate for the
conduct  of  its  existing  operations.  The  Company  regularly  evaluates  the
suitability  and the  overall  adequacy  of its  various  offices.  The  Company
believes that it will be able to renew or find adequate  replacement offices for
all leases which will expire in the current fiscal year.

ITEM 3.  LEGAL PROCEEDINGS.

           In the ordinary course of business, the Company is subject, from time
to time, to claims and legal actions.  No material actions are currently pending
against the Company.

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

           No matters were  submitted to a vote of  stockholders  of the Company
during the fourth quarter of the fiscal year ended July 31, 1996.



        
                                       -7-

<PAGE>



                                     PART II

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

           (A)       Market Information

           The Company's  Common Stock is quoted on the NASDAQ  National  Market
under the symbol NHHC.  The following  table presents the quarterly high and low
bid  quotations  in the  over-the-counter  market,  as reported by the  National
Association  of Securities  Dealers for the two fiscal years ended July 31, 1995
and July 31, 1996. These quotations  reflect the  inter-dealer  prices,  without
retail mark-up, mark-down or commission and may not necessarily represent actual
transactions.


                                                       Market Prices
                                           -------------------------------------
                                                High                    Low
Year ended July 31, 1995

1st Quarter                                    $3.75                  $2.00
2nd Quarter                                     3.88                   2.13
3rd Quarter                                     4.00                   2.75
4th Quarter                                     3.75                   2.75


Year ended July 31, 1996

1st Quarter                                    $4.38                  $3.13
2nd Quarter                                     7.13                   3.88
3rd Quarter                                     7.00                   4.50
4th Quarter                                     7.75                   5.50

           (B)       Holders

           There were  approximately 171 holders of record of Common Stock as of
October  25, 1996  excluding  shares held by  depository  companies  for certain
beneficial owners.

           (C)       Dividends

           The Company has not declared or paid any cash dividends on its shares
of Common Stock during the last three fiscal years. It 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. On October 21, 1996, the
Board of Directors of the Company  declared a 6% stock dividend payable December
4, 1996 to stockholders of record on November 8, 1996.


        
                                       -8-

<PAGE>



ITEM 6.  SELECTED FINANCIAL DATA.

           The following table,  which presents selected  financial data for the
Company  for each of the last  five  fiscal  years,  has been  derived  from the
Consolidated  Financial  Statements  of the Company,  which have been audited by
Richard A. Eisner & Company, LLP, independent auditors.

           The data set  forth  below  should  be read in  conjunction  with the
Consolidated Financial Statements in Item 8 of this Report.

<TABLE>
<CAPTION>
                                                                    Fiscal Years Ended July 31,
                                            --------------------------------------------------------------------------
                                                 1996           1995           1994            1993            1992
                                            --------------------------------------------------------------------------
<S>                                         <C>            <C>            <C>             <C>             <C>         
Revenues                                    $ 38,830,000   $ 24,556,000   $ 20,115,000    $ 18,059,000    $ 16,230,000
Net income from continuing operations
before gain resulting from subsidiary's
stock offering                                 2,336,000      1,426,000      1,218,000       1,309,000       1,189,000
Net income from continuing operations
before gain resulting from subsidiary's
stock offering per share                            0.46           0.28           0.24            0.25            0.23
Net income resulting from subsidiary's
stock offering                                 1,021,000           --             --              --              --
Net income resulting from subsidiary's
stock offering per share                            0.21           --             --              --              --
Net income from continuing operations          3,357,000      1,426,000      1,218,000       1,309,000       1,189,000
Net income from continuing operations per
share                                               0.67           0.28           0.24            0.25            0.23
New income (loss) from discontinued
operations                                          --             --       (3,472,000)       (461,000)        658,000
Net income (loss) from discontinued
operations per share                                --             --            (0.68)          (0.08)           0.13
Total Assets                                  24,421,000     18,865,000     17,926,000      20,309,000      19,106,000
Long Term Obligations                            524,000           --           40,000          77,000         146,000
</TABLE>


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.

           On May 21,  1996,  the initial  public  offering  of common  stock by
SunStar  Healthcare,  Inc.  ("SunStar") was consummated.  Prior to the offering,
SunStar had been a  wholly-owned  subsidiary  of the Company,  consisting of its
Florida outpatient medical center operations.  As a result of the offering,  the
Company currently owns approximately 37.6% of SunStar. The operations of SunStar
prior to the offering are  reflected in the  Company's  financial  statements as
continuing   operations.   See  "Notes  to   Financial   Statements   -  Segment
Information."

        
                                       -9-

<PAGE>



           On August 4, 1995, the Company  completed the purchase of Nurse Care,
Inc. ("Nurse Care"),  and it's wholly-owned  subsidiary,  New England Home Care,
Inc.  ("New  England").  During the fiscal year ended July 31, 1996,  Nurse Care
contributed  all of the  outstanding  stock of New England to the  Company.  New
England is a Medicare  certified  and a licensed  home health care  company that
provides a wide variety of skilled nursing  services in Connecticut  while Nurse
Care is a licensed home health care company  providing home health aide services
in Connecticut. See "Notes to Financial Statements-Acquisitions."

           On April 30, 1994, Boro Medical, a medical provider to which National
New  York  and  National  Elizabeth  provided   non-medical  and  administrative
services,  terminated its relationship with those subsidiaries.  In addition, in
July  1994,  National  New York  terminated  its  relationship  with the  dental
practice to which it also provided management services. See "Business - National
HMO (New  York),  Inc." The  results of  operations  for  National  New York and
National  Elizabeth  have  been  reflected  in  the  financial  statements  as a
discontinued   operation.   See  "Notes  to  Financial  Statements  Discontinued
Operations."

RESULTS OF OPERATIONS

YEAR ENDED JULY 31, 1996 COMPARED TO YEAR ENDED JULY 31, 1995

           Net patient revenue  increased by  approximately  $14,274,000 or 58%,
from  $24,556,000  for the fiscal  year ended July 31, 1995  ("fiscal  1995") to
$38,830,000 for the fiscal year ended July 31, 1996 ("fiscal 1996"). Net patient
revenue from home health care services  increased  approximately  $15,781,000 or
81%.  Approximately  $14,475,000 or 92% of this increase is  attributable to the
acquisition  of Nurse  Care  and New  England.  Health  Acquisition  Corp.,  the
licensed home health care company providing home health care services in the New
York  metropolitan  area had revenue  increase by  $1,306,000  or 7% from fiscal
1995.  Net  patient  revenue  recorded in fiscal  1996 from  outpatient  medical
operations  decreased  $1,507,000 or 29% from  $5,128,000  in fiscal 1995.  This
decrease is attributable to the Company recording only nine months of revenue in
fiscal 1996,  due to the change in ownership in the fourth  quarter from 100% to
approximately 37.6%.

           With the  completion of the initial public  offering of SunStar,  the
Company  is now  focused  in home  health  care.  Revenue  from  its  home  care
operations  have  accounted  for the  majority of  consolidated  revenue and has
historically  generated  the greatest  operating  margins for the  Company.  The
Company  believes  there will be a continued  increase in demand for home health
care services as health care payors seek to find cost-effective  alternatives to
the rising costs of institutional care. The Company's  acquisition of Nurse Care
and New England  reflects  the  Company's  commitment  to  devoting  significant
resources to the expansion of its home health care services.

           Cost of revenue as a percentage of revenue was 64% for fiscal 1996 as
compared to 61% in fiscal 1995. This increase is attributable to the acquisition
of New  England,  which  has  higher  cost of  revenue  as a result  of  revenue
generated  from  its  Medicare  patients  being  limited  to cost  reimbursement
principles. General and administrative expenses decreased from 29% of revenue in

        
                                      -10-

<PAGE>



fiscal 1995 to 27% of revenue in fiscal 1996.  This decrease is  attributable to
the increase in revenues being absorbed by existing  general and  administrative
costs.

           The  Company  recorded a  one-time  net gain on the  SunStar  initial
public offering in the amount of $1,024,000, adjusting its investment in SunStar
to reflect the book value of its current approximate 37.6% interest. The Company
also recorded a loss from equity investee of $10,000,  representing its share of
the SunStar loss for the quarter ended July 31, 1996.

           Interest income increased a nominal $2,000 to $412,000 in fiscal 1996
from $410,000 in fiscal 1995. Cash  equivalents at July 31, 1996 were $8,226,000
as compared to $8,422,000 at July 31, 1995.

           The Company's  effective tax rate  decreased to 36% in fiscal 1996 as
compared to 44% in the previous  fiscal year.  This decrease is  attributable to
the Company  utilizing  available  state net  operating  loss  deductions in the
current  fiscal  year.  The  Company  does not expect a similar  impact from net
operating loss deductions in the future.

           As a result of the foregoing, net income for fiscal 1996 increased to
$3,357,000 from $1,426,000 for fiscal 1995, an increase of 135%.

YEAR ENDED JULY 31, 1995 COMPARED TO YEAR ENDED JULY 31, 1994

           Net patient revenue  increased by approximately  $4,440,000,  or 22%,
from  $20,116,000  for the fiscal  year ended July 31, 1994  ("fiscal  1994") to
$24,556,000 for fiscal 1995. Approximately $3,270,000 or 74% of this increase is
attributable to Health  Acquisition Corp. During fiscal 1995, Health Acquisition
Corp. was again successful in increasing the volume with existing  customers and
securing eight (8) new provider  agreements.  Services of this  subsidiary  were
also expanded in April 1995 to include home care pediatric  skilled  nursing for
medically  fragile  children and their  families.  Revenues  generated from this
expansion of services  approximated  $293,000 for the period from April  through
July 1995. Revenue from Brevard Medical Center, Inc. ("Brevard"), the subsidiary
that operates outpatient medical centers in Brevard County,  Florida,  increased
approximately  $358,000,  or 9% from fiscal 1994. As a result of the health care
industry  shifting  toward  managed  care,  Brevard was  successful  in becoming
preferred  providers  for new managed  care plans  coming into the county.  This
increase  in revenue  is the direct  result of  additional  capitation  business
generated   from  managed  care  plans,   primarily   from  health   maintenance
organizations  (HMO's),  offset by a reduction  in  traditional  fee-for-service
business.  Revenue from First Health, Inc. ("First Health"), the subsidiary that
operates  outpatient  medical  centers in  Volusia  County,  Florida,  increased
approximately  $812,000 from the previous fiscal year, as only three months were
included in fiscal July 31, 1994 operations. The major source of revenue is from
a large health  maintenance  organization,  to which First Health is a preferred
provider.

           Cost of revenue as a  percentage  of revenue  was 61% for both fiscal
1995 and 1994. In preparation for becoming  preferred  providers for new managed
care plans in Florida, the Company

        
                                      -11-

<PAGE>



increased its medical  provider  costs in fiscal 1995 in expectation of securing
additional  managed care revenues.  The actual  increase was less than expected,
resulting  in a higher  cost of revenue as a  percentage  of revenue  from those
operations.  However, this higher percentage was offset by a decline in the cost
of revenue as a percentage of revenues from home health care operations. General
and administrative  expenses increased to 29% of revenue in fiscal 1995 from 28%
of revenue in fiscal 1994. This slight increase is primarily attributable to the
added operating costs of the outpatient medical operations.

           Interest  income  increased  approximately  $249,000 or 155% from the
previous  fiscal year.  This increase is attributable to interest earned on both
the notes  receivable  from Boro  Medical  and the  federal  income  tax  refund
received in fiscal 1995 of  approximately  $2,100,000  as a result of  carryback
claims.

           The Company's  effective tax rate decreased to  approximately  44% in
fiscal 1995 as  compared  to 47% in fiscal  1994.  This  decrease  is  primarily
attributable to federal income tax credits utilized in fiscal 1995.

           As a result of the foregoing, net income for fiscal 1995 increased to
$1,426,000 from $1,218,000 for fiscal 1994.

FINANCIAL CONDITION, LIQUIDITY AND CAPITAL RESOURCES

           At July 31, 1996,  the Company had working  capital of $16,228,000 as
compared  to working  capital of  $15,292,000  at July 31,  1995.  Cash and cash
equivalents at July 31, 1996 was $8,929,000 as compared with  $9,237,000 at July
31, 1995.

           Net cash provided by operating  activities  was  $1,066,000 in fiscal
1996 as compared  with  $3,496,000  in fiscal  1995. A reduction in income taxes
receivable as a result of one-time tax carryback  claims received in fiscal 1995
and an  increase  in  estimated  third  party  payor  settlements  substantially
accounted  for the decrease  from fiscal 1995.  The Company  expects to generate
sufficient cash flow from operations to meet its working capital requirements.

           Investing  activities  in  fiscal  1996 used  cash of  $2,482,000  as
compared to cash provided from investing  activities of $681,000 in fiscal 1995.
The  acquisition  of Nurse Care and the  decrease  in  proceeds  of  investments
primarily accounted for the decrease from fiscal 1995.

           Cash provided from financing activities in fiscal 1996 was $1,108,000
as compared to $43,000 in fiscal  1995.  This  increase is  attributable  to the
increase in cash received on notes  receivable and proceeds from the exercise of
stock  options in fiscal  1996 over  fiscal  1995 and the  purchase  of treasury
shares in fiscal 1995,  offset by the cash  surrendered in the subsidiary  stock
offering in fiscal 1996.


        
                                      -12-

<PAGE>



           The nature of the Company's  business requires weekly payments to the
health care personnel at the time services are rendered.  The Company  typically
receives payment for these services on a basis of 90 to 120 days with respect to
contracted  business  and 30 days with respect to certain  governmental  payors,
such as Medicare and Medicaid programs.  For the fiscal year ended July 31, 1996
accounts  receivable  turnover decreased to 73 days from 92 days in the previous
fiscal year. This decrease is attributable to the operations of New England as a
significant  amount of its revenue is derived  from both  Medicare  and Medicaid
programs.

           The Company has  available a  $2,000,000  secured line of credit with
its bank. In addition, a subsidiary of the Company has a secured advised line of
credit.  The maximum amount that can be borrowed under the secured  advised line
of credit  shall not  exceed  the  lesser of  eligible  accounts  receivable  or
$2,000,000.   Both  credit  facilities  bear  interest  at  the  alternate  base
commercial  lending rate of the bank and expire  December 31, 1996.  At July 31,
1996, there were no outstanding balances under either line of credit.

           The  Company  intends to meet both its short and long term  liquidity
needs with its current cash balances,  cash flow and available  lines of credit.
The Company  believes that its current cash  balances and available  credit will
also allow it to  continue  to make  acquisitions  in the home health care field
without affecting its liquidity needs.

           The Internal Revenue Services conducted an examination of federal tax
returns for the years ended July 31, 1991 through 1994.  The Company  received a
refund of  approximately  $2,100,000 as a result of net operating loss carryback
claims  made in fiscal  year ended July 31,  1994 and the years  affected by the
claims were examined. An immaterial preliminary  assessment,  subject to review,
has been proposed.

IMPACT OF INFLATION AND SEASONALITY

           The impact of  inflation on the Company was not material for the year
ended July 31, 1996.

           The Company's business is not seasonal.

ECONOMIC OUTLOOK

           The home health care industry has become increasingly competitive and
management believes this trend will continue in the future. This competition has
lead to mergers between large well  diversified  home health care companies over
the past  years.  Further,  such  companies  have more  acquisition  and  growth
opportunities available to them.  Additionally,  there is tremendous competition
for qualified  personnel in the home health care industry.  Management  believes
that it  offers  competitive  salaries  and  benefit  packages.  There can be no
assurance,  however,  that the Company  will be  successful  in  attracting  and
retaining  qualified  personnel.  If  unsuccessful,  this  could have a material
adverse effect on the Company's business.


        
                                      -13-

<PAGE>



           Other  than  as  set  forth  herein,  the  Company  has  no  material
commitments for capital expenditures as of July 31, 1996.

           In the opinion of management  there will be no material impact on the
financial  statements  of  the  Company  from  any  recently  issued  accounting
standards.


ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

Quarterly Results (unaudited)

           The following table presents unaudited  condensed  financial data for
the last eight fiscal  quarters.  In the opinion of  management,  all  necessary
adjustments (consisting of normal recurring accruals) considered necessary for a
fair  presentation  have  been  included.   The  following   selected  quarterly
information  should  be read in  conjunction  with  the  consolidated  financial
statements included elsewhere herein.

<TABLE>
<CAPTION>
                                                             First            Second            Third             Fourth
                                                            Quarter           Quarter          Quarter            Quarter
                                                        ---------------   ---------------   ----------------  ---------------
1995
- ----
<S>                                                          <C>               <C>               <C>               <C>       
Revenues                                                     $5,729,000        $6,045,000        $6,296,000        $6,486,000
Earnings from continuing operations                             265,000           334,000           401,000           426,000
Earnings per share from continuing operations                      0.05              0.07              0.08              0.08
Earnings per share                                                 0.05              0.07              0.08              0.08

1996
- ----

Revenues                                                     10,074,000         9,965,000         9,760,000         9,031,000
Earnings from continuing operations before gain
   resulting from subsidiary's stock offering                   452,000           471,000           533,000           887,000
Earnings resulting from subsidiary's stock
   offering                                                       - - -             - - -             - - -         1,014,000
Earnings from continuing operations before gain
   resulting from subsidiary's stock offering per
   share                                                           0.09              0.09              0.11              0.17
Earnings resulting from subsidiary's stock
   offering per share                                             - - -             - - -             - - -              0.21
Earnings per share                                                 0.09              0.09              0.11              0.38
</TABLE>


           The  other  information  required  by this  item is set  forth in the
Consolidated Financial Statements on pages F-1 through F-22.

        
                                      -14-

<PAGE>




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

           Not applicable.


                                    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 each of the items of Part III is omitted
from this Report.  Pursuant to the General  Instruction  G(3) to Form 10-K,  the
information  is included in the  Company's  Proxy  Statement for its 1996 Annual
Meeting of  Stockholders  to be held on  December 9, 1996,  and is  incorporated
herein by reference.  The Company intends to files such Proxy Statement with the
Securities and Exchange  Commission  not later than 120 days  subsequent to July
31, 1996.

                                     PART IV

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

           (a) The following  represents a listing of all financial  statements,
financial statement schedules and exhibits filed as part of this Report.

           (1)        Financial   Statements  (see  index  to  the  consolidated
                      financial statements).

           (2)        Financial   Statement   Schedules   (see   index   to  the
                      consolidated financial statements).

           (3)        Exhibits


        
                                      -15-

<PAGE>




                         NATIONAL HOME HEALTH CARE CORP.

                   INDEX TO FINANCIAL STATEMENTS AND SCHEDULES

            FILED WITH THE ANNUAL REPORT OF THE COMPANY ON FORM 10-K



PART II ITEM 8:

   REPORT OF INDEPENDENT AUDITORS                              F-2

   CONSOLIDATED BALANCE SHEETS AS AT JULY 31, 1996
   AND 1995                                                    F-3

   CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE
   YEARS ENDED JULY 31, 1996, 1995 AND 1994                    F-4

   CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS'
   EQUITY FOR THE YEARS ENDED JULY 31, 1996, 1995
   AND 1994                                                    F-5

   CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS
   ENDED JULY 31, 1996, 1995 AND 1994                          F-6

   NOTES TO FINANCIAL STATEMENTS                               F-7

PART IV ITEM 14:

   REPORT OF INDEPENDENT AUDITORS ON SCHEDULE                  F-29

   II - VALUATION AND QUALIFYING ACCOUNTS FOR THE YEARS
        ENDED JULY 31, 1996, 1995 AND 1994                     F-30

Schedules Omitted

Other  schedules have been omitted as the conditions  requiring their filing are
not present or the information  required  therein has been included in the notes
to consolidated financial statements.

     
                                       F-1

<PAGE>



                         REPORT OF INDEPENDENT AUDITORS


Board of Directors and Stockholders
National Home Health Care Corp.
Scarsdale, New York

           We have  audited  the  accompanying  consolidated  balance  sheets of
National Home Health Care Corp.  and  subsidiaries  as at July 31, 1996 and July
31, 1995,  and the related  consolidated  statements of  operations,  changes in
stockholders'  equity  and cash  flows for each of the  years in the  three-year
period ended July 31, 1996. These financial statements are the responsibility of
the Company's  management.  Our responsibility is to express an opinion on these
financial statements 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,  the financial  statements  enumerated  above present
fairly,  in all  material  respects,  the  consolidated  financial  position  of
National Home Health Care Corp. and  subsidiaries  at July 31, 1996 and July 31,
1995, and the consolidated  results of their  operations and their  consolidated
cash flows for each of the years in the  three-year  period ended July 31, 1996,
in conformity with generally accepted accounting principles.


New York, New York
October 21, 1996

     
                                       F-2

<PAGE>
                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                           CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>
                                                                                July 31,
                                                A S S E T S                1996           1995
                                                -----------           ------------    ------------
<S>                                                                   <C>             <C>         
Current assets:
   Cash (including cash equivalents of $8,226,000 and
     $8,422,000) (Note 10)  .......................................   $  8,929,000    $  9,237,000
   Investments - available for sale ...............................        528,000         813,000
   Accounts receivable (less allowance for doubtful
     accounts of $414,000 and $99,000) (Note 10)  .................      8,499,000       5,338,000
   Notes receivable (Note 3)  .....................................                        349,000
   Income taxes receivable ........................................        203,000          72,000
   Prepaid expenses and other assets ..............................        218,000         354,000
   Deferred taxes .................................................        304,000          80,000
                                                                      ------------    ------------

          Total current assets ....................................     18,681,000      16,243,000

Furniture, equipment and leasehold improvements, net
   (Notes 1 and 2)  ...............................................        319,000         445,000
Notes receivable - noncurrent (Note 3)  ...........................                        690,000
Excess of cost over fair value of net assets of
   businesses acquired (Notes 1 and 4)  ...........................      2,557,000       1,036,000
Other intangible assets (Note 5)  .................................        132,000         342,000
Deposits and other assets .........................................        110,000         109,000
Investment in unconsolidated investee (Note 6)  ...................      2,622,000
                                                                      ------------    ------------


          T O T A L ...............................................   $ 24,421,000    $ 18,865,000
                                                                      ============    ============


              LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
   Accounts payable and accrued expenses ..........................   $  1,315,000    $    951,000
   Estimated third-party payor settlements ........................      1,078,000
                                                                      ------------    ------------

          Total current liabilities ...............................      2,393,000         951,000

Deferred tax liability - noncurrent (Note 9)  .....................        524,000
                                                                      ------------    ------------

          Total liabilities .......................................      2,917,000         951,000
                                                                      ------------    ------------

Commitments, contingencies and other matters
   (Notes 9 and 12)

Stockholders' equity (Note 11):
   Common stock, $.001 par value; authorized 20,000,000
     shares, issued 6,050,321 and 5,673,075 shares ................          6,000           6,000
   Additional paid-in capital .....................................     17,660,000      15,552,000
   Retained earnings ..............................................      4,789,000       3,307,000
                                                                      ------------    ------------

                                                                        22,455,000      18,865,000

   Less treasury stock (955,000 shares) - at cost .................       (951,000)       (951,000)
                                                                      ------------    ------------

          Total stockholders' equity ..............................     21,504,000      17,914,000
                                                                      ------------    ------------


          T O T A L ...............................................   $ 24,421,000    $ 18,865,000
                                                                      ============    ============
</TABLE>
                 See accompanying notes to financial statements.

                                       F-3

<PAGE>
                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>
                                                                     Year Ended July 31,
                                                        -------------------------------------------
                                                            1996            1995           1994
                                                        ------------    ------------   ------------
<S>                                                     <C>             <C>            <C>         
Net patient revenue (Note 10) .......................   $ 38,830,000    $ 24,556,000   $ 20,116,000
                                                        ------------    ------------   ------------

Operating expenses:
   Cost of revenue ..................................     24,798,000      15,032,000     12,178,000
   General and administrative .......................     10,472,000       7,213,000      5,618,000
   Amortization of intangibles ......................        294,000         169,000        186,000
                                                        ------------    ------------   ------------

          Total operating
            expenses ................................     35,564,000      22,414,000     17,982,000
                                                        ------------    ------------   ------------

Income from operations ..............................      3,266,000       2,142,000      2,134,000

Other income:
   Gain resulting from
     subsidiary's stock
     offering (Note 6)  .............................      1,548,000
   Interest income ..................................        412,000         410,000        161,000
   (Loss) from equity investee ......................        (10,000)
                                                        ------------    ------------   ------------


Income from continuing
   operations before taxes ..........................      5,216,000       2,552,000      2,295,000
Provision for income taxes
   (Note 9) .........................................      1,859,000       1,126,000      1,077,000
                                                        ------------    ------------   ------------

Income from continuing
   operations .......................................      3,357,000       1,426,000      1,218,000
                                                        ------------    ------------   ------------

Discontinued operations (Note 7):
     (Loss) from operations
       (net of income taxes
       of $40,000)  .................................                                       (32,000)
     (Loss) on disposals (net
       of income tax benefit of
       $2,734,000)  .................................                                    (3,440,000)
                                                        ------------    ------------   ------------
          T o t a l .................................                                    (3,472,000)
                                                        ------------    ------------   ------------

NET INCOME (LOSS) ...................................   $  3,357,000    $  1,426,000   $ (2,254,000)
                                                        ============    ============   ============


Net income (loss) per share of common stock (Note 1):
     Continuing operations ..........................   $        .67    $        .28   $        .24
     Discontinued operations ........................                                          (.68)
                                                        ------------    ------------   ------------

     Net income (loss) per
       share ........................................   $        .67    $        .28   $       (.44)
                                                        ============    ============   ============
</TABLE>

                 See accompanying notes to financial statements.

                                       F-4
<PAGE>
                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

           CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

<TABLE>
<CAPTION>
                                                     Common Stock                                                Treasury Stock
                                            -----------------------------    Additional                    -------------------------
                                              Number of                        Paid-In        Retained     Number of
                                               Shares          Amount          Capital        Earnings       Shares        Cost
                                            ------------    ------------    ------------    ------------   ---------   ------------ 
<S>                                            <C>          <C>             <C>             <C>              <C>       <C>          
Balance at July 31, 1993  .................    5,670,075    $      6,000    $ 15,544,000    $  4,135,000     891,000   $   (743,000)


Net (loss)  ...............................                                                   (2,254,000)
                                            ------------    ------------    ------------    ------------   ---------   ------------ 


Balance at July 31, 1994  .................    5,670,075           6,000      15,544,000       1,881,000     891,000       (743,000)


Net income ................................                                                    1,426,000


Acquisition of treasury shares, $3.25
   per share ..............................                                                                   64,000       (208,000)


Exercise of common stock options ..........        3,000                           8,000
                                            ------------    ------------    ------------    ------------   ---------   ------------ 


Balance at July 31, 1995  .................    5,673,075           6,000      15,552,000       3,307,000     955,000       (951,000)

Net income ................................                                                    3,357,000

Stock dividend declared on October 21, 1996      288,414                       1,875,000      (1,875,000)

Exercise of common stock options ..........       88,832                         233,000
                                            ------------    ------------    ------------    ------------   ---------   ------------ 


BALANCE AT JULY 31, 1996  .................    6,050,321    $      6,000    $ 17,660,000    $  4,789,000     955,000   $   (951,000)
                                            ============    ============    ============    ============   =========   ============
</TABLE>
                 See accompanying notes to financial statements.

                                       F-5
<PAGE>



                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
                                                                                           Year Ended July 31,
                                                                                -----------------------------------------
                                                                                    1996           1995           1994
                                                                                -----------    -----------    -----------
<S>                                                                             <C>            <C>            <C>        
Cash flows from operating activities:
   Income from continuing operations ........................................   $ 3,357,000    $ 1,426,000    $ 1,218,000
   Adjustments to reconcile income from continuing operations to net
     cash provided by operating activities:
       Depreciation and amortization ........................................       454,000        329,000        327,000
       (Settlement) provision for state income taxes ........................                     (300,000)        50,000
       Provision for doubtful accounts ......................................       123,000        173,000        141,000
       Deferred tax .........................................................       410,000        120,000        (20,000)
       (Gain) on subsidiary's stock offering ................................    (1,548,000)
       Loss from equity investee ............................................        10,000
       Changes in operating assets and liabilities:
         (Increase) in management fee receivable ............................                                     (52,000)
         (Increase) in accounts receivable ..................................      (544,000)      (688,000)      (323,000)
         (Increase) in prepaid expenses and other assets ....................       (65,000)      (130,000)      (146,000)
         (Decrease) increase in accounts payable, accrued expenses and
           other liabilities ................................................      (337,000)        13,000        190,000
         Decrease in income taxes receivable/payable ........................       207,000      2,553,000        445,000
         (Decrease) in estimated third party payor settlements ..............    (1,001,000)
         Cash provided by discontinued operations ...........................                                     985,000
                                                                                -----------    -----------    -----------
           Net cash provided by operating activities ........................     1,066,000      3,496,000      2,815,000
                                                                                -----------    -----------    -----------

Cash flows from investing activities:
   Purchase of furniture, equipment and leasehold improvements ..............      (172,000)       (94,000)       (76,000)
   Proceeds (purchase) of investments .......................................       285,000      1,000,000       (865,000)
   Purchase of assets of businesses .........................................                     (225,000)      (147,000)
   Purchase of Nurse Care, Inc., net of cash acquired .......................    (2,595,000)
   Cash (used in) discontinued operations ...................................                                    (174,000)
                                                                                -----------    -----------    -----------
           Net cash provided by (used in) investing activities ..............    (2,482,000)       681,000     (1,262,000)
                                                                                -----------    -----------    -----------

Cash flows from financing activities:
   Decrease in notes receivable .............................................     1,039,000        243,000
   Purchase of treasury shares ..............................................      (208,000)
   Proceeds from exercise of stock options ..................................       233,000          8,000
   Cash of subsidiary at date of stock offering (Note 6)  ...................      (164,000)
                                                                                -----------    -----------
           Net cash provided by financing activities ........................     1,108,000         43,000
                                                                                -----------    -----------

NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS ........................      (308,000)     4,220,000      1,553,000

Cash and cash equivalents - beginning of year * .............................     9,237,000      5,017,000      3,464,000
                                                                                -----------    -----------    -----------

CASH AND CASH EQUIVALENTS - END OF YEAR .....................................   $ 8,929,000    $ 9,237,000    $ 5,017,000
                                                                                ===========    ===========    ===========

Supplemental  disclosures  of cash flow  information:
   Cash paid during the year for:
     Interest ...............................................................   $    14,000    $    13,000    $    12,000
     Taxes ..................................................................     1,677,000        618,000        651,000
</TABLE>

Supplemental  disclosure of noncash  investing  and  financing  activities - see
Notes 1[n], 6 and 8.


*  Includes cash of discontinued operations in 1994.

                 See accompanying notes to financial statements.

                                       F-6
<PAGE>
                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 1) - Nature of Business and Summary of Significant Accounting
           Policies and Acquisition:

           [a]  Nature of business:

           National Home Health Care Corp. and subsidiaries (the "Company") is a
provider of home health care services, including nursing care, personal care and
other specialized therapies.  Up until May 1996, the Company was also engaged as
a provider of outpatient medical services, see Note 6.

           [b]  Principles of consolidation:

           The  consolidated   financial  statements  include  the  accounts  of
National  Home  Health  Care  Corp.  and  its  wholly  owned  subsidiaries.  All
significant  intercompany  accounts and transactions have been eliminated in the
consolidated financial statements. During the fourth quarter of fiscal 1996, the
Company's  interest in its previously  wholly-owned  subsidiary,  which provided
outpatient  medical  services,  was reduced to 37.6%.  Accordingly,  the Company
began accounting for this entity using the equity method.

           [c]  Revenue recognition:

           Net patient revenue  represents the estimated net realizable  amounts
from third party  payors and  patients.  Approximately  39%,  13% and 17% of net
patient  revenue  for the  fiscal  years  ended  July 31,  1996,  1995 and 1994,
respectively,  were derived  under federal and state  third-party  reimbursement
programs.  These revenues are based, in part, on cost  reimbursement  principles
and  are  subject  to  examination  and   retroactive   adjustment  by  agencies
administering  the programs.  Management  continuously  evaluates the outcome of
these  reimbursement  examinations  and provides  allowances  for any  potential
adjustments.  In the opinion of  management,  retroactive  adjustments,  if any,
would not be material to the financial  position or results of operations of the
Company.

           [d]  Cash equivalents:


(continued)


                                       F-7

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


           For the  purposes  of the  statements  of  cash  flows,  the  Company
considers all highly liquid investment  instruments purchased with a maturity of
three months or less to be cash equivalents.

           [e]  Furniture, equipment and leasehold improvements:

           Furniture,  equipment and leasehold  improvements are stated at cost.
Depreciation  is being provided on the  straight-line  method over the estimated
useful  lives of the  assets  (generally  five to ten  years).  Amortization  of
leasehold  improvements is being provided on the  straight-line  method over the
various lease terms or estimated useful lives, if shorter.

(continued)

                                       F-8

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 1) - Nature of Business and Summary of Significant Accounting
           Policies:  (continued)

           [f]  Excess of cost over fair value of net assets of
                business acquired:

           The  excess  of cost  over the  fair  value  of net  assets  acquired
(goodwill)  is  principally  being  amortized  over a  period  of 40  years on a
straight-line  basis.  Goodwill  is  evaluated   periodically  and  adjusted  if
necessary,  if events and  circumstances  indicate  that a permanent  decline in
value below the current unamortized historical cost has occurred.

           [g]  Earnings (loss) per common share:

           Earnings  (loss) per common  share are  computed  using the  weighted
average number of common shares and dilutive common stock equivalents  (options)
outstanding  during each period  after  giving  retroactive  effect to the stock
dividend  declared in October 1996.  During the three years ended July 31, 1996,
the  options  were not  materially  dilutive.  The number of shares  used in the
calculation  of earnings  (loss) per share are 5,033,960 for the year ended July
31, 1996,  5,049,119 for the year ended July 31, 1995 and 5,067,489 for the year
ended July 31, 1994.


(continued)


     
                                       F-9

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


           [h]  Investments:

           The  Company's  investments  are  accounted  for in  accordance  with
Statement of Financial  Accounting  Standards No. 115,  "Accounting  for Certain
Investments in Debt and Equity  Securities" which requires that, except for debt
securities classified as "held-to maturity securities",  investments in debt and
equity securities be reported at fair value.

           Investment  securities  available  for sale at July 31, 1996 and 1995
are summarized as follows:

                                                              1996       1995
                                                          Amortized  Amortized
                                                            Cost (1)   Cost (1)
                                                           ---------  --------
Certificate of deposit, maturing within one year. . . . .             $260,000
Floating rate debentures issued by New York State,
   maturing in one to five years. . . . . . . . . . . . .  $160,000    160,000
Floating rate debentures issued by New York State,
   maturing in five to ten years. . . . . . . . . . . . .   170,000    180,000
Floating rate debentures issued by New York State,
   maturity after ten years . . . . . . . . . . . . . . .   180,000    195,000
Other . . . . . . . . . . . . . . . . . . . . . . . . . .    18,000     18,000
                                                           ---------  --------
                                                           $528,000   $813,000
                                                           ========   ========

(1)        Amortized cost approximates  market value.  Accordingly,  there is no
           unrealized holding gain or loss.

(continued)


     
                                      F-10

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 1) - Nature of Business and Summary of Significant Accounting
           Policies:  (continued)

           [i]  Reclassifications:

           Certain  items in the 1994 and 1995  financial  statements  have been
reclassified to conform to the 1996 presentation.

           [j]  Fair value of financial instruments:

           The carrying amount reported in the  consolidated  balance sheets for
cash, accounts receivable, accounts payable and accrued liabilities approximates
fair value  because of the  immediate or  short-term  maturity of the  financial
instruments.

           [k]  Recently issued accounting pronouncements:

           In March 1995 and October 1995,  the Financial  Accounting  Standards
Board issued Statement of Financial  Accounting  Standards No. 121 ("SFAS 121"),
"Accounting  for the  Impairment  of Long  Lived  Assets  and for the Long Lived
Assets to be Disposed of", and Statement of Financial  Accounting  Standards No.
123 ("SFAS 123"), "Accounting for Stock-Based Compensation",  respectively. SFAS
121 is effective for the Company's  fiscal year ended July 31, 1997 and SFAS 123
has various  effective and transition  dates. The Company  believes  adoption of
SFAS  121 and  SFAS  123  will  not  have a  material  impact  on its  financial
statements.  The Company expects to continue to account for employee stock-based
compensation  in accordance  with  Accounting  Principles  Board Opinion No. 25,
"Accounting  for  Stock  Issued  to  Employees"   using  intrinsic  values  with
appropriate  disclosures in conformity with the fair values based method of SFAS
123.

           [l]  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 at the
date of the  financial  statements  and the  reported  amounts of  revenues  and
expenses  during the reporting  period.  Actual  results could differ from those
estimates. Such estimates relate

(continued)


     
                                      F-11

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


primarily to goodwill,  depreciable  assets and valuation  reserves for accounts
receivable and deferred tax assets.

           [m]  Workers compensation:

           The Company self-insures up to specified limits certain risks related
to workers' compensation  liability.  The estimated costs of existing and future
claims under the  insurance  program are accrued as  incidents  occur based upon
historical  loss  development  trends and may be  subsequently  revised based on
developments relating to such claims.

(continued)


     
                                      F-12

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 1) - Nature of Business and Summary of Significant Accounting
           Policies:  (continued)

           [n]   Stock dividend:

           On October 21, 1996 a 6% stock  dividend was declared by the Board of
Directors for  shareholders of record on November 8, 1996. The stock dividend is
payable  on  December  4, 1996 and all stock  related  data in the  consolidated
financial statements reflect the stock dividend for all periods presented.


(NOTE 2) - Furniture, Equipment and Leasehold Improvements:

           Furniture,  equipment and leasehold  improvements  are stated at cost
and are summarized as follows:
                                           July 31,
                                      1996         1995
                                      ----         ----
          Equipment, furniture
             and fixtures. . . . .  $604,000   $1,562,000
          Leasehold improvements .   140,000      368,000

                                     744,000    1,930,000
          Less accumulated
             depreciation and
             amortization. . . . .   425,000    1,485,000
                                   ---------   ----------

                    B a l a n c e.  $319,000   $  445,000
                                   =========   ==========

The net book value of furniture  and  equipment  held under  capital  leases was
$20,000  and  $79,000  at  July  31,  1996  and  July  31,  1995,  respectively.
Depreciation expense includes depreciation on assets held under capital leases.


(NOTE 3) - Notes Receivable:

           In April 1994, as a result of the sale of assets discussed in Note 7,
the Company received  promissory notes  aggregating  $750,000.  The Company also
received a promissory note for $500,000 for the balance of

(continued)


     
                                      F-13

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


management fees  previously due it. In May 1996, the promissory  notes were paid
in full.

(continued)


     
                                      F-14

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 4) - Excess of Cost Over Fair Value:

           Changes  in the  excess  of cost  over  fair  value of net  assets of
businesses  acquired and discontinued during the three years ended July 31, 1996
are as follows:

                                       Year Ended July 31,
                                 ------------------------------
                                 1996         1995         1994
                                 ----         ----         ----
Balance - beginning of
   year. . . . . . . . . . .  $1,036,000   $1,073,000   $ 6,868,000
Consideration for
   acquisition . . . . . . .   2,049,000                      5,000
Reduction from subsidiary
   stock offering (Note 6) .    (392,000)
Write-off due to
   discontinued operations .                             (5,671,000)
Amortization . . . . . . . .    (136,000)     (37,000)     (129,000)
                              ----------   ----------   -----------

Balance - end of year. . . .  $ 2,557,000  $ 1,036,000  $ 1,073,000
                              ===========  ===========  ===========


(NOTE 5) - Other Intangible Assets:

           Other intangible assets are as follows:

                                                  July 31,
                                              ---------------
                                              1996       1995
                                              ----       ----

     Covenants not to compete. . . . . . .  $400,000   $485,000
     Personnel files . . . . . . . . . . .   478,000    478,000
     Other . . . . . . . . . . . . . . . .     2,000      2,000
                                            --------   --------

                                             880,000    965,000
     Less accumulated amortization . . . .   748,000    623,000
                                            --------   --------

                                            $132,000   $342,000
                                            ========   ========

           Other  intangible  assets decreased during fiscal 1996 as a result of
the subsidiary  stock offering,  see Note 6. Other  intangible  assets are being
amortized using the straight-line method over a period of 3 to 5 years.


(continued)


     
                                      F-15

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 6) - Subsidiary Stock Offering:

           In January  1996,  the  outpatient  medical  service  business of the
Company was reorganized as SunStar Healthcare, Inc. ("SunStar"), a newly-formed,
wholly-owned  subsidiary  of the  Company.  The Company  reduced  its  ownership
percentage of SunStar to 37.6% through a public offering of 1,495,000  shares at
a price  of  $5.00  per  share,  aggregating  approximately  $6,083,000,  net of
expenses.  Subsequent  to the  offering,  the  Company  is  accounting  for  its
investment in SunStar

(continued)


     
                                      F-16

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 6) - Subsidiary Stock Offering:  (continued)

using the equity method of accounting. In connection with SunStar's public stock
offering, the Company recorded a gain before tax of $1,548,000  representing the
net increase in book value of the Company's  investment in SunStar at that date.
Deferred income taxes of $524,000 have been provided on the gain.

           Summarized financial data of SunStar for the year ended July 31, 1996
is as follows:

                     Total current assets. . . . . . . .  $6,403,000
                     Total assets. . . . . . . . . . . .  $7,499,000
                     Total current liabilities . . . . .  $  505,000
                     Total liabilities . . . . . . . . .  $  522,000
                     Total revenues. . . . . . . . . . .  $5,080,000
                     Net (loss). . . . . . . . . . . . .  $ (222,000)
                     (Loss) per share. . . . . . . . . .     $(.15)
                     Market value of the Company's
                        investment . . . . . . . . . . .  $4,233,000


(NOTE 7) - Discontinued Operations:

           [a] The Company's  National HMO (New York),  Inc. ("HMO")  subsidiary
provided  administrative and nonmedical  management services for a medical group
and a dental group. In March 1994 the medical group informed the Company that it
was terminating the management  arrangement between the parties. As a result, in
April 1994, the Company sold to the medical provider,  the assets related to the
management business for notes receivable  aggregating $750,000 (see Note 3). The
parties  mutually  agreed not to compete  with one  another  for a period of two
years. Subsequently,  the Company made a determination to discontinue all of its
management operation.  The loss on disposal consists primarily of a write-off of
goodwill  of  approximately  $5,700,000  net of a federal  income tax benefit of
approximately $2,550,000.

                     Results from discontinued operations related to HMO for the
year ended July 31, 1994 are as follows:

                     Net revenue . . . . . . . . . . . . . . .  $ 3,521,000
                                                                ===========

(continued)


     
                                      F-17

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


                     Income from operations before taxes . . .  $     8,000
                     Income tax provision. . . . . . . . . . .       40,000
                                                                ----------- 
                     (Loss) from operations. . . . . . . . . .      (32,000)
                     (Loss) on disposal. . . . . . . . . . . .   (6,174,000)
                     Income tax benefit. . . . . . . . . . . .    2,550,000
                     Deferred income tax benefit . . . . . . .       80,000
                                                                ----------- 

                     (Loss) from discontinued operations . . .  $(3,576,000)
                                                                =========== 

(NOTE 7) - Discontinued Operations:  (continued)

           [b] In May 1992,  the Company  purchased  certain  assets and assumed
certain liabilities of Hitech Registered Nurses of New Jersey, Inc.,  ("Hitech")
for $250,000.  In July 1993,  the Company made a  determination  to  discontinue
these operations, after concluding that the time and financial commitment needed
to turn  around  Hitech's  operations  (skilled  nursing  and  home  intravenous
therapy)  would be too great for it to  pursue.  During  the year ended July 31,
1993, in connection with the decision to discontinue the operation,  the Company
recorded a charge of  $514,000  (net of a  deferred  tax  benefit of  $319,000),
consisting of a provision for estimated loss on  disposition of Hitech's  assets
and a provision  for  estimated  operating  losses  through the expected time of
disposition.

           Results from discontinued  operations  related to Hitech for the year
ended July 31, 1994 relate to certain adjustments of tax accounts as follows:

                   Income tax benefit. . . . . . .  $ 423,000
                   Deferred income tax . . . . . .   (319,000)

                   Income from discontinued
                      operations . . . . . . . . .  $ 104,000


(NOTE 8) - Acquisitions:

           On August 4, 1995, the Company acquired all of the outstanding common
shares of Nurse Care,  Inc., the parent  company of New England Home Care,  Inc.
("New  England").  New England is a licensed and Medicare  certified home health
care agency providing services in Fairfield and

(continued)


     
                                      F-18

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


New Haven counties in the State of Connecticut. The purchase price of $3,150,000
was  generated  from  internal  funds.  The  acquisition  was accounted for as a
purchase and the excess of the purchase  price over the fair value of the assets
acquired, $2,049,000, was allocated to goodwill.

           The  following   unaudited  pro  forma   consolidated   statement  of
operations information gives effect to the acquisition described above as though
it had occurred on August 1, 1994,  after giving effect to certain  adjustments,
including  amortization of goodwill of $102,000,  decrease in interest income of
$189,000,  elimination of former shareholder  compensation of $250,000,  benefit
from  additional  third-party  reimbursement  of  $200,000  and income  taxes of
$104,000.  The unaudited pro forma  financial  information  may not  necessarily
reflect

(continued)


     
                                      F-19

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 8) - Acquisitions:  (continued)

the results of operations that would have occurred had the acquisition  occurred
on August 1, 1994:

                     Net patient revenue. . . . . . . .  $ 40,547,000
                     Operating expenses . . . . . . . .   (37,777,000)

                     Income from operations . . . . . .  $  2,770,000
                                                         ============

                     Net income . . . . . . . . . . . .  $  1,632,000
                                                         ============

                     Net income per share . . . . . . .       $.34
                                                              ====

           In March 1995,  the  Company  purchased  certain  assets of a company
engaged  in home  health  care  services  for an  aggregate  purchase  price  of
$250,000. The acquisition was accounted for as a purchase; $25,000 was allocated
to furniture and equipment, $200,000 to a covenant not to compete and $25,000 to
personnel files.

           Had the operations of the company been acquired as of August 1, 1993,
there would have been no material effect on the  consolidated  operations of the
Company for the years ended July 31, 1995 and July 31, 1994.


(NOTE 9) - Income Taxes:

           The provision for income taxes for 1996,  1995 and 1994 applicable to
continuing operations is summarized as follows:

                                           Year Ended July 31,
                                     ------------------------------
                                     1996         1995         1994
                                     ----         ----         ----

           Current:
              Federal . . . . .  $1,340,000   $  515,000   $  688,000
              State and local .     109,000      491,000      409,000
                                 ----------   ----------   ----------

                                  1,449,000    1,006,000    1,097,000

           Deferred . . . . . .     410,000      120,000      (20,000)
                                 ----------   ----------   ----------
                     T o t a l.  $1,859,000   $1,126,000   $1,077,000
                                 ==========   ==========   ==========

(continued)


                                      F-20

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 9) - Income Taxes:  (continued)

           Deferred income taxes reflect the tax impact of temporary differences
between the amounts of assets and liabilities for financial  reporting  purposes
and such amounts as measured by tax laws and  regulations.  The principal  items
making up the deferred income tax expenses (benefit) are as follows:

                                                 Year Ended July 31,
                                             ---------------------------
                                             1996       1995        1994
                                             ----       ----        ----
     State tax and net operating
              loss carryforwards . . . .  $(114,000)  $120,000   $(20,000)

     Tax on gain from sale of
              subsidiary stock . . . . .    524,000

                                          $ 410,000   $120,000   $(20,000)
                                         ==========  =========  =========

           The deferred tax assets and  liabilities  as of July 31, 1996, are as
follows:

                                            Assets    Liabilities

           Accrued liability and
              reserves . . . . . . . . .  $190,000

           State net operating loss
              carryforwards. . . . . . .   114,000

           Investment in unconsolidated
              subsidiary . . . . . . . .              $524,000
                                          --------    --------

                                           304,000    $524,000
                                                      ========
           Valuation allowance . . . . .     -0-
                                          -------- 
                                          $304,000
                                          ========

           The Company and two  subsidiaries  have incurred  losses which can be
used to offset state taxable  income  through 2012.  Total net operating  losses
applicable to New York State and Connecticut amount to approximately  $3,300,000
and $300,000, respectively.


(continued)


     
                                      F-21

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 9) - Income Taxes:  (continued)

           The  reconciliation  of the  statutory  tax rate to the effective tax
rate for the three years ended July 31, 1996 is as follows:

                                          Year Ended July 31,
                                          ------------------
                                          1996   1995   1994
                                          ----   ----   ----

          Statutory rate . . . . . . . .   34%    34%    34%

          State and local taxes (net of
             federal tax effect) . . . .    1     12     12

          Federal tax credit . . . . . .          (5)

          Other. . . . . . . . . . . . .    1      3      1
                                           ---    ---    --

          Effective rate . . . . . . . .   36%    44%    47%
                                           ===    ===    ===

           In 1995,  the Company and the New York State  Department  of Taxation
and Finance  entered into a  Stipulation  of  Discontinuance  regarding all open
taxable  years  for  which  the  Company   previously  had  been  assessed.   In
consideration for a payment of approximately  $333,000, this matter was settled.
The  Company  previously  established  a  provision  to cover  the  payment  and
interest.

           The Internal Revenue Service  conducted an examination of federal tax
returns for the years ended July 31, 1991  through  July 31,  1994.  The Company
received a refund of approximately  $2,100,000 as a result of net operating loss
carryback  claims made in fiscal year ended July 31, 1994 and the years affected
by the claims were examined. An immaterial  preliminary  assessment,  subject to
review, has been proposed.


(NOTE 10) - Concentrations of Credit Risk and Major Customers:

           Most of the Company's  business is with  customers  and  governmental
agencies who are in the health care industry.

           The  Company  provides  temporary  health care  personnel  to in-home
patients in the New York City metropolitan area and State of

(continued)


     
                                      F-22

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


Connecticut.  Credit losses relating to customers historically have been
minimal and within management's expectations.

           At July 31, 1996,  the Company  maintained  approximately  49% of its
cash and cash equivalents with one financial institution.

(continued)


     
                                      F-23

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 10) - Concentrations of Credit Risk and Major Customers:
             (continued)

           Under certain federal and state third-party  reimbursement  programs,
the Company received net patient revenues approximating $15,211,000,  $3,125,000
and  $3,427,000  for the years ended July 31,  1996,  July 31, 1995 and July 31,
1994,   respectively.   The  Company  also  received  net  patient  revenues  of
approximately $9,275,000, $9,933,000 and $7,842,000 July 31, 1996, July 31, 1995
and July 31, 1994,  respectively,  from a private company. At July 31, 1996, the
Company  had an  aggregate  outstanding  receivable  from the  federal and state
reimbursement programs of $2,799,000 and an outstanding receivable of $2,199,000
from the private company.


(NOTE 11) - Stock Option Plan:

           In 1992,  the  stockholders  approved the 1992 Stock Option Plan (the
"1992  Plan")  designed  to provide an  incentive  to key  employees  (including
directors  and officers  who are key  employees)  and to  Directors  who are not
employees  of the  Company.  The  1992  Plan  authorizes  the  granting  of both
incentive and nonqualified stock options to purchase up to 500,000 shares of the
Company's common stock.

           The 1992 Plan is administered by the Compensation Committee which has
the  authority to determine  when options are granted,  the term during which an
option may be exercised (provided no option has a term exceeding ten years), the
exercise price and the exercise  period.  The exercise price shall generally not
be less  than the fair  market  value on the date of  grant.  No  option  may be
granted under the 1992 Plan after August 16, 2002.

           During 1995,  283,502 options  previously granted under another stock
option plan were  cancelled  upon  termination  of that plan and  replaced  with
283,502 options granted under the 1992 Plan.

           At July 31, 1996,  408,168 shares of the Company's  common stock have
been reserved for future issuance pursuant to the 1992 Plan.

(continued)


     
                                      F-24

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 11) - Stock Option Plan:  (continued)

           Listed  below is a summary  of stock  option  activity  for the three
years ended July 31, 1996:

                               Number of Shares         Exercise
                          1996      1995       1994      Price
                        --------  ---------  --------  ----------

     Outstanding -
        beginning of
        period . . . .  295,502    300,502   313,502   $2.63 - $4.75
     Options granted .   12,000    286,502              2.63 -  6.25
     Options exercised  (88,832)    (3,000)                 2.63
     Options forfeited  (26,234)  (288,502)  (13,000)   2.63 -  4.75
                       --------  ---------  --------
     Options
        outstanding. .  192,436    295,502   300,502    2.63 -  4.75
                       ========  =========  ========

     Options
        exercisable. .  192,436    295,502   300,502
                       ========  =========  ========


(NOTE 12) - Commitments, Contingencies and Other Matters:

           [a] The  Company has an Employee  Savings and Stock  Investment  Plan
organized  under Section  401(k) of the Internal  Revenue Code.  Under the plan,
employees may contribute up to 10% of their salary into the plan, limited to the
maximum amount allowable under federal tax  regulations.  The Company will match
employee  contributions  invested  in  Company  common  stock  up to  5% of  the
employee's salary and may also make additional  contributions at its discretion.
In addition to  investing  in Company  stock,  an employee may invest in several
mutual funds.  The Company's  contribution  for each of the years ended July 31,
1996,  July 31,  1995 and July 31,  1994  was  $122,000,  $59,000  and  $74,000,
respectively.

           [b] The Company and its subsidiaries have employment  agreements with
five  officers  which  provide for aggregate  annual  salaries of $796,000.  The
employment  agreements expire through April 1998. One of the agreements provides
for additional  compensation of up to $150,000 based on 5% of pre-tax income, as
defined, in excess of $3,000,000.

           [c] The Company rents various  office  facilities  through 2000 under
the terms of several lease agreements which include escalation clauses.

(continued)
                                      F-25
<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 12) - Commitments, Contingencies and Other Matters:  (continued)

           [c]  (continued)

           At  July  31,  1996,   minimum   annual  rental   commitments   under
noncancellable operating leases are as follows:

                               Year Ending
                                 July 31,

                  1997. . . . . . . . . . . . .  $380,000
                  1998. . . . . . . . . . . . .   143,000
                  1999. . . . . . . . . . . . .    54,000
                  2000. . . . . . . . . . . . .    27,000
                                                 --------
                            T o t a l . . . . .  $604,000
                                                 ========

           Rent expense (including discontinued  operations) for the years ended
July 31,  1996,  July 31,  1995 and July 31,  1994 was  approximately  $655,000,
$584,000 and $859,000, respectively.

           One  lease  is  with a  company  controlled  by the  Company's  Chief
Executive Officer. Rent expense under such lease approximates $120,000 per year.

           [d]  The  Company  has a line  of  credit  with  its  bank  totalling
$2,000,000.  Advances against the line are to be collateralized by the assets of
the Company. In addition, a subsidiary of the Company has a secured advised line
of credit.  The maximum  amount that can be borrowed  under the secured  advised
line of credit shall not exceed the lesser of eligible  accounts  receivable  or
$2,000,000.   Both  credit  facilities  bear  interest  at  the  alternate  base
commercial  lending rate of the bank and expire  December 31, 1996.  At July 31,
1996, there were no outstanding balances under either line of credit.


(NOTE 13) - Segment Information:

           The  Company's  operations  are in home  health  care  services  and,
through May 1996,  outpatient  medical  services.  Home health care services are
performed in the New York metropolitan area and in the

(continued)


     
                                      F-26

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


State of Connecticut.  Outpatient medical services were performed in Brevard and
Volusia  County,  Florida.  Subsequent  to the  Company's  sale of its  majority
ownership in SunStar Healthcare, Inc., during the fourth quarter of fiscal 1996,
such operations are not consolidated and,  accordingly,  are not included in the
following segment information.

(continued)


     
                                      F-27

<PAGE>


                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES

                          NOTES TO FINANCIAL STATEMENTS


(NOTE 13) - Segment Information:  (continued)

           Revenue,  operating expenses and income from operations pertaining to
the Company's operations are as follows:

                                          Year Ended July 31,
                                    ------------------------------
                                    1996         1995         1994
                                    ----         ----         ----

Net patient revenue:
   Home health care services .  $35,209,000  $19,428,000  $16,233,000
   Outpatient medical services    3,621,000    5,128,000    3,883,000
                                -----------  -----------  -----------

                                 38,830,000   24,556,000   20,116,000
                                -----------  -----------  -----------

Operating expenses:
   Home health care services .   31,968,000   17,379,000   14,314,000
   Outpatient medical services    3,596,000    5,035,000    3,668,000
                                -----------  -----------  -----------

                                 35,564,000   22,414,000   17,982,000
                                -----------  -----------  -----------

Income from operations:
   Home health care services .    3,241,000    2,049,000    1,919,000
   Outpatient medical services       25,000       93,000      215,000
                                -----------  -----------  -----------

                                $ 3,266,000  $ 2,142,000  $ 2,134,000
                                ===========  ===========  ===========

     
                                      F-28

<PAGE>



                   REPORT OF INDEPENDENT AUDITORS ON SCHEDULE



Board of Directors and Stockholders
National Home Health Care Corp.
New York, New York


           The audits  referred to in our report  dated  October 21, 1996 on the
consolidated  financial  statements  of  National  Home  Health  Care Corp.  and
subsidiaries,  which  appears in Part II,  includes  Schedule II for each of the
years in the  three-year  period  ended  July 31,  1996.  In our  opinion,  such
schedule  presents  fairly the  information set forth therein in compliance with
the applicable accounting regulation of the Securities and Exchange Commission.





New York, New York
October 21, 1996

     
                                      F-29

<PAGE>



                                                                     SCHEDULE II

                NATIONAL HOME HEALTH CARE CORP. AND SUBSIDIARIES
                        VALUATION AND QUALIFYING ACCOUNTS
       FOR THE YEARS ENDED JULY 31, 1996, JULY 31, 1995 AND JULY 31, 1994

<TABLE>
<CAPTION>

           Column A                     Column B                   Column C           Column D            Column E
           --------                     --------                   --------           --------            --------
                                                                  Additions
                                         Balance             (1)           (2)
                                           at                           Charged to                         Balance
                                        beginning         Charged to      other                               at
                                           of              costs and    accounts -   Deductions -           end of
          Description                    period             expenses     describe     describe              period
          -----------                   ---------          ---------    ----------    ---------           ---------
<S>                                     <C>         <C>    <C>                       <C>           <C>   <C>      
Year ended July 31, 1996:                                                   
   Reserve and allowance deducted                                           
     from asset account and allowance                                       
     for uncollectible accounts .....   $ 439,000   (2)    $ 123,000                 $(148,000)    (1)   $ 414,000
                                        =========          =========                 =========           =========
                                                                                 
                                                                                 
Year ended July 31, 1995:                                                        
   Reserve and allowance deducted                                                
     from asset account and allowance                                            
     for uncollectible accounts .....   $  84,000          $ 173,000                 $(158,000)    (1)   $  99,000
                                        =========          =========                 =========           =========
                                                                                 
Year ended July 31, 1994:                                                        
   Reserve and allowance deducted                                                
     from asset account and allowance                                            
     for uncollectible accounts .....   $  54,000          $ 141,000                 $(111,000)    (1)   $  84,000
                                        =========          =========                 =========           =========
                                                                            
</TABLE>


(1)  Represents actual write-offs.

(2)  Includes $340,000 acquired in acquisition of Nurse Care, Inc.



                 See accompanying notes to financial statements.

     
                                      F-30

<PAGE>


EXHIBIT
NUMBER                    DOCUMENT
- ------                    --------

3.1       Certificate of Incorporation (1)

3.2       Certificate of Amendment to Certificate of Incorporation (2)

3.3       By-laws (1)

10.1      1992 Stock Option Plan (3)

10.2      Incentive Stock Option Plan (3)

10.3      Agreement dated January 1, 1994 between Allen Health Care Services and
          VNS Home Care (4)

10.4      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Steven Fialkow (3)

10.5      First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Steven Fialkow

10.6      Employment  Agreement  dated as of July 1, 1996 between the Registrant
          and Robert P. Heller

10.7      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Richard Garofalo (3)

10.8      First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Richard Garofalo

10.9      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Thomas Smith (3)

10.10     First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Thomas Smith

10.11     Agreement  between  Division of Social  Services of Suffolk County and
          Health Acquisition Corp. (5)

10.12     Agreement  between  Nassau County  Department  of Social  Services and
          Allen Health Care Services (2)

10.13     Agreement  dated January 1, 1994 between  Catholic  Medical  Center of
          Brooklyn and Queens, Inc. (4)


        
                                                                 -16-

<PAGE>

EXHIBIT
NUMBER                    DOCUMENT
- ------                    --------

10.14     Letter  Agreement  dated March 15, 1995 securing a line of credit from
          the Bank of New York (7)

10.15     Letter dated June 1, 1992 from Public  Health  Council of the State of
          New York Department of Health to Health  Acquisition Corp. d/b/a Allen
          Health Care Services (2)

10.16     Letter  from  Joint   Commission   on   Accreditation   of  Healthcare
          Organizations  awarding  accreditation  to Allen  Health  Care,  dated
          September 20, 1993 (3)

10.17     1993 401(k) Plan (3)

10.18     Letter  Agreement  between  National  HMO (New  York),  Inc.  and Boro
          Medical, P.C. dated November 12, 1993 (3)

10.19     Asset Purchase Agreement among National HMO (New York), Inc., National
          HMO Corp. of Elizabeth,  Inc., Boro Medical, P.C. and Boro Health Care
          of Union, P.C. dated April 30, 1994 (4)

10.20     Agreement  for the  Purchase  of the  Stock of Nurse  Care,  Inc.  and
          Related Transactions (6)

10.21     Employment  Agreement  dated as of August 1, 1995  between New England
          and Aileen O'Connell (6)

10.22     Letter  Agreement  dated  December 27, 1995  securing a line of credit
          from the Bank of New York

21.1      List of Subsidiaries

23.1      Consent of Richard A. Eisner & Co., LLP

27        Financial Data Schedule

(1)    Incorporated by reference to the Registrant's  Registration  Statement on
       Form S-1 (No. 2-86643) filed September 20, 1983.

(2)    Incorporated by reference to the Registrant's  Annual Report on Form 10-K
       for the fiscal year ended July 31, 1992.

(3)    Incorporated by reference to the Registrant's  Annual Report on Form 10-K
       for the fiscal year ended July 31, 1993.

(4)    Incorporated by reference to the Registrant's  Annual Report on Form 10-K
       for the fiscal yeard ended July 31, 1994.

        
                                      -17-

<PAGE>



(5)    Incorporated by reference to the Registrant's  Annual Report on Form 10-K
       for the fiscal yeard ended July 31, 1991.

(6)    Incorporated  by reference to the  Registrant's  Report on Form 8-K dated
       August 4, 1995.

(7)    Incorporated by reference to the Registrant's  Annual Report on Form 10-K
       for the fiscal yeard ended July 31, 1995.


       (b)    Reports on Form 8-K.  None have been filed  during the last fiscal
              quarter.

        
                                      -18-

<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.

                                     NATIONAL HOME HEALTH CARE CORP.


                                     By: /s/ Robert P. Heller
                                        ------------------------------
                                        Robert P. Heller
                                        Vice President of Finance and Chief
                                         Financial Officer

Dated:  October 29, 1996

Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been  signed on the above  date by the  following  persons  on behalf of the
Registrant and in the capacities indicated.



/s/ Frederick H. Fialkow           Chairman of the Board of Directors,
- ------------------------------      President & CEO
Frederick H. Fialkow


/s/ Robert P. Heller               Vice President of Finance and Chief Financial
- ------------------------------       Officer (Principal Financial and Accounting
Robert P. Heller                      Officer)
                                                    

/s/ Steven Fialkow                 Director
- ------------------------------
Steven Fialkow                     


/s/ Ira Greifer                    Director
- ------------------------------
Ira Greifer, M.D.


/s/ Bernard Levine                 Director
- ------------------------------
Bernard Levine, M.D.



/s/ Robert Pordy                   Director
- ------------------------------
Robert Pordy, M.D.

<PAGE>


                                                     Commission File No. 0-12927




                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                    EXHIBITS

                                       to

                                    FORM 10-K

                  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
                 OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE
                         FISCAL YEAR ENDED JULY 31,1996

                         NATIONAL HOME HEALTH CARE CORP.




<PAGE>



EXHIBIT
NUMBER                    DOCUMENT
- ------                    --------

3.1       Certificate of Incorporation (1)

3.2       Certificate of Amendment to Certificate of Incorporation (2)

3.3       By-laws (1)

10.1      1992 Stock Option Plan (3)

10.2      Incentive Stock Option Plan (3)

10.3      Agreement dated January 1, 1994 between Allen Health Care Services and
          VNS Home Care (4)

10.4      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Steven Fialkow (3)

10.5      First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Steven Fialkow

10.6      Employment  Agreement  dated as of July 1, 1996 between the Registrant
          and Robert P. Heller

10.7      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Richard Garofalo (3)

10.8      First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Richard Garofalo

10.9      Employment  Agreement  dated  August 1993 between the  Registrant  and
          Thomas Smith (3)

10.10     First Amendment dated as of July 1, 1996 to Employment Agreement dated
          August 1993 between the Registrant and Thomas Smith

10.11     Agreement  between  Division of Social  Services of Suffolk County and
          Health Acquisition Corp. (5)

10.12     Agreement  between  Nassau County  Department  of Social  Services and
          Allen Health Care Services (2)

10.13     Agreement  dated January 1, 1994 between  Catholic  Medical  Center of
          Brooklyn and Queens, Inc. (4)


                                       -2-

<PAGE>



EXHIBIT
NUMBER                    DOCUMENT
- ------                    --------

10.14     Letter  Agreement  dated March 15, 1995 securing a line of credit from
          the Bank of New York (7)

10.15     Letter dated June 1, 1992 from Public  Health  Council of the State of
          New York Department of Health to Health  Acquisition Corp. d/b/a Allen
          Health Care Services (2)

10.16     Letter  from  Joint   Commission   on   Accreditation   of  Healthcare
          Organizations  awarding  accreditation  to Allen  Health  Care,  dated
          September 20, 1993 (3)

10.17     1993 401(k) Plan (3)

10.18     Letter  Agreement  between  National  HMO  (New  York),Inc.  and  Boro
          Medical, P.C. dated November 12, 1993 (3)

10.19     Asset Purchase Agreement among National HMO (New York), Inc., National
          HMO Corp. of Elizabeth,  Inc., Boro Medical, P.C. and Boro Health Care
          of Union, P.C. dated April 30, 1994 (4)

10.20     Agreement  for the  Purchase  of the  Stock of Nurse  Care,  Inc.  and
          Related Transactions (6)

10.21     Employment  Agreement  dated as of August 1, 1995  between New England
          and Aileen O'Connell (6)

10.22     Letter  Agreement  dated  December 27, 1995  securing a line of credit
          from the Bank of New York

21.1      List of Subsidiaries

23.1      Consent of Richard A. Eisner & Co., LLP

27        Financial  Data  Schedule

(1)     Incorporated by reference  to  the Registrant's  Registration  Statement
        on Form S-1 (No. 2- 86643) filed September 20, 1983.

(2)     Incorporated by reference to the Registrant's Annual Report on Form 10-K
        for the fiscal year ended July 31, 1992.

(3)     Incorporated by reference to the Registrant's Annual Report on Form 10-K
        for the fiscal year ended July 31, 1993.


                                       -3-

<PAGE>



(4)     Incorporated by reference to the Registrant's Annual Report on Form 10-K
        for the fiscal year ended July 31, 1994.

(5)     Incorporated by reference to the Registrant's Annual Report on Form 10-K
        for the fiscal year ended July 31, 1991.

(6)     Incorporated by reference to the  Registrant's  Report on Form 8-K dated
        August 4, 1995.

(7)     Incorporated by reference to the Registrant's Annual Report on Form 10-K
        for the fiscal year ended July 31, 1995.


                                       -4-



                                 FIRST AMENDMENT

                                       TO

                              EMPLOYMENT AGREEMENT


        This First Amendment to Employment  Agreement,  dated as of July 1, 1996
(the "Amendment"), is by and between NATIONAL HOME HEALTH CARE CORP., a Delaware
corporation having an address at 700 White Plains Road, Suite 363, New York, New
York 10583 (the "Company") and STEVEN FIALKOW,  an individual  having an address
c/o  Nurse  Care,  Inc.,  57  Plains  Road,  Milford,   Connecticut  06460  (the
"Employee").

        WHEREAS,  the Company  and the  Employee  are  parties to an  Employment
Agreement dated as of August 1993 (the "Agreement"); and

        WHEREAS,  the Company and the Employee  desire to amend the Agreement in
certain respects.

        NOW,  THEREFORE,  in  consideration  of the  foregoing  and  the  mutual
covenants and  conditions  hereinafter  set forth,  the parties  hereby agree as
follows:

        1.  Amendment to the  Agreement.  The Agreement  hereby is amended as of
July 1, 1996, as follows:

                (a) The first sentence of Paragraph 2 of the Agreement hereby is
        amended  such that the  amount  "$93,600"  contained  therein  hereby is
        changed to "$115,000" and the word "first"  contained  therein hereby is
        changed to "third".

                (b) The third sentence of Paragraph 2 of the Agreement hereby is
        amended such that the word "two" contained  therein hereby is changed to
        "three".

                (c) New Sections 11 and 12 contained in Annex A attached  hereto
        hereby  are  added  in  their  entirety  to  the  Agreement  immediately
        following  Section  10  thereof  and  each  subsequent  section  of  the
        Agreement hereby is renumbered accordingly.

        2. Counterparts. This Amendment may be signed in one or more counterpart
copies,  each of which  constitutes  an original,  but all of which,  when taken
together,  shall  consti  tute one  agreement  binding  upon all of the  parties
hereto.



<PAGE>



        3. Governing  Law. This Amendment  shall be governed by and construed in
accordance  with  the laws of the  State  of New  York,  without  regard  to the
conflicts of law rules thereof.

        4.  Agreement to Continue as Amended.  Except as modified and amended by
this Amendment, the Agreement shall remain and continue in full force and effect
after the date hereof.

        IN WITNESS  WHEREOF,  the parties  hereunto  have executed and delivered
this Amendment as of the date first written above.


                                        NATIONAL HOME HEALTH CARE CORP.


                                        By:  /s/ Frederick Fialkow
                                            --------------------------
                                             Name:  Frederick Fialkow
                                             Title:



                                             /s/ Steven Fialkow
                                            --------------------------
                                             Steven Fialkow


                                       -2-

<PAGE>



                                     ANNEX A


        11.  Change in Control  Bonus.  In the event of a Change in Control,  as
defined  below,  the Company  promptly  shall pay to Employee a lump-sum  amount
equal to one-half of  Employee's  Salary at the time of the  occurrence  of such
Change in Control. The Company hereby agrees to obtain a satisfactory  agreement
from any successor to assume and agree to perform this  Agreement.  For purposes
of this Agreement, a "Change in Control" shall have occurred if:

           a. any "person",  as such term is used in Sections 13(d) and 14(d) of
the Securities Exchange Act of 1934, as amended (the "Exchange Act") (other than
the Company, any trustee or other fiduciary holding securities under an employee
benefit plan of the Company or any corporation owned, directly or indirectly, by
the stockholders of the Company in  substantially  the same proportions as their
ownership of stock of the  Company),  is or becomes the  "beneficial  owner" (as
defined in Rule 13d-3  under the  Exchange  Act),  directly  or  indirectly,  of
securities of the Company  representing 50% or more of the combined voting power
of the Company's then outstanding securities;

           b.  during  any  period of not more than two  consecutive  years (not
including any period prior to the execution of this Agreement),  individuals who
at the  beginning  of such period  constitute  the Board,  and any new  director
(other than a director  designated by a person who has entered into an agreement
with the Company to effect a transaction  described in clause (a), (c) or (d) of
this  Section)  whose  election by the Board or  nomination  for election by the
Company's  shareholders  was approved by a vote of at least  two-thirds (2/3) of
the directors then still in office who either were directors at the beginning of
the period or whose  election or  nomination  for  election  was  previously  so
approved, cease for any reason to constitute at least a majority thereof;

           c. the  shareholders of the Company approve a merger or consolidation
of  the  Company  with  any  other  corporation,  other  than  (A) a  merger  or
consolidation  which  would  result  in the  voting  securities  of the  Company
outstanding  immediately  prior  thereto  continuing  to  represent  (either  by
remaining  outstanding  or by being  converted  into  voting  securities  of the
surviving  entity)  more than 80% of the  combined  voting  power of the  voting
securities of the Company or such surviving entity outstanding immediately after
such  merger or  consolidation  or (B) a merger  or  consolidation  effected  to
implement a recapitalization of the Company (or similar transaction) in which no
"person" (as hereinabove  defined) acquires more than 50% of the combined voting
power of the Company's then outstanding securities; or

           d.  the  shareholders  of the  Company  approve  a plan  of  complete
liquidation  of the Company or an agreement for the sale or  disposition  by the
Company of all or substantially all of the Company's assets.

        12.  Assignment.  Neither this Agreement,  nor any of Employee's rights,
powers,  duties or  obligations  hereunder,  may be assigned by  Employee.  This
Agreement shall be binding upon and

                                       -3-

<PAGE>


inure to the benefit of Employee and his heirs and legal representatives and the
Company and its successors and assigns. Successors of the Company shall include,
without  limitation,  any  corporation or  corporations  acquiring,  directly or
indirectly,  all or substantially  all of the assets of the Company,  whether by
merger,  consolidation,  purchase,  lease or otherwise, and such successor shall
thereafter be deemed "the Company" for the purpose hereof.


                                       -4-




                              EMPLOYMENT AGREEMENT


           This  Agreement,  dated as of July 1, 1996,  by and between  NATIONAL
HOME HEALTH CARE CORP., a Delaware corporation, with offices at 700 White Plains
Road,  Scarsdale  New York  10583 (the  "Company"),  and  ROBERT P.  HELLER,  an
individual residing at 617 Fir Court, Norwood, New Jersey 07648 ("Employee").

                               W I T N E S S E T H

           WHEREAS, Employee is currently employed by the Company; and

           WHEREAS, the Company wishes to continue to employ Employee;

           NOW, THEREFORE, the parties agree as follows:

           1.  Employment:  he  Company  hereby  agrees to employ  Employee  and
Employee  agrees to be employed by the Company upon the terms and conditions set
forth  below  for a  period  of one  (1)  year  commencing  on the  date of this
Agreement,   unless  sooner  terminated  as  herein  provided  (the  "Employment
Period").  During  the  Employment  Period,  Employee  will  initially  hold the
position  of Vice  President  of  Finance  and Chief  Financial  Officer  of the
Company, and, thereafter, hold such positions of an executive nature and perform
all duties and  services  incident  to those  positions  as may be  assigned  to
Employee  from time to time by the Board of  Directors  or the  President of the
Company. Employee will devote substantially all his working time and energies to
the business of the Company to  accomplish  the duties  assigned by the Board of
Directors of the Company,  will perform  those duties to the best of  Employee's
ability and will devote  Employee's best efforts to advance the interests of the
Company.

           2.  Compensation:  For all  services  performed  by Employee  for the
Company during the Employment  Period, the Company will pay Employee a salary at
the rate of  $107,000  per annum  until  August 1, 1996 and  increasing  by five
percent  (5%) of the  original  rate for  each  subsequent  twelve-month  period
thereafter  ("Salary"),  payable in accordance with the normal payment practices
of the  Company.  The  Company  will  provide  Employee  the use,  for  business
purposes,  of a full-sized  domestic  automobile owned or leased by the Company,
Employee will be entitled to vacation during the Employment Period not to exceed
three  weeks  per  annum.  The  vacation  may be taken at times  agreed  upon by
Employee and the Company. During that vacation, Employee will receive Employee's
usual  compensation.  No  additional  compensation  will be paid to Employee for
vacation time that is not taken. Employee will be entitled to participate,  at a
level  commensurate with his position,  in any benefit plans,  including health,
pension  and  stock  option  plans  adopted  by the  Company  for its  executive
employees.

           3.  Reimbursement of Expenses:  The Company recognizes that Employee,
in performing  Employee's duties under this Agreement,  may be required to spend
sums of money in connection with those duties on behalf of or for the benefit of
the Company. Employee may present


<PAGE>



to the Company, on a weekly basis, an itemized voucher listing all sums of money
paid or expenses incurred by Employee in the performance of Employee's duties on
behalf of or for the  benefit  of the  Company,  and,  on  presentation  of that
itemized  voucher,  the  Company  will  reimburse  Employee  or pay the  expense
incurred for all reasonable expenses itemized on the voucher including,  but not
limited to, travel,  meals, lodging,  entertainment and promotion.  In addition,
commencing as of the date hereof, the Company will initially pay to Employee the
amount of Employee's annual  contribution under the Company's Premium Conversion
Plan (the "Annual Premium Contribution Amount"),  payable in accordance with the
normal payment practices of the Company.

           4. Death and Disability:

                      A. The  Employment  Period shall  terminate on the date of
Employee's   death,  in  which  event  Employee's   Salary  and  Annual  Premium
Contribution  Amount earned or accrued and reimbursable  expenses owing, if any,
through  the  date of  Employee's  death,  shall be paid to  Employee's  estate.
Employee will not be entitled to any other compensation upon termination of this
Agreement pursuant to this paragraph 4(A).

                      B. If, during the Employment Period, in the opinion of the
Company,  Employee,  because of physical or mental illness or incapacity,  shall
become  substantially  unable to perform the duties and services required of him
under this  Agreement for a period of three (3)  consecutive  months or four (4)
months in the aggregate  during any six (6) month period,  the Company may, upon
at least  ten (10)  days'  prior  written  notice  given at any time  after  the
expiration  of such three (3) or four (4) month  period,  as the case may be, to
Employee of its intention to do so,  terminate this Agreement as of such date as
may be set forth in the notice. In case of such  termination,  Employee shall be
entitled to receive his Salary and Annual Premium  Contribution Amount earned or
accrued  and  reimbursable  expenses  owing  to  Employee  through  the  date of
termination.  Employee  will not be  entitled  to any  other  compensation  upon
termination of this Agreement pursuant to this paragraph 4 (B).

           5. Discharge for Cause: The Company may discharge  Employee for cause
at any  time.  Cause for  discharge  will  exist  when (i)  Employee  materially
breaches  this  Agreement  and such breach is not cured within  thirty (30) days
following  written  notice by the  Company  to  Employee  of such  breach,  (ii)
Employee  commits  any act or engages in any  course of action  involving  moral
turpitude  which  adversely  affects the  reputation  of the  Company,  or (iii)
Employee breaches any policy applicable to all executive officers of the Company
promulgated  by  Company's  Board of  Directors,  the  breach  of which has been
specified  by the  Board of  Directors  to be cause  for  discharge,  including,
without  limitation,  those  policies  set forth in the  Addendum to  Employment
Agreement  between the Company and  Employee  attached  hereto and  incorporated
herein by reference.  If, during the Employment  Period,  Employee is discharged
for cause, this Agreement terminates and the Company,  without any limitation on
any remedies it may have at law or equity,  is without  liability  for Salary or
any other liability to Employee after the date of such discharge.


                                       -2-

<PAGE>



           6. Disclosure of Confidential Information: "Confidential Information"
means all information  known by Employee,  because of employment by the Company,
about the Company's present or prospective  products,  processes,  services,  or
activities.  Confidential  Information  does not include  information  generally
known,  other  than  through  breach  of a  confidentiality  agreement  with the
Company,  in the  industries  in which the Company  engages or may  engage.  The
determination as to whether  information is generally known in the industries in
which the Company  engages or may engage will be made, in good faith,  solely by
the  Company and will be binding on  Employee.  Employee  will never,  during or
after the  Employment  Period,  directly  or  indirectly,  use any  Confidential
Information  except in the performance of Employee's duties for the Company,  or
publish  or  disclose  any  Confidential  Information  except to persons to whom
disclosure  of  Confidential  Information  is  necessary in the  performance  of
Employee's  duties and to other persons as directed by the Company.  The Company
has the  right to  decide  in what  circumstances  disclosures  of  Confidential
Information  are  necessary.  Employee  will use his  best  efforts  to  prevent
unauthorized use or disclosure of Confidential Information.  Upon termination of
employment  with the Company,  Employee will deliver to the Company all writings
relating  to  or  containing  Confidential   Information,   including,   without
limitation, notes, memoranda, letters, drawings, diagrams and printouts and also
including  any  tapes,  discs  or  other  forms of  recorded  information.  Full
compliance  with this  paragraph is a condition of  continued  employment  with,
retention  by or  association  with,  the  Company.  If  Employee  violates  any
provision  of this  paragraph  during the  Employment  Period,  the  Company may
immediately  discharge  Employee  without any  liability  for Salary or an other
liability  to Employee  after the date of  discharge.  If Employee  violates any
provision of this paragraph during or after the Employment  Period,  the Company
will  have  no  further  liability  to  Employee,  including  rights,  benefits,
privileges  or other  interests  which may have  vested for  Employee's  account
during the Employment  Period.  Moreover,  if Employee violates any provision of
this paragraph during or after the Employment  Period, the company may seek full
indemnification  from Employee should the Company suffer any monetary damages or
incur any legal  liability to any person as a result of the disclosure or use of
Confidential Information by Employee in violation of this paragraph.

           7.  Restrictive  Covenants:  During the  Employment  Period and for a
period of six (6) months  thereafter,  Employee will not directly or indirectly,
either as an individual or as a partner, joint venturer, independent contractor,
consultant, stockholder, director, employee or officer, engage in or participate
in the  management or ownership of any business or activity in the New York City
metropolitan area, including suburban and other counties of New York, New Jersey
and Connecticut  generally considered a part of such area, or in any other state
in which the Company is registered to do business as of the date of  termination
of the Employment Period which directly or indirectly competes with the business
conducted by the Company.  Employee  recognizes and hereby acknowledges that the
restrictions  imposed upon  Employee in this  paragraph are  reasonable  and are
necessary for the protection of the business of the Company.

           8. Ownership of Inventions,  Discoveries and  Improvements:  Employee
shall promptly  disclose in writing to the Board of Directors of the Company all
inventions,  discoveries,  designs, developments,  processes, software programs,
works of  authorship,  formulas,  data,  techniques  and any other  improvements
conceived, devised, created, or developed by Employee

                                       -3-

<PAGE>



(either alone or with others) while in the employ of the Company  (collectively,
"Invention"),  and Employee  shall transfer and assign to the Company all right,
title and interest in and to such Invention,  including any and all domestic and
foreign patent rights,  domestic and foreign  copyright rights therein,  and any
renewal thereof.  Such disclosure is to be made promptly after the conception of
each  Invention,  and each Invention is to become and remain the property of the
Company,  whether or not patent or copyright  applications  are filed thereon by
the Company.  On request of the  Company,  Employee  shall  execute from time to
time,  during or after the termination of employment,  such further  instruments
including,  without  limitation,  applications  for patents and  copyrights  and
assignments  thereof as maybe  deemed  necessary  or desirable by the Company to
effectuate the provisions of this paragraph 8.

           9.  Construction:  If the  provisions of paragraph 7 should be deemed
unenforceable,  invalid,  or overbroad in whole or in part for any reason,  then
any court of competent  jurisdiction  or any Arbitrator  appointed in accordance
with paragraph 10 is hereby authorized,  requested and instructed to reform such
paragraph  to provide for the maximum  competitive  restraints  upon  Employee's
activities (in time, product,  geographic area, and customer solicitation as may
then be legal and valid).

           10. Remedies, Damages and Jurisdiction:

                      A. Employee  agrees that violation of paragraphs 6, 7 or 8
would cause irreparable  injury to the Company for which the remedy at law would
be  inadequate,  and that the  Company  shall be entitled in any court of law or
equity or in any  arbitration  proceeding in accordance  with this paragraph 10,
whichever forum is designated by the Company, to preliminary, permanent or other
injunctive  relief against any breach of the provisions  contained in paragraphs
6, 7 or 8, and such  punitive  and  compensatory  damages  as shall be  awarded.
Further,  in the event of a violation  of the  provisions  of  paragraph  7, the
period of noncompetition referred to therein shall be extended but not decreased
for a period of time equal to the period that the violation occurred.

                      B. Except as  otherwise  provided in  paragraphs 9 and 10A
relating to the reformation of the restrictive covenants and obtaining equitable
relief,  any controversy or claim arising out of, or relating to this Agreement,
or the breach thereof,  shall be settled by arbitration by one arbitrator in New
York,  New  York,  in  accordance  with the  rules of the  American  Arbitration
Association,  and  judgment  upon the award  rendered by the  arbitrator  may be
entered in any court having jurisdiction thereof.

                      C. Each of the Company and Employee hereby consents to the
jurisdiction of the Supreme Court of the State of New York for the County of New
York and the United States District Court for the Southern  District of New York
for all purposes in connection with said arbitration or for obtaining the relief
referred to in  paragraphs  6, 7 or 8, and further  consents that any process or
notice of motion  therewith  may be served by  certified or  registered  mail or
personal service, within or without the State of New York, provided a reasonable
time for appearance is allowed.

                                       -4-

<PAGE>




           11. Change in Control Bonus. In the event of a Change in Control,  as
defined  below,  the Company  promptly  shall pay to Employee a lump-sum  amount
equal to one-half of  Employee's  Salary at the time of the  occurrence  of such
Change in Control. The Company hereby agrees to obtain a satisfactory  agreement
from any successor to assume and agree to perform this  Agreement.  For purposes
of this Agreement, a "Change in Control" shall have occurred if:

                      (i) any "person",  as such term is used in Sections  13(d)
and 14(d) of the  Securities  Exchange Act of 1934,  as amended  (the  "Exchange
Act") (other than the Company, any trustee or other fiduciary holding securities
under an employee benefit plan of the Company or any corporation owned, directly
or indirectly,  by the  stockholders  of the Company in  substantially  the same
proportions  as their  ownership  of stock of the  Company),  is or becomes  the
"beneficial  owner" (as defined in Rule 13d-3 under the Exchange Act),  directly
or  indirectly,  of  securities of the Company  representing  50% or more of the
combined voting power of the Company's then outstanding securities;

                      (ii)  during any  period of not more than two  consecutive
years (not  including  any period  prior to the  execution  of this  Agreement),
individuals  who at the beginning of such period  constitute the Board,  and any
new director (other than a director  designated by a person who has entered into
an agreement  with the Company to effect a transaction  described in clause (a),
(c) or (d) of this  Section)  whose  election  by the  Board or  nomination  for
election  by the  Company's  shareholders  was  approved  by a vote of at  least
two-thirds (2/3) of the directors then still in office who either were directors
at the beginning of the period or whose  election or nomination for election was
previously  so approved,  cease for any reason to constitute at least a majority
thereof;

                      (iii) the  shareholders of the Company approve a merger or
consolidation of the Company with any other corporation, other than (A) a merger
or  consolidation  which would  result in the voting  securities  of the Company
outstanding  immediately  prior  thereto  continuing  to  represent  (either  by
remaining  outstanding  or by being  converted  into  voting  securities  of the
surviving  entity)  more than 80% of the  combined  voting  power of the  voting
securities of the Company or such surviving entity outstanding immediately after
such  merger or  consolidation  or (B) a merger  or  consolidation  effected  to
implement a recapitalization of the Company (or similar transaction) in which no
"person" (as hereinabove  defined) acquires more than 50% of the combined voting
power of the Company's then outstanding securities; or

                      (iv) the  shareholders  of the  Company  approve a plan of
complete  liquidation of the Company or an agreement for the sale or disposition
by the Company of all or substantially all of the Company's assets.

           12. Assignment. Neither this Agreement, nor any of Employee's rights,
powers,  duties or  obligations  hereunder,  may be assigned by  Employee.  This
Agreement  shall be binding  upon and inure to the benefit of  Employee  and his
heirs and legal  representatives and the Company and its successors and assigns.
Successors of the Company shall include, without limitation, any corporation

                                       -5-

<PAGE>



or corporations acquiring,  directly or indirectly,  all or substantially all of
the assets of the Company, whether by merger, consolidation,  purchase, lease or
otherwise,  and such successor shall  thereafter be deemed "the Company" for the
purpose hereof.

           13.  Severability:  If any of the provision of this Agreement is held
to be invalid, illegal, or unenforceable, that determination will not affect the
enforceability  of any other  provisions  of this  Agreement,  and the remaining
provisions of this  Agreement will be valid and  enforceable  according to their
terms.

           14.   Binding   Effect:   This  Agreement   constitutes   the  entire
understanding  of the parties,  may be modified only in writing,  is governed by
and  construed  in  accordance  with the laws of the state of New York,  without
regard to the conflicts of law rules thereof, and will be binding upon and inure
to the benefit of  Employee  and  Employee's  personal  representatives  and the
Company and the  Company's  successors  and  assigns.  This  Agreement is in the
nature of a personal  services  contract,  is not assignable by Employee and the
duties imposed hereby are non-delegable.

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

                                     NATIONAL HOME HEALTH CARE CORP.

                                     By:   /s/ Frederick H. Fialkow
                                         ------------------------------
                                           Frederick H. Fialkow, President


                                           /s/ Robert P. Heller
                                         ------------------------------
                                           ROBERT P. HELLER

                                       -6-

<PAGE>



                        ADDENDUM TO EMPLOYMENT AGREEMENT:
              BUSINESS POLICIES OF NATIONAL HOME HEALTH CARE CORP.

           This addendum  supplements and is hereby  incorporated into the terms
of your Employment  Agreement.  The Company has set forth in this addendum basic
principles  and  standards of conduct that senior  management  of the Company is
expected to follow in all respects. You have a personal  responsibility to abide
by each of the standards. Each person, alone, is responsible for his actions. No
one will be  permitted  to justify an illegal  act by claiming it was ordered by
someone higher in management.  No one, regardless of level or position,  is ever
authorized to direct an employee to commit an illegal or unethical act.

           As a summary of basic principles,  this addendum does not include all
the rules and  regulations  that  apply to every  situation.  The  absence  of a
specific  practice  or  instruction  covering a  particular  situation  does not
relieve you from  exercising  the highest  ethical  standards  applicable to the
circumstances.  If you have  questions  as to what the proper  course of conduct
should be in any given situation consult me and the Company's legal counsel.

           Violations  of  the   guidelines   set  forth  below  can  result  in
disciplinary action, including dismissal, and possible criminal prosecution.

           Any  reprisal  against  an  employee  who in  good  faith  reports  a
violation  or  suspected  violation  of  law or  company  policies  is  strictly
forbidden. 

                                     * * *


<PAGE>



           1. It is the Company's policy to comply fully with the law. We should
avoid even the  appearance of wrongdoing  and, at all times,  should conduct our
business according to the highest ethical standards.

           Since the Company is a medical services company, there are many state
and federal laws and regulations which affect and define the responsibilities of
each employee.  These laws and  regulations  must be adhered to at all times. If
there is ever any doubt on your part about the  meaning  of a law or  regulation
you must check with corporate  counsel or special  counsel.  You are responsible
for designing,  implementing  and monitoring  quality control programs to assure
that  Company  policies  are  being  followed  and  that  all  personnel  are in
compliance.  In connection with any compliance  program, it is vital that you be
sure that no  falsification of records be allowed and you must undertake to have
programs developed to assure that this does not happen.

           2. The Company shall not tolerate any unfair competition.  Additional
guidelines relating to this general policy are,:

           -          do not interfere with contracts made between a prospective
                      customer and a competitor.

           -          never engage in commercial bribery.

           -          do not disparage a competitor's services,

           -          be accurate and truthful in all  dealings  with  customers
                      and be careful not to misrepresent  the state and quality,
                      features or availability of our services.

           3. The Company  awards  business to  suppliers  solely on merit.  You
should  have no  relationship,  financial  or  otherwise,  with any  supplier or
competitor that might be construed as a

                                       -2-

<PAGE>



conflict  of  interest  or that might  even  appear to impair  your  independent
judgment  on  behalf  of the  Company.  Gifts,  loans  or  any  other  thing  of
significant value should not be accepted or solicited, even indirectly.

           4.  Each  employee's  primary  obligation  is to  the  Company,  and,
therefore,  any form of outside  activity  must be kept  totally  separate  from
employment  with the Company.  No outside'  activity  should  involve the use of
Company assets, materials or facilities.

           5. You cannot use your  position in the  Company for outside  gain or
benefit,   nor  should  you  use  property  or  other  confidential  or  private
confidential information in any outside activity.

           6. The law requires that the Company's  books and records  accurately
and fairly reflect  transactions  in reasonable  detail,  and that the Company's
internal accounting controls provide reasonable assurances that:

           -          transactions are carried out in an authorized manner.

           -          transactions  have been  reported  and  recorded to permit
                      correct   preparation  of  financial   statements  and  to
                      maintain  accurate records of assets.  access to assets is
                      in accordance with management's authorization.

           -          inventories   of  assets   are  taken   periodically   and
                      appropriate action is taken to correct discrepancies.

           7. Every  employee who has control over Company  funds is  personally
accountable for such funds. There are no exceptions to this rule.

                                       -3-

<PAGE>



           When  spending   Company  money  or  personal   money  that  will  be
reimbursed,  or  requesting  services that will cause Company money to be spent,
the  employee  involved  should make sure the Company  receives  proper value in
return and should be sure the expenditure is for a legitimate business purpose.

           Anyone  responsible  for the  handling  of Company  revenue,  and the
associated records and materials, is accountable for their safe keeping.

           8. The Company  categorically  forbids the use of corporate funds for
the support of political  parties or  candidates.  No employee is  authorized to
make or approve such a contribution.

           9. Company  business  records must always be prepared  accurately and
reliably,  since they are of critical  importance to the  Company's  meeting its
financial, legal and management obligations.

           10.  Records  containing  personal data on patients and the Company's
employees are  confidential.  As such, they are to be carefully  safeguarded and
kept current and accurate. They should be disclosed only to authorized personnel
having a "need to know" or  pursuant  to lawful  processes.  Should you have any
questions  about  disclosure,  consult with the Company's  legal counsel  before
disclosing.

           11. When a dishonest  act by an employee is  discovered  it should be
reported immediately and directly to me.

           12. The Company encourages  employees to participate in its future by
investing  in its  securities.  However,  in trading in Company  securities  you
should be aware that it may be illegal (and possibly result in civil or criminal
penalties)  to buy or sell Company  securities  while in  possession of material
non-public information about the Company.

                                       -4-

<PAGE>



           Material   information   can  be  anything  that  could  have  actual
significance in an investors  decision,  such as acquisition  plans;  dividends,
earnings,  new  contracts,  products;  major  regulatory,  court or  legislative
events; and major management changes or other business plans. Employees aware of
such,  information prior to its being made public should not buy or sell company
securities until the information has been made public.

           Employees  should not trade in the securities of other companies when
they know material non-public information about these companies which they learn
as part of their job. For example,  you may learn that another  company is being
considered for a major contract or any other information which could have actual
significance  in an  investor's  decision  about  the  securities  of the  other
Company.

           Employees should keep any  such-information  about the Company or any
other  company  secret  and use it only for  Company  'purposes,  because  it is
unlawful to "tip"  others who may buy or sell such  securities,  even though the
tipper does not.

           Some  types of  trading -- even if  innocent  -- could  appear to the
public and to public  officials to be based on the misuse of inside  information
concerning the Company.  To avoid even an appearance of  impropriety,  employees
are not to engage in short term speculation in company  securities (that is, the
purchase and sale on the open market within a six month  period).  Nor should an
employee  engage in any  transaction  when he stands to profit  due to the short
term savings in the value of the Company's  securities.  An example of this type
of trading includes "short sales" (selling borrowed  securities which the seller
hopes can be purchased at a lower price when they are due for delivery).


                                       -5-

<PAGE>


           Please indicate your acceptance of the Company's business policies by
signing a copy of this addendum provided below.

                                                   /s/ Frederick H. Fialkow
                                                   ------------------------
                                                   Frederick H. Fialkow



 I  have  read  and   understand  the
 Company's   Business   Policies  and
 agree  to  fully   comply  with  all
 requirements  of law  affecting  the
 Company  and the  Business  Policies
 set forth herein.


/s/ Robert P. Heller
- --------------------------



                                       -6-





                                 FIRST AMENDMENT

                                       TO

                              EMPLOYMENT AGREEMENT



           This First  Amendment to  Employment  Agreement,  dated as of July 1,
1996 (the  "Amendment"),  is by and between  NATIONAL HOME HEALTH CARE CORP.,  a
Delaware  corporation having an address at 700 White Plains Road, Suite 363, New
York,  New York  10583 (the  "Company")  and  RICHARD  GAROFALO,  an  individual
residing at 99 Rustic Avenue, Medford, New York 11763 (the "Employee").

           WHEREAS,  the Company and the Employee  are parties to an  Employment
Agreement dated as of August 1993 (the "Agreement"); and

           WHEREAS,  the Company and the Employee  desire to amend the Agreement
in certain respects.

           NOW,  THEREFORE,  in  consideration  of the  foregoing and the mutual
covenants and  conditions  hereinafter  set forth,  the parties  hereby agree as
follows:

           1. Amendment to the Agreement.  The Agreement hereby is amended as of
July 1, 1996, as follows:

                      (a) The first  sentence of  Paragraph  2 of the  Agreement
           hereby is amended such that the amount  "$93,600"  contained  therein
           hereby  is  changed  to  "$150,000"  and the word  "first"  contained
           therein hereby is changed to "third".

                      (b) The third  sentence of  Paragraph  2 of the  Agreement
           hereby is amended such that the word "two"  contained  therein hereby
           is changed to "three".

                      (c) New  Sections 11 and 12  contained in Annex A attached
           hereto   hereby  are  added  in  their   entirety  to  the  Agreement
           immediately  following Section 10 thereof and each subsequent section
           of the Agreement hereby is renumbered accordingly.

           2.  Counterparts.  This  Amendment  may be  signed  in  one  or  more
counterpart  copies,  each of which  constitutes an original,  but all of which,
when taken  together,  shall consti tute one  agreement  binding upon all of the
parties hereto.



<PAGE>



           3. Governing  Law. This Amendment  shall be governed by and construed
in  accordance  with the laws of the  State of New York,  without  regard to the
conflicts of law rules thereof.

           4.  Agreement to Continue as Amended.  Except as modified and amended
by this  Amendment,  the  Agreement  shall remain and continue in full force and
effect after the date hereof.

           IN WITNESS WHEREOF,  the parties hereunto have executed and delivered
this Amendment as of the date first written above.


                                           NATIONAL HOME HEALTH CARE CORP.


                                           By:   /s/ Frederick Fialkow
                                               ---------------------------
                                               Name:  Frederick Fialkow
                                               Title:



                                                 /s/ Richard Garofalo
                                               ---------------------------
                                               Richard Garofalo


                                       -2-

<PAGE>



                                     ANNEX A


           11. Change in Control Bonus. In the event of a Change in Control,  as
defined  below,  the Company  promptly  shall pay to Employee a lump-sum  amount
equal to one-half of  Employee's  Salary at the time of the  occurrence  of such
Change in Control. The Company hereby agrees to obtain a satisfactory  agreement
from any successor to assume and agree to perform this  Agreement.  For purposes
of this Agreement, a "Change in Control" shall have occurred if:

                      a. any  "person",  as such term is used in Sections  13(d)
and 14(d) of the  Securities  Exchange Act of 1934,  as amended  (the  "Exchange
Act") (other than the Company, any trustee or other fiduciary holding securities
under an employee benefit plan of the Company or any corporation owned, directly
or indirectly,  by the  stockholders  of the Company in  substantially  the same
proportions  as their  ownership  of stock of the  Company),  is or becomes  the
"beneficial  owner" (as defined in Rule 13d-3 under the Exchange Act),  directly
or  indirectly,  of  securities of the Company  representing  50% or more of the
combined voting power of the Company's then outstanding securities;

                      b.  during  any  period of not more  than two  consecutive
years (not  including  any period  prior to the  execution  of this  Agreement),
individuals  who at the beginning of such period  constitute the Board,  and any
new director (other than a director  designated by a person who has entered into
an agreement  with the Company to effect a transaction  described in clause (a),
(c) or (d) of this  Section)  whose  election  by the  Board or  nomination  for
election  by the  Company's  shareholders  was  approved  by a vote of at  least
two-thirds (2/3) of the directors then still in office who either were directors
at the beginning of the period or whose  election or nomination for election was
previously  so approved,  cease for any reason to constitute at least a majority
thereof;

                      c. the  shareholders  of the  Company  approve a merger or
consolidation of the Company with any other corporation, other than (A) a merger
or  consolidation  which would  result in the voting  securities  of the Company
outstanding  immediately  prior  thereto  continuing  to  represent  (either  by
remaining  outstanding  or by being  converted  into  voting  securities  of the
surviving  entity)  more than 80% of the  combined  voting  power of the  voting
securities of the Company or such surviving entity outstanding immediately after
such  merger or  consolidation  or (B) a merger  or  consolidation  effected  to
implement a recapitalization of the Company (or similar transaction) in which no
"person" (as hereinabove  defined) acquires more than 50% of the combined voting
power of the Company's then outstanding securities; or

                      d.  the  shareholders  of the  Company  approve  a plan of
complete  liquidation of the Company or an agreement for the sale or disposition
by the Company of all or substantially all of the Company's assets.

           12. Assignment. Neither this Agreement, nor any of Employee's rights,
powers,  duties or  obligations  hereunder,  may be assigned by  Employee.  This
Agreement shall be binding upon and

                                       -3-

<PAGE>


inure to the benefit of Employee and his heirs and legal representatives and the
Company and its successors and assigns. Successors of the Company shall include,
without  limitation,  any  corporation or  corporations  acquiring,  directly or
indirectly,  all or substantially  all of the assets of the Company,  whether by
merger,  consolidation,  purchase,  lease or otherwise, and such successor shall
thereafter be deemed "the Company" for the purpose hereof.


                                       -4-





                                 FIRST AMENDMENT

                                       TO

                              EMPLOYMENT AGREEMENT



           This First  Amendment to  Employment  Agreement,  dated as of July 1,
1996 (the  "Amendment"),  is by and between  NATIONAL HOME HEALTH CARE CORP.,  a
Delaware  corporation having an address at 700 White Plains Road, Suite 363, New
York, New York 10583 (the "Company") and THOMAS SMITH,  an individual  having an
address c/o Nurse Care, Inc., 57 Plains Road,  Milford,  Connecticut  06460 (the
"Employee").

           WHEREAS,  the Company and the Employee  are parties to an  Employment
Agreement dated as of August 1993 (the "Agreement"); and

           WHEREAS,  the Company and the Employee  desire to amend the Agreement
in certain respects.

           NOW,  THEREFORE,  in  consideration  of the  foregoing and the mutual
covenants and  conditions  hereinafter  set forth,  the parties  hereby agree as
follows:

           1. Amendment to the Agreement.  The Agreement hereby is amended as of
July 1, 1996, as follows:

                      (a) The first  sentence of  Paragraph  2 of the  Agreement
           hereby is amended such that the amount  "$93,600"  contained  therein
           hereby  is  changed  to  "$115,000"  and the word  "first"  contained
           therein hereby is changed to "third".

                      (b) The third  sentence of  Paragraph  2 of the  Agreement
           hereby is amended such that the word "two"  contained  therein hereby
           is changed to "three".

                      (c) New  Sections 11 and 12  contained in Annex A attached
           hereto   hereby  are  added  in  their   entirety  to  the  Agreement
           immediately  following Section 10 thereof and each subsequent section
           of the Agreement hereby is renumbered accordingly.

           2.  Counterparts.  This  Amendment  may be  signed  in  one  or  more
counterpart  copies,  each of which  constitutes an original,  but all of which,
when taken  together,  shall consti tute one  agreement  binding upon all of the
parties hereto.



<PAGE>



           3. Governing  Law. This Amendment  shall be governed by and construed
in  accordance  with the laws of the  State of New York,  without  regard to the
conflicts of law rules thereof.

           4.  Agreement to Continue as Amended.  Except as modified and amended
by this  Amendment,  the  Agreement  shall remain and continue in full force and
effect after the date hereof.

           IN WITNESS WHEREOF,  the parties hereunto have executed and delivered
this Amendment as of the date first written above.


                                           NATIONAL HOME HEALTH CARE CORP.


                                           By:  /s/ Frederick Fialkow
                                              --------------------------
                                              Name:   Frederick Fialkow
                                              Title:



                                                /s/ Thomas Smith
                                              --------------------------
                                              Thomas Smith


                                       -2-

<PAGE>



                                     ANNEX A


           11. Change in Control Bonus. In the event of a Change in Control,  as
defined  below,  the Company  promptly  shall pay to Employee a lump-sum  amount
equal to one-half of  Employee's  Salary at the time of the  occurrence  of such
Change in Control. The Company hereby agrees to obtain a satisfactory  agreement
from any successor to assume and agree to perform this  Agreement.  For purposes
of this Agreement, a "Change in Control" shall have occurred if:

                      a. any  "person",  as such term is used in Sections  13(d)
and 14(d) of the  Securities  Exchange Act of 1934,  as amended  (the  "Exchange
Act") (other than the Company, any trustee or other fiduciary holding securities
under an employee benefit plan of the Company or any corporation owned, directly
or indirectly,  by the  stockholders  of the Company in  substantially  the same
proportions  as their  ownership  of stock of the  Company),  is or becomes  the
"beneficial  owner" (as defined in Rule 13d-3 under the Exchange Act),  directly
or  indirectly,  of  securities of the Company  representing  50% or more of the
combined voting power of the Company's then outstanding securities;

                      b.  during  any  period of not more  than two  consecutive
years (not  including  any period  prior to the  execution  of this  Agreement),
individuals  who at the beginning of such period  constitute the Board,  and any
new director (other than a director  designated by a person who has entered into
an agreement  with the Company to effect a transaction  described in clause (a),
(c) or (d) of this  Section)  whose  election  by the  Board or  nomination  for
election  by the  Company's  shareholders  was  approved  by a vote of at  least
two-thirds (2/3) of the directors then still in office who either were directors
at the beginning of the period or whose  election or nomination for election was
previously  so approved,  cease for any reason to constitute at least a majority
thereof;

                      c. the  shareholders  of the  Company  approve a merger or
consolidation of the Company with any other corporation, other than (A) a merger
or  consolidation  which would  result in the voting  securities  of the Company
outstanding  immediately  prior  thereto  continuing  to  represent  (either  by
remaining  outstanding  or by being  converted  into  voting  securities  of the
surviving  entity)  more than 80% of the  combined  voting  power of the  voting
securities of the Company or such surviving entity outstanding immediately after
such  merger or  consolidation  or (B) a merger  or  consolidation  effected  to
implement a recapitalization of the Company (or similar transaction) in which no
"person" (as hereinabove  defined) acquires more than 50% of the combined voting
power of the Company's then outstanding securities; or

                      d.  the  shareholders  of the  Company  approve  a plan of
complete  liquidation of the Company or an agreement for the sale or disposition
by the Company of all or substantially all of the Company's assets.

           12. Assignment. Neither this Agreement, nor any of Employee's rights,
powers,  duties or  obligations  hereunder,  may be assigned by  Employee.  This
Agreement shall be binding upon and

                                       -3-

<PAGE>


inure to the benefit of Employee and his heirs and legal representatives and the
Company and its successors and assigns. Successors of the Company shall include,
without  limitation,  any  corporation or  corporations  acquiring,  directly or
indirectly,  all or substantially  all of the assets of the Company,  whether by
merger,  consolidation,  purchase,  lease or otherwise, and such successor shall
thereafter be deemed "the Company" for the purpose hereof.


                                       -4-






THE BANK OF NEW YORK
NEW YORK'S FIRST BANK-FOUNDED 1784 BY ALEXANDER HAMILTON


                                       8 EAST PARKWAY, SCARSDALE, NEW YORK 10583



                               December 27, 1995



Mr. Robert E. Heller, Vice President &
Chief Financial Officer
National Home Health Care Corp.
700 White Plains Road, Suite 363
Scarsdale, New York  10583

Dear Bob:

This letter  confirms that The Bank of New York (the "Bank")  holds  available a
$2,000,000 secured advised line of credit to National Home Health Care Corp.

Advances  under the line of credit shall be payable on demand and bear  interest
at the rate per annum equal to the alternate base commercial lending rate of the
Bank as publicly  announced  to be in effect  from time to time (the  "Alternate
Base  Rate"),  such rate to change on the  effective  date of any  change in the
Alternate Base Rate.

           "Alternate Base Rate" shall mean, for any day, a rate per annum equal
           to the  higher of (i) the  Prime  Rate in effect on such and (ii) the
           Federal Funds Rate in effect on such day plus 1/2 of 1%.

           For purposes of this definition:

           "Prime Rate" shall mean,  for any day,  the  weighted  average of the
           rates on overnight  Federal  funds  transactions  with members of the
           Federal Reserve System arranged by Federal fund brokers, as published
           for  such  day (or if such day is not a  business  day,  for the next
           preceding  business day) by the Federal  Reserve Bank of New York, or
           if such rate is not so published for any day which is a business day,
           the average of quotations for such day on such transactions  received
           by the Bank from three Federal  funds brokers of recognized  standing
           selected by the Bank.

All advances and all principal  payments hereunder shall be endorsed by the Bank
on the sheet  attached to the  Promissory  Grid Note and shall be secured by all
assets of the borrower pursuant to


<PAGE>


Page -2-

12/27/95
Robert E. Heller
NHHCC


a security  agreement.  The borrower  authorizes  the Bank to accept  telephonic
instructions from a duly authorized representative of the borrower, as indicated
by the latest Corporate  Resolution on file with the Bank, to make an advance or
receive  a  repayment  hereunder  and to  endorse  the  sheet  attached  to this
Promissory Grid Note accordingly.  All advances made hereunder shall be credited
to the  Borrower's  deposit  account  referred to above,  which credits shall be
confirmed to the borrower by standard advice of credit. The borrower agrees that
the actual  crediting of the sum of money so borrowed to the borrower's  deposit
account shall constitute  conclusive evidence that the advance was made, and the
failure of the Bank to endorse the amount of any  advance on the sheet  attached
to this note or to forward to the  borrower an advice of credit shall not affect
the obligation of the borrower to repay such advance.

In  addition,  all  advances  under  the line of  credit  shall be  jointly  and
severally  guaranteed by Health  Acquisition  Corp.  and First Health,  Inc. and
Brevard  Medical  Center,  Inc. Each guarantee shall be secured by all assets of
the respective  guarantors pursuant to a security  agreement.  The form of note,
security  agreement  and  guarantee to be furnished to the Bank shall be in form
and substance acceptable to the Bank and its counsel.

Advances  under the line of credit are subject to the Bank's  satisfaction  with
(i) the  specific  purpose and  expected  time and source of  repayment  of each
advance,  and (ii)  the  Borrower's  and the  guarantors'  financial  condition,
business  prospects and  operations  at the time of each  advance.  As you know,
lines of credit may be cancelled by either  party at any time,  however,  unless
cancelled earlier, the line of credit shall be held available until December 31,
1996.

Additionally, all outstanding advances under the line of credit shall be reduced
to zero for a period of 30  consecutive  days  during  each  twelve  (12)  month
calendar period in which the line of credit is held available.

Very truly yours,

THE BANK OF NEW YORK


/s/ John Gusciora
- ----------------------------
Vice President

JG:bc


<PAGE>


THE BANK OF NEW YORK
NEW YORK'S FIRST BANK-FOUNDED 1784 BY ALEXANDER HAMILTON


                                       8 EAST PARKWAY, SCARSDALE, NEW YORK 10583



                                December 27, 1995



New England Home Care, Inc.
c/o National Home Health Care Corp.
700 White Plains Road, Suite 363
Scarsdale, New York 10583

           RE:        The  Bank  of New  York to New  England  Home  Care,  Inc.
                      $2,000,000.00 Secured Advised Line of Credit
                      ----------------------------------------------------------

Gentlemen:

           The Bank of New York (the "BANK") is pleased to advise you that it is
prepared to offer a secured  advised  line of credit (the "LINE") to New England
Home Care, Inc. (the "COMPANY")  pursuant to the terms and conditions herein set
forth.  Under the Line, the Bank will consider making loans (the "LOANS") to the
Company  of  which  the  aggregate  principal  amount  of  Loans at any one time
outstanding,  shall  not-exceed the lesser of the Borrowing Base (as hereinafter
defined) or $2,000,000.00. This Line means that the Bank will perform an ongoing
credit review to enable it to respond quickly to any request for Loans which the
Company may make.  The  issuance of this letter and the Line is not a commitment
and does not in any way obligate the Bank to make loans or grant any credit.

           Any Loan  extended  under the Line will be  subject  to the terms and
conditions herein contained and such additional terms and conditions as the Bank
may require at the time the  Company  requests a Loan and must be  evidenced  by
documents in form and substance satisfactory to the Bank.

           Prior  to the  making  of any Loan  hereunder,  the  Bank  must  have
received, at minimum, the following support, in form and content satisfactory to
the Bank,  which must remain in place as long as any Loan is outstanding and the
Company must be in compliance with the following terms and conditions:



<PAGE>


Page -2-

12/27/95
New England Home Care, Inc.

           1.         Security:

                      (i)  Receipt  by the Bank of a  perfected  first  priority
                      security  interest  in all of the  personal  property  and
                      assets of the  Company  and of  National  Home Health Care
                      Corp. and Nurse Care, Inc.;

                      (ii)  Receipt  by the  Bank  of  the  joint  and  several,
                      unconditional   corporate   guaranties   of  payment  (the
                      "Guaranties") of National Home Health Care Corp. and Nurse
                      Care, Inc. collectively the "Corporate Guarantors") of all
                      indebtedness and obligations of the Company to the Bank.

           2.         Financial  Statements.  To enable the Bank to carry out an
                      ongoing  financial  review,  the Company  must furnish the
                      following:

                      (i)  within 90 days after the end of each  fiscal  year of
                      the  Company  and the  Corporate  Guarantors,  an  audited
                      consolidated   and   internal   consolidating    financial
                      statement,   a  balance  sheet  of  the  Company  and  the
                      Corporate Guarantors as of the end of such fiscal year and
                      an  income  statement  and  statements  of cash  flows and
                      retained  earnings for such fiscal year, all in reasonable
                      detail and stating in comparative form the figures for the
                      corresponding  date and  period in the prior  fiscal  year
                      audited  by  independent   certified  public   accountants
                      selected by the Company and acceptable to the Bank;

                      (ii)  within 60 days after the end of each  quarter of the
                      Company  and  the  corporate   Guarantors,   an  unaudited
                      consolidated   and   internal   consolidating    financial
                      statement,   a  balance  sheet  of  the  Company  and  the
                      Corporate  Guarantors as of the end of such interim period
                      and an income  statement and  statements of cash flows and
                      retained   earnings  for  such  interim  period,   all  in
                      reasonable  detail  and  stating in  comparative  form the
                      figures for the corresponding date and period in the prior
                      interim  period audited by  independent  certified  public
                      accountants  selected by the Company and acceptable to the
                      Bank;

                      (iii)  no  later  than  the  5th day of  each  month  and,
                      together with any request for a Loan hereunder, a detailed
                      listing prepared by the Company of all accounts receivable
                      outstanding   with  a  summary  of  the  dates  due,   and
                      confirmation  of  the  value  of  inventory  held  by  the
                      Company;

                      (iv) no later than the 5th day of each month and  together
                      with any request for a Loan  hereunder,  a Borrowing  Base
                      certificate in the form attached hereto as Exhibit A;


<PAGE>


Page -3-

12/27/95
New England Home Care, Inc.


                      (v) promptly after the commencement thereof, notice of all
                      actions,  suits,  and  proceedings  before  any  court  or
                      governmental department, commission, board, bureau, agency
                      or  instrumentality,  domestic or foreign,  affecting  the
                      Company   or   Corporate   Guarantor   or  any  of   their
                      Subsidiaries which, if determined adversely to the Company
                      or any such  Corporate  Guarantor  or any such  Subsidiary
                      could  have a  material  adverse  effect on the  financial
                      condition,  properties,  or operations of the company, any
                      Corporate Guarantor or such Subsidiary;

                      (vi) prior to the payment thereof,  notice of any intended
                      payment of dividends to  shareholders  as permitted by the
                      provisions of this agreement;

                      (vii) such other  information  respecting the condition or
                      operations, financial or otherwise, of the Company and the
                      corporate  Guarantors  as the Bank  may from  time to time
                      reasonably request.

           3.         Loans. All Loans made under the Line shall be evidenced by
a credit  line grid note  prepared  by the Bank's  counsel  in form and  content
satisfactory to the Bank. The Bank shall have the right to make notations on the
note  evidencing  all loans and  prepayments  made under the Line and the Bank's
notations  shall be deemed correct absent  manifest  error.  Each Loan under the
Line shall be made subject to the terms and conditions  contained  herein to the
Company  in  increments  of not less than  $25,000.00  and upon at least one (1)
business day prior written notice to the Bank.

           4.         Interest  Rate and  Charges.  Interest  on the Loans  made
under this Line shall  accrue on each Loan from and  including  the date of each
advance to, but  excluding,  the date of repayment  in full of such  amount,  in
lawful money of the United States, and in immediately  available funds,  payable
on the first day of each calendar month,  at a floating  interest rate per annum
(the  "Floating  Rate") equal at all times to the Alternate  Base Rate.  For the
purposes of this letter, the term "Alternate Base Rate" shall mean, for any day,
a rate per annum equal to the higher of (i) the Prime Commercial Lending Rate of
the Bank as publicly  announced to be in effect from time to time,  such rate to
be adjusted  automatically,  without notice, on the effective date of any change
in such rate,  and (ii) the Federal Funds Rate in effect on such day plus 1/2 of
1%. For the purposes of this letter,  the term "Prime  Commercial  Lending Rate"
shall mean that rate of interest from time to time  announced by The Bank of New
York as its prime  commercial  lending  rate.  Any change in the  interest  rate
resulting  from a change in the Prime  commercial  Lending  Rate or the  Federal
Funds Rate shall be effective  at the  beginning of the day on which such change
in  the  Prime  Commercial  Lending  Rate  or the  Federal  Funds  Rate  becomes
effective.



<PAGE>


Page -4-

12/27/95
New England Home Care, Inc.

           The  principal  of any Loan,  if not paid down when due  (whether  at
stated  maturity,  by  acceleration  or otherwise)  shall bear interest from and
including  the date due to but excluding the date paid in full at the rate of 5%
plus the Floating Rate set forth above.

           The Bank  shall  have the right to impose a late  charge of 4% of any
installment  if any payment  under any Loan is received 15 days or more after it
is due.  No  acceleration  of the Loans will be required in order to impose this
rate.  This  rate  will be in  addition  to and not in  lieu of any  other  rate
imposition.

           5.         Prepayments.  Except for borrowings which exhaust the full
remaining amount of the Line, and prepayments  which result in the prepayment of
all loans  outstanding under the Line, each borrowing or prepayment of principal
under the Line shall be in an amount at least equal to  $25,000.00.  The Company
shall have the right to prepay the Loans and re-borrow  under the Line,  subject
to the  conditions  set forth herein,  at any time or from time to time prior to
the Expiration Date (as hereinafter defined).

           6.         Financial Covenants.

                      (i) The Company and the Corporate  Guarantors  agree that,
                      so long  as the  Line is in  effect  and any of the  Loans
                      remain   outstanding,   the  Company  and  the   Corporate
                      Guarantors,  on a  consolidated  basis,  will  maintain  a
                      Minimum Net Worth of  $1,000,000.  The term  "Minimum  Net
                      Worth"  shall mean the excess of Assets  over  Liabilities
                      which includes  common stock,  additional  paid in capital
                      and retained earnings.

                      (ii) The Company and the Corporate  Guarantors  shall not,
                      without  the  Bank's  prior  written   consent  incur  any
                      additional   indebtedness  with  any  other  institutional
                      lender.

           7.         Borrowing Base. The amount of Loans  outstanding under the
Line shall not exceed the Lesser of the Borrowing Base or  $2,000,000.00  at any
time. As used herein,  the term  "Borrowing  Base" shall mean (a) eighty percent
(80%) of the company's  Eligible Accounts  Receivable not more than 90 days past
due  from  time to time  outstanding  plus  (b)  fifty  (50%)  of the  Company's
Estimated Unbilled Accounts Receivable for the Company's previous month. For the
purposes of this letter,  the term  "Eligible  Accounts  Receivable"  shall mean
those  accounts  arising out of the sale or lease of goods or the  rendering  of
services  by the  Company  in the  ordinary  course of  business  to  persons or
entities  other than the Corporate  Guarantors or  subsidiaries  which have been
outstanding  for not more than 90 days from  invoice  date.  For the purposes of
this  letter,  the term  "Estimated  Unbilled  Accounts  Receivable"  shall mean
estimated unbilled accounts  receivable for the immediately  preceding month for
which the calculation of the Borrowing Base is being made. The Borrowing


<PAGE>


Page -5-

12/27/95
New England Home Care, Inc.

Base shall be calculated pursuant to the Borrowing Base Certificate set forth on
Exhibit A attached  hereto.  In the event  that the amount of Loans  outstanding
hereunder ever exceed the Borrowing  Base,  the Company  shall,  within five (5)
days of written notice thereof from the Bank,  prepay the  outstanding  Loans in
such an amount as would be necessary to bring the amount  outstanding  under the
Line in compliance with the terns and conditions hereof.

           8.         Expiration.   Notwithstanding  anything  to  the  contrary
contained  herein  provided,  the Line shall be reviewed by the Bank on December
31, 1996 (the "Expiration  Date").  At such time, the Bank shall have the right,
exercisable  in our sole  discretion,  to make no additional  advances under the
Line  and to  demand  immediate  payment  in full of the  outstanding  principal
balance of all Loans  advanced  hereunder,  together  with all accrued  interest
thereon.

           9.         Maturity.  In addition to the monthly payments of interest
hereinabove  set forth and the other  provisions  contained  herein  pursuant to
which the Bank shall have the right to  accelerate  repayment of the Loans,  the
outstanding principal balance of Loans under the Line and any accrued and unpaid
interest shall be due and payable, unless extended by the Bank in their sole and
absolute discretion, on the Expiration Date.

           10.        Defaults.  If (a)  there  shall  be any  material  adverse
change in the business or property of the Company or the  Corporate  Guarantors;
or (b) the Company or any of the  Corporate  Guarantors  shall  default under or
fail to comply with any of the terms and conditions  contained  herein or in any
note,  security  agreement,  guaranty or other  document  executed in connection
herewith  (the  "Facility  Documents");  or (c) an Event of Default  shall occur
under any other document or instrument  executed and delivered by the Company or
the  corporate  Guarantors  to the Bank in  connection  with  this or any  other
financing;  or (d) the Company's Medicare and/or Medicaid certification shall be
discontinued (all of the foregoing of which shall be collectively referred to as
an "Event of  Default")  then,  in such  event,  the Bank  shall have the right,
without notice and without regard to the other provisions  contained  herein, to
decline to make any other Loans  hereunder and to declare all Loans  outstanding
hereunder immediately due and payable.

           This  Line is issued  subject  to the  terms  and  conditions  herein
contained  and to the Bank, in its sole  discretion,  continuing to be satisfied
with  the  Company's  and the  Corporate  Guarantors'  financial  condition  and
economic prospects;  and the Company's and the Corporate Guarantors' maintenance
of a satisfactory relationship with the Bank.

           This letter is for the  Company's  information  only and is not to be
shown to or relied upon by third  parties.  This letter  constitutes  the entire
understanding  between  the Bank  and the  Company,  and  supersedes  all  prior
discussion.



<PAGE>


Page -6-

12/27/95
New England Home Care, Inc.

           Please  acknowledge  your  understanding  of the above by signing and
returning the original copy of this letter.

                                             THE BANK OF NEW YORK


                                             By: /s/ John Gusciora
                                                ------------------------
                                                John Gusciora
                                                Vice President

JG:bc

ACKNOWLEDGED AND CONSENTED TO:

NEW ENGLAND HOME CARE, INC.


By: /s/ Thomas Smith, President
   -------------------------------


NATIONAL HOME HEALTH CARE CORP.


By: /s/ Robert P. Heller C.F.O.
   -------------------------------


NURSE CARE, INC.


By: /s/ Steven Fialkow
   -------------------------------


<PAGE>


Page -7-
                                    EXHIBIT A
                           BORROWING BASE CERTIFICATE

This  certificate is a part of and subject to the terms and conditions set forth
in a certain Line Letter dated December 27, 1995 (the "Letter"),  by and between
the  Bank of New  York  (the  "Bank")  and New  England  Home  Care,  Inc.  (the
"Company").

Terms used in this  certificate  shall have the same meaning as ascribed thereto
in the Letter.

The undersigned  officers of the Company certify that the information  furnished
herein as of  _________,  199__ as to  Eligible  Accounts  Receivable  and as of
_________,  199__  as to  Estimated  Unbilled  Accounts  Receivable  is true and
correct and that as of the date hereof no Event of Default, or event which after
notice or lapse of time or both  would be an Event of Default  exists  under the
Letter.

I.         Computation of Borrowing Base


           A. Eligible Accounts Receivable                       $______________
           B. 80% of Line A                                      $______________
           C. Value of Estimated Unbilled Accounts
              Receivable for the month of _________ (the
              month immediately preceding the month of
              this certificate)                                  $______________
           D. 50% of Line C                                      $______________
           E. Borrowing Base (Line B + Line D)                   $______________
                                              

II.        Aggregate principal balance of loans
           outstanding                                           $______________

III.       Commitment Available or Amount Due


           A. If line II is greater than line I(E), Amount Due.  $______________
              If line II is less than line IE, Amount Available


                                                 NEW ENGLAND HOME CARE, INC.


                                                 By:____________________________









                              List of Subsidiaries


Wholly Owned Subsidiary                                   State of Incorporation
- -----------------------                                   ----------------------
National HMO (New York), Inc.                                   Delaware
National HMO Corp. of  Elizabeth, Inc.                          New Jersey
Health Acquisition Corp. d/b/a Allen Health Care Services       New York
Nurse Care, Inc.                                                Connecticut
New England Home Care, Inc.                                     Connecticut




                         CONSENT OF INDEPENDENT AUDITORS


              We consent to the  incorporation  by reference in the Registration
Statement  of  National  Home Health Care Corp.  on Form S-8,  Registration  No.
33-61315  pertaining  to the 1992 Stock Option Plan and the 1993 401(k) Plan, as
filed with the Securities and Exchange Commission on July 26, 1995 of our report
dated October 21, 1996, with respect to the  consolidated  financial  statements
and schedules of National Home Health Care Corp. and subsidiaries as at July 31,
1996 and July 31, 1995 and for each of the years in the three year period  ended
July 31, 1996 included in its Annual Report on Form 10-K for the year ended July
31, 1996.


/s/ Richard A. Eisner & Company, LLP

Richard A. Eisner & Company, LLP


New York, New York
October 21, 1995


<PAGE>





<TABLE> <S> <C>


<ARTICLE>                     5
<CIK>                         0000728389
<NAME>                        NATIONAL HOME HEALTH CARE
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>               JUL-31-1996
<PERIOD-START>                  AUG-01-1995
<PERIOD-END>                    JUL-31-1996
<CASH>                           8,929,000
<SECURITIES>                       528,000
<RECEIVABLES>                    8,913,000
<ALLOWANCES>                      (414,000)
<INVENTORY>                              0
<CURRENT-ASSETS>                18,681,000
<PP&E>                             744,000
<DEPRECIATION>                    (425,000)
<TOTAL-ASSETS>                  24,421,000
<CURRENT-LIABILITIES>            2,393,000
<BONDS>                                  0
                    0
                              0
<COMMON>                             6,000
<OTHER-SE>                      21,498,000
<TOTAL-LIABILITY-AND-EQUITY>    24,421,000
<SALES>                         38,830,000
<TOTAL-REVENUES>                38,830,000
<CGS>                                    0
<TOTAL-COSTS>                   35,564,000
<OTHER-EXPENSES>                (1,950,000)
<LOSS-PROVISION>                         0
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