CARETENDERS HEALTH CORP
S-8, 1997-12-31
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 As filed with the Securities and Exchange Commission on December 31, 1997.
                                             Registration No. 333-



                     SECURITIES AND EXCHANGE COMMISSION
                           Washington, D.C. 20549


                                  FORM S-8

                           REGISTRATION STATEMENT
                                    Under
                         THE SECURITIES ACT OF 1933


                          CARETENDERS HEALTH CORP.
             (Exact name of registrant specified in its charter)

                    Delaware                          06-1153720
          (State or Other Jurisdiction             (I.R.S. Employer
              of Incorporation of                Identification No.)
                 Organization)

                      100 Mallard Creek Road, Suite 400
                         Louisville, Kentucky  40207
             (Address of Principal Executive Offices) (Zip Code)


                          CARETENDERS HEALTH CORP.
              Non-Employee Directors Deferred Compensation Plan
                          (Full title of the Plan)


           William B. Yarmuth                       Copies to:
     Chairman, President and Chief                Ivan M. Diamond
           Executive Officer              Greenebaum Doll & McDonald PLLC
        CARETENDERS Health Corp.             3300 National City Tower
   100 Mallard Creek Road, Suite 400        Louisville, Kentucky 40202
       Louisville, Kentucky 40207                 (502) 589-4200
             (502) 899-5355

   (Name, Address and Telephone Number, Including Ara Code, of Agent for
                                  Service)


                       CALCULATION OF REGISTRATION FEE

                                  Proposed        Proposed
      Title of                     maximum         maximum
     securities      Amount       offering        aggregate      Amount of
        to be        to be        price per       offering     registration
     registered    registered     share(1)        price(1)          fee
    ------------- ------------  ------------  --------------  --------------
    Common Stock,
      par value      100,000
        $.10         shares        $ 7.00         $700,000       $ 212.12


     (1)  Estimated solely for the purpose of calculating the  registration
  fee.   This  estimate has  been calculated  in accordance  with Rule  457
  under the Securities Act of 1933 and is based on the average of the  high
  and  low prices  per share  as reported  on the  National Association  of
  Securities Dealers - National Market System on December 23, 1997.

<PAGE>
PART II

             INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

Item 3.   Incorporation of Documents by Reference.

  The following  documents filed by  Caretenders Health  Corp. (_Registrant_)
with the Securities and  Exchange Commission (Commission File  No. 001-09848)
are incorporated by reference into this Registration Statement:

  (a)     The Registrant's  Quarterly Report  on Form  10-Q  for the  quarter
ended September 30, 1997, as filed November 14, 1997;

  (b)     The Registrant's Proxy Statement, as filed October 14, 1997;

  (c)     The Registrant's  Quarterly Report  on Form  10-Q  for the  quarter
ended June 30, 1997, as filed August 14, 1997;

  (d)     The Registrant's  Annual Report  on Form  10-K for  the year  ended
March 31, 1997, as filed July 1, 1997 and as amended;

  (e)     The description of the  Company's Common Stock as  contained in the
Registration Statement  on Form  8-A, filed  by the  Company to  register the
Common Stock under the Securities Exchange Act of 1934, as amended ("Exchange
Act"), and all amendments or reports  filed for the purpose  of updating such
description prior to the termination of the offering of Common Stock hereby.

  All documents subsequently filed by Registrant  pursuant to Sections 13(a),
13(c), 14 and  15(d) of  the Exchange  Act, prior  to the  filing of  a post-
effective amendment which indicates  that all securities offered  hereby have
been sold or which deregisters all securities then remaining unsold, shall be
deemed to be incorporated by reference in this  Registration Statement and to
be a part hereof  from the date of  filing of such documents.   Any statement
contained in a document incorporated  by reference herein shall  be deemed to
be modified or superseded for purposes of this  Registration Statement to the
extent that a statement contained herein (or in  any other subsequently filed
document  which  also  is  incorporated  by  reference  herein)  modifies  or
supersedes such statement.  Any statement so modified or superseded shall not
be deemed to constitute a part hereof except as so modified or superseded.

<PAGE>
Item 4.  Description of Securities.

  Not Applicable.

Item 5.  Interests of Named Experts and Counsel.
<PAGE>
  Not Applicable.

Item 6.  Indemnification of Directors and Officers.

  Section  145 of  the Delaware  General  Corporation Law  (_GCL_) permits  a
Delaware corporation to indemnify any person who was or  is, or is threatened
to be made, a party to  any threatened, pending or completed  action, suit or
proceeding, whether civil,  criminal, administrative or  investigative (other
than an action by or in the right of such corporation) by  reason of the fact
that such person  is or was  a director, officer,  employee or agent  of such
corporation, or is  or was serving  at the request  of such corporation  as a
director, officer,  employee or  agent of  another corporation,  partnership,
joint venture, trust or other enterprise.  The indemnity may include expenses
(including attorneys' fees), judgments, fines and  amounts paid in settlement
actually and  reasonably incurred  by  such person  in  connection with  such
action, suit or proceeding, provided that such person acted in good faith and
in a manner such  person reasonably believed to  be in or not  opposed to the
best interests of the corporation,  and, with respect to  any criminal action
or proceeding, such person had no reasonable cause to believe his conduct was
unlawful.   A Delaware  corporation  may indemnify  such  persons in  actions
brought by or in  the right of the  corporation to procure a  judgment in its
favor under the same  conditions except that no  indemnification is permitted
in respect of any  claim, issue or  matter as to  which such person  has been
adjudged to be liable to the  corporation unless and to the  extent the Court
of Chancery of the  State of Delaware  or the court  in which such  action or
suit was  brought  determines  upon application  that,  in  view of  all  the
circumstances of the case, such  person is fairly and  reasonably entitled to
indemnity for such  expenses as  the Court  of Chancery  or other  such court
deems proper.  To the extent such person has been successful on the merits or
otherwise in defense of  any action referred to  above, or in defense  of any
claim, issue or  matter therein, the  corporation must indemnify  him against
expenses (including attorneys' fees) actually and  reasonably incurred by him
in connection therewith.  Corporations, under  certain circumstances, may pay
expenses incurred  by  an  officer  or  director  in  advance  of  the  final
disposition of  an  action  for which  indemnification  may  be permitted  or
required.  The  indemnification and advancement  of expenses provided  for or
granted pursuant to  Section 145  are not  exclusive of  any other  rights to
which those  seeking  indemnification  or  advancement  of  expenses  may  be
entitled under any  bylaw, agreement, vote  of stockholders  or disinterested
directors or otherwise.  Section 145 further provides  that a corporation may
maintain insurance  against  liabilities  for  which indemnification  is  not
expressly provided by statute.

  Article IX of the Company's Amended and Restated By-Laws provides:

     _(a) The Corporation shall indemnify any person who was or is a  party
  or  is threatened  to be  made  a party  to  any threatened,  pending  or
  completed   action,  suit   or  proceeding,   whether  civil,   criminal,
  administrative or investigative (other than an action by or in the  right
  of the Corporation) by reason of  the fact that he is or was a  director,
  officer, employee or  agent of the Corporation, or  is or was serving  at
  the request of the Corporation as a director, officer, employee or  agent
  of  another  corporation, partnership,  joint  venture,  trust  or  other
  enterprise,  against  expenses (including  attorneys'  fees),  judgments,
  fines and amounts paid in settlement actually and reasonably incurred  by
  him in  connection with such action,  suit or proceeding  if he acted  in
  good  faith and  in a  manner he  reasonably  believed to  be in  or  not
  opposed to the  best interests of the  Corporation, and, with respect  to
  any criminal  action or proceeding,  had no reasonable  cause to  believe
  his  conduct was  unlawful.   The  termination  of any  action,  suit  or
  proceeding by judgment, order, settlement, conviction, or upon a plea  of
  nolo contendere  or its  equivalent,  shall  not, of  itself,  create  a
  presumption that  the person did not  act in good faith  and in a  manner
  which  he reasonably  believed  to be  in  or  not opposed  to  the  best
  interests of  the Corporation, and, with  respect to any criminal  action
  or  proceeding, had  reasonable cause  to believe  that his  conduct  was
  unlawful.

<PAGE>
     (b)  The Corporation shall indemnify any person who was or is a  party
  or  is threatened  to be  made  a party  to  any threatened,  pending  or
  completed  action or  suit by  or  in the  right  of the  Corporation  to
  procure a judgment in its favor  by reason of the fact that he is or  was
  a director, officer, employee or agent  of the Corporation, or is or  was
  serving  at  the request  of  the  Corporation as  a  director,  officer,
  employee or  agent of  another corporation,  partnership, joint  venture,
  trust or  other enterprise against  expenses (including attorneys'  fees)
  actually and  reasonably incurred by him  in connection with the  defense
  or settlement of such action or  suit if he acted in good faith and in  a
  manner  he reasonably  believed to  be  in or  not  opposed to  the  best
  interests of the Corporation and except that no indemnification shall  be
  made in respect  to any claim, issue or matter  as to which person  shall
  have  been adjudged  to be  liable for  negligence or  misconduct in  the
  performance of his duty to the Corporation unless and only to the  extent
  that the Court of Chancery or the court in which such action or suit  was
  brought shall determine  upon application that, despite the  adjudication
  of liability  but in  view of  all the  circumstances of  the case,  such
  person is fairly and  reasonably entitled to indemnity for such  expenses
  which the Court of Chancery or such other court shall deem proper.

     (c)  To the extent that a director, officer, employee or agent of  the
  Corporation has been successful on the merits or otherwise in defense  of
  any action, suit  or proceeding referred to  in Subsections (a) and  (b),
  or  in defense  of  any claim,  issue  or  matter therein,  he  shall  be
  indemnified  against expenses  (including attorneys'  fees) actually  and
  reasonably incurred by him in connection therewith.

     (d)  Any indemnification under Subsections (a) and (b) (unless ordered
  by a court)  shall be made by the Corporation  only as authorized in  the
  specific case upon a determination that indemnification of the  director,
  officer, employee or agent is proper in the circumstances because he  has
  met the applicable standard of  conduct set forth in Subsections (a)  and
  (b).  Such determination shall be  made (1) by the Board of Directors  by
  a majority vote of a quorum consisting of directors who were not  parties
  to  such action,  suit or  proceeding, or  (2) if  such a  quorum is  not
  obtainable, or,  even if obtainable a  quorum of disinterested  directors
  so directs, by independent legal counsel in a written opinion, or (3)  by
  the stockholders.

     (e)  Expenses incurred in defending a  civil or criminal action,  suit
  or proceeding shall  be paid by the Corporation  in advance of the  final
  disposition  of such  action, suit  or proceeding  as authorized  by  the
  Board of Directors  in the specific case  upon receipt of an  undertaking
  by or  on behalf of  the director, officer,  employee or  agent to  repay
  such amount.   He shall not  repay the amount if  it shall be  ultimately
  determined that he is entitled to be indemnified by this section.

     (f)  The indemnification provided by this section shall not be  deemed
  exclusive of any other rights to which those seeking indemnification  may
  be  entitled  under  any  By-Law,  agreement,  vote  of  stockholders  or
  disinterested directors or otherwise,  both as to action in his  official
  capacity and as to action in another capacity while holding such  office,
  and  shall continue  as to  a person  who has  ceased to  be a  director,
  officer, employee or agent and shall  inure to the benefit of the  heirs,
  executors and administrators of such a person.

     (g)  The Corporation is authorized, according to the discretion of the
  Board of Directors, to purchase  and maintain insurance on behalf of  any
  person  who is  or was  a director,  officer, employee  or agent  of  the
  Corporation, or is or was serving at the request of the Corporation as  a
  director,   officer,   employee  or   agent   of   another   corporation,
  partnership,  joint  venture,  trust  or  other  enterprise  against  any
  liability asserted against him and incurred by him in any such  capacity,
  or arising  out of his  status as such,  whether or  not the  Corporation
  must indemnify  him against such liability  under the provisions of  this
  section.

<PAGE>
     (h)  For purposes  of this  section, references  to _the  Corporation_
  shall  include,   in  addition  to   the  Corporation,  any   constituent
  corporation (including  any constituent of a  constituent) absorbed in  a
  consolidation or merger  which, if its separate existence had  continued,
  would have had power and authority to indemnify its directors,  officers,
  and employees  or agents, so that  any person who is  or was a  director,
  officer, employee or agent of such constituent corporation, or is or  was
  serving at  the request of  such constituent corporation  as a  director,
  officer, employee  or agent  of another  corporation, partnership,  joint
  venture, trust  or other  enterprise, shall  stand in  the same  position
  under  the provisions  of  this section  with  respect to  the  resulting
  corporation  as   he  would  have  with   respect  to  such   constituent
  corporation if its separate existence had continued._
  The Company  maintains liability  insurance coverage  for its  officers and
directors which entitles the  Company to be reimbursed  for certain indemnity
payments it is required  or permitted to make  to its directors  and officers
with respect to actions arising out  of the performance of  such officer's or
director's duty in his or her capacity as such.

Item 7.  Exemption from Registration Claimed.

  Not Applicable.

Item 8.Exhibits.

  The following exhibits are filed as part of this Registration Statement:

     4.1  Certificate  of  Incorporation,  as  amended  (Exhibit 3.1  to  the
Registrant's Annual Report on Form 10-K for the year ended March 31, 1997, is
incorporated herein by reference).

     4.2  Amended and  Restated  By-Laws  (Exhibit  3.2 to  the  Registrant's
Annual Report on Form 10-K for the year ended March 31, 1997, is incorporated
herein by reference).

     4.3  Amended and Restated Revolving  Credit Note Between  the Registrant
and Heller Financial dated October 13, 1995.

     5 Opinion of Greenebaum  Doll & McDonald PLLC as to  the legality of the
securities being registered.

     23.1 Consent of Greenebaum Doll & McDonald PLLC (included in Exhibit 5).

     23.2 Consent of Arthur Andersen LLP.

     24Powers of  Attorney (included  on signature  page of  the Registration
Statement).

Item 9.Undertakings.

  (a)  The undersigned Registrant hereby undertakes:

     (1)  To file, during any period in which offers or sales are being made,
a post-effective amendment to this Registration Statement:

         (i)   To include any prospectus required by  Section 10(a)(3) of the
Securities Act of 1933;

<PAGE>
        (ii)   To reflect in the prospectus any facts or events arising after
the effective date of  the Registration Statement  (or the most  recent post-
effective  amendment  thereof)  which,  individually  or  in  the  aggregate,
represent  a  fundamental  change  in  the  information   set  forth  in  the
Registration Statement;

       (iii)   To include any material  information with respect to  the plan
of distribution not previously disclosed in the Registration Statement or any
material change to such information in the Registration Statement;

  Provided, however, that paragraphs (a)(1)(i) and  (a)(1)(ii) of this Item 9
do not apply if the Registration Statement is on Form S-3 or Form S-8 and the
information required to be included in the  post-effective amendment by those
paragraphs is contained in periodic reports filed  by the Registrant pursuant
to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 that
are incorporated by reference in the Registration Statement.

     (2)  That, for  the  purpose  of  determining  any liability  under  the
Securities Act of 1933, each such post-effective amendment shall be deemed to
be a new registration  statement relating to the  securities offered therein,
and the offering of  such securities at that  time shall be deemed  to be the
initial bona fide offering thereof.

     (3)  To remove from registration by means  of a post-effective amendment
any of the securities being registered which remain unsold at the termination
of the offering.

  (b)  The  undersigned Registrant  hereby undertakes  that, for  purposes of
determining any liability under  the Securities Act  of 1933, each  filing of
Registrant's annual  report  pursuant  to  Section  13(a)  or  15(d)  of  the
Securities Exchange Act  of 1934  (and, where applicable,  each filing  of an
employee benefit  plan's  annual  report pursuant  to  Section  15(d) of  the
Securities Exchange Act  of 1934)  that is incorporated  by reference  in the
Registration Statement shall  be deemed  to be  a new  registration statement
relating to  the  securities  offered  therein,  and  the  offering  of  such
securities at that time shall be deemed to be the  initial bona fide offering
thereof.

  The  undersigned Registrant  hereby undertakes  to deliver  or cause  to be
delivered with the prospectus, to each person to whom  the prospectus is sent
or given, the latest annual  report to security holders  that is incorporated
by reference  to the  prospectus and  furnished pursuant  to and  meeting the
requirements of Rule 14a-3 or Rule 14c-3 under the Securities Exchange Act of
1934; and, where  interim financial information  required to be  presented by
Article 3 of Regulation S-X is  not set forth in the  prospectus, to deliver,
or cause to be  delivered to each  person to whom  the prospectus is  sent or
given, the  latest  quarterly report  that  is  specifically incorporated  by
reference in the prospectus to provide such interim financial information.

  Insofar as indemnification for liabilities arising under the Securities Act
of 1933 may be  permitted to directors,  officers and controlling  persons of
the Registrant pursuant to the foregoing provisions, or otherwise, Registrant
has been  advised  that  in  the  opinion  of  the  Securities  and  Exchange
Commission such indemnification is against public policy  as expressed in the
Act and  is,  therefore,  unenforceable.   In  the  event  that a  claim  for
indemnification  against  such  liabilities   (other  than  the   payment  by
Registrant of expenses incurred or paid by a director, officer or controlling
person of  Registrant  in  the successful  defense  of  any action,  suit  or
proceeding) is asserted  by such director,  officer or controlling  person in
connection with the securities  being registered, Registrant will,  unless in
the opinion  of  its  counsel the  matter  has  been settled  by  controlling
precedent, submit to a court of appropriate jurisdiction the question whether
such indemnification by it is against  public policy as expressed  in the Act
and will be governed by the final adjudication of such issue.

<PAGE>
SIGNATURES
  Pursuant to the requirements of the  Securities Act of 1933, the Registrant
certifies that it has reasonable grounds to believe that it  meets all of the
requirements for filing  on Form  S-8 and has  duly caused  this Registration
Statement to  be signed  on its  behalf  by the  undersigned, thereunto  duly
authorized, in the  City of  Louisville, State of  Kentucky, on  December 23,
1997.

                         CARETENDERS HEALTH CORP.

                         By:   William B. Yarmuth
                              Chairman, President and Chief Executive Officer


  Pursuant  to  the  requirements  of  the   Securities  Act  of  1933,  this
Registration Statement  has  been  signed by  the  following  persons in  the
capacities and on the dates indicated.


                              POWER OF ATTORNEY

  KNOW ALL  MEN BY THESE PRESENTS,  that each person whose  signature appears
below constitutes and appoints William B. Yarmuth and C. Steven Guenthner and
each of them such individual's true and  lawful attorneys-in-fact and agents,
with full power of  substitution and resubstitution, for  such individual and
in his or her name, place  and stead, in any and all  capacities, to sign all
amendments  (including  post-effective   amendments)  to   this  Registration
Statement and any registration statement related to the offering contemplated
by this Registration Statement that  is to be effective  upon filing pursuant
to Rule 462(b) under the Securities  Act of 1933, and to file  the same, with
all exhibits thereto,  and all  documents in  connection therewith,  with the
Securities  and  Exchange  Commission  and  any  State  or  other  regulatory
authority, granting unto said attorneys-in-fact and agents, and each of them,
full power  and authority  to do  and perform  each and  every act  and thing
requisite or necessary to be done  in and about the premises as  fully to all
intents and  purposes as  he  or she  might  or could  do  in person,  hereby
ratifying and confirming all  that said attorneys-in-fact and  agents, or any
of them, or their substitute or  substitutes, may lawfully do or  cause to be
done by virtue hereof.

<PAGE>
Signature                  Title                            Date


/s/ William B. Yarmuth     Chairman of the Board, President December 23, 1997
William B. Yarmuth         and Chief Executive Officer


/s/ C. Steven Guenthner    Senior Vice President and Chief  December 23, 1997
C. Steven Guenthner        Financial Officer (Chief Financial
                           and Accounting Officer)

/s/ Steven B. Bing         Director                         December 29, 1997
Steven B. Bing


/s/ Patrick B. McGinnis    Director                         December 29, 1997
Patrick B. McGinnis

/s/ Donald G. McClinton    Director                         December 29, 1997
Donald G. McClinton


/s/ Tyree G. Wilburn       Director                         December 29, 1997
Tyree G. Wilburn


/s/ Jonathan Goldberg      Director                         December 29, 1997
Jonathan Goldberg


/s/ Wayne T. Smith         Director                         December 29, 1997
Wayne T. Smith



       Exhibit 4.3 -  Amended and Restated Revolving Credit  Note Between the
       Registrant and Heller Financial dated October 13, 1995.


                                AMENDED AND RESTATED
                                REVOLVING CREDIT NOTE


       $12,000,000                                       October 13, 1995
       Chicago, Illinois


            FOR  VALUE RECEIVED,  the  undersigned corporations,  Caretenders
       Health Corp,  National Health Industries,  Inc., HHJC  Holdings, Inc.,
       Housecalls, Inc.,  Home Health  of Jefferson  County, Inc.,  Adult Day
       Clubs  of America  Joint Venture,  Ltd., Adult  Day Care  of Maryland,
       Inc.,  Adult Day  Care of  America, Inc.,  Caretenders of  Louisville,
       Inc.,   Caretenders   of   the   Bluegrass,   Inc.,   Caretenders   of
       Elizabethtown,  Inc.,   Caretenders  of  Indiana,   Inc.,  Caretenders
       Homecare,  Inc.,  Caretenders  of   Birmingham,  Inc.,  Housecalls  of
       America, Inc.,  Caretenders of Boston, Inc.,  Caretenders of Richmond,
       Inc.,  Caretenders  Infusion   Corporation,  Caretenders  Infusion  of
       Birmingham,  Inc.,  Freelife   Medical  Equipment,  Inc.,  Caretenders
       Visiting  Services  of  Richmond,  Inc.,  and  National  Orthopedic  &
       Rehabilitation  Services,  Inc.   (collectively,  "Borrowers")  hereby
       jointly and severally  unconditionally promise to pay to  the order of
       HELLER FINANCIAL, INC., a Delaware corporation ("Heller"), at Heller's
       office located at 500 West Monroe  Street, Chicago, Illinois 60661, or
       at such other place as  the holder of this Note may  from time to time
       designate in writing, in lawful money  of the United States of America
       and  in  immediately available  funds,  the  principal sum  of  TWELVE
       MILLION  DOLLARS  ($12,000,000), or,  if  less,  the aggregate  unpaid
       principal amount of all Revolving Credit Advances made to Borrowers by
       Heller pursuant to the Loan Agreement (as hereinafter defined) at such
       times as are specified in and in accordance with the provisions of the
       Loan Agreement.

            This Note is the Revolving Credit Note referred to in section 1.1

       of the Loan Agreement of even date herewith among Borrowers and Heller
       (as  amended, supplemented  or restated  from time  to time  the "Loan
       Agreement";   capitalized  terms   used  herein   and  not   otherwise
       specifically defined herein  shall have the meanings  assigned to them
       in  the Loan  Agreement) and  is issued  to evidence  Revolving Credit
       Advances  made to  Borrowers pursuant  to the  provisions of  the Loan
       Agreement, to  which reference is hereby  made for a statement  of the
       terms,  conditions  and covenants  under  which  the Revolving  Credit
       Advances evidenced hereby  were made and are to  be repaid, including,
       but not limited to, those related  to acceleration of the indebtedness
       represented hereby upon the occurrence of  an Event of Default or upon
       the  termination  of the  Loan  Agreement.  Payment  of this  Note  is
       secured, inter alia, by the Collateral.


            Borrowers, jointly and severally, promise to  pay interest on the
       outstanding unpaid  principal amount hereof,  as provided in  the Loan
       Agreement, from the date hereof until payment in full hereof at a rate
<PAGE>
       per annum equal to the Base  Rate plus one percent (1%), as determined
       in accordance  with the  Loan Agreement,  provided that  following the
       occurrence of an  Event of Default, at the option  of Heller evidenced
       by  its written  notice to  Borrowers, Borrowers  shall pay  to Heller
       interest from the  date of such Event of Default  to and including the
       date of  cure of such  Event of Default  on the  outstanding principal
       balance of all Advances and other  Obligations at the Default Interest
       Rate, in order to compensate Heller for the additional credit risk and
       not as  a penalty. Interest shall  be computed on the  daily principal
       balance on the basis  of a 360-day year for the  actual number of days
       elapsed in the period during which  it accrues and shall be payable as
       provided in the Loan Agreement.

            In no  event shall the total  interest received by Heller  on the
       principal  amount of  the  Obligations pursuant  to  the terms  hereof
       exceed the  maximum rate  permitted by  applicable law  (the *'Maximum
       Rate")  and  in  the event  excess  interest  ("Excess  Interest_)  is
       determined by a court of competent jurisdiction to have been paid, (a)
       at Heller's option, such Excess Interest  shall be applied as a credit
       against  the  outstanding  principal balance  of  the  Obligations  or
       accrued  but  unpaid  interest  (not  to  exceed  the  maximum  amount
       permitted  by  law),  refunded to  the  applicable  Borrowers  or  any
       combination  thereof  (b) the  Interest  Rate  shall be  automatically
       reduced to  the Maximum  Rate, and  (c) Borrowers  shall not  have any
       action against  Heller for any damages  arising out of the  payment or
       collection of  Excess Interest. Notwithstanding the  foregoing, if for
       any period  of time interest on  any Obligations is calculated  at the
       Maximum Rate rather than the applicable rate under this Agreement, and
       thereafter such  applicable rate becomes  less than the  Maximum Rate,
       the rate of  interest payable on such Obligations shall  remain at the
       Maximum Rate until  Heller shall have received the  amount of interest
       which  Heller  would   have  received  during  such   period  on  such
       Obligations had the  rate of interest not been limited  to the Maximum
       Rate during such period.

            Borrowers hereby  waive demand,  presentment, protest,  notice of
       demand,  dishonor,  presentment,  protest, nonpayment  and  all  other
       notices in connection  with this Note. Subject to  the Loan Agreement,
       Borrowers also waive all rights to notice and hearing of any kind upon
       the  occurrence of  an Event  of a  Default prior  to the  exercise by
       Heller  of its  rights to  repossess the  Collateral without  judicial
       process  or to  replevy, attach  or levy  upon the  Collateral without
       notice or hearing.

            If this Note  is collected by or through  an attorney-at-law, all
       costs of  collection, including reasonable  attorneys' fees,  shall be
       payable by the undersigned.

            THIS NOTE SHALL BE INTERPRETED AND  THE RIGHTS AND LIABILITIES OF
       THE PARTIES HERETO DETERMINED IN ACCORDANCE WITH THE INTERNAL LAWS (AS
       OPPOSED TO CONFLICTS OF LAW PROVISIONS)  AND DECISIONS OF THE STATE OF
       ILLINOIS.  Whenever possible  each  provision of  this  Note shall  be
       interpreted  in  such  manner  as to  be  effective  and  valid  under
       applicable law, but if any provision  of this Note shall be prohibited
       by  or  invalid   under  applicable  law,  such   provision  shall  be
       ineffective to the  extent of such prohibition  or invalidity, without
       invalidating  the  remainder  of  such   provision  or  the  remaining
       provisions of this  Note.  Whenever in this Note  reference is made to
<PAGE>
       Heller or  Borrowers, such  reference shall be  deemed to  include, as
       applicable, a  reference to their  respective successors  and assigns.
       The provisions of  this Note shall be binding upon  and shall inure to
       the benefit of such successors and assigns. Each Borrower's successors
       and assigns shall include, without limitation,  a receiver, trustee or
       debtor in possession of or for such Borrowers.

            This Note  may be  executed by  each of the  parties hereto  on a
       separate  copy of  the signature  page hereof  and all  such signature
       pages taken together,  when attached to this Note,  shall constitute a
       fully executed counterpart hereof.

            WITNESS the  signature of the undersigned,  as of the  date first
       above written.

       CARETENDERS HEALTH CORP.           NATIONAL HEALTH INDUSTRIES,INC.

       By:                                By:                      
       Title:                             Title:                        

       HHJC HOLDINGS, INC.                HOUSECALLS INC.


       By:                                By:                      
       Title:                             Title:                        

       HOME HEALTH OF JEFFERSON,          ADULT DAY CARE OF AMERICA,
       COUNTY, INC.                       INC.


       By:                                By:                      
       Title:                             Title:                        

       SIGNATURES CONTINUED ON NEXT PAGE)
<PAGE>

       ADULT DAY CARE OF MARYLAND,        ADULT DAY CLUBS OF AMERICA-JOINT
       INC.                               VENTURE, LTD.
       By:                                By:                      
       Title:                             Title:                        

       CARETENDERS OF LOUISVILLE, INC.         CARETENDERS OF  THE BLUEGRASS,
       INC.


       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS OF ELIZABETHTOWN,      CARETENDERS OF INDIANA, INC.
       INC

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS HOMECARE, INC.         CARETENDERS OF BIRMINGHAM, INC.


       By:                                By:                      
       Title:                             Title:                        


       HOUSECALLS OF AMERICA, INC.        CARETENDERS OF BOSTON, INC.

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS OF RICHMOND, INC.      CARETENDERS INFUSION CORPORATION

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS INFUSION OF            FREELIFE MEDICAL EQUIPMENT, INC.
       BIRMINGHAM, INC.

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS VISITING SERVICES      NATIONAL ORTHOPEDIC &
       OF RICHMOND, INC.                  REHABILITATION SERVICES, INC.


       By:                                By:                      
       Title:                             Title:                        
<PAGE>


                        CUMULATIVE AMENDMENT NO. 1 TO MEDICAL
                           CLAIMS REVOLVING LOAN AGREEMENT


            This Cumulative Amendment No. 1  ("Cumulative Amendment") to that
       certain Medical Claims Revolving Loan Agreement  dated the 20th day of
       June,  1994, as  the same  has  been or  may be  amended by  Amendment
       Numbers  1  and  2  (the "Agreement")  entered  into  by  and  between
       Caretenders  Health  Corp.,  National  Health  Industries  Inc.,  HFJC
       Holdings,  Inc., Housecalls,  Inc., Home  Health of  Jefferson County,
       Inc., Adult Day  Clubs of America Joint Venture, Ltd.,  Adult Day Care
       of Maryland,  Inc., Adult  Day Care of  America, Inc.,  Caretenders of
       Louisville, Inc.,  Caretenders of the Bluegrass,  Inc., Caretenders of
       Elizabethtown,  Inc.,   Caretenders  of  Indiana,   Inc.,  Caretenders
       Homecare.  Inc.,  Caretenders  of   Birmingham,  Inc.,  Housecalls  of
       America, Inc.,  Caretenders of Boston, Inc.,  Caretenders of Richmond,
       Inc.,  Caretenders  Infusion   Corporation,  Caretenders  Infusion  of
       Birmingham,  Inc.,  Freelife   Medical  Equipment,  Inc.,  Caretenders
       Visiting  Services  of  Richmond,  Inc.,  and  National  Orthopedic  &
       Rehabilitation Services,  Inc. (each individually as  a "Provider" and
       collectively as _Providers_) and Heller  Financial, Inc. ("Heller") is
       dated as  of the  13th day  of October,  1995. Capitalized  terms used
       herein  and  not otherwise  defined  herein  shall have  the  meanings
       ascribed to them in the Agreement.

            WHEREAS, Heller and  Providers have agreed to  certain changes to
       the Agreement; and

            WHEREAS,  Providers   and  Heller  desire  to   enter  into  this
       Cumulative Amendment  to reflect the terms  of such agreements  and to
       consolidate all prior amendments to the Agreement;

            NOW, THEREFORE, in consideration of the premises, provisions, and
       covenants contained herein,  ten dollars, and other  good and valuable
       consideration,  the  receipt  and  sufficiency   of  which  is  hereby
       acknowledged, Providers and Heller agree as follows:

       1.   Subsection 1.1  A. (2)  of the Agreement  is amended  by deleting
       that subsection  in its entirety and  inserting the following  in lien
       thereof:

            "(2) As used herein, "Revolving Credit Advance Base" means, as to
       any Provider, an amount equal to  (i) ninety-five percent (95%) of the
       net  amount of  the Estimated  Insured Value  of outstanding  Eligible
       Commercial  Claims,  Government  Claims, and  Private  Pay  Claims  of
       Provider and  (ii) fifty percent  (50%) of the  net value  of Eligible
       Inventory,  less, in  both cases,  such reserves  as Heller  elects to

       establish  pursuant  to  Section  1.4  B  hereof.  Commercial  Claims,
       Government Claims, and Private Pay Claims shall only be considered for
       advance  against  if  they are  deemed  Eligible  Claims  pursuant  to
       subsection 1.1  D. (i)  hereof, and Eligible  Inventory shall  only be
       considered  for advance  against if  it is  deemed Eligible  Inventory
       pursuant to subsection 1.1 D. (ii) hereof."

       2.   Subsection 1.1  B. of the Agreement  is amended by  deleting that
       subsection  in  its  entirety and  inserting  the  following  in  lieu
       thereof:
<PAGE>

            "B.  Advance  Limits                             

                                . Notwithstanding  the foregoing,  (a) in  no
       event shall the total of all  Advances to and all other Obligations of
       Providers to Heller  outstanding at any one time exceed  the lesser of
       the Total Advance Limit or the  Revolving Credit Base, (b) in no event
       shall the total of all Advances outstanding against Private Pay Claims
       of Provider  exceed the  Private Pay  Advance Limit,  (c) in  no event
       shall Advances  against Eligible Inventory exceed  fifty percent (50%)
       of  Eligible Inventory,  and (d)  in no  event shall  Advances against
       Eligible Commercial Claims, Government Claims,  and Private Pay Claims
       exceed ninety-five  percent (95%) of the  net amount of  the Estimated
       Insured  Value of  such  Claims, in  each  case,  less any  applicable
       reserves established by Heller pursuant to Section 1.4  B._

       3.   Subsection 1.1  D. of the Agreement  is amended by  deleting that
       subsection  in  its  entirety and  inserting  the  following  in  lieu
       thereof:

            "D.  Eligibility Criteria
                                     
                       . (i) Eligible Claims
                                                          .   Claims shall be
       deemed "Eligible  Claims_ pursuant to  Heller's sole  determination of
       eligibility in accordance with its  customary credit criteria. Without
       limiting the generality of the foregoing, the following Claims are not
       Eligible unless otherwise agreed by Heller:

                 1.   Other Claims;
                 2.   Claims outstanding  more than one hundred  eighty (180)
            days from the date of service;
                 3.   Claims where  the commercial  Payor is  located outside
            the United States;
                 4.   Claims  where Heller  has  notified  Provider that  the
            commercial or government Payor does  not have satisfactory credit
            or financial  standing (as determined  in the sole  discretion of
            Heller);

                 5.   Claims with  respect to  which Heller  does not  have a
            valid, first priority and fully perfected security interest;

                 6.   Claims subject  to any  Lien except  those in  favor of
            Heller;

                 7.   Any Claim  with respect to which  Payor is a  Person to
            whom Provider is indebted, provided, however, that any such Claim
            shall only be ineligible as to that portion of the Claim which is
            less than or equal to the  amount owed by Provider to such Person
            and provided  further that  indebtedness to  Humana or  any other
            Person  for  insurance purchased  by  Providers  and cost  report
            settlement amounts owed by Providers to  the government shall not
            be included hereunder;

                 8.   Claims where the Payor notification letters required by
            Section 2.6 A (13) have not been sent;

                 9.   That  part  of  Government Claims  consisting  of  cost
            report settlements  due to Providers, regardless  of whether such
            settlement  amounts  are the  result  of  interim or  final  cost
            reports;
<PAGE>

                 10.  Claims that have arisen from discontinued operations.

                 11.  Claims  generated by  Freelife  Rehab Resources,  Inc.,
            f/k/a Freelife Medical Equipment, Inc. (Freelife).

                 (ii) Eligible Inventory. Eligible Inventory means, as at any

            date of determination, the value (determined at the lower of cost
            or market on a first-in, first-out  basis) of all Inventory owned
            by and in  the possession of Providers and located  in the United
            States of America that Heller, in its reasonable credit judgment,
            deems  eligible  for  borrowing purposes.  Without  limiting  the
            generality of  the foregoing, unless otherwise  agreed by Heller,
            the following is not Eligible Inventory: (a) work-in-process that
            is not readily marketable in its current form; (b) finished goods
            which do  not meet the specifications  of the purchase  order for
            such goods; (c) Inventory which Heller determines is unacceptable
            for  borrowing  purposes due  to  age,  quality, type,  category,
            and/or quantity; (d) Inventory with respect  to which Heller does
            not have  a valid,  first priority  and fully  perfected security
            interest; (e)  Inventory with respect  to which there  exists any
            Lien  in favor  of any  Person other  than Relict;  (g) Inventory
            produced in violation of the Fair Labor Standards Act and subject
            to the  so-called "hot  goods" provisions  contained in  Title 29
            U.S.C.  (a)(i);  (g)  Inventory  located  at  Freelife;  and  (h)
            Inventory located at any location other than the locations listed
            on Schedule 1 hereto."


       4.   Section 1  of the  Agreement is  amended by  deleting subsections
       1.6, 1.7,  and 1.9 in their  entirety and inserting the  following new
       subsections in lien thereof:
          
            l.6.    Early Termination  Fee.
                                           
                                                 If Providers  terminate this
       Agreement  for any  reason  prior to  the  second  anniversary of  the
       Cumulative Amendment Date, other than as  the result of a repayment in
       full  of all  outstanding Obligations  from cash  flow generated  from
       operations,  Providers  shall pay  Heller  as  liquidated damages  and
       compensation for the  costs of being prepared to  make funds available
       to Providers under this Agreement, and  not as a penalty, an aggregate
       amount equal to $100,000 if terminated  prior to the first anniversary
       or $50,000 if terminated after the first anniversary, and prior to the
       second anniversary; provided, however, Providers shall not be required
       to pay this fee if,  at the time of a termination  prior to the second
       anniversary of the Cumulative Amendment Date,  Heller has assigned all
       of its  interest hereunder and  is not acting  as agent for  any other
       lender.

            1.7  Administration  Fee
                                   
                                    .  As  additional consideration  for  the
       start-up administration,  and monitoring of this  Agreement, Providers
       shall pay to  Heller, without demand, in addition to  any interest and
       other fees due under this Agreement an aggregate annual administration
       fee in the amount of $40,000. Said administration fee shall be payable
       monthly in arrears  on the first day of each  month, commencing on the
       first  day of  the month  following the  Cumulative Amendment  Closing
<PAGE>

       Date,  and on  the Termination  Date, except  that the  amount of  the
       administration fee payable  on the Termination Date in  respect of the
       month in which the termination occurs  shall be pro-rated based on the
       number of  days that  this Agreement  is in  effect during  such final
       month. Heller  may charge Providers' account  for any portion  of said
       administration fee  due from  Provider hereunder.  Said administration
       fee shall be fully earned by Heller on the date payment thereof is due
       and  shall not  be subject  to  rebate upon  the  termination of  this
       Agreement.

            1.9  Underutilization Fee
                                     
                                     .  (a) So long  as the  Revolving Credit
       Advances are  less than  seven million  five hundred  thousand dollars
       ($7,500,000),  Providers shall  pay to  Heller a  fee in  an aggregate
       amount equal  to (i) (A) seven  million five hundred  thousand dollars
       ($7,500,000)  less (B)  the average  daily amount  of all  outstanding
       Advances to  Providers during the  preceding month multiplied  by (ii)
       one half of one percent (.5%) per  annum, such fee to be calculated on
       the basis of a 360-day year for  the actual number of days elapsed and
       to  be payable  monthly  in arrears  on  the first  day  of the  month
       following the Cumulative  Amendment Closing Date and the  first day of
       each month  thereafter. Heller may  charge Providers' account  for any
       portion of such 'be due from Providers hereunder; and

            (b)  At  such time  as the  Revolving  Credit Advances  initially
       equal  or   exceed  seven  million   five  hundred   thousand  dollars
       ($7,500,000) from and after such date, Providers shall pay to Heller a
       fee in  an aggregate amount  equal to (i)  (A) twelve  million dollars
       ($12,000,000) less  (B) the  average daily  amount of  all outstanding
       Advances to  Providers during the  preceding month multiplied  by (ii)
       one-half of one percent (.5%) per  annum, such fee to be calculated on
       the basis of a 360 day  year for the actual number of days elapsed and
       to  be payable  monthly  in arrears  on  the first  day  of the  month
       following the Cumulative  Amendment Closing Date and the  first day of
       each month  thereafter. Heller may  charge Providers' account  for any
       portion of such fee due from Providers hereunder."

       5.   Section 1 of the Agreement is  amended by inserting the following
       new section

            1.10     Activation  Fee                                    

                                     . As  additional  consideration for  the
       services to be provided by Heller hereunder and for Heller's agreement
       to  increase  the  Total  Advance  Limit  to  twelve  million  dollars
       ($12,000,000), Providers shall  pay to Heller an activation  fee of an
       amount equal  to one  percent (1%)  of the  four million  five hundred
       thousand dollar ($4,500,000) line increase in the Total Advance Limit,
       at such time  as the total of the Revolving  Credit Advances equals or
       exceeds  seven million  five  hundred  thousand dollars  ($7,500,000).
       Heller may  charge Providers' account  for a portion  of such  fee due
       from Providers hereunder."

       6.   Subsection 1.2  B of  the Agreement is  amended by  deleting that
       subsection  in  its  entirety and  inserting  the  following  in  lien
       thereof;

            _B.  To the extent that at any time
<PAGE>

            (a)  the total of all outstanding  Advances and other Obligations
       (other  than Obligations  consisting of  guarantees of  obligations of
       other Providers) exceeds the Total Advance  Limit, less any applicable
       reserves established by Heller pursuant to Section 1.4(B), or

            (b)  the total  of all outstanding  Advances against  Private Pay
       Claims  exceeds the  Private Pay  Advance Limit,  less any  applicable
       reserves established by Heller pursuant to Section 1.4(B), or

            (c)  the total  of all outstanding  Revolving Credit  Advances of
       Providers exceeds the Revolving Credit Advance Base of Providers, or

            (d)  the  total  of  all outstanding  Advances  against  Eligible
       Inventory  of  Providers  exceeds  fifty  percent  (50%)  of  Eligible
       Inventory, or

            (e)  the  total  outstanding  of all  Advances  against  Eligible
       Commercial Claims,  Government Claims, and Private  Pay Claims exceeds
       ninny-five percent (95%) of the net  amount of the Estimated Insurance
       Value of such Claims,

       Providers jointly  and severally agree  to pay on  demand any  and all
       amounts  required to  bring Providers'  accounts within  the foregoing
       Advance Limits or within the foregoing Advance Bases."

       7.   Section  3  of  the  Agreement is  amended  by  inserting  a  new
       subsection W. as follows;

            (i)  Providers will  maintain or cause  to be  maintained in
       good repair, working order, and condition all material properties used
       in its  business and  will make  or cause to  be made  all appropriate
       repairs, renewals, and replacements thereof Providers will maintain or
       cause to be maintained, with financially sound and reputable insurers,
       public liability  and property  damage insurance  with respect  to its
       business and properties  and the business and  properties against loss
       or  damage  of   the  kinds  customarily  carried   or  maintained  by
       corporations of  established reputation engaged in  similar businesses
       and in amounts acceptable to Heller Providers shall cause Heller to be
       named  as  loss  payee  on all  insurance  policies  relating  to  any
       Collateral pursuant to appropriate endorsements  in form and substance
       satisfactory to Heller.

            (ii) All  of the  Inventory now  owned or  hereafter acquired  by
       Providers is  and will be  of good and  merchantable quality  and free
       from defects and Providers are and will be the owner of such Inventory
       free  from any  lien,  security interest,  or  encumbrance, except  in
       Heller's favor; that all of the  inventory is located at locations set
       forth on Schedule 1 hereto unless  it is in transit to Providers; that
       Providers warrant and will defend the Inventory against all claims and
       demands of  any Persons  at any  time; and  that Providers  have good,
       legal, and  absolute right  and power  to pledge  and grant  liens and
       security interests in the same to Heller

            (iii) Providers represent and agree:

            (a)  To report, in form satisfactory  to Heller, such Information
       as Heller may  request regarding Inventory; such reports  shall be for
       such periods, shall  reflect Providers' records as at  such times, and
<PAGE>
       shall be rendered with such frequency  as Heller may designate, but in
       no event less than monthly.

            (b)  To notify  Heller immediately of  any event causing  loss or
       depreciation in the value of Inventory  and the amount of such loss or
       depreciation.

            (c)  To execute and deliver to Heller all instruments, documents,
       and evidences deemed by Heller to be necessary or desirable to perfect
       the lien and security interest granted  to Heller hereby in accordance
       with any applicable law, or otherwise, and to carry out the intent and
       purpose  of this  Agreement. Whenever  any Inventory  is located  upon
       leased Premises, Providers shall, at Heller's request, cause the owner
       and lessor of such premises to  execute and deliver to Heller consents
       and subordinations of lien in form acceptable to Heller.

            (iv) Providers shall  keep correct current stock,  cost and sales
       records of  its Inventory, accurately  and sufficiently  itemizing and
       describing the kinds,  type, and quantities of Inventory  and the cost
       and selling prices thereof all of  which records shall be continuously
       available  to  Heller  for  inspection;  and   Heller  shall,  at  all
       reasonable times, have access to and the right to inspect and draw off
       data torn any  of Providers' other books and records  for the purposes
       of checking and  verifying all such statements, stock,  cost and sales
       records.

            (v)  Providers shall  at all  reasonable times  and from  time to
       time allow, by  or through any of its officers,  agents. attorneys, or
       accountants,  Heller   to examine  or inspect  the Inventory  wherever
       located and,  for such purposes, to  enter upon Providers  premises or
       wherever any of the Inventory may be found.

            (vi) Until default, Providers may use the Inventory in any lawful
       manner  not inconsistent  with this  Agreement  or with  the terms  or
       conditions of any policy of insurance thereon, may use and consume any
       raw  materials  or supplies,  the  use  and  consumption of  which  is
       necessary in order to carry on  Providers' business, and may also sell
       the  Inventory in  the ordinary  course  of business.  A  sale in  the
       ordinary course of business does not  include a transfer in partial or
       total satisfaction of a debt owing  by Providers to someone other than
       Heller."

       8.   Section 3.2 of the Agreement is  amended by deleting that Section
       in its entirety and inserting the following in lieu thereof:

            "3.2 Financial Covenants. The following financial covenants shall
       be applicable:

            1.   Tangible  Net  Worth
                                    
                                     . At  each  month  end, Providers  shall
       maintain, on a consolidated basis, Tangible Net Worth of not less than
       nine million dollars ($9,000,000) at all times.

            2    Total  Debt Coverage

                                     .  At each  month end,  Providers' Total
       Debt Coverage, on   consolidated basis, for  the Trailing Twelve-Month
<PAGE>
       Period, shall  not be less than  the following amounts for  each month
       end occurring during the periods indicated below:

                 Period                                       Amount

       From July 31, l995 through December 3l, 1995           2.20
       From January 1, 1996 and thereafter                    2.50


            3.   Unfinanced   Capital  Expenditures

                                                   .   At  each   month  end,
       Providers' unfinanced  Capital Expenditures, on a  consolidated basis,
       for the Trailing  Twelve-Month Period, shall not exceed  the lesser of
       (i)  $4,000,000 or  (ii)  the following  amounts  for  each month  end
       occurring during the periods indicated below

                 Period                                             Amount

       Fiscal Year Ending March 31, 1996                      70% of EBBIDAT
       Fiscal Years Ending March 31, l997
       and March 3l, 1998                                     91% of EBBIDAT
       Fiscal Year Ending March 31, 1999                      80% of EBBIDAT
       Fiscal Year Ending March 31, 2000
       and each Fiscal Year Thereafter                        75% of EBBIDAT

       9.   Section 7 of  the Agreement is amended by deleting  the first two
       the following new two sentences in lieu thereof:

            "This Agreement shall continue in force  and effect until October
       13, 1998  and for annual one  (1) year terms thereafter  unless either
       Providers  or  Heller  delivers  to  the   other  party  notice  of  a
       termination of this  Agreement not less than sixty (60)  days prior to
       the commencement  of the last year  of the then effective  term or any
       anniversary thereof  Providers may terminate  this Agreement  prior to
       October 13, 1998 by delivering sixty (60) days prior written notice to
       Heller, provided, however, that upon any termination of this Agreement
       by Providers prior to October 13, 1998, Providers shall pay Heller the
       fees, if any, due under Section 1.6 hereof."

       10.  Section  10 of  the Agreement  is amended  by deleting  Providers
       address and inserting the following new address for Providers:

            _Caretenders Health Corp.
            100 Mallard Creek Road, Suite 400
            Louisville, KY 40207"

       11.  Section 11 of the Agreement is  amended by deleting the following
       definitions   and  inserting   the   following   new  definitions   in
       alphabetical order:

            Interest Rate"
                           
                            -  Interest Rate shall be a rate  per annum equal
       to the base Rate plus one percent (1%)
<PAGE>


            "Revolving Credit Note"
                                   
                                     -- Revolving Credit Note  shall mean the
       Amended  and  Restated Revolving  Credit  Note  executed by  Providers
       hereunder in the amount of twelve million dollars ($12,000,000).

            "Total Advance  Limit"
                                 
                                   -  Total Advance  Limit shall  mean twelve
       million dollars ($12,000,000)."

       12.  Section 11 of  the Agreement is further amended  by inserting the
       following new definitions in alphabetical order:

            _  _Cumulative Amendment  Closing Date_  -E Cumulative  Amendment
       Closing Date shall mean October 13, 1995.

            _Eligible Inventory" -- Eligible Inventory shall have the meaning
       ascribed to that term in subsection 1.1 D. (ii) hereof."

       13.  All  references to  Exhibit A  in  the Agreement  shall mean  the
       Amended and Restated Revolving Credit Note  attached hereto as Exhibit
       A.

       14.  All references to  Collateral Report in the  Agreement shall mean
       the Collateral Report attached hereto as Exhibit B.

       15.  MISCELLANEOUS

            15.1  
                 Representations and Certifications.  Providers represent and
               warrant to Heller as follows:
               
            (a)  Authorization  of   Cumulative  Amendment
                                                          
                                                          .   The  execution,
       delivery,  and performance  of this  Cumulative  Amendment are  within
       Providers corporate power, have been duly  authorized by all necessary
       or proper corporate action and do  not require the consent or approval
       of any other person  or entity which has not been  obtained and a copy
       thereof furnished to Heller.

            (b)  Execution   of  Cumulative   Amendment
                                                      
                                                       .     This  Cumulative
       Amendment has been executed and delivered  by duly authorized officers
       of  Providers and  it is  a legal,  valid, and  binding obligation  of
       Providers, enforceable against Providers in accordance with its terms.

            (c)  Compliance  of  Cumulative  Amendment with  Laws,  etc
                                                                       
                                                                       .  The
       execution, delivery,  and performance of this  Cumulative Amendment in
       accordance with  its terms  does not  and will not  by the  passage of
       time, the giving of notice, or otherwise, (i) require any governmental
       approval or  violate any  applicable law  relating to  Providers, (ii)
       conflict with, result in a breach of or constitute a default under the
       Articles or Certificates of Incorporation or By-laws of Providers, any
       material  provisions  of  any  indenture,   agreement,  or  any  other
       instrument to which Providers are a party or by which Providers or any
       of  their  respective properties  may  he  bound or  any  governmental
       approval  relating to  Providers, or  (iii) result  in or  require the
       creation  or imposition  of  any  Lien upon  or  with  respect to  any
<PAGE>

       property now  owned or hereafter acquired  by Providers other  than in
       favor of Heller.

            15.2 Confirmation Security  Interests
                                                
                                                 . Providers  acknowledge and
       agree that the security interest granted to Heller by Providers in the
       Collateral  remain  first  and  valid  liens  therein,  and  Providers
       represent and warrant that as of  the date hereof there are no claims,
       set-off, or  defenses to Heller's exercise  of any rights  or remedies
       available to  Heller as an owner  of the Collateral in  realizing upon
       the  Collateral under  the  terms and  conditions  of this  Cumulative
       Amendment, the Agreement, or the  Financing Agreements. providers have
       not assigned or attempted to assign  any claim; set-off, or defense to
       any Person.

            15.3 Valid  and  Binding  Obligation
                                               
                                                . Providers  acknowledge  and
       agree  that  Providers'  Obligations   arising  from  this  Cumulative
       Amendment, the Agreement,  and the Financing Agreements  are the valid
       and binding  obligations of Providers,  and Providers have  no claims;
       setoffs,  or  defense  to  the  payment  by  Providers  of  Providers'
       Obligations,  and  Heller  may  enforce   the  payment  of  Providers'
       Obligations as set  forth in this Cumulative  Amendment the Agreement,
       and the Financing Agreements.

            15.4 Waiver and Release
                                   
                                  . Providers  waive and affirmatively agree
       not to  allege or  otherwise pursue any  or all  defenses, affirmative
       defenses, counterclaims,  claims, causes of action,  setoffs, or other
       rights  that  they may  have  to  contest  (i)  any provision  of  the
       Agreement,  this Cumulative  Amendment, or  the Financing  Agreements;
       (ii) the  right of Heller to  all proceeds from the  Collateral; (iii)
       the ownership and security interest of Heller in any property (whether
       real or  personal, tangible or  intangible), right or  other interest,
       now or  hereafter arising in connection  with the Collateral;  or (iv)
       the conduct of Heller in administering  this Cumulative Amendment, the
       Agreement, the Financing Agreements, or otherwise. In consideration of
       the terms and conditions of this Cumulative Amendment, the receipt and
       sufficiency  of   which  consideration   is  hereby   acknowledged  by
       Providers, Providers  hereby release  Heller, its  parent, affiliates,
       agents,  servants, employees,  directors,  attorneys, successors,  and
       assigns from  any and all liabilities,  claims, actions, or  causes of
       action accruing to  Providers or its Affiliates, arising out  of or in
       any manner  connected with this  Cumulative Amendment,  the Agreement,
       the Financing  Agreements, or Heller's activities,  including, without
       limitation, all  actions taken  or not taken  by Heller  in connection
       with the collection of the Claims or administration of this Cumulative
       Amendment, the Agreement, the Financing Agreements, or otherwise.

            15.5 Waiver of  Providers' Defenses

                                               .   Providers agree  that they
       have no claim or defense of any kind  by way of offset or otherwise to
       the payment  and satisfaction  in full of  the Obligations  under this
       Cumulative Amendment or  the Agreement. To the extent  that such claim
       or defense  may or  does exist,  Providers waive  any and  all defense
       arising by  reason of (i) any  and all amendments or  modifications of
       any document; (ii) any and all alterations, accelerations, extensions,
       or other  changes in the  time and manner  of payment  or performance;
<PAGE>

       (iii) any and all increases or decreases in the Interest Rate or other
       change; (iv) the release, substitution, or addition of Collateral; (v)
       any failure of Heller to give notice of Default to Providers; (vi) any
       failure of  Heller to  pursue Providers or  any property  of Providers
       with any due  diligence; and (vii) any failure of  Heller to resort to
       the Collateral or  remedies which may be available to  it and the same
       shall not operate to release Providers hereunder.

            15.6 Heller's Waiver
                                
                                .  Except as  specifically set  forth herein,
       nothing contained herein  shall be construed as a waiver  of any right
       or remedy  of Heller under  this Cumulative Amendment,  the Agreement,
       the Financing Agreements, or otherwise under applicable law.

            15.7 Incorporation  of Financing  Agreements: Conflicting  Terms
                                                                            .
       Future administration of the Financing Agreements shall continue to be
       governed  by the  covenants, terms,  and conditions  of the  Financing
       Agreements executed  prior to the  date hereof which  are incorporated
       herein by this reference, except to the extent that the same have been
       amended, terminated,  supplemented, or  superseded by  this Cumulative
       Amendment.

            15.8 Counterparts. This  Cumulative Amendment may be  executed by
       each party to  this Cumulative Amendment upon a separate  copy, and in
       such case one  counterpart of this Cumulative  Amendment shall consist
       of  enough of  such copies  to  reflect the  signature of  all of  the
       parties to this Cumulative Amendment. This Cumulative Amendment may be
       executed in two or more counterparts, each of which shall be deemed an
       original,  and it  shall not  be  necessary in  making  proof of  this
       Cumulative Amendment or its terms to  produce or account for more than
       one of such counterparts.

            15.9 Construction  of   Cumulative  Amendment
                                                         
                                                         .   This  Cumulative
       Amendment is a Financing Agreement executed  pursuant to the Agreement
       and shall he  construed, administered, and applied  in accordance with
       all the terms and provisions of the Agreement.

            15.10     Governing  Law
                                    .  This  Cumulative  Amendment  shall  be
       governed by and construed in accordance  with the internal laws of the
       State of Illinois.

            15.11     Successors and Assigns. This Cumulative Amendment shall
       be binding  upon and inure  to the benefit  of the parties  hereto and
       their respective successors and assigns.

            IN  WITNESS   WHEREOF,  the  parties  hereto   have  caused  this
       Cumulative  Amendment  to be  executed  by  their respective  officers
       hereunder duly authorized as of the day and year noted above.


       CARETENDERS HEALTH CORP.           NATIONAL HEALTH INDUSTRIES,INC.

       By:                                By:                      
       Title:                             Title:                        

       HHJC HOLDINGS, INC.                HOUSECALLS INC.


       By:                                By:                      
       Title:                             Title:                        

       HOME HEALTH OF JEFFERSON,          ADULT DAY CARE OF AMERICA,
       COUNTY, INC.                       INC.


       By:                                By:                      
       Title:                             Title:                        
       SIGNATURES CONTINUED ON NEXT PAGE)
<PAGE>

       ADULT DAY CARE OF MARYLAND,        ADULT DAY CLUBS OF AMERICA-JOINT
       INC.                               VENTURE, LTD.
       By:                                By:                      
       Title:                             Title:                        

       CARETENDERS OF LOUISVILLE, INC.    CARETENDERS OF THE BLUEGRASS, INC.


       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS OF ELIZABETHTOWN,      CARETENDERS OF INDIANA, INC.
       INC

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS HOMECARE, INC.         CARETENDERS OF BIRMINGHAM, INC.


       By:                                By:                      
       Title:                             Title:                        


       HOUSECALLS OF AMERICA, INC.        CARETENDERS OF BOSTON, INC.

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS OF RICHMOND, INC.      CARETENDERS INFUSION CORPORATION

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS INFUSION OF            FREELIFE MEDICAL EQUIPMENT, INC.
       BIRMINGHAM, INC.

       By:                                By:                      
       Title:                             Title:                        


       CARETENDERS VISITING SERVICES      NATIONAL ORTHOPEDIC &
       OF RICHMOND, INC.                  REHABILITATION SERVICES, INC.


       By:                                By:                      
       Title:                             Title:                        



                   (LETTERHEAD OF GREENEBAUM DOLL & MCDONALD PLLC)




                                          December 30, 1997


            Caretenders Health Corp.
            100 Mallard Creek Road, Suite 400
            Louisville, KY  40207

            Ladies and Gentlemen:

                 We have acted  as legal counsel in  connection with the
            preparation of  a Registration Statement  on Form  S-8 under
            the Securities  Act of 1933,  as amended  (the _Registration
            Statement_),  covering an  aggregate  of  100,000 shares  of
            Common Stock, par value $.10 per share (the _Common Stock_),
            of  Caretenders Health  Corp., a  Delaware corporation  (the
            _Company_), to  be issued  under the  Non-Employee Directors
            Deferred Compensation Plan (the _Plan_).

                 We have examined and are  familiar with the Certificate
            of Incorporation and By-Laws of the Company, and the various
            corporate   records   and   proceedings  relating   to   the
            organization of the Company and the proposed issuance of the
            Common Stock.   We have  also examined such  other documents
            and  proceedings as  we have  considered  necessary for  the
            purpose of this opinion.

                 Based  on the  foregoing, it  is our  opinion that  the
            Common Stock has  been duly authorized and,  when issued and
            paid for  in accordance with  the terms of  the Registration
            Statement and the  Plan, will be validly  issued, fully paid
            and non-assessable.

                 We hereby consent  to the filing of this  Opinion as an
            exhibit to  the Registration Statement, and  with such state
            securities  administrators as  may require  such opinion  of
            counsel for the registration of the Common Stock.  In giving
            this consent, we do not thereby admit that we are within the
            category of persons whose consent  is required under Section
            7 of  the Securities Act of  1933, as amended, or  the Rules
            and Regulations  of the  Securities and  Exchange Commission
            thereunder.

                                     Very truly yours,



                                     /s/ Greenebaum Doll & McDonald PLLC



       Exhibit 23.2 - Consent of Arthur Andersen LLP.





                      Consent of Independent Public Accountants



       As independent public accountants, we hereby consent to the
       incorporation by reference in this registration statement of our
       reports dated June 5, 1997 included in the Caretenders Health Corp.
       Form 10-K for the year ended March 31, 1997, and to all references to
       our firm included in this registration statement.





                                               ARTHUR ANDERSEN LLP




       Louisville,  Kentucky
       December 31, 1997




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