RETIREMENT CARE ASSOCIATES INC /CO/
10-Q/A, 1998-03-11
SKILLED NURSING CARE FACILITIES
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<PAGE>   1
   
                    U.S. SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                   FORM 10-Q/A

                                Amendment No. 1
                       (Amending Part I - Items 1 and 2)

                Quarterly Report Pursuant to Section 13 or 15(d)
                     of the Securities Exchange Act of 1934

                     For the Quarter Ended December 31, 1997

                           Commission File No. 1-14114
    

                        RETIREMENT CARE ASSOCIATES, INC.
             ------------------------------------------------------
             (Exact Name of Registrant as Specified in its Charter)

            Colorado                                    43-1441789
- ------------------------------              -----------------------------------
  (State or Jurisdiction of                 (IRS Employer Identification Number)
Incorporation or Organization)

           6000 Lake Forrest Drive, Suite 200, Atlanta, Georgia 30328
           ----------------------------------------------------------
                    (Address of Principal Executive Offices)

                                 (404) 255-7500
              ----------------------------------------------------
              (Registrant's Telephone Number, Including Area Code)

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

                              Yes [ X ]   No [   ]

There were 14,749,441 shares of the Registrant's $.0001 par value Common Stock
outstanding as of December 31, 1997.
<PAGE>   2
   

                   RETIREMENT CARE ASSOCIATES AND SUBSIDIARIES
                FORM 10-Q/A FOR THE QUARTER ENDED DECEMBER 31, 1997
    

                                      INDEX

   
<TABLE>
<CAPTION>
                                                                         Page(s)
<S>                                                                      <C>
PART I.   FINANCIAL INFORMATION

  Item 1.      Consolidated Financial Statements

               Introduction .....................................        3

               Consolidated Statements of Operations
               (Unaudited) - Three Months Ended
               December 31, 1997 and December 31, 1996 ..........        4

               Consolidated Statements of Operations
               (Unaudited) - Six Months Ended
               December 31, 1997 and December 31, 1996 ..........        5

               Consolidated Balance Sheets - (Unaudited)
               December 31, 1997 and (Audited) June 30, 1997 ....        6 - 7

               Consolidated Statements of Cash Flows
               (Unaudited) - Three Months Ended December 31,
               1997 and December 31, 1996 .......................        8

               Notes to Consolidated Financial
               Statements (Unaudited) ...........................        9 - 10

  Item 2.      Managements' Discussion and Analysis of
               Results of Operations and Financial
               Condition ........................................       11 - 14

PART II.       OTHER INFORMATION.

  Item 6.      Exhibits and Reports on Form 8-K..................       15

               Signatures .......................................       16
</TABLE>
    

                                       -2-
<PAGE>   3
PART I. FINANCIAL INFORMATION

ITEM 1. Financial Statements

         INTRODUCTION - CONSOLIDATED FINANCIAL STATEMENTS

   
The consolidated financial statements included herein have been prepared
pursuant to the rules and regulations of the Securities and Exchange Commission.
Certain information and footnote disclosures have been condensed or omitted
pursuant to such rules and regulations. In the opinion of Management, all
adjustments, which were of a normal recurring nature, necessary to present
fairly the consolidated financial position and results of operations and cash
flows for the periods presented have been included. These consolidated financial
statements should be read in conjunction with the financial statements and the
notes thereto included in the Annual Report on Amended Form 10-K/A, Retirement
Care Associates, Inc. (the "Company") for the fiscal year ended June 30, 1997,
File No. 1-14114.
    

The Company restated its financial information for periods commencing June 30,
1996 through the nine months ended March 31, 1997, as reflected in the Company's
Quarterly Reports on Forms 10-Q/A for the quarters ended September 30, 1996,
December 31, 1996 and March 31, 1997. Adjustments and reclassifications were
necessary to correct entries relating to (i) receivables due from third-party
payors, (ii) the Company's inventory for such periods, (iii) provisions for
doubtful accounts, (iv) provisions for contractual allowances for third-party
payors, (v) provisions for accrued liabilities, and (vi) pre-recorded operating
leases (collectively, the "Restated Entries").

   
Certain statements in this Form 10-Q/A are "forward-looking statements" made
pursuant to the safe harbor provisions of the Private Securities Litigation
Reform Act of 1995. Forward-looking statements involve a number of risks and
uncertainties. Factors which may cause the Company's actual results in future
periods to differ materially from forecast results include, but are not limited
to: general economic and business conditions, both nationally and in the regions
in which the Company operates; industry capacity; demographic changes; existing
government regulations and changes in, or the failure to comply with, government
regulations; legislative proposals for reform; the ability to enter into lease
and management contracts and arrangements on acceptable terms; changes in
Medicare and Medicaid reimbursement levels; liability and other claims asserted
against the Company; competition; changes in business strategy or development
plans; the ability to attract and retain qualified personnel; the significant
indebtedness of the Company; and the availability and terms of capital to fund
the expansion of the Company's business, including the acquisition of additional
facilities.
    

The financial information included in this report has been prepared by the
Company, without audit, and should not be relied upon to the same extent as
audited financial statements.


                                       -3-
<PAGE>   4
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                 UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
              FOR THE THREE MONTHS ENDED DECEMBER 31, 1997 AND 1996

   
<TABLE>
<CAPTION>
                                               December 31,        December 31,
                                                   1997                1996
<S>                                            <C>                 <C>         
REVENUES
Patient service revenue                        $ 68,873,798        $ 47,950,464
Medical supply revenue                           10,320,899          11,471,114
Management fee revenue:
  From affiliates                                   391,500             446,334
  From others                                       138,406             112,241
Other operating revenue                             410,684           1,228,305
                                                 80,135,287          61,208,458
EXPENSES
Cost of patient services                         49,206,128          33,415,634
Cost of medical supplies sold                     6,914,317           7,666,277
Lease expense                                     5,645,121           2,988,406
General and administrative                       14,273,113          12,393,814
Depreciation and amortization                     1,780,825           1,394,664
Interest                                          4,169,927           2,753,971
Provision for bad debt                              380,891             989,000
                                                 82,370,322          61,601,766

(LOSS) BEFORE MINORITY INTEREST
  AND INCOME TAXES                               (2,235,035)           (393,308)

Minority interest                                   (33,500)            (93,500)

(Loss) before income taxes
  and extraordinary item                         (2,268,535)           (486,808)

Income tax (benefit)                                     --            (115,000)

(Loss) before extraordinary item                 (2,268,535)           (371,808)

Extraordinary item, less applicable
  income taxes                                           --            (490,000)

NET (LOSS)                                       (2,268,535)           (861,808)

Preferred stock dividends                            30,000           1,401,971

(Loss) applicable to
  common stock                                   (2,298,535)         (2,263,779)

Basic and diluted (loss) per common
  share before extraordinary item                      (.15)               (.13)

BASIC AND DILUTED NET (LOSS) PER
  COMMON SHARE                                         (.15)               (.17)

WEIGHTED AVERAGE SHARES OUTSTANDING              14,770,938          13,301,109
</TABLE>
    


                                       -4-
<PAGE>   5
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                 UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
               FOR THE SIX MONTHS ENDED DECEMBER 31, 1997 AND 1996

   
<TABLE>
<CAPTION>
                                               December 31,        December 31,
                                                   1997                1996
<S>                                           <C>                 <C>
REVENUES
Patient service revenue                       $ 135,329,589       $  89,925,434
Medical supply revenue                           22,357,734          22,777,309
Management fee revenue:
  From affiliates                                   783,000           1,252,501
  From others                                       186,443             240,120
Other operating revenue                             901,273           2,185,709
                                                159,558,039         116,381,073
EXPENSES
Cost of patient services                         98,575,825          65,321,257
Cost of medical supplies sold                    15,534,842          15,333,477
Lease expense                                    10,877,624           6,015,197
General and administrative                       28,235,625          21,895,541
Depreciation and amortization                     3,372,831           2,513,126
Interest                                          8,151,216           5,151,607
Provision for bad debt                              380,891           2,009,000
                                                165,128,854         118,239,205

(LOSS) BEFORE MINORITY INTEREST
  AND INCOME TAXES                               (5,570,815)         (1,858,132)

Minority interest                                  (125,000)            (13,500)

(Loss) before income taxes
  and extraordinary item                         (5,695,815)         (1,871,632)

Income tax (benefit)                             (1,340,000)           (460,000)

(Loss) before extraordinary item                 (4,355,815)         (1,411,632)

Extraordinary item, less applicable
  income taxes                                           --            (490,000)

NET (LOSS)                                       (4,355,815)         (1,901,632)

Preferred stock dividends                            75,000           2,146,777

(Loss) applicable to
  common stock                                   (4,430,815)         (4,048,409)

Basic and diluted (loss) per common
  share before extraordinary item                      (.30)               (.27)

BASIC AND DILUTED NET (LOSS) PER
  COMMON SHARE                                         (.30)               (.31)

WEIGHTED AVERAGE SHARES OUTSTANDING              14,720,998          13,188,523
</TABLE>
    



                                       -5-
<PAGE>   6
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                   UNAUDITED CONSOLIDATED BALANCE SHEETS AS OF
                 December 31, 1997 AND AUDITED AT JUNE 30, 1997

<TABLE>
<CAPTION>
                                                   Unaudited          Audited
                                                  December 31,        June 30,
                                                      1997              1997
<S>                                               <C>               <C>         
ASSETS

CURRENT
Cash and cash equivalents                         $ 11,663,691      $  3,637,878
Accounts receivable                                 51,646,999        40,391,377
Inventory                                           10,650,558         7,255,289
Deferred tax asset                                   4,553,568         4,408,733
Income tax receivables                               5,065,431         4,065,431
Note and accrued interest receivable                    75,000            75,000
Restricted Bond Fund                                 6,232,411         3,068,276
Prepaid expenses and other                             712,699         2,009,467

Total current assets                                90,600,357        64,911,451

PROPERTY AND EQUIPMENT                             160,015,560       150,492,221

OTHER ASSETS
Investments in unconsolidated affiliates               793,433           734,514
Deferred lease and loan costs                       13,101,975        13,065,759
Goodwill                                            16,106,995        16,357,532
Advances due from non-affiliates                     1,181,251         1,421,405
Advances due from affiliates                         5,429,584         1,411,379
Restricted bond funds                                3,940,000         3,689,969
Other assets                                         3,243,053         3,286,736

Total other assets                                  43,796,291        39,967,294

                                                  $294,412,208      $255,370,966
</TABLE>


                                       -6-
<PAGE>   7
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                      UNAUDITED CONSOLIDATED BALANCE SHEETS
              AS OF DECEMBER 31, 1997 AND AUDITED AT JUNE 30, 1997

<TABLE>
<CAPTION>
                                                  Unaudited          Audited
                                                 December 31,        June 30,
                                                     1997              1997
<S>                                             <C>               <C>          
LIABILITIES AND SHAREHOLDERS' EQUITY

CURRENT LIABILITIES

Lines of credit                                 $  27,331,732     $   9,935,036
Current maturities of long-term debt               17,063,115        11,454,059
Loans payable to affiliates                                --         1,478,368
Accounts payable                                   47,584,501        34,076,015
Accrued expenses                                   18,965,412        18,417,258
Deferred gain                                          40,000            40,000

Total current liabilities                         110,984,760        75,400,736

Deferred gain                                         161,370           181,370
Deferred income taxes                               1,098,929         1,098,929
Long-term debt and capitalized leases,
 less current maturities                          148,532,538       141,674,131

Minority interest                                   4,552,509         4,520,953

Redeemable convertible preferred stock              1,200,000         1,800,000

Shareholders' equity
 Common stock, $.0001 par value;
 300,000,000 shares authorized; 14,749,441
 and 14,489,888 shares outstanding                      1,479             1,450
 Preferred stock                                    2,786,000         3,250,000
 Additional paid-in capital                        45,881,658        43,799,617
 Retained earnings                                (20,787,035)      (16,356,220)

Total shareholders' equity                         27,882,102        30,694,847

Total liabilities and shareholders' equity        294,412,208     $ 255,370,966
</TABLE>


                                       -7-
<PAGE>   8
                        RETIREMENT CARE ASSOCIATES, INC.
               UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS FOR
                 THE SIX MONTHS ENDED DECEMBER 31, 1997 AND 1996

<TABLE>
<CAPTION>
                                                  December 31,     December 31,
                                                      1997             1996
<S>                                               <C>              <C>          
OPERATING ACTIVITIES
Net income (loss)                                 $ (4,355,815)    $ (1,901,632)
Adjustments to reconcile net income to
  cash provided by operating activities:
  Depreciation and amortization                      3,372,831        2,513,126
  Provision for bad debts                              380,891        2,009,000
  Amortization of deferred gain                        (20,000)        (170,000)
  Minority interest                                    125,000           13,500
  Deferred income taxes                               (144,835)        (729,641)
Changes in current assets and liabilities
  net of effects of acquisitions:
  Accounts receivable                              (11,636,513)     (16,300,244)
  Inventory                                         (3,395,269)      (3,674,172)
  Prepaid expense and other assets                   1,340,451       (1,793,658)
  Accounts payable and accrued expenses             13,056,640        8,893,973
  Increase in deferred lease and loan costs         (2,947,195)

Cash (used in) operating activities                 (1,276,619)     (14,086,943)

INVESTING ACTIVITIES
Purchase of property and equipment                 (11,788,087)     (39,437,345)
Issuance of advances to affiliates                  (5,256,419)      14,316,661
Investment in unconsolidated subsidiaries              (58,919)
Restricted bond funds                               (3,414,166)      (4,056,194)
Changes in marketable equity securities             (1,067,748)
Change in receivable                                  (957,935)
Deferred loan and lease cost                          (893,762)
Investment in unconsolidated subsidiaries             (148,449)

Cash (used in) investing activities                (21,411,353)     (31,351,010)

FINANCING ACTIVITIES
Dividends on preferred stock                           (75,000)        (105,000)
Redemption of preferred stock                         (600,000)        (600,000)
Net proceeds from issuance of:
  Line of credit                                    17,396,696        3,759,182
  Common stock                                       1,988,626           70,676
  Long-term debt                                    13,927,633       38,324,959
  Preferred Stock                                     (464,000)       9,340,000
  Payments on long-term debt                        (1,460,170)      (1,267,894)
  Purchase and retirement of common stock           (3,800,411)
Cash provided by financing activities               30,713,785       45,721,512
Net increase in cash and
  cash equivalents                                   8,025,813          283,559
Cash and cash equivalents, beginning of year         3,637,878           45,365
Cash and cash equivalents, end of year            $ 11,663,691     $    328,924
</TABLE>


                                       -8-
<PAGE>   9
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (Unaudited)

NOTE 1: BASIS OF PRESENTATION
   
The consolidated financial statements included herein have been prepared by the
Company, without audit, pursuant to the rules and regulations of the Securities
and Exchange Commission. Certain information and footnote disclosures normally
included in financial statements prepared in accordance with generally accepted
accounting principles have been condensed or omitted pursuant to such rules and
regulations, although the Company believes that the disclosures are adequate to
make the information presented not misleading. These consolidated financial
statements and the notes thereto should be read in conjunction with the
consolidated financial statements included in the Company's Annual Report on
Amended Form 10-K/A for the fiscal year ended June 30, 1997, File No 1-14114.
    

In the opinion of management of the Company, the accompanying unaudited
consolidated financial statements contain all necessary adjustments to present
fairly the financial position, the results of operations and cash flows for the
periods reported. All adjustments are of a normal recurring nature.

   
In February 1997, the Financial Accounting Standards Board ("FASB") issued
Statement of Financial Accounting Standards No. 128, "Earnings Per Share" ("SFAS
128"), which is required to be adopted for the fiscal years ending after
December 15, 1997. SFAS No. 128 supersedes APB Opinion No. 15, "Earnings Per
Share" and specifies the computation, presentation and disclosure requirements
for earnings per share ("EPS") for entities with publicly held common stock or
potential common stock. SFAS 128 essentially replaces the primary EPS and fully
diluted EPS presentations under APB Opinion No. 15 with a basic EPS and a
diluted EPS calculation. The Company will comply with the disclosure
requirements of SFAS No. 128 commencing with its December 31, 1997 Form 10-Q.

In June 1997, the FASB issued Statement of Financial Accounting Standards No.
130, "Reporting Comprehensive Income", which establishes standards for the
reporting and display of comprehensive income and its components in a full set
of general-purpose financial statements. There currently are no additional
disclosures in the financial statements of the Company that are expected to be
required by the provisions of this statement.

In June 1997, the FASB issued Statement of Financial Accounting Standards No.
131, "Disclosures about Segments of an Enterprise and Related Information"
("SFAS 131"), which changes the way public companies report information about
segments of their business in annual financial statements and requires segment
information in quarterly reports to shareholders. SFAS 131 also requires that
public companies report certain information about their products and services,
the geographic areas in which they operate and their major customers. SFAS 131
is effective for fiscal years beginning after December 15, 1997. The Company has
not determined what additional disclosures may be required by the provisions of
SFAS 131.
    

NOTE 2: RESTATEMENT

The consolidated financial statements for the six months ended December 31,
1996, as originally reported, reflected certain balances which were subsequently
determined to be incorrect and, accordingly, the consolidated financial
statements for the six months ended December 31, 1996 were restated as follows
(in thousands):

<TABLE>
<CAPTION>
                               As Previously Reported          As Restated
                               ----------------------          -----------
<S>                            <C>                             <C>
Revenues                             $116,517                   $116,381
Operating Expenses                   $124,548                   $118,239*
Net Earnings (Loss)
   applicable to common stock        $ (5,528)                  $ (1,902)
Shareholders' Equity                 $ 34,666                   $ 34,462
</TABLE>

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

* Restated Operating Expenses included (in thousands) (i) a reduction in the
accrual for employee benefits of $3,700, (ii) restated inventory of $1,955,(iii)
a reduction in the provision for doubtful accounts of $580, and (iv) restated
general and administrative expenses of $74.

NOTE 3. ACCOUNTS RECEIVABLE AND COST REIMBURSEMENTS

Accounts receivable and operating revenue include net amounts reimbursed by
Medicaid under the provisions of cost reimbursement formulas in effect. The
Company operates under a prospective payment system with Medicare, under which
annual rates are assigned based on estimated reimbursements. Differences between
estimated provisions and final settlement are reflected as adjustments to future
rates.

   
    

                                       -9-
<PAGE>   10
                RETIREMENT CARE ASSOCIATES, INC. AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (Unaudited)



   
NOTE 4. INVENTORIES

Inventories consisting mainly of medical supplies, are valued at the lower of
cost (first in, first out) or market.

NOTE 5:  ADVANCES TO AFFILIATES

At December 31, 1997 and June 30, 1997, the Company had advances to
(from) affiliates totaling approximately ($5,429,584) and $66,991,
respectively, and are due on demand.
    

NOTE 6.  LONG-TERM DEBT

Long-term debt consisted of the following:

<TABLE>
<CAPTION>
                                             December 31,       June 30,
                                                 1997             1997
                                             ------------    ------------
<S>                                          <C>             <C>
Amounts outstanding under Revenue Bonds
  secured by retirement facilities           $ 81,400,000    $ 74,675,000

Other debt secured by retirement and
  nursing facilities                           40,420,000      40,700,380

Other debt                                     21,802,851      15,780,008

Capitalized leases                             21,972,802      21,972,802

Totals                                        165,595,653     153,128,190

Current maturities                             17,063,115      11,454,059

Total long-term debt                         $148,532,538    $141,674,131
</TABLE>

   
On December 15, 1997, HCFP Funding, Inc. ("HCFP"), the Company and certain 
subsidiaries of the Company entered into a loan and security agreement, pursuant
to which HCFP granted to the Company a $14 million revolving line of credit (the
"HCFP Loan"). The HCFP Loan is secured by a priority lien on all of the 
Company's accounts receivable and bears interest at a rate of prime plus 2%. The
outstanding principal and interest under the HCFP Loan are due on December 15, 
2001, and the HCFP Loan may be renewed for one-year periods thereafter upon the
mutual written agreement of the parties.

NOTE 7:  ANCILLARY SERVICE AGREEMENTS

The Company has entered into various agreements with Sun Healthcare Group, Inc.
("Sun") to provide ancillary services such as therapy services and
pharmaceutical services to the Company's long-term care facilities. The
agreements provided for the Company to cause all of its facilities to promptly
take all reasonable action, including, without limitation, terminating existing
contracts with other providers of ancillary services in accordance with the
terms thereof, and to cause all facilities to begin receiving all of their
required ancillary services from Sun or Sun's affiliates as soon as practicable
after November 25, 1997. The Company is notifying all existing ancillary service
providers of the termination of services and expects to receive all such
services from Sun by February 1998. The agreements may not be terminated until
14 days after the termination of the merger agreement with Sun, at which time
either party may freely terminate.

NOTE 8:  EARNINGS PER SHARE

The Company and its subsidiaries have adopted the provisions of SFAS 128 for
reporting purposes. No additional securities have been included in the
computation of diluted earnings per share as they would be antidilutive. See the
Company's Annual Report for the fiscal year ended June 30, 1997 for a
description of securities which may potentially be dilutive in the future.

NOTE 9:  YEAR 2000 DISCLOSURE

The Company has reviewed all of its current computer applications with respect
to the date change from 1999 to the year 2000, as discussed in the Securities
and Exchange Commission Staff Legal Bulletin No. 5 (the "Year 2000 Issue"). The
Company believes that certain of its applications are substantially in
compliance with the Year 2000 Issue and that any additional costs with respect
to compliance with the Year 2000 Issue will not be material to the Company. The
Company is currently unable to determine the effect of compliance with the Year
2000 Issue by its customers and suppliers.

NOTE 10: AMENDMENT NO. 3 TO SUN MERGER AGREEMENT.

On November 25, 1997, the Company entered into the third amendment ("Amendment
No. 3") to the Agreement and Plan of Merger and Reorganization (the "Merger
Agreement") between the Company and Sun. Amendment No. 3 changes the exchange
ratio in the Merger Agreement from 0.520 shares of the common stock of Sun for
each share the Company's common stock to that number of shares of the common
stock of Sun having a market value, based on the average closing price for the
common stock of Sun equal to $10.00 per share, subject to adjustment up or down
in event of the significant appreciation or depreciation in the price of the
common stock of Sun. Amendment No. 3 also (i) waives certain responsibilities
and warranties which had become materially incorrect since the date of the
original Merger Agreement; (ii) modifies the definition of "Company Material
Adverse Effect" to related only to changes in the assets and liabilities of the
Company; (iii) contains provisions relating to Sun and its affiliates providing
ancillary services to the Company and its affiliates; (iv) contains provisions
allowing the Company to obtain up to $15 million in working capital financing
under certain conditions; (v) contains provisions relating to certain related
company leases; (vi) modifies the conditions to Sun's obligations to consummate
the merger with the Company related to the Company's representations and
warranties and makes corresponding modifications to Sun's termination rights;
(vii) provides a termination fee payable to the Company in the event Sun's board
of directors changes its recommendation of the merger in a manner adverse to the
Company; (viii) contains certain other technical provisions; and (ix) extends
the date after which either party may freely terminate the Merger Agreement from
November 30, 1997 (or under certain circumstances, December 31, 1997) to March
31, 1998.

NOTE 11: COMMITMENTS AND CONTINGENCIES

The Company is involved in legal proceedings arising in the ordinary course of
business. In addition, the Company is in dispute with the Internal Revenue
Service ("IRS") concerning the application of certain income and payroll tax
liabilities and payments. The IRS contends that the Company is delinquent in the
payment of certain taxes and has assessed taxes, penalties and interest in
connection with the alleged underpayment of approximately $1.2 million. The
Company contends that the IRS has misapplied payments between income and payroll
taxes and between the Company and its affiliates. On advise of counsel handling
the matter, the Company has estimated and accrued in the accompanying financial
statements amounts for ultimate settlement of this dispute, and has recorded an
accrual of $400,000 for ultimate settlement thereof. Further, the Company has
filed lawsuits against the IRS related to this matter. In the opinion of
management, the ultimate resolution of pending legal proceedings and the IRS
dispute will not have a material effect on the Company's financial position or
results of operations.
    


                                      -10-
<PAGE>   11
ITEM 2:  MANAGEMENT'S DISCUSSION AND ANALYSIS OF THE RESULTS OF OPERATIONS AND
         FINANCIAL CONDITION

THREE MONTHS ENDED DECEMBER 31, 1997 COMPARED TO THREE MONTHS ENDED DECEMBER 31,
1996.

   
The Company's total revenues for the three months ended December 31, 1997, were
$80,135,287 compared to $61,208,458 for the three months ended December 31,
1996. Due to the increased number of facilities owned or leased by the Company,
patient service revenue increased from $47,950,464 for the quarter ended
December 31, 1996, to $68,873,798 for the quarter ended December 31, 1997. The
Company was operating 101 facilities for the quarter ended December 31, 1997,
compared to 75 for the quarter ended December 31, 1996. The cost of patient
services in the amount of $49,206,128 for the quarter ended December 31, 1997,
represented 71% of patient service revenue, as compared to $33,415,634, or 70%,
of patient service revenue during the quarter ended December 31, 1996.
    

Medical supply revenue decreased from $11,471,114 during the quarter ended
December 31, 1996, to $10,320,899 during the quarter ended December 31, 1997.
These revenues, which are revenues of Contour Medical, Inc. ("Contour"), a
majority-owned subsidiary, decreased primarily due to volume. Cost of medical
supplies sold as a percentage of medical supply revenue remained constant at
approximately 67% during the quarter ended December 31, 1997, as compared to
approximately 67% of such revenue during the same period last year.

   
Management fees decreased from $558,575 in the quarter ended December 31, 1996
to $529,906 in the quarter ended December 31, 1997. As of December 31, 1996, the
Company was managing 20 facilities, and as of December 30, 1997, the Company was
only managing 8 facilities. The reduced number of facilities managed by the
Company is due to the fact that the Company leased three long-term facilities
and four assisted living/independent facilities and purchased one long-term care
facility and two assisted living/independent living facilities from Messrs.
Brogdon and Lane. In addition, two third-party assisted living/independent
living facilities cancelled their management contracts with the Company. The
Company purchased and leased these facilities to reduce the affiliated
receivable due the Company and to increase the number of facilities owned or
leased, rather than just managed, by the Company. Management anticipates that
the number of facilities only managed by the Company will continue to decline as
a result of the acquisition of such facilities by the Company.
    

Owning or leasing a facility is distinctly different from managing a facility
with respect to operating results and cash flows. For an owned or leased
facility, the entire revenue/expense stream of the facility is recorded on the
Company's income statement. In the case of a management agreement, only the
management fee is recorded. The expenses associated with management revenue are
somewhat indirect as the infrastructure is already in place to manage the
facility. Therefore, the profitability of managing a facility appears more
lucrative on a margin basis than that of an owned/leased facility. However, the
risk of managing a facility is that the contract generally can be canceled on a
relatively short notice, which results in loss of all revenue attributable to
the contract. Furthermore, with an owned or leased property the Company benefits
from the increase in value of the facility as its performance increases. With a
management contract, the owner of the facility maintains the equity value. From
a cash flow standpoint, a management contract is more lucrative because the
Company does not have to support the ongoing operating cash flow of the
facility.


                                      -11-
<PAGE>   12
   
Most of the revenue from the management services division of the Company's
business is received pursuant to management agreements with entities controlled
by Messrs. Brogdon and Lane, two of the Company's officers and directors. These
management agreements have three to five year terms and are terminable on 60
days notice with or without cause by either the Company or the owners.
Therefore, Messrs. Brogdon and Lane have full control over whether or not these
management agreements, and thus the management service revenue, continue in the
future.
    

Other operating revenue decreased from $1,228,305 during the quarter ended
December 31, 1996, to $410,684 during the quarter ended December 31, 1997. The
decrease was primarily a result of one-time referral fees of $350,000 received
from a building contractor, and approximately $400,000 in interest income
included in the December 31, 1996 amounts.

   
Lease expense increased from $2,988,406 for the quarter ended December 31, 1996,
to $5,645,121 for the quarter ended December 31, 1997. This increase is
primarily attibutable to the increased numbers of facilities that the Company
has leased.
    

General and administrative expenses for the three months ended December 31, 1997
were $14,273,113, representing 18% of total revenues, as compared to
$12,393,814, representing 20% of total revenues, for the three months ended
December 31, 1996. The increase in the dollar amount is primarily due to the
general and administrative expenses related to operating the additional
facilities owned or leased by the Company, and approximately $400,000 was due to
legal and accounting expenses related to the pending merger with Sun Healthcare
Group, Inc.

Interest expense rose from $2,753,971 during the quarter ended December 31,
1996, to $4,169,927 during the quarter ended December 31, 1997, as a result of
the increased amount of debt carried by the Company as a result of acquisitions
made over the last twelve months. At December 31, 1996, the Company had
approximately $153 million in long-term debt, as compared to approximately $165
million in long-term debt at December 31, 1997.

For the quarter ended December 31, 1997, the Company received no income tax
benefit, as compared to a tax benefit of $115,000 which represents an effective
tax benefit of 25% for the quarter ended December 31, 1996.

   
The net loss of $2,268,535 for the quarter ended December 31, 1997, compares to
a net loss of $861,808 for the quarter ended December 31, 1996. The increased
loss is attributable to a deterioration in the Company's operations as a result
of the pendency of and delays associated with the merger with Sun, including
higher-than-normal turnover, and costs associated with the integration and
operation of the Company's recently-acquired Virginia and North Carolina
facilities (including certain relatory compliance problems).
    

SIX MONTHS ENDED DECEMBER 31, 1997 COMPARED TO THE SIX MONTHS ENDED DECEMBER 31,
1996.

The Company's total revenues for the six months ended December 31, 1997, were
$159,558,039 compared to $116,381,073 for the six months ended December 31,
1996.

   
Due to the increased number of facilities owned or leased by the Company,
patient service revenue increased from $89,925,434 for the six months ended
December 31, 1996, to $135,329,589 for the six months ended December 31, 1997.
The Company was operating 101 facilities for the six months ended December 31,
1997, compared to 75 for the six months ended December 31, 1996. The cost of
patient services in the amount of $98,575,825 for the six months ended December
31, 1997, represented 73% of patient service revenue, as compared to
$65,321,257, or 73%, of patient service revenue during the six months ended
December 31, 1996.

Medical supply revenue decreased from $22,777,309 during the six months ended
December 31, 1996, to $22,357,734 during the six months ended December 31, 1997.
The increased percentage if primarily a result of increases in the cost of
products sold and increased competition in the medical supply industry, which
has decreased the sales price of most products. These revenues, which are
revenues of Contour Medical, Inc. ("Contour"), a majority-owned subsidiary,
decreased primarily due to volume. Cost of medical supplies sold as a percentage
of medical supply revenue increased to approximately 69% during the six months
ended December 31, 1997, as compared to approximately 67% of such revenue during
the same period last year. This increased percentage is primarily attributable
to increases in the cost of products sold and increased competition in the
medical supply industry, which has decreased the sales price of most of
Contour's products.
    


                                      -12-
<PAGE>   13
   
Management fees decreased from $1,492,621 in the six months ended December 31,
1996 to $969,443 in the six months ended December 31, 1997. As of December 31,
1996, the Company was managing 20 facilities, and as of December 30, 1997, the
Company was only managing 8 facilities. The reduced number of facilities managed
by the Company is due to the fact that the Company leased three long-term
facilities and four assisted living/independent living facilities and purchased
one long-term care facility and two assisted living/independent living
facilities from Messrs. Brogdon and Lane. In addition, two third-party assisted
living/independent living facilities cancelled their management contracts with
the Company. The Company purchased and leased these facilities to reduce the
affiliated receivable due the Company and to increase the number of facilities
owned or leased, rather than just managed, by the Company. Management
anticipates that the number of facilities only managed by the Company will
continue to decline as a result of the acquisition of such facilities by the
Company.
    

Owning or leasing a facility is distinctly different from managing a facility
with respect to operating results and cash flows. For an owned or leased
facility, the entire revenue/expense stream of the facility is recorded on the
Company's income statement. In the case of a management agreement, only the
management fee is recorded. The expenses associated with management revenue are
somewhat indirect as the infrastructure is already in place to manage the
facility. Therefore, the profitability of managing a facility appears more
lucrative on a margin basis than that of an owned/leased facility. However, the
risk of managing a facility is that the contract generally can be canceled on a
relatively short notice, which results in loss of all revenue attributable to
the contract. Furthermore, with an owned or leased property the Company benefits
from the increase in value of the facility as its performance increases. With a
management contract, the owner of the facility maintains the equity value. From
a cash flow standpoint, a management contract is more lucrative because the
Company does not have to support the ongoing operating cash flow of the
facility.

   
Most of the revenue from the management services division of the Company's
business is received pursuant to management agreements with entities controlled
by Messrs. Brogdon and Lane, two of the Company's officers and directors. These
management agreements have three to five year terms and are terminable on 60
days notice with or without cause by either the Company or the owners.
Therefore, Messrs. Brogdon and Lane have full control over whether or not these
management agreements, and thus the management service revenue, continue in the
future.

Other operating revenue decreased from $2,185,709 for the six months ended
December 31, 1996, compared to $901,273 for the six months ended December 31,
1997. The decrease is primarily a result of one-time referral fees of $650,000
received from a building contractor, and approximately $580,000 in interest
income from affiliated companies included in the December 31, 1996 amount.


General and administrative expenses for the six months ended December 31, 1997
were $28,235,625, representing 18% of total revenues, as compared to
$21,895,541, representing 18% of total revenues, for the six months ended
December 31, 1996. The increase in the dollar amount is primarily due to the
general and administrative expenses related to operating the additional
facilities owned or leased by the Company, and approximately $800,000 was due to
legal and accounting expenses related to the pending merger with Sun.
    

Interest expense rose from $5,151,607 during the six months ended December 31,
1996, to $8,151,216 during the six months ended December 31, 1997, as a result
of the increased amount of debt carried by the Company as a result of
acquisitions made over the last twelve months. At December 31, 1996, the Company
had approximately $153 million in long-term debt, as compared to approximately
$165 million in long-term debt at December 31, 1997.

For the six months ended December 31, 1997, the Company received an income tax
benefit of $1,340,000, as compared to a tax benefit of $460,000 for the six
months ended December 31, 1996.

   
The net loss of $4,355,815 for the six months ended December 31, 1997, compares
to a net loss of $1,901,632 for the six months ended December 31, 1996. The
increased loss in attributable due to the fact that the Company's operations
have deteriorated due as result of the pendency of and delays associated with
the merger with Sun, including higher-than-normal turnover, and costs
associated with the integration and operation of the Company's
recently-acquired Virginia and North Carolina facilities (including certain
regulatory compliance problems).
    


                                      -13-
<PAGE>   14
LIQUIDITY AND CAPITAL RESOURCES

At December 31, 1997, the Company had a deficit of $20,384,403 in working
capital compared to a deficit of $10,489,285 at June 30, 1997.

   
The funds needed to reduce the increasing deficit in working capital could be
provided by increased efforts to collect accounts receivable, possible
refinancing of selected facilities, extended payment terms to major vendors for
food and supplies, and increased control over expenses.

During the six months ended December 31, 1997, cash used by operating activities
was $1,276,619, as compared to $14,086,943 during the six months ended December
31, 1996. The cash used during the six months ended December 31, 1997 was
primarily due to the net loss of $4,355,815, for the six months ended December
31, 1997; increases in accounts receivable of $11,636,513 from medicare
settlements, increases in receivables on the 11 facilities added in the fourth
quarter of the year ended June 30, 1997 and increases in Contour accounts
receivable; increases in Contour inventory of $3,395,269 for primarily two new
distribution centers. Cash provided by operating activities was primarily
depreciation and amortization of $3,372,831 on facilities, increases in accounts
payable and accrued expenses of $13,056,640 from 11 facilities added in the
fourth quarter of the year ended June 30, 1997.

Cash flows used in investing activities during the six months ended December 31,
1997, totaled $21,411,535 as compared to $31,351,010 during the six months ended
December 31, 1996. The Company expended $11,788,087 on the purchase of property
and equipment including the purchase of a long-term facility for $5,400,000 on
October 1, 1997 from individuals who are officers and directors of the Company.
The facility was subject to bond debt of $4,285,000. The Company applied the
remaining purchase price of $1,115,000 against amounts owed from affiliates. The
Company paid $3,414,166 for restricted bond funds on facilities and advanced
$5,256,419 to affiliated companies. The advances are due on demand.

Cash provided by financing activities during the six months ended December 31,
1997, totaled $30,713, 785 as compared to $45,721,512 during the six months
ended December 31, 1996. Sources of cash included additional lines of credit of
$17,396,696 which included $14,000,000 from Health Care Financial Partners, an
unrelated third party. The interest rate on the line of credit is prime plus 2%
and is due on December 15, 2001, collateralized by a first lien on accounts
receivable of the Company. The Company incurred long-term debt of $13,927,633
including $5,000,000 from Sun and $4,285,000 of bond debt on the acquisition of
a long-term care facility from two individuals who are officers and directors of
the Company. The bond debt is due 2015, with an interest rate of 9.5%. Sources
of cash also included proceeds from issuance of stock options of $1,988,626.
Cash used in financing activities primarily consisted of $464,000 in payments on
long-term debt, $600,000 in redemption of Series AA Preferred Stock, $75,000 in
dividends on preferred stock.

On September 30, 1994, the Company purchased a majority of the stock of Contour
Medical, Inc. in exchange for shares of the Company's common stock and preferred
stock. The Company is obligated to redeem the preferred stock issued in the
transaction over five years for $3,000,000 in cash. The Company paid $600,000 on
September 30, 1997 pursuant to this obligation. Management intends to fund
future redemptions from cash flow generated from operations.
    

The Company believes that its long-term liquidity needs will generally be met by
income from operations. If necessary, the Company believes that it can obtain an
extension of its current line of credit and/or other lines of credit from
commercial sources. Except as described above, the Company is not aware of any
trends, demands, commitments or understandings that would impact its liquidity.

   
The Company maintains various lines of credit with interest rates ranging from
prime plus .25% to prime plus 2.0%. At December 31, 1997, the Company had
approximately $3,500,000 in unused credit available under such lines.
    

IMPACT OF PENDING FEDERAL HEALTH CARE LEGISLATION

Management is uncertain what the financial impact will be of the pending federal
health care reform package since the legislation has not been finalized.
However, based on information which has been released to the public thus far,
management doesn't believe that there will be cuts in reimbursements paid to
nursing homes.

Legislative and regulatory action at the state and federal level has resulted in
continuing changes in the Medicare and Medicaid reimbursement programs. The
changes have limited payment increases under those programs. Also, the timing of
payments made under Medicare and Medicaid programs are subject to regulatory
action and governmental budgetary constraints. Within the statutory framework of
the Medicare and Medicaid programs, there are substantial areas subject to
administrative rulings and interpretations which may further affect payments
made under these programs. Further, the federal and state governments may reduce
the funds available under those programs in the future or require more stringent
utilization and quality review of health care facilities.
   


                                     -14-


<PAGE>   15
                                    Part II.

Item 6.   Exhibits and Reports on Form 8-k

          (a)  Insert to Exhibit List for Retirement Care Associates, Inc. 
10-Q/A dated December 31, 1997

<TABLE>
<CAPTION>
EXHIBIT NO.         DESCRIPTION                                  LOCATION

<S>                 <C>                                          <C>
  10.16             Form of Amendment No. 1 to Security          Filed herewith electronically
                    Agreement dated as of January 9, 1998

  10.17             Form of Amendment No. 1 to Amended           Filed herewith electronically
                    and Restated Pledge Agreement dated as
                    of January 9, 1998

  10.18             Form of Revolving Credit Note                Filed herewith electronically
                    ($10,000,000) by Capitol Care
                    Management Company, Inc. and
                    Retirement Management Corporation to
                    the order of HCFP Funding, Inc. dated
                    December 15, 1998

  10.19             Form of Revolving Credit Note                Filed herewith electronically
                    ($10,000,000) by subsidiaries to the
                    order of HCFP Funding, Inc. dated
                    December 15, 1998

  10.20             Form of Loan and Security Agreement          Filed herewith electronically
                    by Retirement Care Associates, Inc.;
                    Capitol Care Management Company,
                    Inc.; Retirement Management
                    Corporation and HCFP Funding, Inc.
                    dated December 15, 1997

  10.21             Form of Loan and Security Agreement          Filed herewith electronically
                    by Subsidiaries and HCFP Funding, Inc.
                    dated December 15, 1997

  10.22             Form of Intercreditor Agreement dated        Filed herewith electronically
                    December 15, 1997
</TABLE>
    


                                      -15-
<PAGE>   16
                                   SIGNATURES

         Pursuant to the requirements of the Securities and Exchange Act of
1934, the Registrant has duly caused this Report to be signed on its behalf by
the undersigned thereunto duly authorized.

                                    RETIREMENT CARE ASSOCIATES, INC.
   

DATED: March 11, 1998               By:/s/ Darrell C. Tucker
                                       -----------------------------------------
                                       Darrell C. Tucker, Treasurer
    


















                                      -16-
<PAGE>   17
                                  EXHIBIT INDEX
   

Insert to Exhibit List for Retirement Care Associates, Inc. 10-Q/A dated 
December 31, 1997


<TABLE>
<CAPTION>
EXHIBIT       DESCRIPTION                                  METHOD OF FILING
- -------       -------------------                          ----------------------------- 
<S>           <C>                                          <C>
10.16         Form of Amendment No. 1 to Security          Filed herewith electronically
              Agreement dated as of January 9, 1998

10.17         Form of Amendment No. 1 to Amended           Filed herewith electronically
              and Restated Pledge Agreement dated as
              of January 9, 1998

10.18         Form of Revolving Credit Note                Filed herewith electronically
              ($10,000,000) by Capitol Care
              Management Company Inc. and
              Retirement Management Corporation to
              the order of HCFP Funding, Inc. dated
              December 15, 1998

10.19         Form of Revolving Credit Note                Filed herewith electronically
              ($10,000,000) by subsidiaries to the
              order of HCFP Funding, Inc. dated
              December 15, 1998

10.20         Form of Loan and Security Agreement          Filed herewith electronically
              by Retirement Care Associates, Inc.;
              Capitol Care Management Company,
              Inc.; Retirement Management
              Corporation and HCFP Funding, Inc.
              dated December 15, 1997

10.21         Form of Loan and Security Agreement          Filed herewith electronically
              by Subsidiaries and HCFP Funding, Inc.
              dated December 15, 1997

10.22         Form of Intercreditor Agreement dated        Filed herewith electronically
              December 15, 1997

</TABLE>
    


<PAGE>   1
                                                                   EXHIBIT 10.16
                                                                  EXECUTION COPY



                      AMENDMENT NO. 1 TO SECURITY AGREEMENT

         Amendment No. 1 dated as of January 9, 1998 (this "Amendment"), to that
certain Security Agreement dated July 10, 1997 (the "Security Agreement"), for
the benefit of SUN HEALTHCARE GROUP, INC., a Delaware corporation ("Sun"), by
RETIREMENT CARE ASSOCIATES, INC., a Colorado corporation ("RCA").

                             PRELIMINARY STATEMENTS

         1. Sun, PEACH ACQUISITION CORPORATION, a Colorado corporation and a
direct wholly-owned subsidiary of Sun ("Merger Sub"), and RCA are parties to
that certain Agreement and Plan of Merger and Reorganization dated as of
February 17, 1997, as amended by Amendment No. 1 thereto dated as of May 27,
1997, Amendment No. 2 thereto dated as of August 21, 1997, and Amendment No. 3
thereto dated as of November 25, 1997 (as amended, the "Merger Agreement").

         2. RCA, Capitol Care Management Company, Inc. and Retirement Management
Corporation (collectively, the "Borrowers") are indebted to Sun in the amount of
$5,000,000 pursuant to that certain Promissory Note dated July 10, 1997 (the
"Additional Note"). The Additional Note is secured by, among other things, the
Security Agreement.

         3. The Borrowers and HCFP Funding, Inc. ("HCFP"), as lender, have
entered into a Loan and Security Agreement (the "Loan Agreement"). Certain
subsidiaries of RCA, as borrower, and HCFP, as lender, have entered into a Loan
and Security Agreement (the "Affiliated Loan Agreement," the subsidiaries of RCA
party thereto being referred to herein as the "Affiliated Borrowers"). In
connection with the transactions contemplated by the Loan Agreement and the
Affiliated Loan Agreement, the parties hereto have agreed to amend the Security
Agreement as set forth herein.

         NOW, THEREFORE, in consideration of the premises set forth herein, the
parties hereto agree as follows.

         SECTION 1. Security Agreement. Section 4 of the Security Agreement is
amended and restated as follows:

                  4. Collateral Reporting. The Pledgor shall deliver to the
         Lender on the date hereof and on the tenth calendar day of each month a
         borrowing base




<PAGE>   2


         certificate, attested to by an officer of the Pledgor, indicating the
         amount of the Borrowing Base (the "Borrowing Base Certificate"). As
         used herein, the term "Borrowing Base" shall mean an amount equal to
         (i) one hundred percent (100.0%) of all Eligible Accounts, plus (ii)
         the aggregate fair market value of any property pledged to Lender in
         accordance with Section 22 hereof, minus (ii) the aggregate principal
         amount of indebtedness outstanding under (A) the Fidelity Agreement
         referred to in Section 21 hereof, (B) that certain Amended and Restated
         Promissory Note made by the Pledgor, RMC and CCMC to the Lender dated
         as of even date herewith, (C) that certain Loan and Security Agreement
         by and among Pledgor, RMC, CCMC and HCFP Funding, Inc. dated December
         15, 1997, and (D) that certain Loan and Security Agreement by and among
         certain of Pledgor's subsidiaries and HCFP Funding, Inc. dated December
         15, 1997. As used herein, the term "Eligible Accounts" shall mean all
         Accounts of the Pledgor, RMC, CCMC and the Subsidiary Guarantors (as
         defined in the Note), but not of any other subsidiary of the Pledgor,
         which are not more than one hundred twenty (120) days past due, which
         are not due and payable from any insider, affiliate, officer or
         shareholder of the Pledgor or any of its managed or affiliated
         companies, and which are not classified as "Pre-Current" in Pledgor's
         books and records pertaining to the Collateral.

                  SECTION 2. Conditions of Effectiveness. Section 1 of this
Amendment shall be effective as of December 15, 1997, when and if Sun shall have
received counterparts of this Amendment duly executed by each of the parties
hereto.

                  SECTION 3. Reference to and Effect on the Security Agreement.

                  (a) On or after the date hereof, each reference in the
Security Agreement to "this Agreement," "hereunder," "hereof," "herein" or words
of like import referring to the Security Agreement, and each reference to the
Security Agreement in the Additional Note and each other documents delivered in
connection therewith (collectively, the "Loan Documents") shall mean and be a
reference to the Security Agreement as amended hereby.

                  (b) Except as specifically amended under Section 1 hereof,
each of the Loan Documents shall remain in full force and effect and is hereby
ratified and confirmed.

                  (c) Each Borrower acknowledges and agrees that, except to the
extent specifically amended under Section 1 hereof, it is obligated to comply
with each and every term, covenant, agreement and condition applicable to it
under each of the Loan Documents. The execution, delivery and effectiveness of
this Amendment shall not otherwise operate as a waiver of any right, remedy or
privilege of Sun under any of the Loan Documents, any and all of which rights,
remedies and privileges are reserved.

                  SECTION 4. Counterparts. This Amendment may be executed in any
number of counterparts and by different parties hereto on separate counterparts,
each of which, when 

                                        2

<PAGE>   3
so executed and delivered, shall be an original, but all such counterparts shall
together constitute one and the same agreement.

                  SECTION 5. GOVERNING LAW. THIS AMENDMENT SHALL BE GOVERNED BY,
AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment No. 1 to be duly executed and delivered as of the date first above
written.

                                    SUN HEALTHCARE GROUP, INC.



                                    By:  
                                         ---------------------------------------
                                         Name:
                                         Title:




                                    RETIREMENT CARE ASSOCIATES, INC.



                                    By:  
                                         ---------------------------------------
                                         Name:
                                         Title:




                                        3




<PAGE>   1
                                                                   EXHIBIT 10.17
                                                                  EXECUTION COPY



            AMENDMENT NO. 1 TO AMENDED AND RESTATED PLEDGE AGREEMENT

                  Amendment No. 1 dated as of January 9, 1998 (this
"Amendment"), to that certain Amended and Restated Pledge Agreement dated July
10, 1997 (the "Amended Pledge Agreement"), among SUN HEALTHCARE GROUP, INC., a
Delaware corporation ("Sun"), PEACH ACQUISITION CORPORATION, a Colorado
corporation and a direct wholly-owned subsidiary of Sun ("Merger Sub"), and
RETIREMENT CARE ASSOCIATES, INC., a Colorado corporation ("RCA").

                             PRELIMINARY STATEMENTS

                  1. Sun, Merger Sub and RCA are parties to that certain
Agreement and Plan of Merger and Reorganization dated as of February 17, 1997,
as amended by Amendment No. 1 thereto dated as of May 27, 1997, Amendment No. 2
thereto dated as of August 21, 1997, and Amendment No. 3 thereto dated as of
November 25, 1997 (as amended, the "Merger Agreement").

                  2. RCA, Capitol Care Management Company, Inc. and Retirement
Management Corporation (collectively, the "Borrowers") are indebted to Sun in
the amount of $9,750,000 pursuant to that certain Amended and Restated
Promissory Note dated July 10, 1997 (the "Amended Note"). The Amended Note is
secured by, among other things, the Amended Pledge Agreement, dated July 10,
1997, by RCA for the benefit of Sun.

                  3. The Borrowers and HCFP Funding, Inc. ("HCFP"), as lender,
have entered into a Loan and Security Agreement (the "Loan Agreement"). Certain
subsidiaries of RCA, as borrower, and HCFP, as lender, have entered into a Loan
and Security Agreement (the "Affiliated Loan Agreement," the subsidiaries of RCA
party thereto being referred to herein as the "Affiliated Borrowers"). In
connection with the transactions contemplated by the Loan Agreement and the
Affiliated Loan Agreement, the parties hereto have agreed to amend the Amended
Pledge Agreement as set forth herein.

                  NOW, THEREFORE, in consideration of the premises set forth
herein, the parties hereto agree as follows.


                  SECTION 1. Amended Pledge Agreement. Section 4 of the Amended
Pledge Agreement is amended and restated as follows:





<PAGE>   2



                           4. Collateral Reporting. The Pledgor shall deliver to
         the Lender on the date hereof and on the tenth calendar day of each
         month a borrowing base certificate, attested to by an officer of the
         Pledgor, indicating the amount of the Borrowing Base (the "Borrowing
         Base Certificate"). As used herein, the term "Borrowing Base" shall
         mean an amount equal to (i) one hundred percent (100%) of all Eligible
         Accounts minus (ii) the aggregate principal amount of indebtedness
         outstanding under (A) the Fidelity Agreement referred to in Section 21
         hereof, (B) that certain Promissory Note made by the Pledgor, RMC and
         CCMC to the Lender dated as of even date herewith, (C) that certain
         Loan and Security Agreement by and among Pledgor, RMC, CCMC and HCFP
         Funding, Inc. dated December 15, 1997, and (D) that certain Loan and
         Security Agreement by and among certain of Pledgor's subsidiaries and
         HCFP Funding, Inc. dated December 15, 1997. As used herein, the term
         "Eligible Accounts" shall mean all Accounts of the Pledgor, RMC, CCMC
         and the Subsidiary Guarantors (as defined in the Restated Note), but
         not of any other subsidiary of the Pledgor, which are not more than one
         hundred twenty (120) days past due, which are not due and payable from
         any insider, affiliate, officer or shareholder of the Pledgor or any of
         its managed or affiliated companies, and which are not classified as
         "Pre-Current" in Pledgor's books and records pertaining to the
         Collateral.

                  SECTION 2. Conditions of Effectiveness. Section 1 of this
Amendment shall be effective as of December 15, 1997, when and if Sun shall have
received counterparts of this Amendment duly executed by each of the parties
hereto.

                  SECTION 3. Reference to and Effect on the Amended Pledge
Agreement.

                  (a) On or after the date hereof, each reference in the Amended
Pledge Agreement to "this Agreement," "hereunder," "hereof," "herein" or words
of like import referring to the Amended Pledge Agreement, and each reference to
the Amended Pledge Agreement in the Amended Note and each other documents
delivered in connection therewith (collectively, the "Loan Documents") shall
mean and be a reference to the Amended Pledge Agreement as amended hereby.

                  (b) Except as specifically amended under Section 1 hereof,
each of the Loan Documents shall remain in full force and effect and is hereby
ratified and confirmed.

                  (c) Each Borrower acknowledges and agrees that, except to the
extent specifically amended under Section 1 hereof, it is obligated to comply
with each and every term, covenant, agreement and condition applicable to it
under each of the Loan Documents. The execution, delivery and effectiveness of
this Amendment shall not otherwise operate as a waiver of any right, remedy or
privilege of Sun under any of the Loan Documents, any and all of which rights,
remedies and privileges are reserved.



                                        2

<PAGE>   3


                  SECTION 4. Counterparts. This Amendment may be executed in any
number of counterparts and by different parties hereto on separate counterparts,
each of which, when so executed and delivered, shall be an original, but all
such counterparts shall together constitute one and the same agreement.

                  SECTION 5. GOVERNING LAW. THIS AMENDMENT SHALL BE GOVERNED BY,
AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.


                                       3


<PAGE>   4


                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment No. 1 to be duly executed and delivered as of the date first above
written.

                                    SUN HEALTHCARE GROUP, INC.



                                    By:  
                                         ---------------------------------------
                                         Name:
                                         Title:



                                    PEACH ACQUISITION CORPORATION



                                    By:  
                                         ---------------------------------------
                                         Name:
                                         Title:



                                    RETIREMENT CARE ASSOCIATES, INC.



                                    By:  
                                         ---------------------------------------
                                         Name:
                                         Title:




                                       4


<PAGE>   1
                                                                   EXHIBIT 10.18

                              REVOLVING CREDIT NOTE

$10,000,000.00                                                 December 15, 1997


          For value received, the undersigned, RETIREMENT CARE ASSOCIATES, INC.,
a Colorado corporation, CAPITOL CARE MANAGEMENT COMPANY, INC., a Georgia
corporation and RETIREMENT MANAGEMENT CORPORATION, a Georgia corporation
(collectively, "Borrower"), jointly and severally, promise to pay, in lawful
money of the United States, to the order of HCFP FUNDING, INC., a Delaware
corporation ("Lender"), the principal sum of Ten Million and No/100 Dollars
($10,000,000.00), or so much thereof as shall be advanced or readvanced and
shall remain unpaid under the Loan established pursuant to that certain Loan and
Security Agreement of even date with this Note by and among the undersigned and
Lender (the "Loan Agreement"), plus interest on the unpaid balance thereof,
computed on a 360-day basis, at the rate per annum that is set forth in the Loan
Agreement. All capitalized terms used, and not otherwise specifically defined,
in this Note shall have the meanings ascribed to them in the Loan Agreement.

         This Note shall evidence the undersigned's obligation to repay all sums
advanced by Lender from time to time under and as part of the Loan. The actual
amount due and owing from time to time under this Note shall be evidenced by
Lender's records of receipts and disbursements with respect to the Loan, which
shall be conclusive evidence of that amount, absent manifest error.

         Interest hereon shall be payable monthly, in arrears, on the first
Business Day of each month hereafter (for the previous month). For purposes of
this Note, a "Business Day" shall mean any day on which banks are open for
business in Maryland, excluding Saturdays and Sundays.

         This Note shall become due and payable upon the earlier to occur of (i)
the expiration of the Term, or (ii) any Event of Default under the Loan
Agreement, or any other event under any other Loan Documents which would result
in this Note becoming due and payable. At such time, the entire principal
balance of this Note and all other fees, costs and expenses, if any, shall be
due and payable in full. Lender shall then have the option at any time and from
time to time to exercise all of the rights and remedies set forth in this Note
and in the other Loan Documents, as well as all rights and remedies otherwise
available to Lender at law or in equity, to collect the unpaid indebtedness
under this Note and the other Loan Documents. This Note is secured by the
Collateral, as defined in and described in the Loan Agreement.

         Whenever any principal and/or interest and/or fee under this Note shall
not be paid when due, whether at the stated maturity or by acceleration,
interest on such unpaid amounts shall thereafter be payable at a rate per annum
equal to three percentage points above the stated rate of interest on this Note
until such amounts shall be paid.


<PAGE>   2




         The undersigned and Lender intend to conform strictly to the applicable
usury laws in effect from time to time during the term of the Loan. Accordingly,
if any transaction contemplated hereby would be usurious under such laws, then
notwithstanding any other provision hereof: (a) the aggregate of all interest
that is contracted for, charged, or received under this Note or under any other
Loan Document shall not exceed the maximum amount of interest allowed by
applicable law, and any excess shall be promptly credited to the undersigned by
Lender (or, to the extent that such consideration shall have been paid, such
excess shall be promptly refunded to the undersigned by Lender); (b) neither the
undersigned nor any other Person (as defined in the Loan Agreement) now or
hereafter liable hereunder shall be obligated to pay the amount of such interest
to the extent that it is in excess of the maximum interest permitted by
applicable law; and (c) the effective rate of interest shall be reduced to the
Highest Lawful Rate (as defined in the Loan Agreement). All sums paid, or agreed
to be paid, to Lender for the use, forbearance, and detention of the debt of
Borrower to Lender shall, to the extent permitted by applicable law, be
allocated throughout the full term of this Note until payment is made in full so
that the actual rate of interest does not exceed the Highest Lawful Rate in
effect at any particular time during the full term thereof. If at any time the
rate of interest under the Note exceeds the Highest Lawful Rate, the rate of
interest to accrue pursuant to this Note shall be limited, notwithstanding
anything to the contrary herein, to the Highest Lawful Rate, but any subsequent
reductions in the Base Rate shall not reduce the interest to accrue pursuant to
this Note below the Highest Lawful Rate until the total amount of interest
accrued equals the amount of interest that would have accrued if a varying rate
per annum equal to the interest rate under the Note had at all times been in
effect. If the total amount of interest paid or accrued pursuant to this Note
under the foregoing provisions is less than the total amount of interest that
would have accrued if a varying rate per annum equal to the interest rate under
this Note had been in effect, then the undersigned agrees to pay to Lender an
amount equal to the difference between (a) the lesser of (i) the amount of
interest that would have accrued if the Highest Lawful Rate had at all times
been in effect, or (ii) the amount of interest that would have accrued if a
varying rate per annum equal to the interest rate under the Note had at all
times been in effect, and (b) the amount of interest accrued in accordance with
the other provisions of this Note and the Loan Agreement.

         This Note is the "Note" referred to in the Loan Agreement, and is
issued pursuant thereto. Reference is made to the Loan Agreement for a statement
of the additional rights and obligations of the undersigned and Lender. In the
event of any conflict between the terms hereof and the terms of the Loan
Agreement, the terms of the Loan Agreement shall prevail. All of the terms,
covenants, provisions, conditions, stipulations, promises and agreements
contained in the Loan Documents to be kept, observed and/or performed by the
undersigned are made a part of this Note and are incorporated herein by this
reference to the same extent and with the same force and effect as if they were
fully set forth herein, and the undersigned promises and agrees to keep, observe
and perform them or cause them to be kept, observed and performed, strictly in
accordance with the terms and provisions thereof.

         Each party liable hereon in any capacity, whether as maker, endorser,
surety, guarantor or otherwise, (i) waives presentment for payment, demand,
protest and notice of presentment,

                                        2


<PAGE>   3


notice of protest, notice of non-payment and notice of dishonor of this debt and
each and every other notice of any kind respecting this Note and all lack of
diligence or delays in collection or enforcement hereof, (ii) agrees that Lender
and any subsequent holder of this Note, at any time or times, without notice to
the undersigned or its consent, may grant extensions of time, without limit as
to the number of the aggregate period of such extensions, for the payment of any
principal, interest or other sums due hereunder, (iii) to the extent permitted
by law, waives all exemptions under the laws of the State of Maryland and/or any
state or territory of the United States, (iv) to the extent permitted by law,
waives the benefit of any law or rule of law intended for its advantage or
protection as an obligor hereunder or providing for its release or discharge
from liability hereon, in whole or in part, on account of any facts or
circumstances other than full and complete payment of all amounts due hereunder,
and (v) agrees to pay, in addition to all other sums of money due, all cost of
collection and attorney's fees, whether suit be brought or not, if this Note is
not paid in full when due, whether at the stated maturity or by acceleration.

         No waiver by Lender or any subsequent holder of this Note of any one or
more defaults by the undersigned in the performance of any of its obligations
hereunder shall operate or be construed as a waiver of any future default or
defaults, whether of a like or different nature. No failure or delay on the part
of Lender in exercising any right, power or remedy under this Note (including,
without limitation, the right to declare this Note due and payable) shall
operate as a waiver thereof, nor shall any single or partial exercise of any
such right, power or remedy preclude any other or further exercise thereof or
the exercise of any other right, power or remedy.

         If any term, covenant or condition of this Note, or the application of
such term, covenant or condition to any party or circumstance shall be found by
a court of competent jurisdiction to be, to any extent, invalid or
unenforceable, the remainder of this Note and the application of such term,
covenant, or condition to parties or circumstances other than those as to which
it is held invalid or unenforceable, shall not be affected thereby, and each
term, covenant or condition shall be valid and enforced to the fullest extent
permitted by law. Upon determination that any such term is invalid, illegal or
unenforceable, the undersigned shall cooperate with Lender to amend this Note so
as to effect the original intent of the parties as closely as possible in an
acceptable manner.

         No amendment, supplement or modification of this Note nor any waiver of
any provision hereof shall be made except in writing executed by the party
against whom enforcement is sought.

         This Note shall be binding upon the undersigned and its successors and
assigns. Notwithstanding the foregoing, the undersigned may not assign any of
its rights or delegate any of its obligations hereunder without the prior
written consent of Lender, which may be withheld in its sole discretion.


         THIS NOTE IS TO BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE
LAWS OF THE STATE OF MARYLAND WITHOUT RESPECT TO ANY

                                        3


<PAGE>   4


OTHERWISE APPLICABLE CONFLICTS-OF-LAWS PRINCIPLES, BOTH AS TO INTERPRETATION AND
PERFORMANCE, AND THE PARTIES EXPRESSLY CONSENT AND AGREE TO THE NON-EXCLUSIVE
JURISDICTION OF THE COURTS OF THE STATE OF MARYLAND AND THE UNITED STATES
DISTRICT COURT FOR THE DISTRICT OF MARYLAND AND TO THE LAYING OF VENUE IN THE
STATE OF MARYLAND, WAIVING ALL CLAIMS OR DEFENSES BASED ON LACK OF PERSONAL
JURISDICTION, IMPROPER VENUE, INCONVENIENT FORUM OR THE LIKE. BORROWER HEREBY
CONSENTS TO SERVICE OF PROCESS BY MAILING A COPY OF THE SUMMONS TO BORROWER, BY
CERTIFIED OR REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER'S ADDRESS SET FORTH
IN SECTION 9.4 OF THE LOAN AGREEMENT. BORROWER FURTHER WAIVES ANY CLAIM FOR
CONSEQUENTIAL DAMAGES IN RESPECT OF ANY ACTION TAKEN OR OMITTED TO BE TAKEN BY
LENDER IN GOOD FAITH.

         THE UNDERSIGNED HEREBY (A) COVENANTS AND AGREES NOT TO ELECT A TRIAL BY
JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY, AND (B) WAIVES ANY RIGHT TO TRIAL
BY JURY FULLY TO THE EXTENT THAT ANY SUCH RIGHT SHALL NOW OR HEREAFTER EXIST.
THIS WAIVER OF RIGHT TO TRIAL BY JURY IS GIVEN KNOWINGLY AND VOLUNTARILY BY THE
UNDERSIGNED, AND THIS WAIVER IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE
AND EACH ISSUE AS TO WHICH THE RIGHT TO A JURY TRIAL WOULD OTHERWISE ACCRUE.
LENDER IS HEREBY AUTHORIZED AND REQUESTED TO SUBMIT THIS NOTE TO ANY COURT
HAVING JURISDICTION OVER THE SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO
SERVE AS CONCLUSIVE EVIDENCE OF THE UNDERSIGNED'S WAIVER OF THE RIGHT TO JURY
TRIAL. FURTHER, THE UNDERSIGNED HEREBY CERTIFIES THAT NO REPRESENTATIVE OR AGENT
OF LENDER (INCLUDING LENDER'S COUNSEL) HAS REPRESENTED, EXPRESSLY OR OTHERWISE,
TO ANY BORROWER THAT LENDER WILL NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO
JURY TRIAL PROVISION.

                                        4


<PAGE>   5





         IN WITNESS WHEREOF, the undersigned have caused their authorized
officers to execute this Note as of the date first above written.

                                             BORROWER:

ATTEST:                                      RETIREMENT CARE ASSOCIATES, INC.,
                                             a Colorado corporation

By:                                          By:                          [SEAL]
   -----------------------------                --------------------------
   Name:                                         Name:
   Title:                                        Title:

ATTEST:                                      CAPITOL CARE MANAGEMENT
                                             COMPANY, INC.
                                             a Georgia corporation

By:                                          By:                          [SEAL]
   -----------------------------                ----------------------------
   Name:                                         Name:
   Title:                                        Title:

ATTEST:                                      RETIREMENT MANAGEMENT
                                             CORPORATION
                                             a Georgia corporation

By:                                          By:                          [SEAL]
   -----------------------------                ----------------------------
   Name:                                         Name:
   Title:                                        Title:


                                        5




<PAGE>   1
                                                                   EXHIBIT 10.19


                              REVOLVING CREDIT NOTE

$10,000,000.00                                                 December 15, 1997


          For value received, the undersigned, ATRIUM NURSING HOME, INC., a
Florida corporation, MID-FLORIDA, INC., a Georgia corporation, SUN COAST
RETIREMENT, INC., a Georgia corporation, WEST TENNESSEE, INC., a Georgia
corporation, LAKE FOREST HEALTHCARE CENTER, INC., a Georgia corporation , LIBBIE
REHABILITATION CENTER, INC., a Virginia corporation, BRENT-LOX HALL NURSING
HOME, INC., a Virginia corporation, PHOENIX ASSOCIATES, INC., a Virginia
corporation, PINE MANOR REST HOME, INC., a North Carolina corporation,
STATESBORO HEALTH CARE CENTER, INC., a Georgia corporation, GARDENDALE HEALTH
CARE CENTER, INC., a Georgia corporation, ROBERTA HEALTH CARE CENTER, INC., a
Georgia corporation, SOUTHSIDE HEALTH CARE CENTER, INC., a Georgia corporation,
CRESENT MEDICAL SERVICES, INC., a Georgia corporation, GAINESVILLE HEALTHCARE
CENTER, INC., a Georgia corporation, DUVAL HEALTHCARE CENTER, INC., a Georgia
corporation, JEFF DAVIS HEALTHCARE, INC., a Georgia corporation, CHARLTON
HEALTHCARE, INC., a Georgia corporation, BIBB HEALTH REHABILITATION, INC., a
Georgia corporation, MAPLEWOOD HEALTH CARE CENTER OF JACKSON TENNESSEE, INC., a
Tennessee corporation and LAKE HEALTH CARE CENTER, INC., a Georgia corporation
(collectively, "Borrower"), jointly and severally, promise to pay, in lawful
money of the United States, to the order of HCFP FUNDING, INC., a Delaware
corporation ("Lender"), the principal sum of Ten Million and No/100 Dollars
($10,000,000.00), or so much thereof as shall be advanced or readvanced and
shall remain unpaid under the Loan established pursuant to that certain Loan and
Security Agreement of even date with this Note by and among the undersigned and
Lender (the "Loan Agreement"), plus interest on the unpaid balance thereof,
computed on a 360-day basis, at the rate per annum that is set forth in the Loan
Agreement. All capitalized terms used, and not otherwise specifically defined,
in this Note shall have the meanings ascribed to them in the Loan Agreement.

         This Note shall evidence the undersigned's obligation to repay all sums
advanced by Lender from time to time under and as part of the Loan. The actual
amount due and owing from time to time under this Note shall be evidenced by
Lender's records of receipts and disbursements with respect to the Loan, which
shall be conclusive evidence of that amount, absent manifest error.

         Interest hereon shall be payable monthly, in arrears, on the first
Business Day of each month hereafter (for the previous month). For purposes of
this Note, a "Business Day" shall mean any day on which banks are open for
business in Maryland, excluding Saturdays and Sundays.

         This Note shall become due and payable upon the earlier to occur of (i)
the expiration of the Term, or (ii) any Event of Default under the Loan
Agreement, or any other event under any 



<PAGE>   2


other Loan Documents which would result in this Note becoming due and payable.
At such time, the entire principal balance of this Note and all other fees,
costs and expenses, if any, shall be due and payable in full. Lender shall then
have the option at any time and from time to time to exercise all of the rights
and remedies set forth in this Note and in the other Loan Documents, as well as
all rights and remedies otherwise available to Lender at law or in equity, to
collect the unpaid indebtedness under this Note and the other Loan Documents.
This Note is secured by the Collateral, as defined in and described in the Loan
Agreement.

         Whenever any principal and/or interest and/or fee under this Note shall
not be paid when due, whether at the stated maturity or by acceleration,
interest on such unpaid amounts shall thereafter be payable at a rate per annum
equal to three percentage points above the stated rate of interest on this Note
until such amounts shall be paid.

         The undersigned and Lender intend to conform strictly to the applicable
usury laws in effect from time to time during the term of the Loan. Accordingly,
if any transaction contemplated hereby would be usurious under such laws, then
notwithstanding any other provision hereof: (a) the aggregate of all interest
that is contracted for, charged, or received under this Note or under any other
Loan Document shall not exceed the maximum amount of interest allowed by
applicable law, and any excess shall be promptly credited to the undersigned by
Lender (or, to the extent that such consideration shall have been paid, such
excess shall be promptly refunded to the undersigned by Lender); (b) neither the
undersigned nor any other Person (as defined in the Loan Agreement) now or
hereafter liable hereunder shall be obligated to pay the amount of such interest
to the extent that it is in excess of the maximum interest permitted by
applicable law; and (c) the effective rate of interest shall be reduced to the
Highest Lawful Rate (as defined in the Loan Agreement). All sums paid, or agreed
to be paid, to Lender for the use, forbearance, and detention of the debt of
Borrower to Lender shall, to the extent permitted by applicable law, be
allocated throughout the full term of this Note until payment is made in full so
that the actual rate of interest does not exceed the Highest Lawful Rate in
effect at any particular time during the full term thereof. If at any time the
rate of interest under the Note exceeds the Highest Lawful Rate, the rate of
interest to accrue pursuant to this Note shall be limited, notwithstanding
anything to the contrary herein, to the Highest Lawful Rate, but any subsequent
reductions in the Base Rate shall not reduce the interest to accrue pursuant to
this Note below the Highest Lawful Rate until the total amount of interest
accrued equals the amount of interest that would have accrued if a varying rate
per annum equal to the interest rate under the Note had at all times been in
effect. If the total amount of interest paid or accrued pursuant to this Note
under the foregoing provisions is less than the total amount of interest that
would have accrued if a varying rate per annum equal to the interest rate under
this Note had been in effect, then the undersigned agrees to pay to Lender an
amount equal to the difference between (a) the lesser of (i) the amount of
interest that would have accrued if the Highest Lawful Rate had at all times
been in effect, or (ii) the amount of interest that would have accrued if a
varying rate per annum equal to the interest rate under the Note had at all
times been in effect, and (b) the amount of interest accrued in accordance with
the other provisions of this Note and the Loan Agreement.


<PAGE>   3




         This Note is the "Note" referred to in the Loan Agreement, and is
issued pursuant thereto. Reference is made to the Loan Agreement for a statement
of the additional rights and obligations of the undersigned and Lender. In the
event of any conflict between the terms hereof and the terms of the Loan
Agreement, the terms of the Loan Agreement shall prevail. All of the terms,
covenants, provisions, conditions, stipulations, promises and agreements
contained in the Loan Documents to be kept, observed and/or performed by the
undersigned are made a part of this Note and are incorporated herein by this
reference to the same extent and with the same force and effect as if they were
fully set forth herein, and the undersigned promises and agrees to keep, observe
and perform them or cause them to be kept, observed and performed, strictly in
accordance with the terms and provisions thereof.

         Each party liable hereon in any capacity, whether as maker, endorser,
surety, guarantor or otherwise, (i) waives presentment for payment, demand,
protest and notice of presentment, notice of protest, notice of non-payment and
notice of dishonor of this debt and each and every other notice of any kind
respecting this Note and all lack of diligence or delays in collection or
enforcement hereof, (ii) agrees that Lender and any subsequent holder of this
Note, at any time or times, without notice to the undersigned or its consent,
may grant extensions of time, without limit as to the number of the aggregate
period of such extensions, for the payment of any principal, interest or other
sums due hereunder, (iii) to the extent permitted by law, waives all exemptions
under the laws of the State of Maryland and/or any state or territory of the
United States, (iv) to the extent permitted by law, waives the benefit of any
law or rule of law intended for its advantage or protection as an obligor
hereunder or providing for its release or discharge from liability hereon, in
whole or in part, on account of any facts or circumstances other than full and
complete payment of all amounts due hereunder, and (v) agrees to pay, in
addition to all other sums of money due, all cost of collection and attorney's
fees, whether suit be brought or not, if this Note is not paid in full when due,
whether at the stated maturity or by acceleration.

         No waiver by Lender or any subsequent holder of this Note of any one or
more defaults by the undersigned in the performance of any of its obligations
hereunder shall operate or be construed as a waiver of any future default or
defaults, whether of a like or different nature. No failure or delay on the part
of Lender in exercising any right, power or remedy under this Note (including,
without limitation, the right to declare this Note due and payable) shall
operate as a waiver thereof, nor shall any single or partial exercise of any
such right, power or remedy preclude any other or further exercise thereof or
the exercise of any other right, power or remedy.

         If any term, covenant or condition of this Note, or the application of
such term, covenant or condition to any party or circumstance shall be found by
a court of competent jurisdiction to be, to any extent, invalid or
unenforceable, the remainder of this Note and the application of such term,
covenant, or condition to parties or circumstances other than those as to which
it is held invalid or unenforceable, shall not be affected thereby, and each
term, covenant or condition shall be valid and enforced to the fullest extent
permitted by law. Upon determination that any such term is invalid, illegal or
unenforceable, the undersigned shall cooperate with Lender to 

                                        3


<PAGE>   4



amend this Note so as to effect the original intent of the parties as closely as
possible in an acceptable manner.

         No amendment, supplement or modification of this Note nor any waiver of
any provision hereof shall be made except in writing executed by the party
against whom enforcement is sought.

         This Note shall be binding upon the undersigned and its successors and
assigns. Notwithstanding the foregoing, the undersigned may not assign any of
its rights or delegate any of its obligations hereunder without the prior
written consent of Lender, which may be withheld in its sole discretion.

         THIS NOTE IS TO BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE
LAWS OF THE STATE OF MARYLAND WITHOUT RESPECT TO ANY OTHERWISE APPLICABLE
CONFLICTS-OF-LAWS PRINCIPLES, BOTH AS TO INTERPRETATION AND PERFORMANCE, AND THE
PARTIES EXPRESSLY CONSENT AND AGREE TO THE NON-EXCLUSIVE JURISDICTION OF THE
COURTS OF THE STATE OF MARYLAND AND THE UNITED STATES DISTRICT COURT FOR THE
DISTRICT OF MARYLAND AND TO THE LAYING OF VENUE IN THE STATE OF MARYLAND,
WAIVING ALL CLAIMS OR DEFENSES BASED ON LACK OF PERSONAL JURISDICTION, IMPROPER
VENUE, INCONVENIENT FORUM OR THE LIKE. BORROWER HEREBY CONSENTS TO SERVICE OF
PROCESS BY MAILING A COPY OF THE SUMMONS TO BORROWER, BY CERTIFIED OR REGISTERED
MAIL, POSTAGE PREPAID, TO BORROWER'S ADDRESS SET FORTH IN SECTION 9.4 OF THE
LOAN AGREEMENT. BORROWER FURTHER WAIVES ANY CLAIM FOR CONSEQUENTIAL DAMAGES IN
RESPECT OF ANY ACTION TAKEN OR OMITTED TO BE TAKEN BY LENDER IN GOOD FAITH.

         THE UNDERSIGNED HEREBY (A) COVENANTS AND AGREES NOT TO ELECT A TRIAL BY
JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY, AND (B) WAIVES ANY RIGHT TO TRIAL
BY JURY FULLY TO THE EXTENT THAT ANY SUCH RIGHT SHALL NOW OR HEREAFTER EXIST.
THIS WAIVER OF RIGHT TO TRIAL BY JURY IS GIVEN KNOWINGLY AND VOLUNTARILY BY THE
UNDERSIGNED, AND THIS WAIVER IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE
AND EACH ISSUE AS TO WHICH THE RIGHT TO A JURY TRIAL WOULD OTHERWISE ACCRUE.
LENDER IS HEREBY AUTHORIZED AND REQUESTED TO SUBMIT THIS NOTE TO ANY COURT
HAVING JURISDICTION OVER THE SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO
SERVE AS CONCLUSIVE EVIDENCE OF THE UNDERSIGNED'S WAIVER OF THE RIGHT TO JURY
TRIAL. FURTHER, THE UNDERSIGNED HEREBY CERTIFIES THAT NO REPRESENTATIVE OR AGENT
OF LENDER (INCLUDING LENDER'S COUNSEL) HAS REPRESENTED, EXPRESSLY

                                        4


<PAGE>   5


OR OTHERWISE, TO ANY BORROWER THAT LENDER WILL NOT SEEK TO ENFORCE THIS WAIVER
OF RIGHT TO JURY TRIAL PROVISION.

                                        5


<PAGE>   6





         IN WITNESS WHEREOF, the undersigned have caused their authorized
officers to execute this Note as of the date first above written.

                                        ATRIUM NURSING HOME, INC.

                                        a  Florida corporation

                                        By: 
                                            ------------------------------------
                                            Name:
                                            Title:

                                        MID-FLORIDA, INC.
                                        a Georgia corporation

                                        By:      
                                            ------------------------------------
                                             Name:
                                             Title:

                                        SUN COAST RETIREMENT, INC.
                                        a Georgia corporation

                                        By:      
                                            ------------------------------------
                                             Name:
                                             Title:

                                        WEST TENNESSEE, INC.
                                        a Georgia corporation

                                        By:      
                                            ------------------------------------
                                             Name:
                                             Title:


                                        6


<PAGE>   7


                                        LAKE FOREST HEALTHCARE CENTER,
                                        INC.,
                                        a Georgia corporation

                                        By:     
                                            ------------------------------------
                                             Name:
                                             Title:

                                        LIBBIE REHABILITATION CENTER, INC.
                                        a Virginia corporation

                                        By:     
                                            ------------------------------------
                                             Name:
                                             Title:

                                        BRENT-LOX HALL NURSING HOME, INC.
                                        a Virginia corporation

                                        By: 
                                            ------------------------------------
                                             Name:
                                             Title:

                                        PHOENIX ASSOCIATES, INC.
                                        a Virginia corporation

                                        By:  
                                            ------------------------------------
                                             Name:
                                             Title:

                                        PINE MANOR REST HOME, INC.
                                        a North Carolina corporation

                                        By:     
                                            ------------------------------------
                                             Name:
                                             Title:

                                        STATESBORO HEALTH CARE CENTER,
                                        INC.



                                        7


<PAGE>   8



                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:

                                        GARDENDALE HEALTH CARE CENTER,
                                        INC.
                                        a Georgia corporation

                                        By: 
                                            ------------------------------------
                                             Name:
                                             Title:

                                        ROBERTA HEALTH CARE CENTER, INC.
                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:

                                        SOUTHSIDE HEALTH CARE CENTER, INC.
                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:

                                        CRESENT MEDICAL SERVICES, INC.
                                        a Georgia corporation

                                        By:     
                                            ------------------------------------
                                             Name:
                                             Title:


                                        8


<PAGE>   9




                                        GAINESVILLE HEALTHCARE CENTER,
                                        INC.
                                        a Georgia corporation

                                        By:    
                                            ------------------------------------
                                             Name:
                                             Title:

                                        JEFF DAVIS HEALTHCARE, INC.
                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:

                                        DUVAL HEALTHCARE CENTER, INC.
                                        a Georgia corporation

                                        By:    
                                            ------------------------------------
                                             Name:
                                             Title:

                                        CHARLTON HEALTHCARE, INC.
                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:

                                        BIBB HEALTH REHABILITATION, INC.
                                        a Georgia corporation

                                        By:   
                                            ------------------------------------
                                             Name:
                                             Title:


                                        9


<PAGE>   10


                                        MAPLEWOOD HEALTH CARE CENTER OF
                                        JACKSON TENNESSEE, INC.
                                        a Tennessee corporation

                                        By:  
                                            ------------------------------------
                                             Name:
                                             Title:

                                        LAKE HEALTH CARE CENTER, INC.
                                        a Georgia corporation

                                        By:    
                                            ------------------------------------
                                             Name:
                                             Title:


                                       10




<PAGE>   1

                                                                  EXHIBIT 10.20


                                 $10,000,000.00




                           LOAN AND SECURITY AGREEMENT

                                  by and among

                        RETIREMENT CARE ASSOCIATES, INC.
                      CAPITOL CARE MANAGEMENT COMPANY, INC.
                        RETIREMENT MANAGEMENT CORPORATION


            (individually, "Borrower" and collectively, "Borrowers")

                                       and

                               HCFP FUNDING, INC.

                                   ("Lender")



                                December 15, 1997


<PAGE>   2



                           LOAN AND SECURITY AGREEMENT

         THIS LOAN AND SECURITY AGREEMENT (the "Agreement") is made as of this
15th day of December, 1997, by and among RETIREMENT CARE ASSOCIATES, INC., a
Colorado corporation, CAPITOL CARE MANAGEMENT COMPANY, INC., a Georgia
corporation and RETIREMENT MANAGEMENT CORPORATION, a Georgia corporation
(collectively, "Borrowers" and individually, a "Borrower"), and HCFP FUNDING,
INC., a Delaware corporation ("Lender").

                                    RECITALS

         A. Borrowers desire to establish certain financing arrangements with
and borrow funds from Lender, and Lender is willing to establish such
arrangements for and make loans and extensions of credit to Borrowers, on the
terms and conditions set forth below.

         B. The parties desire to define the terms and conditions of their
relationship and to reduce their agreements to writing.

         NOW, THEREFORE, in consideration of the promises and covenants
contained in this Agreement, and for other consideration, the receipt and
sufficiency of which are acknowledged, the parties agree as follows:

                                    ARTICLE I

                                   DEFINITIONS

         As used in this Agreement, the following terms shall have the following
meanings:

         SECTION 1.1. ACCOUNT. "Account" means any right to payment for goods
sold or leased or services rendered, whether or not evidenced by an instrument
or chattel paper, and whether or not earned by performance.

         SECTION 1.2. ACCOUNT DEBTOR. "Account Debtor" means any Person
obligated on any Account of a Borrower, including without limitation, any
Insurer and any Medicaid/Medicare Account Debtor.

         SECTION 1.3. AFFILIATE. "Affiliate" means, with respect to a specified
Person, any Person directly or indirectly controlling, controlled by, or under
common control with the specified Person, including without limitation their
stockholders and any Affiliates thereof. A Person shall be deemed to control a
corporation or other entity if the Person possesses, directly or indirectly, the
power to direct or cause the direction of the management and business of the


<PAGE>   3



corporation or other entity, whether through the ownership of voting securities,
by contract, or otherwise.

         SECTION 1.4. AGREEMENT. "Agreement" means this Loan and Security
Agreement, as it may be amended or supplemented from time to time.

         SECTION 1.5. BASE RATE. "Base Rate" means a rate of interest equal to
two percent (2.0%) above the "Prime Rate of Interest".

         SECTION 1.6. BORROWED MONEY. "Borrowed Money" means any obligation to
repay money, any indebtedness evidenced by notes, bonds, debentures or similar
obligations, any obligation under a conditional sale or other title retention
agreement and the net aggregate rentals under any lease which under GAAP would
be capitalized on the books of a Borrower or which is the substantial equivalent
of the financing of the property so leased.

         SECTION 1.7. BORROWER. "Borrower" and "Borrowers" have the meaning set
forth in the Preamble.

         SECTION 1.8. BORROWING BASE. "Borrowing Base" has the meaning set forth
in Section 2.1(d).

         SECTION 1.9. BUSINESS DAY. "Business Day" means any day on which
financial institutions are open for business in the States of Maryland and
Georgia, excluding Saturdays and Sundays.

         SECTION 1.10. CLOSING; CLOSING DATE. "Closing" and "Closing Date" have
the meanings set forth in Section 5.3.

         SECTION 1.11. COLLATERAL. "Collateral" has the meaning set forth in
Section 3.1.

         SECTION 1.12. COMMITMENT FEE. "Commitment Fee" has the meaning set
forth in Section 2.4(a).

         SECTION 1.13. CONCENTRATION ACCOUNT. "Concentration Account" has the
meaning set forth in Section 2.3(a).

         SECTION 1.14. CONTROLLED GROUP. "Controlled Group" means a "controlled
group" within the meaning of Section 4001(b) of ERISA.

         SECTION 1.15. INTENTIONALLY DELETED.

         SECTION 1.16. DEFAULT RATE. "Default Rate" means a rate per annum equal
to three percent (3%) above the then applicable Base Rate.

         SECTION 1.17. ERISA. "ERISA" has the meaning set forth in Section 4.12.


<PAGE>   4
         SECTION 1.18. EVENT OF DEFAULT. "Event of Default" and "Events of
Default" have the meanings set forth in Section 8.1 (a), subject to the
additional provisions of Section 8.1 (b) regarding "Limited Events of Default."

         SECTION 1.19. GAAP. "GAAP" means generally accepted accounting
principles applied in a matter consistent with the financial statements referred
to in Section 4.7.

         SECTION 1.20. GOVERNMENTAL AUTHORITY. "Governmental Authority" means
and includes any federal, state, District of Columbia, county, municipal, or
other government and any department, commission, board, bureau, agency or
instrumentality thereof, whether domestic or foreign.

         SECTION 1.21. HAZARDOUS MATERIAL. "Hazardous Material" means any
substances defined or designated as hazardous or toxic waste, hazardous or toxic
material, hazardous or toxic substance, or similar term, by any environmental
statute, rule or regulation or any Governmental Authority.

         SECTION 1.22. HIGHEST LAWFUL RATE. "Highest Lawful Rate" means the
maximum lawful rate of interest referred to in Section 2.7 that may accrue
pursuant to this Agreement.

         SECTION 1.23. INSURER. "Insurer" means a Person that insures a Patient
against certain of the costs incurred in the receipt by such Patient of Medical
Services, or that has an agreement with a Borrower to compensate such Borrower
for providing services to a Patient.

         SECTION 1.23. A. LEASES AND RENTS. "Leases and Rents" shall mean all
rents, revenues, issues and profits payable to a Borrower with respect to its
ownership of real property, all lease, occupancy or similar agreements relating
to real property owned by a Borrower and any contract for the sale, exchange or
other disposition of any such real property, and all books and records of a
Borrower relating to any of the foregoing.

         SECTION 1.24. LENDER. "Lender" has the meaning set forth in the
Preamble.

         SECTION 1.24 A. LIMITED EVENT OF DEFAULT. "Limited Event of Default"
has the meaning set forth in Section 8.1 (b).

         SECTION 1.25. LOAN. "Loan" has the meaning set forth in Section 2.1(a).

         SECTION 1.26. LOAN DOCUMENTS. "Loan Documents" means and includes this
Agreement, the Note, and each and every other document now or hereafter
delivered in connection therewith, as any of them may be amended, modified, or
supplemented from time to time.

         SECTION 1.27. LOAN MANAGEMENT FEE. "Loan Management Fee" has the
meaning set forth in Section 2.4(c).

                                        3

<PAGE>   5

         SECTION 1.28. LOCKBOX. "Lockbox" has the meaning set forth in Section
2.3.

         SECTION 1.29. LOCKBOX BANK. "Lockbox Bank" has the meaning set forth in
Section 2.3.

         SECTION 1.30. MAXIMUM LOAN AMOUNT. "Maximum Loan Amount" has the
meaning set forth in Section 2.1(a).

         SECTION 1.31. MEDICAID/MEDICARE ACCOUNT DEBTOR. "Medicaid/Medicare
Account Debtor" means any Account Debtor which is (i) the United States of
America acting under the Medicaid/Medicare program established pursuant to the
Social Security Act, (ii) any state or the District of Columbia acting pursuant
to a health plan adopted pursuant to Title XIX of the Social Security Act or
(iii) any agent, carrier, administrator or intermediary for any of the
foregoing.

         SECTION 1.32. MEDICAL SERVICES. Medical and health care services
provided to a Patient, including, but not limited to, medical and health care
services provided to a Patient and performed by a Borrower which are covered by
a policy of insurance issued by an Insurer, and includes physician services,
nurse and therapist services, dental services, hospital services, skilled
nursing facility services, comprehensive outpatient rehabilitation services,
home health care services, residential and out-patient behavioral healthcare
services, and medicine or health care equipment provided by a Borrower to a
Patient for a necessary or specifically requested valid and proper medical or
health purpose.

         SECTION 1.33. NOTE. "Note" has the meaning set forth in Section 2.1(c).

         SECTION 1.34. OBLIGATIONS. "Obligations" has the meaning set forth in
Section 3.1.

         SECTION 1.35. PATIENT. "Patient" means any Person receiving Medical
Services from a Borrower and all Persons legally liable to pay such Borrower for
such Medical Services other than Insurers.

         SECTION 1.36. PERMITTED LIENS. "Permitted Liens" means: (a) any and all
liens, claims and encumbrances whatsoever, so long as the same do not attach to
any portion of the Collateral, (b)statutory and contractual liens of depository
institutions against depository accounts included within the Collateral for
unpaid fees, charges and expenses, so long as a Borrower does not have an
outstanding loan or credit facility with such depository institution and (c)
liens listed on Schedule 1.36 hereto.

         SECTION 1.37. PERSON. "Person" means an individual, partnership,
corporation, trust, joint venture, joint stock company, limited liability
company, association, unincorporated organization, Governmental Authority, or
any other entity.

         SECTION 1.38. PLAN. "Plan" has the meaning set forth in Section 4.12.

                                       4
<PAGE>   6

         SECTION 1.39. PREMISES. "Premises" has the meaning set forth in Section
4.14.

         SECTION 1.40. PRIME RATE OF INTEREST. "Prime Rate of Interest" means
that rate of interest designated as such by Fleet National Bank of Connecticut,
N.A., or any successor thereto, as the same may from time to time fluctuate.

         SECTION 1.41. PROHIBITED TRANSACTION. "Prohibited Transaction" means a
"prohibited transaction" within the meaning of Section 406 of ERISA or Section
4975(c)(1) of the Internal Revenue Code.

         SECTION 1.42. QUALIFIED ACCOUNT. "Qualified Account" means an Account
of a Borrower generated in the ordinary course of such Borrower's business from
the sale of goods or rendition of medical services; provided, however, that no
Account shall be a Qualified Account if: (a) the Account or any portion thereof
is payable by an individual beneficiary, recipient or subscriber individually
and not directly to a Borrower by a Medicaid/Medicare Account Debtor or
commercial medical insurance carrier acceptable to Lender in its sole
discretion; (b) the Account remains unpaid more than ninety (90) days past the
claim or invoice date, (provided, however, that no more than fifteen percent
(15%) of such Qualified Accounts at any time shall be between sixty-one (61) and
ninety (90) days past the claim or invoice date); (c) the Account is subject to
any defense, set-off, counterclaim, deduction, discount, credit, chargeback,
freight claim, allowance, or adjustment of any kind; (d) any part of any goods
the sale of which has given rise to the Account has been returned, rejected,
lost, or damaged; (e) if the Account arises from the sale of goods by a
Borrower, such sale was not an absolute sale or on consignment or on approval or
on a sale-or-return basis or subject to any other repurchase or return
agreement, or such goods have not been shipped to the Account Debtor or its
designee; (f) if the Account arises from the performance of services, such
services have not been actually been performed or were undertaken in violation
of any law (it may be acknowledged and agreed that accounts payable by Florida
Medicaid and all Medicare Account Debtors shall be deemed Qualified Accounts
prior to billing once the applicable Medicare Services have been performed
and/or goods have been delivered); (g) the Account is subject to a lien other
than a Permitted Lien; (h) a Borrower knows or should reasonably have known of
the bankruptcy, receivership, reorganization, or insolvency of the Account
Debtor; (i) the Account is evidenced by chattel paper or an instrument of any
kind, or has been reduced to judgment; (j) the Account is an Account of an
Account Debtor having its principal place of business or executive office
outside the United States; (k) the Account Debtor is an Affiliate or Subsidiary
of a Borrower; (l) more than ten percent (10%) of the aggregate balance of all
Accounts owing from the Account Debtor, except for a Medicare/Medicaid Account
Debtor, obligated on the Account (excluding any Medicaid/Medicare Account
Debtor) are outstanding more than one hundred twenty (120) days past their
invoice date; (m) fifty percent (50%) or more of the aggregate unpaid Accounts
from any individual Account Debtor except for a Medicare/Medicaid Account
Debtor, are not deemed Qualified Accounts hereunder; (n) the total unpaid
Accounts of the Account Debtor, except for a Medicaid/Medicare Account Debtor,
exceed twenty percent (20%) of the net amount of all Qualified Accounts
(including Medicaid/Medicare Account Debtors); (o) any covenant, representation
or warranty contained in the Loan Documents with respect to such Account has

                                        5


<PAGE>   7

been breached; (p) the Account fails to meet such other reasonable 
specifications and requirements which may from time to time be established by
Lender upon not less than ninety (90) days prior written notice to Borrowers, or
(q) the Account ceases to be a Qualified Account pursuant to Section 8.2 (a)
hereof.

         SECTION 1.43. REPORTABLE EVENT. "Reportable Event" means a "reportable
event" as defined in Section 4043(b) of ERISA.

         SECTION 1.44. REVOLVING CREDIT LOAN. "Revolving Credit Loan" has the
meaning set forth in Section 2.1(b).

         SECTION 1.45. TERM. "Term" has the meaning set forth in Section 2.8.

                                   ARTICLE II

                                      LOAN

         SECTION 2.1.  TERMS.

                  (a) The maximum aggregate principal amount of credit extended
by Lender to Borrowers hereunder (the "Loan") that will be outstanding at any
time is Ten Million and No/100 Dollars ($10,000,000.00) (the "Maximum Loan
Amount"). Notwithstanding the above, the maximum aggregate principal amount of
Revolving Credit Loans made by Lender to Borrower under this Agreement and to
the Affiliated Borrowers under the Affiliated Loan Agreement (defined in Section
3.1 below) shall not at any time exceed Fourteen Million and No/100 Dollars
($14,000,000.00).

                 (b) The Loan shall be in the nature of a revolving line of
credit, and shall include sums advanced and other credit extended by Lender to
or for the benefit of Borrowers from time to time under this Article II (each a
"Revolving Credit Loan") up to the Maximum Loan Amount depending upon the
availability in the Borrowing Base, the requests of Borrower pursuant to the
terms and conditions of Section 2.2 below, and on such other basis as Lender may
reasonably determine. The outstanding principal balance of the Loan may
fluctuate from time to time, to be reduced by repayments made by Borrowers
(which may be made without penalty or premium), and to be increased by future
Revolving Credit Loans, advances and other extensions of credit to or for the
benefit of Borrowers, and shall be due and payable in full upon the expiration
of the Term. For purposes of this Agreement, any determination as to whether
there is ability within the Borrowing Base for advances or extensions of credit
shall be made by Lender in its sole discretion and is final and binding upon
Borrowers.

                 (c) At Closing, Borrowers shall execute and deliver to Lender a
promissory note evidencing Borrowers' unconditional obligation to repay Lender
for Revolving Credit Loans, advances, and other extensions of credit made under
the Loan, in the form of Exhibit A to 


                                       6
<PAGE>   8

this Agreement (the "Note"), dated the date hereof, payable to the order of
Lender in accordance with the terms thereof. The amounts outstanding under the
Note shall bear interest from the date thereof until repaid, with interest
payable monthly in arrears on the first Business Day of each month, at a rate
per annum (on the basis of the actual number of days elapsed over a year of 360
days) equal to the Base Rate, provided that after the occurrence and during the
continuance of an Event of Default (but not a Limited Event of Default) such
rate shall be equal to the Default Rate. Each Revolving Credit Loan, advance and
other extension of credit shall be deemed evidenced by the Note, which is deemed
incorporated by reference herein and made a part hereof.

                  (d) Subject to the terms and conditions of this Agreement,
advances under the Loan shall be made against a borrowing base equal to eighty
percent (80%) of Qualified Accounts due and owing from any Medicaid/Medicare
Account Debtor, Insurer or other Account Debtor (the "Borrowing Base").

         SECTION 2.2.  LOAN ADMINISTRATION.  Borrowings under the Loan shall be
as follows:

                  (a) A request for a Revolving Credit Loan shall be made, or
shall be deemed to be made, in the following manner: (i) Borrowers may give
Lender notice of their intention to borrow, in which notice Borrowers shall
specify the amount of the proposed borrowing and the proposed borrowing date,
not later than 5:00 p.m. Eastern time one (1) Business Day prior to the proposed
borrowing date; provided, however, that no such request may be made at a time
when there exists an Event of Default (other than a Limited Event of Default);
and (ii) the becoming due of any amount required to be paid under this
Agreement, whether as interest or for any other Obligation, shall be deemed
irrevocably to be a request for a Revolving Credit Loan on the due date in the
amount required to pay such interest or other Obligation. With respect to any
request for a Revolving Credit Loan which is made not later than 10:30 a.m.
Eastern time, Lender shall use its best efforts to advance proceeds of such
Revolving Credit Loan by 4:00 p.m. on the same Business Day.

                  (b) Borrowers hereby irrevocably authorize Lender to disburse
the proceeds of each Revolving Credit Loan requested, or deemed to be requested,
as follows: (i) the proceeds of each Revolving Credit Loan requested under
subsection 2.2(a)(i) shall be disbursed by Lender by wire transfer to such bank
account as may be agreed upon by Borrowers or Lender from time to time or
elsewhere if pursuant to written direction from Borrowers; and (ii) the
proceeds of each Revolving Credit Loan requested under subsection 2.2(a)(ii)
shall be disbursed by Lender by way of direct payment of the relevant interest
or other Obligation.

                  (c) All Revolving Credit Loans, advances and other extensions
of credit to or for the benefit of Borrowers shall constitute one general
Obligation of Borrowers, and shall be secured by Lender's lien upon all of the
Collateral.

                  (d) Lender shall enter all Revolving Credit Loans as debits to
a loan account in the name of Borrowers and shall also record in said loan
account all payments made by 



                                       7
<PAGE>   9

Borrowers on any Obligations and all proceeds of Collateral which are
indefeasibly paid to Lender, and may record therein, in accordance with
customary accounting practice, other debits and credits, including interest and
all charges and expenses properly chargeable to Borrowers.

                  (e) Lender will account to Borrowers monthly with a statement
of Revolving Credit Loans, charges and payments made pursuant to this Agreement,
and such account rendered by Lender shall be deemed final, binding and
conclusive upon Borrowers absent manifest error.

         SECTION 2.3. COLLECTIONS, DISBURSEMENTS, BORROWING AVAILABILITY, AND
LOCKBOX ACCOUNT. Borrowers shall maintain a lockbox account (the "Lockbox") with
First Union National Bank of Florida, N.A. (Jacksonville Office) (the "Lockbox
Bank"), subject to the provisions of this Agreement, and shall execute with the
Lockbox Bank a Lockbox Agreement in the form attached as Exhibit B, and such
other agreements related thereto as Lender may require. Each Borrower shall
ensure that all collections of Accounts are paid directly from Account Debtors
into the Lockbox, and that all funds paid into the Lockbox are immediately
transferred into a depository account maintained by Lender at Bank One Arizona,
N.A. or U.S. Bank, N.A., as determined by Lender in its sole discretion and
communicated to Borrower (the "Concentration Account"). Lender shall apply, on a
daily basis, all funds transferred into the Concentration Account pursuant to
this Section 2.3 to reduce the outstanding indebtedness under the Loan with
future Revolving Credit Loans, advances and other extensions of credit to be
made by Lender under the conditions set forth in this Article II. To the extent
that any collections of Accounts or proceeds of other Collateral are not sent
directly to the Lockbox but are received by a Borrower, such collections shall
be held in trust for the benefit of Lender and immediately remitted, in the form
received, to the Lockbox Bank for transfer to the Concentration Account
immediately upon receipt by such Borrower. Each Borrower acknowledges and agrees
that its compliance with the terms of this Section 2.3 is essential, and that
upon its failure to comply with any such terms Lender shall be entitled to
assess a non-compliance fee which shall operate to increase the Base Rate by two
percent (2%) per annum during any period of non-compliance. Lender shall be
entitled to assess such fee whether or not an Event of Default is declared or
otherwise occurs. All funds transferred from the Concentration Account for
application to Borrowers' indebtedness to Lender shall be applied to reduce the
Loan balance but for purposes of calculating interest shall be subject to a
three (3) Business Day clearance period. If as the result of collections of
Accounts pursuant to the terms and conditions of this Section 2.3 a credit
balance exists with respect to the Concentration Account, such credit balance
shall not accrue interest in favor of Borrowers, but shall be available to
Borrowers at any time or times for so long as no Event of Default (other than a
Limited Event of Default) exists.

         SECTION 2.4. FEES.

                  (a) At Closing, Borrower shall unconditionally pay to Lender a
commitment fee equal One Hundred Forty Thousand and No/100 Dollars ($140,000.00)
in the aggregate under this Agreement and the Affiliated Loan Agreement (as
defined in Section 3.1 of this Agreement)(the "Commitment Fee").

                                       8
<PAGE>   10

                  (b) For so long as the Loan is available to Borrowers,
Borrowers unconditionally shall pay to Lender a monthly usage fee (the "Usage
Fee") equal to one twelfth (1/12th) of one percent (1.0%) of the average amount
by which Fourteen Million and No/100 Dollars ($14,000,000.00) exceeds the
aggregate average amount of the outstanding principal balance of the Revolving
Credit Loans during the preceding month. The Usage Fee shall be payable monthly
in arrears on the first Business Day of each successive calendar month.

                  (c) For so long as the Loan is available to Borrowers,
Borrowers unconditionally shall pay to Lender a monthly loan management fee (the
"Loan Management Fee") equal to Three Thousand Five Hundred and No/100 Dollars
($3,500.00) per month in the aggregate under this Agreement aand the Affiliated
Loan Agreement. The Loan Management Fee shall be payable monthly in arrears on
the first day of each successive calendar month.

                  (d) Within 30 days after demand by Lender, Borrowers shall pay
to Lender all audit and appraisal fees in connection with audits and appraisals
of any Borrower's books and records and such other matters as Lender shall deem
appropriate; provided, however, that absent the occurrence of an Event of
Default (other than a Limited Event of Default) such fees shall not exceed
Twenty Thousand and No/100 Dollars ($20,000.00) in the aggregate under this
Agreement and the Affiliated Loan Agreement in any twelve month period.

                  (e) Borrowers shall pay to Lender, on demand, any and all
fees, costs or expenses which Lender or any participant pays to a bank or other
similar institution (including, without limitation, any fees paid by Lender to
any participant) arising out of or in connection with (i) the forwarding to
Borrowers or any other Person on behalf of Borrowers, by Lender, of proceeds of
Revolving Credit Loans made by Lender to Borrowers pursuant to this Agreement,
and (ii) the depositing for collection, by Lender or any participant, of any
check or item of payment received or delivered to Lender or any participant on
account of Obligations.

         SECTION 2.5. PAYMENTS. Principal payable on account of Revolving Credit
Loans shall be payable by Borrowers to Lender immediately upon the earliest of
(i) the receipt by any Borrower of any proceeds of any of the Collateral, to the
extent of such proceeds, (ii) the occurrence of an Event of Default in
consequence of which the Loan and the maturity of the payment of the Obligations
are accelerated, or (iii) the termination of this Agreement pursuant to Section
2.8 hereof; provided, however, that if any advance made by Lender in excess of
the Borrowing Base shall exist at any time, Borrowers shall, immediately upon
demand, repay such overadvance. Interest accrued on the Revolving Credit Loans
shall be due on the earliest of (i) the first Business Day of each month (for
the immediately preceding month), computed on the last calendar day of the
preceding month, (ii) the occurrence of an Event of Default in consequence of
which the Loan and the maturity of the payment of the Obligations are
accelerated, or (iii) the termination of this Agreement pursuant to Section 2.8
hereof. Except to the extent otherwise set forth in this Agreement, all payments
of principal and of interest on the Loan, all other charges and any other
obligations of Borrowers hereunder, shall be made to Lender to the Concentration
Account, in immediately available funds.

                                        9


<PAGE>   11

         SECTION 2.6. USE OF PROCEEDS. The proceeds of Lender's advances under
the Loan shall be used solely for working capital purposes arising in the
ordinary course of Borrowers' business.

         SECTION 2.7. INTEREST RATE LIMITATION. The parties intend to conform
strictly to the applicable usury laws in effect from time to time during the
term of the Loan. Accordingly, if any transaction contemplated hereby would be
usurious under such laws, then notwithstanding any other provision hereof: (i)
the aggregate of all interest that is contracted for, charged, or received under
this Agreement or under any other Loan Document shall not exceed the maximum
amount of interest allowed by applicable law (the "Highest Lawful Rate"), and
any excess shall be promptly credited to Borrowers by Lender (or, to the extent
that such consideration shall have been paid, such excess shall be promptly
refunded to Borrowers by Lender); (ii) neither Borrowers nor any other Person
now or hereafter liable hereunder shall be obligated to pay the amount of such
interest to the extent that it is in excess of the Highest Lawful Rate; and
(iii) the effective rate of interest shall be reduced to the Highest Lawful
Rate. All sums paid, or agreed to be paid, to Lender for the use, forbearance,
and detention of the debt of Borrowers to Lender shall, to the extent permitted
by applicable law, be allocated throughout the full term of the Note until
payment is made in full so that the actual rate of interest does not exceed the
Highest Lawful Rate in effect at any particular time during the full term
thereof. If at any time the rate of interest under the Note exceeds the Highest
Lawful Rate, the rate of interest to accrue pursuant to this Agreement shall be
limited, notwithstanding anything to the contrary herein, to the Highest Lawful
Rate, but any subsequent reductions in the Base Rate shall not reduce the
interest to accrue pursuant to this Agreement below the Highest Lawful Rate
until the total amount of interest accrued equals the amount of interest that
would have accrued if a varying rate per annum equal to the interest rate under
the Note had at all times been in effect. If the total amount of interest paid
or accrued pursuant to this Agreement under the foregoing provisions is less
than the total amount of interest that would have accrued if a varying rate per
annum equal to the interest rate under the Note had been in effect, then
Borrowers agree to pay to Lender an amount equal to the difference between (i)
the lesser of (x) the amount of interest that would have accrued if the Highest
Lawful Rate had at all times been in effect, or (y) the
amount of interest that would have accrued if a varying rate per annum equal to
the interest rate under the Note had at all times been in effect, and (ii) the
amount of interest accrued in accordance with the other provisions of this
Agreement.

         SECTION 2.8.  TERM.

                  (a) Subject to Lender's right to cease making Revolving Credit
Loans to Borrowers upon or after the occurrence and during the continuance of
any Event of Default (subject to Section 8.1 (b)), this Agreement shall be in
effect for a period of three (3) years from the Closing Date, unless terminated
as provided in this Section 2.8 (the "Term"), and this Agreement shall be
renewed for one-year periods thereafter upon the mutual written agreement of the
parties.


                                    10
<PAGE>   12

                  (b) Notwithstanding anything herein to the contrary, Lender
may (subject to Section 8.1 (b)) terminate this Agreement without notice upon or
after the occurrence and during the continuance of the occurrence of an Event of
Default.

                  (c) Upon at least thirty (30) days prior written notice to
Lender, Borrower may terminate this Agreement prior to the third annual
anniversary of the Closing Date, provided that, at the effective date of such
termination, Borrowers shall pay to Lender (in addition to the then outstanding
principal, accrued interest and other Obligations owing under the terms of this
Agreement and any other Loan Documents) as liquidated damages for the loss of
bargain and not as a penalty, an amount equal to One Hundred Forty Thousand and
No/100 Dollars ($140,000.00) in the aggregate under this Agreement and the
Affiliated Loan Agreement.

                  (d) All of the Obligations shall be immediately due and
payable upon the termination date stated in any notice of termination of this
Agreement. All undertakings, agreements, covenants, warranties, and
representations of Borrowers contained in the Loan Documents shall survive any
such termination and Lender shall retain its liens in the Collateral and all of
its rights and remedies under the Loan Documents notwithstanding such
termination until Borrowers have paid the Obligations to Lender, in full, in
immediately available funds.

         SECTION 2.9. JOINT AND SEVERAL LIABILITY; BINDING OBLIGATIONS. Each
Borrower shall be jointly and severally liable for all of the Obligations. In
addition, each Borrower hereby acknowledges and agrees that all of the
representations, warranties, covenants, obligations, conditions, agreements and
other terms contained in this Agreement shall be applicable to and shall be
binding upon each Borrower, and shall be binding upon all such entities when
taken together; provided, however, that such representations, warranties and
covenants shall be deemed to be made by each Borrower as to itself, but not as
to any other Borrower despite its binding nature with respect to the other
entities.


                                   ARTICLE III

                                   COLLATERAL

         SECTION 3.1. GENERALLY. As security for the payment of all liabilities
of Borrowers to Lender, including without limitation: (i) indebtedness evidenced
under the Note, repayment of Revolving Credit Loans, advances and other
extensions of credit, all fees and charges owing by Borrowers, and all other
liabilities and obligations of every kind or nature whatsoever of Borrowers to
Lender, whether now existing or hereafter incurred, joint or several, matured or
unmatured, direct or indirect, primary or secondary, related or unrelated, due
or to become due, including but not limited to any extensions, modifications,
substitutions, increases and renewals thereof, (ii) the payment of all amounts
advanced by Lender to preserve, protect, defend, and enforce its rights
hereunder and in the following property in accordance with the terms of this
Agreement, and (iii) the payment of all expenses incurred by Lender in
connection therewith (collectively, the "Obligations"), and as further security
for the payment and performance of the 

                                       11

<PAGE>   13

obligations of Atrium Nursing Home, Inc. and other borrowers (collectively, the
"Affiliated Borrower") under the Loan and Security Agreement dated December 15,
1997, as amended, modified or replaced (the "Affiliated Loan Agreement") each
Borrower hereby assigns and grants to Lender a continuing first priority lien on
and security interest in, upon, and to the following property (the
"Collateral"):

                  (a) All of such Borrower's now-owned and hereafter acquired or
arising Accounts, accounts receivable and rights to payment of every kind and
description, and any contract rights, chattel paper, documents and instruments
with respect thereto but specifically excluding Leases and Rents;

                  (b) All of such Borrower's now owned and hereafter acquired or
arising general intangibles of every kind and description pertaining to its
Accounts, accounts receivable and other rights to payment, including, but not
limited to, all existing and future customer lists, choses in action, claims,
books, records, contracts, licenses, formulae, tax and other types of refunds,
returned and unearned insurance premiums, rights and claims under insurance
policies, and computer information, software, records, and data but specifically
excluding Leases and Rents;

                  (c) All of such Borrower's monies and other property of every
kind and nature now or at any time or times hereafter in the possession of or
under the control of Lender or a bailee or Affiliate of Lender; and

                  (d) The proceeds (including, without limitation, insurance
proceeds) of all of the foregoing.

         SECTION 3.2. LIEN DOCUMENTS. At Closing and thereafter as Lender deems
necessary in its reasonable discretion, each Borrower shall execute and deliver
to Lender, or have executed and delivered (all in form and substance
satisfactory to Lender in its sole discretion):

                  (a) UCC-1 Financing statements pursuant to the Uniform
Commercial Code in effect in the jurisdiction(s) in which such Borrower
operates, which Lender may file in any jurisdiction where any Collateral is or
may be located and in any other jurisdiction that Lender deems appropriate;
provided that a carbon, photographic, or other reproduction or other copy of
this Agreement or of a financing statement is sufficient as and may be filed in
lieu of a financing statement; and

                  (b) Any other agreements, documents, instruments, and writings
reasonably deemed necessary by Lender or as Lender may otherwise request from
time to time in its sole discretion to evidence, perfect, or protect Lender's
lien and security interest in the Collateral required hereunder.


                                       12
<PAGE>   14
         

         SECTION 3.3.  COLLATERAL ADMINISTRATION. (a) All Collateral (except 
deposit accounts) will at all times be kept by each Borrower at its principal
office(s) as set forth on Exhibit C hereto and shall not, without the prior
written approval of Lender, be moved therefrom.

                  (b) Each Borrower shall keep accurate and complete records of
its Accounts and all payments and collections thereon and shall submit to Lender
sales and collections reports with respect thereto as required by Section 6.1
hereof. In addition, if Borrower becomes aware that Accounts in an aggregate
face amount in excess of $100,000.00 have become ineligible since the date of
Borrowers' last Borrowing Base Certificate because they fall within one of the
specified categories of ineligibility set forth in the definition of Qualified
Accounts or otherwise, Borrower shall notify Lender of such occurrence on the
first Business Day following Borrowers' knowledge of such occurrence and the
Borrowing Base shall thereupon be adjusted to reflect such occurrence.

                  (c) Whether or not an Event of Default has occurred, any of
Lender's officers, employees or agents shall have the right, at any time or
times hereafter, in the name of Lender, any designee of Lender or Borrowers, to
verify the validity, amount or any other matter relating to any Accounts by
mail, telephone, telegraph or otherwise. Borrowers shall cooperate fully with
Lender in an effort to facilitate and promptly conclude such verification
process.

                  (d) To expedite collection, each Borrower shall endeavor in
the first instance to make collection of its Accounts for Lender. Lender retains
the right at all times after the occurrence of an Event of Default (other than a
Limited Event of Default), subject to applicable law regarding Medicaid/Medicare
Account Debtors, to notify Account Debtors that Accounts
have been assigned to Lender and to collect Accounts directly in its own name
and to charge the collection costs and expenses, including attorneys' fees, to
Borrowers.

         SECTION 3.4. OTHER ACTIONS. In addition to the foregoing, Borrowers (i)
shall provide prompt written notice to each private indemnity, managed care or
other Insurer who either is currently an Account Debtor or becomes an Account
Debtor at any time following the date hereof that Lender has been granted a
first priority lien and security interest in, upon and to all Accounts
applicable to such Insurer, and hereby authorizes Lender to send any and all
similar notices to such Insurers by Lender, and (ii) shall do anything further
that may be lawfully required by Lender to secure Lender and effectuate the
intentions and objects of this Agreement, including but not limited to the
execution and delivery of lockbox agreements, continuation statements,
amendments to financing statements, and any other documents required hereunder.
At Lender's request, Borrowers shall also immediately deliver to Lender all
items for which Lender must receive possession to obtain a perfected security
interest. Borrowers shall, on Lender's demand, deliver to Lender all notes,
certificates, and documents of title, chattel paper, warehouse receipts,
instruments, and any other similar instruments constituting Collateral.

         SECTION 3.5. SEARCHES. Prior to Closing, and thereafter if an Event of
Default (other than a Limited Event of Default) or event which with the passing
of time, the giving of notice or both could constitute an Event of Default
(other than a Limited Event of Default) has occurred and is 


                                       13
<PAGE>   15

continuing, Borrowers shall obtain and deliver to Lender the following searches
against Borrowers (the results of which are to be consistent with Borrowers'
representations and warranties under this Agreement), all at its own expense:

                  (a) Uniform Commercial Code searches with the Secretary of
State and local filing offices of each jurisdiction where Borrower maintains its
executive offices, a place of business, or assets;

                  (b) Judgment, federal tax lien and corporate and partnership
tax lien searches, in each jurisdiction searched under clause (a) above; and

                  (c) Good standing certificates showing Borrower to be in good
standing in its state of formation and in each other state in which it is doing
and presently intends to do business for which qualification is required.

         SECTION 3.6. POWER OF ATTORNEY. Each of the officers of Lender is
hereby irrevocably made, constituted and appointed the true and lawful attorney
for each Borrower (without requiring any of them to act as such) with full power
of substitution to, after the occurrence and during the continuance of an Event
of Default (other than a Limited Event of Default), do the following: (i)
endorse the name of such Borrower upon any and all checks, drafts, money orders,
and other instruments for the payment of money that are payable to such Borrower
and constitute collections on Borrower's Accounts; (ii) execute in the name of
such Borrower any financing statements, schedules, assignments, instruments,
documents, and statements that such Borrower is obligated to give Lender
hereunder; and (iii) do such other and further acts and deeds in the name of
Borrower that Lender may deem necessary or desirable to enforce any Account or
other Collateral or perfect Lender's security interest or lien in any
Collateral.

                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

                  Each entity comprising the Borrower represents and warrants to
Lender (with respect to itself only, and not with respect to any other
Borrower), and shall be deemed to represent and warrant on each day on which any
Obligations shall be outstanding hereunder, that:

         SECTION 4.1. SUBSIDIARIES. Except as set forth in Schedule 4.1,
Borrower has no subsidiaries.

         SECTION 4.2. ORGANIZATION AND GOOD STANDING. Borrower is a limited
partnership or corporation (as the case may be) duly organized, validly
existing, and in good standing under the laws of its state of formation, is in
good standing as a foreign limited partnership or corporation (as the case may
be) in each jurisdiction in which the character of the properties owned or
leased 

                                       14
<PAGE>   16

by it therein or the nature of its business makes such qualification necessary,
has the partnership or corporate power and authority to own its assets and
transact the business in which it is engaged, and has obtained all certificates,
licenses and qualifications required under all laws, regulations, ordinances, or
orders of public authorities necessary for the ownership and operation of all of
its properties and transaction of all of its business.

         SECTION 4.3. AUTHORITY. Borrower has full partnership or corporate
power and authority to enter into, execute, and deliver this Agreement and to
perform its obligations hereunder, to borrow the Loan, to execute and deliver
the Note, and to incur and perform the obligations provided for in the Loan
Documents, all of which have been duly authorized by all necessary partnership
or corporate action. No consent or approval of partners or shareholders of, or
lenders to, Borrower and no consent, approval, filing or registration with any
Governmental Authority is required as a condition to the validity of the Loan
Documents or the performance by Borrower of its obligations thereunder.

         SECTION 4.4. BINDING AGREEMENT. This Agreement and all other Loan
Documents constitute, and the Note, when issued and delivered pursuant hereto
for value received, will constitute, the valid and legally binding obligations
of Borrower, enforceable against Borrower in accordance with their respective
terms.

         SECTION 4.5.  LITIGATION.  Except as disclosed in Schedule 4.5, there
are no actions, suits, proceedings or investigations pending or threatened
against Borrower before any court or arbitrator or before or by any Governmental
Authority which, in any one case or in the aggregate, if determined adversely to
the interests of Borrower, could have a material adverse effect on the business,
properties, condition (financial or otherwise) or operations, present or
prospective, of Borrower, or upon its ability to perform its obligations under
the Loan Documents. Borrower is not in default with respect to any order of any
court, arbitrator, or Governmental Authority applicable to Borrower or its
properties.

         SECTION 4.6. NO CONFLICTS. The execution and delivery by Borrower of
this Agreement and the other Loan Documents do not, and the performance of its
obligations thereunder will not, violate, conflict with, constitute a default
under, or result in the creation of a lien or encumbrance upon the property of
Borrower under: (i) any provision of Borrower's articles of incorporation or
bylaws, or articles of formation, certificate of limited partnership or
operating agreement (as the case may be), (ii) any provision of any law, rule,
or regulation applicable to Borrower, or (iii) any of the following: (A) any
indenture or other agreement or instrument to which Borrower is a party or by
which Borrower or its property is bound; or (B) any judgment, order or decree of
any court, arbitration tribunal, or Governmental Authority having jurisdiction
over Borrower which is applicable to Borrower.

         SECTION 4.7. FINANCIAL CONDITION. The annual financial statements of
Borrower (prepared on a consolidated basis with the other Borrowers, and
Affiliated Borrowers and its other controlled entities) as of              
audited by               and the unaudited financial statements of
Borrower as of September 30, 1997, certified by the chief 


                                       15
<PAGE>   17


financial officer or general partner of Borrower (as the case may be), which
have been delivered to Lender, fairly present the financial condition of
Borrower and the results of its operations and changes in financial condition as
of the dates and for the periods referred to, and have been prepared in
accordance with GAAP. There are no material unrealized or anticipated
liabilities, direct or indirect, fixed or contingent, of Borrower as of the
dates of such financial statements which are not reflected therein or in the
notes thereto. There has been no material adverse change in the business,
properties, condition (financial or otherwise) or operations (present or
prospective) of Borrower since September 30, 1997. Borrower's fiscal year ends
on                 . The federal tax identification number of each entity
comprising the Borrower is as described on Schedule 4.15.

         SECTION 4.8. NO DEFAULT. Borrower is not in default under or with
respect to any obligation in any respect which could be materially adverse to
its business, operations, property or financial condition, or which could
materially and adversely affect the ability of Borrower to perform its
obligations under the Loan Documents. No Event of Default as to such Borrower or
event which, with the giving of notice or lapse of time, or both, could become
an Event of Default as to such Borrower, has occurred and is continuing.

         SECTION 4.9. TITLE TO PROPERTIES. Borrower has good and marketable
title to its properties and assets, including the Collateral and the properties
and assets reflected in the financial statements described in Section 4.7,
subject to no lien, mortgage, pledge, encumbrance or charge of any kind, other
than Permitted Liens. Borrower has not agreed or consented to cause any of its
properties or assets whether owned now or hereafter acquired to be subject in
the future (upon the happening of a contingency or otherwise) to any lien,
mortgage, pledge, encumbrance or charge of any kind other than Permitted Liens.

         SECTION 4.10. TAXES. Borrower has filed, or has obtained extensions for
the filing of, all federal, state and other tax returns which are required to be
filed, and has paid all taxes shown as due on those returns and all assessments,
fees and other amounts due as of the date hereof. All tax liabilities of
Borrower were, as of March 31, 1997 and are now, adequately provided for on
Borrower's books. No tax liability has been asserted by the Internal Revenue
Service or other taxing authority against Borrower for taxes in excess of those
already paid.

         SECTION 4.11. SECURITIES AND BANKING LAWS AND REGULATIONS.

                  (a) The use of the proceeds of the Loan and Borrower's
issuance of the Note will not directly or indirectly violate or result in a
violation of the Securities Act of 1933 or the Securities Exchange Act of 1934,
as amended, or any regulations issued pursuant thereto, including without
limitation Regulations U, T, G, or X of the Board of Governors of the Federal
Reserve System. Borrower is not engaged in the business of extending credit for
the purpose of the purchasing or carrying "margin stock" within the meaning of
those regulations. No part of the proceeds of the Loan hereunder will be used to
purchase or carry any margin stock or to extend credit to others for such
purpose.

                                       16
<PAGE>   18

                  (b)  Borrower is not an investment company within the meaning
of the Investment Company Act of 1940, as amended, nor is it, directly or
indirectly, controlled by or acting on behalf of any Person which is an
investment company within the meaning of that Act.

         SECTION 4.12. ERISA. No employee benefit plan (a "Plan") subject to the
Employee Retirement Income Security Act of 1974 ("ERISA") and regulations issued
pursuant thereto that is maintained by Borrower or under which Borrower could
have any liability under ERISA (a) has failed to meet minimum funding standards
established in Section 302 of ERISA, (b) has failed to comply with all
applicable requirements of ERISA and of the Internal Revenue Code, including all
applicable rulings and regulations thereunder, (c) has engaged in or been
involved in a prohibited transaction (as defined in ERISA) under ERISA or under
the Internal Revenue Code, or (d) has been terminated. Borrower has not assumed,
or received notice of a claim asserted against Borrower for, withdrawal
liability (as defined in the Multi-Employer Pension Plan Amendments Act of 1980,
as amended) with respect to any multi-employer pension plan and is not a member
of any Controlled Group (as defined in ERISA). Borrower has timely made when due
all contributions with respect to any multi-employer pension plan in which it
participates and no event has occurred triggering a claim against Borrower for
withdrawal liability with respect to any multi-employer pension plan in which
Borrower participates.

         SECTION 4.13. COMPLIANCE WITH LAW. Except as described in Schedule
4.13, Borrower is not in violation of any statute, rule or regulation of any
Governmental Authority (including, without limitation, any statute, rule or
regulation relating to employment practices or to environmental, occupational
and health standards and controls). Borrower has obtained all licenses, permits,
franchises, and other governmental authorizations necessary for the ownership of
its properties and the conduct of its business. Borrower is current with all
reports and documents required to be filed with any state or federal securities
commission or similar Governmental Authority and is in full compliance with all
applicable rules and regulations of such commissions.

         SECTION 4.14. ENVIRONMENTAL MATTERS. To Borrower's knowledge, without
independent inquiry no use, exposure, release, generation, manufacture, storage,
treatment, transportation or disposal of Hazardous Material has occurred or is
occurring on or from any real property on which the Collateral is located or
which is owned, leased or otherwise occupied by Borrower (the "Premises"), or
off the Premises as a result of any action of Borrower, except as described in
Schedule 4.14 or at levels that comply with applicable law.

         SECTION 4.15. PLACES OF BUSINESS. The only places of business of
Borrower, and the places where it keeps and intends to keep the Collateral and
records concerning the Collateral, are at the addresses set forth in Schedule
4.15. Schedule 4.15 also lists the owner of record of each such property.

         SECTION 4.16. INTELLECTUAL PROPERTY. Borrower exclusively owns or
possesses all the patents, patent applications, trademarks, trademark
applications, service marks, trade names, copyrights, franchises, licenses, and
rights with respect to the foregoing necessary for the present 


                                       17
<PAGE>   19

and planned future conduct of its business, without any conflict with the rights
of others. A list of all such intellectual property (indicating the nature of
Borrower's interest), as well as all outstanding franchises and licenses given
by or held by Borrower, is attached as Schedule 4.16. Borrower is not in default
of any obligation or undertaking with respect to such intellectual property or
rights.

         SECTION 4.17. STOCK OWNERSHIP. The identity of the stockholders of
record of all classes of the outstanding stock of Borrower, together with the
respective ownership percentages held by such stockholders, are as set forth on
Schedule 4.17.

         SECTION 4.18. MATERIAL FACTS. Neither this Agreement nor any other Loan
Document nor any other agreement, document, certificate, or statement furnished
to Lender by or on behalf of Borrower in connection with the transactions
contemplated hereby contains any untrue statement of material fact or omits to
state a material fact necessary in order to make the statements contained herein
or therein not misleading. There is no fact known to Borrower that materially
and adversely affects or in the future may materially and adversely affect the
business, operations, affairs or financial condition of Borrower, or any of its
properties or assets.

         SECTION 4.19. INVESTMENTS, GUARANTEES, AND CERTAIN CONTRACTS. Borrower
is not a party to any contract or agreement, or subject to any partnership or
corporate restriction, which materially and adversely affects its business.

         SECTION 4.20. INTENTIONALLY DELETED.

         SECTION 4.21. NAMES. Within five years prior to the date hereof,
Borrower has not conducted business under or used any other name (whether
corporate, partnership or assumed) other than as shown on Schedule 4.21.
Borrower is the sole owner of all names listed on that Schedule and any and all
business done and invoices issued in such names are Borrower's sales, business,
and invoices. Each trade name of Borrower represents a division or trading style
of Borrower and not a separate Person or independent Affiliate.

         SECTION 4.22  INTENTIONALLY DELETED.

         SECTION 4.23  ACCOUNTS. Lender may rely, in determining which Accounts
are Qualified Accounts, on all statements and representations made by Borrower
with respect to any Account or Accounts. Unless otherwise indicated in writing
to Lender, with respect to each Account:

                  (a)  It is genuine and in all respects what it purports 
to be, and is not evidenced by a judgment;

                  (b)  It arises out of a completed, bona fide sale and delivery
of goods or rendition of services by Borrower in the ordinary course of its
business and substantially in accordance with the terms and conditions of all
purchase orders, contracts, certification, 

                                       18
<PAGE>   20

participation, certificate of need, or other documents relating thereto and
forming a part of the contract between Borrower and the Account Debtor;

                  (c) It is for a liquidated amount maturing as stated in a
duplicate claim or invoice covering such sale or rendition of services, a copy
of which has been furnished or is available to Lender (or in the case of
Accounts owed by Florida Medicaid and all Medicare Account Debtors, that Medical
Services have been rendered but have not yet been invoiced as a result of
applicable Medicaid or Medicare billing procedures);

                  (d) Such Account, and Lender's security interest therein, is
not, and will not (by voluntary act or omission by Borrower), be in the future,
subject to any lien, claim or encumbrance, and each such Account is absolutely
owing to Borrower and is not contingent in any respect or for any reason;

                  (e) To Borrower's knowledge without independent inquiry, there
are no facts, events or occurrences which in any way impair the validity or
enforceability of any Accounts;

                  (f) It has been billed and forwarded to the Account Debtor for
payment in accordance with applicable laws and compliance and conformance with
any and requisite procedures, requirements and regulations governing payment by
such Account Debtor with respect to such Account (or in the case of Accounts
owed by Florida Medicaid and all Medicare Account Debtors, that Medical Services
have been rendered but have not yet been invoiced as a result of applicable
Medicaid or Medicare billing procedures), and such Account if due from a
Medicaid/Medicare Account Debtor is properly payable directly to Borrower; and

                  (g) Borrower has obtained and currently has all certificates
of need, Medicaid and Medicare provider numbers, licenses, permits and
authorizations as necessary in the generation of such Accounts.

                                    ARTICLE V

                        CLOSING AND CONDITIONS OF LENDING

         SECTION 5.1. CONDITIONS PRECEDENT TO AGREEMENT. The obligation of
Lender to enter into and perform this Agreement and to make Revolving Credit
Loans is subject to the following conditions precedent:

                  (a) Lender shall have received two (2) originals of this
Agreement and all other Loan Documents required to be executed and delivered at
or prior to Closing (other than the Note, as to which Lender shall receive only
one original), executed by Borrowers and any other required Persons, as
applicable.

                                       19
<PAGE>   21


                  (b) Lender shall have received all searches and good standing
certificates required by Section 3.5.

                  (c) Borrowers shall have complied and shall then be in
compliance with all the terms, covenants and conditions of the Loan Documents.

                  (d) There shall have occurred no Event of Default and no event
which, with the giving of notice or the lapse of time, or both, could constitute
such an Event of Default.

                  (e) The representations and warranties contained in Article IV
shall be true and correct in all material respects.

                  (f) Lender shall have received copies of all board of
directors resolutions of the general partner or other corporate action taken by
Borrowers to authorize the execution, delivery and performance of the Loan
Documents and the borrowing of the Loan thereunder, as well as the names and
signatures of the officers of Borrowers authorized to execute documents on its
behalf in connection herewith, all as also certified as of the date hereof by
each Borrower's chief financial officer or Borrower's general partner (as the
case may be), and such other papers as Lender may require.

                  (g) Lender shall have received copies, certified as true,
correct and complete by a corporate officer or the corporate officer of the
general partner (as the case may be)of each Borrower, of the articles of
incorporation or formation and bylaws of the general partner, (as the case may
be) of each Borrower, with any amendments to any of the foregoing, and all other
documents necessary for performance of the obligations of Borrower under this
Agreement and the other Loan Documents.

                  (h) Lender shall have received a written opinion of counsel
for Borrower, dated the date hereof, in the form of Exhibit D.

                  (i) Lender shall have received such financial statements,
reports, certifications, and other operational information required to be
delivered hereunder, including without limitation an initial borrowing base
certificate calculating the Borrowing Base.

                  (j) Lender shall have received the first installment of the
Commitment Fee.

                  (k) The Lockbox and the Concentration Account shall have been
established.

                  (l) Lender shall have received an estoppel certificate
substantially in the form of Exhibit E attached hereto from Borrower's landlord
or sublandlord, as the case may be, with respect to each of the facilities
identified on Schedule 4.15 which is a leased facility.


                                       20
<PAGE>   22


                  (m) Lender shall have received a certificate of Borrower's
chief financial officer, dated the Closing Date, certifying that all of the
conditions specified in this Section have been fulfilled.

         SECTION 5.2. CONDITIONS PRECEDENT TO ADVANCES. Notwithstanding any
other provision of this Agreement, no Loan proceeds, Revolving Credit Loans,
advances or other extensions of credit under the Loan shall be disbursed
hereunder unless the following conditions have been satisfied or waived
immediately prior to such disbursement:

                  (a) The representations and warranties on the part of
Borrowers (excluding any Borrower that is then deemed to be a Defaulted Borrower
pursuant to Section 8.1 (b) hereof) contained in Article IV of this Agreement
shall be true and correct in all material respects at and as of the date of
disbursement or advance, as though made on and as of such date, except as
follows (i) to the extent that such representations and warranties expressly
relate solely to an earlier date, (ii) the references in Section 4.7 to
financial statements shall be deemed to be a reference to the then most recent
annual and interim financial statements of Borrowers furnished to Lender
pursuant to Section 6.1 hereof, (iii) such representations and warranties shall
be deemed to have been supplemented by any written updates pertaining thereto,
as delivered by Borrowers to Lender from time to time and (iv) Borrower's
reaffirmation of Section 4.17 shall be deemed only a representation that any
changes in Borrower's ownership have been in accordance with Section 7.14
hereof.

                  (b) No Event of Default (other than a Limited Event of
Default) or event which, with the giving of notice of the lapse of time, or
both, could become an Event of Default (other than a Limited Event of Default)
shall have occurred and be continuing or would result from the making of the
disbursement or advance.

                  (c) No event or events have occurred which have caused a
material adverse change in the condition (financial or otherwise), properties,
business, or operations of Borrowers, taken as a whole, shall have occurred and
be continuing with respect to Borrowers, taken as a whole, since the date
hereof.

         SECTION 5.3. CLOSING. Subject to the conditions of this Article V, the
Loan shall be made available on the date as is mutually agreed by the parties
(the "Closing Date") at such time as may be mutually agreeable to the parties
upon the execution hereof (the "Closing") at such place as may be requested by
Lender.

         SECTION 5.4. WAIVER OF RIGHTS. By completing the Closing hereunder, or
by making advances under the Loan, Lender does not waive a breach of any
representation or warranty of any Borrower hereunder or under any other Loan
Document, and all of Lender's claims and rights resulting from any breach or
misrepresentation by any Borrower are specifically reserved by Lender.

                                       21
<PAGE>   23


                                   ARTICLE VI

                              AFFIRMATIVE COVENANTS

         Each Borrower covenants and agrees that for so long as such Borrower
may borrow hereunder and until payment in full of the Note and performance of
all other obligations of Borrowers under the Loan Documents:

         SECTION 6.1. FINANCIAL STATEMENTS AND COLLATERAL REPORTS. Borrower will
furnish to Lender (a) a sales and collections report and accounts receivable
aging schedule on a form acceptable to Lender within fifteen (15) days after the
end of each calendar month, which shall include, but not be limited to, a report
of sales, credits issued, and collections received; (b) payable aging schedules
within fifteen (15) days after the end of each calendar month; (c) quarterly
financial statements for Retirement Care Associates, Inc., prepared on a
consolidated basis with Borrowers and any of Retirement Care Associates, Inc.'s
other controlled entities; (d) annual audited financial statements on Form 10K
for Retirement Care Associates, Inc., prepared on a consolidated basis with
Borrowers and any of Retirement Care Associates, Inc.'s other controlled
entities prepared by Retirement Care Associates, Inc., or other independent
public accountants then engaged by Borrower, within one hundred thirty-five
(135) days after the end of each of Borrower's fiscal years; (e) promptly upon
receipt thereof, copies of any reports submitted to Borrower by the independent
accountants in connection with any interim audit of the books of Borrower and
copies of each management control letter provided to Borrower by independent
accountants; (f) as soon as available, copies of all financial statements and
notices provided by Borrower to all of its stockholders; and (g) such additional
information, reports or statements as Lender may from time to time reasonably
request. Annual financial statements shall set forth in comparative form figures
for the corresponding periods in the prior fiscal year. All financial statements
shall include a balance sheet and statement of earnings and shall be prepared in
accordance with GAAP.

         SECTION 6.2. PAYMENTS HEREUNDER. Borrower will make all payments of
principal, interest, fees, and all other payments required hereunder, under the
Loan, and under any other agreements with Lender to which Borrower is a party,
as and when due.

         SECTION 6.3. EXISTENCE, GOOD STANDING, AND COMPLIANCE WITH LAWS.
Borrower will do or cause to be done all things necessary (a) to obtain and keep
in full force and effect all corporate or partnership (as the case may be)
existence, rights, licenses, privileges, and franchises of Borrower necessary to
the ownership of its property or the conduct of its business, and comply with
all applicable present and future laws, ordinances, rules, regulations, orders
and decrees of any Governmental Authority having or claiming jurisdiction over
Borrower; and (b) to maintain and protect the properties used or useful in the
conduct of the operations of Borrower, in a prudent manner, including without
limitation the maintenance at all times of such insurance upon its insurable
property and operations as required by law or by Section 6.7 hereof.


                                       22
<PAGE>   24

         SECTION 6.4. LEGALITY. Borrower will obtain any and all consents,
approvals and authorizations of any Governmental Authority necessary for the
making of each disbursement or advance of the loan.

         SECTION 6.5.  INTENTIONALLY DELETED.

         SECTION 6.6. TAXES AND CHARGES. Borrower will timely file all tax
reports and pay and discharge all taxes, assessments and governmental charges or
levies imposed upon Borrower, or its income or profits or upon its properties or
any part thereof, before the same shall be in default and prior to the date on
which penalties attach thereto, as well as all lawful claims for labor,
material, supplies or otherwise which, if unpaid, might become a lien or charge
upon the properties or any part thereof of Borrower; provided, however, that
Borrower shall not be required to pay and discharge or cause to be paid and
discharged any such tax, assessment, charge, levy or claim so long as the
validity or amount thereof shall be contested in good faith and by appropriate
proceedings by Borrower, and Borrower shall have set aside on their books
adequate reserve therefor; and provided further, that such deferment of payment
is permissible only so long as Borrower's title to, and its right to use, the
Collateral is not adversely affected thereby and Lender's lien and priority on
the Collateral are not adversely affected, altered or impaired thereby.

         SECTION 6.7. INSURANCE. Borrower will carry adequate public liability
and professional liability insurance with responsible companies satisfactory to
Lender in such amounts and against such risks as is customarily maintained by
similar businesses and by owners of similar property in the same general area.

         SECTION 6.8. GENERAL INFORMATION. Borrower will furnish to Lender such
information as Lender may, from time to time, reasonably request with respect to
the business or financial affairs of Borrower, and, upon reasonable prior notice
and during normal business hours, shall permit any officer, employee or agent of
Lender to visit and inspect any of the properties, to examine the minute books,
books of account and other records, including management letters prepared by
Borrower's auditors, of Borrower, and make copies thereof or extracts therefrom,
and to discuss its and their business affairs, finances and accounts with, and
be advised as to the same by, the accountants and officers of Borrower, all at
such times and as often as Lender may require.

         SECTION 6.9. MAINTENANCE OF PROPERTY. Borrower will maintain, keep and
preserve all of its properties in good repair, working order and condition and
from time to time make all needful and proper repairs, renewals, replacements,
betterments and improvements thereto, so that the business carried on in
connection therewith may be properly and advantageously conducted at all times.

         SECTION 6.10. NOTIFICATION OF EVENTS OF DEFAULT AND ADVERSE
DEVELOPMENTS. Borrower promptly will notify Lender upon the occurrence of: (a)
any Event of Default; (b) any event which, with the giving of notice or lapse of
time, or both, could constitute an Event of


                                       23
<PAGE>   25

Default; (c) any event, development or circumstance whereby the financial
statements previously furnished to Lender fail in any material respect to
present fairly, in accordance with GAAP, the financial condition and operational
results of Borrower as of the date of such statements; (d) any judicial,
administrative or arbitration proceeding pending against Borrower, and any
judicial or administrative proceeding known by Borrower to be threatened against
it which, if adversely decided, could materially and adversely affect the
condition (financial or otherwise) or operations (present or prospective) of the
Borrowers, taken as a whole, or which may expose Borrower to uninsured liability
of $100,000.00 or more; (e) any default claimed by any other creditor for
Borrowed Money (in excess of $50,000) of Borrower other than Lender; and (f) any
other development in the business or affairs of Borrower which could have a
material and adverse effect on the business operations of Borrowers, taken as a
whole, or on the ability of Borrowers to repay the Loan; in each case describing
the nature thereof and (in the case of notification under clauses (a) and (b))
the action Borrower proposes to take with respect thereto.

         SECTION 6.11. EMPLOYEE BENEFIT PLANS. Borrower will (a) comply with the
funding requirements of ERISA with respect to the Plans for its employees, or
will promptly satisfy any accumulated funding deficiency that arises under
Section 302 of ERISA; (b) furnish Lender, promptly after filing the same, with
copies of all reports or other statements filed with the United States
Department of Labor, the Pension Benefit Guaranty Corporation, or the Internal
Revenue Service with respect to all Plans, or which Borrower, or any member of a
Controlled Group, may receive from such Governmental Authority with respect to
any such Plans, and (c) promptly advise Lender of the occurrence of any
Reportable Event or Prohibited Transaction with respect to any such Plan and the
action which Borrower proposes to take with respect thereto. Borrower will make
all contributions when due with respect to any multi-employer pension plan in
which it participates and will promptly advise Lender: (a) upon its receipt of
notice of the assertion against Borrower of a claim for withdrawal liability;
(b) upon the occurrence of any event which could trigger the assertion of a
claim for withdrawal liability against Borrower; and (c) upon the occurrence of
any event which would place Borrower in a Controlled Group as a result of which
any member (including Borrower) thereof may be subject to a claim for withdrawal
liability, whether liquidated or contingent.

         SECTION 6.12. FINANCING STATEMENTS. Borrower shall provide to Lender
evidence satisfactory to Lender as to the due recording of termination
statements, releases of collateral, and Forms UCC-3, and shall cause to be
recorded financing statements on Form UCC-1, duly executed by Borrower and
Lender, in all places necessary to release all existing security interests and
other liens in the Collateral (other than as permitted hereby) and to perfect
and protect Lender's first priority lien and security interest in the
Collateral, as Lender may request.

         SECTION 6.13. FINANCIAL RECORDS. Borrower shall keep current and
accurate books of records and accounts in which full and correct entries will be
made of all of its business transactions, and will reflect in its financial
statements adequate accruals and appropriations to reserves, all in accordance
with GAAP.


                                       24

<PAGE>   26

         SECTION 6.14. COLLECTION OF ACCOUNTS.  Borrower shall continue to 
collect its Accounts in the ordinary course of business.

         SECTION 6.15. PLACES OF BUSINESS. Borrower shall give thirty (30) days'
prior written notice to Lender of any change in the location of any of its
places of business, of the places where its records concerning its Accounts are
kept, of the places where the Collateral is kept, or of the establishment of any
new, or the discontinuance of any existing, places of business.

         SECTION 6.16. BUSINESS CONDUCTED.  Borrower shall continue in the 
business presently conducted by it using its best efforts to maintain its
customers and goodwill.

         SECTION 6.17. LITIGATION AND OTHER PROCEEDINGS. Borrower shall give
prompt notice to Lender of any litigation, arbitration, or other proceeding
before any Governmental Authority against or affecting Borrower if the uninsured
portion of the amount claimed is more than
$50,000.00

         SECTION 6.18. INTENTIONALLY DELETED.

         SECTION 6.19. SUBMISSION OF COLLATERAL DOCUMENTS. After the occurrence
and during the continuance of an Event of Default (other than a Limited Event of
Default), Borrower will, on demand of Lender, make available to Lender copies of
shipping and delivery receipts evidencing the shipment of goods that gave rise
to an Account, medical records, insurance verification forms, assignment of
benefits, in-take forms or other proof of the satisfactory performance of
services that gave rise to an Account, a copy of the claim or invoice for each
Account and copies of any written contract or order from which the Account
arose. Borrower shall promptly notify Lender if an Account becomes evidenced or
secured by an instrument or chattel paper and upon request of Lender, will
promptly deliver any such instrument or chattel paper to Lender.

         SECTION 6.20. LICENSURE; MEDICAID/MEDICARE COST REPORTS. Borrower will
maintain all certificates of need, provider numbers and licenses necessary to
conduct its business as presently conducted, and take any steps required to
comply with any such new or additional requirements that may be imposed on
providers of medical products and services. If required, all Medicaid/Medicare
cost reports will be properly filed.

         SECTION 6.21. OFFICER'S CERTIFICATES. Together with the quarterly
financial statements delivered pursuant to clause (c) of Section 6.1, and
together with the audited annual financial statements delivered pursuant to
clause (f) of that Section, Borrower shall deliver to Lender a certificate of
its chief financial officer, in form and substance satisfactory to Lender
setting forth:

                  (a) The information (including detailed calculations) required
in order to establish whether Borrower is in compliance with the requirements of
Articles VI and VII as of the end of the period covered by the financial
statements then being furnished; and


                                       25
<PAGE>   27


                  (b) That the signer has reviewed the relevant terms of this
Agreement, and has made (or caused to be made under his supervision) a review of
the transactions and conditions of Borrower from the beginning of the accounting
period covered by the income statements being delivered to the date of the
certificate, and that, other than any then existing Limited Event of Defaults
which have been disclosed to Lender, such review has not disclosed the existence
during such period of any condition or event which constitutes an Event of
Default or which is then, or with the passage of time or giving of notice or
both, could become an Event of Default, and if any such condition or event
existed during such period or now exists, specifying the nature and period of
existence thereof and what action Borrower has taken or proposes to take with
respect thereto.

         SECTION 6.22. INTENTIONALLY DELETED.

         SECTION 6.23. NET WORTH. Retirement Care Associates, Inc., the ultimate
parent of Borrower, will not at any time allow its net worth, as computed in
accordance with GAAP, to fall below $                 .

                                   ARTICLE VII

                               NEGATIVE COVENANTS

         Each Borrower covenants and agrees that so long as Borrowers may borrow
hereunder and until payment in full of the Note and performance of all other
obligations of Borrowers under the Loan Documents:

         SECTION 7.1. BORROWING. Borrower shall provide Lender with written
notice of any loan made to such Borrower in excess of $250,000 that is secured
by real property or tangible personal property acquired by such Borrower with
the proceeds of such loan (but Lender's consent shall not be required for any
such loan), and will not incur, assume, or permit to exist or become
contingently liable for any liability for Borrowed Money in excess of
$250,000.00 where the proceeds of the loan are not used by such Borrower to
acquire real property or tangible personal property without Lender's prior
written consent, which shall not be unreasonably withheld or delayed.

         SECTION 7.2. INTENTIONALLY DELETED.

         SECTION 7.3. LIENS AND ENCUMBRANCES. Borrower will not create, incur,
assume or suffer to exist any mortgage, pledge, lien or other encumbrance of any
kind upon, or any security interest in, any of its Collateral, whether now owned
or hereafter acquired, except for Permitted Liens.

         SECTION 7.4. MERGER, ACQUISITION, OR SALE OF ASSETS. Borrower will not
enter into any merger or consolidation with or acquire all or substantially all
of the assets of any Person, unless 

                                       26

<PAGE>   28

(a) Borrower or any other Borrower is the surviving entity of such transaction
or (b) Retirement Care Associates, Inc. holds a controlling interest in the
surviving entity and (c) the surviving entity executes and delivers to Lender
all documents deemed reasonably necessary by Lender (as determined solely by
Lender in its reasonable commercial judgement) to protect Lender's rights under
this Agreement and the other Loan Documents and with respect to the Collateral,
all at Borrowers' cost (including without limitation, all lien search costs).
Borrower will not sell, lease, or otherwise dispose of substantially all of its
assets. Consistent with the foregoing, until the Obligations are repaid in full,
none of the Borrowers shall transfer, assign, convey or grant to any other
Person (other than another Borrower) the right to operate or control any of the
nursing homes listed on Schedule 4.15, whether by lease, sublease, management
agreement, joint venture agreement or otherwise.

         SECTION 7.5.  INTENTIONALLY DELETED.

         SECTION 7.6.  DISTRIBUTIONS AND MANAGEMENT FEES. Following an Event of
Default with respect to such Borrower will not declare or pay any dividends or
other distributions with respect to, purchase, redeem or otherwise acquire for
value any of its outstanding stock or partnership interests (as the case may be)
now or hereafter outstanding, or return any capital of its stockholders, nor
shall such Borrower pay management fees or fees of a similar nature to any
Person following an Event of Default.

         SECTION 7.7.  INTENTIONALLY DELETED.

         SECTION 7.8.  INTENTIONALLY DELETED.

         SECTION 7.9.  INTENTIONALLY DELETED.

         SECTION 7.10. COMPLIANCE WITH ERISA. Borrower will not permit with
respect to any Plan covered by Title IV of ERISA any Prohibited Transaction or
any Reportable Event.

         SECTION 7.11. CERTIFICATES OF NEED. Borrower will not suspend or
terminate or make provisional in any material way, any required certificate of
need or provider number of any Borrower without the prior written consent of
Lender, which shall not be unreasonably withheld or delayed.

         SECTION 7.12. TRANSACTIONS WITH AFFILIATES. Borrower will not enter
into any transaction, including without limitation the purchase, sale, or
exchange of property, or the loaning or giving of funds to any Affiliate or
subsidiary, except in the ordinary course of business and pursuant to the
reasonable requirements of Borrower's business and upon terms substantially the
same and no less favorable to Borrower as it would obtain in a comparable arm's
length transaction with any Person not an Affiliate or subsidiary, and so long
as the transaction is not otherwise prohibited hereunder. For purposes of the
foregoing, Lender consents to the transactions described on Schedule 7.12.

                                       27
<PAGE>   29

         SECTION 7.13. USE OF LENDER'S NAME. Borrower will not use Lender's name
(or the name of any of Lender's affiliates) in connection with any of its
business operations. Borrower may disclose to third parties that Borrower has a
borrowing relationship with Lender. Nothing herein contained is intended to
permit or authorize Borrower to make any contract on behalf of Lender.

         SECTION 7.14. CHANGE IN CAPITAL STRUCTURE. There shall occur no change
in Borrower's capital structure as set forth in Schedule 4.17.which causes a
change in control of Borrower.

         SECTION 7.15. CONTRACTS AND AGREEMENTS. Borrower will not become or be
a party to any contract or agreement which would breach this Agreement.

         SECTION 7.16. INTENTIONALLY DELETED.

         SECTION 7.17. TRUTH OF STATEMENTS AND CERTIFICATES. Borrower will not
furnish to Lender any certificate or other document that contains any untrue
statement of a material fact or that omits to state a material fact necessary to
make it not misleading in light of the circumstances under which it was
furnished.

         SECTION 7.18. CENSUS. With respect to any twelve (12) month period
during the Term, Borrower will not allow the average patient census for such
12-month period, for the nursing homes listed on Schedule 4.15 attached hereto
when taken as a whole, to fall below eighty percent (80%) of the aggregate
patient census of such nursing homes as of the Closing Date, as reflected on
Schedule 4.15

                                  ARTICLE VIII

                                EVENTS OF DEFAULT

         SECTION 8.1.  EVENTS OF DEFAULT.

                  (a)  Subject to the provisions of subparagraph (b) hereof, 
Each of the following (individually, an "Event of Default" and collectively, the
"Events of Default") shall constitute an event of default hereunder:

                  (i)  A default in the payment of any installment of principal
of, or interest upon, the Note when due and payable, whether at maturity or
otherwise, which default shall have continued unremedied for a period of five
(5) days after written notice thereof from Lender to Borrower;

                  (ii) A default in the payment of any other charges, fees, or
other monetary obligations owing to Lender arising out of or incurred in
connection with this Agreement when 

                                       28

<PAGE>   30


such payment is due and payable, which default shall have continued unremedied
for a period of ten (10) days after written notice from Lender;

                  (iii) A default in the due observance or performance by
Borrowers of any other term, covenant or agreement contained in any of the Loan
Documents, which default shall have continued unremedied for a period of twenty
(20) days after written notice from Lender; provided, however, that if such
default is not susceptible to cure within such period, no Event of Default shall
be deemed to have occurred until an additional thirty (30) days have lapsed so
long as Borrower is diligently endeavoring to cure such default throughout the
period;
                  (iv)  If any representation or warranty made by any Borrower
herein or in any of the other Loan Documents, any financial statement, or any
statement or representation made in any other certificate, report or opinion
delivered in connection herewith or therewith proves to have been materially
incorrect or misleading in any material respect when made, which default shall
have continued unremedied for a period of twenty (20) days after written notice
from Lender;

                  (v)   If any obligation of a Borrower (other than its
Obligations hereunder) for the payment of Borrowed Money (the outstanding amount
of which is in excess of $100,000.00) is not paid when due or within any
applicable grace period, or such obligation becomes or is declared to be due and
payable prior to the expressed maturity thereof;

                  (vi)  If a Borrower makes an assignment for the benefit of
creditors, offers a composition or extension to creditors, or makes or sends
notice of an intended bulk sale of any business or assets now or hereafter
conducted by such Borrower;

                  (vii) If a Borrower files a petition in bankruptcy, is
adjudicated insolvent or bankrupt, petitions or applies to any tribunal for any
receiver of or any trustee for itself or any substantial part of its property,
commences any proceeding relating to itself under any reorganization,
arrangement, readjustment or debt, dissolution or liquidation law or statute of
any jurisdiction, whether now or hereafter in effect, or there is commenced
against a Borrower any such proceeding which remains undismissed for a period of
sixty (60) days, or any Borrower by any act indicates its consent to, approval
of, or acquiescence in, any such proceeding or the appointment of any receiver
of or any trustee for a Borrower or any substantial part of its property, or
suffers any such receivership or trusteeship to continue undischarged for a
period of sixty (60) days;

                  (viii) If one or more final judgments against any Borrower or
attachments against its property (the uninsured portion of which is in excess of
$100,000.00) not fully and unconditionally covered by insurance shall be
rendered by a court of record and shall remain unpaid, unstayed on appeal,
undischarged, unbonded and undismissed for a period of thirty (30) days;


                                       29
<PAGE>   31

                  (ix)  A Reportable Event which might constitute grounds for
termination of any Plan covered by Title IV of ERISA or for the appointment by
the appropriate United States District Court of a trustee to administer any such
Plan or for the entry of a lien or encumbrance to secure any deficiency, has
occurred and is continuing thirty (30) days after its occurrence, or any such
Plan is terminated, or a trustee is appointed by an appropriate United States
District Court to administer any such Plan, or the Pension Benefit Guaranty
Corporation institutes proceedings to terminate any such Plan or to appoint a
trustee to administer any such Plan, or a lien or encumbrance is entered to
secure any deficiency or claim;

                  (x)   If any outstanding stock or partnership interests of
Borrower is sold or otherwise transferred in violation of Section 7.14;

                  (xi)  Upon the issuance of any execution or distraint process
against any of the Collateral;

                  (xii) If any indication or evidence is received by Lender that
Borrower may have directly or indirectly been engaged in any type of activity
which, in Lender's reasonable discretion, is reasonably likely to result in the
forfeiture of any property material of Borrower to any Governmental Authority,
which default shall have continued unremedied for a period of ten (10) days
after written notice from Lender;

                  (xiii) Borrower or any Affiliate of Borrower, shall challenge
or contest, in any action, suit or proceeding, the validity or enforceability of
this Agreement, or any of the other Loan Documents, the legality or the
enforceability of any of the Obligations or the perfection or priority of any
Lien granted to Lender;

                  (xiv) Borrower shall be criminally convicted under any law
that could lead to a forfeiture of any Collateral.

                  (xv)  There shall occur a material adverse change in the
financial condition or business prospects of a Borrower, or if Lender in good
faith deems itself insecure as a result of acts or events bearing upon the
financial condition of a Borrower or the repayment of the Note, which default
shall have continued unremedied for a period of ten (10) days after written
notice from Lender.

                  (b) Notwithstanding the foregoing, if an event which
constitutes an Event of Default occurs with respect to three (3) or fewer of the
Borrowers (inclusive of Borrowers under the Affiliate Loan Agreement) (a
"Limited Event of Default"), then (i) the Accounts of each Borrower with respect
to which the Event of Default occurred (each a "Defaulted Borrower") shall
immediately be deemed excluded from Qualified Accounts ("Excluded Accounts")
unless and until the Event of Default with respect to such Defaulted Borrower
has been cured to Lender's reasonable satisfaction and (ii) Borrowers shall,
within two (2) Business Days after the occurrence of the Event of Default ,
repay the Loan in an amount, if any, necessary to reduce the outstanding amount
of the Loan to the Borrowing Base (as adjusted to delete the Accounts which have
been Excluded Accounts pursuant to (i) above). Borrowers' failure to make such
payment 

                                       30

<PAGE>   32

shall constitute a payment default pursuant to Section 8.1 (a)(i) hereof,
entitling Lender to immediately exercise any and all remedies set forth in
Section 8.2 and 8.3 of the Agreement. Notwithstanding the foregoing, (x) no
Defaulted Borrower shall be released from its obligations hereunder (nor shall
the Collateral owned by such Defaulted Borrower be released from the lien
created hereby) by virtue of such Defaulted Borrower's Accounts being deemed to
be Excluded Accounts, and (y) if the aggregate amount of all Excluded Accounts
exceeds $500,000.00, such event shall constitute an Event of Default and shall
entitle Lender to immediately exercise any and all remedies set forth in
Sections 8.2 and 8.3 of this Agreement.

                  (xvi) An Event of Default shall have occurred under the
Affiliated Loan Agreement.

         SECTION 8.2. ACCELERATION. Subject to the provisions of Section 8.1 (b)
hereof, upon the occurrence of any of the foregoing Events of Default, the Note
shall become and be immediately due and payable upon declaration to that effect
delivered by Lender to Borrower; provided that, upon the happening of any event
specified in Section 8.1(vi) hereof (subject always to Section 8.1 (b)), the
Note shall be immediately due and payable failure to satisfy (i) and (ii) will
be an overall Event of Default without declaration or other notice to Borrowers.

         SECTION 8.3.  REMEDIES.

                  (a) In addition to all other rights, options, and remedies
granted to Lender under this Agreement, upon the occurrence of an Event of
Default Lender (other than a Limited Event of Default) may (i) terminate the
Loan, whereupon all outstanding Obligations shall be immediately due and
payable, (ii) exercise all other rights granted to it hereunder and all rights
under the Uniform Commercial Code in effect in the applicable jurisdiction(s)
and under any other applicable law, and (iii) exercise all rights and remedies
under all Loan Documents now or hereafter in effect, including the following
rights and remedies (which list is given by way of example and is not intended
to be an exhaustive list of all such rights and remedies):

                           (i)   The right to take possession of, send notices
regarding, and collect directly the Collateral, with or without judicial
process, and to exercise all rights and remedies available to Lender with
respect to the Collateral under the Uniform Commercial Code in effect in the
jurisdiction(s) in which such Collateral is located;

                           (ii)  The right to (by its own means or with judicial
assistance) enter any of Borrower's premises and take possession of the
Collateral, or render it unusable, or dispose of the Collateral on such premises
in compliance with subsection (b), without any liability for rent, storage,
utilities, or other sums, and Borrowers shall not resist or interfere with such
action;

                           (iii) The right to require Borrowers at Borrowers'
expense to assemble all or any part of the Collateral and make it available to
Lender at any place designated by Lender;

                                       31
<PAGE>   33

                           (iv) The right to reduce the Maximum Loan Amount or
to use the Collateral and/or funds in the Concentration Account to repay the
then outstanding Obligations for any reason; and

                           (v)  The right to relinquish or abandon any 
Collateral or any security interest therein.

                  (b) Borrowers agree that a notice received by it at least ten
(10) days before the time of any intended public sale, or the time after which
any private sale or other disposition of the Collateral is to be made, shall be
deemed to be reasonable notice of such sale or other disposition. If permitted
by applicable law, any perishable Collateral which threatens to speedily decline
in value or which is sold on a recognized marked may be sold immediately by
Lender without prior notice to Borrower. At any sale or disposition of
Collateral, Lender may (to the extent permitted by applicable law) purchase all
or any part of the Collateral, free from any right of redemption by Borrower,
which right is hereby waived and released. Borrower covenants and agrees not to
interfere with or impose any obstacle to Lender's exercise of its rights and
remedies with respect to the Collateral.

         SECTION 8.4. NATURE OF REMEDIES. Lender shall have the right to proceed
against all or any portion of the Collateral to satisfy in any order (i) the
liabilities and Obligations of Borrower to Lender and (ii) upon the occurrence
of an Event of Default under the Affiliated Loan Agreement, the liabilities and
obligations of Affiliated Borrower under the Affiliated Loan Agreement. All
rights and remedies granted Lender hereunder and under any agreement referred to
herein, or otherwise available at law or in equity, shall be deemed concurrent
and cumulative, and not alternative remedies, and Lender may proceed with any
number of remedies at the same time until the Loans, and all other existing and
future liabilities and obligations of Borrower to Lender, are satisfied in full.
The exercise of any one right or remedy shall not be deemed a waiver or release
of any other right or remedy, and Lender, upon the occurrence of an Event of
Default, may proceed against Borrower, and/or the Collateral, at any time, under
any agreement, with any available remedy and in any order.

                                   ARTICLE IX

                                  MISCELLANEOUS

         SECTION 9.1. EXPENSES AND TAXES.

                  (a) Borrowers agree to pay, whether or not the Closing occurs,
a reasonable documentation preparation fee, together with actual audit and
appraisal fees and all other out-of-pocket charges and expenses incurred by
Lender in connection with the negotiation, preparation and execution of each of
the Loan Documents, any amendments to the Loan Documents following Closing, and
preparation for Closing. Borrowers also agree to pay all out-of-pocket charges
and expenses incurred by Lender (including the fees and expenses of Lender's
counsel) 


                                       32
<PAGE>   34

in connection with the enforcement, protection or preservation of any right or 
claim of Lender and the collection of any amounts due under the Loan Documents.

                  (b) Borrowers shall pay all taxes (other than taxes based upon
or measured by Lender's income or revenues or any personal property tax), if
any, in connection with the issuance of the Note and the recording of the
security documents therefor. The obligations of Borrower under this clause (b)
shall survive the payment of Borrowers' indebtedness hereunder and the
termination of this Agreement.

         SECTION 9.2. ENTIRE AGREEMENT; AMENDMENTS. This Agreement and the other
Loan Documents constitute the full and entire understanding and agreement among
the parties with regard to their subject matter and supersede all prior written
or oral agreements, understandings, representations and warranties made with
respect thereto. No amendment, supplement or modification of this Agreement nor
any waiver of any provision thereof shall be made except in writing executed by
the party against whom enforcement is sought.

         SECTION 9.3. NO WAIVER; CUMULATIVE RIGHTS. No waiver by any party
hereto of any one or more defaults by the other party in the performance of any
of the provisions of this Agreement shall operate or be construed as a waiver of
any future default or defaults, whether of a like or different nature. No
failure or delay on the part of any party in exercising any right, power or
remedy hereunder shall operate as a waiver thereof, nor shall any single or
partial exercise of any such right, power or remedy preclude any other or
further exercise thereof or the exercise of any other right, power or remedy.
The remedies provided for herein are cumulative and are not exclusive of any
remedies that may be available to any party hereto at law, in equity or
otherwise.

         SECTION 9.4. NOTICES. Any notice or other communication required or
permitted hereunder shall be in writing and personally delivered, mailed by
registered or certified mail (return receipt requested and postage prepaid),
sent by telecopier (with a confirming copy sent by regular mail), or sent by
prepaid overnight courier service, and addressed to the relevant party at its
address set forth below, or at such other address as such party may, by written
notice, designate as its address for purposes of notice hereunder:

                  (a) If to Lender, at:
                           HCFP Funding, Inc.
                           2 Wisconsin Circle, Suite 320
                           Chevy Chase, Maryland 20815
                           Attention:  Ethan D. Leder, President
                           Telephone:  (301) 961-1640
                           Telecopier: (301) 664-9860

                  (b) If to Borrower, at:
                           Retirement Care Associates, Inc.

                                       33
<PAGE>   35

                              6000 Lake Forrest Drive
                              Suite 200
                              Atlanta, GA 30328
                              Attention: Mr. Christopher F. Brogdon
                                         Philip M. Rees, Esq.
                              Telephone:  (404) 255-7500
                              Telecopier: (404) 255-5789
   
                  (c)      With a copy to: 
                              Gregory P. Youra, Esq.
                              Vincent, Berg, Stalzer & Menendez 
                              The Lenox Building 
                              3399 Peachtree Road, Suite 1400, 
                              Atlanta, GA 30326 
                              Telephone:  (404) 812-5680 
                              Telecopier: (404) 812-5699

If mailed, notice shall be deemed to be given five (5) days after being sent, if
sent by personal delivery or telecopier, notice shall be deemed to be given when
delivered, and if sent by prepaid courier, notice shall be deemed to be given on
the next Business Day following deposit with the courier.

         SECTION 9.5. SEVERABILITY. If any term, covenant or condition of this
Agreement, or the application of such term, covenant or condition to any party
or circumstance shall be found by a court of competent jurisdiction to be, to
any extent, invalid or unenforceable, the remainder of this Agreement and the
application of such term, covenant, or condition to parties or circumstances
other than those as to which it is held invalid or unenforceable, shall not be
affected thereby, and each term, covenant or condition shall be valid and
enforced to the fullest extent permitted by law. Upon determination that any
such term is invalid, illegal or unenforceable, the parties hereto shall amend
this Agreement so as to effect the original intent of the parties as closely as
possible in an acceptable manner.

         SECTION 9.6. SUCCESSORS AND ASSIGNS. This Agreement, the Note, and the
other Loan Documents shall be binding upon and inure to the benefit of Borrower
and Lender and their respective successors and assigns. Notwithstanding the
foregoing, Borrower may not assign any of its rights or delegate any of its
obligations hereunder without the prior written consent of Lender, which may be
withheld in its sole discretion. Lender may sell, assign, transfer, or
participate any or all of its rights or obligations hereunder without notice to
or consent of Borrower.

         SECTION 9.7. COUNTERPARTS. This Agreement may be executed in any number
of counterparts, each of which shall be deemed an original, but all of which
together shall constitute but one instrument.

                                       34

<PAGE>   36

         SECTION 9.8. INTERPRETATION. No provision of this Agreement or any
other Loan Document shall be interpreted or construed against any party because
that party or its legal representative drafted that provision. The titles of the
paragraphs of this Agreement are for convenience of reference only and are not
to be considered in construing this Agreement. Any pronoun used in this
Agreement shall be deemed to include singular and plural and masculine, feminine
and neuter gender as the case may be. The words "herein," "hereof," and
"hereunder" shall be deemed to refer to this entire Agreement, except as the
context otherwise requires.

         SECTION 9.9. SURVIVAL OF TERMS. All covenants, agreements,
representations and warranties made in this Agreement, any other Loan Document,
and in any certificates and other instruments delivered in connection therewith
shall be considered to have been relied upon by Lender and shall survive the
making by Lender of the Loans herein contemplated and the execution and delivery
to Lender of the Note, and shall continue in full force and effect until all
liabilities and obligations of Borrower to Lender are satisfied in full.

         SECTION 9.10. RELEASE OF LENDER. Borrower releases Lender, its
officers, employees, and agents, of and from any claims for loss or damage
resulting from acts or conduct of any or all of them, unless caused by Lender's
recklessness, gross negligence, or willful misconduct.

         SECTION 9.11. TIME. Whenever Borrower is required to make any payment
or perform any act on a Saturday, Sunday, or a legal holiday under the laws of
the State of Maryland (or other jurisdiction where Borrower is required to make
the payment or perform the act), the payment may be made or the act performed on
the next Business Day. Time is of the essence in Borrower's performance under
this Agreement and all other Loan Documents.

         SECTION 9.12. COMMISSIONS. The transaction contemplated by this
Agreement was brought about by Lender and Borrower acting as principals and
without any brokers, agents, or finders being the effective procuring cause.
Borrower represents that it has not committed Lender to the payment of any
brokerage fee, commission, or charge in connection with this transaction. If any
such claim is made on Lender by any broker, finder, or agent or other person,
Borrower will indemnify, defend, and hold Lender harmless from and against the
claim and will defend any action to recover on that claim, at Borrower's cost
and expense, including Lender's counsel fees. Borrower further agrees that until
any such claim or demand is adjudicated in Lender's favor, the amount demanded
will be deemed a liability of Borrower under this Agreement, secured by the
Collateral.

         SECTION 9.13. THIRD PARTIES. No rights are intended to be created
hereunder or under any other Loan Document for the benefit of any third party
donee, creditor, or incidental beneficiary of Borrower. Nothing contained in
this Agreement shall be construed as a delegation to Lender of Borrower's duty
of performance, including without limitation Borrower's duties under any account
or contract in which Lender has a security interest.

         SECTION 9.14. DISCHARGE OF BORROWER'S OBLIGATIONS. Lender, in its sole
discretion, shall have the right at any time, and from time to time, without
prior notice to Borrower if 

                                       35
<PAGE>   37

Borrower fails to do so, to: (a) obtain insurance covering any of the Collateral
as required hereunder; (b) pay for the performance of any of Borrower's
obligations hereunder; (c) discharge taxes, liens, security interests, or other
encumbrances at any time levied or placed on any of the Collateral in violation
of this Agreement unless Borrower is in good faith with due diligence by
appropriate proceedings contesting those items; and (d) pay for the maintenance
and preservation of any of the Collateral. Expenses and advances shall be added
to the Loan, until reimbursed to Lender and shall be secured by the Collateral.
Such payments and advances by Lender shall not be construed as a waiver by
Lender of an Event of Default.

         SECTION 9.15. INFORMATION TO PARTICIPANTS. Lender may divulge to any
participant it may obtain in the Loan, or any portion thereof, all information,
and furnish to such participant copies of reports, financial statements,
certificates, and documents obtained under any provision of this Agreement or
any other Loan Document.

         SECTION 9.16. INTENTIONALLY DELETED.

         SECTION 9.17. CHOICE OF LAW; CONSENT TO JURISDICTION. THIS AGREEMENT
AND THE NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF
THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE APPLICABLE PRINCIPLES OF
CONFLICTS OF LAWS. IF ANY ACTION ARISING OUT OF THIS AGREEMENT OR THE NOTE IS
COMMENCED BY LENDER IN THE STATE OF MARYLAND OR FEDERAL COURT LOCATED IN THE
STATE OF MARYLAND, BORROWER HEREBY CONSENTS TO THE NONEXCLUSIVE JURISDICTION OF
ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE STATE OF
MARYLAND. ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF MAILED BY
REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER AT ITS ADDRESS DESCRIBED IN
SECTION 9.4 HEREOF.

         SECTION 9.18. WAIVER OF TRIAL BY JURY. BORROWER HEREBY (A) COVENANTS
AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY,
AND (B) WAIVES ANY RIGHT TO TRIAL BY JURY FULLY TO THE EXTENT THAT ANY SUCH
RIGHT SHALL NOW OR HEREAFTER EXIST. THIS WAIVER OF RIGHT TO TRIAL BY JURY IS
SEPARATELY GIVEN, KNOWINGLY AND VOLUNTARILY, BY BORROWER, AND THIS WAIVER IS
INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS TO WHICH THE
RIGHT TO A JURY TRIAL WOULD OTHERWISE ACCRUE. LENDER IS HEREBY AUTHORIZED AND
REQUESTED TO SUBMIT THIS AGREEMENT TO ANY COURT HAVING JURISDICTION OVER THE
SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE EVIDENCE OF
BORROWER'S WAIVER OF THE RIGHT TO JURY TRIAL. FURTHER, BORROWER HEREBY CERTIFIES
THAT NO REPRESENTATIVE OR AGENT OF LENDER (INCLUDING LENDER'S COUNSEL) HAS
REPRESENTED, 

                                       36

<PAGE>   38

EXPRESSLY OR OTHERWISE, TO BORROWER THAT LENDER WILL NOT SEEK TO ENFORCE THIS 
WAIVER OF RIGHT TO JURY TRIAL PROVISION.

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

                                     LENDER:

ATTEST:                              HCFP FUNDING, INC.
                                     a Delaware corporation

By:                                  By:                               [SEAL]
   ------------------------------       ----------------------------- 
      Name:                                Name:

      Title:                               Title:

                                     BORROWER:

ATTEST:                              RETIREMENT CARE ASSOCIATES, INC.,
                                     a Colorado corporation

By:                                  By:                               [SEAL]
   ------------------------------       -----------------------------
     Name:                                 Name:
  
     Title:                                Title:

ATTEST:                              CAPITOL CARE MANAGEMENT
                                     COMPANY, INC.
                                     a Georgia corporation

By:                                  By:                               [SEAL]
   ------------------------------       ----------------------------- 
     Name:                                 Name:

     Title:                                Title:

                                        

                                       37


<PAGE>   39


                         [Additional Signature Follows]

                                       38

<PAGE>   40

ATTEST:                               RETIREMENT MANAGEMENT
                                      CORPORATION
                                      a Georgia corporation

By:                                   By:                               [SEAL]
   ------------------------------        ----------------------------
     Name:                                  Name:

     Title:                                 Title:



                                       39


<PAGE>   41




                                LIST OF EXHIBITS

Exhibit A - Form of Revolving Credit Note

Exhibit B - Form of Lockbox Agreement

Exhibit C - Locations of Collateral

Exhibit D - Form of Legal Opinion

Exhibit E - Form of Estoppel Certificate


                                       40


<PAGE>   42


                                LIST OF SCHEDULES


Schedule 1.36     -        Permitted Liens

Schedule 4.1      -        Subsidiaries

Schedule 4.5      -        Litigation

Schedule 4.7      -        Tax Identification Numbers

Schedule 4.13     -        Non-Compliance with Law

Schedule 4.14     -        Environmental Matters

Schedule 4.15     -        Places of Business with patient census

Schedule 4.16     -        Licenses

Schedule 4.17     -        Stock Ownership

Schedule 4.19     -        Borrowings and Guarantees

Schedule 4.21     -        Trade Names

Schedule 4.22     -        Joint Ventures

Schedule 7.12     -        Transactions with Affiliates



                                       41

<PAGE>   1
                                                                   EXHIBIT 10.21
                                 $10,000,000.00



                           LOAN AND SECURITY AGREEMENT

                                  by and among

                            ATRIUM NURSING HOME, INC.
                                MID-FLORIDA, INC.
                           SUN COAST RETIREMENT, INC.
                              WEST TENNESSEE, INC.
                       LAKE FOREST HEALTHCARE CENTER, INC.
                       LIBBIE REHABILITATION CENTER, INC.
                        BRENT-LOX HALL NURSING HOME, INC.
                            PHOENIX ASSOCIATES, INC.
                           PINE MANOR REST HOME, INC.
                       STATESBORO HEALTH CARE CENTER, INC.
                       GARDENDALE HEALTH CARE CENTER, INC.
                        ROBERTA HEALTH CARE CENTER, INC.
                       SOUTHSIDE HEALTH CARE CENTER, INC.
                         CRESENT MEDICAL SERVICES, INC.
                       GAINESVILLE HEALTHCARE CENTER, INC.
                          DUVAL HEALTHCARE CENTER, INC.
                           JEFF DAVIS HEALTHCARE, INC.
                            CHARLTON HEALTHCARE, INC.
                        BIBB HEALTH REHABILITATION, INC.
             MAPLEWOOD HEALTH CARE CENTER OF JACKSON TENNESSEE, INC.
                          LAKE HEALTH CARE CENTER, INC.
            (individually, "Borrower" and collectively, "Borrowers" )

                                       and

                               HCFP FUNDING, INC.

                                   ("Lender")





                                December 15, 1997


<PAGE>   2



                           LOAN AND SECURITY AGREEMENT


         THIS LOAN AND SECURITY AGREEMENT (the "Agreement") is made as of this
15th day of December, 1997, by and among ATRIUM NURSING HOME, INC., a Florida
corporation, MID-FLORIDA, INC., a Georgia corporation, SUN COAST RETIREMENT,
INC., a Georgia corporation, WEST TENNESSEE, INC., a Georgia corporation, LAKE
FOREST HEALTHCARE CENTER, INC., a Georgia corporation , LIBBIE REHABILITATION
CENTER, INC., a Virginia corporation, BRENT-LOX HALL NURSING HOME, INC., a
Virginia corporation, PHOENIX ASSOCIATES, INC., a Virginia corporation, PINE
MANOR REST HOME, INC., a North Carolina corporation, STATESBORO HEALTH CARE
CENTER, INC., a Georgia corporation, GARDENDALE HEALTH CARE CENTER, INC., a
Georgia corporation, ROBERTA HEALTH CARE CENTER, INC., a Georgia corporation,
SOUTHSIDE HEALTH CARE CENTER, INC., a Georgia corporation, CRESENT MEDICAL
SERVICES, INC., a Georgia corporation, GAINESVILLE HEALTHCARE CENTER, INC., a
Georgia corporation, DUVAL HEALTHCARE CENTER, INC., a Georgia corporation, JEFF
DAVIS HEALTHCARE, INC., a Georgia corporation, CHARLTON HEALTHCARE, INC., a
Georgia corporation, BIBB HEALTH REHABILITATION, INC., a Georgia corporation,
MAPLEWOOD HEALTH CARE CENTER OF JACKSON TENNESSEE, INC., a Tennessee corporation
and LAKE HEALTH CARE CENTER, INC., a Georgia corporation (collectively,
"Borrowers" and individually, a "Borrower" ), and HCFP FUNDING, INC., a Delaware
corporation ("Lender").


                                    RECITALS

         A. Borrowers desire to establish certain financing arrangements with
and borrow funds from Lender, and Lender is willing to establish such
arrangements for and make loans and extensions of credit to Borrowers, on the
terms and conditions set forth below.


         B. The parties desire to define the terms and conditions of their
relationship and to reduce their agreements to writing.


         NOW, THEREFORE, in consideration of the promises and covenants
contained in this Agreement, and for other consideration, the receipt and
sufficiency of which are acknowledged, the parties agree as follows:


                                    ARTICLE I

                                   DEFINITIONS


         As used in this Agreement, the following terms shall have the following
meanings:
<PAGE>   3

         SECTION 1.1. ACCOUNT. "Account" means any right to payment for goods
sold or leased or services rendered, whether or not evidenced by an instrument
or chattel paper, and whether or not earned by performance.

         SECTION 1.2. ACCOUNT DEBTOR. "Account Debtor" means any Person
obligated on any Account of a Borrower, including without limitation, any
Insurer and any Medicaid/Medicare Account Debtor.

         SECTION 1.3. AFFILIATE. "Affiliate" means, with respect to a specified
Person, any Person directly or indirectly controlling, controlled by, or under
common control with the specified Person, including without limitation their
stockholders and any Affiliates thereof. A Person shall be deemed to control a
corporation or other entity if the Person possesses, directly or indirectly, the
power to direct or cause the direction of the management and business of the
corporation or other entity, whether through the ownership of voting securities,
by contract, or otherwise.

         SECTION 1.4. AGREEMENT. "Agreement" means this Loan and Security
Agreement, as it may be amended or supplemented from time to time.

         SECTION 1.5. BASE RATE. "Base Rate" means a rate of interest equal to
two percent (2.0%) above the "Prime Rate of Interest".

         SECTION 1.6. BORROWED MONEY. "Borrowed Money" means any obligation to
repay money, any indebtedness evidenced by notes, bonds, debentures or similar
obligations, any obligation under a conditional sale or other title retention
agreement and the net aggregate rentals under any lease which under GAAP would
be capitalized on the books of a Borrower or which is the substantial equivalent
of the financing of the property so leased.

         SECTION 1.7. BORROWER. "Borrower" and "Borrowers" have the meaning set
forth in the Preamble.

         SECTION 1.8. BORROWING BASE. "Borrowing Base" has the meaning set forth
in Section 2.1(d).

         SECTION 1.9. BUSINESS DAY. "Business Day" means any day on which
financial institutions are open for business in the States of Maryland and
Georgia, excluding Saturdays and Sundays.

         SECTION 1.10. CLOSING; CLOSING DATE. "Closing" and "Closing Date" have
the meanings set forth in Section 5.3.

         SECTION 1.11. COLLATERAL. "Collateral" has the meaning set forth in
Section 3.1.

         SECTION 1.12. COMMITMENT FEE. "Commitment Fee" has the meaning set
forth in Section 2.4(a).
<PAGE>   4

         SECTION 1.13. CONCENTRATION ACCOUNT. "Concentration Account" has the
meaning set forth in Section 2.3(a).

         SECTION 1.14. CONTROLLED GROUP. "Controlled Group" means a "controlled
group" within the meaning of Section 4001(b) of ERISA.

         SECTION 1.15. INTENTIONALLY DELETED.

         SECTION 1.16. DEFAULT RATE. "Default Rate" means a rate per annum equal
to three percent (3%) above the then applicable Base Rate.

         SECTION 1.17. ERISA. "ERISA" has the meaning set forth in Section 4.12.

         SECTION 1.18. EVENT OF DEFAULT. "Event of Default" and "Events of
Default" have the meanings set forth in Section 8.1 (a), subject to the
additional provisions of Section 8.1 (b) regarding "Limited Events of Default."

         SECTION 1.19. GAAP. "GAAP" means generally accepted accounting
principles applied in a matter consistent with the financial statements referred
to in Section 4.7.

         SECTION 1.20. GOVERNMENTAL AUTHORITY. "Governmental Authority" means
and includes any federal, state, District of Columbia, county, municipal, or
other government and any department, commission, board, bureau, agency or
instrumentality thereof, whether domestic or foreign.

         SECTION 1.21. HAZARDOUS MATERIAL. "Hazardous Material" means any
substances defined or designated as hazardous or toxic waste, hazardous or toxic
material, hazardous or toxic substance, or similar term, by any environmental
statute, rule or regulation or any Governmental Authority.

         SECTION 1.22. HIGHEST LAWFUL RATE. "Highest Lawful Rate" means the
maximum lawful rate of interest referred to in Section 2.7 that may accrue
pursuant to this Agreement.

         SECTION 1.23. INSURER. "Insurer" means a Person that insures a Patient
against certain of the costs incurred in the receipt by such Patient of Medical
Services, or that has an agreement with a Borrower to compensate such Borrower
for providing services to a Patient.

         SECTION 1.23. A. LEASES AND RENTS. "Leases and Rents" shall mean all
rents, revenues, issues and profits payable to a Borrower with respect to its
ownership of real property, all lease, occupancy or similar agreements relating
to real property owned by a Borrower and any contract for the sale, exchange or
other disposition of any such real property, and all books and records of a
Borrower relating to any of the foregoing.

         SECTION 1.24. LENDER. "Lender" has the meaning set forth in the
Preamble.

                                       3

<PAGE>   5

         SECTION 1.24 A. LIMITED EVENT OF DEFAULT. "Limited Event of Default"
has the meaning set forth in Section 8.1 (b).

         SECTION 1.25. LOAN. "Loan" has the meaning set forth in Section 2.1(a).

         SECTION 1.26. LOAN DOCUMENTS. "Loan Documents" means and includes this
Agreement, the Note, and each and every other document now or hereafter
delivered in connection therewith, as any of them may be amended, modified, or
supplemented from time to time.

         SECTION 1.27. LOAN MANAGEMENT FEE. "Loan Management Fee" has the
meaning set forth in Section 2.4(c).

         SECTION 1.28. LOCKBOX. "Lockbox" has the meaning set forth in Section
2.3.

         SECTION 1.29. LOCKBOX BANK. "Lockbox Bank" has the meaning set forth in
Section 2.3.

         SECTION 1.30. MAXIMUM LOAN AMOUNT. "Maximum Loan Amount" has the
meaning set forth in Section 2.1(a).

         SECTION 1.31. MEDICAID/MEDICARE ACCOUNT DEBTOR. "Medicaid/ Medicare
Account Debtor" means any Account Debtor which is (i) the United States of
America acting under the Medicaid/Medicare program established pursuant to the
Social Security Act, (ii) any state or the District of Columbia acting pursuant
to a health plan adopted pursuant to Title XIX of the Social Security Act or
(iii) any agent, carrier, administrator or intermediary for any of the
foregoing.

         SECTION 1.32. MEDICAL SERVICES. Medical and health care services
provided to a Patient, including, but not limited to, medical and health care
services provided to a Patient and performed by a Borrower which are covered by
a policy of insurance issued by an Insurer, and includes physician services,
nurse and therapist services, dental services, hospital services, skilled
nursing facility services, comprehensive outpatient rehabilitation services,
home health care services, residential and out-patient behavioral healthcare
services, and medicine or health care equipment provided by a Borrower to a
Patient for a necessary or specifically requested valid and proper medical or
health purpose.

         SECTION 1.33. NOTE. "Note" has the meaning set forth in Section 2.1(c).

         SECTION 1.34. OBLIGATIONS. "Obligations" has the meaning set forth in
Section 3.1.

         SECTION 1.35. PATIENT. "Patient" means any Person receiving Medical
Services from a Borrower and all Persons legally liable to pay such Borrower for
such Medical Services other than Insurers.

                                       4
<PAGE>   6

         SECTION 1.36. PERMITTED LIENS. "Permitted Liens" means: (a) any and all
liens, claims and encumbrances whatsoever, so long as the same do not attach to
any portion of the Collateral, (b)statutory and contractual liens of depository
institutions against depository accounts included within the Collateral for
unpaid fees, charges and expenses, so long as a Borrower does not have an
outstanding loan or credit facility with such depository institution and (c)
liens listed on Schedule 1.36 hereto.

         SECTION 1.37. PERSON. "Person" means an individual, partnership,
corporation, trust, joint venture, joint stock company, limited liability
company, association, unincorporated organization, Governmental Authority, or
any other entity.

         SECTION 1.38. PLAN. "Plan" has the meaning set forth in Section 4.12.

         SECTION 1.39. PREMISES. "Premises" has the meaning set forth in Section
4.14.

         SECTION 1.40. PRIME RATE OF INTEREST. "Prime Rate of Interest" means
that rate of interest designated as such by Fleet National Bank of Connecticut,
N.A., or any successor thereto, as the same may from time to time fluctuate.

         SECTION 1.41. PROHIBITED TRANSACTION. "Prohibited Transaction" means a
"prohibited transaction" within the meaning of Section 406 of ERISA or Section
4975(c)(1) of the Internal Revenue Code.

         SECTION 1.42. QUALIFIED ACCOUNT. "Qualified Account" means an Account
of a Borrower generated in the ordinary course of such Borrower's business from
the sale of goods or rendition of medical services; provided, however, that no
Account shall be a Qualified Account if: (a) the Account or any portion thereof
is payable by an individual beneficiary, recipient or subscriber individually
and not directly to a Borrower by a Medicaid/Medicare Account Debtor or
commercial medical insurance carrier acceptable to Lender in its sole
discretion; (b) the Account remains unpaid more than ninety (90) days past the
claim or invoice date, (provided, however, that no more than fifteen percent
(15%) of such Qualified Accounts at any time shall be between sixty-one (61) and
ninety (90) days past the claim or invoice date); (c) the Account is subject to
any defense, set-off, counterclaim, deduction, discount, credit, chargeback,
freight claim, allowance, or adjustment of any kind; (d) any part of any goods
the sale of which has given rise to the Account has been returned, rejected,
lost, or damaged; (e) if the Account arises from the sale of goods by a
Borrower, such sale was not an absolute sale or on consignment or on approval or
on a sale-or-return basis or subject to any other repurchase or return
agreement, or such goods have not been shipped to the Account Debtor or its
designee; (f) if the Account arises from the performance of services, such
services have not been actually been performed or were undertaken in violation
of any law (it may be acknowledged and agreed that accounts payable by Florida
Medicaid and all Medicare Account Debtors shall be deemed Qualified Accounts
prior to billing once the applicable Medicare Services have been performed
and/or goods have been delivered); (g) the Account is subject to a lien other
than a Permitted Lien; (h) a Borrower knows or should reasonably have known of
the bankruptcy, receivership,


                                       5
<PAGE>   7

reorganization, or insolvency of the Account Debtor; (i) the Account is
evidenced by chattel paper or an instrument of any kind, or has been reduced to
judgment; (j) the Account is an Account of an Account Debtor having its
principal place of business or executive office outside the United States; (k)
the Account Debtor is an Affiliate or Subsidiary of a Borrower; (l) more than
ten percent (10%) of the aggregate balance of all Accounts owing from the
Account Debtor, except for a Medicare/Medicaid Account Debtor, obligated on the
Account (excluding any Medicaid/Medicare Account Debtor) are outstanding more
than one hundred twenty (120) days past their invoice date; (m) fifty percent
(50%) or more of the aggregate unpaid Accounts from any individual Account
Debtor except for a Medicare/Medicaid Account Debtor, are not deemed Qualified
Accounts hereunder; (n) the total unpaid Accounts of the Account Debtor, except
for a Medicaid/Medicare Account Debtor, exceed twenty percent (20%) of the net
amount of all Qualified Accounts (including Medicaid/Medicare Account Debtors);
(o) any covenant, representation or warranty contained in the Loan Documents
with respect to such Account has been breached; (p) the Account fails to meet
such other reasonable specifications and requirements which may from time to
time be established by Lender upon not less than ninety (90) days prior written
notice to Borrowers, or (q) the Account ceases to be a Qualified Account
pursuant to Section 8.2 (a) hereof.

         SECTION 1.43. REPORTABLE EVENT. "Reportable Event" means a "reportable
event" as defined in Section 4043(b) of ERISA.

         SECTION 1.44. REVOLVING CREDIT LOAN. "Revolving Credit Loan" has the
meaning set forth in Section 2.1(b).

         SECTION 1.45. TERM. "Term" has the meaning set forth in Section 2.8.


                                   ARTICLE II

                                      LOAN

         SECTION 2.1. TERMS.

                  (a) The maximum aggregate principal amount of credit extended
by Lender to Borrowers hereunder (the "Loan") that will be outstanding at any
time is Ten Million and No/100 Dollars ($10,000,000.00) (the "Maximum Loan
Amount"). Notwithstanding the above, the maximum aggregate principal amount of
Revolving Credit Loans made by Lender to Borrower under this Agreement and to
the Affiliated Borrowers under the Affiliated Loan Agreement (defined in Section
3.1 below) shall not at any time exceed Fourteen Million and No/100 Dollars
($14,000,000.00).

                  (b) The Loan shall be in the nature of a revolving line of
credit, and shall include sums advanced and other credit extended by Lender to
or for the benefit of Borrowers from time to time under this Article II (each a
"Revolving Credit Loan") up to the Maximum 


                                       7
<PAGE>   8

Loan Amount depending upon the availability in the Borrowing Base, the requests
of Borrower pursuant to the terms and conditions of Section 2.2 below, and on
such other basis as Lender may reasonably determine. The outstanding principal
balance of the Loan may fluctuate from time to time, to be reduced by repayments
made by Borrowers (which may be made without penalty or premium), and to be
increased by future Revolving Credit Loans, advances and other extensions of
credit to or for the benefit of Borrowers, and shall be due and payable in full
upon the expiration of the Term. For purposes of this Agreement, any
determination as to whether there is ability within the Borrowing Base for
advances or extensions of credit shall be made by Lender in its sole discretion
and is final and binding upon Borrowers.

                  (c) At Closing, Borrowers shall execute and deliver to Lender
a promissory note evidencing Borrowers' unconditional obligation to repay Lender
for Revolving Credit Loans, advances, and other extensions of credit made under
the Loan, in the form of Exhibit A to this Agreement (the "Note"), dated the
date hereof, payable to the order of Lender in accordance with the terms
thereof. The amounts outstanding under the Note shall bear interest from the
date thereof until repaid, with interest payable monthly in arrears on the first
Business Day of each month, at a rate per annum (on the basis of the actual
number of days elapsed over a year of 360 days) equal to the Base Rate, provided
that after the occurrence and during the continuance of an Event of Default (but
not a Limited Event of Default) such rate shall be equal to the Default Rate.
Each Revolving Credit Loan, advance and other extension of credit shall be
deemed evidenced by the Note, which is deemed incorporated by reference herein
and made a part hereof.

                  (d) Subject to the terms and conditions of this Agreement,
advances under the Loan shall be made against a borrowing base equal to eighty
percent (80%) of Qualified Accounts due and owing from any Medicaid/Medicare
Account Debtor, Insurer or other Account Debtor (the "Borrowing Base").

         SECTION 2.2. LOAN ADMINISTRATION. Borrowings under the Loan shall be as
follows:

                  (a) A request for a Revolving Credit Loan shall be made, or
shall be deemed to be made, in the following manner: (i) Borrowers may give
Lender notice of their intention to borrow, in which notice Borrowers shall
specify the amount of the proposed borrowing and the proposed borrowing date,
not later than 5:00 p.m. Eastern time one (1) Business Day prior to the proposed
borrowing date; provided, however, that no such request may be made at a time
when there exists an Event of Default (other than a Limited Event of Default);
and (ii) the becoming due of any amount required to be paid under this
Agreement, whether as interest or for any other Obligation, shall be deemed
irrevocably to be a request for a Revolving Credit Loan on the due date in the
amount required to pay such interest or other Obligation. With respect to any
request for a Revolving Credit Loan which is made not later than 10:30 a.m.
Eastern time, Lender shall use its best efforts to advance proceeds of such
Revolving Credit Loan by 4:00 p.m. on the same Business Day.


                                       7

<PAGE>   9
                  (b) Borrowers hereby irrevocably authorize Lender to disburse
the proceeds of each Revolving Credit Loan requested, or deemed to be requested,
as follows: (i) the proceeds of each Revolving Credit Loan requested under
subsection 2.2(a)(i) shall be disbursed by Lender by wire transfer to such bank
account as may be agreed upon by Borrowers or Lender from time to time or
elsewhere if pursuant to written direction from Borrowers; and (ii) the proceeds
of each Revolving Credit Loan requested under subsection 2.2(a)(ii) shall be
disbursed by Lender by way of direct payment of the relevant interest or other
Obligation.

                  (c) All Revolving Credit Loans, advances and other extensions
of credit to or for the benefit of Borrowers shall constitute one general
Obligation of Borrowers, and shall be secured by Lender's lien upon all of the
Collateral.

                  (d) Lender shall enter all Revolving Credit Loans as debits to
a loan account in the name of Borrowers and shall also record in said loan
account all payments made by Borrowers on any Obligations and all proceeds of
Collateral which are indefeasibly paid to Lender, and may record therein, in
accordance with customary accounting practice, other debits and credits,
including interest and all charges and expenses properly chargeable to
Borrowers.

                  (e) Lender will account to Borrowers monthly with a statement
of Revolving Credit Loans, charges and payments made pursuant to this Agreement,
and such account rendered by Lender shall be deemed final, binding and
conclusive upon Borrowers absent manifest error.

         SECTION 2.3. COLLECTIONS, DISBURSEMENTS, BORROWING AVAILABILITY, AND
LOCKBOX ACCOUNT. Borrowers shall maintain a lockbox account (the "Lockbox") with
First Union National Bank of Florida, N.A. (Jacksonville Office) (the "Lockbox
Bank"), subject to the provisions of this Agreement, and shall execute with the
Lockbox Bank a Lockbox Agreement in the form attached as Exhibit B, and such
other agreements related thereto as Lender may require. Each Borrower shall
ensure that all collections of Accounts are paid directly from Account Debtors
into the Lockbox, and that all funds paid into the Lockbox are immediately
transferred into a depository account maintained by Lender at Bank One Arizona,
N.A. or U.S. Bank, N.A., as determined by Lender in its sole discretion and
communicated to Borrower (the "Concentration Account"). Lender shall apply, on a
daily basis, all funds transferred into the Concentration Account pursuant to
this Section 2.3 to reduce the outstanding indebtedness under the Loan with
future Revolving Credit Loans, advances and other extensions of credit to be
made by Lender under the conditions set forth in this Article II. To the extent
that any collections of Accounts or proceeds of other Collateral are not sent
directly to the Lockbox but are received by a Borrower, such collections shall
be held in trust for the benefit of Lender and immediately remitted, in the form
received, to the Lockbox Bank for transfer to the Concentration Account
immediately upon receipt by such Borrower. Each Borrower acknowledges and agrees
that its compliance with the terms of this Section 2.3 is essential, and that
upon its failure to comply with any such terms Lender shall be entitled to
assess a non-compliance fee which shall operate to increase the Base Rate by two
percent (2%) per annum during any period of non-compliance. Lender shall be
entitled to assess such fee whether or not an Event of Default is declared or



                                       8
<PAGE>   10

otherwise occurs. All funds transferred from the Concentration Account for
application to Borrowers' indebtedness to Lender shall be applied to reduce the
Loan balance but for purposes of calculating interest shall be subject to a
three (3) Business Day clearance period. If as the result of collections of
Accounts pursuant to the terms and conditions of this Section 2.3 a credit
balance exists with respect to the Concentration Account, such credit balance
shall not accrue interest in favor of Borrowers, but shall be available to
Borrowers at any time or times for so long as no Event of Default (other than a
Limited Event of Default) exists.

         SECTION 2.4. FEES.

                  (a) At Closing, Borrower shall unconditionally pay to Lender a
commitment fee equal One Hundred Forty Thousand and No/100 Dollars ($140,000.00)
in the aggregate under this Agreement and the Affiliated Loan Agreement (as
defined in Section 3.1 of this Agreement)(the "Commitment Fee").

                  (b) For so long as the Loan is available to Borrowers,
Borrowers unconditionally shall pay to Lender a monthly usage fee (the "Usage
Fee") equal to one twelfth (1/12th) of one percent (1.0%) of the average amount
by which Fourteen Million and No/100 Dollars ($14,000,000.00) exceeds the
aggregate average amount of the outstanding principal balance of the Revolving
Credit Loans during the preceding month. The Usage Fee shall be payable monthly
in arrears on the first Business Day of each successive calendar month.

                  (c) For so long as the Loan is available to Borrowers,
Borrowers unconditionally shall pay to Lender a monthly loan management fee (the
"Loan Management Fee") equal to Three Thousand Five Hundred and No/100 Dollars
($3,500.00) per month in the aggregate under this Agreement aand the Affiliated
Loan Agreement. The Loan Management Fee shall be payable monthly in arrears on
the first day of each successive calendar month.

                  (d) Within 30 days after demand by Lender, Borrowers shall pay
to Lender all audit and appraisal fees in connection with audits and appraisals
of any Borrower's books and records and such other matters as Lender shall deem
appropriate; provided, however, that absent the occurrence of an Event of
Default (other than a Limited Event of Default) such fees shall not exceed
Twenty Thousand and No/100 Dollars ($20,000.00) in the aggregate under this
Agreement and the Affiliated Loan Agreement in any twelve month period.

                  (e) Borrowers shall pay to Lender, on demand, any and all
fees, costs or expenses which Lender or any participant pays to a bank or other
similar institution (including, without limitation, any fees paid by Lender to
any participant) arising out of or in connection with (i) the forwarding to
Borrowers or any other Person on behalf of Borrowers, by Lender, of proceeds of
Revolving Credit Loans made by Lender to Borrowers pursuant to this Agreement,
and (ii) the depositing for collection, by Lender or any participant, of any
check or item of payment received or delivered to Lender or any participant on
account of Obligations.



                                       9
<PAGE>   11

         SECTION 2.5. PAYMENTS. Principal payable on account of Revolving Credit
Loans shall be payable by Borrowers to Lender immediately upon the earliest of
(i) the receipt by any Borrower of any proceeds of any of the Collateral, to the
extent of such proceeds, (ii) the occurrence of an Event of Default in
consequence of which the Loan and the maturity of the payment of the Obligations
are accelerated, or (iii) the termination of this Agreement pursuant to Section
2.8 hereof; provided, however, that if any advance made by Lender in excess of
the Borrowing Base shall exist at any time, Borrowers shall, immediately upon
demand, repay such overadvance. Interest accrued on the Revolving Credit Loans
shall be due on the earliest of (i) the first Business Day of each month (for
the immediately preceding month), computed on the last calendar day of the
preceding month, (ii) the occurrence of an Event of Default in consequence of
which the Loan and the maturity of the payment of the Obligations are
accelerated, or (iii) the termination of this Agreement pursuant to Section 2.8
hereof. Except to the extent otherwise set forth in this Agreement, all payments
of principal and of interest on the Loan, all other charges and any other
obligations of Borrowers hereunder, shall be made to Lender to the Concentration
Account, in immediately available funds.

         SECTION 2.6. USE OF PROCEEDS. The proceeds of Lender's advances under
the Loan shall be used solely for working capital purposes arising in the
ordinary course of Borrowers' business.

         SECTION 2.7. INTEREST RATE LIMITATION. The parties intend to conform
strictly to the applicable usury laws in effect from time to time during the
term of the Loan. Accordingly, if any transaction contemplated hereby would be
usurious under such laws, then notwithstanding any other provision hereof: (i)
the aggregate of all interest that is contracted for, charged, or received under
this Agreement or under any other Loan Document shall not exceed the maximum
amount of interest allowed by applicable law (the "Highest Lawful Rate"), and
any excess shall be promptly credited to Borrowers by Lender (or, to the extent
that such consideration shall have been paid, such excess shall be promptly
refunded to Borrowers by Lender); (ii) neither Borrowers nor any other Person
now or hereafter liable hereunder shall be obligated to pay the amount of such
interest to the extent that it is in excess of the Highest Lawful Rate; and
(iii) the effective rate of interest shall be reduced to the Highest Lawful
Rate. All sums paid, or agreed to be paid, to Lender for the use, forbearance,
and detention of the debt of Borrowers to Lender shall, to the extent permitted
by applicable law, be allocated throughout the full term of the Note until
payment is made in full so that the actual rate of interest does not exceed the
Highest Lawful Rate in effect at any particular time during the full term
thereof. If at any time the rate of interest under the Note exceeds the Highest
Lawful Rate, the rate of interest to accrue pursuant to this Agreement shall be
limited, notwithstanding anything to the contrary herein, to the Highest Lawful
Rate, but any subsequent reductions in the Base Rate shall not reduce the
interest to accrue pursuant to this Agreement below the Highest Lawful Rate
until the total amount of interest accrued equals the amount of interest that
would have accrued if a varying rate per annum equal to the interest rate under
the Note had at all times been in effect. If the total amount of interest paid
or accrued pursuant to this Agreement under the foregoing provisions is less
than the total amount of interest that would have accrued if a varying rate per
annum equal to the interest rate under the Note had been in effect, then
Borrowers agree to pay


                                       10
<PAGE>   12

to Lender an amount equal to the difference between (i) the lesser of (x) the
amount of interest that would have accrued if the Highest Lawful Rate had at all
times been in effect, or (y) the amount of interest that would have accrued if a
varying rate per annum equal to the interest rate under the Note had at all
times been in effect, and (ii) the amount of interest accrued in accordance with
the other provisions of this Agreement.

         SECTION 2.8.  TERM.

                  (a) Subject to Lender's right to cease making Revolving Credit
Loans to Borrowers upon or after the occurrence and during the continuance of
any Event of Default (subject to Section 8.1 (b)), this Agreement shall be in
effect for a period of three (3) years from the Closing Date, unless terminated
as provided in this Section 2.8 (the "Term"), and this Agreement shall be
renewed for one-year periods thereafter upon the mutual written agreement of the
parties.

                  (b) Notwithstanding anything herein to the contrary, Lender
may (subject to Section 8.1 (b)) terminate this Agreement without notice upon or
after the occurrence and during the continuance of the occurrence of an Event of
Default.

                  (c) Upon at least thirty (30) days prior written notice to
Lender, Borrower may terminate this Agreement prior to the third annual
anniversary of the Closing Date, provided that, at the effective date of such
termination, Borrowers shall pay to Lender (in addition to the then outstanding
principal, accrued interest and other Obligations owing under the terms of this
Agreement and any other Loan Documents) as liquidated damages for the loss of
bargain and not as a penalty, an amount equal to One Hundred Forty Thousand and
No/100 Dollars ($140,000.00) in the aggregate under this Agreement and the
Affiliated Loan Agreement.

                  (d) All of the Obligations shall be immediately due and
payable upon the termination date stated in any notice of termination of this
Agreement. All undertakings, agreements, covenants, warranties, and
representations of Borrowers contained in the Loan Documents shall survive any
such termination and Lender shall retain its liens in the Collateral and all of
its rights and remedies under the Loan Documents notwithstanding such
termination until Borrowers have paid the Obligations to Lender, in full, in
immediately available funds.

         SECTION 2.9. JOINT AND SEVERAL LIABILITY; BINDING OBLIGATIONS. Each
Borrower shall be jointly and severally liable for all of the Obligations. In
addition, each Borrower hereby acknowledges and agrees that all of the
representations, warranties, covenants, obligations, conditions, agreements and
other terms contained in this Agreement shall be applicable to and shall be
binding upon each Borrower, and shall be binding upon all such entities when
taken together; provided , however, that such representations, warranties and
covenants shall be deemed to be made by each Borrower as to itself, but not as
to any other Borrower despite its binding nature with respect to the other
entities.

                                       11
<PAGE>   13


                                   ARTICLE III

                                   COLLATERAL

         SECTION 3.1. GENERALLY. As security for the payment of all liabilities
of Borrowers to Lender, including without limitation: (i) indebtedness evidenced
under the Note, repayment of Revolving Credit Loans, advances and other
extensions of credit, all fees and charges owing by Borrowers, and all other
liabilities and obligations of every kind or nature whatsoever of Borrowers to
Lender, whether now existing or hereafter incurred, joint or several, matured or
unmatured, direct or indirect, primary or secondary, related or unrelated, due
or to become due, including but not limited to any extensions, modifications,
substitutions, increases and renewals thereof, (ii) the payment of all amounts
advanced by Lender to preserve, protect, defend, and enforce its rights
hereunder and in the following property in accordance with the terms of this
Agreement, and (iii) the payment of all expenses incurred by Lender in
connection therewith (collectively, the "Obligations"), and as further security
for the payment and performance of the obligations of Retirement Care
Associates, Inc. and other borrowers (collectively, the "Affiliated Borrower")
under the Loan and Security Agreement dated December 15, 1997, as amended,
modified or replaced (the "Affiliated Loan Agreement") each Borrower hereby
assigns and grants to Lender a continuing first priority lien on and security
interest in, upon, and to the following property (the "Collateral"):

                  (a) All of such Borrower's now-owned and hereafter acquired or
arising Accounts, accounts receivable and rights to payment of every kind and
description, and any contract rights, chattel paper, documents and instruments
with respect thereto but specifically excluding Leases and Rents;

                  (b) All of such Borrower's now owned and hereafter acquired or
arising general intangibles of every kind and description pertaining to its
Accounts, accounts receivable and other rights to payment, including, but not
limited to, all existing and future customer lists, choses in action, claims,
books, records, contracts, licenses, formulae, tax and other types of refunds,
returned and unearned insurance premiums, rights and claims under insurance
policies, and computer information, software, records, and data but specifically
excluding Leases and Rents;

                  (c) All of such Borrower's monies and other property of every
kind and nature now or at any time or times hereafter in the possession of or
under the control of Lender or a bailee or Affiliate of Lender; and

                  (d) The proceeds (including, without limitation, insurance
proceeds) of all of the foregoing.

         SECTION 3.2. LIEN DOCUMENTS. At Closing and thereafter as Lender deems
necessary in its reasonable discretion, each Borrower shall execute and deliver
to Lender, or have executed and delivered (all in form and substance
satisfactory to Lender in its sole discretion):



                                       12
<PAGE>   14

                  (a) UCC-1 Financing statements pursuant to the Uniform
Commercial Code in effect in the jurisdiction(s) in which such Borrower
operates, which Lender may file in any jurisdiction where any Collateral is or
may be located and in any other jurisdiction that Lender deems appropriate;
provided that a carbon, photographic, or other reproduction or other copy of
this Agreement or of a financing statement is sufficient as and may be filed in
lieu of a financing statement; and

                  (b) Any other agreements, documents, instruments, and writings
reasonably deemed necessary by Lender or as Lender may otherwise request from
time to time in its sole discretion to evidence, perfect, or protect Lender's
lien and security interest in the Collateral required hereunder.

         SECTION 3.3.  COLLATERAL ADMINISTRATION.

                  (a) All Collateral (except deposit accounts) will at all times
be kept by each Borrower at its principal office(s) as set forth on Exhibit C
hereto and shall not, without the prior written approval of Lender, be moved
therefrom.

                  (b) Each Borrower shall keep accurate and complete records of
its Accounts and all payments and collections thereon and shall submit to Lender
sales and collections reports with respect thereto as required by Section 6.1
hereof. In addition, if Borrower becomes aware that Accounts in an aggregate
face amount in excess of $100,000.00 have become ineligible since the date of
Borrowers' last Borrowing Base Certificate because they fall within one of the
specified categories of ineligibility set forth in the definition of Qualified
Accounts or otherwise, Borrower shall notify Lender of such occurrence on the
first Business Day following Borrowers' knowledge of such occurrence and the
Borrowing Base shall thereupon be adjusted to reflect such occurrence.

                  (c) Whether or not an Event of Default has occurred, any of
Lender's officers, employees or agents shall have the right, at any time or
times hereafter, in the name of Lender, any designee of Lender or Borrowers, to
verify the validity, amount or any other matter relating to any Accounts by
mail, telephone, telegraph or otherwise. Borrowers shall cooperate fully with
Lender in an effort to facilitate and promptly conclude such verification
process.

                  (d) To expedite collection, each Borrower shall endeavor in
the first instance to make collection of its Accounts for Lender. Lender retains
the right at all times after the occurrence of an Event of Default (other than a
Limited Event of Default), subject to applicable law regarding Medicaid/Medicare
Account Debtors, to notify Account Debtors that Accounts have been assigned to
Lender and to collect Accounts directly in its own name and to charge the
collection costs and expenses, including attorneys' fees, to Borrowers.

         SECTION 3.4. OTHER ACTIONS. In addition to the foregoing, Borrowers (i)
shall provide prompt written notice to each private indemnity, managed care or
other Insurer who either is currently an Account Debtor or becomes an Account
Debtor at any time following the date


                                       13
<PAGE>   15

hereof that Lender has been granted a first priority lien and security interest
in, upon and to all Accounts applicable to such Insurer, and hereby authorizes
Lender to send any and all similar notices to such Insurers by Lender, and (ii)
shall do anything further that may be lawfully required by Lender to secure
Lender and effectuate the intentions and objects of this Agreement, including
but not limited to the execution and delivery of lockbox agreements,
continuation statements, amendments to financing statements, and any other
documents required hereunder. At Lender's request, Borrowers shall also
immediately deliver to Lender all items for which Lender must receive possession
to obtain a perfected security interest. Borrowers shall, on Lender's demand,
deliver to Lender all notes, certificates, and documents of title, chattel
paper, warehouse receipts, instruments, and any other similar instruments
constituting Collateral.

         SECTION 3.5. SEARCHES. Prior to Closing, and thereafter if an Event of
Default (other than a Limited Event of Default) or event which with the passing
of time, the giving of notice or both could constitute an Event of Default
(other than a Limited Event of Default) has occurred and is continuing,
Borrowers shall obtain and deliver to Lender the following searches against
Borrowers (the results of which are to be consistent with Borrowers'
representations and warranties under this Agreement), all at its own expense:

                  (a) Uniform Commercial Code searches with the Secretary of
State and local filing offices of each jurisdiction where Borrower maintains its
executive offices, a place of business, or assets;

                  (b) Judgment, federal tax lien and corporate and partnership
tax lien searches, in each jurisdiction searched under clause (a) above; and

                  (c) Good standing certificates showing Borrower to be in good
standing in its state of formation and in each other state in which it is doing
and presently intends to do business for which qualification is required.

         SECTION 3.6. POWER OF ATTORNEY. Each of the officers of Lender is
hereby irrevocably made, constituted and appointed the true and lawful attorney
for each Borrower (without requiring any of them to act as such) with full power
of substitution to, after the occurrence and during the continuance of an Event
of Default (other than a Limited Event of Default), do the following: (i)
endorse the name of such Borrower upon any and all checks, drafts, money orders,
and other instruments for the payment of money that are payable to such Borrower
and constitute collections on Borrower's Accounts; (ii) execute in the name of
such Borrower any financing statements, schedules, assignments, instruments,
documents, and statements that such Borrower is obligated to give Lender
hereunder; and (iii) do such other and further acts and deeds in the name of
Borrower that Lender may deem necessary or desirable to enforce any Account or
other Collateral or perfect Lender's security interest or lien in any
Collateral.


                                   ARTICLE IV

                                       14



                                       

<PAGE>   16

                         REPRESENTATIONS AND WARRANTIES

         Each entity comprising the Borrower represents and warrants to Lender
(with respect to itself only, and not with respect to any other Borrower), and
shall be deemed to represent and warrant on each day on which any Obligations
shall be outstanding hereunder, that:

         SECTION 4.1. SUBSIDIARIES. Except as set forth in Schedule 4.1,
Borrower has no subsidiaries.

         SECTION 4.2. ORGANIZATION AND GOOD STANDING. Borrower is a limited
partnership or corporation (as the case may be) duly organized, validly
existing, and in good standing under the laws of its state of formation, is in
good standing as a foreign limited partnership or corporation (as the case may
be) in each jurisdiction in which the character of the properties owned or
leased by it therein or the nature of its business makes such qualification
necessary, has the partnership or corporate power and authority to own its
assets and transact the business in which it is engaged, and has obtained all
certificates, licenses and qualifications required under all laws, regulations,
ordinances, or orders of public authorities necessary for the ownership and
operation of all of its properties and transaction of all of its business.

         SECTION 4.3. AUTHORITY. Borrower has full partnership or corporate
power and authority to enter into, execute, and deliver this Agreement and to
perform its obligations hereunder, to borrow the Loan, to execute and deliver
the Note, and to incur and perform the obligations provided for in the Loan
Documents, all of which have been duly authorized by all necessary partnership
or corporate action. No consent or approval of partners or shareholders of, or
lenders to, Borrower and no consent, approval, filing or registration with any
Governmental Authority is required as a condition to the validity of the Loan
Documents or the performance by Borrower of its obligations thereunder.

         SECTION 4.4. BINDING AGREEMENT. This Agreement and all other Loan
Documents constitute, and the Note, when issued and delivered pursuant hereto
for value received, will constitute, the valid and legally binding obligations
of Borrower, enforceable against Borrower in accordance with their respective
terms.

         SECTION 4.5. LITIGATION. Except as disclosed in Schedule 4.5, there are
no actions, suits, proceedings or investigations pending or threatened against
Borrower before any court or arbitrator or before or by any Governmental
Authority which, in any one case or in the aggregate, if determined adversely to
the interests of Borrower, could have a material adverse effect on the business,
properties, condition (financial or otherwise) or operations, present or
prospective, of Borrower, or upon its ability to perform its obligations under
the Loan Documents. Borrower is not in default with respect to any order of any
court, arbitrator, or Governmental Authority applicable to Borrower or its
properties.



                                       15
<PAGE>   17

         SECTION 4.6.  NO CONFLICTS. The execution and delivery by Borrower of
this Agreement and the other Loan Documents do not, and the performance of its
obligations thereunder will not, violate, conflict with, constitute a default
under, or result in the creation of a lien or encumbrance upon the property of
Borrower under: (i) any provision of Borrower's articles of incorporation or
bylaws, or articles of formation, certificate of limited partnership or
operating agreement (as the case may be), (ii) any provision of any law, rule,
or regulation applicable to Borrower, or (iii) any of the following: (A) any
indenture or other agreement or instrument to which Borrower is a party or by
which Borrower or its property is bound; or (B) any judgment, order or decree of
any court, arbitration tribunal, or Governmental Authority having jurisdiction
over Borrower which is applicable to Borrower.

         SECTION 4.7.  FINANCIAL CONDITION. The annual financial statements of
Borrower (prepared on a consolidated basis with the other Borrowers, and
Affiliated Borrowers and its other controlled entities) as of             
audited by               and the unaudited financial statements of            
Borrower as of September 30, 1997, certified by the chief financial officer or
general partner of Borrower (as the case may be), which have been delivered to
Lender, fairly present the financial condition of Borrower and the results of
its operations and changes in financial condition as of the dates and for the
periods referred to, and have been prepared in accordance with GAAP. There are
no material unrealized or anticipated liabilities, direct or indirect, fixed or
contingent, of Borrower as of the dates of such financial statements which are
not reflected therein or in the notes thereto. There has been no material
adverse change in the business, properties, condition (financial or otherwise)
or operations (present or prospective) of Borrower since September 30, 1997.
Borrower's fiscal year ends on                    . The federal tax
identification number of each entity comprising the Borrower is as described on
Schedule 4.15.

         SECTION 4.8.  NO DEFAULT. Borrower is not in default under or with
respect to any obligation in any respect which could be materially adverse to
its business, operations, property or financial condition, or which could
materially and adversely affect the ability of Borrower to perform its
obligations under the Loan Documents. No Event of Default as to such Borrower or
event which, with the giving of notice or lapse of time, or both, could become
an Event of Default as to such Borrower, has occurred and is continuing.

         SECTION 4.9.  TITLE TO PROPERTIES. Borrower has good and marketable
title to its properties and assets, including the Collateral and the properties
and assets reflected in the financial statements described in Section 4.7,
subject to no lien, mortgage, pledge, encumbrance or charge of any kind, other
than Permitted Liens. Borrower has not agreed or consented to cause any of its
properties or assets whether owned now or hereafter acquired to be subject in
the future (upon the happening of a contingency or otherwise) to any lien,
mortgage, pledge, encumbrance or charge of any kind other than Permitted Liens.

         SECTION 4.10. TAXES. Borrower has filed, or has obtained extensions for
the filing of, all federal, state and other tax returns which are required to be
filed, and has paid all taxes shown as due on those returns and all assessments,
fees and other amounts due as of the date hereof. All


                                       16
<PAGE>   18

tax liabilities of Borrower were, as of March 31, 1997 and are now, adequately
provided for on Borrower's books. No tax liability has been asserted by the
Internal Revenue Service or other taxing authority against Borrower for taxes in
excess of those already paid.

         SECTION 4.11. SECURITIES AND BANKING LAWS AND REGULATIONS.

                  (a) The use of the proceeds of the Loan and Borrower's
issuance of the Note will not directly or indirectly violate or result in a
violation of the Securities Act of 1933 or the Securities Exchange Act of 1934,
as amended, or any regulations issued pursuant thereto, including without
limitation Regulations U, T, G, or X of the Board of Governors of the Federal
Reserve System. Borrower is not engaged in the business of extending credit for
the purpose of the purchasing or carrying "margin stock" within the meaning of
those regulations. No part of the proceeds of the Loan hereunder will be used to
purchase or carry any margin stock or to extend credit to others for such
purpose.

                  (b) Borrower is not an investment company within the meaning
of the Investment Company Act of 1940, as amended, nor is it, directly or
indirectly, controlled by or acting on behalf of any Person which is an
investment company within the meaning of that Act.

         SECTION 4.12. ERISA. No employee benefit plan (a "Plan") subject to the
Employee Retirement Income Security Act of 1974 ("ERISA") and regulations issued
pursuant thereto that is maintained by Borrower or under which Borrower could
have any liability under ERISA (a) has failed to meet minimum funding standards
established in Section 302 of ERISA, (b) has failed to comply with all
applicable requirements of ERISA and of the Internal Revenue Code, including all
applicable rulings and regulations thereunder, (c) has engaged in or been
involved in a prohibited transaction (as defined in ERISA) under ERISA or under
the Internal Revenue Code, or (d) has been terminated. Borrower has not assumed,
or received notice of a claim asserted against Borrower for, withdrawal
liability (as defined in the Multi-Employer Pension Plan Amendments Act of 1980,
as amended) with respect to any multi-employer pension plan and is not a member
of any Controlled Group (as defined in ERISA). Borrower has timely made when due
all contributions with respect to any multi-employer pension plan in which it
participates and no event has occurred triggering a claim against Borrower for
withdrawal liability with respect to any multi-employer pension plan in which
Borrower participates.

         SECTION 4.13. COMPLIANCE WITH LAW. Except as described in Schedule
4.13, Borrower is not in violation of any statute, rule or regulation of any
Governmental Authority (including, without limitation, any statute, rule or
regulation relating to employment practices or to environmental, occupational
and health standards and controls). Borrower has obtained all licenses, permits,
franchises, and other governmental authorizations necessary for the ownership of
its properties and the conduct of its business. Borrower is current with all
reports and documents required to be filed with any state or federal securities
commission or similar Governmental Authority and is in full compliance with all
applicable rules and regulations of such commissions.



                                       17
<PAGE>   19

         SECTION 4.14. ENVIRONMENTAL MATTERS. To Borrower's knowledge, without
independent inquiry no use, exposure, release, generation, manufacture, storage,
treatment, transportation or disposal of Hazardous Material has occurred or is
occurring on or from any real property on which the Collateral is located or
which is owned, leased or otherwise occupied by Borrower (the "Premises"), or
off the Premises as a result of any action of Borrower, except as described in
Schedule 4.14 or at levels that comply with applicable law.

         SECTION 4.15. PLACES OF BUSINESS. The only places of business of
Borrower, and the places where it keeps and intends to keep the Collateral and
records concerning the Collateral, are at the addresses set forth in Schedule
4.15. Schedule 4.15 also lists the owner of record of each such property.

         SECTION 4.16. INTELLECTUAL PROPERTY. Borrower exclusively owns or
possesses all the patents, patent applications, trademarks, trademark
applications, service marks, trade names, copyrights, franchises, licenses, and
rights with respect to the foregoing necessary for the present and planned
future conduct of its business, without any conflict with the rights of others.
A list of all such intellectual property (indicating the nature of Borrower's
interest), as well as all outstanding franchises and licenses given by or held
by Borrower, is attached as Schedule 4.16. Borrower is not in default of any
obligation or undertaking with respect to such intellectual property or rights.

         SECTION 4.17. STOCK OWNERSHIP. The identity of the stockholders of
record of all classes of the outstanding stock of Borrower, together with the
respective ownership percentages held by such stockholders, are as set forth on
Schedule 4.17.

         SECTION 4.18. MATERIAL FACTS. Neither this Agreement nor any other Loan
Document nor any other agreement, document, certificate, or statement furnished
to Lender by or on behalf of Borrower in connection with the transactions
contemplated hereby contains any untrue statement of material fact or omits to
state a material fact necessary in order to make the statements contained herein
or therein not misleading. There is no fact known to Borrower that materially
and adversely affects or in the future may materially and adversely affect the
business, operations, affairs or financial condition of Borrower, or any of its
properties or assets.

         SECTION 4.19. INVESTMENTS, GUARANTEES, AND CERTAIN CONTRACTS. Borrower
is not a party to any contract or agreement, or subject to any partnership or
corporate restriction, which materially and adversely affects its business.

         SECTION 4.20. INTENTIONALLY DELETED.

         SECTION 4.21. NAMES. Within five years prior to the date hereof,
Borrower has not conducted business under or used any other name (whether
corporate, partnership or assumed) other than as shown on Schedule 4.21.
Borrower is the sole owner of all names listed on that Schedule and any and all
business done and invoices issued in such names are Borrower's sales,


                                       18
<PAGE>   20

business, and invoices. Each trade name of Borrower represents a division or
trading style of Borrower and not a separate Person or independent Affiliate.

         SECTION 4.22  INTENTIONALLY DELETED.

         SECTION 4.23 ACCOUNTS. Lender may rely, in determining which Accounts
are Qualified Accounts, on all statements and representations made by Borrower
with respect to any Account or Accounts. Unless otherwise indicated in writing
to Lender, with respect to each Account:

                  (a) It is genuine and in all respects what it purports to be,
and is not evidenced by a judgment;

                  (b) It arises out of a completed, bona fide sale and delivery
of goods or rendition of services by Borrower in the ordinary course of its
business and substantially in accordance with the terms and conditions of all
purchase orders, contracts, certification, participation, certificate of need,
or other documents relating thereto and forming a part of the contract between
Borrower and the Account Debtor;

                  (c) It is for a liquidated amount maturing as stated in a
duplicate claim or invoice covering such sale or rendition of services, a copy
of which has been furnished or is available to Lender (or in the case of
Accounts owed by Florida Medicaid and all Medicare Account Debtors, that Medical
Services have been rendered but have not yet been invoiced as a result of
applicable Medicaid or Medicare billing procedures);

                  (d) Such Account, and Lender's security interest therein, is
not, and will not (by voluntary act or omission by Borrower), be in the future,
subject to any lien, claim or encumbrance, and each such Account is absolutely
owing to Borrower and is not contingent in any respect or for any reason;

                  (e) To Borrower's knowledge without independent inquiry, there
are no facts, events or occurrences which in any way impair the validity or
enforceability of any Accounts;

                  (f) It has been billed and forwarded to the Account Debtor for
payment in accordance with applicable laws and compliance and conformance with
any and requisite procedures, requirements and regulations governing payment by
such Account Debtor with respect to such Account (or in the case of Accounts
owed by Florida Medicaid and all Medicare Account Debtors, that Medical Services
have been rendered but have not yet been invoiced as a result of applicable
Medicaid or Medicare billing procedures), and such Account if due from a
Medicaid/Medicare Account Debtor is properly payable directly to Borrower; and

                  (g) Borrower has obtained and currently has all certificates
of need, Medicaid and Medicare provider numbers, licenses, permits and
authorizations as necessary in the generation of such Accounts.



                                       19
<PAGE>   21

                                    ARTICLE V

                        CLOSING AND CONDITIONS OF LENDING

         SECTION 5.1. CONDITIONS PRECEDENT TO AGREEMENT. The obligation of
Lender to enter into and perform this Agreement and to make Revolving Credit
Loans is subject to the following conditions precedent:

                  (a) Lender shall have received two (2) originals of this
Agreement and all other Loan Documents required to be executed and delivered at
or prior to Closing (other than the Note, as to which Lender shall receive only
one original), executed by Borrowers and any other required Persons, as
applicable.

                  (b) Lender shall have received all searches and good standing
certificates required by Section 3.5.

                  (c) Borrowers shall have complied and shall then be in
compliance with all the terms, covenants and conditions of the Loan Documents.

                  (d) There shall have occurred no Event of Default and no event
which, with the giving of notice or the lapse of time, or both, could constitute
such an Event of Default.

                  (e) The representations and warranties contained in Article IV
shall be true and correct in all material respects.

                  (f) Lender shall have received copies of all board of
directors resolutions of the general partner or other corporate action taken by
Borrowers to authorize the execution, delivery and performance of the Loan
Documents and the borrowing of the Loan thereunder, as well as the names and
signatures of the officers of Borrowers authorized to execute documents on its
behalf in connection herewith, all as also certified as of the date hereof by
each Borrower's chief financial officer or Borrower's general partner (as the
case may be), and such other papers as Lender may require.

                  (g) Lender shall have received copies, certified as true,
correct and complete by a corporate officer or the corporate officer of the
general partner (as the case may be)of each Borrower, of the articles of
incorporation or formation and bylaws of the general partner, (as the case may
be) of each Borrower, with any amendments to any of the foregoing, and all other
documents necessary for performance of the obligations of Borrower under this
Agreement and the other Loan Documents.

                  (h) Lender shall have received a written opinion of counsel
for Borrower, dated the date hereof, in the form of Exhibit D.



                                       20
<PAGE>   22

                  (i) Lender shall have received such financial statements,
reports, certifications, and other operational information required to be
delivered hereunder, including without limitation an initial borrowing base
certificate calculating the Borrowing Base.

                  (j) Lender shall have received the first installment of the
Commitment Fee.

                  (k) The Lockbox and the Concentration Account shall have been 
established.

                  (l) Lender shall have received an estoppel certificate
substantially in the form of Exhibit E attached hereto from Borrower's landlord
or sublandlord, as the case may be, with respect to each of the facilities
identified on Schedule 4.15 which is a leased facility.

                  (m) Lender shall have received a certificate of Borrower's
chief financial officer, dated the Closing Date, certifying that all of the
conditions specified in this Section have been fulfilled.

         SECTION 5.2. CONDITIONS PRECEDENT TO ADVANCES. Notwithstanding any
other provision of this Agreement, no Loan proceeds, Revolving Credit Loans,
advances or other extensions of credit under the Loan shall be disbursed
hereunder unless the following conditions have been satisfied or waived
immediately prior to such disbursement:

                  (a) The representations and warranties on the part of
Borrowers (excluding any Borrower that is then deemed to be a Defaulted Borrower
pursuant to Section 8.1 (b) hereof) contained in Article IV of this Agreement
shall be true and correct in all material respects at and as of the date of
disbursement or advance, as though made on and as of such date, except as
follows (i) to the extent that such representations and warranties expressly
relate solely to an earlier date, (ii) the references in Section 4.7 to
financial statements shall be deemed to be a reference to the then most recent
annual and interim financial statements of Borrowers furnished to Lender
pursuant to Section 6.1 hereof, (iii) such representations and warranties shall
be deemed to have been supplemented by any written updates pertaining thereto,
as delivered by Borrowers to Lender from time to time and (iv) Borrower's
reaffirmation of Section 4.17 shall be deemed only a representation that any
changes in Borrower's ownership have been in accordance with Section 7.14
hereof.

                  (b) No Event of Default (other than a Limited Event of
Default) or event which, with the giving of notice of the lapse of time, or
both, could become an Event of Default (other than a Limited Event of Default)
shall have occurred and be continuing or would result from the making of the
disbursement or advance.

                  (c) No event or events have occurred which have caused a
material adverse change in the condition (financial or otherwise), properties,
business, or operations of Borrowers, taken as a whole, shall have occurred and
be continuing with respect to Borrowers, taken as a whole, since the date
hereof.



                                       21
<PAGE>   23

         SECTION 5.3. CLOSING. Subject to the conditions of this Article V, the
Loan shall be made available on the date as is mutually agreed by the parties
(the "Closing Date") at such time as may be mutually agreeable to the parties
upon the execution hereof (the "Closing") at such place as may be requested by
Lender.

         SECTION 5.4. WAIVER OF RIGHTS. By completing the Closing hereunder, or
by making advances under the Loan, Lender does not waive a breach of any
representation or warranty of any Borrower hereunder or under any other Loan
Document, and all of Lender's claims and rights resulting from any breach or
misrepresentation by any Borrower are specifically reserved by Lender.


                                   ARTICLE VI

                              AFFIRMATIVE COVENANTS

         Each Borrower covenants and agrees that for so long as such Borrower
may borrow hereunder and until payment in full of the Note and performance of
all other obligations of Borrowers under the Loan Documents:

         SECTION 6.1. FINANCIAL STATEMENTS AND COLLATERAL REPORTS. Borrower will
furnish to Lender (a) a sales and collections report and accounts receivable
aging schedule on a form acceptable to Lender within fifteen (15) days after the
end of each calendar month, which shall include, but not be limited to, a report
of sales, credits issued, and collections received; (b) payable aging schedules
within fifteen (15) days after the end of each calendar month; (c) quarterly
financial statements for Retirement Care Associates, Inc., prepared on a
consolidated basis with Borrowers and any of Retirement Care Associates, Inc.'s
other controlled entities; (d) annual audited financial statements on Form 10K
for Retirement Care Associates, Inc., prepared on a consolidated basis with
Borrowers and any of Retirement Care Associates, Inc.'s other controlled
entities prepared by Retirement Care Associates, Inc., or other independent
public accountants then engaged by Borrower, within one hundred thirty-five
(135) days after the end of each of Borrower's fiscal years; (e) promptly upon
receipt thereof, copies of any reports submitted to Borrower by the independent
accountants in connection with any interim audit of the books of Borrower and
copies of each management control letter provided to Borrower by independent
accountants; (f) as soon as available, copies of all financial statements and
notices provided by Borrower to all of its stockholders; and (g) such additional
information, reports or statements as Lender may from time to time reasonably
request. Annual financial statements shall set forth in comparative form figures
for the corresponding periods in the prior fiscal year. All financial statements
shall include a balance sheet and statement of earnings and shall be prepared in
accordance with GAAP.

         SECTION 6.2. PAYMENTS HEREUNDER. Borrower will make all payments of
principal, interest, fees, and all other payments required hereunder, under the
Loan, and under any other agreements with Lender to which Borrower is a party,
as and when due.

                                       22
<PAGE>   24

         SECTION 6.3. EXISTENCE, GOOD STANDING, AND COMPLIANCE WITH LAWS.
Borrower will do or cause to be done all things necessary (a) to obtain and keep
in full force and effect all corporate or partnership (as the case may be)
existence, rights, licenses, privileges, and franchises of Borrower necessary to
the ownership of its property or the conduct of its business, and comply with
all applicable present and future laws, ordinances, rules, regulations, orders
and decrees of any Governmental Authority having or claiming jurisdiction over
Borrower; and (b) to maintain and protect the properties used or useful in the
conduct of the operations of Borrower, in a prudent manner, including without
limitation the maintenance at all times of such insurance upon its insurable
property and operations as required by law or by Section 6.7 hereof.

         SECTION 6.4. LEGALITY. Borrower will obtain any and all consents,
approvals and authorizations of any Governmental Authority necessary for the
making of each disbursement or advance of the loan.

         SECTION 6.5.  INTENTIONALLY DELETED.

         SECTION 6.6. TAXES AND CHARGES. Borrower will timely file all tax
reports and pay and discharge all taxes, assessments and governmental charges or
levies imposed upon Borrower, or its income or profits or upon its properties or
any part thereof, before the same shall be in default and prior to the date on
which penalties attach thereto, as well as all lawful claims for labor,
material, supplies or otherwise which, if unpaid, might become a lien or charge
upon the properties or any part thereof of Borrower; provided, however, that
Borrower shall not be required to pay and discharge or cause to be paid and
discharged any such tax, assessment, charge, levy or claim so long as the
validity or amount thereof shall be contested in good faith and by appropriate
proceedings by Borrower, and Borrower shall have set aside on their books
adequate reserve therefor; and provided further, that such deferment of payment
is permissible only so long as Borrower's title to, and its right to use, the
Collateral is not adversely affected thereby and Lender's lien and priority on
the Collateral are not adversely affected, altered or impaired thereby.

         SECTION 6.7. INSURANCE. Borrower will carry adequate public liability
and professional liability insurance with responsible companies satisfactory to
Lender in such amounts and against such risks as is customarily maintained by
similar businesses and by owners of similar property in the same general area.

         SECTION 6.8. GENERAL INFORMATION. Borrower will furnish to Lender such
information as Lender may, from time to time, reasonably request with respect to
the business or financial affairs of Borrower, and, upon reasonable prior notice
and during normal business hours, shall permit any officer, employee or agent of
Lender to visit and inspect any of the properties, to examine the minute books,
books of account and other records, including management letters prepared by
Borrower's auditors, of Borrower, and make copies thereof or extracts therefrom,
and to discuss its and their business affairs, finances and accounts with, and
be advised as to the same by, the accountants and officers of Borrower, all at
such times and as often as Lender may require.




                                       23
<PAGE>   25

         SECTION 6.9. MAINTENANCE OF PROPERTY. Borrower will maintain, keep and
preserve all of its properties in good repair, working order and condition and
from time to time make all needful and proper repairs, renewals, replacements,
betterments and improvements thereto, so that the business carried on in
connection therewith may be properly and advantageously conducted at all times.

         SECTION 6.10. NOTIFICATION OF EVENTS OF DEFAULT AND ADVERSE
DEVELOPMENTS. Borrower promptly will notify Lender upon the occurrence of: (a)
any Event of Default; (b) any event which, with the giving of notice or lapse of
time, or both, could constitute an Event of Default; (c) any event, development
or circumstance whereby the financial statements previously furnished to Lender
fail in any material respect to present fairly, in accordance with GAAP, the
financial condition and operational results of Borrower as of the date of such
statements; (d) any judicial, administrative or arbitration proceeding pending
against Borrower, and any judicial or administrative proceeding known by
Borrower to be threatened against it which, if adversely decided, could
materially and adversely affect the condition (financial or otherwise) or
operations (present or prospective) of the Borrowers, taken as a whole, or which
may expose Borrower to uninsured liability of $100,000.00 or more; (e) any
default claimed by any other creditor for Borrowed Money (in excess of $50,000)
of Borrower other than Lender; and (f) any other development in the business or
affairs of Borrower which could have a material and adverse effect on the
business operations of Borrowers, taken as a whole, or on the ability of
Borrowers to repay the Loan; in each case describing the nature thereof and (in
the case of notification under clauses (a) and (b)) the action Borrower proposes
to take with respect thereto.

         SECTION 6.11. EMPLOYEE BENEFIT PLANS. Borrower will (a) comply with the
funding requirements of ERISA with respect to the Plans for its employees, or
will promptly satisfy any accumulated funding deficiency that arises under
Section 302 of ERISA; (b) furnish Lender, promptly after filing the same, with
copies of all reports or other statements filed with the United States
Department of Labor, the Pension Benefit Guaranty Corporation, or the Internal
Revenue Service with respect to all Plans, or which Borrower, or any member of a
Controlled Group, may receive from such Governmental Authority with respect to
any such Plans, and (c) promptly advise Lender of the occurrence of any
Reportable Event or Prohibited Transaction with respect to any such Plan and the
action which Borrower proposes to take with respect thereto. Borrower will make
all contributions when due with respect to any multi-employer pension plan in
which it participates and will promptly advise Lender: (a) upon its receipt of
notice of the assertion against Borrower of a claim for withdrawal liability;
(b) upon the occurrence of any event which could trigger the assertion of a
claim for withdrawal liability against Borrower; and (c) upon the occurrence of
any event which would place Borrower in a Controlled Group as a result of which
any member (including Borrower) thereof may be subject to a claim for withdrawal
liability, whether liquidated or contingent.

         SECTION 6.12. FINANCING STATEMENTS. Borrower shall provide to Lender
evidence satisfactory to Lender as to the due recording of termination
statements, releases of collateral, and Forms UCC-3, and shall cause to be
recorded financing statements on Form UCC-1, duly


                                       24
<PAGE>   26

executed by Borrower and Lender, in all places necessary to release all existing
security interests and other liens in the Collateral (other than as permitted
hereby) and to perfect and protect Lender's first priority lien and security
interest in the Collateral, as Lender may request.

         SECTION 6.13. FINANCIAL RECORDS. Borrower shall keep current and
accurate books of records and accounts in which full and correct entries will be
made of all of its business transactions, and will reflect in its financial
statements adequate accruals and appropriations to reserves, all in accordance
with GAAP.

         SECTION 6.14. COLLECTION OF ACCOUNTS. Borrower shall continue to
collect its Accounts in the ordinary course of business.

         SECTION 6.15. PLACES OF BUSINESS. Borrower shall give thirty (30) days'
prior written notice to Lender of any change in the location of any of its
places of business, of the places where its records concerning its Accounts are
kept, of the places where the Collateral is kept, or of the establishment of any
new, or the discontinuance of any existing, places of business.

         SECTION 6.16. BUSINESS CONDUCTED. Borrower shall continue in the
business presently conducted by it using its best efforts to maintain its
customers and goodwill.

         SECTION 6.17. LITIGATION AND OTHER PROCEEDINGS. Borrower shall give
prompt notice to Lender of any litigation, arbitration, or other proceeding
before any Governmental Authority against or affecting Borrower if the uninsured
portion of the amount claimed is more than $50,000.00

         SECTION 6.18. INTENTIONALLY DELETED.

         SECTION 6.19. SUBMISSION OF COLLATERAL DOCUMENTS. After the occurrence
and during the continuance of an Event of Default (other than a Limited Event of
Default), Borrower will, on demand of Lender, make available to Lender copies of
shipping and delivery receipts evidencing the shipment of goods that gave rise
to an Account, medical records, insurance verification forms, assignment of
benefits, in-take forms or other proof of the satisfactory performance of
services that gave rise to an Account, a copy of the claim or invoice for each
Account and copies of any written contract or order from which the Account
arose. Borrower shall promptly notify Lender if an Account becomes evidenced or
secured by an instrument or chattel paper and upon request of Lender, will
promptly deliver any such instrument or chattel paper to Lender.

         SECTION 6.20. LICENSURE; MEDICAID/MEDICARE COST REPORTS. Borrower will
maintain all certificates of need, provider numbers and licenses necessary to
conduct its business as presently conducted, and take any steps required to
comply with any such new or additional requirements that may be imposed on
providers of medical products and services. If required, all Medicaid/Medicare
cost reports will be properly filed.

                                       25
<PAGE>   27


         SECTION 6.21. OFFICER'S CERTIFICATES. Together with the quarterly
financial statements delivered pursuant to clause (c) of Section 6.1, and
together with the audited annual financial statements delivered pursuant to
clause (f) of that Section, Borrower shall deliver to Lender a certificate of
its chief financial officer, in form and substance satisfactory to Lender
setting forth:

                  (a) The information (including detailed calculations) required
in order to establish whether Borrower is in compliance with the requirements of
Articles VI and VII as of the end of the period covered by the financial
statements then being furnished; and

                  (b) That the signer has reviewed the relevant terms of this
Agreement, and has made (or caused to be made under his supervision) a review of
the transactions and conditions of Borrower from the beginning of the accounting
period covered by the income statements being delivered to the date of the
certificate, and that, other than any then existing Limited Event of Defaults
which have been disclosed to Lender, such review has not disclosed the existence
during such period of any condition or event which constitutes an Event of
Default or which is then, or with the passage of time or giving of notice or
both, could become an Event of Default, and if any such condition or event
existed during such period or now exists, specifying the nature and period of
existence thereof and what action Borrower has taken or proposes to take with
respect thereto.

         SECTION 6.22.  INTENTIONALLY DELETED.

         SECTION 6.23. NET WORTH. Retirement Care Associates, Inc., the ultimate
parent of Borrower, will not at any time allow its net worth, as computed in
accordance with GAAP, to fall below $                 .


                                   ARTICLE VII

                               NEGATIVE COVENANTS

         Each Borrower covenants and agrees that so long as Borrowers may borrow
hereunder and until payment in full of the Note and performance of all other
obligations of Borrowers under the Loan Documents:

         SECTION 7.1. BORROWING. Borrower shall provide Lender with written
notice of any loan made to such Borrower in excess of $250,000 that is secured
by real property or tangible personal property acquired by such Borrower with
the proceeds of such loan (but Lender's consent shall not be required for any
such loan), and will not incur, assume, or permit to exist or become
contingently liable for any liability for Borrowed Money in excess of
$250,000.00 where the proceeds of the loan are not used by such Borrower to
acquire real property or tangible personal property without Lender's prior
written consent, which shall not be unreasonably withheld or delayed.



                                       26
<PAGE>   28

         SECTION 7.2.  INTENTIONALLY DELETED.

         SECTION 7.3. LIENS AND ENCUMBRANCES. Borrower will not create, incur,
assume or suffer to exist any mortgage, pledge, lien or other encumbrance of any
kind upon, or any security interest in, any of its Collateral, whether now owned
or hereafter acquired, except for Permitted Liens.

         SECTION 7.4. MERGER, ACQUISITION, OR SALE OF ASSETS. Borrower will not
enter into any merger or consolidation with or acquire all or substantially all
of the assets of any Person, unless (a) Borrower or any other Borrower is the
surviving entity of such transaction or (b) Retirement Care Associates, Inc.
holds a controlling interest in the surviving entity and (c) the surviving
entity executes and delivers to Lender all documents deemed reasonably necessary
by Lender (as determined solely by Lender in its reasonable commercial
judgement) to protect Lender's rights under this Agreement and the other Loan
Documents and with respect to the Collateral, all at Borrowers' cost (including
without limitation, all lien search costs). Borrower will not sell, lease, or
otherwise dispose of substantially all of its assets. Consistent with the
foregoing, until the Obligations are repaid in full, none of the Borrowers shall
transfer, assign, convey or grant to any other Person (other than another
Borrower ) the right to operate or control any of the nursing homes listed on
Schedule 4.15, whether by lease, sublease, management agreement, joint venture
agreement or otherwise.

         SECTION 7.5.  INTENTIONALLY DELETED.

         SECTION 7.6. DISTRIBUTIONS AND MANAGEMENT FEES. Following an Event of
Default with respect to such Borrower will not declare or pay any dividends or
other distributions with respect to, purchase, redeem or otherwise acquire for
value any of its outstanding stock or partnership interests (as the case may be)
now or hereafter outstanding, or return any capital of its stockholders, nor
shall such Borrower pay management fees or fees of a similar nature to any
Person following an Event of Default.

         SECTION 7.7.  INTENTIONALLY DELETED.

         SECTION 7.8.  INTENTIONALLY DELETED.

         SECTION 7.9.  INTENTIONALLY DELETED.

         SECTION 7.10. COMPLIANCE WITH ERISA. Borrower will not permit with
respect to any Plan covered by Title IV of ERISA any Prohibited Transaction or
any Reportable Event.

         SECTION 7.11. CERTIFICATES OF NEED. Borrower will not suspend or
terminate or make provisional in any material way, any required certificate of
need or provider number of any Borrower without the prior written consent of
Lender, which shall not be unreasonably withheld or delayed.


                                       27
<PAGE>   29

         SECTION 7.12. TRANSACTIONS WITH AFFILIATES. Borrower will not enter
into any transaction, including without limitation the purchase, sale, or
exchange of property, or the loaning or giving of funds to any Affiliate or
subsidiary, except in the ordinary course of business and pursuant to the
reasonable requirements of Borrower's business and upon terms substantially the
same and no less favorable to Borrower as it would obtain in a comparable arm's
length transaction with any Person not an Affiliate or subsidiary, and so long
as the transaction is not otherwise prohibited hereunder. For purposes of the
foregoing, Lender consents to the transactions described on Schedule 7.12.

         SECTION 7.13. USE OF LENDER'S NAME. Borrower will not use Lender's name
(or the name of any of Lender's affiliates) in connection with any of its
business operations. Borrower may disclose to third parties that Borrower has a
borrowing relationship with Lender. Nothing herein contained is intended to
permit or authorize Borrower to make any contract on behalf of Lender.

         SECTION 7.14. CHANGE IN CAPITAL STRUCTURE. There shall occur no change
in Borrower's capital structure as set forth in Schedule 4.17.which causes a
change in control of Borrower.

         SECTION 7.15. CONTRACTS AND AGREEMENTS. Borrower will not become or be
a party to any contract or agreement which would breach this Agreement.

         SECTION 7.16.  INTENTIONALLY DELETED..

         SECTION 7.17. TRUTH OF STATEMENTS AND CERTIFICATES. Borrower will not
furnish to Lender any certificate or other document that contains any untrue
statement of a material fact or that omits to state a material fact necessary to
make it not misleading in light of the circumstances under which it was
furnished.

         SECTION 7.18. CENSUS. With respect to any twelve (12) month period
during the Term, Borrower will not allow the average patient census for such
12-month period, for the nursing homes listed on Schedule 4.15 attached hereto
when taken as a whole, to fall below eighty percent (80%) of the aggregate
patient census of such nursing homes as of the Closing Date, as reflected on
Schedule 4.15


                                  ARTICLE VIII

                                EVENTS OF DEFAULT

         SECTION 8.1.  EVENTS OF DEFAULT.

                  (a) Subject to the provisions of subparagraph (b) hereof, Each
of the following (individually, an "Event of Default" and collectively, the
"Events of Default") shall constitute an event of default hereunder:



                                       28
<PAGE>   30

                  (i)   A default in the payment of any installment of principal
of, or interest upon, the Note when due and payable, whether at maturity or
otherwise, which default shall have continued unremedied for a period of five
(5) days after written notice thereof from Lender to Borrower;
 
                  (ii)  A default in the payment of any other charges, fees, or
other monetary obligations owing to Lender arising out of or incurred in
connection with this Agreement when such payment is due and payable, which
default shall have continued unremedied for a period of ten (10) days after
written notice from Lender;

                  (iii) A default in the due observance or performance by
Borrowers of any other term, covenant or agreement contained in any of the Loan
Documents, which default shall have continued unremedied for a period of twenty
(20) days after written notice from Lender; provided, however, that if such
default is not susceptible to cure within such period, no Event of Default shall
be deemed to have occurred until an additional thirty (30) days have lapsed so
long as Borrower is diligently endeavoring to cure such default throughout the
period;

                  (iv)  If any representation or warranty made by any Borrower
herein or in any of the other Loan Documents, any financial statement, or any
statement or representation made in any other certificate, report or opinion
delivered in connection herewith or therewith proves to have been materially
incorrect or misleading in any material respect when made, which default shall
have continued unremedied for a period of twenty (20) days after written notice
from Lender;

                  (v)   If any obligation of a Borrower (other than its
Obligations hereunder) for the payment of Borrowed Money (the outstanding amount
of which is in excess of $100,000.00) is not paid when due or within any
applicable grace period, or such obligation becomes or is declared to be due and
payable prior to the expressed maturity thereof;

                  (vi)  If a Borrower makes an assignment for the benefit of
creditors, offers a composition or extension to creditors, or makes or sends
notice of an intended bulk sale of any business or assets now or hereafter
conducted by such Borrower;

                  (vii) If a Borrower files a petition in bankruptcy, is
adjudicated insolvent or bankrupt, petitions or applies to any tribunal for any
receiver of or any trustee for itself or any substantial part of its property,
commences any proceeding relating to itself under any reorganization,
arrangement, readjustment or debt, dissolution or liquidation law or statute of
any jurisdiction, whether now or hereafter in effect, or there is commenced
against a Borrower any such proceeding which remains undismissed for a period of
sixty (60) days, or any Borrower by any act indicates its consent to, approval
of, or acquiescence in, any such proceeding or the appointment of any receiver
of or any trustee for a Borrower or any substantial part of its property, or
suffers any such receivership or trusteeship to continue undischarged for a
period of sixty (60) days;



                                       29
<PAGE>   31


                  (viii) If one or more final judgments against any Borrower or
attachments against its property (the uninsured portion of which is in excess of
$100,000.00) not fully and unconditionally covered by insurance shall be
rendered by a court of record and shall remain unpaid, unstayed on appeal,
undischarged, unbonded and undismissed for a period of thirty (30) days;

                  (ix)   A Reportable Event which might constitute grounds for
termination of any Plan covered by Title IV of ERISA or for the appointment by
the appropriate United States District Court of a trustee to administer any such
Plan or for the entry of a lien or encumbrance to secure any deficiency, has
occurred and is continuing thirty (30) days after its occurrence, or any such
Plan is terminated, or a trustee is appointed by an appropriate United States
District Court to administer any such Plan, or the Pension Benefit Guaranty
Corporation institutes proceedings to terminate any such Plan or to appoint a
trustee to administer any such Plan, or a lien or encumbrance is entered to
secure any deficiency or claim;

                  (x)    If any outstanding stock or partnership interests of 
Borrower is sold or otherwise transferred in violation of Section 7.14;

                  (xi)   Upon the issuance of any execution or distraint process
against any of the Collateral;

                  (xii)  If any indication or evidence is received by Lender
that Borrower may have directly or indirectly been engaged in any type of
activity which, in Lender's reasonable discretion, is reasonably likely to
result in the forfeiture of any property material of Borrower to any
Governmental Authority, which default shall have continued unremedied for a
period of ten (10) days after written notice from Lender;

                  (xiii) Borrower or any Affiliate of Borrower, shall challenge
or contest, in any action, suit or proceeding, the validity or enforceability of
this Agreement, or any of the other Loan Documents, the legality or the
enforceability of any of the Obligations or the perfection or priority of any
Lien granted to Lender;

                  (xiv)  Borrower shall be criminally convicted under any law
that could lead to a forfeiture of any Collateral.

                  (xv)   There shall occur a material adverse change in the
financial condition or business prospects of a Borrower, or if Lender in good
faith deems itself insecure as a result of acts or events bearing upon the
financial condition of a Borrower or the repayment of the Note, which default
shall have continued unremedied for a period of ten (10) days after written
notice from Lender.
                  (b)    Notwithstanding the foregoing, if an event which
constitutes an Event of Default occurs with respect to three (3) or fewer of the
Borrowers (inclusive of Borrowers under the Affiliated Loan Agreement) ( a
"Limited Event of Default"), then (i) the Accounts of each Borrower with respect
to which the Event of Default occurred (each a "Defaulted Borrower") 


                                       30
<PAGE>   32
shall immediately be deemed excluded from Qualified Accounts ("Excluded
Accounts") unless and until the Event of Default with respect to such Defaulted
Borrower has been cured to Lender's reasonable satisfaction and (ii) Borrowers
shall, within two (2) Business Days after the occurrence of the Event of
Default, repay the Loan in an amount, if any, necessary to reduce the
outstanding amount of the Loan to the Borrowing Base (as adjusted to delete the
Accounts which have been Excluded Accounts pursuant to (i) above). Borrowers'
failure to make such payment shall constitute a payment default pursuant to
Section 8.1 (a)(i) hereof, entitling Lender to immediately exercise any and all
remedies set forth in Section 8.2 and 8.3 of the Agreement. Notwithstanding the
foregoing, (x) no Defaulted Borrower shall be released from its obligations
hereunder (nor shall the Collateral owned by such Defaulted Borrower be released
from the lien created hereby) by virtue of such Defaulted Borrower's Accounts
being deemed to be Excluded Accounts, and (y) if the aggregate amount of all
Excluded Accounts exceeds $500,000.00, such event shall constitute an Event of
Default and shall entitle Lender to immediately exercise any and all remedies
set forth in Sections 8.2 and 8.3 of this Agreement.

                  (xvi) An Event of Default shall have occurred under the
Affiliated Loan Agreement.

         SECTION 8.2. ACCELERATION. Subject to the provisions of Section 8.1 (b)
hereof, upon the occurrence of any of the foregoing Events of Default, the Note
shall become and be immediately due and payable upon declaration to that effect
delivered by Lender to Borrower; provided that, upon the happening of any event
specified in Section 8.1(vi) hereof (subject always to Section 8.1 (b)), the
Note shall be immediately due and payable failure to satisfy (i) and (ii) will
be an overall Event of Default without declaration or other notice to Borrowers.

         SECTION 8.3. REMEDIES.

                  (a) In addition to all other rights, options, and remedies
granted to Lender under this Agreement, upon the occurrence of an Event of
Default Lender (other than a Limited Event of Default) may (i) terminate the
Loan, whereupon all outstanding Obligations shall be immediately due and
payable, (ii) exercise all other rights granted to it hereunder and all rights
under the Uniform Commercial Code in effect in the applicable jurisdiction(s)
and under any other applicable law, and (iii) exercise all rights and remedies
under all Loan Documents now or hereafter in effect, including the following
rights and remedies (which list is given by way of example and is not intended
to be an exhaustive list of all such rights and remedies):

                      (i)   The right to take possession of, send notices
regarding, and collect directly the Collateral, with or without judicial
process, and to exercise all rights and remedies available to Lender with
respect to the Collateral under the Uniform Commercial Code in effect in the
jurisdiction(s) in which such Collateral is located;

                      (ii)  The right to (by its own means or with judicial 
assistance) enter any of Borrower's premises and take possession of the
Collateral, or render it unusable, or dispose of


                                       31
<PAGE>   33

the Collateral on such premises in compliance with subsection (b), without any
liability for rent, storage, utilities, or other sums, and Borrowers shall not
resist or interfere with such action;

                      (iii) The right to require Borrowers at Borrowers' expense
to assemble all or any part of the Collateral and make it available to Lender at
any place designated by Lender;

                      (iv)  The right to reduce the Maximum Loan Amount or to
use the Collateral and/or funds in the Concentration Account to repay the then
outstanding Obligations for any reason; and

                      (v)   The right to relinquish or abandon any Collateral
or any security interest therein.

                 (b) Borrowers agree that a notice received by it at least ten
(10) days before the time of any intended public sale, or the time after which
any private sale or other disposition of the Collateral is to be made, shall be
deemed to be reasonable notice of such sale or other disposition. If permitted
by applicable law, any perishable Collateral which threatens to speedily decline
in value or which is sold on a recognized marked may be sold immediately by
Lender without prior notice to Borrower. At any sale or disposition of
Collateral, Lender may (to the extent permitted by applicable law) purchase all
or any part of the Collateral, free from any right of redemption by Borrower,
which right is hereby waived and released. Borrower covenants and agrees not to
interfere with or impose any obstacle to Lender's exercise of its rights and
remedies with respect to the Collateral.

         SECTION 8.4. NATURE OF REMEDIES. Lender shall have the right to proceed
against all or any portion of the Collateral to satisfy in any order (i) the
liabilities and Obligations of Borrower to Lender and (ii) upon the occurrence
of an Event of Default under the Affiliated Loan Agreement, the liabilities and
obligations of Affiliated Borrower under the Affiliated Loan Agreement. All
rights and remedies granted Lender hereunder and under any agreement referred to
herein, or otherwise available at law or in equity, shall be deemed concurrent
and cumulative, and not alternative remedies, and Lender may proceed with any
number of remedies at the same time until the Loans, and all other existing and
future liabilities and obligations of Borrower to Lender, are satisfied in full.
The exercise of any one right or remedy shall not be deemed a waiver or release
of any other right or remedy, and Lender, upon the occurrence of an Event of
Default, may proceed against Borrower, and/or the Collateral, at any time, under
any agreement, with any available remedy and in any order.


                                       32
<PAGE>   34

                                   ARTICLE IX

                                  MISCELLANEOUS

         SECTION 9.1.  EXPENSES AND TAXES.

                  (a) Borrowers agree to pay, whether or not the Closing occurs,
a reasonable documentation preparation fee, together with actual audit and
appraisal fees and all other out-of-pocket charges and expenses incurred by
Lender in connection with the negotiation, preparation and execution of each of
the Loan Documents, any amendments to the Loan Documents following Closing, and
preparation for Closing. Borrowers also agree to pay all out-of-pocket charges
and expenses incurred by Lender (including the fees and expenses of Lender's
counsel) in connection with the enforcement, protection or preservation of any
right or claim of Lender and the collection of any amounts due under the Loan
Documents.

                  (b) Borrowers shall pay all taxes (other than taxes based upon
or measured by Lender's income or revenues or any personal property tax), if
any, in connection with the issuance of the Note and the recording of the
security documents therefor. The obligations of Borrower under this clause (b)
shall survive the payment of Borrowers' indebtedness hereunder and the
termination of this Agreement.

         SECTION 9.2. ENTIRE AGREEMENT; AMENDMENTS. This Agreement and the other
Loan Documents constitute the full and entire understanding and agreement among
the parties with regard to their subject matter and supersede all prior written
or oral agreements, understandings, representations and warranties made with
respect thereto. No amendment, supplement or modification of this Agreement nor
any waiver of any provision thereof shall be made except in writing executed by
the party against whom enforcement is sought.

         SECTION 9.3. NO WAIVER; CUMULATIVE RIGHTS. No waiver by any party
hereto of any one or more defaults by the other party in the performance of any
of the provisions of this Agreement shall operate or be construed as a waiver of
any future default or defaults, whether of a like or different nature. No
failure or delay on the part of any party in exercising any right, power or
remedy hereunder shall operate as a waiver thereof, nor shall any single or
partial exercise of any such right, power or remedy preclude any other or
further exercise thereof or the exercise of any other right, power or remedy.
The remedies provided for herein are cumulative and are not exclusive of any
remedies that may be available to any party hereto at law, in equity or
otherwise.

         SECTION 9.4. NOTICES. Any notice or other communication required or
permitted hereunder shall be in writing and personally delivered, mailed by
registered or certified mail (return receipt requested and postage prepaid),
sent by telecopier (with a confirming copy sent by regular mail), or sent by
prepaid overnight courier service, and addressed to the relevant party


                                       33
<PAGE>   35

at its address set forth below, or at such other address as such party may, by
written notice, designate as its address for purposes of notice hereunder:

                  (a) If to Lender, at:
                           HCFP Funding, Inc.
                           2 Wisconsin Circle, Suite 320
                           Chevy Chase, Maryland 20815
                           Attention:  Ethan D. Leder, President
                           Telephone:  (301) 961-1640
                           Telecopier: (301) 664-9860

                  (b) If to Borrower, at:
                           Retirement Care Associates, Inc.
                           6000 Lake Forrest Drive
                           Suite 200
                           Atlanta, GA 30328
                           Attention: Mr. Christopher F. Brogdon
                                      Philip M. Rees, Esq.
                           Telephone:  (404) 255-7500
                           Telecopier: (404) 255-5789


                  (c) With a copy to:
                           Gregory P. Youra, Esq.
                           Vincent, Berg, Stalzer & Menendez
                           The Lenox Building
                           3399 Peachtree Road, Suite 1400,
                           Atlanta, GA 30326
                           Telephone: (404) 812-5680
                           Telecopier: (404) 812-5699

If mailed, notice shall be deemed to be given five (5) days after being sent, if
sent by personal delivery or telecopier, notice shall be deemed to be given when
delivered, and if sent by prepaid courier, notice shall be deemed to be given on
the next Business Day following deposit with the courier.

         SECTION 9.5. SEVERABILITY. If any term, covenant or condition of this
Agreement, or the application of such term, covenant or condition to any party
or circumstance shall be found by a court of competent jurisdiction to be, to
any extent, invalid or unenforceable, the remainder of this Agreement and the
application of such term, covenant, or condition to parties or circumstances
other than those as to which it is held invalid or unenforceable, shall not be
affected thereby, and each term, covenant or condition shall be valid and
enforced to the fullest extent permitted by law. Upon determination that any
such term is invalid, illegal or 


                                       34
<PAGE>   36

unenforceable, the parties hereto shall amend this Agreement so as to effect the
original intent of the parties as closely as possible in an acceptable manner.

         SECTION 9.6.  SUCCESSORS AND ASSIGNS. This Agreement, the Note, and the
other Loan Documents shall be binding upon and inure to the benefit of Borrower
and Lender and their respective successors and assigns. Notwithstanding the
foregoing, Borrower may not assign any of its rights or delegate any of its
obligations hereunder without the prior written consent of Lender, which may be
withheld in its sole discretion. Lender may sell, assign, transfer, or
participate any or all of its rights or obligations hereunder without notice to
or consent of Borrower.

         SECTION 9.7.  COUNTERPARTS. This Agreement may be executed in any 
number of counterparts, each of which shall be deemed an original, but all of 
which together shall constitute but one instrument.

         SECTION 9.8.  INTERPRETATION. No provision of this Agreement or any
other Loan Document shall be interpreted or construed against any party because
that party or its legal representative drafted that provision. The titles of the
paragraphs of this Agreement are for convenience of reference only and are not
to be considered in construing this Agreement. Any pronoun used in this
Agreement shall be deemed to include singular and plural and masculine, feminine
and neuter gender as the case may be. The words "herein," "hereof," and
"hereunder" shall be deemed to refer to this entire Agreement, except as the
context otherwise requires.

         SECTION 9.9.  SURVIVAL OF TERMS. All covenants, agreements,
representations and warranties made in this Agreement, any other Loan Document,
and in any certificates and other instruments delivered in connection therewith
shall be considered to have been relied upon by Lender and shall survive the
making by Lender of the Loans herein contemplated and the execution and delivery
to Lender of the Note, and shall continue in full force and effect until all
liabilities and obligations of Borrower to Lender are satisfied in full.

         SECTION 9.10. RELEASE OF LENDER. Borrower releases Lender, its
officers, employees, and agents, of and from any claims for loss or damage
resulting from acts or conduct of any or all of them, unless caused by Lender's
recklessness, gross negligence, or willful misconduct.

         SECTION 9.11. TIME. Whenever Borrower is required to make any payment
or perform any act on a Saturday, Sunday, or a legal holiday under the laws of
the State of Maryland (or other jurisdiction where Borrower is required to make
the payment or perform the act), the payment may be made or the act performed on
the next Business Day. Time is of the essence in Borrower's performance under
this Agreement and all other Loan Documents.

         SECTION 9.12. COMMISSIONS. The transaction contemplated by this
Agreement was brought about by Lender and Borrower acting as principals and
without any brokers, agents, or finders being the effective procuring cause.
Borrower represents that it has not committed Lender to the payment of any
brokerage fee, commission, or charge in connection with this 


                                       35
<PAGE>   37

transaction. If any such claim is made on Lender by any broker, finder, or agent
or other person, Borrower will indemnify, defend, and hold Lender harmless from
and against the claim and will defend any action to recover on that claim, at
Borrower's cost and expense, including Lender's counsel fees. Borrower further
agrees that until any such claim or demand is adjudicated in Lender's favor, the
amount demanded will be deemed a liability of Borrower under this Agreement,
secured by the Collateral.

         SECTION 9.13. THIRD PARTIES. No rights are intended to be created 
hereunder or under any other Loan Document for the benefit of any third party
donee, creditor, or incidental beneficiary of Borrower. Nothing contained in
this Agreement shall be construed as a delegation to Lender of Borrower's duty
of performance, including without limitation Borrower's duties under any account
or contract in which Lender has a security interest.

         SECTION 9.14. DISCHARGE OF BORROWER'S OBLIGATIONS. Lender, in its sole
discretion, shall have the right at any time, and from time to time, without
prior notice to Borrower if Borrower fails to do so, to: (a) obtain insurance
covering any of the Collateral as required hereunder; (b) pay for the
performance of any of Borrower's obligations hereunder; (c) discharge taxes,
liens, security interests, or other encumbrances at any time levied or placed on
any of the Collateral in violation of this Agreement unless Borrower is in good
faith with due diligence by appropriate proceedings contesting those items; and
(d) pay for the maintenance and preservation of any of the Collateral. Expenses
and advances shall be added to the Loan, until reimbursed to Lender and shall be
secured by the Collateral. Such payments and advances by Lender shall not be
construed as a waiver by Lender of an Event of Default.

         SECTION 9.15. INFORMATION TO PARTICIPANTS. Lender may divulge to any
participant it may obtain in the Loan, or any portion thereof, all information,
and furnish to such participant copies of reports, financial statements,
certificates, and documents obtained under any provision of this Agreement or
any other Loan Document.

         SECTION 9.16. INTENTIONALLY DELETED.

         SECTION 9.17. CHOICE OF LAW; CONSENT TO JURISDICTION. THIS AGREEMENT
AND THE NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF
THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE APPLICABLE PRINCIPLES OF
CONFLICTS OF LAWS. IF ANY ACTION ARISING OUT OF THIS AGREEMENT OR THE NOTE IS
COMMENCED BY LENDER IN THE STATE OF MARYLAND OR FEDERAL COURT LOCATED IN THE
STATE OF MARYLAND, BORROWER HEREBY CONSENTS TO THE NONEXCLUSIVE JURISDICTION OF
ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE STATE OF
MARYLAND. ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF MAILED BY
REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER AT ITS ADDRESS DESCRIBED IN
SECTION 9.4 HEREOF.


                                       36
<PAGE>   38


         SECTION 9.18. WAIVER OF TRIAL BY JURY. BORROWER HEREBY (A) COVENANTS
AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY,
AND (B) WAIVES ANY RIGHT TO TRIAL BY JURY FULLY TO THE EXTENT THAT ANY SUCH
RIGHT SHALL NOW OR HEREAFTER EXIST. THIS WAIVER OF RIGHT TO TRIAL BY JURY IS
SEPARATELY GIVEN, KNOWINGLY AND VOLUNTARILY, BY BORROWER, AND THIS WAIVER IS
INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS TO WHICH THE
RIGHT TO A JURY TRIAL WOULD OTHERWISE ACCRUE. LENDER IS HEREBY AUTHORIZED AND
REQUESTED TO SUBMIT THIS AGREEMENT TO ANY COURT HAVING JURISDICTION OVER THE
SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE EVIDENCE OF
BORROWER'S WAIVER OF THE RIGHT TO JURY TRIAL. FURTHER, BORROWER HEREBY CERTIFIES
THAT NO REPRESENTATIVE OR AGENT OF LENDER (INCLUDING LENDER'S COUNSEL) HAS
REPRESENTED, EXPRESSLY OR OTHERWISE, TO BORROWER THAT LENDER WILL NOT SEEK TO
ENFORCE THIS WAIVER OF RIGHT TO JURY TRIAL PROVISION.



                                       37
<PAGE>   39


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

                                   LENDER:

                                   HCFP FUNDING, INC.
                                   a Delaware corporation


                                   By:_____________________________  [SEAL]
                                         Name:
                                         Title:


                                   BORROWER:


                                   ATRIUM NURSING HOME, INC.
                                   a  Florida corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   MID-FLORIDA, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   SUN COAST RETIREMENT, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                       38
<PAGE>   40

                                   WEST TENNESSEE, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   LAKE FOREST HEALTHCARE CENTER,
                                   INC.,
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   LIBBIE REHABILITATION CENTER, INC.
                                   a Virginia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   BRENT-LOX HALL NURSING HOME, INC.
                                   a Virginia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   PHOENIX ASSOCIATES, INC.
                                   a Virginia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:



                                       39

<PAGE>   41
                                   PINE MANOR REST HOME, INC.
                                   a North Carolina corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   STATESBORO HEALTH CARE CENTER,
                                   INC.                                   
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   GARDENDALE HEALTH CARE CENTER,
                                   INC.                                   
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   ROBERTA HEALTH CARE CENTER, INC.
                                   a Georgia corporation

                                   By:      ________________________________
                                            Name:
                                            Title:

                                   SOUTHSIDE HEALTH CARE CENTER, INC.
                                   a Georgia corporation

                                   By:      ________________________________
                                            Name:
                                            Title:




                                       40
<PAGE>   42
                                   CRESENT MEDICAL SERVICES, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   GAINESVILLE HEALTHCARE CENTER,
                                   INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   JEFF DAVIS HEALTHCARE, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   DUVAL HEALTHCARE CENTER, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:



                                       41
<PAGE>   43

                                   CHARLTON HEALTHCARE, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   BIBB HEALTH REHABILITATION, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:


                                   MAPLEWOOD HEALTH CARE CENTER OF
                                   JACKSON TENNESSEE, INC.
                                   a Tennessee corporation


                                   By:      ________________________________
                                            Name:
                                            Title:

                                   LAKE HEALTH CARE CENTER, INC.
                                   a Georgia corporation


                                   By:      ________________________________
                                            Name:
                                            Title:



                                       42
<PAGE>   44




                                LIST OF EXHIBITS


Exhibit A - Form of Revolving Credit Note

Exhibit B - Form of Lockbox Agreement

Exhibit C - Locations of Collateral

Exhibit D - Form of Legal Opinion

Exhibit E - Form of Estoppel Certificate



                                       43


<PAGE>   45


                               LIST OF SCHEDULES

Schedule 1.36     -        Permitted Liens

Schedule 4.1      -        Subsidiaries

Schedule 4.5      -        Litigation

Schedule 4.7      -        Tax Identification Numbers

Schedule 4.13     -        Non-Compliance with Law

Schedule 4.14     -        Environmental Matters

Schedule 4.15     -        Places of Business with patient census

Schedule 4.16     -        Licenses

Schedule 4.17     -        Stock Ownership

Schedule 4.19     -        Borrowings and Guarantees

Schedule 4.21     -        Trade Names

Schedule 4.22     -        Joint Ventures

Schedule 7.12     -        Transactions with Affiliates


                                       44








<PAGE>   1
                                                                   EXHIBIT 10.22


                             INTERCREDITOR AGREEMENT

                  This Intercreditor Agreement ("Intercreditor Agreement") is
dated as of December 15, 1997, by and among HCFP FUNDING, INC., a Delaware
corporation ("HCFP"), SUN HEALTHCARE GROUP, INC., a Delaware corporation (the
"Subordinated Lender"), RETIREMENT CARE ASSOCIATES, INC., RETIREMENT MANAGEMENT
CORPORATION, and CAPITOL CARE MANAGEMENT COMPANY, INC., (collectively, the "Sun
Borrowers") ATRIUM NURSING HOME, INC., MID-FLORIDA, INC., SUN COAST RETIREMENT,
INC., WEST TENNESSEE, INC., LAKE FOREST HEALTHCARE CENTER, INC., LIBBIE
REHABILITATION CENTER, INC., BRENT-LOX HALL NURSING HOME, INC., PHOENIX
ASSOCIATES, INC., PINE MANOR REST HOME, INC., STATESBORO HEALTH CARE CENTER,
INC., GARDENDALE HEALTH CARE CENTER, INC., ROBERTA HEALTH CARE CENTER, INC.,
SOUTHSIDE HEALTH CARE CENTER, INC., CRESENT MEDICAL SERVICES, INC., GAINESVILLE
HEALTHCARE CENTER, INC., DUVAL HEALTHCARE CENTER, INC., JEFF DAVIS HEALTHCARE,
INC., CHARLTON HEALTHCARE, INC., BIBB HEALTH REHABILITATION, INC., MAPLEWOOD
HEALTH CARE CENTER OF JACKSON TENNESSEE, INC. and LAKE HEALTH CARE CENTER, INC.,
a Georgia corporation (collectively, the "Atrium Borrowers")(the Sun Borrowers
and the Atrium Borrowers shall be collectively known as the "Borrower").

         NOW, THEREFORE, in consideration of the premises and of the mutual
covenants herein contained and of other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the parties hereto
agree as follows:

                  1. The term "HCFP Obligations", as used in this Intercreditor
Agreement, shall be deemed to mean and include all of the Borrower's obligations
arising under or in connection with that certain Loan and Security Agreement
dated as of December 15, 1997 by and among the Sun Borrowers and HCFP, as the
same may be amended, replaced, supplemented or otherwise modified from time to
time (the "Sun Loan Agreement"), and that certain Loan and Security Agreement
dated as of December 15, 1997 by and among the Atrium Borrowers and HCFP, as the
same may be amended, replaced, supplemented or otherwise modified from time to
time (the "Atrium Loan Agreement") (the Sun Loan Agreement and the Atrium Loan
Agreement shall be collectively known as the "Loan Agreement") and all
documents and instruments ancillary to the Loan Agreement (the "Loan
Documents"), provided, however, that the HCFP Obligations shall not include any
obligations in excess of an aggregate principal amount of $15 million plus
accrued interest, reasonable fees and expenses applicable thereto as provided
for under the Loan Documents, or any obligations having a final maturity after
December 31, 2000. All capitalized terms used and not otherwise defined in this
Intercreditor Agreement shall have the meanings ascribed to them in the Loan
Agreement.

                  2. The term "Subordinated Indebtedness", as used in this
Intercreditor Agreement, shall be deemed to mean and include the indebtedness
owed by Retirement Care Associates, Inc., Retirement Management Corporation, and
Capitol Care Management Company, Inc. to the Subordinated Lender, pursuant to
the Promissory Note and the Amended and Restated Promissory Note, each dated
July 10, 1997 and the other loan documents listed on Exhibit A


<PAGE>   2



attached hereto, and all other documents related thereto (the "Subordinated
Lender Documents").

                  3. Subordinated Lender does hereby agree that all of its
rights with respect to the following collateral described in clauses (i) through
(v) immediately below to the extent that it comprises collateral for the
Subordinated Indebtedness (collectively, the "Collateral") shall be in all
respects subject and subordinate to the rights of HCFP with respect to such
Collateral to the extent that it comprises collateral for the HCFP Obligations.

                     (i)   All of the Borrower's now-owned and hereafter
acquired or arising accounts receivable and rights to payment of every kind and
description, and any contract rights, chattel paper, documents and instruments
with respect thereto;

                     (ii)  All of the Borrower's now owned and hereafter
acquired or arising general intangibles of every kind and description pertaining
to its accounts receivable and other rights to payment, including, but not
limited to, all existing and future customer lists, choses in action, claims,
books, records, contracts, licenses, formulae, tax and other types of refunds,
returned and unearned insurance premiums, rights and claims under insurance
policies, and computer information, software, records, and data;

                     (iii) All of the Borrower's now or hereafter acquired
deposit accounts into which accounts receivable are deposited;

                     (iv)  All of the Borrower's monies and other property of
every kind and nature now or at any time or times hereafter in the possession of
or under the control of Lender or a bailee or Affiliate of Lender; and

                     (v)   The proceeds (including, without limitation,
insurance proceeds) of all of the foregoing.

                  The parties hereby acknowledge and agree that the
subordination of the Subordinated Lender's rights to the rights of HCFP as set
forth in this Section 3 shall be irrespective of:

                     (i)   The time, order, manner or method of creation,
attachment or perfection of the respective security interests, liens and/or
other rights granted to the Subordinated Lender or HCFP;

                     (ii)  The time or manner of the filing of their respective
financing statements;

                     (iii) Whether the Subordinated Lender or HCFP or any bailee
or agent thereof holds possession of any or all of the property or assets of the
Borrower;

                     (iv)  The dating, execution or delivery of any agreement,
document or

                                        2

<PAGE>   3




instrument granting the Subordinated Lender or HCFP security interests and/or
liens in or on any or all of the property or assets of the Borrower;

                     (v)  The giving or failure to give notice of the
acquisition or expected acquisition of any purchase money or other security
interest; and

                     (vi) Any provision of the UCC or any other applicable law
to the contrary.

                  4. Notwithstanding anything to the contrary in this
Intercreditor Agreement, the Subordinated Indebtedness may be evidenced and/or
secured by one or more UCC-1 financing statements, a security agreement or other
agreements, provided that any liens of Subordinated Lender with respect to the
Collateral shall be subject and subordinate to the lien of HCFP to the extent
provided in this Intercreditor Agreement.

                  5. Without affecting the rights of HCFP under this
Intercreditor Agreement, the Subordinated Lender agrees and consents that any
Collateral for the HCFP Obligations, in whole or in part, may be exchanged, sold
or surrendered by HCFP for other Collateral as it may deem advisable and that
any balance or balances of funds with HCFP at any time outstanding to the credit
of the Borrower may, from time to time, in whole or in part, be surrendered or
released by HCFP as it may deem advisable, subject, however, to the terms of the
HCFP Obligations and Subordinated Lender's subordinated security interest in the
Collateral.

                  6. The Subordinated Lender hereby agrees to furnish HCFP with
a copy of any default notice sent to the Borrower under the Subordinated Loan
Documents or any document relating thereto simultaneously with giving such
notice to the Borrower. In respect of any default under the Subordinated Lender
Documents, for a period from the date of such notice through and including the
period ending on the later to occur of (i) the 20th day thereafter or (ii) July
31, 1998, without HCFP's prior written consent, the Subordinated Lender (a)
shall take no action to assert, sue upon, set off against, collect, or enforce
all or any part of the Subordinated Indebtedness, including without limitation
outstanding principal and interest; and (b) shall not initiate a collection suit
or exercise set-off against the Borrower with respect to the Subordinated
Indebtedness.

                  7. HCFP and each Borrower hereby agree to furnish the
Subordinated Lender with a copy of any notice sent by it to any other party
under the Loan Documents or any documents relating thereto simultaneously with
giving such notice to such other party. Notwithstanding any other provision of
this Intercreditor Agreement, if an Event of Default has occurred under the Loan
Documents, and HCFP shall have given the Subordinated Lender written notice
thereof in a notice (a "Blockage Notice") invoking the provisions of this
Section 7 by identifying itself as a "Blockage Notice" hereunder, then until
such Event of Default has been cured and the Subordinated Lender has been
notified in writing of such cure by HCFP, the HCFP Obligations have been paid in
full, or HCFP shall have consented in writing, the Borrower shall not pay, and
the Subordinated Lender shall not receive, whether directly or indirectly by way
of

                                        3

<PAGE>   4



setoff or otherwise, any payments, or accelerated payments on account of any of
the Subordinated Indebtedness; provided, however, that (i) this Section 7 (but
not Section 6 or any other Section of this Agreement) shall cease to be
effective on the later to occur of the (i) 45th day following HCFP's delivery of
any Blockage Notice , or (ii) July 31, 1998, unless prior to such 45th day (or
July 31, 1998, as the case may be) the HCFP Obligations shall have been
accelerated or otherwise become due and payable in full and (ii) any Blockage
Notice delivered within twelve (12) months of any earlier Blockage Notice shall
be of no effect hereunder.

                  8. In the event of any distribution or payment to the
Subordinated Lender on the Subordinated Indebtedness, whether partial or
complete, voluntary or involuntary, by operation of law or otherwise, that is a
contravention of any provision of this Intercreditor Agreement (including
specifically but without limitation Sections 6 and 7) then, and in any such
event, any such payment or distribution with respect to the Subordinated
Indebtedness, whether due or not due and whether secured or unsecured, shall
immediately be delivered to HCFP in the form of its receipt (except for the
addition of any endorsement or assignment necessary to effect a transfer of all
rights therein to HCFP), and HCFP is irrevocably authorized to supply any
endorsement or assignment which may have been omitted or insufficient. Until so
delivered, any such distribution or payment shall be held in trust by the
Subordinated Lender for the benefit of HCFP.

                  10. This Intercreditor Agreement shall be governed by and
construed in accordance with the laws of the State of New York, and shall be
binding upon the undersigned and the respective successors and assigns of the
undersigned.

                  11. No finding of invalidity of any provision of this
Intercreditor Agreement shall affect the continuing validity of all other
provisions of this Intercreditor Agreement.

                  12. This Intercreditor Agreement shall terminate and be of no
further force or effect upon the payment in full of the HCFP Obligations.

                  13. This Intercreditor Agreement defines the relative rights
of the Subordinated Lender and HCFP only. Without limiting the generality of the
foregoing, this Intercreditor Agreement shall not impair, as between the
Borrowers and the Subordinated Lender, the obligation of the Borrowers to pay
the Subordinated Indebtedness in accordance with the terms of the Subordinated
Lender Documents or the Subordinated Lender's right to exercise available
remedies upon or in respect of any default under the Subordinated Lender
Documents.

                  14. This Intercreditor Agreement may be executed in one or
more counterparts, each of which for all purposes shall be deemed an original.

                  15. Any notice or other communication required or permitted
hereunder shall be in writing and personally delivered, mailed by registered or
certified mail (return receipt requested and postage prepaid), sent by facsimile
(with a confirming copy sent by regular mail), or sent by prepaid overnight
courier service, and addressed to the relevant party at its address set

                                        4

<PAGE>   5



forth below, or at such other address as such party may, by written notice,
designate as its address for purposes of notice hereunder:

                  (a)      If to Lender at:

                           HCFP Funding, Inc.
                           2 Wisconsin Circle, Suite 320
                           Chevy Chase, Maryland 20815
                           Attention:  Ethan D. Leder, President
                           Telephone:  (301) 961-1640
                           Facsimile:  (301) 664-9860

                  (b)      If to Borrower at:

                           Retirement Care Associates, Inc.
                           6000 Lake Forrest Drive
                           Suite 200
                           Atlanta, GA 30328
                           Telephone:  (404) 255-7500
                           Facsimile:  (404) 255-5789

                           With a copy to:

                           Gregory P. Youra, Esq.
                           Vincent, Berg, Stalzer & Menendez
                           The Lenox Building
                           3399 Peachtree Road, Ste 1400
                           Atlanta, GA 30326
                           Telephone: (404) 812-5680
                           Facsimile: (404) 812-5699

                  (c)      If to Subordinated Lender at:

                           Sun Healthcare Group, Inc.
                           101 Sun Lane, NE
                           Albuquerque, New Mexico 87109
                           Attention: Robert F. Murphy
                           Telephone: (505) 821-3355
                           Facsimile: (505) 856-0747

                           with copy to:

                           Brobeck Phleger & Harrison LLP
                           One Market Street


                                        5

<PAGE>   6



                           Spear Street Tower
                           San Francisco, CA 94105
                           Attention: Michael J. Kennedy
                           Telephone:  (415) 442-0900
                           Facsimile:  (415) 442-1010


If mailed, notice shall be deemed to be given five (5) days after being sent, if
sent by personal delivery or facsimile, notice shall be deemed to be given when
delivered, and if sent by prepaid courier, notice shall be deemed to be given on
the next Business Day following deposit with the courier.



                                        6

<PAGE>   7



                  IN WITNESS WHEREOF, the parties have executed or caused this
Intercreditor Agreement to be executed by their respective officers thereunto
duly authorized as of the day and year first above written.


                                    HCFP FUNDING, INC.
                                    a Delaware corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    SUN HEALTHCARE GROUP, INC.
                                    a Delaware corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    RETIREMENT CARE ASSOCIATES, INC.
                                    a Colorado corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                    RETIREMENT MANAGEMENT
                                    CORPORATION
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                        7

<PAGE>   8



                                    CAPITOL CARE MANAGEMENT
                                    COMPANY, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    ATRIUM NURSING HOME, INC.
                                    a Florida corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:

                                    MID-FLORIDA, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    SUN COAST RETIREMENT, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:

                                    WEST TENNESSEE, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                        8

<PAGE>   9




                                    LAKE FOREST HEALTHCARE CENTER,
                                    INC.,
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    LIBBIE REHABILITATION CENTER, INC.
                                    a Virginia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                    BRENT-LOX HALL NURSING HOME, INC.
                                    a Virginia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    PHOENIX ASSOCIATES, INC.
                                    a Virginia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                    PINE MANOR REST HOME, INC.
                                    a North Carolina corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                        9

<PAGE>   10



                                    STATESBORO HEALTH CARE CENTER,
                                    INC.
                                    a Georgia corporation


                                    By: 
                                        ------------------------------------ 
                                         Name:
                                         Title:


                                    GARDENDALE HEALTH CARE CENTER,
                                    INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    ROBERTA HEALTH CARE CENTER, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    SOUTHSIDE HEALTH CARE CENTER, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:




                                       10

<PAGE>   11

                                    CRESENT MEDICAL SERVICES, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    GAINESVILLE HEALTHCARE CENTER,
                                    INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    JEFF DAVIS HEALTHCARE, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                    DUVAL HEALTHCARE CENTER, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:



                                       11

<PAGE>   12




                                    CHARLTON HEALTHCARE, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    BIBB HEALTH REHABILITATION, INC.
                                    a Georgia corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    MAPLEWOOD HEALTH CARE CENTER OF
                                    JACKSON TENNESSEE, INC.
                                    a Tennessee corporation


                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:


                                    LAKE HEALTH CARE CENTER, INC.
                                    a Georgia corporation

                                    By:  
                                        ------------------------------------
                                         Name:
                                         Title:




                                       12

<PAGE>   13



                                    EXHIBIT A

                          Subordinated Lender Documents















                                       13




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