INTEGRATED HEALTH SERVICES INC
8-K, 1997-09-19
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549





                                    FORM 8-K




                                 CURRENT REPORT
                     PURSUANT TO SECTION 13 OR 15(D) OF THE
                         SECURITIES EXCHANGE ACT OF 1934


Date of Report (Date of earliest event reported)           September 15, 1997
                                                 ----------------------------


                        INTEGRATED HEALTH SERVICES, INC.
             (Exact Name of Registrant as Specified in its Charter)


       Delaware                           1-12306                23-2428312
(State or Other Jurisdiction           (Commission             (IRS Employer
     of Incorporation)                 File Number)          Identification No.)



 10065 Red Run Boulevard, Owings Mills, Maryland                      21117
(Address of Principal Executive Offices)                             (Zip Code)



Registrant's telephone number, including area code:       (410) 998-8400



                                 Not Applicable
          (Former Name or Former Address, if Changed Since Last Report)




<PAGE>




ITEM 5.  OTHER EVENTS

     On September 15, 1997,  IHS entered into a $1.75 billion  revolving  credit
and term loan facility with Citibank, N.A., as Administrative Agent, and certain
other  lenders (the "New Credit  Facility") to replace its existing $700 million
revolving  credit facility.  The New Credit Facility  consists of a $750 million
term loan  facility  (the "Term  Facility")  and a $1 billion  revolving  credit
facility,  including  a $100  million  letter  of credit  subfacility  and a $10
million swing line  subfacility (the "Revolving  Facility").  The Term Facility,
all of which was  borrowed on September  17, 1997,  matures on December 31, 2004
and will be  amortized  beginning  December  31, 1998 as  follows:  1998 -- $7.5
million;  each of 1999,  2000,  2001 and 2002 -- $7.5 million  (payable in equal
quarterly  installments);  2003 -- $337.5  million  (payable in equal  quarterly
installments);   and  2004  --  $375   million   (payable  in  equal   quarterly
installments).  Any unpaid  balance will be due on the maturity  date.  The Term
Facility will bear interest at a rate equal to, at the option of IHS, either (i)
in the case of Eurodollar loans, the sum of (x) one and  three-quarters  percent
or two  percent  (depending  on the  ratio of IHS' Debt (as  defined  in the New
Credit Facility) to earnings before interest, taxes, depreciation,  amortization
and rent, pro forma for any acquisitions or divestitures  during the measurement
period  (the  "Debt/EBITDAR  Ratio"))  and (y) the  interest  rate in the London
interbank  market  for loans in an amount  substantially  equal to the amount of
borrowing and for the period of borrowing selected by IHS or (ii) the sum of (a)
the higher of (1) Citibank,  N.A.'s base rate or (2) one percent plus the latest
overnight  federal  funds  rate  plus  (b)  a  margin  of  one-half  percent  or
three-quarters of one percent  (depending on the Debt/EBITDAR  Ratio).  The Term
Facility can be prepaid at any time in whole or in part without penalty.

     The  Revolving  Facility  will reduce to $800 million on September 30, 2001
and $500 million on September 30, 2002,  with a final  maturity on September 15,
2004;  however,  the $100 million letter of credit  subfacility  and $10 million
swing  line   subfacility   will  remain  at  $100   million  and  $10  million,
respectively, until final maturity. The Revolving Facility will bear interest at
a rate  equal to, at the  option of IHS,  either  (i) in the case of  Eurodollar
loans,  the  sum of (x)  between  three-quarters  of one  percent  and  one  and
three-quarters  percent  (depending  on the  Debt/EBITDAR  Ratio)  and  (y)  the
interest  rate  in  the  London   interbank   market  for  loans  in  an  amount
substantially  equal to the amount of borrowing  and for the period of borrowing
selected by IHS or (ii) the sum of (a) the higher of (1)  Citibank,  N.A.'s base
rate or (2) one percent plus the latest overnight  federal funds rate plus (b) a
margin  of  between  zero  percent  and  one-half  percent   (depending  on  the
Debt/EBITDAR  Ratio).  Amounts  repaid  under  the  Revolving  Facility  may  be
reborrowed prior to the maturity date.

     The New  Credit  Facility  limits  IHS'  ability to incur  indebtedness  or
contingent obligations,  to make additional acquisitions,  to sell or dispose of
assets,  to create or incur liens on assets,  to pay  dividends,  to purchase or
redeem  IHS'  stock  and to  merge or  consolidate  with any  other  person.  In
addition,  the New Credit  Facility  requires  that IHS meet  certain  financial
ratios, and provides the banks with the right to require the



<PAGE>



payment of all amounts  outstanding  under the  facility,  and to terminate  all
commitments under the facility, if there is a change in control of IHS or if any
person  other than Dr.  Robert N.  Elkins,  IHS'  Chairman  and Chief  Executive
Officer, or a group managed by Dr. Elkins, owns more than 40% of IHS' stock. The
New Credit  Facility  is  guaranteed  by all of IHS'  subsidiaries  (other  than
inactive  subsidiaries)  and  secured  by a  pledge  of  all  of  the  stock  of
substantially all of IHS' subsidiaries.

     The New Credit  Facility  replaced IHS' $700 million  credit  facility (the
"Prior Credit  Facility").  As a result,  IHS anticipates that it will record an
extraordinary  loss on extinguishment of debt of approximately $2.4 million (net
of related tax benefit of  approximately  $1.6  million) in the third quarter of
1997  resulting from the write-off of deferred  financing  costs of $4.0 million
related to the Prior Credit Facility.

ITEM 7.  FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS.

     (C)  EXHIBITS.

     10   $1,750,000,000  Revolving Credit and Term Loan Agreement,  dated as of
          September  15, 1997,  among  Integrated  Health  Services,  Inc.,  the
          lenders named therein,  Citibank,  N.A., as administrative  agent, The
          Toronto-   Dominion  Bank,  as   documentation   agent,  and  Citicorp
          Securities, Inc., as arranger.



<PAGE>




                                   SIGNATURES


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



                                           INTEGRATED HEALTH SERVICES, INC.



Date: September 19, 1997                   By: /s/ W. Bradley Bennett
                                               ----------------------
                                           Name: W. Bradley Bennett
                                           Title: Executive Vice President-Chief
                                                   Accounting Officer







<PAGE>


                                  EXHIBIT INDEX


EXHIBIT NO.                DESCRIPTION


     10   $1,750,000,000  Revolving Credit and Term Loan Agreement,  dated as of
          September  15, 1997,  among  Integrated  Health  Services,  Inc.,  the
          lenders named therein,  Citibank,  N.A., as administrative  agent, The
          Toronto-   Dominion  Bank,  as   documentation   agent,  and  Citicorp
          Securities, Inc., as arranger.









                                                                  EXECUTION COPY





                                 $1,750,000,000
                    REVOLVING CREDIT AND TERM LOAN AGREEMENT

                         Dated as of September 15, 1997


                                      Among


                        INTEGRATED HEALTH SERVICES, INC.,

                                  as Borrower,


                   The Lenders from time to time party hereto,


                                 CITIBANK, N.A.,

                            as Administrative Agent,

                            THE TORONTO-DOMINION BANK

                             as Documentation Agent,

                                       and

                           CITICORP SECURITIES, INC.,

                                   as Arranger



<PAGE>

                                TABLE OF CONTENTS


                                    ARTICLE I

                        DEFINITIONS AND ACCOUNTING TERMS

SECTION 1.01.  Certain Defined Terms........................................   1
SECTION 1.02.  Accounting Terms.............................................  30
SECTION 1.03.  Other Definitional Provisions................................  31

                                   ARTICLE II

                        AMOUNTS AND TERMS OF THE ADVANCES

SECTION 2.01. Revolving Facility, Term Loan and Swing Line..................  31
        (a)(i)  Revolving Borrowings........................................  31
        (ii)    Term Loan...................................................  32
        (iii)   Swing Line..................................................  32
        (b)    Amount of Revolving Borrowings...............................  32
        (c)    Notice of Revolving Borrowing................................  33
        (d)    Telephonic Notice of Revolving Borrowing.....................  33
        (e)    Funding of Advances..........................................  33
        (f)    Assumption of Funding........................................  33
        (g)    Failure of Lender to Fund....................................  34
        (h)    Swing Line Advances..........................................  34
        (i)      ...........................................................  35
SECTION 2.02. Letter of Credit Subfacility..................................  35
        (a)   Issuance of the Letters of Credit.............................  35
        (b)    LC Application...............................................  35
        (c)    Reimbursement................................................  36
        (d)    Reimbursement Obligation Absolute............................  36
        (e)    Revolving Lender Participation...............................  37
        (f)    Commercial Practices.........................................  37
        (g)    Replacement of LC Bank.......................................  38
SECTION 2.03. Evidence of Debt..............................................  38
SECTION 2.04. Fees..........................................................  39
        (a)    Closing Fees.................................................  39
        (b)    Commitment Fees..............................................  39
        (c)    Letter of Credit Fees........................................  39
        (d)    Facing Fees..................................................  39
        (e)    Letter of Credit Administration..............................  40
        (f)    Fees.........................................................  40


<PAGE>
                                       ii


SECTION 2.05. Voluntary and Scheduled Facility Reductions...................  40
SECTION 2.06. Principal Payments and Swing Line Payments....................  40
        (a)    Final Maturity...............................................  40
        (b)    Excess Revolving Credit Exposure.............................  41
        (c)    Excess LC Exposure...........................................  41
        (d)    Payment on Date of Change of Control.........................  41
        (e)    Revolving Facility Reduction for Receivables Sale Program....  41
        (f)    Application of LC Cash Collateral............................  41
        (g)    Swing Line Payments..........................................  42
SECTION 2.07. Interest......................................................  42
        (a)    Base Rate Advances...........................................  42
        (b)    Eurodollar Rate Advances.....................................  43
        (c)    Default Interest.............................................  43
SECTION 2.08. Additional Interest on Eurodollar Rate Advances...............  43
SECTION 2.09. Interest Rate Determination and Protection....................  44
        (a)    Determination of Eurodollar Rate.............................  44
        (b)    Notice of Eurodollar Rate....................................  44
        (c)    Failure to Provide Information...............................  44
        (d)    Suspension of Eurodollar Rate Advances.......................  44
        (e)    Failure to Specify Duration..................................  45
        (f)    Agent's Determination Conclusive.............................  45
SECTION 2.10. Voluntary Conversion of Advances..............................  45
        (a)    Notice of Continuance/Conversion.............................  45
        (b)    Telephonic Notice............................................  45
        (c)    Requirements.................................................  45
        (d)    Base Rate Advances...........................................  46
SECTION 2.11. Prepayments...................................................  46
SECTION 2.12. Funding Losses................................................  46
SECTION 2.13. Increased Costs...............................................  47
        (a)    Increase in Cost.............................................  47
        (b)    Increase in Capital Requirements.............................  47
        (c)    Replacement Lenders and Participants.........................  47
SECTION 2.14. Illegality....................................................  48
SECTION 2.15. Payments and Computations.....................................  49
        (a)    Payments.....................................................  49
        (b)    Charging of Accounts.........................................  49
        (c)    Computations.................................................  49
        (d)    Payment on Business Day......................................  49
        (e)    Presumption of Payment.......................................  49
SECTION 2.16. Taxes.........................................................  50
        (a)    Net Payments.................................................  50

<PAGE>

                                      iii
        (b)    Payment of Other Taxes.......................................  50
        (c)    Indemnification..............................................  50
        (d)    Evidence of Payments.........................................  51
        (e)    Withholding Tax Exemption....................................  51
        (f)    Withholding Taxes............................................  52
        (g)    Subsequent Lenders...........................................  52
        (h)    Refund, Deduction or Credit of Taxes.........................  52
        (i)    Exclusion of Certain Taxes...................................  52
        (j)    Additional Cooperation.......................................  53
SECTION 2.17. Sharing of Payments...........................................  53

                                   ARTICLE III

                              CONDITIONS OF LENDING

SECTION 3.01. Conditions Precedent on the Closing Date......................  53
        (a)    Loan Documents...............................................  54
        (b)    Corporate Documents..........................................  54
        (c)    Governmental Consents........................................  55
        (d)    No Injunction................................................  55
        (e)    Other Deliveries.............................................  55
        (f)    Legal Opinions...............................................  56
        (g)    Payout and Release Agreement.................................  56
        (h)    Payment of Existing Facility.................................  56
        (i)    Payment of Fees..............................................  57
SECTION 3.02. Conditions Precedent to Each Extension of Credit..............  57
        (a)    Notice.......................................................  57
        (b)    Certification................................................  57

                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

SECTION 4.01. Representations and Warranties of the Borrower................  58
        (a)    Organization.................................................  58
        (b)    Power and Authority..........................................  58
        (c)    Due Authorization............................................  58
        (d)    Subsidiaries and Ownership of Capital Stock..................  58
        (e)    Health Care Facilities.......................................  59
        (f)    Governmental Approval........................................  59
        (g)    Binding and Enforceable......................................  59
        (h)    Financial Information........................................  59

<PAGE>
                                       iv


        (i)    Material Adverse Change......................................  60
        (j)    Compliance...................................................  60
        (k)    Litigation...................................................  60
        (l)    No Conflict..................................................  60
        (m)    No Default...................................................  60
        (n)    Payment of Taxes.............................................  60
        (o)    Margin Regulations...........................................  60
        (p)    Conduct of Business..........................................  61
        (q)    Health Care Permits..........................................  61
        (r)    Environmental Matters........................................  62
        (s)    ERISA Compliance.............................................  62
        (t)    Title to Assets..............................................  63
        (u)    Collateral Documents.........................................  63
        (v)    Senior Indebtedness..........................................  63

                                    ARTICLE V

                            COVENANTS OF THE BORROWER

SECTION 5.01. Financial Covenants...........................................  64
        (a)    Maximum Debt/EBITDAR Ratio...................................  64
        (b)    Minimum Fixed Charge Coverage Ratio..........................  64
        (c)    Minimum Net Worth............................................  66
SECTION 5.02. Affirmative Covenants.........................................  66
        (a)    Compliance with Laws.........................................  66
        (b)    Inspection of Property and Books and Records.................  66
        (c)    Reporting Requirements.......................................  66
        (d)    Preservation of Corporate Existence, Etc.....................  69
        (e)    New Subsidiaries.............................................  70
        (f)    Maintenance of Property......................................  70
        (g)    Insurance....................................................  70
        (h)    Payment of Obligations.......................................  71
        (i)    Environmental Laws...........................................  72
        (j)    Use of Proceeds..............................................  72
        (k)    Health Care Permits and Approvals............................  72
        (l)    Further Assurances...........................................  72
        (m)    Delivery of Promissory Note..................................  73
SECTION 5.03. Negative Covenants............................................  73
        (a)    Liens........................................................  74
        (b)    Disposition of Assets........................................  76
        (c)    Investments..................................................  77
        (d)    Limitation on Indebtedness...................................  80



<PAGE>

                                       v

        (e)    Transactions with Affiliates.................................  83
        (f)    Accommodation Obligations....................................  83
        (g)    Leases of Health Care Facilities.............................  84
        (h)    Restricted Junior Payments...................................  84
        (i)    Mergers, Etc.................................................  86
        (j)    Conduct of Business..........................................  87
        (k)    Unpledged Assets.............................................  87
        (l)    Compliance with ERISA........................................  87
        (m)    Health Care Permits and Approvals............................  88
        (n)    Retained Interest Criteria...................................  88
        (o)    Payment Restrictions Affecting Subsidiaries..................  88

                                   ARTICLE VI

                                EVENTS OF DEFAULT

SECTION 6.01. Events of Default.............................................  88
        (a)    Non-Payment of Principal.....................................  88
        (b)    Non-Payment of Interest or Fees..............................  88
        (c)    Representations and Warranties...............................  89
        (d)    Financial, Lien and Debt Covenants...........................  89
        (e)    Reporting Covenants..........................................  89
        (f)    Negative Covenants...........................................  89
        (g)    Covenants....................................................  89
        (h)    Debt.........................................................  89
        (i)    Leases.......................................................  90
        (j)    Bankruptcy...................................................  90
        (k)    Judgments....................................................  90
        (l)    Guaranty.....................................................  91
        (m)    Collateral Documents.........................................  91
        (n)    ERISA........................................................  91

SECTION 6.02. Rights Not Exclusive........................................... 92

                                   ARTICLE VII

                           THE AGENT AND THE ARRANGER

SECTION 7.01. Authorization and Action......................................  92
SECTION 7.02. Agent Not Liable..............................................  93
SECTION 7.03. Rights as Lender..............................................  93
SECTION 7.04. Lender Credit Decision........................................  94
SECTION 7.05. Indemnification...............................................  94



<PAGE>

                                       vi

SECTION 7.06. Successor Agent...............................................  94
SECTION 7.07. Release of Collateral.........................................  95
SECTION 7.08. Release of Guarantor upon Sale of Stock.......................  95
SECTION 7.09. The Arranger, etc.............................................  95

                                  ARTICLE VIII

                                  MISCELLANEOUS

SECTION 8.01. Amendments....................................................  96
SECTION 8.02. Notices.......................................................  97
SECTION 8.03. No Waiver; Remedies...........................................  97
SECTION 8.04. Costs and Expenses............................................  97
SECTION 8.05. Right of Set-off..............................................  98
SECTION 8.06. Indemnity.....................................................  98
        (a)    General Indemnity............................................  98
        (b)    Environmental Indemnity......................................  98
SECTION 8.07. Assignments and Participations................................  99
        (a)    Permitted Assignment.........................................  99
        (b)    Effect of Assignment.........................................  99
        (c)    Maintenance of Agreements.................................... 100
        (d)    Procedure.................................................... 100
        (e)    Participations............................................... 101
        (f)    Additional Information....................................... 101
        (g)    Permitted Assignments........................................ 101
SECTION 8.08. Binding Effect................................................ 101
SECTION 8.09. Governing Law; Consent to Jurisdiction; Venue................. 102
SECTION 8.10. Waiver of Jury Trial.......................................... 102
SECTION 8.11. Limitation of Liability....................................... 102
SECTION 8.12. Entire Agreement.............................................. 103
SECTION 8.13. Survival...................................................... 103
SECTION 8.14. Execution in Counterparts..................................... 103
SECTION 8.15. Acknowledgements         ..................................... 103


<PAGE>

                                       vii


                                    EXHIBITS


    Exhibit A-1   Form of Revolving Credit Note
    Exhibit A-2   Form of Term Note

Forms of Loan Administration Documents

    Exhibit B-1   Form of Notice of Borrowing
    Exhibit B-2   Form of Notice of Continuance/Conversion
    Exhibit B-3   Form of LC Application
    Exhibit B-4   Form of Pricing Certificate
    Exhibit B-5   Form of Notice of Swing Line Advance

Forms of Certain Loan Documents

    Exhibit C-1 Form of Subsidiary Guaranty
    Exhibit C-2 Form of IHS Pledge and Security Agreement
    Exhibit C-3 Form of Subsidiary Pledge and Security Agreement
    Exhibit C-4 Form of Confirmation and Agreement of Guarantors

Forms of Opinion of Counsel

    Exhibit D-1   Form of Opinion of Counsel for the Borrower and the Guarantors
    Exhibit D-2   Form of Opinion of Special Local Counsel for a Guarantor

Other Forms

    Exhibit E-1   Form of Compliance Certificate
    Exhibit E-2   Form of Assignment and Acceptance
    Exhibit E-3   Form of Payment and Release Agreement



<PAGE>


                                      viii

                                    SCHEDULES

Schedule I              List of Lenders, Commitments, Revolving Pro Rata Shares,
                        Term Pro Rata Shares and Closing Fees
Schedule 1.01(a)        List of Senior Debt  Excluded  from  Current  Portion of
                        Long-Term Debt
Schedule 1.01(b)        List of "Schedule 1.01(b) Assets" Designated for Sale
Schedule 4.01(d)        List of Subsidiaries
Schedule 4.01(e)        List of Health Care Facilities
Schedule 4.01(f)        List of Government Approvals
Schedule 4.01(r)        List of Environmental Matters
Schedule 4.01(s)        List of  ERISA  Matters
Schedule 5.03(c)        List of Loans and Investments
Schedule 5.03(c)(xiii)  List of Permitted Acquisitions
Schedule 5.03(d)        List of Liens and Debt
Schedule 5.03(f)        List of Accommodation Obligations


<PAGE>
                  REVOLVING  CREDIT  AND  TERM  LOAN  AGREEMENT,   dated  as  of
September 15, 1997, among INTEGRATED HEALTH SERVICES,  INC., ("IHS"), a Delaware
corporation,  the financial  institutions signatory hereto as Revolving Lenders,
the financial institutions signatory hereto as Term Lenders,  CITIBANK,  N.A., a
national banking association,  as Administrative Agent for all such Lenders, and
CITICORP SECURITIES, INC., as Arranger.

                  In consideration of the mutual  agreements  contained  herein,
the parties hereto hereby agree as follows:


                                    ARTICLE I

                        DEFINITIONS AND ACCOUNTING TERMS

                  SECTION  1.01.   Certain   Defined  Terms.  As  used  in  this
Agreement:

                  "ACCOMMODATION  OBLIGATION"  means,  as applied to any Person,
any direct or indirect  guaranty,  endorsement or other liability of that Person
with respect to any Debt, lease, dividend,  letter of credit or other obligation
(the "PRIMARY OBLIGATION") of another Person (the "PRIMARY OBLIGOR"),  including
any  obligation  of that  Person,  whether or not  contingent,  (i) to purchase,
repurchase  or  otherwise  acquire any such primary  obligation  or any property
constituting direct or indirect security therefor, or (ii) to advance or provide
funds (A) for the payment or discharge of any such primary obligation, or (B) to
maintain  working  capital or equity capital of the primary obligor or otherwise
to maintain the net worth or solvency or any balance sheet item, level of income
or financial  condition of the primary obligor,  or (iii) to purchase  property,
securities  or services  primarily  for the purpose of assuring the owner of any
such primary obligation of the ability of the primary obligor to make payment of
such primary obligation, or (iv) otherwise to assure or hold harmless the holder
of any such primary  obligation  against loss in respect thereof.  The amount of
any  Accommodation  Obligation  shall be  deemed  to be an  amount  equal to the
maximum stated or  determinable  amount of the primary  obligation in respect of
which  such   Accommodation   Obligation  is  made  or,  if  not  stated  or  if
indeterminable,  the maximum reasonably estimated potential liability in respect
thereof.

                  "ADVANCE" means a revolving loan or term loan, as the case may
be,  by a  Revolving  Lender or a Term  Lender,  respectively,  or a Swing  Line
Advance in each case pursuant to Article II.

                  "ADJUSTED   STOCKHOLDERS'   EQUITY"   means  the  sum  of  (i)
stockholders'   equity   (common  and   preferred)   of  the  Borrower  and  its
Subsidiaries,  determined  as of a particular  time on a  consolidated  basis in
accordance with GAAP and (ii) the principal  amount of Convertible  Subordinated
Debt then outstanding.


<PAGE>

                                       2


                  "AFFILIATE" of a specified  Person means any other Person that
directly  or  indirectly  through  one  or  more  intermediaries   controls,  is
controlled  by or is under common  control with the Person  specified.  For this
purpose, "control," "controlled by" and "under common control with" with respect
to any Person  mean the  possession,  directly  or  indirectly,  of the power to
direct or cause the  direction  of the  management  and policies of such Person,
whether through the ownership of voting securities or by contract or otherwise.

                  "AGENT"  means  Citibank,  in its  capacity as  administrative
agent for the Lenders hereunder, and any successor appointed pursuant to Section
7.06.

                  "AGREEMENT"   means  this  Revolving   Credit  and  Term  Loan
Agreement, as hereafter amended, modified or supplemented.

                  "APPLICABLE  LENDING  OFFICE"  means,  with  respect  to  each
Lender, such Lender's Domestic Lending Office in the case of a Base Rate Advance
and such Lender's  Eurodollar  Lending  Office in the case of a Eurodollar  Rate
Advance.

                  "ASSET SALE" means the sale,  transfer or other disposition of
any asset,  business or property of the Borrower or any of its Subsidiaries,  or
the  issuance  or sale of any capital  stock of or other  equity,  ownership  or
profit interest in any Subsidiary of the Borrower (except a dividend on any such
stock or interest declared and payable solely in additional shares of such stock
or interest), to any Person other than the Borrower or a wholly-owned Subsidiary
of the Borrower, for a total consideration in an amount greater than $10,000,000
in a single  transaction  or series of related  transactions.  A disposition  of
accounts  receivable  (i)  shall  not be an  Asset  Sale if made  pursuant  to a
Receivables  Sale Program  permitted  under this  Agreement and (ii) shall be an
Asset Sale only if disposed of as part of a disposition of all or  substantially
all of the operating assets of the business from which such accounts  receivable
arose.

                  "ASSIGNMENT AND ACCEPTANCE" means an assignment and acceptance
entered into by a Lender and an Eligible Assignee,  in substantially the form of
Exhibit  E-2, and accepted by the Agent,  or such other form of  assignment  and
acceptance agreement acceptable from time to time to the Agent.

                  "AUTHORIZED  OFFICER" means the principal  financial  officer,
the chief accounting officer, the controller,  the treasurer or the executive or
senior vice president-finance of the Borrower.

                  "BASE RATE" means,  for any day, a  fluctuating  interest rate
per  annum  equal to the  higher  of (i) the  then  effective  rate of  interest
announced  publicly  by Citibank in New York,  New York,  from time to time,  as
Citibank's  base rate,  or (ii) the then Federal Funds Rate plus one percent per
annum.



<PAGE>

                                       3

                  "BASE RATE ADVANCE"  means an Advance which bears  interest by
reference to the Base Rate as provided in Section 2.07(a).

                  "BORROWER" means Integrated Health Services,  Inc., a Delaware
corporation.

                  "BORROWING  DATE"  means the  Closing  Date or any  subsequent
Business Day on which a Revolving  Borrowing or the Term  Borrowing is requested
from the Lenders.

                  "BREAKAGE COSTS" is defined in Section 2.12.

                  "BUSINESS  DAY" means any day except a Saturday or Sunday or a
day when commercial  banks are authorized or required by law to be closed in New
York,  New York or  Baltimore,  Maryland  and,  where used in  reference  to any
Eurodollar  Rate Advance,  means such a day on which  dealings are carried on in
the London interbank market.

                  "CAPITAL  EXPENDITURES"  means  expenditures  for Hard  Costs,
whether  paid in cash or accrued as  liabilities,  made by the  Borrower  or any
Subsidiary of the Borrower.

                  "CAPITAL LEASE" means,  with respect to any Person,  any lease
of any property by that Person as lessee  which,  in  accordance  with GAAP,  is
required to be  accounted  for as a capital  lease on the balance  sheet of that
Person.

                  "CASH FLOW FROM OPERATIONS" means, with respect to any Person,
the sum,  determined  as of the last day of any  Quarter for such Person and its
subsidiaries  on a  consolidated  basis for the 12-month  period  including such
Quarter and the immediately preceding three Quarters (taken as a single period),
of (i) net income after taxes minus any extraordinary gain and any non-recurring
gain on any divestiture plus any extraordinary  loss and any non-recurring  loss
on any divestiture, (ii) depreciation,  amortization,  and other noncash charges
deducted in determining net income,  (iii) Interest Expense,  (iv) Lease Expense
and (v) with  respect  to Cash  Flow from  Operations  of the  Borrower  and its
Subsidiaries  only,  Receivables  Program Charges,  all determined in accordance
with GAAP; provided,  however,  that (A) income attributable to any other Person
or  business  that is not at least 50% owned,  directly or  indirectly,  by such
Person  shall be counted,  in  determining  net income,  only to the extent such
income is received in cash by such Person or a subsidiary of such Person in such
period and is not  reinvested in such other Person or business  (other than as a
loan payable on demand) within six months thereafter,  except that, with respect
to the Borrower only, income from minority  Investments  existing on the Closing
Date and  described in Schedule  5.03(c) of this  Agreement  shall be counted in
accordance with the Borrower's past practice,  (B) no adjustments  shall be made
to reflect minority interests in subsidiaries, (C) non-recurring cash charges in
an  aggregate  amount  not in  excess  of  $30,000,000  in  connection  with the
terminated  acquisition of Coram Healthcare  Corporation shall be included as an
addback to net income for purposes of this definition, and


<PAGE>

                                        4

(D)  non-recurring  cash  charges  in an  aggregate  amount not in excess of
$40,000,000  in  connection  with the  acquisition  of  RoTech  and CCA shall be
included  as an addback to net income for  purposes  of this  definition  to the
extent such charges are included in the December 31, 1997  financial  statements
of the Borrower.

                  "CASH  PROCEEDS OF SALE"  means all cash and cash  equivalents
received by the Borrower or any of its Subsidiaries as the cash consideration in
any Asset Sale or from any payment or  distribution  on, or sale or  liquidation
of, any promissory note or other property received as non-cash  consideration in
any Asset Sale.

                  "CCA" means Community Care of America, Inc.

                  "CHANGE OF  CONTROL"  means (i) a "change in  control" as that
term is defined in any of the Subordinated  Debt Indentures,  (ii) a transaction
or series of  transactions  whereby  any Person or group  within the  meaning of
Section  13(d)(3)  of the 1934 Act and the  rules  and  regulations  promulgated
thereunder  (other than Robert N. Elkins,  M.D. or a group  managed by Robert N.
Elkins, M.D.) acquires beneficial ownership (within the meaning of Rule 13d-3 of
the 1934 Act),  directly or indirectly,  of securities of the Borrower (or other
securities  convertible into such  securities)  representing 40% of the combined
voting power of all securities of the Borrower  entitled to vote in the election
of  directors (a  "CONTROLLING  PERSON") or (iii) at any time, a majority of the
Borrower's directors are persons who were not (A) in office on the Closing Date,
(B)  initially  nominated by directors who were in office on the Closing Date or
by successor  directors elected or appointed upon the initial nomination of such
directors or successor  directors or (C) initially  nominated by a group managed
by Robert N.  Elkins,  M.D. For this  purpose,  a Person or group shall not be a
Controlling  Person if such Person or group holds voting power in good faith and
not for the purpose of circumventing the effect of the occurrence of a Change of
Control as an agent,  bank,  broker,  nominee,  trustee,  or holder of revocable
proxies given in response to a solicitation pursuant to the 1934 Act, for one or
more beneficial owners who do not  individually,  or, if they are a group acting
in  concert,  as a group,  have  the  voting  power  specified  in the  previous
sentence.

                  "CITIBANK"   means   Citibank,   N.A.,   a  national   banking
association.

                  "CLOSING  DATE" means the date on which all of the  conditions
precedent  set forth in Section  3.01 are  satisfied or waived in writing by the
Lenders.

                  "CODE"  means  the  Internal  Revenue  Code  of  1986  and the
regulations thereunder.

                  "COLLATERAL"  means all property  which at any time is subject
or is to  become  subject  to any  Lien  granted  or  created  under  any of the
Collateral Documents.



<PAGE>

                                       5

                  "COLLATERAL   DOCUMENTS"   means  the  Pledge   and   Security
Agreements and all other security agreements,  collateral  assignments and other
instruments,  documents  and  agreements  at any time  delivered to the Agent to
create or evidence Liens to secure the Obligations.

                  "COMMITMENT  FEE RATE" means,  for commitment fees accruing in
any  Pricing  Period,  the rate per annum set forth below  opposite  the Pricing
Ratio determined for such Pricing Period:

             Pricing Ratio                         Commitment Fee Rate
             -------------                         -------------------

           greater than 5.50                              0.400%
       greater than 5.00 but less                         0.350%
         than or equal to 5.50
       greater than 4.25 but less                         0.300%
         than or equal to 5.00
       greater than 3.75 but less                         0.250%
         than or equal to 4.25
       greater than 3.25 but less                         0.225%
         than or equal to 3.75
       less than or equal to 3.25                         0.20%

                  "CONVERTIBLE  SUBORDINATED  DEBT"  means the Debt  outstanding
under the 1992 Convertible  Subordinated Debt Indenture and the 1993 Convertible
Subordinated Debt
Indenture.
                  "CURRENT PORTION OF LONG-TERM DEBT" means that portion of Debt
of the Borrower and its Subsidiaries on a consolidated basis (including, without
limitation,  the Advances,  but excluding  Subordinated Debt and the senior Debt
listed on Schedule 1.01(a)) that is, at the end of any Quarter,  due and payable
within the next 12 months.

                  "DEBT," as  applied to any Person and in each case  determined
on a consolidated basis in conformity with GAAP, means (without duplication) (i)
all  indebtedness  for borrowed  money  (whether by loan or the issuance of debt
securities or otherwise);  (ii) all obligations issued, undertaken or assumed as
the deferred purchase price of property or services or interest thereon,  except
accounts  and  accrued  expenses  currently  payable;  (iii)  all  reimbursement
obligations  with  respect  to  surety  bonds,   letters  of  credit,   bankers'
acceptances  and  similar  instruments,  whether  or not  contingent;  (iv)  all
monetary obligations under any Capital Lease; (v) all obligations (contingent or
otherwise)  to purchase,  retire or redeem any capital stock or any other equity
interest  of  such  Person;  (vi)  all  monetary  obligations  measured  by,  or
determined on the basis of, the value of any capital stock of such


<PAGE>

                                       6

Person;  and (vii) all obligations,  whether or not such obligations  constitute
Debt as defined in clauses (i) through (vi) above,  secured by (or for which the
holder of the obligation has an existing right,  contingent or otherwise,  to be
secured by) any Lien upon any property of such Person or any  Subsidiary of such
Person,  except any such obligation secured by a Lien that is imposed by law and
not voluntarily granted;  provided,  however, that the contingent payments which
may become payable in connection with the First American  Merger,  including any
payments made to the Health Care Financing  Administration  or the Department of
Justice as required under the First American Merger  Agreement in a total amount
not in excess of $162 million,  shall not  constitute  Debt for purposes of this
Agreement.

                  "DEBT/EBITDAR  RATIO"  means the ratio,  as of the last day of
any Quarter,  of (i) the sum of (A) the difference,  if any, between (x) the sum
of (1)  Funded  Debt and (2) eight  times the  Specified  Lease  Expense  of the
Borrower  and its  Subsidiaries  for the 12-month  period then ending,  less (y)
Quarter-End  Excess  Cash,  and (B) the  Purchasers'  Aggregate  Net  Investment
outstanding  on such day; to (ii) EBITDAR of the Borrower and such  Subsidiaries
for the  12-month  period then  ending,  after pro forma (1) adding to Specified
Lease  Expense of the  Borrower  and such  Subsidiaries,  all amounts that would
constitute   additional  Specified  Lease  Expense  of  the  Borrower  and  such
Subsidiaries  for such period if any  acquisition  of a company that was made at
any time during such period by the Borrower or any of its  Subsidiaries had been
consummated at the  commencement  of such period;  (2) adding to Specified Lease
Expense of the Borrower and such Subsidiaries, all amounts that would constitute
additional  Specified  Lease Expense of the Borrower and such  Subsidiaries  for
such period if any lease of a Health Care  Facility that was entered into by the
Borrower or any of its  Subsidiaries  at any time during such period had been so
entered into at the  commencement  of such period;  (3) adding to EBITDAR of the
Borrower and such Subsidiaries, the EBITDAR and Non-Recurring Charges determined
solely for any such acquired company or Health Care Facility, for the portion of
such period that preceded the  acquisition;  provided  however that for Quarters
ending during the 12-month period immediately following the closing of the First
American  Merger,  EBITDAR of First  American for the period from the closing to
the date of determination,  annualized for the 12- month period then ended shall
be added to EBITDAR of the Borrower and such  Subsidiaries;  provided,  further,
that for Quarters  ending during the 12-month period  immediately  following the
closing  of the  acquisition  of CCA,  EBITDAR  of CCA for the  period  from the
closing to the date of  determination,  annualized for the 12-month  period then
ended  shall be added to  EBITDAR of the  Borrower  and such  Subsidiaries;  (4)
subtracting from Specified Lease Expense of the Borrower and such  Subsidiaries,
the  Specified  Lease  Expense for such period  attributable  to any business or
facility that was sold or closed by the Borrower or any of its  Subsidiaries  in
such  period;  and  (5)  subtracting  from  EBITDAR  of the  Borrower  and  such
Subsidiaries,  the EBITDAR for such period of any business or facility  that was
so sold or closed.


<PAGE>

                                        7


                  "DOLLARS" and "$" mean United  States  dollars or such coin or
currency  of the United  States of  America  as at the time of payment  shall be
legal tender for the payment of public and private debts in the United States of
America.

                  "DOMESTIC  LENDING OFFICE" means,  with respect to any Lender,
the office of such Lender  specified as its "Domestic  Lending Office"  opposite
its name on Schedule I hereto or in the  Assignment  and  Acceptance by which it
became a Lender or such other office of such Lender as such Lender may from time
to time specify to the Borrower and the Agent.

                  "EBITDAR"  means,  with respect to any Person,  the sum of (i)
Cash Flow from Operations of such Person for any period and (ii) all charges for
taxes counted in determining the consolidated net income of such Person for such
period.

                  "ELIGIBLE  ASSIGNEE"  means (i) a  commercial  bank  organized
under the laws of the United States,  or any State thereof,  and, in the case of
any  assignment by a Revolving  Lender of its Revolving  Borrowings  and related
Commitments hereunder,  having total assets in excess of $5,000,000,000;  (ii) a
savings and loan  association  or savings bank  organized  under the laws of the
United  States,  or any State  thereof,  and, in the case of any assignment by a
Revolving Lender of its Revolving Borrowings and related Commitments  hereunder,
having  total  assets in  excess  of  $3,000,000,000;  (iii) a  commercial  bank
organized  under the laws of any other country which is a member of the OECD, or
a political  subdivision of any such country, and, in the case of any assignment
by a  Revolving  Lender of its  Revolving  Borrowings  and  related  Commitments
hereunder,  having  total  assets in excess of  $5,000,000,000,  if such bank is
acting through a branch or agency located in the United States; (iv) the central
bank of any  country  which is a member  of the  OECD;  (v) a  finance  company,
insurance  company  or other  financial  institution  that is engaged in making,
purchasing or otherwise  investing in commercial loans in the ordinary course of
its business  and, in the case of any  assignment  by a Revolving  Lender of its
Revolving Borrowings and related Commitments  hereunder,  having total assets in
excess of $3,000,000,000;  (vi) a fund that is engaged in making,  purchasing or
otherwise  investing in commercial  loans in the ordinary course of its business
and,  in the case of any  assignment  by a  Revolving  Lender  of its  Revolving
Borrowings and related Commitments  hereunder,  having total assets in excess of
$200,000,000;  (vii) any existing  Lender and any  Affiliates or Related Fund of
such existing Lender;  and (viii) any other Person approved by the Agent, the LC
Bank and, except during the  continuance of any Event of Default,  the Borrower,
which  approval  in each case shall not be  unreasonably  withheld  or  delayed;
provided,  however,  that no  Person  who is a  non-resident  alien or a foreign
entity for United  States income tax purposes  (except a commercial  bank of the
type described in clause (iii) above),  may be an Eligible  Assignee unless each
Note to be  acquired by such  Person is  reissued  in  registered  form prior to
transfer.


<PAGE>

                                       8

                  "ENVIRONMENTAL  CLAIMS"  means  any  and  all  administrative,
regulatory or judicial claims, demands, directives, proceedings, orders, decrees
and judgments  relating in any way to any Environmental Law or any Environmental
Permit.

                  "ENVIRONMENTAL LAWS" means all federal,  state and local laws,
statutes, rules, regulations,  ordinances and codes, and any binding judicial or
administrative  interpretation thereof or requirement thereunder,  including any
judicial or administrative order, by any Governmental Authority, relating to the
regulation or protection of human health,  safety,  the  environment and natural
resources.

                  "ENVIRONMENTAL    PERMIT"    means   any   license,    permit,
authorization,   registration   or  approval   issued  or  required   under  any
Environmental Law.

                  "ERISA" means the Employee  Retirement  Income Security Act of
1974.

                  "ERISA  AFFILIATE"  means  any  entity  which  is  (or  at any
relevant  time  was) a member of a  "controlled  group of  corporations,"  under
"common control" or a member of an "affiliated  service group" with the Borrower
as defined in Section 414(b), (c) or (m) of the Code.

                  "ERISA EVENT" means (i) any of the events set forth in Section
4043(b) of ERISA or the regulations thereunder,  with respect to a Pension Plan;
(ii) a  withdrawal  by the Borrower or any ERISA  Affiliate  from a Pension Plan
subject  to  Section  4063  of  ERISA  during  a plan  year  in  which  it was a
substantial  employer  (as  defined in  Section  4001(a)(2)  of ERISA);  (iii) a
complete or partial  withdrawal  by the Borrower or any ERISA  Affiliate  from a
Multiemployer  Plan;  (iv) the  filing of a notice of intent to  terminate,  the
treatment of a plan  amendment as a  termination  under Section 4041 or 4041A of
ERISA or the commencement of proceedings by the PBGC to terminate a Pension Plan
or  Multiemployer  Plan  subject  to Title IV of ERISA;  (v) a  failure  to make
required  contributions  to a  Pension  Plan or  Multiemployer  Plan;  (vi)  the
imposition  of any liability  under Title VI of ERISA,  other than PBGC premiums
due but not  delinquent  under  Section 4007 of ERISA,  upon the Borrower or any
ERISA  Affiliate;  (vii) an application  for a funding waiver or an extension of
any amortization  period pursuant to Section 412 of the Code with respect to any
Pension  Plan;  (viii) the  Borrower or ERISA  Affiliate  engages in a nonexempt
prohibited  transaction or otherwise  becomes liable with respect to a nonexempt
prohibited transaction, the consequences of which, in the aggregate,  constitute
or could reasonably be expected to result in a Material Adverse Change;  or (ix)
a violation of the applicable requirements of Section 404 or 405 of ERISA or the
exclusive  benefit rule under Section  401(a) of the Code by the Borrower or any
ERISA  Affiliate  with respect to any Pension Plan for which the Borrower or any
of its Subsidiaries may be liable,  the consequences of which, in the aggregate,
constitute  or could  reasonably  be  expected  to result in a Material  Adverse
Change.


<PAGE>

                                       9

                  "EUROCURRENCY  LIABILITIES"  has the meaning  assigned to that
term in Regulation D of the Board of Governors of the Federal Reserve System, as
in effect from time to time.

                  "EURODOLLAR LENDING OFFICE" means, with respect to any Lender,
the office of such Lender specified as its "Eurodollar  Lending Office" opposite
its name on Schedule I hereto or in the  Assignment  and  Acceptance by which it
became a Lender  (or,  if no such  office is  specified,  its  Domestic  Lending
Office) or such other office of such Lender as such Lender may from time to time
specify to the Borrower and the Agent as its Eurodollar Lending Office.

                  "EURODOLLAR  RATE"  means,  for any  Interest  Period for each
Eurodollar Rate Advance comprising part of the same Revolving  Borrowing or Term
Borrowing, as the case may be, an interest rate per annum equal to the displayed
rate at 11:00 AM (London  time) two  Business  Days before the first day of such
Interest  Period on Telerate  page 3750 (or such other page as may replace  such
page on the Telerate Service for the purpose of displaying interest rates in the
London   interbank   markets)  for  deposits  in  U.S.   dollars  in  an  amount
substantially equal to such Revolving  Borrowing or Term Borrowing,  as the case
may be, and for a period equal to such Interest Period.  To the extent that such
interest rate is unavailable on the Telerate  Service,  the Eurodollar  Rate for
any Interest Period for each Eurodollar Rate Advance comprising part of the same
Revolving Borrowing or Term Borrowing,  as the case may be, shall be an interest
rate per  annum  equal to the  average  (rounded  upward  to the  nearest  whole
multiple of 1/16 of 1% per annum, if such average is not such a multiple) of the
rate per annum at which  deposits in U.S.  dollars are offered by the  principal
office of each of the Reference  Banks in London to prime banks in the interbank
market for U.S.  Dollar  Deposits at 11:00 a.m.  (London time) two Business Days
before the first day of such Interest Period in an amount substantially equal to
such Reference Bank's Eurodollar Rate Advance  comprising part of such Borrowing
(or, if such  Reference Bank is not a Lender,  10% of such  Borrowing) and for a
period equal to such Interest Period.

                  "EURODOLLAR   RATE  ADVANCE"  means  an  Advance  which  bears
interest by reference to the Eurodollar Rate as provided in Section 2.07(b).

                  "EURODOLLAR RATE RESERVE PERCENTAGE" of any Lender for any day
in the  Interest  Period  for any  Eurodollar  Rate  Advance  means the  reserve
percentage applicable for such day under regulations issued from time to time by
the Board of  Governors of the Federal  Reserve  System (or any  successor)  for
determining   the  maximum   reserve   requirement   (including  any  emergency,
supplemental or other marginal reserve requirement) for such Lender with respect
to liabilities  or assets  consisting of or including  Eurocurrency  liabilities
having a term equal to such Interest Period.


<PAGE>

                                       10

                  "EVENTS OF DEFAULT" has the meaning provided in Section 6.01.

                  "EXISTING  FACILITY"  means the  Revolving  Credit  Agreement,
dated  as of May 15,  1996,  by and  among  the  Borrower,  Citibank,  N.A.,  as
administrative agent thereunder,  and the other financial institutions signatory
thereto as lenders, as amended.

                  "FEDERAL  FUNDS RATE"  means,  for any period,  a  fluctuating
interest  rate per annum equal for each day during  such period to the  weighted
average of the rates on overnight Federal funds transactions with members of the
Federal Reserve System arranged by Federal funds 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 the  quotations for such day
on such  transactions  received by Citibank  from three Federal funds brokers of
recognized standing selected by it.

                  "FIRST  AMERICAN" means First American Health Care of Georgia,
Inc., a Georgia corporation.

                  "FIRST  AMERICAN  MERGER" means the merger of IHS  Acquisition
XIV, Inc., a Delaware corporation and a wholly owned Subsidiary of the Borrower,
with  and  into  First  American,  pursuant  to which  First  American  became a
wholly-owned Subsidiary of the Borrower.

                  "FIRST AMERICAN MERGER  AGREEMENT" means the merger agreement,
dated as of February 21, 1996, among the Borrower,  IHS Acquisition XIV, Inc., a
Delaware corporation and wholly owned subsidiary of the Borrower, First American
and certain principal  shareholders thereof, as amended as of March 12, 1996 and
as of September 9, 1996.

                  "FIXED CHARGE  COVERAGE RATIO" means the ratio, as of the last
day of any Quarter,  of (i) EBITDAR minus Capital  Expenditures  of the Borrower
and its  Subsidiaries for the 12-month period then ending to (ii) the sum of (A)
Interest Expense, (B) Current Portion of Long-Term Debt, (C) taxes paid in cash,
(D) Lease Expense and (E) all cash dividends paid on the Borrower's common stock
and preferred stock, each during the 12- month period then ending.

                  "FUNDED DEBT" means all Debt of the type  described in clauses
(i),  (ii)  and  (iv)  of the  definition  of  "Debt",  plus  all  Accommodation
Obligations,  except  those  described  in clauses (i)  through  (iv) of Section
5.03(f),  owed by the Borrower or any of its Subsidiaries and outstanding,  on a
consolidated basis, on the last day of any Quarter.

                  "FUNDED LC EXPOSURE" means the aggregate  principal amount, as
of any date of  determination,  of all  payments  that  were made by the LC Bank
under any  Letter of Credit



<PAGE>


                                       11

but have not been reimbursed to the LC Bank by the Borrower  pursuant to Section
2.02(c) or converted into Advances pursuant to Section 2.02(e).

                  "GAAP" means  generally  accepted  accounting  principles  set
forth in the opinions and pronouncements of the Accounting  Principles Board and
the American  Institute of  Certified  Public  Accountants  and  statements  and
pronouncements  of the Financial  Accounting  Standards  Board (or agencies with
similar  functions of  comparable  stature and authority  within the  accounting
profession), or in such other statements by such entity as may be in general use
by significant segments of the U.S. accounting profession,  which are applicable
to the facts and circumstances on the date of determination.

                  "GOVERNMENTAL AUTHORITY" means any nation, state, sovereign or
government,   any  political  subdivision  thereof  and  any  entity  exercising
executive,  legislative,  judicial, regulatory or administrative functions of or
pertaining to government.

                  "GUARANTOR"   means  each  Subsidiary  of  the  Borrower  that
executes, or joins in, the Guaranty.

                  "GUARANTOR CONFIRMATION" means a Confirmation and Agreement of
Guarantors in substantially  the form of Exhibit C-4, duly authorized,  executed
and delivered by the Guarantors,  setting forth the Guarantor Liability Limit as
to a particular Guarantor.

                  "GUARANTOR LIABILITY LIMIT" means:

                           (i) In  respect  of any  Subsidiary  that is  (either
         directly or indirectly through one or more wholly-owned Subsidiaries of
         the Borrower) a wholly-owned  Subsidiary of the Borrower,  an unlimited
         amount, and

                           (ii) In respect of any Subsidiary  that is not such a
         wholly-owned Subsidiary of the Borrower, an amount determined as of the
         last day of the then most recently  ended  Quarter for which  financial
         statements   are  available  by   multiplying   (A)  EBITDAR  plus  any
         Non-Recurring  Charges,  determined  solely for such Subsidiary and its
         Subsidiaries and any business,  assets or entity directly or indirectly
         owned by such Subsidiary at such time, on a consolidated basis, for the
         four  Quarters  most  recently  ended  prior to the date on which  such
         Subsidiary  first became a  Subsidiary  not  (directly  or  indirectly)
         wholly-owned  by the Borrower by (B) six and further by (C) a fraction,
         the  numerator  of which is the  number of shares of  capital  stock or
         other equity, ownership or profit interests in such Subsidiary directly
         or  indirectly  owned by the  Borrower  at such time and  after  giving
         effect to any transaction then being consummated and the denominator of
         which is the total number of all such shares and interests  outstanding
         at such time and after giving effect to any such transaction; provided,
         however, that if the Borrower elects, in respect of any such



<PAGE>

                                       12

         Subsidiary  no later than the date that is 10 Business  Days after such
         Subsidiary  first became a  Subsidiary  not  (directly  or  indirectly)
         wholly-owned  by the  Borrower,  voluntarily  to reduce  the  Revolving
         Facility  Amount  effective as of such date in accordance  with Section
         2.05 by an amount equal to the amount so determined, then the Guarantor
         Liability Limit as to such Subsidiary (and only as to such  Subsidiary)
         shall be zero.

                  "GUARANTY" means the guaranty by the Borrower's  Subsidiaries,
except  Inactive  Subsidiaries,  delivered  pursuant to Section 3.01(a) and each
joinder  therein  by any other  Subsidiary  of the  Borrower  and all  Guarantor
Confirmations,  guaranties,  instruments and agreements at any time delivered by
any Subsidiary of the Borrower in respect of or in exchange or substitution  for
or in replacement of such guaranty or to evidence its guaranty of payment of any
of the Obligations.

                  "HARD COSTS" means the direct costs of building,  improving or
maintaining  any Health Care Facility or other  property used by the Borrower or
any of its  Subsidiaries  (including  the  cost of land,  construction,  bricks,
mortar,  painting and related building maintenance,  carpeting,  roof repair and
replacement,   parking  lot  replacement  and  maintenance,   landscaping,  HVAC
equipment and sprinkler systems and other items generally  considered hard costs
under construction  industry practice but not including the purchase price of an
existing  Health Care  Facility or any  allocated  overhead  and  administrative
expenses  and other items  generally  considered  soft costs under  construction
industry  practice)  and the  purchase  price of any  fixed,  movable  or mobile
equipment located on or used in connection with any such Health Care Facility or
otherwise used in conducting  business if such equipment is or is required to be
reflected as property,  plant and equipment on the consolidated balance sheet of
the Borrower and its Subsidiaries.

                  "HAZARDOUS   MATERIALS"   means  (i)   flammable   explosives,
radioactive  materials,  friable  asbestos,  urea  formaldehyde foam insulation,
transformers  or  other  equipment  that  contain  dielectric  fluid  containing
regulated levels of polychlorinated  biphenyls and petroleum products,  and (ii)
chemicals,  materials,  substances  or wastes which are now or hereafter  become
defined  as  or  included  in  the  definition,  listing  or  identification  of
"hazardous  substances,"  "hazardous wastes," hazardous  materials,"  "extremely
hazardous wastes,"  "restricted  hazardous wastes," "toxic  substances,"  "toxic
pollutants,"   "medical  waste,"   "infectious   waste,"   "biomedical   waste,"
"biohazardous   waste,"  or  words  of  similar  import,  under  any  applicable
Environmental Law.

                  "HEALTH  CARE  COMPANY"  means a  Person  that is  principally
engaged,  directly or indirectly  through its  Subsidiaries,  in the business of
owning, operating or managing Health Care Facilities or healthcare operations or
providing healthcare services.

<PAGE>

                                       13

                  "HEALTH CARE  FACILITY"  means a facility  which  provides any
healthcare  services at such  facility,  whether  licensed as a skilled  nursing
facility, intermediate care facility, personal care facility or a hospital.

                  "HEALTH CARE PERMIT" means every accreditation, authorization,
certificate of need,  license or permit that is required  pursuant to applicable
federal or state law to own, lease,  operate or manage a Health Care Facility or
conduct the business of a Health Care Company.

                  "HEDGING  CONTRACT"  means any interest  rate swap  agreement,
currency  swap  agreement,  commodities  swap  agreement,  equity  option or put
arrangement,  cap,  floor  or  collar  agreement,   insurance  relating  to  the
respective risk protection or other similar agreement or arrangement designed to
provide such risk  protection  entered into by the Borrower and the Agent or any
Lender.

                  "INACTIVE  SUBSIDIARY" means a Subsidiary of the Borrower that
carries on no  business  operations  or other  activities  and has an  aggregate
capitalization of $1,500 or less.

                  "INDEMNIFIED LIABILITIES" is defined in Section 8.06(a).

                  "INDEMNIFIED PERSON" is defined in Section 8.06(a).

                  "INTANGIBLE  ASSETS"  means,  with respect to the Borrower and
its  Subsidiaries on a consolidated  basis,  all assets  properly  classified as
intangible  assets  under  GAAP,   including  goodwill,   patents,   copyrights,
trademarks,  trade names,  franchises,  licenses,  organization costs,  deferred
charges,  and deferred  pre-opening  costs, but excluding all intangible  assets
classified  as such under the  provisions  of  Statements  87, 88 and 106 of the
Financial  Accounting  Standards  Board  relating to Accounting for Pensions and
Post- Retirement Benefits other than Pensions,  so long as such intangible asset
has a related liability under GAAP of equal or substantially equal amount on the
consolidated  balance sheet of the Borrower and its  Subsidiaries as of the date
of determination.

                  "INTERCREDITOR  AGREEMENT" means the  Intercreditor  Agreement
dated as of the date hereof among Citibank, N.A., as collateral agent, the Agent
and the agent under the Participation Agreement.

                  "INTEREST  EXPENSE" means, with respect to any Person, for any
period for such Person and its  subsidiaries on a consolidated  basis,  interest
expense net of interest income, determined in conformity with GAAP.

                  "INTEREST  PERIOD"  means,  for each  Eurodollar  Rate Advance
comprising part of the same Revolving  Borrowing or Term Borrowing,  as the case
may be, the


<PAGE>

                                       14

period  commencing on the date of such Advance or the date of the  conversion of
any  Advance  into such an  Advance  and  ending  on the last day of the  period
selected by the Borrower pursuant to the provisions below and, thereafter,  each
subsequent  period  commencing  on the  last  day of the  immediately  preceding
Interest  Period  and  ending  on the last  day of the  period  selected  by the
Borrower  pursuant to the provisions  below.  The duration of each such Interest
Period  shall be 1, 2, 3 or 6  months,  as the  Borrower  may  select  by notice
received  by the Agent not later  than 11:00  a.m.  (New York City  time)  three
Business Days prior to the first day of such Interest Period; provided, however,
that:

                           (a) the Borrower  may not select any Interest  Period
         in respect of any  Revolving  Borrowings  which ends after the Maturity
         Date or in respect of the Term Borrowing which ends after the scheduled
         maturity date therefor;

                           (b) the Borrower  may not select any Interest  Period
         which  ends  after  any date on which  any  payment  on the  respective
         Advances  (including any payment of the Revolving  Borrowing  which may
         result from a Revolving Facility Reduction) is due unless, after giving
         effect to such selection, the aggregate unpaid principal amount of Base
         Rate  Advances  and  Eurodollar  Rate  Advances in respect of Revolving
         Borrowings or the Term  Borrowing,  as the case may be, having Interest
         Periods  which  end on or prior to such  date is at least  equal to the
         principal amount of Advances due and payable on and prior to such date;

                           (c) Interest Periods  commencing on the same date for
         Advances  comprising  part  of the  same  Revolving  Borrowing  or Term
         Borrowing shall be of the same duration;

                           (d)  whenever  the  last day of any  Interest  Period
         would otherwise occur on a day that is not a Business Day, the last day
         of such  Interest  Period  shall be  extended  to the  next  succeeding
         Business Day, except that if such extension would cause the last day of
         such Interest Period to occur in the next following calendar month, the
         last day of such Interest  Period shall be the next preceding  Business
         Day; and

                           (e) the  Borrower  may not have more than 15 Interest
         Periods in effect at any one time.

                  "INVESTMENT"  means (i) the acquisition of any interest in any
property,  assets  or  business  from any  Person,  whether  by  sale,  lease or
otherwise,  (ii) the funding of any loan, extension of credit,  accommodation or
capital  contribution  to or for  the  benefit  of any  Person,  and  (iii)  the
acquisition of any debt or equity  securities of or claim against or interest in
any Person, whether upon original issuance, by purchase or otherwise.

<PAGE>

                                       15

                  "LC  APPLICATION"  means an application for a Letter of Credit
in  substantially  the  form of  Exhibit  B-3,  setting  forth  the  information
described  therein  and such  other  information  as the LC Bank may  reasonably
request and signed by an Authorized Officer.

                  "LC BANK"  means  The Bank of Nova  Scotia  and any  Revolving
Lender which  agrees to become,  and is  designated  as, a  replacement  LC Bank
pursuant to Section 2.02(g).

                  "LC CASH  COLLATERAL  ACCOUNT" means a general deposit account
established  at and maintained by Citibank in the name of and for the benefit of
the Agent on behalf of the Lenders and under the exclusive  dominion and control
of the Agent.

                  "LC EXPOSURE" means the sum, as of any date of  determination,
of the Unfunded LC Exposure and the Funded LC Exposure.

                  "LC FEE RATE" means, for any day, the then Revolving Borrowing
Eurodollar Rate Margin less 0.025% per annum.

                  "LC  SUBCOMMITMENT"  means  the  lesser,  as of  any  date  of
determination, of (i) $100,000,000 and (ii) the Revolving Facility Amount.

                  "LEASE  EXPENSE"  means,  with respect to any Person,  for any
period for such Person and its subsidiaries on a consolidated  basis,  lease and
rental  expense   accrued  during  such  period  under  all  leases  and  rental
agreements, other than Capital Leases and leases of personal property, of Health
Care Facilities, determined in conformity with GAAP.

                  "LENDER" means each Revolving Lender and each Term Lender.

                  "LETTER  OF  CREDIT"  means a  letter  of  credit  that (i) is
available for funding in Dollars until an expiry date no later than the Maturity
Date,  (ii) is issued by the LC Bank at the  request  and for the account of the
Borrower, (iii) is governed by the Uniform Customs and Practices for Documentary
Credits (1993  Revision),  International  Chamber of Commerce  Publication  500,
except as otherwise agreed by the LC Bank, and (iv) is in form reasonably
satisfactory to the LC Bank.

                  "LIEN"  means  any  mortgage,  deed of  trust,  lien,  pledge,
charge,  security interest,  hypothecation,  assignment,  deposit arrangement or
encumbrance of any kind in respect of any asset, whether or not filed,  recorded
or  otherwise  perfected  or  effective  under  applicable  law,  as well as the
interest of a vendor or lessor under any conditional sale agreement,  capital or
finance lease or other title retention agreement relating to such asset.

                  "LITHOTRIPSY"   means  the   Lithotripsy   Division  of  Coram
Healthcare  Corporation.




<PAGE>

                                       16

                  "LOAN  DOCUMENTS"   means  this  Agreement,   the  Notes,  the
Guaranty, the Letters of Credit, the Collateral Documents, each Hedging Contract
and all other guaranties and other  agreements,  instruments and written indicia
of the  Obligations  delivered to the Agent or any Lender by or on behalf of the
Borrower  or  any  other  Loan  Party  pursuant  to or in  connection  with  the
transactions contemplated hereby and thereby.

                  "LOAN PARTIES"  means the Borrower and each  Subsidiary of the
Borrower that is a party to any Loan Document.

                  "LYRIC"  means  Lyric  Health  Care LLC,  a  Delaware  limited
liability company.

                  "MATERIAL ADVERSE CHANGE" means any materially  adverse change
in  the  financial  condition,   assets,  nature  of  the  assets,  liabilities,
operations or prospects of the Borrower and its Subsidiaries, taken as a whole.

                  "MATERIAL  ENVIRONMENTAL CLAIM" means any Environmental Claim,
regardless of merit,  which does or can  reasonably be expected to (i) result in
the Borrower or any of its Subsidiaries  expending in the aggregate an amount in
excess of $10,000,000 to defend against,  settle or satisfy,  or (ii) prevent or
enjoin the  Borrower  or any of its  Subsidiaries  from  operating a Health Care
Facility on any property on which it conducts operations.

                  "MATERIAL  LEASE"  means (A) any lease  agreement in which the
aggregate  annual rental payments due thereunder  exceed  $20,000,000 or (B) any
lease entered into in connection with the Synthetic Lease Facility.

                  "MATERIAL  SUBSIDIARY"  means each  Subsidiary of the Borrower
which has (i) as of the end of the most recent Quarter, total assets (other than
Intangible  Assets)  representing ten percent or more of the consolidated  total
assets (other than Intangible Assets) of the Borrower and its Subsidiaries, (ii)
for the most recent four Quarters,  total revenues  representing  ten percent or
more of the consolidated revenues of the Borrower and its Subsidiaries, or (iii)
for the most recent four Quarters,  net income  representing ten percent or more
of the consolidated net income of the Borrower and its Subsidiaries.

                  "MATURITY  DATE"  means the sixth  anniversary  of the Closing
Date.

                  "MINIMUM  NET WORTH"  means the sum, as of the last day of any
Quarter,   of  (i)   $635,000,000,   and   after  the   acquisition   of  RoTech
$1,120,000,000,  less up to $25,000,000 of extraordinary  losses  (determined in
accordance  with GAAP) of the Borrower and its  Subsidiaries  on a  consolidated
basis  incurred at any time after June 30, 1997,  plus (ii) 75% of the aggregate
net  income  (determined  in  accordance  with  GAAP)  of the  Borrower  and its
Subsidiaries  on a consolidated  basis earned in the Quarter ended June 30, 1997
and in each  Quarter  thereafter,  if net income was earned in such Quarter (and
not reduced for a net



<PAGE>

                                       17

loss in any Quarter), plus (iii) 100% of all additions to Adjusted Stockholders'
Equity  resulting at any time after  December 31, 1996 from the sale or issuance
of any common or preferred  stock of the Borrower or from the  conversion of any
Convertible Subordinated Debt.

                  "MOODY'S"  means  Moody's  Investors  Service,  Inc.,  and its
successors.

                  "MULTIEMPLOYER  PLAN" means any Plan which is a "multiemployer
plan," as defined in Section 4001(a)(3) of ERISA.

                  "NET CASH  PROCEEDS OF SALE" means,  with respect to any Asset
Sale, the Cash Proceeds of Sale of such sale less (i) all reasonable  brokerage,
legal and accounting fees and disbursements, and any governmental fees and taxes
incurred (or  reasonably  expected to be incurred) in connection  with such sale
which are not payable to Affiliates of the Borrower (or, if to  Affiliates,  are
in  amounts no greater  than would be payable in an  arm's-length  transaction);
(ii) any Debt secured by the assets  subject to such Asset Sale repaid with such
proceeds (to the extent such repayment is permitted  under the Loan  Documents);
and (iii) reserves  against any  liabilities  incurred as a result of such Asset
Sale  reflected on the balance sheet of the Borrower or any of its  Subsidiaries
in accordance with GAAP; provided,  however,  that in the event any such reserve
is subsequently  decreased,  other than as a result of the accrual or payment of
any liability for which such reserve was established,  Net Cash Proceeds of Sale
with respect to such Asset Sale shall be increased by a like amount.

                  "1934 ACT" means the  Securities  Exchange Act of 1934 and the
regulations thereunder.

                  "1992  CONVERTIBLE  SUBORDINATED  DEBT  INDENTURE"  means  the
Indenture,  dated as of December 1, 1992,  between the Borrower,  as Issuer, and
Signet Trust Company, as Trustee.

                  "1993  CONVERTIBLE  SUBORDINATED  DEBT  INDENTURE"  means  the
Amended and Restated  Supplemental  Indenture  dated as of  September  15, 1994,
between the Borrower, as Issuer, and NationsBank of Virginia, N.A., as Trustee.

                  "1994  SUBORDINATED  DEBT INDENTURE" means the Indenture dated
as of July 1, 1994,  between the Borrower,  as Issuer, and Signet Trust Company,
as Trustee.

                  "1995  SUBORDINATED  DEBT INDENTURE" means the Indenture dated
as of May 15, 1995,  between the Borrower,  as Issuer, and Signet Trust Company,
as Trustee.

                  "1996  SUBORDINATED  DEBT INDENTURE" means the Indenture dated
as of May 15, 1996,  between the Borrower,  as Issuer, and Signet Trust Company,
as Trustee.



<PAGE>

                                       18

                  "1997  SUBORDINATED  DEBT INDENTURE" means the Indenture dated
as of May 30, 1997,  between the Borrower,  as Issuer,  and First Union National
Bank of Virginia, as Trustee.

                  "1997 B SUBORDINATED DEBT INDENTURE" means the Indenture dated
August 27, 1997, between the Borrower and First Union National Bank of Virginia,
as Trustee.

                  "NON-RECURRING  CHARGES" means all charges  against the income
of a company  or  facility  acquired  by any  Person  that (i) were taken by the
owners  of  such  company  or  facility  prior  to  or  concurrently   with  the
acquisition,  on the  initiative  solely of such owners or their  management  or
accountants  and without any demand or influence from such  acquiring  Person or
any Person  acting for it, and (ii) either (A)  reflect the direct  costs of the
acquisition,  including fees and expenses of attorneys,  accountants,  advisors,
architects,  engineers,  consultants and agents,  and  environmental  and travel
costs,  or (B) are charges  taken in the current  year to make  adjustments  for
charges for accruals,  bad debt  provisions  or valuation  allowances in a prior
year, if (x) the charges in the current year would be entirely eliminated if the
prior year's  income was  restated,  in  accordance  with GAAP,  to reflect such
adjustments, and (y) such acquiring Person provides such information relating to
the  adjustments  and the restatement of the prior year's income as the Agent or
Requisite Lenders may reasonably request.

                  "NOTES"  means  the  revolving  notes  and  term  notes of the
Borrower which may be required to be delivered  pursuant to Section  5.02(m) and
all promissory notes and other evidence of indebtedness at any time delivered by
the Borrower in exchange or substitution  therefor or in replacement  thereof or
as additional evidence of the Borrower's indebtedness for the Advances.

                  "NOTICE OF BORROWING" means a notice substantially in the form
of Exhibit B-1.

                  "NOTICE    OF    CONTINUANCE/CONVERSION"    means   a   notice
substantially in the form of Exhibit B-2.

                  "NOTICE OF SWING LINE ADVANCE" means a notice substantially in
the form of Exhibit B-5.

                  "OBLIGATIONS" means all present and future Debts,  obligations
and  liabilities of every type and description of the Borrower or any other Loan
Party at any time arising under or in connection with this Agreement,  any other
Loan Document or any Hedging  Contract,  due or to become due to the Agent,  any
Lender,  any Person  required to be  indemnified  under any Loan Document or any
other Person and shall  include (i) all  liability for principal of and interest
on any  Advances,  (ii) all  liability  for  principal  of and  interest  on any
reimbursement



<PAGE>

                                       19

owed to the LC Bank for a payment made by it under a Letter of
Credit,  and (iii) all liability  under the Loan  Documents  for any  additional
interest, fees, taxes,  compensation,  costs, losses, expense reimbursements and
indemnification.

                  "OECD" means the  Organization  for Economic  Cooperation  and
Development.

                  "OTHER TAXES" is defined in Section 2.16(b).

                  "OUTSTANDING  REVOLVING  CREDIT" means the sum, as of any date
of  determination,  of (i) the  aggregate  outstanding  principal  amount of the
Revolving Borrowings, and (ii) the LC Exposure.

                  "PARTIAL  DISPOSITION LIMIT" means, in respect of any proposed
Retained Interest Sale in which the Retained Interest Criteria are not met, that
(i) the sum of (A) that portion of EBITDAR of the Borrower and its  Subsidiaries
(determined for the four Quarters most recently ended prior to the  consummation
of such Retained  Interest  Sale) that is  attributable  to the  businesses  and
entities that are to be sold or disposed of in such Retained  Interest Sale, and
(B) the amount of such portion of EBITDAR of the Borrower and such  Subsidiaries
so computed  as of the time of each prior  Retained  Interest  Sale in which the
Retained  Interest Criteria were not met is less than (ii) 15% of EBITDAR of the
Borrower and such  Subsidiaries  for the four Quarters most recently ended prior
to the consummation of such proposed Retained Interest Sale.

                  "PARTICIPATION AGREEMENT" means the agreement dated as of July
31,  1997  entered  into  among the  Borrower,  Integrated  Health  Services  at
Highlands Park,  Inc., IHS Development - Highlands Park, Inc., State Street Bank
and Trust  Company of  Connecticut,  National  Association,  as Corporate  Owner
Trustee,  Eric J. Donaghey,  as the Individual  Owner Trustee,  the  certificate
holder party thereto,  the note holders party thereto and Citicorp USA, Inc., as
Agent in connection with the Synthetic Lease Facility.

                  "PBGC" means the Pension Benefit  Guaranty  Corporation or any
entity succeeding to any of its functions under ERISA.

                  "PENSION  PLAN"  means  any  Plan  which  is (i) an  "employee
pension  benefit  plan" as  defined  in  Section  3(2) of  ERISA  and (ii) not a
Multiemployer Plan.

                  "PERMITTED CASH INVESTMENTS" means:

                           (a) securities  issued or fully guaranteed or insured
         by the United States Government or any agency thereof and backed by the
         full faith and credit of the United  States  maturing not more than one
         year from the date of acquisition;



<PAGE>

                                       20

                           (b)   certificates   of   deposit,   time   deposits,
         Eurodollar  time deposits,  bankers'  acceptances  or deposit  accounts
         having in each case a  remaining  term to maturity of not more than one
         year,  which  are  either  (i) fully  insured  by the  Federal  Deposit
         Insurance Corporation or (ii) issued by any Lender or by any commercial
         bank under the laws of any State or any  national  banking  association
         that has combined capital and surplus of not less than $800,000,000 and
         whose  short-term  securities  are  rated at least A-1 by S&P or P-1 by
         Moody's;

                           (c)  commercial  paper  that is rated at least A-1 by
         S&P or P-1 by Moody's,  issued by a company that is incorporated  under
         the laws of the United  States or of any State and directly  issues its
         own commercial  paper, and has a remaining term to maturity of not more
         than one year;

                           (d) a repurchase  agreement  with (i) any  commercial
         bank that is organized  or licensed  under the laws of any State or any
         national  banking  association  and that has  total  assets of at least
         $1,000,000,000, or (ii) any investment bank that is organized under the
         laws of any State and that has total assets of at least $1,000,000,000,
         if such  agreement is secured by any one or more of the  securities and
         obligations  described in clauses  (a),  (b) or (c) of this  definition
         having a market  value  (exclusive  of accrued  interest  and valued at
         least  monthly)  at  least  equal  to  the  principal  amount  of  such
         investment;

                           (e) any  money  market or other  investment  fund the
         investments  of which are limited to  investments  described in clauses
         (a), (b), (c) and (d) of this  definition and which is managed by (i) a
         commercial  bank that is  organized  under the laws of any State or any
         national  banking  association  and that has  total  assets of at least
         $1,000,000,000,  or (ii) an investment bank that is organized under the
         laws of any State and that has total assets of at least $1,000,000,000;

                           (f) obligations,  debentures,  notes,  bonds or other
         evidences of indebtedness rated at least A- by S&P or A3 by Moody's, so
         long as the aggregate  amount of investments held under this clause (f)
         does not exceed 25% of the total  amount then  invested by the Borrower
         and its Subsidiaries in Permitted Cash Investments;

                           (g) investments in investment  grade auction rate and
         adjustable rate preferred  equities for issuers whose actual or implied
         senior long-term debt is rated at least A- by S&P or A3 by Moody's;

                           (h)  investments  in  investment   grade  fixed  rate
         preferred equities for issuers whose actual or implied senior long-term
         debt is  rated  at  least  A- by S&P or A3 by  Moody's,  so long as the
         aggregate amount of investments held under this


<PAGE>

                                       21

         clause  (h) does not  exceed 10% of the total  amount  invested  by the
         Borrower and its Subsidiaries in Permitted Cash Investments;

                           (i) adjustable rate mortgage-backed  securities rated
         at least AA by S&P or Aa by Moody's; and

                           (j) fixed rate  mortgage-backed  securities  rated at
         least AA by S&P or Aa by Moody's,  so long as the  aggregate  amount of
         investments held under this clause (j) does not exceed 25% of the total
         amount invested by the Borrower and its  Subsidiaries in Permitted Cash
         Investments.

                  "PERMITTED LIENS" means Liens permitted under Section 5.03(a).

                  "PERSON"  means  an  individual,   partnership,   corporation,
limited  liability  company,   business  trust,  joint  stock  company,   trust,
unincorporated  association,  joint venture or other entity,  or a government or
any political subdivision or agency thereof.

                  "PLAN" means any "employee benefit plan" as defined in Section
3(3)  of  ERISA  (i)  which  the  Borrower  or any  ERISA  Affiliate  maintains,
administers,  contributes to or is required to contribute to, or, within the six
years prior to the Closing Date, maintained, administered, contributed to or was
required to  contribute  to, or under which the Borrower or any ERISA  Affiliate
may incur any liability and (ii) which covers any employee or former employee of
the Borrower or any ERISA  Affiliate  (with respect to their  relationship  with
such entities).

                  "PLEDGE AND SECURITY AGREEMENTS" means the pledge and security
agreements  executed by the Borrower and certain of the Borrower's  Subsidiaries
and delivered  pursuant to Section 3.01(a) and each joinder therein by any other
Subsidiary  of the  Borrower  and  each  other  security  agreement  at any time
delivered  by the  Borrower or any  Subsidiary  of the Borrower to create a Lien
that secures any of the Obligations.

                  "POTENTIAL  DEFAULT" means any event or condition described in
Section  6.01  which,  with any notice or  passage  of time (or both)  expressly
described in Section 6.01, would constitute an Event of Default.

                  "PREFERRED  STOCK" means preferred stock of the Borrower in an
amount not in excess of $400,000,000, with a dividend rate not in excess of 12%.

                  "PRICING CERTIFICATE" means a certificate in substantially the
form of Exhibit B-4.


<PAGE>

                                       22

                  "PRICING  PERIOD"  means  the  period  that  commences  on the
Closing  Date  and ends on  November  25,  1997,  and  each  consecutive  period
thereafter  that commences on the expiration of the prior period and ends on the
25th day of the next following February, May, August, or November.

                  "PRICING   RATIO"   means,   for  any  Pricing   Period,   the
Debt/EBITDAR  Ratio as of the Pricing  Test Date for such Pricing  Period.  If a
Pricing Certificate for the Pricing Test Date for a particular Pricing Period is
not delivered prior to the commencement of such Pricing Period,  then until (but
only until) the Business Day on which such Pricing  Certificate  is delivered to
the Agent,  the Pricing  Ratio  shall be deemed to be the Pricing  Ratio for the
immediately preceding Pricing Period.

                  "PRICING TEST DATE" means,  for a particular  Pricing  Period,
the last day of the Quarter most  recently  ended prior to the  commencement  of
such Pricing Period.

                  "PRO RATA SHARE"  means,  in respect of any Lender on any date
of determination, the ratio of (i) in the case of a Term Lender, the outstanding
principal  amount of Advances by such Lender  hereunder on such date and, in the
case of a Revolving Lender, such Revolving Lender's commitment to participate in
the revolving  credit hereunder as set forth on Schedule I (or if such Revolving
Lender  has  entered  into  one or  more  Assignments  and  Acceptances,  in the
Register)  as it may have been reduced as provided  herein or if such  Revolving
Lender's commitment has terminated, the outstanding principal amount of Advances
by such hereunder,  as of such date to (ii) the sum of the aggregate outstanding
principal amount of Advances by all Term Lenders  hereunder on such date and the
aggregate of the commitments of all Revolving Lenders as set forth on Schedule I
(or if any such Revolving  Lender has entered into one or more  Assignments  and
Acceptances,  in the Register) as they may have been reduced as provided  herein
or if such  commitments  have terminated,  the aggregate  outstanding  principal
amount of Advances by all Revolving Lenders, as of such date.

                  "PROPOSED  SUBORDINATED DEBT INDENTURE" means the Indenture to
be entered into after the Closing, in either calendar year 1997 or 1998, between
the  Borrower,  as Issuer,  and the  trustee  thereunder  in  connection  with a
proposed senior subordinated note offering.

                  "PURCHASE LIMIT" is defined in Section 5.03(h).

                  "PURCHASERS'   AGGREGATE   NET   INVESTMENT"   means  the  net
unrecovered  investment  in the  accounts  receivable  of the  Borrower  and its
Subsidiaries,  and proceeds  thereof,  held by the purchasers in any Receivables
Sale Program or their  transferees,  without  counting any  Receivables  Program
Charges.


<PAGE>

                                       23

                  "QUALIFIED  PLAN" means a pension  plan (as defined in Section
3(2) of ERISA) intended to be tax-qualified under Section 401(a) of the Code and
which the Borrower or any ERISA Affiliate  sponsors,  maintains,  or to which it
makes  or is  obligated  to make  contributions,  or in the  case of a  multiple
employer plan (as described in Section 4064(a) of ERISA) has made  contributions
at any time during the immediately  preceding period covering at least five plan
years, but excluding any Multiemployer Plan.

                  "QUARTER" means,  with respect to any Person, a fiscal quarter
of such Person.

                  "QUARTER-END  EXCESS CASH" means the excess,  determined as of
the last day of any Quarter (but only if it is a positive  number),  of (i) cash
and Permitted Cash Investments held by the Borrower and its  Subsidiaries,  less
(ii) 2% of the sum of the following  operating  expenses of the Borrower and its
Subsidiaries  for the 12-month  period then ending,  determined  and recorded in
accordance with the Borrower's current practice: "salaries, wages and benefits,"
"corporate, administrative and general" and "other operating expenses."

                  "RECEIVABLES  PROGRAM  CHARGES" means the discount or yield of
any Receivables Sale Program and all program and administrative costs, back-stop
costs and other related costs,  fees and expenses  incurred by or charged to the
Borrower or any of its  Subsidiaries,  and when  determined for any period shall
include all such discount,  yield, costs, fees and expenses accrued or amortized
during such period.

                  "RECEIVABLES  SALE PROGRAM" means a sale or other  disposition
of an interest in the accounts receivable of any of the Borrower's  Subsidiaries
and the proceeds  thereof and records  related thereto to one or more purchasers
or investors,  if the sale or other  disposition (i) is made without recourse to
the seller,  (ii) is not guaranteed by the Borrower or any of its  Subsidiaries,
except a guaranty that the seller will perform its obligations in respect of its
representations and warranties, indemnities and servicing commitments, and (iii)
is structured so that the Purchasers' Aggregate Net Investment in respect of any
and all such accounts  receivable and proceeds  outstanding at any one time will
not exceed $200,000,000.

                  "REFERENCE  BANKS"  means  Citibank  and The  Toronto-Dominion
Bank.

                  "REGISTER" is defined in Section 8.07(c).

                  "RELATED  FUND"  means,  with  respect to any Lender that is a
fund that invests in loans,  any other fund that invests in loans and is managed
by the  same  investment  advisor  as such  Lender  or by an  Affiliate  of such
investment advisor.




<PAGE>

                                       24

                  "REPORTABLE  EVENT"  means  any of the  events  set  forth  in
Section 4043(b) of ERISA or the regulations thereunder, a withdrawal from a plan
described  in Section 4063 of ERISA or a cessation  of  operations  described in
Section 4062(e) of ERISA.

                  "REQUISITE LENDERS" means Lenders at the time in the aggregate
holding more than 50.1% in Pro Rata Shares.

                  "REQUISITE  REVOLVING  LENDERS" means Revolving Lenders at the
time in the aggregate holding more than 50.1% of the Revolving Pro Rata Share.

                  "REQUISITE TERM LENDERS" means Term Lenders at the time in the
aggregate holding more than 50.1% of the Term Pro Rata Share.

                  "RETAINED  INTEREST"  means the stock or equity,  ownership or
profit  interest which the Borrower or any  Subsidiary of the Borrower  retains,
acquires or has the right to acquire in any Retained Interest Sale.

                  "RETAINED INTEREST CRITERIA" means, in respect of any Retained
Interest  and the  assets,  operations,  governance,  income and  profits of any
business  or entity to which  such  Retained  Interest  directly  or  indirectly
relates, each and all of the following requirements:

                           (i) The Borrower or a wholly-owned  Subsidiary of the
         Borrower  must have the  exclusive  right and power,  subject to duties
         imposed by law, to manage and control the ordinary business  operations
         and  assets of such  business  or entity  and  freely  to  control  and
         distribute the cash, income,  profits,  and asset sale proceeds of such
         entity or business  and, as to any such entity that is a Subsidiary  of
         the Borrower, to borrow from such entity;

                           (ii) The Borrower or a wholly-owned Subsidiary of the
         Borrower must effectively  have the exclusive right and power,  subject
         to duties imposed by law, to determine whether,  when and on what terms
         such business or entity shall be financed, sold, dissolved,  liquidated
         or merged and to make all other  decisions  requiring  approval  of the
         owners of such  business  or  entity,  either  by reason of lawful  and
         enforceable  provisions in the  governing  documents for such entity or
         under a voting trust  arrangement,  an irrevocable  proxy, an option to
         acquire or sell the  interests  of all other  Persons that hold or have
         the right to acquire an equity or ownership  interest in such  business
         or entity, or other similar arrangements;

                           (iii) The  exercise  of such rights and powers by the
         Borrower or its wholly-owned  Subsidiary must not be barred, limited or
         restricted by contract or agreement,  except for  provisions  requiring
         performance of duties imposed by law;


<PAGE>

                                       25

                           (iv) The terms on which the  requirements  in clauses
         (i),  (ii) and (iii) herein are met must be such that the Borrower or a
         wholly-owned  Subsidiary  of the Borrower has the  exclusive  right and
         power to maintain  such  conditions  for as long as the Borrower or any
         Subsidiary of the Borrower holds such Retained Interest;

                           (v) At the  consummation  of the transaction in which
         such  Retained  Interest was kept or acquired,  each  Subsidiary of the
         Borrower to which such Retained Interest directly or indirectly relates
         must reaffirm its liability under the Guaranty by executing a Guarantor
         Confirmation  setting forth its Guarantor  Liability Limit after giving
         effect to such  transaction  and each other  Guarantor must confirm its
         consent and agreement thereto by executing such Guarantor Confirmation;

                           (vi) No later than the tenth  Business Day  following
         the consummation of the transaction in which such Retained Interest was
         kept or acquired,  the  Borrower  must deliver to the Agent and Lenders
         written  notice of the structure and material  terms of the  agreements
         and  arrangements  relating to the foregoing and the Retained  Interest
         and related Retained Interest Sale, accompanied by:

                                    (A) A certificate  of an Authorized  Officer
                  of the Borrower stating that at the time of such  consummation
                  the  Retained  Interest  Criteria  were met in respect of such
                  transaction, and

                                    (B) A Guarantor  Confirmation  signed by the
                  Guarantors,  setting  forth the Guarantor  Liability  Limit of
                  each  Subsidiary  affected by such  transaction,  after giving
                  effect to such transaction; and

                           (vii)  The   Borrower   must  not  receive  from  the
         Requisite   Lenders,   within  20  Business  Days  after  such  notice,
         certificate and Guarantor  Confirmation were delivered to the Agent and
         Lenders,  a written statement to the effect that, in the opinion of the
         Lenders giving such notice and for reasons  generally set forth in such
         statement (which opinion, reasons and statement shall be conclusive and
         binding on the Borrower and the other Loan Parties if held,  determined
         and presented by such Lenders in good faith), either:

                                    (A) The Retained  Interest  Criteria are not
                  met in respect of such transaction, or

                                    (B) Such  Lenders  notified  the Borrower at
                  least five Business  Days prior to the date of such  statement
                  that the Guarantor  Liability Limit of any Subsidiary affected
                  by such transaction,  after giving effect to such transaction,
                  was not properly determined,  set forth or acknowledged in the




<PAGE>

                                       26

                  Guarantor   Confirmation   so   delivered,   and  a  Guarantor
                  Confirmation   properly   determining,   setting   forth   and
                  acknowledging such Guarantor Liability Limit, duly executed by
                  such Subsidiary and all other Guarantors,  was not received by
                  the Agent and  Lenders  within five  Business  Days after such
                  notice was given to the Borrower.

                  "RETAINED  INTEREST SALE" means a sale or other disposition of
less than all of the stock of or other equity, ownership or profit interest in a
Subsidiary,  or less than the entire ownership of any business, asset or entity,
that was directly or indirectly owned by the Borrower or any of its Subsidiaries
on  the  Closing  Date  or any  Asset  Sale,  merger,  consolidation,  sale  and
repurchase,  exchange or other transaction in which, after giving effect to such
transaction  and  all  related   transactions,   the  Borrower  or  any  of  its
Subsidiaries  directly  or  indirectly  retains or  acquires or has the right to
acquire any stock of or any  equity,  ownership  or profit  interest in any such
Subsidiary, business, asset or entity.

                  "REVOLVING  BORROWING"  means the aggregate Base Rate Advances
or Eurodollar  Rate Advances made by the Revolving  Lenders on a Borrowing  Date
pursuant to Section 2.01(a)(i).

                  "REVOLVING  BORROWING BASE RATE MARGIN" means, for any Pricing
Period, the rate per annum set forth below opposite the Pricing Ratio determined
for that Pricing Period:

             Pricing Ratio                                Margin
             -------------                                ------

           greater than 5.50                              0.50%
       greater than 5.00 but less                         0.25%
         than or equal to 5.50
       greater than 4.25 but less                         0.00%
         than or equal to 5.00
       greater than 3.75 but less                         0.00%
         than or equal to 4.25
       greater than 3.25 but less                         0.00%
         than or equal to 3.75
       less than or equal to 3.25                         0.00%

                  "REVOLVING  BORROWING  EURODOLLAR RATE MARGIN" means,  for any
Pricing  Period,  the rate per annum set forth below  opposite the Pricing Ratio
determined for that Pricing Period:


<PAGE>

                                       27

             Pricing Ratio                                Margin
             -------------                                ------

           greater than 5.50                              1.75%
       greater than 5.00 but less                         1.50%
         than or equal to 5.50
       greater than 4.25 but less                         1.25%
         than or equal to 5.00
       greater than 3.75 but less                         1.00%
         than or equal to 4.25
       greater than 3.25 but less                         0.875%
         than or equal to 3.75
       less than or equal to 3.25                         0.75%

                  "REVOLVING   FACILITY   AMOUNT"   means,   on  any   date   of
determination,  $1,000,000,000  less all Revolving Facility Reductions which are
then effective.

                  "REVOLVING   FACILITY   REDUCTION"  means  each  temporary  or
permanent reduction of the revolving credit available to the Borrower under this
Agreement,  whether voluntarily made or scheduled to be made pursuant to Section
2.05 or required to be made pursuant to Section 2.06,  Section 6.01 or any other
provision of this Agreement or otherwise  becoming  effective in accordance with
this Agreement.

                  "REVOLVING LENDER" means each financial  institution signatory
hereto listed as a Revolving  Lender which has committed to  participate  in the
revolving  credit  hereunder as set forth in Schedule I,  including the LC Bank,
and any other  financial  institution  that  pursuant to Section  8.07 becomes a
party to this Agreement for the purpose of participating in the revolving credit
hereunder.

                  "REVOLVING LOAN AVAILABILITY" means the difference,  as of any
date of determination,  between (i) the Revolving  Facility Amount, and (ii) the
sum of (A) the Outstanding  Revolving  Credit and (B) the outstanding  principal
amount of all Swing Line Advances.

                  "REVOLVING PRO RATA SHARE" means,  in respect of any Revolving
Lender,  the ratio of (i) such Revolving  Lender's  commitment to participate in
the revolving  credit  hereunder or if such  Revolving  Lender's  commitment has
terminated,  the outstanding  principal  amount of Advances by such hereunder to
(ii) all such  commitments,  in each case as set forth in Schedule I or, if such
Revolving Lender has entered into one or more  Assignments and  Acceptances,  in
the Register or if such commitments have terminated,  the aggregate  outstanding
principal amount of Advances by all Revolving Lenders.


<PAGE>

                                       28

                  "ROTECH" means RoTech Medical Corporation.

                  "SCHEDULE  1.01(B)  ASSETS"  means  the  assets  described  in
Schedule  1.01(b)  and  owned by the  Borrower  or any  wholly-owned  Subsidiary
thereof and designated for sale thereby.

                  "S&P" means Standard & Poor's Ratings Services,  A Division of
the McGraw-Hill Companies, Inc., and its successors.

                  "SPECIFIED  LEASE EXPENSE" means,  with respect to any Person,
for any period,  Lease  Expense of such Person for such period less that portion
of such  Lease  Expense  representing  payments  for real  estate  and  personal
property taxes and insurance.

                  "STATE"  means the  District  of  Columbia or any state of the
United States of America.

                  "SUBORDINATED  DEBT"  means  the Debt  outstanding  under  the
Subordinated Debt Indentures.

                  "SUBORDINATED  DEBT  INDENTURES"  means  the 1992  Convertible
Subordinated Debt Indenture,  the 1993 Convertible  Subordinated Debt Indenture,
the 1994 Subordinated Debt Indenture,  the 1995 Subordinated Debt Indenture, the
1996 Subordinated Debt Indenture, the 1997 Subordinated Debt Indenture, the 1997
B Subordinated Debt Indenture and, upon the effectiveness  thereof, the Proposed
Subordinated Debt Indenture.

                  "SUBSIDIARY"   means,   with   respect  to  any  Person,   any
corporation, association, partnership, joint venture or other business entity of
which more than 50% of the voting  stock or other  equity  interests is owned or
controlled  directly or indirectly by such Person or one or more Subsidiaries of
such Person or a combination thereof.

                  "SWING LINE  ADVANCE"  means an advance  made by (a) the Swing
Line Bank pursuant to Section  2.01(a)(iii) or (b) any Revolving Lender pursuant
to Section 2.01(h).

                  "SWING  LINE BANK"  means  Citibank,  N.A.  and any  Revolving
Lender which agrees to become,  and is designated  as, a replacement  Swing Line
Bank pursuant to Section 2.01(i).

                  "SWING LINE  FACILITY"  has the meaning  specified  in Section
2.01(a)(iii).

                  "SYNTHETIC  LEASE  FACILITY"  means  the  lease  entered  into
between Eric J. Donaghey, as the Individual Owner Trustee, and Integrated Health
Services at Highlands Park, Inc., as Lessee,  and the other leases to be entered
into by Subsidiaries of the Borrower



<PAGE>

                                       29

pursuant to the  Participation  Agreement and the other  transactions  by one or
more Loan  Parties in  connection  therewith,  pursuant  to which the  aggregate
amount of the obligations  issued to the noteholders  and  Certificateholder  in
connection therewith shall not be in excess of $100,000,000.

                  "TANGIBLE  ASSETS"  means  the  difference,  as of any date of
determination, between (i) the total consolidated assets of the Borrower and its
Subsidiaries as determined in accordance with GAAP and required under GAAP to be
shown on a consolidated balance sheet of the Borrower and its Subsidiaries,  and
(ii) all such assets that are Intangible Assets.

                  "TAXES" is defined in Section 2.16(a).

                  "TERM  BORROWING"  means the loan made by the Term  Lenders on
the Closing Date  pursuant to Section  2.01(a)(ii)  in the  aggregate  principal
amount of $750,000,000 and which can bear interest by reference to the Base Rate
or the Eurodollar Rate.

                  "TERM  BORROWING  BASE RATE  MARGIN"  means,  for any  Pricing
Period, the rate per annum set forth below opposite the Pricing Ratio determined
for that Pricing Period:


             Pricing Ratio                                Margin
             -------------                                ------

            greater than 5.25                             0.75%

       less than or equal to 5.25                         0.50%

                  "TERM BORROWING EURODOLLAR RATE MARGIN" means, for any Pricing
Period, the rate per annum set forth below opposite the Pricing Ratio determined
for that Pricing Period:

             Pricing Ratio                                Margin
             -------------                                ------

           greater than 5.25                              2.00%

       less than or equal to 5.25                         1.75%

                  "TERM  LENDER"  means  each  financial  institution  signatory
hereto  listed as a Term Lender which has committed to  participate  in the term
credit hereunder as set forth in Schedule I, and any financial  institution that
pursuant to Section  8.07 becomes a party to this  Agreement  for the purpose of
participating in the term credit hereunder.

                  "TERM PRO RATA SHARE"  means,  in respect of any Term  Lender,
the  ratio  of (i)  on  the  Closing  Date  such  Term  Lender's  commitment  to
participate  in  the  term  credit  hereunder  and  thereafter  the  outstanding
principal  amount of its  Advances  hereunder  to (ii) on the  Closing  Date the
aggregate  of all  such  commitments  by the Term  Lenders  and



<PAGE>

                                       30

thereafter  the aggregate  outstanding  principal  amount of the Advances by all
Term Lenders hereunder.

                  "TERMINATION  DATE" means the  Maturity  Date or such  earlier
date as the  commitments  of the Lenders to extend  credit under this  Agreement
shall be terminated in whole  pursuant to Section 2.05 or the obligation of each
Lender to make  Advances  and the LC Bank to issue  Letters  of Credit  shall be
terminated pursuant to Section 6.01.

                  "'34 ACT COMPANY"  means a Person that is a reporting  company
under the 1934 Act.

                  "UNFUNDED LC EXPOSURE"  means the maximum  amount which the LC
Bank may be required,  under all Letters of Credit outstanding as of any date of
determination, to pay on such date or at any future time.

                  "UNFUNDED  PENSION  LIABILITY"  means,  with  respect  to  any
Pension  Plan that is subject to Title IV of ERISA,  the excess of such  Pension
Plan's accrued benefits,  as defined in Section 3(23) of ERISA, over the current
value of such Pension Plan's  assets,  as defined in Section 3(26) of ERISA (but
excluding  from the  definition  of "current  value" of "assets" of such Pension
Plan, accrued but unpaid contributions).

                  "UNITED STATES" and "U.S." mean the United States of America.

                  "WELFARE  PLAN" means any Plan which is an  "employee  welfare
benefit plan" as defined in Section 3(1) of ERISA.

                  "WITHDRAWAL  LIABILITIES"  means the  aggregate  amount of the
liabilities,  if any, pursuant to Section 4201 of ERISA if the Borrower and each
ERISA Affiliate made a complete  withdrawal from all Multiemployer Plans and any
increase in contributions pursuant to Section 4243 of ERISA.

                  SECTION  1.02.  Accounting  Terms.  All  accounting  terms not
expressly defined herein shall be construed,  except where the context otherwise
requires,  and all financial computations required under this Agreement shall be
made in  accordance  with GAAP  applied on a consistent  basis.  If GAAP changes
during the term of this  Agreement so as to affect the  calculation  of any term
defined herein or any measure of financial  performance  or financial  condition
employed or referred to herein,  the Borrower and the Lenders agree to negotiate
in good faith toward an amendment of this Agreement which shall approximate,  to
the extent possible, the economic effect of the original provisions hereof after
taking into account such change in GAAP, but until the parties are able to agree
upon such  amendment  (i) the Borrower  shall be deemed in  compliance  with the
provisions  hereof only if and to the extent it would have been in compliance if
such change in GAAP had not occurred



<PAGE>

                                       31

and (ii) the Borrower  shall deliver to the Agent,  with each  financial  report
delivered  by the Borrower  hereunder,  information  sufficient  to confirm such
compliance as if such change in GAAP had not occurred.

                  SECTION  1.03.  Other  Definitional  Provisions.   (a)  Unless
otherwise specified herein or therein, all terms defined in this Agreement shall
have the  defined  meanings  when  used in any  other  Loan  Document  or in any
certificate or other document made or delivered pursuant hereto.

                  (b) The words "hereof,"  "herein" and "hereunder" and words of
similar  import when used in this  Agreement  refer to this Agreement as a whole
and not to any particular provision of this Agreement, and section, schedule and
exhibit references are to this Agreement unless otherwise specified. The meaning
of defined terms shall be equally applicable to the singular and plural forms of
the defined terms.  The term  "including"  is not limiting and means  "including
without limitation."

                  (c) In the  computation  of periods  of time from a  specified
date to a later specified date, the word "from" means "from and including";  the
words "to" and  "until"  each mean "to but  excluding";  and the word  "through"
means "to and including."

                  (d)  References to  agreements  and other  documents  shall be
deemed to include all subsequent amendments and other modifications thereto, but
only to the extent such amendments and other modifications are not prohibited by
the terms of any Loan Document.

                  (e) References to statutes or  regulations  shall be construed
as including all statutory and regulatory provisions consolidating,  amending or
replacing the statute or regulation.

                  (f)  The  captions  and  headings  of this  Agreement  are for
convenience  of  reference  only and shall not affect the  construction  of this
Agreement.


                                   ARTICLE II

                        AMOUNTS AND TERMS OF THE ADVANCES

                  SECTION 2.01.  Revolving  Facility,  Term Loan and Swing Line.
(a)(i) Revolving  Borrowings.  Subject to the terms and conditions herein,  each
Revolving Lender severally agrees to lend to the Borrower,  from time to time on
any  Borrowing  Date until the  Termination  Date (or if earlier,  the date of a
Change of  Control),  an  amount in  Dollars  equal to such  Revolving  Lender's
Revolving Pro Rata Share of a Revolving


<PAGE>

                                       32

Borrowing  that (A) is requested by the Borrower for such Borrowing Date and (B)
when aggregated with all other  Revolving  Lenders'  Revolving Pro Rata Share of
such Revolving Borrowing,  does not exceed the Revolving Loan Availability as of
such Borrowing Date.

                  (ii) Term Loan.  Subject to the terms and  conditions  herein,
each Term Lender severally agrees to lend to the Borrower on the Closing Date an
amount in Dollars  equal to such Term  Lender's  Term Pro Rata Share of the Term
Borrowing.  Not later than 11:00 a.m. New York City time (A) three Business Days
prior to the  Closing  Date if the  Borrower  requests  that the Term  Borrowing
initially bear interest by reference to the Eurodollar Rate and (B) one Business
Day prior to the Closing Date if the Borrower  requests that the Term  Borrowing
initially  bear  interest by  reference  to the Base Rate,  the  Borrower  shall
deliver a notice to the Agent,  which  notice  shall  specify  whether  the Term
Borrowing  initially  shall bear interest by reference to the Eurodollar Rate or
the Base Rate,  and if at the  Eurodollar  Rate,  the  initial  interest  period
therefor.  The Agent  shall  give each Term  Lender  prompt  notice  thereof  by
telecopier.

                  (iii) Swing Line. The Borrower may request the Swing Line Bank
to make, and the Swing Line Bank may, if in its sole  discretion it elects to do
so, make, on the terms and conditions hereinafter set forth, Swing Line Advances
to the Borrower from time to time on any Business Day during the period from the
date hereof until the Termination  Date (or if earlier,  the date of a Change of
Control)  (i) in an  aggregate  amount  not to  exceed  at any time  outstanding
$10,000,000  (the  "SWING  LINE  FACILITY")  and (ii) in an amount for each such
Advance  not to  exceed  the sum of the  Revolving  Loan  Availability,  and the
aggregate  outstanding amount of the prior Swing Line Advances,  in each case on
such  Business  Day.  No Swing  Line  Advance  shall be used for the  purpose of
funding the payment of  principal  of any other Swing Line  Advance.  Each Swing
Line Advance shall be in an amount of $500,000 or an integral  multiple  thereof
and shall be made as a Base Rate  Advance.  Within  the limits of the Swing Line
Facility and within the limits  referred to in clause (ii) above, so long as the
Swing Line Bank, in its sole discretion, elects to make Swing Line Advances, the
Borrower may borrow under this Section 2.01(a)(iii),  prepay pursuant to Section
2.11 and reborrow under this Section 2.01(a)(iii).

                  (b) Amount of Revolving  Borrowings.  Each Revolving Borrowing
shall be in an aggregate amount not less than $2,000,000 or an integral multiple
of $1,000,000  in excess  thereof and shall consist of either Base Rate Advances
or Eurodollar Rate Advances.  The Borrower may reborrow under Section 2.01(a)(i)
any  Advances  comprising  part  of the  same  Revolving  Borrowing  that it has
voluntarily  prepaid pursuant to Section 2.11 or was required to prepay pursuant
to Section 2.06(e).

                  (c) Notice of  Revolving  Borrowing.  To  request a  Revolving
Borrowing,  the  Borrower  shall  deliver a Notice of Borrowing to the Agent not
later than 11:00 a.m.  New York City time (i) three  Business  Days prior to the
requested Borrowing Date, in the case of



<PAGE>

                                       33

Eurodollar  Rate  Advances,  and (ii) one  Business  Day prior to the  requested
Borrowing  Date,  in the case of Base Rate  Advances.  The Agent shall give each
Revolving  Lender prompt notice thereof by  telecopier.  The Notice of Borrowing
shall specify (A) the requested  Borrowing Date, (B) the amount of the Revolving
Borrowing and whether it will consist of Base Rate  Advances or Eurodollar  Rate
Advances,  and (C) in the case of a Revolving  Borrowing comprised of Eurodollar
Rate Advances, the initial Interest Period for such Eurodollar Rate Advances.

                  (d) Telephonic Notice of Revolving Borrowing. The Borrower may
give the Agent telephonic notice of any proposed Revolving Borrowing by the time
required under Section 2.01(c) and in such event shall promptly (but in no event
later  than  the  Borrowing  Date  for  the  requested   Borrowing)   deliver  a
confirmatory  Notice  of  Borrowing  to the  Agent.  The Agent  shall  give each
Revolving Lender prompt notice thereof by telecopier.  If the telephonic request
differs  in any  respect  from the  written  Notice  of  Borrowing  subsequently
delivered,  the telephonic  request shall govern as to the terms of all Advances
made in accordance with such telephonic  request.  The Agent's  determination of
the  contents  of any  telephonic  request  shall,  absent  manifest  error,  be
conclusive and binding on all parties hereto.

                  (e) Funding of Advances.  Upon  fulfillment  of the applicable
conditions  set forth in Article III, (i) each  Revolving  Lender shall,  before
12:00 noon New York City time on the  Borrowing  Date,  make  available  for the
account of its Applicable Lending Office to the Agent at its address referred to
in Section 8.02, in same day funds, such Revolving  Lender's  Revolving Pro Rata
Share of a Revolving  Borrowing  and (ii) each Term Lender  shall,  before 12:00
noon New York City time on the Closing Date,  make  available for the account of
its Applicable Lending Office to the Agent at its address referred to in Section
8.02,  in same day  funds,  such Term  Lender's  Term Pro Rata Share of the Term
Borrowing. After the Agent in each case receives such funds, the Agent will, not
later than 5:00 p.m. New York City time on the Borrowing  Date,  make such funds
available to the Borrower at the Agent's aforesaid address.

                  (f) Assumption of Funding.  Unless the Agent  receives  notice
from a  Lender  prior to any  Borrowing  Date  that  such  Lender  will not make
available to the Agent such  Lender's  Revolving Pro Rata Share or Term Pro Rata
Share, as the case may be, of the Revolving Borrowing or the Term Borrowing,  as
the case may be, to be made on such  Borrowing  Date,  the Agent may assume that
such  Lender  has made  its  respective  share  available  to the  Agent on such
Borrowing Date in accordance with Section 2.01(e) and the Agent may, in reliance
upon such  assumption,  make  available to the Borrower on such Borrowing Date a
corresponding  amount.  If and to the extent that such Lender  fails to make its
respective share available to the Agent, such Lender and the Borrower  severally
agree to repay to the  Agent  forthwith  on  demand  such  corresponding  amount
together with interest  thereon,  for each day from the date such amount is made
available to the Borrower until the


<PAGE>

                                       34

date such amount is repaid to the Agent, at (i) in the case of the Borrower, the
interest rate  applicable at the time to such  Borrowing and (ii) in the case of
such Lender, the Federal Funds Rate until the third Business Day after demand by
the  Agent  to such  Lender  for  such  repayment  and  thereafter  at the  rate
applicable at the time to such Revolving  Borrowing or Term  Borrowing.  If such
Lender shall repay to the Agent such corresponding amount, such amount so repaid
shall  constitute such Lender's  Advance as part of such Revolving  Borrowing or
Term Borrowing for purposes of this  Agreement and the Borrower shall  thereupon
be excused from making the repayment described in the preceding sentence.

                  (g) Failure of Lender to Fund. All  obligations of the Lenders
hereunder shall be several, but not joint. The failure of any Lender to make the
Advance to be made by it as part of any  Revolving  Borrowing or Term  Borrowing
shall not relieve any other Lender of its obligation,  if any, hereunder to make
its Advance as part of such Revolving Borrowing or Term Borrowing, but no Lender
shall be  responsible  for the failure of any other Lender to make an Advance on
any Borrowing Date.

                  (h) Swing Line Advances. Each Swing Line Advance shall be made
on notice,  given not later than 11:00 A.M.  (New York City time) on the date of
the proposed Swing Line Advance,  by the Borrower to the Swing Line Bank and the
Agent.  Each such  notice of a Swing  Line  Advance  (a  "NOTICE  OF SWING  LINE
ADVANCE") shall be by telephone or telecopier, confirmed immediately in writing,
specifying therein the requested (i) date of such Borrowing, (ii) amount of such
Borrowing and (iii) maturity of such Borrowing (which maturity shall be no later
than the seventh day after the  requested  date of such  Borrowing).  If, in its
sole discretion,  it elects to make the requested Swing Line Advance,  the Swing
Line Bank will make the amount  thereof  available  to the Agent at the  Agent's
address  referred  to in  Section  8.02,  in same day funds.  After the  Agent's
receipt of such funds and upon  fulfillment  of the  applicable  conditions  set
forth in Article III,  the Agent will make such funds  available to the Borrower
at the Agent's  aforesaid  address.  Upon written  demand by the Swing Line Bank
with a copy of such  demand to the Agent,  each  other  Revolving  Lender  shall
purchase from the Swing Line Bank, and the Swing Line Bank shall sell and assign
to each such other  Revolving  Lender,  such other  Revolving  Lender's Pro Rata
Share of such outstanding  Swing Line Advance as of the date of such demand,  by
making  available for the account of its Applicable  Lending Office to the Agent
for the  account  of the Swing Line Bank,  by  deposit  to the  Agent's  address
referred to in Section 8.02,  in same day funds,  an amount equal to the portion
of the outstanding  principal  amount of such Swing Line Advance to be purchased
by such  Revolving  Lender.  The  Borrower  hereby  agrees to each such sale and
assignment.  Each  Revolving  Lender  agrees to purchase its  Revolving Pro Rata
Share of an  outstanding  Swing Line  Advance on (i) the  Business  Day on which
demand  therefor  is made by the Swing Line Bank,  provided  that notice of such
demand is given not later than 11:00 A.M.  (New York City time) on such Business
Day or (ii) the first Business Day next succeeding such demand if notice of such
demand is given after such time. Upon any such assignment by the Swing Line Bank
to any other Revolving Lender of a portion of a Swing



<PAGE>

                                       35

Line Advance,  the Swing Line Bank  represents and warrants to such other Lender
that the Swing  Line Bank is the legal  and  beneficial  owner of such  interest
being assigned by it, but makes no other  representation or warranty and assumes
no responsibility with respect to such Swing Line Advance, the Loan Documents or
any Loan Party. If and to the extent that any Revolving Lender shall not have so
made the  amount  of such  Swing  Line  Advance  available  to the  Agent,  such
Revolving  Lender  agrees to pay to the Agent  forthwith  on demand  such amount
together  with  interest  thereon,  for each day from the date of  demand by the
Swing Line Bank until the date such amount is paid to the Agent,  at the Federal
Funds Rate. If such Revolving  Lender shall pay to the Agent such amount for the
account  of the Swing  Line Bank on any  Business  Day,  such  amount so paid in
respect  of  principal  shall  constitute  a  Swing  Line  Advance  made by such
Revolving  Lender on such Business Day for purposes of this  Agreement,  and the
outstanding  principal  amount of the Swing Line  Advance made by the Swing Line
Bank shall be reduced by such amount on such Business Day.

                  (i)  Replacement  of Swing Line Bank.  The Borrower may at any
time,  upon at least five Business  Days' prior written  notice to the Agent and
Revolving  Lenders,  designate as a  replacement  Swing Line Bank any  Revolving
Lender that has agreed in writing to act as Swing Line Bank. Thereupon,  (i) the
obligation,  right and  authority of the  Revolving  Lender that was  previously
acting  as Swing  Line  Bank to make  Swing  Line  Advances  hereunder  shall be
terminated,  (ii) such  Revolving  Lender shall  remain  entitled to enforce all
provisions hereof applicable to all Swing Line Advances theretofore made by such
Revolving  Lender,  and (iii) the Revolving Lender designated as the replacement
Swing Line Bank shall  thenceforth  make  Swing Line  Advances  on the terms and
subject to the conditions herein

                  SECTION 2.02.  Letter of Credit  Subfacility.  (a) Issuance of
the Letters of Credit. Subject to the terms and conditions set forth herein, the
LC Bank  agrees to issue one or more  Letters of Credit,  at the request and for
the account of the  Borrower,  on any  Business Day on or after the Closing Date
and  prior to the  Termination  Date  (or if  earlier,  the date of a Change  of
Control),  so long as (i) after  giving  effect to the issuance of any Letter of
Credit so requested,  (A) the Outstanding  Revolving Credit plus the outstanding
principal  amount of all Swing Line Advances does not exceed the then  Revolving
Facility  Amount,  and  (B)  the  LC  Exposure  does  not  exceed  the  then  LC
Subcommitment,  and (ii) the LC Bank has not  received  written  notice from the
Agent or  Requisite  Revolving  Lenders  that an Event of Default  or  Potential
Default is continuing.

                  (b) LC  Application.  The Borrower  may request  issuance of a
Letter of Credit by delivering an LC Application to the Agent not later than two
Business Days prior to the date the Letter of Credit is to be issued.  The Agent
shall  promptly  deliver  a copy of the LC  Application  to the LC Bank and each
Revolving Lender.





<PAGE>

                                       36

                  (c) Reimbursement.  Any payment made by the LC Bank of a draft
drawn  under any Letter of Credit  shall  constitute  for all  purposes  of this
Agreement the making by the LC Bank of an Advance pursuant to Section 2.01(a)(i)
in the amount of such draft,  which  Advance  shall (i)  constitute  a Base Rate
Advance until  converted,  at the Borrower's  election,  into a Eurodollar  Rate
Advance pursuant to Section 2.10, and (ii) satisfy the Borrower's  obligation to
reimburse  the LC Bank under this  Section  2.02 . With  respect to each Advance
made  pursuant to this Section  2.02(c),  the  Borrower  shall be deemed to have
certified the statements contained in Section 3.02(b) as of the date the payment
constituting  such Advance was made by the LC Bank;  provided  that in the event
any such statement was not true and correct as of such date,  such Advance shall
be repayable on demand; provided further that upon any such repayment on demand,
the failure of any such  statement  to be true and correct as of such date shall
not constitute an Event of Default under Section 6.01, unless the failure of any
such statement to be true and correct as of such date would have  constituted an
Event of Default under  Section 6.01 even if such repaid  Advance had never been
made.

                  (d) Reimbursement  Obligation Absolute.  The obligation of the
Borrower to reimburse the LC Bank for each payment made by the LC Bank under any
Letter of Credit,  and to pay  interest  thereon as  provided  herein,  shall be
absolute,  unconditional  and  irrevocable  and shall be  performed  strictly in
accordance  with the terms of this  Agreement  under and  without  regard to any
circumstances,  including (i) any lack of validity or  enforceability  of any of
the Loan Documents;  (ii) any amendment or waiver of or any consent to departure
from all or any terms of any of the Loan  Documents;  (iii) the existence of any
claim,  setoff,  defense or other right which the  Borrower may have at any time
against  any  beneficiary  or any  transferee  of any  Letter of Credit  (or any
Persons for whom any such beneficiary or transferee may be acting), the LC Bank,
the Agent,  any Lender or any other  Person,  whether  in  connection  with this
Agreement,  the transactions  contemplated herein or any unrelated  transaction;
(iv) any breach of contract or dispute among or between the Borrower, the Agent,
the LC Bank,  any  Lender,  or any  other  Person;  (v) any  demand,  statement,
certificate,  draft or other  document  presented  under  any  Letter  of Credit
proving to be forged, fraudulent,  invalid or insufficient in any respect or any
statement therein being untrue or inaccurate in any respect; (vi) payment by the
LC Bank (acting in good faith) under any Letter of Credit  against  presentation
of any demand,  statement,  certificate,  draft or other document which does not
strictly   comply   with  the  terms  of  any  Letter  of   Credit;   (vii)  any
non-application  or  misapplication  by any  beneficiary  or  transferee  of the
proceeds  of any  amount  paid  under  any  Letter of Credit or any other act or
omission of such beneficiary or such transferee in connection with any Letter of
Credit;  (viii) any extension of time for or delay,  renewal or compromise of or
other indulgence or modification  granted or agreed to by the LC Bank, the Agent
or any Lender,  with or without notice to or approval by the Borrower;  (ix) any
failure  to  preserve  or  protect  any  Collateral,  any  failure to perfect or
preserve the perfection of any Lien thereon,  or the release of any  Collateral;
or (x) any other  circumstance or event  whatsoever  relating to the Borrower or
such Letter of Credit or the reimbursement due therefor,  whether or not similar
to any of the foregoing.




<PAGE>

                                       37

                  (e) Revolving  Lender  Participation.  Each  Revolving  Lender
severally  agrees to  participate  with the LC Bank in the  extension  of credit
arising  from the  issuance of any Letter of Credit in  conformity  with Section
2.02(a),  in an amount equal to such Revolving Lender's Revolving Pro Rata Share
of the amount  available for payment  under such Letter of Credit.  Upon written
demand by the LC Bank,  with a copy of such demand to the Agent,  each Revolving
Lender shall promptly fund its participation by paying to the LC Bank Dollars in
an amount  equal to such  Revolving  Lender's  Revolving  Pro Rata  Share of the
payment  made by the LC Bank  under any  Letter  of  Credit,  together  with all
interest  accrued  and unpaid  thereon  for the period from the day on which the
payment to be  reimbursed  was demanded by the LC Bank until the Business Day on
which such funding from such Revolving  Lender is received by the LC Bank at the
rate per annum equal to the  Federal  Funds Rate until the second  Business  Day
following such demand, and thereafter the rate per annum then applicable to Base
Rate Advances.  Upon funding its  participation  in accordance with this Section
2.02(e),  each Revolving Lender shall be deemed to have made an Advance pursuant
to Section  2.01(a)(i)  as of the date the relevant  Letter of Credit was drawn,
and the Advance deemed  pursuant to Section  2.02(c) to have been made by the LC
Bank  upon any  such  payment  shall  be  reduced,  in an  amount  equal to such
Revolving Lender's  participation.  Each Revolving  Lender's  obligation to make
such payment to the LC Bank shall be absolute, unconditional and irrevocable and
shall not be affected by any circumstance  whatsoever,  including the occurrence
or continuance of any Potential Default or Event of Default, the failure to meet
any condition that otherwise must be met for the funding of any Advance,  or the
failure of any other  Revolving  Lender to make any payment  under this  Section
2.02(e),  and each  Revolving  Lender  further agrees that such payment shall be
made without any offset,  abatement,  withholding  or reduction  whatsoever.  If
after  receipt of such funding from any  Revolving  Lender the LC Bank  receives
payment from the  Borrower or any other  source on account of the  reimbursement
obligation  that was so funded,  or the interest  accrued  thereon,  the LC Bank
shall  promptly remit such payment to the Agent for prompt  distribution  to the
Revolving Lenders to the extent of their participation therein.

                  (f) Commercial  Practices.  The Borrower  assumes all risks of
the acts or omissions of any  beneficiary  or transferee of any Letter of Credit
with respect to the use of any Letter of Credit. The Borrower agrees that the LC
Bank,  the Agent,  the  Lenders  and their  respective  directors,  officers  or
employees  shall not be liable or responsible  for (i) the use which may be made
of any  Letter of  Credit or for any acts or  omissions  of any  beneficiary  or
transferee in connection therewith; (ii) any reference which may be made to this
Agreement  or to any Letter of Credit in any  agreements,  instruments  or other
documents; (iii) the validity,  sufficiency or genuineness of any document other
than a Letter of Credit, or of any endorsement thereon, even if such document or
endorsement  should  in  fact  prove  to be in  any  or  all  respects  invalid,
insufficient,  fraudulent or forged or any statement  therein prove to be untrue
or inaccurate in any respect whatsoever;  (iv) payment by the LC Bank (acting in
good faith) against presentation of documents which do not strictly




<PAGE>

                                       38

comply  with the terms of any Letter of Credit;  or (v) any other  circumstances
whatsoever  in making or  failing  to make  payment  under any Letter of Credit,
except only that the LC Bank shall be liable to the  Borrower for acts or events
described  in clauses  (i) through  (v) above,  to the  extent,  but only to the
extent, of any direct (as opposed to indirect, special or consequential) damages
suffered by the  Borrower  which the  Borrower  proves were caused by (A) the LC
Bank's willful misconduct or gross negligence in determining  whether a draft or
demand presented under any Letter of Credit strictly complies with the terms and
conditions therefor stated in such Letter of Credit or (B) the LC Bank's willful
failure to pay any draft or demand  presented  under any  Letter of Credit  that
strictly complies with the terms and conditions thereof.  The LC Bank may accept
any document that appears on its face to be in order, without responsibility for
further  investigation.  The determination whether a draft or demand is properly
presented  under any Letter of Credit prior to its expiration or whether a draft
or demand  presented under any Letter of Credit is in proper and sufficient form
may be made by the LC Bank in its sole discretion,  and such determination shall
be conclusive and binding upon the Borrower to the extent  permitted by law. The
Borrower  hereby waives any right to object to any payment made under any Letter
of Credit on presentation of any draft or demand that is in the form provided in
the Letter of Credit but varies  with  respect to  punctuation,  capitalization,
spelling or similar matters of form.

                  (g) Replacement of LC Bank. The Borrower may at any time, upon
at least five  Business  Days' prior  written  notice to the Agent and Revolving
Lenders, designate as a replacement LC Bank any Revolving Lender that has agreed
in writing to act as LC Bank. Thereupon, (i) the obligation, right and authority
of the Revolving  Lender that was previously  acting as LC Bank to issue Letters
of Credit hereunder shall be terminated, (ii) such Revolving Lender shall remain
entitled to enforce all  provisions  hereof  applicable to all Letters of Credit
theretofore  issued by or requested  from such Lender,  and (iii) the  Revolving
Lender  designated as the replacement LC Bank shall thenceforth issue Letters of
Credit on the terms and subject to the conditions herein.

                  SECTION 2.03. Evidence of Debt. (a) Each Lender shall maintain
in  accordance  with its usual  practice an account or accounts  evidencing  the
indebtedness of the Borrower to such Lender resulting from each Advance owing to
such Lender from time to time,  including  the amounts of principal and interest
payable and paid to such Lender from time to time hereunder.

                  (b) The Register  maintained by the Agent  pursuant to Section
8.07(c)  shall  include  accounts  for each  Lender,  in which  accounts  (taken
together)  shall be  recorded  (i) the  date and  amount  of each  Advance  made
hereunder,  (ii) the terms of each  Assignment and  Acceptance  delivered to and
accepted by it, (iii) the amount of any principal or interest due and payable or
to become due and payable  from the Borrower to each Lender  hereunder  and (iv)
the amount of any sum received by the Agent from the Borrower hereunder and each
Lender's share thereof.



<PAGE>

                                       39

                  (c) The  entries  made as provided  in this  section  shall be
conclusive and binding for all purposes, absent manifest error.

                  SECTION 2.04. Fees. (a) Closing Fees. On the Closing Date, the
Borrower  will pay to the Agent,  for account of the  Lenders,  the closing fees
described in Schedule I.

                  (b)  Commitment  Fees.  On  the  first  day of  each  Quarter,
commencing  October  1, 1997  (for the  period  from the  Closing  Date  through
September  30,  1997) and  continuing  thereafter  until the date the  Revolving
Facility  Amount is  permanently  reduced to zero (for the period from the first
day in the respective  Quarter through the last day of such Quarter or such date
the  Revolving  Facility  Amount has been reduced to zero,  as the case may be),
including  on the  Termination  Date (for the  period  from the first day in the
immediately  preceding Quarter to the Termination  Date), the Borrower shall pay
to the Agent, for the account of the Revolving  Lenders in accordance with their
Revolving Pro Rata Share,  a commitment  fee computed by applying the Commitment
Fee Rate to the  difference,  from day to day in the prior  Quarter  or  partial
Quarter,  as the case  may be,  between  (i) the sum of (A) the  then  Revolving
Facility Amount and (B) the then Purchasers' Aggregate Net Investment, less (ii)
the then  Outstanding  Revolving  Credit.  During the period  commencing  on the
Closing Date until the Pricing  Certificate is delivered for the initial Pricing
Period, the Commitment Fee Rate shall be 0.300%.

                  (c) Letter of Credit Fees.  On the first day of each  Quarter,
commencing  October  1, 1997  (for the  period  from the  Closing  Date  through
September 30, 1997) and continuing  thereafter until the date Revolving Facility
Amount and  Unfunded LC Exposure  have both been reduced to zero (for the period
from  the  first  day in the  respective  Quarter  through  the last day of such
Quarter or such date the Revolving Facility Amount and Unfunded LC Exposure have
both been reduced to zero,  as the case may be),  including  on the  Termination
Date (for the period from the first day in the immediately  preceding Quarter to
the  Termination  Date),  the Borrower shall pay to the Agent for the account of
the Revolving Lenders in accordance with their Revolving Pro Rata Share a letter
of credit fee  computed by applying  the LC Fee Rate to the Unfunded LC Exposure
from day to day in the prior Quarter or partial Quarter, as the case may be.

                  (d) Facing Fees. On the first day of each Quarter,  commencing
October 1, 1997 (for the period  from the Closing  Date  through  September  30,
1997) and continuing thereafter until the date the Revolving Facility Amount and
Unfunded  LC  Exposure  have both been  reduced to zero (for the period from the
first day in the respective Quarter through the last day of such Quarter or such
date the  Revolving  Facility  Amount and  Unfunded LC  Exposure  have both been
reduced to zero, as the case may be), including on the Termination Date (for the
period  from  the  first  day  in  the  immediately  preceding  Quarter  to  the
Termination Date), the Borrower shall pay to the Agent for the account of the LC
Bank a



<PAGE>

                                       40

 facing fee  computed  by  applying  0.125% per annum to the  Unfunded  LC
Exposure  from day to day in the prior Quarter or partial  Quarter,  as the case
may be.

                  (e) Letter of Credit  Administration.  The Borrower  shall pay
the LC Bank's usual and customary charges for opening,  amending or honoring any
Letter of Credit and for any wire transfers.

                  (f) Fees.  The  Borrower  shall pay the Agent and the Arranger
when due all fees  payable  under the fee letter  dated August 5, 1997 (the "FEE
LETTER") from the Arranger to the Borrower.

                  SECTION 2.05. Voluntary and Scheduled Facility Reductions. (a)
The  Borrower  at any time may  terminate  in  whole,  and from time to time may
reduce ratably in part, the unused  portions of the commitments of the Revolving
Lenders to extend revolving credit hereunder, by giving the Agent at least three
Business  Days' prior  written  notice that,  effective as of a Business Day set
forth in the notice, the Revolving Facility Amount shall be reduced by an amount
that (i) does not exceed the Loan  Availability as of such Business Day and (ii)
is equal to either (A) the then  Revolving  Facility  Amount or (B) an  integral
multiple of $1,000,000.  Such notice, once given, shall be irrevocable,  and the
Revolving  Facility  Amount,  once  reduced,  may  not be  increased  under  any
circumstances.

                  (b) The Revolving  Facility Amount shall be automatically  and
permanently reduced (i) on September 30, 2001 to $800,000,000, (ii) on September
30,  2002 to  $500,000,000  and (iii) on the  Termination  Date as  provided  in
Section 2.06(a) below.

                  SECTION 2.06. Principal Payments and Swing Line Payments.  The
Borrower  shall repay the Advances and reduce the Revolving  Facility  Amount as
follows:

                           (a) Final Maturity.  (i) On the Termination Date, all
         outstanding  Revolving  Borrowings  shall  be due and  payable  and the
         Revolving  Facility Amount and LC Subcommitment  shall be automatically
         and permanently reduced to zero.

                           (ii) The principal amount of the Term Borrowing shall
         be repaid quarterly on the last day of each March, June, September, and
         December,  commencing  December 31, 1998, in equal installments in each
         year commencing in 1999 and with the payment on December 31, 1998 to be
         equal to $7,500,000. The principal amount to be repaid in each of 1999,
         2000, 2001 and 2002 shall be equal to $7,500,000;  the principal amount
         to be repaid in 2003 shall be equal to $337,500,000;  and the principal
         amount  to be repaid in 2004  shall be equal to  $375,000,000  with the
         aggregate  unpaid  principal amount of the Term Borrowing to be payable
         on September 30, 2004.



<PAGE>

                                       41

                           (b) Excess Revolving Credit Exposure. If at any time,
         by reason of any voluntary or mandatory Revolving Facility Reduction or
         for any  other  reason,  the  Outstanding  Revolving  Credit  plus  the
         outstanding  principal  amount of all Swing Line  Advances  exceeds the
         then Revolving Facility Amount, the Borrower shall immediately, without
         notice or  demand,  repay  Revolving  Borrowings  or,  if no  Revolving
         Borrowings are  outstanding,  deposit Dollars to the LC Cash Collateral
         Account, in an amount equal to such excess.

                           (c) Excess LC Exposure.  If at any time, by reason of
         any  voluntary or  mandatory  Revolving  Facility  Reduction or for any
         other reason,  the LC Exposure exceeds the then LC  Subcommitment,  the
         Borrower shall  immediately  deposit Dollars in an amount equal to such
         excess to the LC Cash Collateral Account.

                           (d) Payment on Date of Change of Control.  If, within
         the period  commencing on the date of a Change of Control and ending 30
         Business Days after the Borrower gives the Agent written notice of such
         Change of Control,  the Requisite  Lenders shall demand in writing that
         the Borrower  repay all Advances,  then on the 30th day following  such
         demand (i) all Advances  then  outstanding  shall be due and payable in
         full, and (ii) the Revolving  Facility Amount and the LC  Subcommitment
         shall be automatically  and permanently  reduced to zero; and if any LC
         Exposure remains outstanding on such day the Borrower on such day shall
         deposit Dollars to the LC Cash Collateral Account as necessary to cause
         the amount on deposit therein to be equal to the then LC Exposure.

                           (e) Revolving Facility Reduction for Receivables Sale
         Program.  Whenever  any  Receivables  Sale  Program is in  effect,  the
         Revolving  Facility  Amount  shall be reduced  (but in no event by more
         than  $200,000,000),  from  time to  time,  by an  amount  equal to the
         Purchasers'  Aggregate  Net  Investment  at any such time, as certified
         from time to time pursuant to Section  5.02(c)(xiv)  or 5.02(c)(xv) for
         as long,  but only for as long, as the  Receivables  Sale Program is in
         effect.  If after giving effect to any such  reduction the  Outstanding
         Revolving  Credit  exceeds  the  reduced  Revolving   Facility  Amount,
         prepayment  shall  be  made  pursuant  to  Section  2.06(b)  when  such
         reduction becomes effective.

                           (f) Application of LC Cash  Collateral.  With respect
         to Dollars deposited to the LC Cash Collateral Account:

                                    (i) At any time when no Event of  Default or
                  Potential  Default has occurred and is  continuing,  the Agent
                  may (and shall,  if so directed in writing by the  Borrower or
                  the  Requisite  Revolving  Lenders)  cause such  deposit to be
                  applied to repay any or all Funded LC  Exposure,  in any order
                  of application;
  


<PAGE>

                                       42

                                  (ii)  Whenever  any  Event  of  Default  has
                  occurred  and is  continuing,  the Agent may (and  shall if so
                  directed in writing by the Requisite  Revolving Lenders) cause
                  such  deposit  to be  applied to repay or retire any or all of
                  the  Obligations,  whether  or not then  due,  in any order of
                  application;

                                    (iii)  If at  any  time  when  no  Event  of
                  Default or  Potential  Default is  continuing  the  Dollars on
                  deposit in the LC Cash  Collateral  Account exceed the then LC
                  Exposure,  the Agent  shall,  if so directed in writing by the
                  Borrower, cause such deposit to be released to the Borrower to
                  the extent,  but only to the extent,  such deposit exceeds the
                  then LC Exposure; and

                                    (iv) Interest shall accrue and be payable on
                  deposits to the LC Cash Collateral Account.

                           (g) Swing Line Payments.  The Borrower shall repay to
         the  Agent for the  account  of the  Swing  Line  Bank the  outstanding
         principal amount of each Swing Line Advance, together with all interest
         accrued  thereon,  on the earlier of (i) the maturity date specified in
         the applicable Notice of Swing Line Advance (which maturity shall be no
         later than the seventh day after the requested date of such  Borrowing)
         and (ii) the Termination Date.

                  SECTION 2.07. Interest. The Borrower agrees to pay interest on
the unpaid principal amount of each Advance made by each Lender  comprising part
of the same Revolving  Borrowing (or, in the case of an Advance made pursuant to
Section  2.02(c),  by the LC Bank),  each  Advance  comprising  part of the Term
Borrowing  and each Swing Line Advance from the date of such Advance  until such
principal amount shall be repaid in full, at the following rates per annum:

                           (a) Base Rate  Advances.  Whenever  such Advance is a
         Base Rate Advance, a rate per annum equal on each day to the sum of the
         Base Rate as in effect on such day plus the  Revolving  Borrowing  Base
         Rate Margin or Term  Borrowing  Base Rate  Margin,  as the case may be,
         determined  for such day (provided  that at all times during the period
         commencing  on the  Closing  Date  until  the  Pricing  Certificate  is
         delivered for the initial  Pricing Period the Revolving  Borrowing Base
         Rate Margin shall be zero and the Term Borrowing Base Rate Margin shall
         be 0.50% and  thereafter  shall be  determined  as  otherwise  provided
         herein),  with all  such  interest  accrued  in any one  month  payable
         monthly on the first day of the next  following  month and, in the case
         of the Revolving  Borrowings,  when the Revolving  Facility  Amount has
         been reduced to zero and all Advances comprising  Revolving  Borrowings
         are  repaid in full,  and in the case of the Term  Borrowing,  when all
         Advances  comprising  the Term  Borrowing are repaid in full.  Interest
         shall be paid in cash for any Swing Line Advance at a  rate  per  annum
         equal on each day to the sum of the


<PAGE>

                                       43

         Base Rate as in effect on such day plus  the  Revolving  Borrowing Base
         Rate Margin with all such interest  payable on the date of payment when
         such Swing Line Advance is due.

                           (b) Eurodollar  Rate Advances.  Whenever such Advance
         is a Eurodollar Rate Advance, a rate per annum equal on each day during
         the Interest  Period for such Eurodollar Rate Advance to the sum of the
         Eurodollar Rate for such Interest  Period plus the Revolving  Borrowing
         Eurodollar Rate Margin or Term Borrowing Eurodollar Rate Margin, as the
         case may be, determined for such day (provided that at all times during
         the period commencing on the Closing Date until the Pricing Certificate
         is delivered for the initial  Pricing  Period the  Revolving  Borrowing
         Eurodollar Rate Margin shall be 1.25% and the Term Borrowing Eurodollar
         Rate  Margin  shall be 1.75%  and  thereafter  shall be  determined  as
         otherwise  provided herein) with all interest so accrued payable on the
         last day of such  Interest  Period and, if such  Interest  Period has a
         duration  of more than  three  months,  on the day which  occurs  three
         months after the first day of such Interest Period.

                           (c) Default  Interest.  For any period of time during
         which an Event of Default  under Section  6.01(a),  (b), (c), (d), (e),
         (f), (g), (h), (i), (j), (k), (l), (m) (with respect to the Borrower or
         any Material  Subsidiary  only) or (n) has occurred and is  continuing,
         (i) the principal  amount of all Advances then  outstanding  shall bear
         interest  payable  upon  demand at a rate per annum equal to the sum of
         (A) 2.0% per  annum  and (B) the rate  otherwise  payable  pursuant  to
         subsection  (a) or (b)  above,  but  not to  exceed  the  maximum  rate
         permitted by applicable law and (ii) the amount of any interest, fee or
         other amount payable  hereunder  which is not paid when due, shall bear
         interest from the date such amount shall be due until such amount shall
         be paid in full,  payable in arrears on the date such  amount  shall be
         paid in full and on demand,  at a rate per annum  equal at all times to
         2% per annum  above  the Base Rate as in effect  from time to time plus
         the Revolving Borrowing Base Rate Margin.

                  SECTION 2.08. Additional Interest on Eurodollar Rate Advances.
The Borrower shall pay each Lender  additional  interest on the unpaid principal
amount  of each  Advance  of such  Lender  for  each day that  such  Advance  is
outstanding  as a  Eurodollar  Rate  Advance,  at a rate per annum  equal to the
remainder  obtained by  subtracting  (i) the  Eurodollar  Rate for such Interest
Period  for such  Eurodollar  Rate  Advance  from  (ii) the rate  determined  by
dividing such Eurodollar Rate by a percentage equal to 100% minus the Eurodollar
Rate Reserve  Percentage of such Lender for such day. Such  additional  interest
shall be determined by such Lender,  notified to the Borrower  through the Agent
and payable when and as interest is payable on such  Eurodollar Rate Advance or,
if later, five Business Days after the Borrower receives notice thereof.  If the
Borrower so requests, such Lender shall provide the Borrower through the Agent a
certificate  setting forth the calculation  and


<PAGE>

                                       44

supporting  information for such additional interest,  which shall be conclusive
and binding for all purposes, absent manifest error.

                  SECTION 2.09. Interest Rate Determination and Protection.  (a)
Determination  of Eurodollar  Rate. The Eurodollar Rate for each Interest Period
for Eurodollar Rate Advances  comprising part of the same Revolving Borrowing or
Term Borrowing shall be determined by the Agent.

                  (b) Notice of  Eurodollar  Rate.  The Agent  shall give prompt
notice to the Borrower and the respective  Lenders of the applicable  Eurodollar
Rate for any Interest Period when determined by the Agent.

                  (c)  Failure  to  Provide  Information.  If  any  one  of  the
Reference Banks does not furnish to the Agent timely  information  sufficient to
enable the Agent to determine a Eurodollar  Rate, the Agent shall determine such
interest  rate on the basis of timely  information  furnished  by the  remaining
Reference Banks. If fewer than two Reference Banks furnish timely information to
the Agent for  determining the Eurodollar Rate for any Eurodollar Rate Advances,
the Agent shall determine the Eurodollar Rate based on information  furnished by
Citibank. If Citibank is unable to obtain timely information for determining the
Eurodollar  Rate for any  Eurodollar  Rate Advances,  the Agent shall  forthwith
notify the Borrower and the respective  Lenders that the interest rate cannot be
determined for such  Eurodollar Rate Advances and the obligation of such Lenders
to make or continue, or to convert Advances into, Eurodollar Rate Advances shall
be suspended until the Agent shall notify the Borrower and such Lenders that the
circumstances causing such suspension no longer exist.

                  (d) Suspension of Eurodollar  Rate Advances.  If, with respect
to any  Eurodollar  Rate  Advances,  the Requisite Term Lenders or the Requisite
Revolving  Lenders,  as the case may be,  notify the Agent  that  either (i) the
Eurodollar  Rate for any Interest Period for such Eurodollar Rate Advances is at
least two basis points less than the cost to such Lenders of obtaining  funds in
Dollars in the London  interbank  market in the amounts  substantially  equal to
such Lenders'  Eurodollar  Rate Advances and for a period equal to such Interest
Period or (ii)  funding  is not  available  to such  Lenders  in such  market in
Dollars,  then the Agent shall forthwith so notify the Borrower and such Lenders
and   thereupon  (A)  each   Eurodollar   Rate  Advance  by  such  Lenders  will
automatically,  on the last day of the then existing  Interest Period  therefor,
convert into a Base Rate Advance, and (B) the obligation of such Lenders to make
or continue,  or to convert  Advances  into,  Eurodollar  Rate Advances shall be
suspended  until the Agent shall  notify the  Borrower and such Lenders that the
circumstances causing such suspension no longer exist.

                  (e) Failure to Specify Duration.  If the Borrower fails, prior
to the date the  Eurodollar  Rate for any Interest  Period is  determined by the
Agent, to specify the duration of


<PAGE>

                                       45

any Interest Period for any Eurodollar Rate Advances,  the Interest Period shall
be one month.

                  (f) Agent's  Determination  Conclusive.  Each determination by
the Agent of an interest rate hereunder  shall be conclusive and binding for all
purposes, absent manifest error.

                  SECTION 2.10. Voluntary Conversion of Advances.  (a) Notice of
Continuance/Conversion. Subject to the provisions of Sections 2.09 and 2.14, the
Borrower   may  on  any   Business   Day,  by  giving  the  Agent  a  Notice  of
Continuance/Conversion  not later than  11:00  a.m.  (New York City time) on the
third preceding Business Day, (i) convert Base Rate Advances comprising the same
Revolving  Borrowing or the Term Borrowing into Eurodollar  Rate Advances,  (ii)
convert Eurodollar Rate Advances  comprising the same Revolving Borrowing or the
Term  Borrowing  into Base  Rate  Advances  or (iii)  continue  Eurodollar  Rate
Advances  as  Eurodollar  Rate  Advances,  but (A) the  Borrower  may  convert a
Eurodollar  Rate  Advance  into a Base Rate  Advance  only on the last day of an
Interest Period for such Eurodollar Rate Advance,  (B) the Borrower may continue
a Eurodollar  Rate Advance as a Eurodollar  Rate Advance only as of the last day
of an Interest Period for such  Eurodollar Rate Advance,  and (C) no Advance may
be converted into or continued as a Eurodollar  Rate Advance at any time when an
Event of Default or Potential Default has occurred and is continuing.

                  (b)  Telephonic  Notice.  In lieu of  delivering  a Notice  of
Continuance/Conversion, the Borrower may give the Agent telephonic notice of any
proposed  conversion or continuance  by the time required under Section  2.10(a)
and in such event  shall  promptly  (but in no event  later than the date of the
requested   conversion  or  continuance)   deliver  a  confirmatory   Notice  of
Continuance/Conversion  to the Agent.  If the telephonic  request differs in any
respect  from  the  written   Notice  of   Continuance/Conversion   subsequently
furnished,  the telephonic  request shall govern as to the terms of such notice.
The Agent's  determination  of the  contents of any  telephonic  request  shall,
absent manifest error, be conclusive and binding on all parties hereto.

                  (c)  Requirements.  Each Notice of  Continuance/Conversion  or
telephonic  request shall specify (i) the date of the continuance or conversion,
(ii) the  Advances to be  converted  or  continued  and (iii) when  Advances are
converted  into or continued as Eurodollar  Rate  Advances,  the duration of the
Interest Period for such Advances.

                  (d) Base  Rate  Advances.  Unless a  Eurodollar  Rate has been
determined for a particular  Advance and applies to such Advance on a particular
day in accordance with the provisions hereof,  such Advance shall be a Base Rate
Advance  and shall  accrue  interest  at the rate then  applicable  to Base Rate
Advances.


<PAGE>

                                       46

                  SECTION 2.11. Prepayments.  The Borrower from time to time may
prepay,  without  premium  or  penalty,  the  outstanding  principal  amounts of
Advances,  in whole or ratably in part,  so long as (i) the  Borrower  gives one
Business  Day's prior written  notice to the Agent stating the proposed date and
aggregate  principal amount of the prepayment,  (ii) each partial  prepayment is
made in the case of the Term  Borrowing,  in an  aggregate  principal  amount of
$15,000,000 or an integral multiple of $1,000,000 in excess thereof,  and in the
case of the Revolving Borrowing,  in an aggregate principal amount of $2,000,000
or an integral multiple of $1,000,000 in excess thereof, (iii) if any Eurodollar
Rate  Advance  is paid  prior to the last day of the  Interest  Period  for such
Advances, all unpaid interest accrued to the date of prepayment on the principal
amount prepaid and all Breakage Costs incurred as a result of the prepayment are
also paid,  and (iv) all unpaid  interest  accrued to the date of  prepayment is
paid  concurrently  with any prepayment in full. In addition,  the Borrower from
time to time may prepay,  without premium or penalty,  the outstanding  proposed
amount of any Swing Line  Advance in whole,  together  with all unpaid  interest
thereon to the date of prepayment.  Notice of any prepayment under this Section,
once given, shall be irrevocable,  and the amount of the prepayment specified in
the notice shall accordingly be due and payable on the prepayment date specified
therein.

                  SECTION  2.12.  Funding  Losses.  If (i) any  Eurodollar  Rate
Advance is repaid or  converted to a Base Rate Advance on any day other than the
last day of an Interest Period for such  Eurodollar  Rate Advance  (whether as a
result  of  any  optional  prepayment,   mandatory   prepayment,   payment  upon
acceleration,   mandatory  conversion  or  otherwise),  (ii)  after  giving  the
respective  notice  thereof,  the Borrower fails to borrow any  Eurodollar  Rate
Advance in accordance with a Notice of Borrowing, a notice of the Term Borrowing
or a  telephonic  request  delivered  to the Agent  (whether  as a result of the
failure to satisfy any applicable conditions or otherwise),  (iii) any Base Rate
Advance is not converted into a Eurodollar  Rate Advance or any Eurodollar  Rate
Advance is not  continued as a  Eurodollar  Rate  Advance in  accordance  with a
Notice of  Continuance/Conversion  or telephonic  request delivered to the Agent
(whether  as a result of the  failure to satisfy any  applicable  conditions  or
otherwise), or (iv) the Borrower fails to make any prepayment in accordance with
any notice of prepayment delivered to the Agent, the Borrower shall, upon demand
by any Lender,  reimburse such Lender for all costs and losses  incurred by such
Lender as a result of such repayment,  prepayment or failure ("BREAKAGE COSTS"),
including  costs  and  losses  incurred  by a  Lender  as a  result  of  funding
arrangements  or contracts  entered into by such Lender to fund  Eurodollar Rate
Advances.  Breakage Costs shall be payable only if demanded within 90 days after
the end of the applicable Interest Period and shall be due 30 days after demand.
Demand shall be made by delivery to the Borrower and the Agent of a  certificate
of the  Lender  making  the  demand,  setting  forth in  reasonable  detail  the
calculation  of the Breakage  Costs for which demand is made.  Such  certificate
shall,  in the  absence of  manifest  error,  be  conclusive  and binding on the
Borrower.

<PAGE>

                                       47

                  SECTION 2.13.  Increased  Costs. (a) Increase in Cost. If, due
to either (i) the introduction of or any change (other than any change by way of
imposition or increase of reserve  requirements,  in the case of Eurodollar Rate
Advances,  included in the  Eurodollar  Rate  Reserve  Percentage)  in or in the
interpretation  of any  law or  regulation  or  (ii)  the  compliance  with  any
guideline  or request  from any  central  bank or other  Governmental  Authority
(whether  or not having the force of law),  there  shall be any  increase in the
cost to any Lender or any participant  under Section 8.07(e) of agreeing to make
or making,  funding or maintaining  Eurodollar Rate Advances,  then the Borrower
shall  from  time to time pay to the  Agent for the  account  of such  Lender or
participant   additional   amounts  sufficient  to  compensate  such  Lender  or
participant  for such  increased  cost.  Such  costs  shall be  payable  only if
demanded  within six months  after they were  incurred  and shall be due 30 days
after demand.  Demand shall be made by delivery to the Borrower and the Agent of
a certificate of the Lender or participant  making the demand,  setting forth in
reasonable  detail the  calculation of the costs for which demand is made.  Such
certificate  shall,  in the absence of manifest error, be conclusive and binding
on the Borrower.

                  (b) Increase in Capital Requirements. If any Lender determines
that  compliance with any law or regulation or any guideline or request from any
central bank or other Governmental Authority (whether or not having the force of
law)  affects or would  affect the amount of capital  required or expected to be
maintained by such Lender or any  corporation  controlling  such Lender and that
the amount of such capital is  increased by or based upon the  existence of such
Lender's  commitment  to lend or  funding  hereunder  and other  commitments  or
funding of this type,  then,  upon demand by such Lender,  the  Borrower  shall,
within 30 days after demand from time to time by such  Lender,  pay to the Agent
for the account of such Lender additional  amounts sufficient to compensate such
Lender or such  corporation  in the light of such  circumstances,  to the extent
that such Lender  determines  such  increase in capital to be  allocable  to the
existence of such Lender's  commitment to lend or funding hereunder.  Demand for
such payment may be made at any time but must be made in writing, with a copy to
the  Agent.  No  such  compensation  may be  demanded  as to  increased  capital
maintained  by a Lender  more  than 12  months  before  compensation  was  first
demanded by such Lender under this Section 2.13(b). Demand for such compensation
shall be made by delivery to the Borrower and the Agent of a certificate  of the
Lender making the demand,  setting forth the amount  demanded.  Such certificate
shall,  in the  absence of  manifest  error,  be  conclusive  and binding on the
Borrower.

                  (c)  Replacement  Lenders  and  Participants.  If, and on each
occasion  that,  (i) a Lender or a  participant  under  Section  8.07(e) makes a
demand for  compensation  pursuant to Section 2.08,  Section  2.13(a) or Section
2.13(b) with  respect to  Eurodollar  Rate  Advances or (ii) a Lender is excused
from funding  Eurodollar  Rate Advances  pursuant to Section 2.14 or (iii) Taxes
are required,  pursuant to Section 2.16(a),  to be deducted from or with respect
to any amount payable to any Lender or the Agent, the Borrower may in whole

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                                       48

permanently  replace  such  Lender or  participant,  as the case may be, with an
Eligible Assignee willing to become a Lender hereunder, on the following terms:

                           (A) If the replacement  Lender is a Revolving Lender,
         it must be satisfactory to the LC Bank in its reasonable discretion;

                           (B) The Borrower  shall give the Agent and the Lender
         or  participant  being  replaced  at least five  Business  Days'  prior
         written notice of the replacement.  The notice must be given within 180
         days after the date of the event specified in clause (i), (ii) or (iii)
         above, as the case may be, pursuant to which such  replacement is made,
         and must state the day (which  must be a Business  Day not more than 10
         days  after the  notice is  given)  on which  the  replacement  will be
         effective.

                           (C) On the effective date of the replacement, (a) the
         replacement  Lender shall  purchase the Advances  owed to such replaced
         Lender or  participant  for a  purchase  price  equal to the  principal
         amount  thereof and all interest  accrued  thereon as of such effective
         date,  payable in cash on such  effective  date,  (b) an Assignment and
         Acceptance in  compliance  with this  Agreement  covering such Advances
         shall be  delivered  to the  replacement  Lender  by the  Lender  being
         replaced or by the participant being replaced and the Lender from which
         it holds its participation, and (c) the Borrower shall pay to the Agent
         for the account of the  replaced  Lender or  participant  all  Breakage
         Costs resulting from the replacement and all additional interest, fees,
         compensation, costs, losses, taxes, expense reimbursements, indemnities
         and other Obligations due to the Lender or participant being replaced.

                           (D) The Borrower  will remain liable to each replaced
         Lender or participant for all Obligations that survive the repayment of
         the Advances.

                  SECTION 2.14. Illegality.  Notwithstanding any other provision
of this Agreement, if any Lender shall notify the Agent that the introduction of
or any  change in or in the  interpretation  of any law or  regulation  makes it
unlawful, or any central bank or other Governmental Authority asserts that it is
unlawful,  for any  Lender  or its  Eurodollar  Lending  Office to  perform  its
obligations  hereunder to make  Eurodollar  Rate Advances or to fund or maintain
Eurodollar  Rate Advances  hereunder,  then (i) the obligation of such Lender to
make or continue, or to convert Advances into, Eurodollar Rate Advances shall be
suspended  until the Agent shall  notify the  Borrower  and the Lenders that the
circumstances  causing such  suspension no longer  exist,  and (ii) the Borrower
shall  forthwith  either (A) prepay in full all Eurodollar Rate Advances of such
Lender then  outstanding,  together with interest  accrued  thereon and Breakage
Costs related thereto or (B) convert all Eurodollar Rate Advances of such Lender
then outstanding into Base Rate Advances and pay all interest accrued thereon to
the date of conversion and all Breakage Costs related thereto.


<PAGE>

                                       49

                  SECTION 2.15.  Payments and  Computations.  (a) Payments.  The
Borrower  shall make each payment  hereunder  and under the Notes not later than
11:00 a.m.  (New York City time) on the day payment is due, in Dollars  received
by the Agent at its address  referred to in Section 8.02 in same day funds.  Any
payment due to a Lender  shall be paid to the Agent for account of such  Lender.
If the Agent  receives  a payment  for  account of a Lender not later than 11:00
a.m. (New York City time),  the Agent will cause like funds to be distributed to
such  Lender  for  account  of its  Applicable  Lending  Office  by the close of
business  on the same day;  if the Agent  receives  a payment  for  account of a
Lender after 11:00 a.m. (New York City time), the Agent will cause like funds to
be distributed  to such Lender for account of its  Applicable  Lending Office no
later than the close of business on the next succeeding Business Day.

                  (b)  Charging  of  Accounts.  If and to the extent any payment
owed to the Agent or any Lender is not made within three Business Days after the
date it was due  hereunder or under the Note held by such  Lender,  the Borrower
hereby  authorizes  the Agent and such Lender to setoff and charge any amount so
due against any deposit  account  maintained  by the Borrower  with the Agent or
such Lender, whether or not the deposit therein is then due.

                  (c)  Computations.  All  computations of interest,  additional
interest and fees accruing at a per annum rate shall be made on the basis of the
actual  number of days  (including  the first  day but  excluding  the last day)
occurring  in the  period  for  which  such  interest,  additional  interest  or
commitment fees are payable and a year of 360 days.

                  (d) Payment on Business Day. Whenever any payment hereunder or
under the Notes is due on a day other than a Business Day, such payment shall be
made on the next  succeeding  Business Day, and such  extension of time shall be
included in the  computation  of interest or fees. If,  however,  such extension
would cause payment of interest on or principal of  Eurodollar  Rate Advances to
be made in the next following  calendar month, such payment shall be made on the
next preceding Business Day.

                  (e)  Presumption of Payment.  Unless the Agent receives notice
from the Borrower prior to the date on which any payment is due to the Agent for
the  benefit  of the  Lenders  hereunder  that the  Borrower  will not make such
payment in full, the Agent may assume that the Borrower has made such payment in
full to the  Agent  on such  date and the  Agent  may,  in  reliance  upon  such
assumption,  cause to be  distributed  to each Lender on such due date an amount
equal to the amount then due such Lender. If and to the extent the Borrower does
not make such payment to the Agent in full when due,  each Lender shall repay to
the Agent forthwith on demand such amount  distributed to such Lender,  together
with interest  thereon for each day from the date such amount was distributed to
such Lender until the Business Day such Lender  repays such amount to the Agent,
at the Federal Funds Rate


<PAGE>

                                       50

until the third  Business  Day after  such  demand  and  thereafter  at the rate
applicable to Base Rate Advances.

                  SECTION 2.16. Taxes. (a) Net Payments. Any and all payments by
the  Borrower  hereunder  or under the Notes shall be made free and clear of and
without  deduction  for any and all present or future  taxes,  levies,  imposts,
deductions,  charges or withholdings,  and all liabilities with respect thereto,
excluding,  in the case of each Lender and the Agent,  taxes  imposed on its net
income, and franchise taxes imposed on it, by the jurisdiction under the laws of
which  such  Lender  or the  Agent  (as the  case  may be) is  organized  or any
political  subdivision thereof and, in the case of each Lender, taxes imposed on
its net income,  and franchise taxes imposed on it, by the  jurisdiction of such
Lender's  Applicable  Lending Office or any political  subdivision  thereof (all
such non-excluded taxes, levies, imposts, deductions,  charges, withholdings and
liabilities,  collectively,  are "TAXES"). If the Borrower is required by law to
deduct any Taxes from or in respect of any sum  payable  hereunder  or under any
Note to any Lender or the Agent,  (i) the sum payable  shall be increased as may
be necessary so that after making all required deductions  (including deductions
applicable  to  additional  sums payable under this Section 2.16) such Lender or
the Agent (as the case may be) receives an amount equal to the sum it would have
received if no such  deductions had been made, (ii) the Borrower shall make such
deductions,  and (iii) the  Borrower  shall pay the full amount  deducted to the
relevant  taxation  authority or other  authority in accordance  with applicable
law.

                  (b) Payment of Other Taxes.  In addition,  the Borrower agrees
to pay any present or future stamp or  documentary  taxes or any other excise or
property  taxes,  charges or similar  levies  which arise from any payment  made
hereunder or under the Notes or from the execution, delivery or registration of,
or otherwise  similarly with respect to, this Agreement,  the Notes or any other
Loan Document ("OTHER TAXES").

                  (c)  Indemnification.  The Borrower will indemnify each Lender
and the Agent for the full amount of Taxes or Other Taxes  (including  any Taxes
or Other Taxes imposed by any jurisdiction on amounts payable under this Section
2.16)  paid by such  Lender or the Agent (as the case may be) and any  liability
(including penalties, interest and expenses, but excluding any liability arising
from  the  gross  negligence  or  willful  misconduct  of such  Person)  arising
therefrom or with respect thereto, whether or not such Taxes or Other Taxes were
correctly or legally asserted. Payment under this indemnity shall be due 30 days
after written demand  therefor.  Any Person entitled to  indemnification  by the
Borrower pursuant to this Section 2.16(c) shall give the Borrower written notice
of any matter  which such  Person  has  determined  has given rise to a right of
indemnification  hereunder  within 120 days after the earlier of (i) the date on
which such Person makes  payment of the Taxes or Other Taxes giving rise to such
right or (ii) the date on which such Person receives  written demand for payment
of such  Taxes  or  Other  Taxes  from the  applicable  Governmental  Authority;
provided, however, that the failure by any Person timely


<PAGE>

                                       51

to  provide  such  notice (A) shall not  release  the  Borrower  from any of its
obligations  under this  Section  2.16(c)  except to the extent the  Borrower is
materially prejudiced by such failure, or such notice was provided more than 240
days after the latest date such notice  could have been  timely  given,  and (B)
shall not relieve the Borrower from any other  obligation  or liability  that it
may have to such Person otherwise than under this Section 2.16(c).

                  (d) Evidence of Payments. Within 30 days after the date of any
payment of Taxes  hereunder by the  Borrower,  the Borrower  will furnish to the
Agent,  at its address  referred to in Section 8.02, the original or a certified
copy of any receipt issued to the Borrower evidencing payment thereof.

                  (e)  Withholding  Tax  Exemption.  If any Lender is a "foreign
person"  within the meaning of the Code,  such Lender shall deliver to the Agent
(i) (A) if such Lender  qualifies  for an  exemption  from,  or a reduction  of,
United  States  withholding  tax under a tax treaty,  a properly  completed  and
executed  Internal  Revenue  Service Form 1001 (or  applicable  successor  form)
before the payment of any interest in the first  calendar year and in each third
succeeding calendar year during which interest may be paid under this Agreement,
(B) if such Lender qualifies for an exemption from United States withholding tax
for interest paid under this Agreement because it is effectively  connected with
a United  States trade or business of such Lender,  two properly  completed  and
executed copies of Internal  Revenue Service Form 4224 (or applicable  successor
form)  before the payment of any  interest is due in the first  taxable  year of
such Lender,  and in each succeeding  taxable year of such Lender,  during which
interest may be paid under this Agreement, or (C) if such Lender is not a "bank"
as  defined in  Section  881(c)(3)(A)  of the Code,  a  properly  completed  and
executed Internal Revenue Service Form W-8 (or applicable successor form) before
the payment of any interest is due in the first taxable year of such Lender, and
in each  succeeding  taxable year of such Lender,  during which  interest may be
paid under this Agreement, certifying that such Lender is a foreign corporation,
partnership,  estate or trust,  together with a certificate of a duly authorized
officer  representing  that such Lender is not a "bank" for  purposes of Section
881(c) of the Code,  is not a 10%  shareholder  (within  the  meaning of Section
871(h)(3)(B)  of the  Code)  of the  Borrower  and is not a  controlled  foreign
corporation  related to the Borrower (within the meaning of Section 864(d)(4) of
the Code),  and (ii) such other form or forms as may be required  or  reasonably
requested by the Agent to establish or substantiate exemption from, or reduction
of,  United  States  withholding  tax under the Code or other laws of the United
States.  Each Lender  agrees to notify the Agent of any change in  circumstances
which would modify or render invalid any claimed exemption or reduction.  If any
form or document  referred to in this  subsection (e) requires the disclosure of
information,  other than  information  necessary  to compute the tax payable and
information  required on the date hereof by Internal  Revenue Service Form 1001,
4224  or W-8  (or  applicable  successor  forms)  (or  the  related  certificate
described above), that the Lender reasonably  considers to be confidential,  the
Lender shall give notice thereof to the

<PAGE>

                                       52

  Borrower  and shall not be  obligated to include in such form or
document such confidential information.

                  (f)  Withholding  Taxes.  Where any Lender which is a "foreign
person" is entitled to a reduction in the applicable  withholding tax, the Agent
may withhold  from any interest  payment to such Lender an amount  equivalent to
the applicable withholding tax after taking into account such reduction.  If the
forms or other  documentation  required by Section  2.16(e) are not delivered to
the Agent,  then the Agent may withhold from any interest  payment to any Lender
not providing  such forms or other  documentation,  an amount  equivalent to the
applicable withholding tax.

                  (g) Subsequent Lenders. For purposes of this Section 2.16, the
term "Lender" shall include any assignee  pursuant to, and after compliance with
the  requirements  of,  Section  8.07;  provided  that no Person  acquiring  any
participation  pursuant  to  Section  8.07(e)  shall be  deemed a  "Lender"  for
purposes of this Section 2.16 unless and until the Borrower has been notified of
such participation. If any Lender grants participation in or otherwise transfers
its rights under this Agreement, the participant or transferee shall be bound by
the terms of Sections 2.16(e) and (f) as though it were such Lender.

                  (h)  Refund,  Deduction  or  Credit of  Taxes.  If any  Lender
determines, in its sole good faith discretion,  that it has actually and finally
realized,  by  reason  of a refund,  deduction  or  credit of any Taxes  paid or
reimbursed  by the  Borrower  pursuant to  subsection  (a),  (b) or (c) above in
respect of payments under the Loan Documents, a current monetary benefit that it
would  otherwise not have obtained,  and that would result in the total payments
under this Section 2.16  exceeding  the amount needed to make such Lender whole,
such Lender shall pay to the Borrower,  with reasonable promptness following the
date on which it actually  realizes such benefit,  an amount equal to the lesser
of the amount of such benefit or the amount of such excess,  in each case net of
all  reasonable  out-of-pocket  expenses in securing  such refund,  deduction or
credit,  provided  that nothing in this  subsection  shall require any Lender to
provide  its tax  returns to the  Borrower  or to manage its tax  affairs in any
particular manner.

                  (i)  Exclusion  of Certain  Taxes.  Notwithstanding  any other
provision  of this  Agreement,  the  Borrower  shall not be  required to pay any
amount  hereunder  to any  Lender  or the Agent in  respect  of any Taxes to the
extent that,  on the date hereof or any other date such Lender became a party to
(or participant  with respect to) this Agreement or (with respect to payments to
an Applicable  Lending  Office) the date such Lender  designated such Applicable
Lending  Office with respect to this  Agreement or any Notes,  the obligation to
withhold or pay such Taxes  existed or would exist upon the payment of an amount
by the Borrower under this Agreement or any Note; provided,  however,  that this
paragraph  shall not apply (i) to any Lender or Applicable  Lending  Office that
became a Lender or  Applicable  Lending  Office  as a result  of an  assignment,
transfer, or designation made at the request of


<PAGE>

                                       53

the  Borrower,  or (ii) to the extent that the amount  otherwise  payable by the
Borrower  pursuant  to this  Section  2.16  to any  Lender  that is an  assignee
pursuant to (and in compliance with the  requirements  of) Section 8.07 does not
exceed the amount that would have been  payable  under this  Section 2.16 to the
assigning Lender in the absence of such assignment.

                  (j)  Additional  Cooperation.  Any Lender  claiming any amount
pursuant this Section 2.16 shall use reasonable  efforts  (consistent with legal
and regulatory  restrictions)  to file any  certificate  or document  reasonably
requested  by the  Borrower  or to  change  the  jurisdiction  of such  Lender's
Applicable Lending Office if such a filing or change would avoid the need for or
reduce the amount payable by the Borrower under this Section 2.16 and would not,
in the good-faith  determination of such Lender, otherwise be disadvantageous to
such Lender.

                  SECTION 2.17. Sharing of Payments. If after the occurrence and
during the  continuance  of any Event of Default  any  Lender  shall  obtain any
payment (whether  voluntary,  involuntary,  through the exercise of any right of
set-off,  or  otherwise)  on account of any Advances owed to it in excess of its
Pro Rata Share of all such payments,  such Lender shall forthwith  purchase from
the other Lenders such  participations  in the Advances made by them as shall be
necessary to cause such  purchasing  Lender to share the excess payment  ratably
with each of them.  If all or any portion of such excess  payment is  thereafter
recovered  from such  purchasing  Lender,  such  purchase from the other Lenders
shall be  rescinded  and each such other  Lender  shall repay to the  purchasing
Lender the purchase price to the extent of its allocable  share of such recovery
together  with its  allocable  share of any interest  required to be paid by the
purchasing  Lender on the amount so  recovered.  The  Borrower  agrees  that any
Lender  purchasing a participation  from another Lender pursuant to this Section
2.17 may, to the fullest extent  permitted by law,  exercise  collection  rights
(including the right of set-off) with respect to such  participation as fully as
if such  Lender were the direct  creditor of the  Borrower in the amount of such
participation.


                                   ARTICLE III

                              CONDITIONS OF LENDING

                  SECTION 3.01.  Conditions  Precedent on the Closing Date. This
Agreement  shall become  effective  and binding upon the parties  hereto only if
each of the following conditions  precedent is satisfied,  and the obligation of
each Term Lender to fund the Term  Borrowing is subject to the  satisfaction  of
such conditions precedent, in each case by no later than September 16, 1997:

                           (a) Loan  Documents.  The Agent  must have  received,
         with sufficient copies for each Lender:


<PAGE>

                                       54

                                    (i)  this  Agreement  duly  executed  by the
                  Borrower, the Agent and each of the Lenders;

                                    (ii) a guaranty,  in substantially  the form
                  of  Exhibit  C-1,  duly  executed  by each  Subsidiary  of the
                  Borrower  that  is  not,  on the  Closing  Date,  an  Inactive
                  Subsidiary;

                                    (iii) a second  amended and restated  pledge
                  and  security   agreement   duly  executed  and  delivered  in
                  substantially  the form of Exhibit C-2 by the  Borrower and in
                  substantially  the form of Exhibit C-3 by each  Subsidiary  of
                  the Borrower that owns, as of the Closing Date,  any shares of
                  the stock of or other equity,  ownership or profit interest in
                  any Subsidiary of the Borrower or notes or similar instruments
                  issued by any such Subsidiary,  together with (A) certificates
                  representing  the Pledged  Shares and Pledged Debt referred to
                  in  Schedule  A to each such  Pledge and  Security  Agreement,
                  other  than  shares  in  respect  of  Inactive   Subsidiaries,
                  accompanied by undated stock powers executed in blank, and (B)
                  evidence  satisfactory  to the Lenders that all other  actions
                  necessary  or, in the  opinion of the  Lenders,  desirable  to
                  perfect  and  protect the  security  interests  created by the
                  Pledge and  Security  Agreements  have been  taken,  including
                  delivery  to  the  Agent  of  all   instruments   constituting
                  Collateral,  duly  endorsed,  and delivery of UCC-1  financing
                  statements  duly  executed by each Grantor  under a Pledge and
                  Security  Agreement and in form  sufficient  for filing in all
                  offices in which the Agent or any Lender may  consider  filing
                  to be appropriate; and

                                    (iv) the schedules to this Agreement and the
                  Loan Documents.

                           (b)   Corporate   Documents.   The  Agent  must  have
         received, with sufficient copies for each Lender:

                                    (i) copies of the articles or certificate of
                  incorporation and by-laws or other governing documents of each
                  Loan Party as in effect on the Closing  Date,  certified as of
                  the Closing Date by a Secretary  or an Assistant  Secretary of
                  such Loan Party;

                                    (ii) copies of  resolutions  of the Board of
                  Directors  of  each  Loan  Party  approving  the  transactions
                  contemplated  hereby and authorizing  the execution,  delivery
                  and  performance of each Loan Document to which it is a party,
                  certified  as  of  the  Closing  Date  by a  Secretary  or  an
                  Assistant Secretary of such Loan Party;


<PAGE>

                                       55

                                    (iii) a  certificate  of the Secretary or an
                  Assistant  Secretary of each Loan Party  certifying  the names
                  and  true  signatures  of the  officers  of  such  Loan  Party
                  authorized  to sign each Loan  Document to which it is a party
                  and, in the case of the  Borrower,  to request an extension of
                  credit hereunder; and

                                    (iv) a good  standing  certificate  for each
                  Loan  Party,  issued as of a recent date by the  Secretary  of
                  State of the state in which such Loan Party is incorporated or
                  formed and each state in which it is qualified to do business.

                           (c) Governmental Consents.  Each Loan Party must have
         obtained all consents,  approvals and authorizations  required from any
         Governmental  Authority in connection with the execution,  delivery and
         performance of its obligations under the Loan Documents.

                           (d)  No  Injunction.   No  law  or  regulation  shall
         prohibit,  and  no  order,  judgment  or  decree  of  any  Governmental
         Authority shall enjoin,  prohibit or restrain,  and no litigation shall
         be pending or threatened which in the reasonable  judgment of the Agent
         or Requisite Lenders would enjoin,  prohibit or restrain (i) the making
         of the Advances, (ii) the issuance of any Letter of Credit or (iii) the
         consummation of the transactions contemplated by the Loan Documents.

                           (e) Other  Deliveries.  The Agent must have received,
         with sufficient copies for each Lender:

                                    (i)  a  copy  of  the  Borrower's  financial
                  statements on Form 10-K for the year ended  December 31, 1996,
                  certified  in a manner  acceptable  to the  Agent by KPMG Peat
                  Marwick and the Borrower,  respectively;  and on Form 10-Q for
                  the quarter ended June 30, 1997;

                                    (ii) a  certificate  dated as of the Closing
                  Date and signed by the Chairman,  Chief  Executive  Officer or
                  Authorized Officer of the Borrower, certifying that, as of the
                  Closing Date, (A) the representations and warranties contained
                  in Article IV of this Agreement are true and correct on and as
                  of the  Closing  Date,  as though made on and as of such date,
                  (B) no Event of Default or Potential  Default has occurred and
                  is continuing,  and (C) each of the other conditions precedent
                  set forth in this Article III has been satisfied;

                                    (iii)   all   documents   evidencing   other
                  necessary corporate action and governmental approvals, if any,
                  with respect to this Agreement or any other Loan Document;


<PAGE>

                                       56

                                    (iv) the Intercreditor  Agreement,  executed
                  by the parties thereto;

                                    (v)  such  other  certificates,  agreements,
                  documents or instruments as the Agent or the Requisite Lenders
                  may reasonably request in writing; and

                                    (vi) a  certificate  from the Borrower  that
                  the incurrence of  indebtedness  hereunder on the Closing Date
                  is  permitted  under the terms of the 1994  Subordinated  Debt
                  Indenture,  the terms of the 1995 Subordinated Debt Indenture,
                  the terms of the 1996 Subordinated  Debt Indenture,  the terms
                  of  the  1997   Subordinated   Debt  Indenture  and  upon  the
                  effectiveness   thereof,   under  the  terms  of  the  1997  B
                  Subordinated   Debt  Indenture,   including,   in  each  case,
                  covenants relating to the incurrence of indebtedness.

                           (f) Legal  Opinions.  The Agent  must have  received,
         with sufficient copies for each Lender:

                                    (i) an opinion of  LeBoeuf,  Lamb,  Greene &
                  MacRae,  L.L.P.,  counsel for the Borrower and the Guarantors,
                  substantially in the form of Exhibit D-1 hereto and as to such
                  other matters as any Lender  through the Agent may  reasonably
                  request; and

                                    (ii) an opinion of special local counsel for
                  each of the  Guarantors  substantially  in the form of Exhibit
                  D-2 hereto and as to such other matters as any Lender  through
                  the Agent may reasonably request.

                           (g) Payout and Release Agreement. The Agent must have
         received  (with  sufficient  copies for each lender  under the Existing
         Facility) a payout and release agreement,  in substantially the form of
         Exhibit E-3, duly executed by the Borrower and its Subsidiaries and the
         other parties identified therein.

                           (h) Payment of Existing Facility. The first Revolving
         Borrowing  must  have  been  requested  by the  Borrower,  in an amount
         sufficient  to pay in full the  "Amount  Outstanding"  set forth in the
         payout and release agreement delivered pursuant to Section 3.01(g), the
         Agent must have received irrevocable  instructions from the Borrower to
         apply  proceeds  from  such  Revolving  Borrowing  to pay  such  Amount
         Outstanding in full, and the Agent must have received an LC Application
         for all Letters of Credit  outstanding under the Existing Facility duly
         executed by the Borrower and accepted by the LC Bank,  confirming  that
         all such  Letters of Credit  shall be deemed  applied  for,  issued and
         outstanding under this Agreement and that all


<PAGE>

                                       57

         participation   obligations  arising  in  respect  thereof  under   the
         Existing Facility are discharged.

                           (i) Payment of Fees.  All fees due to the Agent,  the
         Lenders and the Arranger under this  Agreement  (including the fees set
         forth on Schedule I hereto) and the Fee Letter must have been paid.

                  SECTION  3.02.  Conditions  Precedent  to  Each  Extension  of
Credit.  The  obligation  of each  Revolving  Lender to make an  Advance  on the
occasion of any Revolving Borrowing,  the obligation of the LC Bank to issue any
Letter of Credit and the right of the  Borrower to request a Swing Line  Advance
to is  subject  to the  conditions  precedent  that on the  date  the  Revolving
Borrowing  or Swing  Line  Advance  is to be made or  Letter  of Credit is to be
issued:

                           (a) Notice. The Borrower shall have delivered a fully
         completed  Notice of  Borrowing,  Notice of Swing  Line  Advance  or LC
         Application, as the case may be, dated such date.

                           (b) Certification.  Each of the following  statements
         shall be true, and, in the case of a Revolving Borrowing or issuance of
         a Letter of Credit,  the Agent shall have  received  for the account of
         each  Revolving  Lender a certificate  dated such date and signed by an
         Authorized Officer, certifying that:

                                    (i)  the   representations   and  warranties
                  contained in Article IV of this  Agreement  and in Article III
                  of the Pledge and Security Agreements are correct on and as of
                  such date,  before and after giving effect to the extension of
                  credit to be made  hereunder on such date and the  application
                  of the  proceeds  therefrom,  as though made on and as of such
                  date;

                                    (ii)   no   event   has   occurred   and  is
                  continuing,  or would result from such  extension of credit or
                  from  the  application  of  the  proceeds   therefrom,   which
                  constitutes an Event of Default or a Potential Default; and

                                    (iii) the incurrence of  indebtedness by the
                  Borrower  in the  amount  of  such  Revolving  Borrowing,  the
                  respective Swing Line Advance or for the LC Exposure resulting
                  from the issuance of such Letter of Credit is permitted  under
                  the  terms  of  each  of  the  Subordinated   Debt  Indentures
                  (including, in each case, covenants relating to the incurrence
                  of indebtedness).

                  The  delivery of a Notice of  Borrowing,  Swing Line Notice of
Borrowing or LC  Application  and the acceptance by the Borrower of the proceeds
of such Borrowing or of a Letter of


<PAGE>

                                       58

Credit shall constitute a  representation  and warranty by the Borrower that, on
the date such  Advance  is made or Letter of  Credit is  issued,  the  foregoing
statements are true.


                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

                  SECTION 4.01.  Representations and Warranties of the Borrower.
The Borrower represents and warrants as follows:

                           (a) Organization. Each Loan Party is a corporation or
         partnership  duly  organized,  validly  existing  and in good  standing
         (except where the failure of one or more Loan  Parties,  other than the
         Borrower and its Material  Subsidiaries,  to be in good standing  after
         the  Closing  Date  could not  reasonably  be  expected  to result in a
         Material Adverse Change) under the laws of the jurisdiction in which it
         is organized and is duly qualified to do business in each  jurisdiction
         where the character of its  properties or the nature of its  activities
         makes such qualification necessary.

                           (b) Power  and  Authority.  Each  Loan  Party has the
         corporate  or  partnership  power (i) to carry on its  business  as now
         being conducted and as proposed to be conducted by it, (ii) to execute,
         deliver and  perform  each Loan  Document  to which it is a party,  and
         (iii) to take all  action  necessary  to  consummate  the  transactions
         contemplated under each Loan Document to which it is a party.

                           (c) Due  Authorization.  The execution,  delivery and
         performance  by each Loan Party of each Loan Document to which it is or
         will be a party have been duly  authorized by all  necessary  action of
         its board of directors (or, in case of a partnership,  of its governing
         authority)  and do not  contravene  (i) its  certificate or articles of
         incorporation (or, in case of a partnership,  governing  agreements) or
         (ii) any law or any indenture, lease or written agreement binding on or
         affecting  it and do not result in or require the  creation of any Lien
         (other  than  pursuant  to the  Collateral  Documents)  upon any of its
         property or assets.

                           (d)  Subsidiaries and Ownership of Capital Stock. Set
         forth in Schedule 4.01(d),  as such schedule may be amended pursuant to
         Section 5.02(c)(xiii),  is a complete list, as of the latest of (i) the
         date hereof,  (ii) the Closing Date,  (iii) the date of delivery to the
         Agent of the then  most  recently  required  amended  Schedule  4.01(d)
         pursuant  to  Section  5.02(c)(xiii),  and (iv) in the event an amended
         Schedule  4.01(d)  is not timely  delivered  to the Agent  pursuant  to
         Section  5.02(c)(xiii),  the date of the last day on which such amended
         schedule could have been timely  delivered,  of all direct and indirect
         Subsidiaries of the Borrower. Such schedules also set forth the


<PAGE>

                                       59

         number of issued  and authorized  shares of each class of capital stock
         of and other  equity,  ownership or profit interests in such Subsidiary
         and  the  identity  of the  holders of all such  shares.  Except as set
         forth  in   such  schedules,  no  capital  stock  of or  other  equity,
         ownership  or  profit  interest  in any such  Subsidiary  is subject to
         issuance  or  sale  under   any  warrant,  option  or  purchase  right,
         conversion or exchange right,  call,  commitment or claim of any right,
         title or interest therein or  thereto. The outstanding capital stock of
         each such Subsidiary is duly  authorized,  validly issued,  fully paid
         and  nonassessable  and is  not "margin stock," as that term is defined
         in  Regulations G, T, U and  X of the Board of Governors of the Federal
         Reserve System.

                           (e) Health  Care  Facilities.  Set forth in  Schedule
         4.01(e),   as  such  schedule  may  be  amended   pursuant  to  Section
         5.02(c)(xiv),  is a  complete  list,  as of the  latest of (i) the date
         hereof,  (ii) the Closing Date, (iii) the date of delivery to the Agent
         of the then most recently required amended Schedule 4.01(e) pursuant to
         Section  5.02(c)(xiv) and (iv) in the event an amended Schedule 4.01(e)
         is not timely delivered to the Agent pursuant to Section  5.02(c)(xiv),
         the date of the last day on which such amended schedule could have been
         timely delivered,  of each Health Care Facility owned, leased,  managed
         or operated by the Borrower or any  Subsidiary of the Borrower which is
         a skilled  nursing  facility,  hospital,  assisted  living  facility or
         retirement  facility,  and Schedule  4.01(e),  as it may be so amended,
         specifically  sets  forth,  with  respect  to  each  such  Health  Care
         Facility,  whether such Health Care Facility is a leased facility or an
         owned facility.

                           (f)  Governmental   Approval.   No  authorization  or
         approval  or other  action  by,  and no notice to or filing  with,  any
         Governmental Authority is required for the due execution,  delivery and
         performance  by each of the Loan Parties of any Loan  Document to which
         it is or will be a party,  except for those listed on Schedule 4.01(f),
         each of which has been duly  obtained  or made and is in full force and
         effect.

                           (g) Binding and  Enforceable.  This Agreement is, and
         each other Loan  Document to which any Loan Party will be a party is or
         when  delivered  will be, legal,  valid and binding  obligations of the
         Loan Parties  enforceable  against the Loan Parties in accordance  with
         their  respective  terms,  subject  to  laws  generally  affecting  the
         enforcement of creditors' rights.

                           (h) Financial  Information.  The consolidated balance
         sheet of the Borrower and its  Subsidiaries as at December 31, 1996 and
         their  related  income and cash flow  statements  for the  period  then
         ended,  each  other  financial   statement  of  the  Borrower  and  its
         Subsidiaries  delivered to the Lenders on or prior to the Closing Date,
         and each  financial  statement  delivered  to the  Lenders  pursuant to
         Section  5.02(c),  as and when delivered to the Lenders fairly presents
         the consolidated


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                                       60

         financial  condition  of the Borrower  and its  Subsidiaries  as at the
         date  thereof and the consolidated  results of their operations for the
         period then ended, all in accordance with GAAP consistently applied.

                           (i) Material Adverse Change. Since December 31, 1996,
         there has been no Material Adverse Change.

                           (j)  Compliance.  Except  as  permitted  pursuant  to
         Section 5.02(k) and Section  5.03(m),  each Loan Party is in compliance
         in all material  respects  with all material  applicable  laws,  rules,
         regulations and orders.

                           (k)  Litigation.  There  is  no  pending  or  overtly
         threatened  action or  proceeding  affecting  any Loan Party before any
         court,  governmental  agency or arbitrator,  which would,  if adversely
         determined,  result in a Material Adverse Change or which relates to or
         could  reasonably  be  expected  to affect the  legality,  validity  or
         enforceability of any Loan Document.

                           (l)  No  Conflict.   The   execution,   delivery  and
         performance  by each Loan Party of each of the Loan  Documents to which
         it is a party do not and will not (i) conflict with, result in a breach
         of, or constitute (with or without notice or the lapse of time or both)
         a default under, any instrument,  lease, indenture,  agreement or other
         contractual  obligation issued by any Loan Party or enforceable against
         it or any of its property or assets, except under immaterial agreements
         for  supplies or services  which are  readily  replaceable  without any
         adverse  effect on such Loan Party or its  business or (ii) require any
         approval of its stockholders.

                           (m)  No  Default.   No  event  has  occurred  and  is
         continuing  which  constitutes  an  Event  of  Default  or a  Potential
         Default.

                           (n)  Payment of Taxes.  Each Loan Party has filed all
         federal  income tax returns  and all other tax  returns  required to be
         filed by it and has paid all taxes and assessments  payable by it which
         have become due except to the extent being contested in accordance with
         the provisions of Section 5.02(h).

                           (o) Margin Regulations. No proceeds of any Advance or
         Letter of Credit will be used for any purpose that  requires any Lender
         to deliver or obtain any  certification  under,  or to comply  with any
         margin  requirement or other provision of,  Regulations G, T, U or X of
         the Board of Governors of the Federal  Reserve  System,  except for the
         purchase of equity securities of CCA.

                           (p) Conduct of  Business.  The  Borrower is a holding
         company  engaged  primarily in the business of (i) holding stock of and
         claims against its


<PAGE>

                                       61

         Subsidiaries;  (ii)  managing and  developing  corporate  opportunities
         related to the business of its  Subsidiaries;  (iii)  administering and
         coordinating  the overall  operating  business of its  Subsidiaries and
         other investments permitted hereunder;  (iv) obtaining of financing for
         the  business of its  Subsidiaries;  and (v) holding  interests  in and
         title to assets and property  necessary or  appropriate to conduct such
         business in the  ordinary  course.  The  Subsidiaries  of the  Borrower
         (other than any such Subsidiaries  engaged in the insurance business as
         permitted under Section 5.03(c)(xiii)) are engaged in the business of a
         Healthcare  Company,  including  making  Investments in Subsidiaries or
         Persons that are Healthcare Companies.

                           (q) Health  Care  Permits.  (i)  Except as  permitted
         pursuant to Section  5.02(k) and Section  5.03(m),  (A) each Loan Party
         now has,  and has no reason to believe it will not be able to  maintain
         in effect,  all Health Care Permits necessary for the lawful conduct of
         its business or operations  wherever now conducted and as planned to be
         conducted,  including  the  ownership  and operation of its Health Care
         Facilities,  pursuant to all applicable  laws and all  requirements  of
         Governmental  Authorities  having  jurisdiction over such Loan Party or
         over any part of its  operations;  (B) all such Health Care Permits are
         in full  force  and  effect  and  have not been  amended  or  otherwise
         modified (except for  modifications  which do not constitute and cannot
         reasonably  be  expected  to  result  in a  Material  Adverse  Change),
         rescinded,  revoked or assigned; (C) no Loan Party is in default in any
         material respect under, or in violation in any material respect of, any
         such Health Care Permit (and to the best knowledge of the Borrower,  no
         event has occurred,  and no condition exists, which, with the giving of
         notice  or  passage  of  time  or  both,  would  constitute  a  default
         thereunder or violation thereof) that has caused or could reasonably be
         expected to cause the loss of any such Health Care Permit;  (D) neither
         the  Borrower  nor any other Loan Party has  received any notice of any
         violation of  applicable  laws which has caused or could  reasonably be
         expected to cause any such  Health  Care Permit to be modified  (except
         for   modifications  not  amounting  to  a  Material  Adverse  Change),
         rescinded or revoked;  (E) to the best  knowledge of the  Borrower,  no
         condition  exists or event  has  occurred  which  could  reasonably  be
         expected  to  result  in  the   suspension,   revocation,   impairment,
         forfeiture  or  non-renewal  of such  Health Care  Permit;  and (F) the
         continuation,  validity  and  effectiveness  of all  such  Health  Care
         Permits will not in any way be adversely  affected by the  transactions
         contemplated by this  Agreement,  except that the exercise by the Agent
         of its rights and remedies in respect of the  Collateral  is subject to
         the licensing power of health care regulatory authorities.

                           (ii) Except as permitted  pursuant to Section 5.02(k)
         and Section 5.03(m), all Health Care Facilities owned, leased,  managed
         or  operated  by any Loan Party are  entitled  to  participate  in, and
         receive payment under, the appropriate  Medicare,  Medicaid and related
         reimbursement programs and in any similar state or



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                                       62

         local government-sponsored  program, to the extent that such Loan Party
         has decided to participate  in any such state or local program,  and to
         receive  reimbursement  from private and  commercial  payers and health
         maintenance organizations to the extent applicable thereto.

                           (r)  Environmental  Matters.  Except  as set forth in
         Schedule  4.01(r),  as it may  from  time  to time  be  amended  by the
         Borrower,  (i) no  Material  Environmental  Claim is pending or, to the
         knowledge of the Borrower,  overtly  threatened against the Borrower or
         any of its  Subsidiaries,  or any property or assets currently owned or
         leased thereby, and (ii) to the knowledge of the Borrower,  no Material
         Environmental  Claim is  pending  or  overtly  threatened  against  any
         property or assets previously owned or leased by the Borrower or any of
         its Subsidiaries.  Except as set forth in Schedule 4.01(r),  and except
         in  respect  of  matters  that,  in the  aggregate,  are not and cannot
         reasonably be expected to result in a Material Environmental Claim or a
         Material  Adverse  Change,  the  operations  of the  Borrower  and  its
         Subsidiaries comply and have complied in all material respects with all
         applicable Environmental Laws.

                           (s) ERISA Compliance.  (i) Each Plan is in compliance
         in all material  respects with the applicable  provisions of ERISA, the
         Code and other applicable Federal or state law.

                           (ii)  Each  Pension  Plan  which  is  intended  to be
         tax-qualified  under Section 401(a) of the Code has been  determined by
         the IRS to  qualify  under  Section  401 of the  Code,  and the  trusts
         created thereunder have been determined to be exempt from tax under the
         provisions of Section 501 of the Code, and to the best knowledge of the
         Borrower  nothing  has  occurred  which  would  cause  the loss of such
         qualification or tax-exempt status.

                           (iii)  Except as set forth in Schedule  4.01(s),  (A)
         none of the Pension Plans which is subject to Title IV of ERISA has any
         material  Unfunded  Pension  Liability  as to which the Borrower or any
         ERISA  Affiliate is or may be liable;  (B) neither the Borrower nor any
         ERISA  Affiliate  has nor  reasonably  expects  to incur  any  material
         liability (and no event has occurred  which,  with the giving of notice
         under Section 4219 of ERISA,  would result in such material  liability)
         under  Section 4201 or 4243 of ERISA with respect to any  Multiemployer
         Plan;  (C) no ERISA Event has occurred or, to the best knowledge of the
         Borrower, is reasonably expected to occur; and (D) neither the Borrower
         nor any ERISA Affiliate has maintained any Welfare Plan which provides,
         or requires the Borrower or any ERISA Affiliate to provide,  medical or
         other welfare benefits to any participant after the termination of such
         participant's  employment  with the  Borrower  or such ERISA  Affiliate
         (except to

<PAGE>

                                       63

         the extent  required by the provisions of Part 6 of Title I, Subtitle B
         of ERISA or Sections 162(k) and 4980B of the Code).

                           (iv)  Each  Welfare  Plan  which is a  "group  health
         plan," as defined  in Section  607(1) of ERISA,  has been  operated  in
         compliance  with  provisions of Part 6 of Title I of ERISA and Sections
         162(k) and 4980B of the Code at all times.

                           (v) Neither the Borrower nor any ERISA  Affiliate has
         engaged,  directly  or  indirectly,  in a  prohibited  transaction  (as
         defined in Section  4975 of the Code or Section 406 of ERISA) for which
         no statutory or  administrative  exemption is  applicable in connection
         with any Plan the  consequences of which, in the aggregate,  constitute
         or can reasonably be expected to result in a Material Adverse Change.

                           (t) Title to Assets. Each Loan Party has title, as of
         the date of each of its financial statements  delivered  hereunder,  to
         all of its material assets reflected  therein,  except assets leased to
         it under a Capital Lease,  free and clear of all Liens except Permitted
         Liens.

                           (u)  Collateral  Documents.  On and after the Closing
         Date and, with respect to  perfection  upon the filing of the financing
         statements  delivered  pursuant to Section  3.01(a),  the provisions of
         each Collateral Document are effective to create in favor of the Agent,
         for the benefit of the Lenders,  legal,  valid and  perfected  security
         interests in all right, title and interest in the Collateral  described
         therein,  enforceable  against each Loan Party that owns an interest in
         such Collateral, subject to laws generally affecting the enforcement of
         creditors' rights. All shares of each Subsidiary of the Borrower (other
         than Inactive Subsidiaries) and all notes or similar instruments issued
         by any  Subsidiary  of the  Borrower to the  Borrower or any other such
         Subsidiary have been pledged to the Agent under the Pledge and Security
         Agreements.

                           (v) Senior  Indebtedness.  This  Agreement is a "Bank
         Credit   Agreement"   within  the  meaning  of  the  1992   Convertible
         Subordinated Debt Indenture and the 1993 Convertible  Subordinated Debt
         Indenture  and a "Credit  Agreement"  within  the  meaning  of the 1994
         Subordinated Debt Indenture,  1995  Subordinated  Debt Indenture,  1996
         Subordinated Debt Indenture,  the 1997 Subordinated Debt Indenture, the
         1997 B Subordinated  Debt Indenture  and, upon its  effectiveness,  the
         Proposed  Subordinated  Debt Indenture.  The Obligations  when incurred
         will be "Senior  Indebtedness"  within the meaning of the  Subordinated
         Debt Indentures.


<PAGE>

                                       64

                                    ARTICLE V

                            COVENANTS OF THE BORROWER

                  SECTION 5.01. Financial  Covenants.  So long as any Obligation
remains  unpaid,  any  Letter of Credit  remains  outstanding  or any  Lender is
obligated to extend credit  hereunder,  unless the Requisite  Lenders  otherwise
consent in writing the Borrower will:

                           (a)   Maximum   Debt/EBITDAR   Ratio.    Maintain   a
         Debt/EBITDAR  Ratio,  determined as of the last day of each Quarter, at
         an amount not greater than that set forth for such Quarter below:


            Quarter(s) Ended                        Debt/EBITDAR Ratio
            ----------------                        ------------------

           September 30, 1997                              5.75
           December 31, 1997                               5.75
             March 31, 1998                                5.75
             June 30, 1998                                 5.75
           September 30, 1998                              5.75
           December 31, 1998                               5.75
             March 31, 1999                                5.25
             June 30, 1999                                 5.25
           September 30, 1999                              5.25
           December 31, 1999                               5.25
         In 2000 and thereafter                            4.75


                           (b) Minimum Fixed Charge Coverage  Ratio.  Maintain a
         Fixed  Charge  Coverage  Ratio,  determined  as of the last day of each
         Quarter,  at an amount  not less  than that set forth for such  Quarter
         below:

                                                       Fixed Charge
            Quarter(s) Ended                          Coverage Ratio
            ----------------                          --------------

            September 30, 1997                             1.15
            December 31, 1997                              1.15
            March 31, 1998                                 1.15

<PAGE>

                                       65

            June 30, 1998                                  1.15
            September 30, 1998                             1.15
            December 31, 1998                              1.15
            March 31, 1999                                 1.15
            June 30, 1999                                  1.15
            September 30, 1999                             1.20
            December 31, 1999                              1.20
            March 31, 2000                                 1.25
            June 30, 2000                                  1.25
            September 30, 2000                             1.30
            December 31, 2000                              1.30
            March 31, 2001                                 1.35
            June 30, 2001                                  1.35
            September 30, 2001                             1.40
            December 31, 2001                              1.40
            March 31, 2002                                 1.15
            June 30, 2002                                  1.15
            September 30, 2002                             1.15
            December 31, 2002                              1.15
            March 31, 2003                                 1.15
            June 30, 2003                                  1.15
            September 30, 2003                             1.15
            December 31, 2003                              1.15
            March 31, 2004 and each                        1.50
            Quarter thereafter


<PAGE>

                                       66

                           (c)    Minimum   Net   Worth.    Maintain    Adjusted
         Stockholders' Equity, determined as of the last day of each Quarter, at
         an amount not less than the then Minimum Net Worth.

                  SECTION 5.02.  Affirmative Covenants So long as any Obligation
remains  unpaid,  any  Letter of Credit  remains  outstanding  or any  Lender is
obligated to extend credit  hereunder,  unless the Requisite  Lenders  otherwise
consent in writing the Borrower will, and will cause its Subsidiaries to:

                           (a)  Compliance  with  Laws.  Comply in all  material
         respects with all applicable laws, rules, regulations and orders.

                           (b)  Inspection  of Property  and Books and  Records.
         Except in the case of Inactive Subsidiaries,  (i) maintain proper books
         of record and  account,  in which  full,  true and  correct  entries in
         conformity  with  GAAP  consistently  applied  shall  be  made  of  all
         financial  transactions and matters  involving its assets and business,
         and (ii) permit representatives of the Agent or any Lender to visit and
         inspect any of its properties, to examine its corporate,  financial and
         operating records and make copies thereof or abstracts  therefrom,  and
         to discuss  its  affairs,  finances  and  accounts  with its  officers,
         employees and independent public accountants, all at the expense of the
         Borrower,  in the case of visits or inspections by the Agent and, if an
         Event  of  Default  is  then  continuing,  by any  Lender,  and at such
         reasonable  times during normal  business  hours and as often as may be
         reasonably  requested,  upon reasonable advance notice to the Borrower,
         except that when an Event of Default exists the Agent or any Lender may
         take any such action at any time during  business hours and on same-day
         notice.

                           (c) Reporting Requirements. Furnish to the Lenders:

                                    (i) as soon as  available  and in any  event
                  within  55 days  after  the end of  each  of the  first  three
                  Quarters in each fiscal year, the  consolidated  balance sheet
                  of the  Borrower  and its  Subsidiaries  as at the end of such
                  Quarter and their consolidated income and cash flow statements
                  for such  Quarter,  and, in each case,  for the fiscal year to
                  date, certified by an Authorized Officer;

                                    (ii) as soon as  available  and in any event
                  within  100  days  after  the end of each  fiscal  year of the
                  Borrower, a copy of the annual report
                  on  Form  10-K  for  such  year  for  the   Borrower  and  its
                  Subsidiaries,  containing


<PAGE>

                                       67

                  financial  statements  for  such  year  certified  in a manner
                  acceptable  to the  Requisite  Lenders by KPMG Peat Marwick or
                  other  independent  public   accountants   acceptable  to  the
                  Requisite Lenders;

                                    (iii) as soon as  possible  and in any event
                  within 10 Business Days after becoming aware of any (A) Change
                  of  Control  or (B)  Event of  Default  or  Potential  Default
                  continuing  on the date of such  statement,  a statement of an
                  Authorized Officer or the office of the General Counsel of the
                  Borrower  setting  forth  details of such Change of Control or
                  Event of Default or Potential Default, as the case may be, and
                  the action  which the  Borrower has taken and proposes to take
                  with respect thereto;

                                    (iv)  promptly  after  the  filing  thereof,
                  copies of all reports and all registration  statements for the
                  sale of newly  issued  stock  filed  with the  Securities  and
                  Exchange Commission or any national securities exchange;

                                    (v) notice when,  but in no event later than
                  ten days after, it becomes aware of any Material Environmental
                  Claim or the  presence  of any  Hazardous  Material  in, on or
                  under  any of its  property  that is  likely  to  prohibit  or
                  restrict  materially the occupancy,  transferability or use of
                  such property under any Environmental Laws;

                                    (vi) notice upon, but in no event later than
                  ten days after,  the  occurrence of any ERISA Event  affecting
                  the Borrower or any ERISA Affiliate,  together with (A) a copy
                  of any notice  with  respect  to such ERISA  Event that may be
                  required  to be  filed  with  the  PBGC  and  (B)  any  notice
                  delivered by the PBGC to the  Borrower or any ERISA  Affiliate
                  with respect to such ERISA Event;

                                    (vii)  concurrently with the delivery of the
                  financial statements referred to in clause (i) and (ii) above,
                  a  compliance   certificate   of  an  Authorized   Officer  in
                  substantially the form of Exhibit E-1 (A) stating that, to the
                  best of such officer's  knowledge,  the Borrower,  during such
                  period, has observed or performed all covenants and agreements
                  and satisfied all conditions  required under this Agreement to
                  be  observed,  performed  or  satisfied  by it,  and that such
                  officer has  obtained no  knowledge of any Event of Default or
                  Potential Default except as specified in such certificate, (B)
                  showing in detail the  calculations  supporting such statement
                  in respect of Section 5.01, and (C) setting forth, and showing
                  in detail the calculations



<PAGE>

                                       68

                  supporting, the Pricing Ratio determined as of the most recent
                  Pricing Test Date in the period covered by such certificate;

                                    (viii)  within 55 days after the end of each
                  Quarter, a Pricing Certificate setting forth the Pricing Ratio
                  as calculated as of the last day of such Quarter;

                                    (ix)  prior  to  the   consummation  of  any
                  acquisition  of a Health Care Company or Health Care  Facility
                  for aggregate  consideration  of  $50,000,000  or more, a term
                  sheet describing such acquisition and calculations  indicating
                  pro forma compliance with the respective  financial  covenants
                  herein and compliance with any other applicable covenants; and
                  promptly,  and in any case within 10 Business Days of any such
                  request,   any   additional   information   relating  to  such
                  acquisition reasonably requested by the Agent or the Requisite
                  Lenders;

                                    (x)   within   10   Business   Days  of  the
                  consummation  of any  acquisition  of a Health Care Company or
                  Health Care  Facility for  aggregate  consideration  less than
                  $50,000,000,  a term sheet  describing  such  acquisition  and
                  calculations   indicating  pro  forma   compliance   with  the
                  respective  financial covenants herein and compliance with any
                  other  applicable  covenants;  and promptly,  and in any case,
                  within 10 Business  Days of any such request,  any  additional
                  information relating to such acquisition  reasonably requested
                  by the Agent or the Requisite Lenders;

                                    (xi) as soon as  possible,  and in any event
                  within five Business Days (A) after  becoming  aware  thereof,
                  notice of the  occurrence  of any event that is or would (with
                  the passage of time,  notice or both) be a default  under or a
                  violation of any Health Care Permit  necessary  for the lawful
                  conduct  of the  business  or  operations  of any Loan  Party,
                  including  the  ownership  and  operation  of its Health  Care
                  Facilities,  and  that is or can  reasonably  be  expected  to
                  result  in  a  Material  Adverse  Change;  (B)  after  receipt
                  thereof,  any notice of any violation of applicable  laws that
                  causes  or could  reasonably  be  expected  to cause  any such
                  Health Care Permit to be  modified  (except for  modifications
                  which do not constitute  and cannot  reasonably be expected to
                  result in a Material  Adverse  Change),  rescinded or revoked;
                  and (C) after becoming aware thereof, notice of the occurrence
                  of any event that constitutes or can reasonably be expected to
                  result in a Material Adverse Change;



<PAGE>

                                       69

                                    (xii)  concurrently with the delivery of the
                  financial statements referred to in clause (i) and (ii) above,
                  Schedule  4.01(d),   as  amended  to  reflect  the  formation,
                  acquisition  or  disposition of any Subsidiary of the Borrower
                  during the Quarter then ended;

                                    (xiii) concurrently with the delivery of the
                  financial statements referred to in clause (i) and (ii) above,
                  Schedule  4.01(e),  as amended to reflect the  acquisition  or
                  disposition  of any Health  Care  Facility  which is a skilled
                  nursing  facility,   hospital,  assisted  living  facility  or
                  retirement facility during the Quarter then ended;

                                    (xiv)  at least 10  Business  Days  prior to
                  entering  into  any  Receivables   Sale  Program,   a  written
                  description  of  the  material  terms  and  provider  of  such
                  program,  the method of determining the Purchasers'  Aggregate
                  Net Investment  and the  Receivables  Program  Charges of such
                  program,  the maximum amount of the Purchasers'  Aggregate Net
                  Investment under such program,  and the amount and due date of
                  any Facility  Reduction or repayment  required  under  Section
                  2.06(e) in respect of such program;

                                    (xv) no later than the effective date of any
                  change in the Purchasers'  Aggregate Net Investment  under any
                  Receivables  Sale  Program,  written  notice of the amount and
                  effective  date of such change and the amount of any  Facility
                  Reduction and prepayment  required under Section 2.06(e) after
                  giving effect to such change; and

                                    (xvi) such other information  respecting the
                  condition  or  operations,  financial  or  otherwise,  of  the
                  Borrower or any of its Subsidiaries as the Agent (on behalf of
                  itself  or any  Lender)  from  time  to  time  may  reasonably
                  request.

                           (d) Preservation of Corporate Existence, Etc. Subject
         to Section 5.03(i) and except in the case of Inactive Subsidiaries, (i)
         preserve  and  maintain  in full  force and  effect  its  corporate  or
         partnership  existence and good standing under the laws of its State or
         jurisdiction  of   incorporation   or  organization   and  all  rights,
         privileges, qualifications,  permits, licenses and franchises necessary
         or desirable in the normal  conduct of its business  (provided that the
         failure at any one time to maintain Health Care Permits with respect to
         any seven  Health  Care  Facilities  owned or leased by any one or more
         Subsidiaries  of the Borrower  shall not constitute a failure to comply
         with this Section 5.02(d)(i)), (ii) use its reasonable efforts, in the


<PAGE>

                                       70

         ordinary  course and  consistent  with past  practice,  to preserve its
         business  organization  and  preserve  the goodwill and business of the
         customers,  suppliers  and  others  doing  business  with it, and (iii)
         preserve  or renew all of its  registered  trademarks,  trade names and
         services  marks,  the  non-preservation  of which  constitutes or could
         reasonably be expected to result in a Material Adverse Change.

                           (e)  New  Subsidiaries.  Promptly,  and in any  event
         within 10 Business  Days, of (i) the formation or  acquisition of a new
         Subsidiary of the Borrower  (other than an Inactive  Subsidiary),  (ii)
         the date a Subsidiary ceases to be an Inactive Subsidiary, or (iii) the
         date on which any  Subsidiary of the Borrower that has not executed and
         delivered  a Pledge and  Security  Agreement  acquires  any stock of or
         other equity,  ownership or profit interest in, or debt or liability of
         or other claim against,  any other Subsidiary,  (A) notify the Agent of
         such event;  (B) amend  Schedule A of the relevant  Pledge and Security
         Agreement  as  appropriate  in  light of such  event;  (C)  cause  such
         Subsidiary  to execute and deliver a Pledge and  Security  Agreement in
         substantially the form of Exhibit C-3 and all financing  statements and
         other  documents  required  thereunder  or  appropriate  to perfect the
         security  interest created thereby;  (D) deliver to the Agent all stock
         certificates  and other  instruments  added to the Collateral  thereby,
         accompanied by an undated stock power or transfer  document executed in
         blank; and (E) cause such Subsidiary to deliver an executed counterpart
         of the  Guaranty  and  deliver  to the Agent a  Guarantor  Confirmation
         setting  forth the  Guarantor  Liability  Limit as to such  Subsidiary,
         provided,  that upon any  Subsidiary  of the  Borrower or the  Borrower
         receiving any note or similar  instrument issued by the Borrower or any
         of its  Subsidiaries,  the  Borrower  shall  cause such note or similar
         instrument,  indorsed to the Agent, to be delivered to the Agent by the
         respective  payee  pursuant  to  the  respective  Pledge  and  Security
         Agreement  and take  such  other  action  in  connection  therewith  as
         reasonably requested by the Agent.

                           (f)  Maintenance  of Property.  Maintain and preserve
         all its  property  which is  necessary  for use in its business in good
         working order and condition,  except  ordinary wear and tear and except
         as  permitted  under  Section  5.03(b),  and use the  standard  of care
         typical in the industry in the operation of the Health Care Facilities.

                           (g) Insurance.  Maintain  insurance with  financially
         sound  and  reputable  insurers  with  respect  to its  properties  and
         business  against  loss or  damage  of the  kinds  customarily  insured
         against by Persons  engaged  in the same or similar  business,  of such
         types and in such  amounts as are  customarily  carried  under  similar
         circumstances by such other Persons,  including  workers'  compensation
         insurance, public liability and property and casualty insurance, except
         that (i) the Borrower shall


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                                       71

         be permitted  to maintain  self  insurance  with respect to health care
         benefits   provided  to   employees   and  with   respect  to  workers'
         compensation  insurance so long as the Borrower  also  maintains,  with
         financially  sound and reputable  insurers,  stop loss insurance of the
         type and in amounts  customarily  maintained by Persons  engaged in the
         same or similar  business  as are  customarily  carried  under  similar
         circumstances  by such other  Persons  and (ii)  insurance  need not be
         maintained by or for the benefit of Inactive Subsidiaries. Upon request
         of the Agent,  the Borrower  shall  furnish the Agent,  with copies for
         each  Lender,  at  reasonable  intervals  (but not more  than  once per
         calendar  year),  a  certificate  of an  Authorized  Officer  (and,  if
         requested by the Agent, any insurance  broker of the Borrower)  setting
         forth the nature and extent of all insurance maintained by the Borrower
         and its  Subsidiaries  in  accordance  with this  Section  5.02(g) (and
         which,  in the case of a certificate  of a broker,  was placed  through
         such broker).

                           (h) Payment of Obligations.  Pay and discharge all of
         its obligations and liabilities, including:

                                    (i) as  they  become  due and  payable,  all
                  claims  for  tax  liabilities,  assessments  and  governmental
                  charges or levies against it or upon its properties or assets;

                                    (ii) as they  become  due and  payable,  all
                  lawful claims  which,  if unpaid,  would,  with the passage of
                  time  or  notice  or  both,  by law  become  a Lien  upon  its
                  property;

                                    (iii)  before  expiration  of any  period of
                  grace  expressly  provided,  all claims for payments due under
                  any lease of a Health Care Facility or any equipment  therein;
                  and

                                    (iv)  before  expiration  of any  period  of
                  grace expressly provided, all claims for Debts as and when due
                  and payable (subject to any subordination provisions contained
                  in  any  instrument  evidencing,  or  indenture  or  agreement
                  governing, such Debt);

         except  that it may contest in good faith any claims and may permit the
         claims so  contested  to remain  unpaid  during any  period,  including
         appeals,  when it is in good faith  contesting the same, so long as (A)
         adequate  reserves have been established to the extent required by GAAP
         or other adequate  provision for the payment thereof has been made, (B)
         enforcement of the contested claim is effectively stayed for the entire


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                                       72

         duration  of such  contest,  and (C) any  claim  determined  to be due,
         together with any interest or penalties thereon, is paid promptly,  and
         in any event within  three  Business  Days,  after  resolution  of such
         contest.

                           (i)  Environmental  Laws.  Conduct its operations and
         keep and maintain its property in compliance  in all material  respects
         with all applicable  Environmental Laws and Environmental  Permits; and
         prepare at the  Borrower's  sole cost and  expense  and  deliver to the
         Agent  and the  Lenders  such  updates  as the  Agent or the  Requisite
         Lenders may reasonably  request relating to any Material  Environmental
         Claim.

                           (j) Use of Proceeds. Use the proceeds of the Advances
         first to pay all obligations  under the Existing Facility and from time
         to time to retire all Funded LC Exposure and other Obligations then due
         hereunder and thereafter for working capital or acquisitions  (provided
         that  any  acquisitions  are  approved  by the  board of  directors  or
         equivalent governing body of the target of such acquisition at the time
         of  the  initial   offer  by  the  Borrower  or  one  or  more  of  its
         Subsidiaries) and other general corporate  purposes of the Borrower and
         its Subsidiaries not in contravention of any law or this Agreement.

                           (k)  Health  Care  Permits  and  Approvals.  Take all
         action  necessary  (i) to  maintain in full force and effect all Health
         Care  Permits  necessary  for the  lawful  conduct of its  business  or
         operations  wherever  now  conducted  and as planned  to be  conducted,
         including the  ownership  and operation of its Health Care  Facilities,
         pursuant to all applicable  laws and all  requirements  of Governmental
         Authorities having  jurisdiction over it or any part of its operations;
         and (ii) ensure that all Health Care  Facilities  owned or leased by it
         are  entitled  to  participate  in,  and  receive  payment  under,  the
         appropriate Medicare,  Medicaid and related reimbursement programs, and
         any similar state or local  government-sponsored  program to the extent
         that it has decided to  participate in any such state or local program,
         and to receive  reimbursement  from private and  commercial  payers and
         health  maintenance  organizations  to the extent  applicable  thereto;
         provided  that the  failure  at any one time to  maintain  Health  Care
         Permits  with  respect to any seven  Health  Care  Facilities  owned or
         leased  by any one or  more  Subsidiaries  of the  Borrower  shall  not
         constitute a failure to comply with this Section 5.02(k).

                           (l) Further Assurances.  (i) Promptly and in no event
         later than five Business Days after becoming aware thereof,  notify the
         Lenders if any written  information,  exhibits and reports furnished to
         the Lenders contain any untrue


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                                       73

         statement of a material  fact or omit to state any material fact or any
         fact necessary to make the statements  contained therein not misleading
         in light of the  circumstances in which made, and correct any defect or
         error   that  may  be   discovered   therein   or  in  the   execution,
         acknowledgement or recordation of any Loan Document.

                           (ii)  Promptly  upon  request  by  the  Agent  or the
         Requisite  Lenders,  execute,  deliver,  acknowledge,   file,  re-file,
         register  and  re-register  any and all  such  further  acts,  security
         agreements,  assignments,  estoppel certificates,  financing statements
         and  continuations   thereof,   termination   statements,   notices  of
         assignment, transfers, certificates,  assurances, Federal Reserve Forms
         U-1 or G-3 or similar forms and other  instruments  as the Agent or the
         Requisite Lenders may reasonably require from time to time in order (A)
         to carry out more  effectively  the  purposes of this  Agreement or any
         other Loan Document,  (B) to subject to the Liens created by any of the
         Collateral  Documents  any  of  the  properties,  rights  or  interests
         described in or intended to be covered by any Collateral Document,  (C)
         to comply with  Section  5.03(k),  (D) to  establish  and  maintain the
         validity,  effectiveness,  perfection  and  priority of any  Collateral
         Document or any Liens intended to be created thereby,  or (E) to better
         assure, convey, grant, assign, transfer,  preserve, protect and confirm
         to the Agent and the  Lenders  the rights  granted or now or  hereafter
         intended to be granted to the Lenders  under any Loan Document or under
         any other instrument executed in connection therewith.

                           (m) Delivery of Promissory  Note. If requested by any
         Lender,  execute and deliver a promissory  note, in  substantially  the
         form of Exhibit A-1,  payable to the order of such Revolving  Lender in
         an original  principal amount equal to such Lender's Revolving Pro Rata
         Share of the  Revolving  Facility  Amount  on the  Closing  Date,  duly
         executed by the Borrower,  and a promissory note, in substantially  the
         form of  Exhibit  A-2  payable  to the order of each Term  Lender in an
         original principal amount equal to such Lender's Term Pro Rata Share of
         the Term Borrowing, duly executed by the Borrower;

                           (n) Hedging  Contracts.  At the request of the Agent,
         the Borrower shall maintain interest rate Hedging Contracts,  but in no
         event  shall the  Borrower be required  under this  Section  5.02(n) to
         maintain   interest   rate  Hedging   Contracts  if,  on  any  date  of
         determination,  the sum of the principal  amount of (i) the  Borrower's
         fixed rate Funded Debt  (exclusive  of all such Funded Debt  covered by
         floating rate Hedging Contracts) and (ii) the Borrower's  floating rate
         Funded Debt  (covered by fixed  interest  rate  Hedging  Contracts)  is
         greater than 50% of the aggregate  principal  amount of the  Borrower's
         Funded Debt.



<PAGE>

                                       74

                  SECTION 5.03.  Negative  Covenants.  So long as any Obligation
remains  unpaid,  any  Letter of Credit  remains  outstanding  or any  Lender is
obligated  to extend  credit  hereunder,  without  the  written  consent  of the
Requisite  Lenders  the  Borrower  will not,  and will not  cause or permit  any
Subsidiary of the Borrower to:

                           (a)  Liens.  Directly  or  indirectly  make,  create,
         incur,  assume or suffer to exist any Lien upon or with  respect to any
         part  of its  property  or  assets,  whether  now  owned  or  hereafter
         acquired, or become or remain bound by any agreement to do so, except:

                                    (i)  any  Lien  (other  than a  Lien  on the
                  Collateral)  (A) existing on the Closing Date and described in
                  Schedule  5.03(d),   securing  Debt  permitted  under  Section
                  5.03(d)(ii), or (B) granted to secure any extension,  renewal,
                  refinancing  or  replacement  of any  such  Debt  if  (a)  the
                  principal  amount secured thereby is not increased and (b) the
                  property  subject  to the Lien so  granted  is  limited to the
                  property  that  was  subject  to the  original  Lien  and  any
                  accessions,  fixtures, improvements or equipment added thereto
                  in the ordinary course of business;

                                    (ii)  any  Lien   created   under  any  Loan
                  Document;

                                    (iii) any Lien for taxes, fees,  assessments
                  or other  governmental  charges which are not  delinquent  and
                  remain payable without penalty or which are being contested as
                  permitted under Section 5.02(h);

                                    (iv)    any    carriers',    warehousemen's,
                  mechanics',  landlords',  materialmen's,  repairmen's or other
                  similar Lien arising in the ordinary  course of business which
                  is not delinquent or remains  payable without penalty or which
                  is being contested as permitted under Section 5.02(h);

                                    (v) any Lien (other  than a Lien  imposed by
                  Environmental  Laws  or by  ERISA)  on  the  property  of  the
                  Borrower or any of its Subsidiaries imposed by law, or pledges
                  or deposits required by law pursuant to worker's compensation,
                  unemployment insurance and other social security legislation;

                                    (vi) any easement, right-of-way, restriction
                  and other  similar  encumbrance  with respect to real property
                  incurred  in  the  ordinary  course  of  business  if,  in the
                  aggregate, such items are not substantial in amount and do


<PAGE>

                                       75

                  not constitute and cannot  reasonably be expected to result in
                  a Material Adverse Change;

                                    (vii) any Lien  arising out of any  judgment
                  or award  against it, if (A) such Lien is being  contested  as
                  permitted  under  Section  5.02(h),  (B) there is no  material
                  likelihood of the sale,  forfeiture or loss of any part of its
                  properties,  and (C) such Lien does not  materially  interfere
                  with the use of any material part of its properties;

                                    (viii)  any  Lien on  property  of a  Person
                  which becomes a Subsidiary after the date of this Agreement if
                  such Lien existed at the time such Person  became a Subsidiary
                  of the Borrower and was not created in anticipation thereof;

                                    (ix) any Lien upon  property of a Subsidiary
                  of the Borrower  securing  Debt of such  Subsidiary  permitted
                  under Section  5.03(d)(iv),  if with respect to such Lien each
                  of  the  conditions  set  forth  in  Section   5.03(d)(iv)  is
                  satisfied;

                                    (x)  the  interest  of the  purchasers,  and
                  their  transferees,  under any Receivables Sale Program in the
                  accounts   receivable  of  the  Borrower's   Subsidiaries  and
                  proceeds  thereof and records related  thereto;  provided that
                  the Facility  Reduction  required under Section  2.06(e) is in
                  effect;

                                    (xi)  any   Lien   upon   property   of  any
                  Subsidiary  of the  Borrower  securing  Debt  permitted  under
                  Section 5.03(d)(iii)(A);

                                    (xii) any Lien upon property of a Subsidiary
                  of the Borrower  securing  Debt of such  Subsidiary  permitted
                  under Section 5.03(d)(vii) or 5.03(d)(viii);

                                    (xiii)   any   Liens   upon  (a)   stock  of
                  Subsidiaries   and  certain  related  assets  granted  by  the
                  Borrower or one or more  Subsidiaries  of the Borrower and (b)
                  real property  interests and certain related assets granted by
                  one or more  Subsidiaries  of the  Borrower,  in each  case in
                  connection with the Synthetic Lease Facility; and

                                    (xiv) any Lien granted  upon the  Collateral
                  of the Borrower or a Subsidiary  of the Borrower in connection
                  with  Hedging  Contracts;



<PAGE>

                                       76

                  or become or remain  bound by any  agreement  restricting  its
                  ability to grant, create, incur, assume or suffer to exist any
                  Lien  upon or with  respect  to any  part of its  property  or
                  assets,  whether now owned or hereafter  acquired,  except (A)
                  restrictions set forth in the Loan Documents, (B) restrictions
                  set   forth  in  the   Subordinated   Debt   Indentures,   (C)
                  restrictions  on the  enforcement  of junior Liens on property
                  secured by a Lien permitted  under clauses (i) or (ix) of this
                  Section 5.03(a),  if such restrictions are enforceable  solely
                  by the holder of the Lien so permitted,  (D)  restrictions  on
                  the creation of a Lien on the lessee's interest under a lease,
                  if such restrictions are enforceable  solely by the lessor (or
                  any  lender to such  lessor  providing  financing  secured  by
                  assignment   of  such  lease)   under  such  lease,   and  (E)
                  restrictions  on  the  creation  of a  Lien  on  the  accounts
                  receivable  subject to a  Receivables  Sale  Program,  and the
                  proceeds  thereof  and  records  related   thereto,   if  such
                  restrictions  are enforceable  solely by the purchasers  under
                  such Receivables Sale Program and their transferees.

                           (b)  Disposition of Assets.  Engage in any Asset Sale
         or  otherwise  directly or  indirectly  sell,  assign,  lease,  convey,
         transfer  or  otherwise  dispose of all or any  portion of its  assets,
         business or property, or agree to do any of the foregoing, except:

                                    (i) the  disposition  of  inventory or used,
                  worn-out or surplus  property or equipment  or Permitted  Cash
                  Investments in the ordinary course of business;

                                    (ii)  the  sale  of  equipment   for  credit
                  against the purchase price of similar replacement equipment or
                  if the proceeds of the sale are reasonably promptly applied to
                  the purchase price of similar replacement equipment;

                                    (iii) the disposition of accounts receivable
                  of the Borrower's  Subsidiaries pursuant to a Receivables Sale
                  Program;  provided  that (A) the Facility  Reduction  required
                  under  Section  2.06(e) is in effect,  (B) the  aggregate  net
                  investment  of the  purchaser  is counted as if it were Funded
                  Debt, in computing the Debt/EBITDAR Ratio and (C) the discount
                  or yield of the sale and program and administrative  costs and
                  other  related  fees and  expenses,  is  counted as if it were
                  Interest Expense in computing the Fixed Charge Coverage Ratio;


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                                       77

                                    (iv) the  sale of  Schedule  1.01(b)  Assets
                  which is made for fair market  value,  so long as (A) at least
                  50% of the total consideration for such Asset Sale consists of
                  cash   received  at  the  closing   thereof,   (B)  the  Agent
                  concurrently  acquires,  on the terms set forth in the  Pledge
                  and Security Agreements, a legal, valid and perfected security
                  interest  in any and all  non-cash  consideration  received in
                  such Asset Sale,  (C) at the time of or after giving effect to
                  such Asset  Sale,  no Event of Default  or  Potential  Default
                  exists,  and (D) if such  Asset  Sale is a  Retained  Interest
                  Sale,  then,  after giving effect to such  transaction and all
                  related   transactions,   either  (a)  the  Retained  Interest
                  Criteria shall be met with respect to such transactions at the
                  time of consummation  thereof,  or (b) the Partial Disposition
                  Limit shall not be exceeded;

                                    (v) any other  Asset  Sale which is made for
                  fair  market  value,  so long as (A) the sum of the  aggregate
                  consideration  received  pursuant  to such Asset Sale plus the
                  aggregate  consideration  received  pursuant to all such other
                  Asset Sales in any calendar year is less than $50,000,000, (B)
                  the Agent concurrently acquires, on the terms set forth in the
                  Pledge and Security  Agreements,  a legal, valid and perfected
                  security  interest  in  any  and  all  non-cash  consideration
                  received  in such  Asset  Sale,  (C) at the  time of or  after
                  giving  effect to such  Asset  Sale,  no Event of  Default  or
                  Potential  Default  exists,  and (D) if such  Asset  Sale is a
                  Retained  Interest  Sale,  then,  after giving  effect to such
                  transaction  and  all  related  transactions,  either  (a) the
                  Retained  Interest  Criteria shall be met with respect to such
                  transactions at the time of consummation  thereof,  or (b) the
                  Partial Disposition Limit shall not be exceeded;

                           (c)   Investments.   Directly  or  indirectly   make,
         acquire, carry or maintain any Investment, or become or remain bound by
         any  agreement  to make,  acquire,  carry or maintain  any  Investment,
         except:

                                    (i)    Investments    in   Permitted    Cash
                  Investments;

                                    (ii)   Investments   in  accounts  or  notes
                  receivable  or other claims  arising from the sale or lease of
                  goods or services in the ordinary course of business;

                                    (iii)  Investments  by  the  Borrower  in  a
                  wholly-owned  Subsidiary of the Borrower, for purposes related
                  to the business and operations



<PAGE>

                                       78

                  conducted by such Subsidiary in the ordinary course and not to
                  acquire any new business,  Health Care Facility or Health Care
                  Company;

                                    (iv)  loans and  advances,  in an  aggregate
                  amount not greater than  $25,000,000  in any calendar year, to
                  employees  of  the  Borrower  or  of  any  Subsidiary  of  the
                  Borrower;

                                    (v) Investments held on the Closing Date and
                  described in Schedule 5.03(c);

                                    (vi)  loans  made  as  part  of a  permitted
                  Retained  Interest  Sale  under  Section  5.03(d)(2)(D)  by  a
                  Subsidiary of the Borrower to the Borrower,  any  wholly-owned
                  Subsidiary of the Borrower or any Subsidiary of the Borrower;

                                    (vii)  Investments  in the  construction  or
                  improvement of a Health Care Facility and other Investments in
                  assets added to property,  plant or equipment, but (A) only if
                  the Hard Costs associated with such Investments are counted as
                  Capital  Expenditures  and (B)  excluding  a purchase or other
                  acquisition of a Health Care Facility;

                                    (viii)  Investments in promissory  notes and
                  other non-cash  consideration  received in connection with any
                  Asset Sale permitted under Section 5.03(b)(v);

                                    (ix)  Investments  in  Persons  that are not
                  wholly-owned Subsidiaries of the Borrower (including,  without
                  limitation,   joint   ventures)   at  the  time  of  any  such
                  Investment;  provided  that (A) the  aggregate  amount of such
                  Investments  in any calendar year shall not exceed (a) the sum
                  of (a) $50,000,000 plus (b) the positive number, if any, equal
                  to  $30,000,000  minus  the  amount so  invested  in the prior
                  calendar  year; (B) any such  Investment  shall be made by the
                  Borrower  through a  wholly-owned  Subsidiary  of the Borrower
                  that (a) is engaged only in  activities  related to the Person
                  in which such  Investment  is made and (b)  complies  with the
                  provisions of Section 5.02(e) (except that any such Investment
                  which is a loan may be made  directly by the  Borrower so long
                  as the  Borrower  complies  with  Section  5.03(k) and Section
                  5.02(l)), and neither the Borrower nor any of its Subsidiaries
                  nor any of their  properties  shall be or  become  bound by or
                  subject  to any  contractual  obligation  that is or  would be
                  violated or put in default by reason of such

<PAGE>
                                       79

                  compliance or by reason of the  enforcement  of the claims and
                  Liens of the Agent and Lenders  arising from such  compliance;
                  and (C) at the  time of or  after  giving  effect  to any such
                  Investment, no Event of Default or Potential Default exists or
                  would result;

                                    (x) Investments by existing, newly-formed or
                  acquired  wholly-owned  Subsidiaries of the Borrower in one or
                  more Health Care Companies or Health Care Facilities; provided
                  that (A) the aggregate  consideration for all such Investments
                  during  the term of this  Agreement  does not exceed an amount
                  equal to the sum of (1) 50% of the Net Cash  Proceeds  of Sale
                  of (a) Schedule 1.01(b) Assets and (b) assets sold pursuant to
                  Section  5.03(b)(v) and (2)  $95,000,000;  provided,  further,
                  notwithstanding the foregoing limitation,  the Borrower or any
                  wholly-owned    subsidiary   thereof   may   make   additional
                  Investments  under  this  Section  5.07(c)(x)  so  long as the
                  aggregate  consideration  for all  such  Investments  does not
                  exceed  (a)   $300,000,000   in  any  calendar  year,  or  (b)
                  $500,000,000  during  the term of this  Agreement;  (B) at the
                  time of or after  giving  effect  to any such  Investment,  no
                  Event of Default or Potential  Default exists or results;  and
                  (C) each entity that becomes a  Subsidiary  of the Borrower in
                  connection  with or as a result of any such  Investment  shall
                  comply with the provisions of Section 5.02(e), and neither the
                  Borrower  nor  any  of  its  Subsidiaries  nor  any  of  their
                  properties  shall  be or  become  bound by or  subject  to any
                  contractual  obligation that is or would be violated or put in
                  default  by  reason  of such  compliance  or by  reason of the
                  enforcement  of the claims and Liens of the Agent and  Lenders
                  arising from such compliance;

                                    (xi) The  acquisition of CCA by the Borrower
                  or any of its  Subsidiaries,  provided  that (A) the  purchase
                  price for the shares of CCA does not  exceed  $4.50 per share,
                  (B) at the time of or after giving effect to such acquisition,
                  no  Event of  Default  or  Potential  Default  shall  exist or
                  result,  and (C) the Borrower shall comply with the provisions
                  of Section  5.02(e),  and neither the  Borrower nor any of its
                  Subsidiaries  nor any of their  properties  shall be or become
                  bound by or subject to any  contractual  obligation that is or
                  would  be  violated  or put  in  default  by  reason  of  such
                  compliance or by reason of the  enforcement  of the claims and
                  Liens of the Agent and Lenders  arising from such  compliance;
                  provided  further  that the  acquisition  of CCA  shall not be
                  deemed an Investment for purposes of Section 5.03(c)(x);


<PAGE>
                                       80

                                    (xii)  Investments  carried or maintained in
                  Affiliates  arising out of Retained Interest Sales,  including
                  any such  Investment  carried or  maintained  in a Person that
                  becomes a '34 Act Company;

                                    (xiii)   The   acquisitions   described   in
                  Schedule  5.03(c)(xiii);  provided that (A) the aggregate cash
                  portion of the  consideration  for any such acquisition  shall
                  not exceed  the cash  purchase  price  specified  therefor  in
                  Schedule  5.03(c)(xiii);  (B) at the time of or  after  giving
                  effect  to any  such  acquisition,  no  Event  of  Default  or
                  Potential Default shall exist or result;  and (C) the Borrower
                  shall  comply  with the  provisions  of Section  5.02(e),  and
                  neither the  Borrower nor any of its  Subsidiaries  nor any of
                  their properties shall be or become bound by or subject to any
                  contractual  obligation that is or would be violated or put in
                  default  by  reason  of such  compliance  or by  reason of the
                  enforcement  of the claims and Liens of the Agent and  Lenders
                  arising from such compliance;

                                    (xiv)  The  acquisition  of  RoTech  by  the
                  Borrower  or any of its  Subsidiaries,  provided  that (A) the
                  aggregate  of (1) Debt of RoTech  existing at the time of such
                  acquisition  and assumed by the Borrower or one or more of its
                  Subsidiaries in connection therewith and (2) cash expenditures
                  by the Borrower and its  Subsidiaries  in connection with such
                  acquisition  does  not  exceed   $375,000,000,   exclusive  of
                  reasonable  transaction  costs,  (B) at the  time of or  after
                  giving  effect to such  acquisition,  no Event of  Default  or
                  Potential Default shall exist or result,  and (C) the Borrower
                  shall  comply  with the  provisions  of Section  5.02(e),  and
                  neither the  Borrower nor any of its  Subsidiaries  nor any of
                  their properties shall be or become bound by or subject to any
                  contractual  obligation that is or would be violated or put in
                  default  by  reason  of such  compliance  or by  reason of the
                  enforcement  of the claims and Liens of the Agent and  Lenders
                  arising from such compliance;

                                    (xv) Loans and Investments by any Subsidiary
                  of the Borrower to Lyric provided, that such Subsidiary at all
                  times owns membership interests of not less than 20% of Lyric,
                  provided,  further,  that the sum of all such  Investments and
                  the aggregate  outstanding  principal amount of all such loans
                  does not exceed 10% of the annual pro forma revenues of Lyric,
                  provided,  further,  that such loans are  pledged to the Agent
                  pursuant  to  the  Pledge  and  Security   Agreement  of  such
                  Subsidiary; and




<PAGE>
                                       81


                           (xvi) The  acquisition of Lithotripsy by the Borrower
                  or any of its  Subsidiaries,  provided that the aggregate cash
                  expenditures   by  the  Borrower  and  its   Subsidiaries   in
                  connection with such acquisition does not exceed $145,000,000,
                  (B) at the time of or after giving effect to such acquisition,
                  no  Event of  Default  or  Potential  Default  shall  exist or
                  result,  and (C) the Borrower shall comply with the provisions
                  of Section  5.02(e),  and neither the  Borrower nor any of its
                  Subsidiaries  nor any of their  properties  shall be or become
                  bound by or subject to any  contractual  obligation that is or
                  would  be  violated  or put  in  default  by  reason  of  such
                  compliance or by reason of the  enforcement  of the claims and
                  Liens of the Agent and Lenders arising from such compliance.

                           (d)   Limitation   on   Indebtedness.   Directly   or
         indirectly  create,  incur,  assume,  guarantee or suffer to exist,  or
         otherwise  become or remain directly or indirectly  liable with respect
         to, any Debt, except:

                                    (i)     the Obligations;

                                    (ii) Debt  existing on the Closing  Date and
                  described in Schedule  5.03(d) and any  extension,  renewal or
                  refinancing  of  such  Debt  so  long  as (A)  either  (i) the
                  principal  amount  of such Debt is not  increased  or (ii) any
                  increase  in the  principal  amount of such Debt is  permitted
                  pursuant to another clause of this Section  5.03(d) and (B) if
                  Subordinated  Debt, such extension,  renewal or refinancing of
                  such Subordinated Debt are on terms no less favorable than the
                  Debt   refinanced   (including,    without   limitation,   the
                  subordination of such Debt and the respective  repayment dates
                  for such Debt);

                                    (iii) any intercompany  loan made (A) by the
                  Borrower or any wholly-owned  Subsidiary thereof to any Person
                  that is a Subsidiary  of the Borrower at the time such loan is
                  made;  provided that any such loan made by the Borrower or any
                  wholly-owned  Subsidiary  thereof  to  any  Person  that  is a
                  wholly-owned  Subsidiary of the Borrower at the time such loan
                  is made shall be repayable on demand;  provided  further that,
                  in the case of any loan to a  non-wholly-owned  Subsidiary  of
                  the  Borrower,  (a) the  Investment  in such loan is permitted
                  under  Section  5.03(c)  and (b) such loan shall be subject to
                  the limitations on Investments provided for therein; or (B) to
                  the  Borrower or any  wholly-owned  Subsidiary  thereof by any
                  Subsidiary of the Borrower;




<PAGE>
                                       82


                                    (iv) Debt (A) owed by a Health Care  Company
                  acquired in an acquisition  permitted under Section 5.03(c)(x)
                  or Section  5.03(c)(xiii),  if such Debt was outstanding prior
                  to the acquisition,  (B) owed by a Subsidiary of the Borrower,
                  if the Subsidiary makes an acquisition permitted under Section
                  5.03(c)(x) or Section 5.03(c)(xiii) and incurs or assumes such
                  Debt for the  purpose  of paying the  purchase  price or other
                  consideration for the acquisition,  or (C) incurred or used by
                  any  Subsidiary  of the  Borrower  to  purchase  or  otherwise
                  acquire any equipment for its business, but such Debt shall be
                  permitted only if and so long as the following  conditions are
                  met:

                                    (1)  such  Debt (I) may be  secured  only by
                  assets  of  the  Subsidiary  that  incurred  it,  (II)  may be
                  incurred and owed only by a single Subsidiary that, if it owes
                  Debt of the type described at (A) and (B) in this clause (iv),
                  has no  significant  assets  except  those  acquired  in  such
                  acquisition, and equipment, fixtures and improvements thereon,
                  replacements thereof, inventory therefor, and assets generated
                  by operation thereof,  (III) must not be subject to terms that
                  are  violated,  or  pursuant  to which  such  Debt is put into
                  default, by reason of any breach,  default or event of default
                  under any  indenture or agreement  governing any other Debt or
                  lease   binding   on  the   Borrower   or  any  of  its  other
                  Subsidiaries,   (IV)  must  permit  the   Borrower   and  such
                  Subsidiary to comply with Section 5.02(e), and (V) must not be
                  violated  or put into  default or require  any  prepayment  or
                  repurchase  of such Debt by reason  of any  change in  control
                  over the Borrower or such  Subsidiary  except,  if required by
                  the holder of such Debt  despite  best efforts by the Borrower
                  to the  contrary,  a right to consent to a change of ownership
                  of such  Subsidiary  if such consent may not  unreasonably  be
                  withheld; and

                                    (2) the  aggregate  principal  amount of all
                  such Debt  incurred  at any time  after the  Closing  Date and
                  outstanding  at any one  time in a  particular  year  must not
                  exceed:


                         Year                                Maximum Amount
                         1997                                 $ 75,000,000
                         1998                                 $175,000,000
                  1999 and thereafter                         $200,000,000;




<PAGE>
                                       83


                                    (v)  Subordinated  Debt  incurred  under the
                  Proposed  Subordinated  Debt  Indenture  that,  together  with
                  Subordinated  Debt incurred under the 1997 B Subordinated Debt
                  Indenture,  equal an aggregate  principal amount not in excess
                  of $800,000,000,  and any extension, renewal or refinancing of
                  such Debt so long as (A)  either (I) the  principal  amount of
                  such  Debt  is not  increased  or  (II)  any  increase  in the
                  principal amount of such Debt is permitted pursuant to another
                  clause  of  this  Section   5.03(d)  and  (B)  the  terms  and
                  conditions of the Proposed  Subordinated Debt Indenture are no
                  less favorable to the Lenders than the 1997  Subordinated Debt
                  Indenture  and  (C)  the  Debt  incurred  under  the  Proposed
                  Subordinated  Debt Indenture  matures not earlier than 30 days
                  after the scheduled maturity date of the Term Loan;

                                    (vi)  Debt   assumed  by  the   Borrower  in
                  connection with the acquisition of CCA; and

                                    (vii) Debt assumed by the Borrower or any of
                  its Subsidiaries in connection with the acquisition of RoTech.

                           (e) Transactions  with Affiliates.  Enter or agree to
         enter into any transaction with any Affiliate of the Borrower or of any
         Subsidiary of the Borrower  except (i) under the Loan Documents or (ii)
         in the  ordinary  course of business  and  pursuant  to the  reasonable
         requirements  of the  business of the Borrower or such  Subsidiary  and
         upon fair and  reasonable  terms no less  favorable  to the Borrower or
         such Subsidiary than the Borrower or such Subsidiary  would obtain in a
         comparable  arm's-length  transaction with a Person not an Affiliate of
         the Borrower or such Subsidiary.

                            (f) Accommodation Obligations. Create, incur, assume
         or suffer to exist any Accommodation Obligations except:

                                    (i) endorsements of checks for collection or
                  deposit in the ordinary course of business;

                                    (ii)   Accommodation   Obligations   of  the
                  Borrower and its Subsidiaries  existing as of the Closing Date
                  and described in Schedule 5.03(f);

                                    (iii)   the Obligations;

                                    (iv) a guaranty by the Borrower of Debt of a
                  Subsidiary permitted under Section 5.03(d)(iv);



<PAGE>
                                       84


                                    (v)  a  guaranty  by  the  Borrower  of  the
                  obligations of a Subsidiary under a lease agreement  permitted
                  under Section 5.03(g);

                                    (vi) a guaranty  of the  performance  of the
                  representations  and  warranties,  indemnities  and  servicing
                  commitments  of a  Subsidiary  (A) to the  purchasers  under a
                  Receivables Sale Program and their transferees,  (B) contained
                  in any purchase or sale  agreement  entered into in connection
                  with  any  Investment  or  Asset  Sale  permitted  under  this
                  Agreement,  and  (C)  contained  in any  management  agreement
                  entered  into in the  ordinary  course  of  such  Subsidiary's
                  business;

                                    (vii) Accommodation  Obligations incurred by
                  the Borrower or any of its Subsidiaries in connection with the
                  Synthetic Lease Facility.

                                    (viii)  a  guaranty   by  the   Borrower  of
                  equipment  leases of  Subsidiaries  of the Borrower  otherwise
                  permitted hereunder; and

                                    (ix) any other  Accommodation  Obligation to
                  the  extent  that,   after   giving   effect   thereto,   such
                  Accommodation  Obligation  does  not  result  in an  Event  of
                  Default or Potential  Default under Section 5.01(a) or 5.03(d)
                  (with the maximum amount of the  contingent  obligation of the
                  Borrower  or  Subsidiary,  as the  case  may  be,  under  such
                  Accommodation  Obligation  being  deemed Debt for  purposes of
                  compliance with this covenant).

                           (g) Leases of Health Care  Facilities.  Enter into or
         become obligated as lessee under any lease (exclusive of leases entered
         into in connection  with the Synthetic Lease Facility) of a Health Care
         Facility, whether or not it is a Capital Lease, unless (i) the lease is
         free from  provisions  pursuant  to which the lease is  violated or put
         into default by reason of any breach, default or event of default under
         any  indenture  or  agreement  governing  any Debt of,  or other  lease
         binding  on,  the  Borrower  or any of its other  Subsidiaries,  except
         another  lease  entered  into  by  the  same  lessor  or by  one of its
         Affiliates,  (ii) the lease permits the Borrower and such Subsidiary to
         comply with Section  5.02(e) and does not include any provision that is
         or would be violated or put in default by reason of such  compliance or
         by reason of the  enforcement  of the claims and Liens of the Agent and
         Lenders arising from such compliance,  and (iii) the lease is free from
         provisions  pursuant  to which the lease is or would be violated or put
         into default,  or any  prepayment  would be required,  by reason of any
         change  in  control  of the  Borrower  or such  Subsidiary  except,  if
         required  by the lessor  despite  best  efforts by the  Borrower to the
         contrary,  a  right  to  consent  to a  change  of  ownership  of  such
         Subsidiary if such consent may not  unreasonably be withheld;  provided
         that at any one time the  Borrower  or any of its  Subsidiaries  may be
         obligated as a lessee under one or more leases of Health Care


<PAGE>
                                       85


         Facilities not otherwise  permitted  under this Section 5.03(g) so long
         as the aggregate annual rent payment  obligations under all such leases
         is less  than  $20,000,000,  exclusive  of  leases  in which CCA is the
         lessee and which CCA entered  into or became  obligated  under prior to
         the acquisition of CCA by the Borrower.

                           (h)   Restricted   Junior   Payments.   Directly   or
         indirectly   (i)  declare  or  make  any  dividend   payment  or  other
         distribution  of  assets,  properties,  cash,  rights,  obligations  or
         securities  on account of any shares of any class of its capital  stock
         or any other  equity,  ownership or profit  interests;  (ii)  purchase,
         redeem  or  otherwise  acquire  for  value  any  shares of any class of
         capital  stock of, or other equity,  ownership or profit  interests in,
         the  Borrower or any of its  Subsidiaries  or any  warrants,  rights or
         options to  acquire  any such  shares or  interests,  now or  hereafter
         outstanding;  (iii) enter into any agreement restricting the ability of
         any Subsidiary of the Borrower to declare or make any dividend  payment
         or other distribution of assets, properties,  cash, rights, obligations
         or  securities  to  its  stockholders;  (iv)  agree  to or  permit  any
         amendment  or  modification  of, or change  in, any of the terms of the
         Subordinated Debt Indentures;  or (v) pay, prepay,  redeem, or purchase
         or  otherwise  acquire any  Subordinated  Debt,  or make any deposit to
         provide for the payment of any Subordinated  Debt when due, or exchange
         any Subordinated  Debt, or give any notice in respect  thereof;  except
         that:

                                    (A) the  Borrower  may  declare and pay cash
                  dividends  on its  common  stock,  so long as (a) no  Event of
                  Default or  Potential  Default is  continuing  at the time any
                  such  dividend is  declared  or paid or would  result from the
                  payment  and  (b)  the  aggregate  amount  of  all  such  cash
                  dividends  paid in any one  calendar  year does not exceed the
                  lesser  of (x) $0.05  per  share  and (y)  $10,000,000  in the
                  aggregate;

                                    (B) The  Borrower  from  time  to  time  may
                  purchase  outstanding shares of the Borrower's common stock or
                  purchase  options,  or  enter  into  other  transactions,   to
                  purchase  such  stock,  so long as (1)  the  aggregate  amount
                  expended   for  all  such   purchases,   options   and   other
                  transactions  at any time  after  the  Closing  Date  does not
                  exceed  $50,000,000  (the  "PURCHASE  LIMIT") and (2) any such
                  purchase,  option or other  transaction  is made in compliance
                  with all applicable laws and no Potential  Default or Event of
                  Default  exists at the time of, or would result from, any such
                  purchase,  option or other transaction (and, for this purpose,
                  the amounts  counted  toward the  Purchase  Limit shall not be
                  reduced  by or on  account  of any  subsequent  resale  of the
                  Borrower's Common Stock);


<PAGE>
                                       86


                                    (C) the  Borrower  may  declare and make any
                  dividend payments or other distributions payable solely by the
                  Borrower in common stock of the Borrower;

                                    (D) so long as no Event of Default exists or
                  would  result,   any   Subsidiary  may  (a)  make  any  lawful
                  distribution  to the  holders  of shares of its stock or other
                  equity,  ownership  or  profit  interests  and  (b)  purchase,
                  acquire or retire any such  shares or  interests  that are not
                  held  by the  Borrower  or a  wholly-owned  Subsidiary  of the
                  Borrower,  if the  Investment  in such shares or  interests is
                  permitted at the time under Section 5.03(c)(x);

                                    (E)  the  Borrower  may  pay  when  due  the
                  interest  on  the  Subordinated   Debt  if  such  interest  is
                  permitted  to be  paid at the  time  under  the  subordination
                  provisions of the governing Subordinated Debt Indenture;

                                    (F)  the  Borrower  may  give  notice  of  a
                  redemption   with   respect   to  any  issue  of   Convertible
                  Subordinated  Debt,  if and  only if (a) the  purpose  of such
                  notice  is  to  force   the   holders   of  such   Convertible
                  Subordinated  Debt to convert their  Convertible  Subordinated
                  Debt into common  stock of the Borrower and (b) at the time of
                  the giving of such  notice no Event of  Default  or  Potential
                  Default has occurred  and is  continuing;  provided,  however,
                  that the Borrower may make any redemption payment by reason of
                  tenders  actually  made pursuant to such notice only if either
                  (x) the conversion of such  Convertible  Subordinated  Debt to
                  common stock is  underwritten  by a third party  acceptable to
                  the Agent or (y) any  redemption  payment  required to be made
                  pursuant to such notice would not cause Adjusted Stockholders'
                  Equity to be less than  Minimum  Net Worth and in each case no
                  Event of Default or  Potential  Default is  continuing  at the
                  time of, or would  exist  after  giving  effect  to,  any such
                  redemption payment;

                                    (G) so long as not prohibited under the 1993
                  Convertible  Subordinated Debt Indenture, the Borrower may pay
                  on January 1, 2001 any  principal  amount then due and payable
                  under the 1993 Convertible Subordinated Debt Indenture;

                                    (H) The  Borrower  may pay  dividends on the
                  Preferred  Stock,  if paid when due and not  prohibited at the
                  time  under  the  certificate  of  designation  governing  the
                  Preferred Stock; and

                                    (I)  so  long  as no  Event  of  Default  or
                  Potential  Default is continuing at the time of or would exist
                  after giving effect to, any  redemption  payment and it is not
                  prohibited under the terms of the respective Convertible


<PAGE>
                                       87


                  Subordinated   Debt,  the  Borrower  may  redeem   Convertible
                  Subordinated   Debt,   provided   that  all  amounts  used  in
                  connection  with such  redemption are solely from the proceeds
                  of an equity offering of the Borrower.

                           (i) Mergers,  Etc. Merge or consolidate  with or into
         or enter into any  agreement to merge or  consolidate  with or into any
         Person except that:

                                    (i)  a   wholly-owned   Subsidiary   of  the
                  Borrower may engage in a merger or consolidation  with any one
                  or more other wholly-owned Subsidiaries of the Borrower if the
                  surviving  corporation  is a  wholly-owned  Subsidiary  of the
                  Borrower  (A) that has  executed  the Guaranty and (B) all the
                  stock of which is held by the Agent in pledge  pursuant to the
                  Collateral Documents;

                                    (ii) a  non-wholly-owned  Subsidiary  of the
                  Borrower may engage in a merger or consolidation  with any one
                  or more other non-wholly- owned  Subsidiaries of the Borrower;
                  provided that the surviving corporation is a Subsidiary of the
                  Borrower, (A) that has executed the Guaranty and (B) the stock
                  of  which,  to  the  extent  owned  by  the  Borrower  or  any
                  Subsidiary thereof, is held by the Agent in pledge pursuant to
                  the Collateral  Documents;  and provided  further that,  after
                  giving  effect to any such  merger or  consolidation,  (a) the
                  Borrower shall, directly or indirectly, own an equity interest
                  in  the  surviving  corporation  substantially  equivalent  in
                  aggregate   value  to  its  prior  equity   interests  in  the
                  non-wholly-owned   Subsidiaries   party  to  such   merger  or
                  consolidation, and (b) the surviving corporation shall satisfy
                  the   Retained   Interest   Criteria  as  if  such  merger  or
                  consolidation had been a Retained Interest Sale;

                                    (iii)  a  wholly-owned   Subsidiary  of  the
                  Borrower may engage in a merger or consolidation in connection
                  with an acquisition  permitted under Section  5.03(c)(x),  but
                  only if the surviving corporation is a wholly-owned Subsidiary
                  of the Borrower (A) that has executed the Guaranty and (B) all
                  the stock of which is held by the Agent in pledge  pursuant to
                  the Collateral Documents; and

                                    (iv) a Subsidiary of the Borrower may engage
                  in a merger or consolidation if the purpose and effect thereof
                  is solely to consummate a transaction  permitted under Section
                  5.03(b)(iv), Section 5.03(b)(v) or Section 5.03(b)(vi).


<PAGE>
                                       88


                           (j) Conduct of Business. Engage in any business other
         than the businesses of the Borrower and its  Subsidiaries  described in
         Section  4.01(p) and any  business or  activity  substantially  similar
         thereto.

                           (k)  Unpledged  Assets.  In the case of the Borrower,
         own or hold any assets,  Investments  or property  upon which the Agent
         does not hold a valid,  perfected  and sole  Lien as  security  for the
         Obligations,  except (i)  Investments  permitted  under clauses (i) and
         (iv) of Section  5.03(c),  (ii) other  assets  and  property  having an
         aggregate  value not  greater  than  $40,000,000,  and (iii)  shares of
         Inactive Subsidiaries.

                           (l) Compliance with ERISA. Directly or indirectly (or
         permit any ERISA Affiliate directly or indirectly to) (i) terminate any
         Plan  subject to Title IV of ERISA so as to result in  liability to the
         Borrower or any ERISA  Affiliate in excess of  $2,000,000;  (ii) permit
         any ERISA Event to exist;  (iii) make a complete or partial  withdrawal
         (within the meaning of ERISA Section 4201) from any Multiemployer  Plan
         so as to result in liability to the Borrower or any ERISA  Affiliate in
         excess  of  $2,000,000;  or (iv)  permit  the  total  Unfunded  Pension
         Liabilities (using the actuarial  assumptions utilized by the PBGC) for
         all  Pension  Plans  (other than  Pension  Plans which have no Unfunded
         Pension Liabilities) to exceed $2,000,000.

                           (m) Health Care Permits and Approvals.  Engage in any
         activity  that (i) is or could  reasonably  be  expected to result in a
         material default under or violation of any Health Care Permit necessary
         for the lawful  conduct of its business or operations or (ii) causes or
         could  reasonably  be  expected  to cause the loss by any  Health  Care
         Company or Health Care Facility owned,  leased,  managed or operated by
         it of the right to  participate  in, and  receive  payment  under,  the
         appropriate Medicare,  Medicaid and related reimbursement programs, and
         any similar state or local  government-sponsored  program to the extent
         that it has decided to  participate in any such state or local program,
         or to receive  reimbursement  from  private and  commercial  payers and
         health  maintenance  organizations  to the extent  applicable  thereto;
         provided  that the  failure  at any one time to  maintain  Health  Care
         Permits  with  respect to any seven  Health  Care  Facilities  owned or
         leased by one or more Subsidiaries of the Borrower shall not constitute
         a failure to comply with this Section 5.03(m).

                           (n)  Retained  Interest  Criteria.  Cause,  permit or
         suffer  any of  the  Retained  Interest  Criteria  not  to be  met  and
         maintained  continuously  after  the  consummation  of any  transaction
         permitted under Section 5.03(b)(v)(D) or Section 5.03(b)(vi)(D), for as
         long  as the  Retained  Interest  surviving  such  transaction,  or any
         portion thereof or non-cash proceeds therefrom, is held by the Borrower
         or any of its subsidiaries.



<PAGE>
                                       89


                           (o)  Payment  Restrictions  Affecting   Subsidiaries.
         Cause,  permit or suffer any  Subsidiary to become or remain subject to
         any  contractual  obligation that in any manner limits or restricts its
         right to pay  dividends  or make  distributions,  whether in cash or in
         property,  to its  stockholders  or to make loans or sell assets to the
         Borrower or any of its  Subsidiaries  or to enter into any other lawful
         transaction  with  the  Borrower  or any of  its  Subsidiaries,  except
         limitations  and  restrictions  set  forth  in  the  Subordinated  Debt
         Indentures or the Loan Documents.


                                   ARTICLE VI

                                EVENTS OF DEFAULT

                  SECTION  6.01.  Events  of  Default.  If any of the  following
events ("EVENTS OF DEFAULT") shall occur and be continuing:

                           (a)  Non-Payment of Principal.  The Borrower fails to
         pay when due any principal of any Advance; or

                           (b)  Non-Payment  of Interest or Fees.  The  Borrower
         fails to pay when due any interest  payable  under  Section  2.07,  any
         additional  interest  payable under Section 2.08, any fee payable under
         Section  2.04 or any other amount  payable  hereunder or under any Loan
         Document  and such failure  continues  for five  Business  Days or such
         other period of grace provided for herein; or

                           (c)    Representations     and    Warranties.     Any
         representation  or  warranty  made  by  any  Loan  Party  under  or  in
         connection  with any Loan Document proves to have been incorrect in any
         material  respect  when  made and  either  (i) such  representation  or
         warranty  cannot be remedied and the Agent has given notice  thereof or
         (ii) such  representation or warranty  continues to be incorrect in any
         material  respect for fifteen days after either (A) such  incorrectness
         is  acknowledged  in  writing by the  Borrower  or (B)  written  notice
         thereof is given to the Borrower by the Agent or any Lender; or

                           (d) Financial,  Lien and Debt Covenants. The Borrower
         fails to perform or observe any term,  covenant or agreement  set forth
         in Section 5.01, Section 5.03(a) or Section 5.03(d); or

                           (e)  Reporting  Covenants.   The  Borrower  fails  to
         perform or observe any term, covenant or agreement set forth in Section
         5.02(c) and such failure continues for fifteen days after either (i) it
         is acknowledged in writing by the


<PAGE>
                                       90


         Borrower or (ii) written notice thereof is given to the Borrower by the
         Agent or any Lender; or

                           (f) Negative Covenants. The Borrower fails to perform
         or observe any term,  covenant or  agreement  set forth in Section 5.03
         (other than Sections 5.03(a) or 5.03(d)) and such failure continues for
         ten days after either (i) it is acknowledged in writing by the Borrower
         or (ii) written notice thereof is given to the Borrower by the Agent or
         any Lender; or

                           (g)  Covenants.  The Borrower or any Loan Party fails
         to perform or observe any term, covenant or agreement contained in this
         Agreement  or any other Loan  Document  (other than those  specifically
         referred to in  subsections  (a), (b), (c), (d) and (e) of this Section
         6.01) and such  failure  continues  for 30 days (or with respect to the
         covenants  set forth in  Sections  5.02(f)  and  5.02(l)  such  failure
         continues for 60 days) after either (i) it is  acknowledged  in writing
         by the Borrower or (ii) written notice thereof is given to the Borrower
         by the Agent or any Lender; or

                           (h) Debt. The Borrower or any of its Subsidiaries (i)
         fails to pay, when due and payable  (whether at the scheduled  maturity
         or upon any required  prepayment,  acceleration,  demand or otherwise),
         any  principal of or premium or interest on any Debt (except the Notes,
         but  including  any  Accommodation  Obligations  in respect of any such
         Debt)  outstanding in a principal amount of at least  $10,000,000,  and
         such  failure  continues  for longer than the period of grace,  if any,
         specified for such failure in the indenture or agreement governing such
         Debt,  or (ii)  commits  or  permits  a breach  or  default  under  any
         financial test or covenant  which,  under the terms of the indenture or
         agreement  governing  any Debt  (except the Notes,  but  including  any
         Accommodation Obligations in respect of any such Debt) outstanding in a
         principal amount of at least $10,000,000, requires the maintenance of a
         specified  net  worth or  working  capital  or any  other  quantifiable
         measure of  financial  condition  or  financial  performance,  and such
         breach or default  continues  for longer  than the period of grace,  if
         any, specified for such failure in such indenture or agreement;  or any
         such Debt of at least  $10,000,000 is declared to be due and payable or
         is required to be prepaid prior to the stated maturity thereof; or

                           (i)  Leases.   (i)  Except  as  otherwise   permitted
         pursuant to Section  5.02(h),  the Borrower or any of its  Subsidiaries
         (A) fails to make any  payment  within  the period  required  under any
         Material Lease,  and such failure  continues for longer than the period
         of grace, if any, specified for such failure in such Material Lease, or
         (B) fails to perform or observe any other term,  covenant or  agreement
         that (a) is  contained  in any  Material  Lease  and (b)  requires  the
         payment of money or can be  performed  or  observed  by the  payment of
         money, and such failure  continues for longer than the period of grace,
         if any, specified for such failure in such Material


<PAGE>
                                       91


         Lease;  or (ii) any  Material  Lease is  terminated  as a result of any
         failure  by the  Borrower  or any of its  Subsidiaries  to  perform  or
         observe any term, covenant or agreement contained therein; or

                           (j)   Bankruptcy.   The   Borrower  or  any  Material
         Subsidiary  is  generally  not paying  its debts as they  become due or
         admits in writing its  inability to pay its debts  generally or makes a
         general  assignment for the benefit of creditors;  or any proceeding is
         instituted  by or against  any Loan Party or any  Subsidiary  of a Loan
         Party  seeking an order for relief under the United  States  Bankruptcy
         Code or seeking liquidation,  winding up, reorganization,  arrangement,
         adjustment,  protection,  relief,  or composition of it or its debts or
         the  appointment  of a receiver,  trustee,  custodian or other  similar
         official for it or for any  substantial  part of its property under any
         law relating to bankruptcy,  insolvency,  liquidation or reorganization
         or  relief  of  debtors  and  either  (i) any such  relief  in any such
         proceeding  is  sought or  consented  to by it or an order for any such
         relief is entered  against it, or (ii) any such  proceeding  instituted
         against it remains undismissed and unstayed for a period of 60 days; or
         any Loan Party or any Material Subsidiary takes any corporate action to
         authorize  any of the actions set forth above in this Section  6.01(i);
         or

                           (k) Judgments.  Any judgment or order for the payment
         of money is rendered  against  any of the Loan  Parties or any of their
         Subsidiaries  in an  amount in excess  of  $30,000,000  for any  single
         judgment or order or in excess of $50,000,000 for all such judgments or
         orders and either (i)  enforcement  proceedings  are  commenced  by any
         creditor upon such  judgment or order and not stayed,  or (ii) there is
         any period of 60 consecutive days during which a stay of enforcement of
         such judgment or order, by reason of a pending appeal or otherwise,  is
         not in effect; or

                           (l)  Guaranty.  Any  provision of the Guaranty  after
         delivery  thereof for any reason ceases to be valid and binding on each
         Loan Party that is party thereto,  or any Loan Party shall repudiate or
         purport to revoke the Guaranty; or

                           (m) Collateral  Documents.  The Collateral Documents,
         after delivery  thereof pursuant to Section 3.01, for any reason (other
         than  pursuant  to the  terms  thereof)  cease to  create  a valid  and
         perfected first priority  security  interest in any material portion of
         the Collateral purported to be covered thereby; or

                           (n) ERISA.  (i) The  Borrower or any ERISA  Affiliate
         fails to satisfy its contribution requirements under Section 412(c)(11)
         of the Code, whether or not it has sought a waiver under Section 412(d)
         of the  Code;  or (ii) in the  case of an  ERISA  Event  involving  the
         withdrawal from a Pension Plan of a "substantial  employer" (as defined
         in Section  4001(a)(2) or Section  4062(e) of ERISA),  the  withdrawing
         employer's proportionate share of that Pension Plan's Unfunded Pension


<PAGE>
                                       92


         Liabilities is more than  $2,000,000;  or (iii) in the case of an ERISA
         Event involving the complete or partial withdrawal from a Multiemployer
         Plan,  the  withdrawing  employer  incurs a withdrawal  liability in an
         aggregate amount exceeding $2,000,000;  or (iv) a Plan that is intended
         to  be  qualified   under   Section   401(a)  of  the  Code  loses  its
         qualification,  and with  respect  to such loss of  qualification,  the
         Borrower  or any ERISA  Affiliate  can  reasonably  be  expected  to be
         required to pay (for additional taxes, payments to or on behalf of Plan
         participants,  or otherwise) an aggregate amount exceeding  $2,000,000;
         or (v) any  combination  of events  listed in clauses (ii) through (iv)
         occurs that  involves a net  increase  in  aggregate  Unfunded  Pension
         Liabilities and unfunded liabilities in excess of $5,000,000;

then, and in any such event, the Agent (C) shall at the request, or may with the
consent,  of the  Requisite  Lenders,  by notice to the  Borrower,  declare  the
obligation of each  Revolving  Lender to make Advances and the obligation of the
LC Bank to issue  Letters of Credit to be  terminated,  whereupon the same shall
forthwith terminate and the Revolving Facility Amount and LC Subcommitment shall
be automatically and permanently  reduced to zero, and (D) shall at the request,
or may with the consent,  of the Requisite  Lenders,  by notice to the Borrower,
declare the Advances and all fixed and contingent obligations of the Borrower to
reimburse  the LC Bank for any  payment  that has been or may be made  under any
Letter of Credit,  together  with all  interest  thereon  and all other  amounts
payable under this Agreement,  to be immediately due and payable,  and thereupon
the  Advances  and all such  fixed  and  contingent  reimbursement  obligations,
interest  and other  amounts  shall become and be  immediately  due and payable,
without presentment, demand, protest or further notice of any kind, all of which
are hereby expressly waived by the Borrower;  provided,  however,  that upon the
ocurrence of any Event of Default  provided for in subsection  6.01(j),  (x) the
obligation  of each  Revolving  Lender  (including  the Swing Line Bank) to make
Advances  and the  obligation  of the LC Bank to issue  Letters of Credit  shall
automatically   be  terminated  and  the  Revolving   Facility   Amount  and  LC
Subcommitment  shall be automatically  and permanently  reduced to zero, and (y)
the Advances and all such fixed and contingent  obligations,  interest and other
amounts shall automatically  become and be immediately due and payable,  without
presentment,  demand, protest or any notice of any kind, all of which are hereby
expressly waived by the Borrower.

                  SECTION 6.02. Rights Not Exclusive. The rights provided for in
this Agreement and the other Loan Documents are cumulative and are not exclusive
of any other  rights,  powers or  privileges  or remedies  provided by law or in
equity, or under any other instrument, document or agreement.

<PAGE>
                                       93


                                   ARTICLE VII

                           THE AGENT AND THE ARRANGER

                  SECTION  7.01.  Authorization  and Action.  Each Lender hereby
appoints and authorizes the Agent to take such action as agent on its behalf and
to exercise  such powers under this  Agreement as are  delegated to the Agent by
the terms  hereof,  together  with  such  powers  as are  reasonably  incidental
thereto. Without limiting the foregoing, each Lender hereby authorizes the Agent
to execute the Intercreditor  Agreement on behalf of each such Lender. As to any
matters not expressly provided for by this Agreement  (including  enforcement or
collection  of the  Notes)  and  subject  to the  terms  and  conditions  of the
Intercreditor  Agreement,  the  Agent  shall not be  required  to  exercise  any
discretion  or take any action,  but shall be required to act or to refrain from
acting (and shall be fully  protected  in so acting or  refraining  from acting)
upon the instructions of the Requisite  Lenders,  and such instructions shall be
binding upon all Lenders and all holders of Notes;  provided,  however, that the
Agent  shall not be  required  to take any  action  which  exposes  the Agent to
personal liability or which is contrary to this Agreement or applicable law. The
Agent shall not be liable to any Lender if, in accordance with the terms of this
Agreement,  it takes or omits to take any action pursuant to the instructions of
the Requisite Lenders.  The Agent agrees to give to each Lender prompt notice of
each notice given to it by the Borrower pursuant to the terms of this Agreement.
The Agent agrees to perform and discharge the duties and powers  delegated to it
under this Agreement and the other Loan  Documents in accordance  with the terms
hereof and thereof.

                  SECTION 7.02.  Agent Not Liable.  Neither the Agent nor any of
its  directors,  officers,  agents or  employees  shall be liable for any action
taken or omitted to be taken by it or any of them  under or in  connection  with
this  Agreement,  except  for its or  their  own  gross  negligence  or  willful
misconduct.  Without limiting the generality of the foregoing, the Agent (i) may
treat  the payee of any Note as the  holder  thereof  until  the Agent  receives
written  notice of the  assignment or transfer  thereof signed by such payee and
including  the  agreement of the assignee or transferee to be bound hereby as it
would  have  been if it had  been  an  original  Lender  party  hereto,  in form
satisfactory  to the  Agent;  (ii) may  consult  with legal  counsel  (including
counsel for the  Borrower),  independent  public  accountants  and other experts
selected  by it and shall not be liable  for any  action  taken or omitted to be
taken  in good  faith  by it in  accordance  with the  advice  of such  counsel,
accountants or experts;  (iii) makes no warranty or representation to any Lender
and shall not be  responsible  to any Lender for any  statements,  warranties or
representations  (whether  written or oral) made in or in  connection  with this
Agreement;  (iv)  shall not have any duty to  ascertain  or to inquire as to the
performance  or observance of any of the terms,  covenants or conditions of this
Agreement on the part of the Borrower or to inspect the property  (including the
books and records) of the Borrower; (v) shall not be responsible to any Lender
for  the  due  execution,  legality,  validity,   enforceability,   genuineness,
sufficiency  or value of


<PAGE>
                                       94


this  Agreement or any other Loan  Document or any other  instrument or document
furnished  pursuant  to  any  Loan  Document  or  for  the  creation,  validity,
enforceability, sufficiency, value, perfection or priority of any Lien purported
to be granted to the Agent,  whether pursuant to any of the Collateral Documents
or  otherwise;  and (vi) shall  incur no  liability  under or in respect of this
Agreement by acting upon any notice, consent, certificate or other instrument or
writing (which may be by telecopier)  believed by it in good faith to be genuine
and signed or sent by the proper party or parties.

                  SECTION 7.03. Rights as Lender. With respect to its commitment
and the Advances and Notes held by it and all other rights, claims and interests
accorded it as Lender, Citibank shall have the same rights and powers under this
Agreement  as any other  Lender and may  exercise the same as though it were not
the Agent;  and the term  "Lender" or "Lenders"  shall  include  Citibank in its
individual capacity.  Citibank and its Affiliates may accept deposits from, lend
money to, act as trustee under  indentures of, and generally  engage in any kind
of business with, the Borrower,  any of its  Subsidiaries and any Person who may
do business with or own securities of the Borrower or any such  Subsidiary,  all
as if Citibank  were not the Agent and  without any duty to account  therefor to
the Lenders. Any Lender and its respective  Affiliates may accept deposits from,
lend money to, act as trustee under  indentures of, and generally  engage in any
kind of business with, the Borrower,  any of its Subsidiaries and any Person who
may do business with or own  securities of the Borrower or any such  Subsidiary,
all as if such  Lender  were  not a Lender  hereunder  and  without  any duty to
account therefor to the other Lenders.

                  SECTION 7.04. Lender Credit Decision. Each Lender acknowledges
that it has,  independently  and  without  reliance  upon the Agent or any other
Lender and based on the financial  statements referred to in Section 4.01(h) and
such other documents and information as it has deemed appropriate,  made its own
credit  analysis  and  decision to enter into this  Agreement.  Each Lender also
acknowledges that it will,  independently and without reliance upon the Agent or
any  other  Lender  and  based on such  documents  and  information  as it deems
appropriate at the time,  continue to make its own credit decisions in taking or
not taking action under this Agreement.

                  SECTION 7.05. Indemnification.  The Lenders agree to indemnify
the Agent (to the extent not  reimbursed by the Borrower)  ratably  according to
their Pro Rata Shares from and  against  any and all  liabilities,  obligations,
losses,  damages,  penalties,  actions,  judgments,  suits,  costs,  expenses or
disbursements of any kind or nature whatsoever which may be imposed on, incurred
by, or asserted  against the Agent in any way relating to or arising out of this
Agreement  or the other Loan  Documents  or any  action  taken or omitted by the
Agent under this Agreement or the other Loan Documents;  provided that no Lender
shall be  liable  for any  portion  of such  liabilities,  obligations,  losses,
damages, penalties,  actions, judgments, suits, costs, expenses or disbursements
resulting  from the Agent's  gross  negligence  or willful  misconduct.  Without
limiting the foregoing, each Lender agrees to


<PAGE>
                                       95


reimburse  the  Agent  promptly  upon  demand  for its  Pro  Rata  Share  of any
reasonable  out-of-pocket  expenses  (including  reasonable fees and expenses of
counsel)  incurred by the Agent in connection with the  preparation,  execution,
delivery,  modification,  amendment,  protection or enforcement (whether through
negotiations,  by legal  proceedings,  in bankruptcy or otherwise)  of, or legal
advice in respect of rights or  responsibilities  under,  this  Agreement or the
other Loan  Documents,  to the extent that the Agent is not  reimbursed for such
expenses by the Borrower.

                  SECTION  7.06.  Successor  Agent.  The Agent may resign at any
time by giving written notice thereof to the Lenders and the Borrower and may be
removed at any time with or without  cause by the  Requisite  Lenders.  Upon any
such resignation or removal, the Requisite Lenders shall, subject to the written
consent of the Borrower,  which consent  shall not be  unreasonably  withheld or
delayed,  have the right to appoint a successor  Agent.  If no  successor  Agent
shall have been so appointed by the Requisite  Lenders,  and shall have accepted
such appointment,  within 30 days after the retiring Agent's giving of notice of
resignation or the Requisite  Lenders'  removal of the retiring Agent,  then the
retiring Agent may, on behalf of the Lenders,  appoint a successor Agent,  which
shall be a  commercial  bank  organized  under the laws of the United  States of
America or of any State and  having  total  assets of at least  $20,000,000,000.
Upon the acceptance of any appointment as Agent hereunder by a successor  Agent,
such successor Agent shall  thereupon  succeed to and become vested with all the
rights,  powers,  privileges and duties of the retiring Agent,  and the retiring
Agent shall be discharged from its duties and obligations  under this Agreement.
After any  retiring  Agent's  resignation  or removal  hereunder  as Agent,  the
provisions  of this  Article  VII shall  inure to its  benefit as to any actions
taken or omitted to be taken by it while it was Agent under this Agreement.

                  SECTION  7.07.  Release  of  Collateral.  The  Agent is hereby
irrevocably  authorized to release any Lien granted to or held by the Agent upon
(i)  any and  all  Collateral  when  the  Revolving  Facility  Amount  has  been
permanently reduced to zero, all Letters of Credit issued hereunder have expired
or been discharged,  all outstanding  Advances and LC Exposure have been repaid,
and all other  Obligations  that are then due and payable and of which the Agent
then has written notice  demanding  payment prior to release of Collateral  have
been  paid,  (ii) any  Collateral  constituting  property  sold or to be sold or
disposed of as part of or in connection  with any  disposition  permitted  under
Section 5.03(b), or (iii) any Collateral  consisting of an instrument evidencing
Debt or other debt instrument,  if the indebtedness  evidenced  thereby has been
paid in full. Upon request by the Agent or the Borrower at any time, each Lender
shall  confirm in writing  the  Agent's  authority  to  release  Collateral,  or
particular  types or items of  Collateral,  as set forth in this  Section  7.07.
Subject to Section  8.01(g),  the Agent  shall not be  obligated  to release any
Collateral  unless it receives  such  written  confirmation  from the  Requisite
Lenders.

<PAGE>
                                       96


                  SECTION 7.08.  Release of Guarantor upon Sale of Stock. If (i)
either  (A) all of the  outstanding  shares of capital  stock and other  equity,
ownership  and profit  interests  in any  Guarantor  are sold to a Person not an
Affiliate of the Borrower in a  transaction  which is  permitted  under  Section
5.03(b)(iv),  Section  5.03(b)(v)  or  Section  5.03(b)(vi)  and  which is not a
Retained Interest Sale or (B) the Guarantor  Liability Limit of any Guarantor is
reduced to zero as part of a Retained Interest Sale and by reason of a voluntary
reduction of the  Revolving  Facility  Amount that is elected by the Borrower at
the time and in the manner set forth in the  definition of "Guarantor  Liability
Limit," and if (ii) the  conditions  set forth in Section  5.03(b)(iv),  Section
5.03(b)(v)  or  Section  5.03(b)(vi),  as the case may be, are met in respect of
such  transaction,  then upon request by the Agent or the  Borrower  each Lender
shall confirm in writing that the liability of such Guarantor under the Guaranty
is released and discharged  effective when such  transaction is consummated  and
such  requirements  are met, as set forth in Section 2.13 of the Guaranty.  Such
confirmation  from the Requisite  Lenders (a) shall establish  conclusively that
the liability of such Guarantor under the Guaranty is released and discharged as
set forth in Section  2.13 of the  Guaranty  and (b) may be relied  on,  without
further  inquiry,  by  the  purchaser  in  such  transaction  and  each  of  its
transferees.

                  SECTION 7.09. The Arranger,  etc. The Arranger,  Documentation
Agent,  Managing  Agents and  Co-Agents (as  identified  on the signature  pages
hereto) shall have no duties or  responsibilities  in such capacities under this
Agreement and the other Loan Documents and shall incur no liability hereunder or
thereunder in such capacities.


                                  ARTICLE VIII

                                  MISCELLANEOUS

                  SECTION  8.01.  Amendments.  No  amendment  or  waiver  of any
provision of this  Agreement or the Notes,  nor consent to any  departure by the
Borrower therefrom, shall be effective unless it is in writing and signed by the
Requisite Lenders (and any such waiver or consent shall in any case be effective
only in the specific  instance and for the  specific  purpose for which  given),
except that (a) no  amendment,  waiver or consent  shall,  unless in writing and
signed by the Lender to be bound or affected thereby, do any of the following:

                           (i) change the  obligation  of such  Lender to extend
         credit hereunder or subject such Lender to any additional obligations;

                           (ii)  reduce  the  principal  of or  interest  on any
         Advance or any fees or other amounts  payable to such Lender  hereunder
         or under any other Loan Document;

<PAGE>
                                       97


                           (iii)   postpone  any  date  fixed  for  any  payment
         (including any mandatory prepayment) of principal of or interest on any
         Advances  or LC  Exposure  held by such  Lender  or any  fees or  other
         amounts payable to such Lender under any Loan Document;

                           (iv) waive, reduce or postpone any Revolving Facility
         Reduction required hereunder;

                           (v)  amend  the  definition  of  "Revolving  Facility
         Amount," "Pro Rata Share," "Requisite  Lenders," "Term Pro Rata Share,"
         "Requisite  Term  Lenders,"  "Revolving  Pro Rata Share," or "Requisite
         Revolving Lenders";

                           (vi)  waive any Event of Default  that is  continuing
         under  Section  6.01(a) or 6.01(b) in respect of a payment  due to such
         Lender;

                           (vii)   release  any   substantial   portion  of  the
         Collateral other than in accordance with the terms of this Agreement;

                           (viii)   release  or  limit  the   liability  of  any
         Guarantor under the Guaranty other than in accordance with the terms of
         the Guaranty;

                           (ix)  amend  Section  2.13,  Section  2.17 or Section
         6.01(a); or

                           (x) amend this Section 8.01;

(b) no amendment,  waiver or consent shall,  unless in writing and signed by the
Agent in addition to the Lenders required above to take such action,  affect the
rights or duties of the Agent under this Agreement or any Loan Document,  (c) no
amendment,  waiver or consent shall, unless in writing and signed by the LC Bank
in addition to the Lenders required above to take such action, affect the rights
or duties of the LC Bank under this  Agreement  and (d) any  amendment  that (i)
increases  the  amount  of the  commitment  of any  Revolving  Lender  to extend
revolving  credit  hereunder,  (ii)  reduces the  interest  rate  payable on any
Revolving Borrowings, (iii) extends the Maturity Date or (iv) waives, reduces or
postpones any Revolving  Facility  Reduction will not require the consent of any
Term Lender.

                  SECTION 8.02.  Notices.  All notices and other  communications
provided for hereunder shall be in writing (including telecopier  communication)
and mailed,  telecopied,  or delivered, if to the Borrower, at Integrated Health
Services,  Inc.,  10065  Red  Run  Boulevard,   Owings  Mills,  Maryland  21117,
Attention:  General  Counsel and Attention:  Eleanor C. Harding,  Executive Vice
President,  with a copy to: LeBoeuf,  Lamb, Greene & MacRae, L.L.P., 125 West 55
Street,  New York,  New York 10019,  Attention:  John R. Fallon,  Jr.; if to any
Lender, at its Domestic Lending Office specified opposite its name on Schedule I



<PAGE>
                                       98


hereto;  and if to the Agent, at Citibank,  N.A., 399 Park Avenue, New York, New
York 10043,  Attention:  Margaret A. Brown,  Managing Director,  with a copy to:
Shearman  &  Sterling,   555  California  Street,  20th  Floor,  San  Francisco,
California 94104,  Attention:  Steven E. Sherman;  or, as to each party, at such
other address as shall be  designated  by such party in a written  notice to the
other  parties.  All such  notices  and  communications  shall,  when  mailed or
telecopied,   be  effective   when   deposited  in  the  mails  or   telecopied,
respectively,  except that notices and  communications  to the Agent pursuant to
Article II or VII shall not be effective until received by the Agent.

                  SECTION 8.03. No Waiver;  Remedies.  No failure on the part of
any Lender,  the LC Bank or the Agent to exercise,  and no delay in  exercising,
any right under any Loan Document shall operate as a waiver  thereof;  nor shall
any single or partial  exercise of any such right  preclude any other or further
exercise  thereof  or the  exercise  of any other  right.  The  remedies  herein
provided are cumulative and not exclusive of any remedies provided by law.

                  SECTION 8.04.  Costs and Expenses.  The Borrower agrees to pay
on demand all reasonable costs and expenses  incurred by the Agent in connection
with  the  preparation,   negotiation,  execution,  delivery,  modification  and
amendment of the Loan  Documents and the other  documents to be delivered  under
the Loan Documents,  including the reasonable fees and out-of-pocket expenses of
counsel  for the Agent with  respect  thereto and with  respect to advising  the
Agent as to its  rights  and  responsibilities  under  the Loan  Documents.  The
Borrower  further  agrees to pay on demand all  reasonable  costs and  expenses,
including  reasonable fees and expenses of attorneys  (including allocable costs
of in-house counsel),  accountants,  advisors and other experts, incurred by the
Agent or the  Lenders  in  respect of any Event of Default or while any Event of
Default is  continuing  or in  connection  with the  protection,  resolution  or
enforcement (whether through negotiations,  by legal proceedings,  in bankruptcy
or otherwise) of the Obligations or the Collateral or any right, remedy,  power,
interest or claim of the Agent or any Lender under any Loan Document.

                  SECTION 8.05. Right of Set-off.  Whenever any Event of Default
is  continuing,  each  Lender  may at any time or from  time to  time,  with the
consent of the Requisite Lenders but without any prior notice to the Borrower or
any other  Person,  set off and apply any and all deposits  (general or special,
time or  demand,  provisional  or final) at any time held and other  debt at any
time owing by such Lender to or for the credit or the  account of the  Borrower,
whether or not then due, and whether or not then fully secured,  against any and
all  Advances,  LC Exposure  and other  Obligations  then owing to such  Lender,
whether or not then due.  After any such set-off and  application  is made,  the
Lender that made it shall promptly notify the Borrower thereof,  but the failure
to do so shall not affect the validity of the set-off and  application and shall
not expose such Lender to any


<PAGE>
                                       99


liability.  The Lenders'  right of setoff under this Section 8.05 is  cumulative
with and additional to all other rights and remedies  (including other rights of
set-off) of the Lenders.

                  SECTION 8.06. Indemnity.  (a) General Indemnity.  The Borrower
shall pay, defend,  indemnify,  and hold the Arranger,  each Lender,  the Agent,
their respective  Affiliates and each of their respective  officers,  directors,
employees, counsel, agents and attorneys-in-fact (each, an "INDEMNIFIED PERSON")
harmless from and against any and all liabilities, obligations, losses, damages,
penalties,  actions, judgments, suits, costs, charges, expenses or disbursements
(including  reasonable  fees and  expenses  of counsel  and  allocated  costs of
internal  counsel incurred in defending any such action or incurred in enforcing
this  Section  8.06(a))  of any kind or nature  whatsoever  with  respect to the
execution, delivery, enforcement and performance of this Agreement and any other
Loan Document or the transactions  contemplated  herein, and with respect to any
investigation,  litigation  or  proceeding  related  to  this  Agreement  or the
Advances or the Letters of Credit or the use of the proceeds thereof, whether or
not any Indemnified Person is a party thereto (all the foregoing,  collectively,
the  "INDEMNIFIED  LIABILITIES"),   except  that  the  Borrower  shall  have  no
obligation  hereunder  to any  Indemnified  Person with  respect to  Indemnified
Liabilities  arising from the gross  negligence  or willful  misconduct  of such
Indemnified Person.

                  (b) Environmental  Indemnity.  The Borrower shall pay, defend,
indemnify,  and hold harmless each  Indemnified  Person from and against any and
all liabilities,  obligations,  losses, damages, penalties,  actions, judgments,
suits, costs, charges,  expenses or disbursements (including reasonable fees and
expenses of counsel and the allocated  cost of internal  counsel),  which may be
incurred by or asserted  against any  Indemnified  Person in connection  with or
arising out of any pending or threatened  investigation or  Environmental  Claim
arising  out of or  related  to any acts or  omissions  or any  property  of the
Borrower  or any  of  its  Subsidiaries.  In no  event  shall  any  site  visit,
observation,  or  testing by the Agent or any  Lender be a  representation  that
Hazardous  Materials  are or are not present in, on, or under the site,  or that
there has been or shall be compliance with any  Environmental  Law.  Neither the
Borrower nor any other party is entitled to rely on any site visit, observation,
or testing by the Agent or any Lender. Neither the Agent nor any Lender owes any
duty of care to protect the Borrower or any other Person  against,  or to inform
the Borrower or any other Person of, any adverse condition affecting any site or
property.

                  SECTION 8.07.  Assignments and  Participations.  (a) Permitted
Assignment. Each Lender may assign to one or more banks or other entities all or
a portion of its rights and obligations under this Agreement,  but (i) each such
assignment shall be of a constant,  and not a varying,  percentage of all of the
assigning Lender's rights and obligations under this Agreement, unless otherwise
consented  to by the  Agent;  (ii) the  amount of the  commitment,  if any,  and
outstanding  Advances of the assigning  Lender being  assigned  pursuant to each
such assignment (determined as of the date of the Assignment and Acceptance with
respect to such assignment) shall not be less than $5,000,000 or the total


<PAGE>
                                      100


amount of the remaining  commitment,  if any, and  outstanding  Advances of such
Lender,  except that an  assignment  to an existing  Lender or an Affiliate of a
Lender or a Related  Fund may be in an amount less than  $5,000,000,  (iii) each
such  assignment  shall be to an Eligible  Assignee and (iv) the parties to each
such assignment  shall execute and deliver to the Agent,  for its acceptance and
recording in the Register, an Assignment and Acceptance,  together with any Note
or Notes subject to such assignment and a processing and recordation fee payable
to the Agent of $2,500. Upon such execution, delivery, acceptance and recording,
from and after the effective date specified in each  Assignment and  Acceptance,
(A) the  assignee  thereunder  shall be a party  hereto  and, to the extent that
rights and  obligations  hereunder  have been  assigned  to it  pursuant to such
Assignment and Acceptance, have the rights and obligations of a Lender hereunder
and (B) the Lender  assignor  thereunder  shall,  to the extent  that rights and
obligations  hereunder have been assigned by it pursuant to such  Assignment and
Acceptance,  relinquish  its rights and be released from its  obligations  under
this Agreement (and, in the case of an Assignment and Acceptance covering all or
the remaining portion of an assigning Lender's rights and obligations under this
Agreement, such Lender shall cease to be a party hereto).

                  (b) Effect of  Assignment.  By  executing  and  delivering  an
Assignment  and  Acceptance,  the Lender  assignor  thereunder  and the assignee
thereunder  confirm to and agree with each  other and the other  parties  hereto
that  (i)  other  than as  provided  in such  Assignment  and  Acceptance,  such
assigning   Lender   makes  no   representation   or  warranty  and  assumes  no
responsibility  with respect to any  statements,  warranties or  representations
made  in or in  connection  with  this  Agreement  or the  execution,  legality,
validity, enforceability, genuineness, sufficiency or value of this Agreement or
any  other  instrument  or  document  furnished  pursuant  hereto  or as to  the
Collateral or the validity,  enforceability,  perfection or priority of any Lien
upon the  Collateral;  (ii) such  assigning  Lender makes no  representation  or
warranty and assumes no responsibility  with respect to the financial  condition
of the Borrower or the  performance  or observance by the Borrower of any of its
obligations  under this Agreement or any other instrument or document  furnished
pursuant  hereto;  (iii) such  assignee  confirms that it has received a copy of
this Agreement,  together with copies of the financial statements referred to in
Section  4.01(h)  and such  other  documents  and  information  as it has deemed
appropriate  to make its own credit  analysis  and  decision  to enter into such
Assignment and Acceptance;  (iv) such assignee will,  independently  and without
reliance upon the Agent,  such assigning Lender or any other Lender and based on
such  documents  and  information  as it shall  deem  appropriate  at the  time,
continue to make its own credit  decisions in taking or not taking  action under
this Agreement; (v) such assignee confirms that it is an Eligible Assignee; (vi)
such assignee  appoints and authorizes the Agent to take such action as agent on
its behalf and to exercise such powers under this  Agreement as are delegated to
the Agent by the terms  hereof,  together  with  such  powers as are  reasonably
incidental  thereto;  (vii)  such  assignee  agrees  that  it  will  perform  in
accordance  with their terms all of the  obligations  which by the terms of this
Agreement are required to be


<PAGE>
                                      101


performed by it as a Lender;  and (viii) such assignee  confirms and agrees that
it shall have no greater indemnification rights pursuant to Section 2.16(c) than
its Lender assignor.

                  (c)  Maintenance  of  Agreements.  The Agent,  acting for this
purpose (but only for this  purpose) as the agent of the  Borrower  (and in such
capacity  neither  the  Agent  nor any of its  directors,  officers,  agents  or
employees  shall be liable for any action  taken or omitted to be taken by it or
any of them under or in connection with this Section 8.07(c),  except for its or
their own gross negligence or willful misconduct), shall maintain at its address
referred to in Section 8.02 a copy of each  Assignment and Acceptance  delivered
to and  accepted  by it and a  register  for the  recordation  of the  names and
addresses  of the  Lenders  and the  commitments  and Pro Rata  Shares  of,  and
principal  amount of the  Advances  owing to, each Lender from time to time (the
"REGISTER"). The entries in the Register shall be conclusive and binding for all
purposes,  absent  manifest error,  and the Borrower,  the Agent and the Lenders
shall  treat each  Person  whose name is  recorded  in the  Register as a Lender
hereunder for all purposes of this  Agreement.  The Register  shall be available
for  inspection  by the Borrower or any Lender at any  reasonable  time and from
time to time upon reasonable prior notice.

                  (d)   Procedure.   Upon  its  receipt  of  an  Assignment  and
Acceptance  executed by an assigning Lender and an assignee Lender  representing
that it is an Eligible Assignee, together with any Note or Notes subject to such
assignment,  the  Agent  shall,  if such  Assignment  and  Acceptance  has  been
completed  and is in  substantially  the form of Exhibit E-2 hereto,  (i) accept
such Assignment and Acceptance, (ii) record the information contained therein in
the Register and (iii) give prompt notice  thereof to the Borrower.  Within five
Business  Days  after its  receipt  of such  notice,  the  Borrower,  at its own
expense,  shall execute and deliver to the Agent in exchange for the surrendered
Note or Notes a new Note or Notes to the order of such  Eligible  Assignee in an
aggregate amount equal to the interest in the surrendered Note or Notes assigned
to it pursuant to such  Assignment and Acceptance  and, if the assigning  Lender
has retained an interest in the  surrendered  Note or Notes, a new Note or Notes
to the  order  of the  assigning  Lender  in an  aggregate  amount  equal to the
interest so retained.  Such new Note or Notes shall be in an aggregate principal
amount  equal to the  aggregate  principal  amount of such  surrendered  Note or
Notes,  shall be dated the effective date of such  Assignment and Acceptance and
shall  otherwise  be  in  substantially   the  form  of  Exhibit  A-1  and  A-2,
respectively.

                  (e) Participations. Each Lender may sell participations to one
or  more  banks  or  other  entities  in all or a  portion  of  its  rights  and
obligations under this Agreement,  but (i) such Lender's  obligations under this
Agreement  (including  its  commitment to the Borrower  hereunder)  shall remain
unchanged, (ii) such Lender shall remain solely responsible to the other parties
hereto for the performance of such  obligations,  (iii) such Lender shall remain
the holder of any such Note or Notes for all  purposes  of this  Agreement,  and
(iv) the Borrower, the Agent and the other Lenders shall continue to deal


<PAGE>
                                      102


solely and directly with such Lender in connection with such Lender's rights and
obligations under this Agreement.

                  (f) Additional Information. Any Lender may, in connection with
any assignment or participation or proposed assignment or participation pursuant
to this  Section  8.07,  disclose  to the  assignee or  participant  or proposed
assignee or participant or to any Person who evaluates,  approves, structures or
administers  the loans on behalf of a Lender,  any  information  relating to the
Borrower  furnished to such Lender by or on behalf of the Borrower,  but only if
such Person,  the assignee or participant or proposed assignee or participant is
obligated  to  preserve  the  confidentiality  of any  confidential  information
relating to the Borrower received by it from such Lender.

                  (g)  Permitted  Assignments.  Any Lender may assign any of its
rights and  obligations  under this Agreement to any of its  Affiliates  without
notice to or consent of the Borrower or the Agent, and such Lender or any of its
Affiliates may assign any of its rights (including,  without limitation,  rights
to payment of principal and/or interest under the Notes) under this Agreement to
any Federal  Reserve  Bank  without  notice to or consent of the Borrower or the
Agent.

                  SECTION 8.08.  Binding  Effect.  This  Agreement  shall become
effective when it has been executed by the parties hereto and the conditions set
forth in Section 3.01 have been satisfied and  thereafter  shall be binding upon
and inure to the  benefit of the  Borrower,  the Agent and each Lender and their
respective  successors and assigns,  except that the Borrower shall not have the
right to assign its rights  hereunder or any interest  herein  without the prior
written consent of each of the Lenders and the Agent.  When (and only when) this
Agreement becomes effective,  the commitments of the financial institutions that
are party to the Existing  Facility to extend credit under the Existing Facility
shall  be  terminated,  but  all  claims  against  the  Borrower  or  any of its
Subsidiaries  under  or in  respect  of the  Existing  Facility,  and all  Liens
securing  any such claim,  shall  remain in full force and effect until paid and
released as set forth in the payout and release agreement  delivered pursuant to
Section 3.01(g).

                  SECTION 8.09.  Governing Law; Consent to Jurisdiction;  Venue.
This Agreement and the other Loan Documents  shall be governed by, and construed
in  accordance  with,  the laws of the  State of New York.  Any legal  action or
proceeding with respect to any Loan Document may be brought in the courts of the
State of New York or of the United States for the Southern District of New York,
and by execution and delivery of this Agreement, each of the Borrower, the Agent
and the  Lenders  consents,  for itself and in respect of its  property,  to the
jurisdiction  of those courts.  Each of the Borrower,  the Agent and the Lenders
irrevocably waives any objection, including any objection to the laying of venue
or based on the grounds of forum non  conveniens,  which it may now or hereafter
have to the bringing of any action or proceeding in such jurisdiction in respect
of any Loan


<PAGE>
                                      103


Document. The Borrower, the Agent and the Lenders each waive personal service of
any summons,  complaint or other  process,  which may be made by any other means
permitted by New York law.

                  SECTION 8.10. Waiver of Jury Trial. THE BORROWER,  THE LENDERS
AND THE AGENT WAIVE THEIR  RESPECTIVE  RIGHTS TO A TRIAL BY JURY OF ANY CLAIM OR
CAUSE OF ACTION BASED UPON OR ARISING OUT OF OR RELATED TO THIS AGREEMENT OR ANY
OTHER LOAN DOCUMENT OR THE  TRANSACTIONS  CONTEMPLATED  HEREBY OR THEREBY IN ANY
ACTION, PROCEEDING OR OTHER LITIGATION OF ANY TYPE BROUGHT BY ANY OF THE PARTIES
AGAINST ANY OTHER PARTY OR PARTIES,  WHETHER BASED ON CONTRACT,  TORT, STATUTORY
LIABILITY OR OTHERWISE.  THE BORROWER,  THE LENDERS AND THE AGENT AGREE THAT ANY
SUCH CLAIM OR CAUSE OF ACTION SHALL BE TRIED BY THE COURT  WITHOUT A JURY.  THIS
WAIVER SHALL APPLY TO EACH FUTURE AMENDMENT, RENEWAL, SUPPLEMENT OR MODIFICATION
OF ANY LOAN DOCUMENT AND TO EACH FUTURE LOAN DOCUMENT.

                  SECTION 8.11. Limitation of Liability. No claim may be made by
the Borrower, any Subsidiary of the Borrower, any Lender, the Agent or any other
Person  against  the Agent or any other  Lender  or the  Affiliates,  directors,
officers,  employees,  attorneys  or  agents  of any of them  for  any  special,
indirect or  consequential  damages or, to the fullest extent  permitted by law,
for any  punitive  damages in  respect of any claim or cause of action  (whether
based on contract,  tort,  statutory  liability,  or any other ground) based on,
arising out of or related to any Loan Document or the transactions  contemplated
hereby or any act, omission or event occurring in connection therewith,  and the
Borrower (for itself and on behalf of each of its  Subsidiaries),  the Agent and
each Lender hereby waive,  release and agree never to sue upon any claim for any
such damages,  whether such claim now exists or hereafter  arises and whether or
not it is now known or suspected to exist in its favor.

                  SECTION 8.12. Entire Agreement. This Agreement,  together with
the other Loan Documents,  embodies the entire Agreement and understanding among
the  Borrower,   the  Lenders  and  the  Agent  and   supersedes  all  prior  or
contemporaneous  agreements  and  understandings  of  such  persons,  verbal  or
written,  relating to the subject  matter hereof and thereof  except for the Fee
Letter  and any prior  arrangements  made with  respect  to the  payment  by the
Borrower of (or any indemnification  for) any fees, costs or expenses payable to
or incurred (or to be incurred) by or on behalf of the Agent or any Lender.

                  SECTION 8.13.  Survival.  The Borrower's liability for any and
all additional  interest,  fees, taxes,  compensation,  costs,  losses,  expense
reimbursements,  indemnification and other similar Obligations arising under any
Loan Document shall survive the expiration or termination of the  commitments of
the Lenders to extend credit hereunder, the repayment


<PAGE>
                                      104


and retirement of all Advances and LC Exposure at any time outstanding hereunder
and the assignment by a Lender of all or the remaining portion of its rights and
obligations under this Agreement.

                  SECTION 8.14. Execution in Counterparts. This Agreement may be
executed  in any  number of  counterparts  and by  different  parties  hereto in
separate  counterparts,  each of which when so executed shall be deemed to be an
original  and all of which  taken  together  shall  constitute  one and the same
agreement.

                  SECTION   8.15.   Acknowledgements.    The   Borrower   hereby
acknowledges  that  (i) it has  been  advised  by  counsel  in the  negotiation,
execution  and delivery of this  Agreement  and the other Loan  Documents,  (ii)
neither  the  Agent  nor any  Lender  has  any  fiduciary  relationship  with or
fiduciary  duty  to the  Borrower  arising  out of or in  connection  with  this
Agreement or any of the Loan Documents,  and the relationship  between the Agent
and the  Lender,  on the one  hand,  and the  Borrower,  on the other  hand,  in
connection herewith or therewith is solely that of debtor and creditor and (iii)
no joint venture is created  hereby or by the other Loan  Documents or otherwise
by virtue of the transaction  contemplated hereby among the Lenders or among the
Borrower and the Lenders or among the Borrower and the Agent.


                  [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]


<PAGE>


                                       S-1

                  IN WITNESS  WHEREOF,  the  parties  hereto  have  caused  this
Agreement to be executed by their respective officers thereunto duly authorized,
as of the date first above written.

                                    INTEGRATED HEALTH SERVICES, INC.


                                    By:    /s/
                                           -------------------------------------
                                    Name:
                                    Title:



                                    CITIBANK, N.A.,
                                       as Administrative Agent, Swing Line Bank
                                           and Lender


                                    By:    /s/
                                           -------------------------------------
                                    Name:
                                    Title:


                                    CITICORP SECURITIES, INC.,
                                       as Arranger


                                    By:    /s/
                                           -------------------------------------
                                    Name:
                                    Title:


                                    TORONTO DOMINION (NEW YORK), INC.,
                                       as Documentation Agent and Lender


                                    By:    /s/
                                           -------------------------------------
                                    Name:
                                    Title:



<PAGE>


                                       S-2

                                     BANK OF AMERICA N.T.&S.A.
                                         as a Lender and Managing Agent


                                     By:    /s/
                                           -------------------------------------
                                     Name:
                                     Title:



                                     CREDIT LYONNAIS,
                                         NEW YORK BRANCH,
                                          as a Lender and Managing Agent


                                     By:    /s/
                                           -------------------------------------
                                     Name:
                                     Title:




                                     FIRST UNION NATIONAL BANK,
                                          as a Lender and Managing Agent


                                     By:    /s/
                                           -------------------------------------
                                     Name:
                                     Title:



                                     NATIONSBANK, N.A.,
                                          as a Lender and Managing Agent


                                     By:    /s/
                                           -------------------------------------
                                     Name:
                                     Title:




<PAGE>

                                       S-3


                                    THE BANK OF NOVA SCOTIA,
                                         as LC Bank, a Lender and Managing Agent


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    CORESTATES BANK, N.A.,
                                         as a Lender and Co-Agent


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    DEUTSCHE BANK, AG,
                                       NEW YORK AND/OR CAYMAN
                                       ISLANDS BRANCH,
                                         as a Lender and Co-Agent


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    FLEET NATIONAL BANK,
                                         as a Lender and Co-Agent


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:

<PAGE>

                                       S-4


                                    ALLIED IRISH BANKS, PLC
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    AMSOUTH BANK,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


                                    THE BANK OF TOKYO-MITSUBISHI
                                         TRUST COMPANY,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


                                    CREDITANSTALT BANKVEREIN,
                                         as a Lender



                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



<PAGE>

                                       S-5

                                    CRESTAR BANK,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    FIRST AMERICAN NATIONAL BANK,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    GENERAL ELECTRIC CAPITAL
                                         CORPORATION,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    HIBERNIA NATIONAL BANK,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


<PAGE>

                                       S-6

                                    PROVIDENT BANK OF MARYLAND,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    THE SANWA BANK, LIMITED,
                                      NEW YORK BRANCH
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    SUMMIT BANK,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    BANC ONE, TEXAS, N.A.,
                                         as a Lender

                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


<PAGE>

                                       S-7

                                    BANKERS TRUST COMPANY
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


                                    CIBC WOOD GUNDY SECURITIES CORP.
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:



                                    DAI-ICHI KANGYO BANK, LIMITED, NEW
                                    YORK BRANCH
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    DRESDNER BANK, AG, NEW YORK AND
                                    GRAND CAYMAN BRANCHES,
                                         as a Lender


                                    By:    /s/
                                          -------------------------------------
                                    Name:
                                    Title:


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


<PAGE>

                                       S-8

                                    SUNTRUST BANK, CENTRAL FLORIDA,
                                    NATIONAL ASSOCIATION,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    BARNETT BANK, N.A.
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    INDUSTRIAL BANK OF JAPAN, LIMITED
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    COOPERATIEVE CENTRALE RAIFFEISEN-
                                    BOERENLEENBANK B.A., "RABOBANK
                                    NEDERLAND", NEW YORK BRANCH,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:

<PAGE>

                                       S-9

                                    THE TOYO TRUST AND BANKING
                                    CO., LTD.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    SOCIETE GENERALE,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


<PAGE>


                                      S-10

                                    ALLSTATE INSURANCE COMPANY,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    PRIME INCOME TRUST,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    DEEPROCK & COMPANY
                                    By:  EATON VANCE MANAGEMENT, as
                                    Investment Manager,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



<PAGE>


                                      S-11


                                    MASSACHUSETTS MUTUAL LIFE
                                    INSURANCE COMPANY,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    DEBT STRATEGIES FUND, INC.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    SENIOR HIGH INCOME PORTFOLIO, INC.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:






<PAGE>

                                      S-12

                                    MERRILL LYNCH SENIOR FLOATING RATE
                                     FUND, INC.,
                                         as a Lender,


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    METROPOLITAN LIFE INSURANCE
                                    COMPANY,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    OCTAGON CREDIT INVESTORS LOAN
                                    PORTFOLIO (a unit of The Chase
                                    Manhattan Bank),
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    KZH HOLDING CORPORATION III,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



<PAGE>

                                      S-13

                                    PARIBAS CAPTIAL FUNDING LLC,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    PILGRIM AMERICA INVESTMENTS, INC.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    PPM AMERICA, INC., as attorney in fact, on
                                    behalf of Jackson National Life Insurance
                                    Company
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    SHENKMAN CAPTIAL MANAGEMENT,
                                    INC.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:
<PAGE>

                                      S-14

                                    KZH-SOLEIL CORPORATION,
                                         as a Lender

                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



                                    TCW ASSET MANAGEMENT COMPANY,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    VAN KAMPEN AMERICAN CAPITAL
                                     PRIME RATE INCOME TRUST,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    STOCKSPLUS L.P. SUBFUND B (Acct 400)

                                    By Pacific Investment Management Company, as
                                    Investment Advisor, acting through Investors
                                    Fiduciary Trust Company in the Nominee Name
                                    of IFTCO.
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


<PAGE>

                                      S-15

                                    PIMCO TOTAL RETURN FUND (Acct 700)

                                    By Pacific Investment Management Company, as
                                    Investment Advisor, acting through Investors
                                    Fiduciary Trust Company in the Nominee Name
                                    of IFTCO.
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:

<PAGE>


                                      S-16

                                    KZH-CRESCENT CORPORATION,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    ING SENIOR SECURED HIGH INCOME
                                    FUND, L.P.

                                    By:      ING Capital Advisors, Inc.,
                                         as Investment Advisor


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    ING HIGH INCOME PRINCIPAL
                                    PRESERVATION OFFERING, L.P.

                                    By:      ING Capital Advisors, Inc.,
                                         as Investment Advisor0


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    KZH-ING-1 CORPORATION,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



<PAGE>


                                      S-17

                                    MERRILL LYNCH PRIME RATE PORTFOLIO,
                                         as a Lender,

                                    by:  MERRILL LYNCH ASSET
                                            MANAGEMENT L.P., as Investment
                                            Advisor

                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:


                                    CIBC, INC.,
                                         as a Lender


                                    By:    /s/
                                         -------------------------------------
                                    Name:
                                    Title:



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