CARETENDERS HEALTH CORP
8-K, 1999-02-19
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                      SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, DC 20549


                                 FORM 8-K
     
                              CURRENT REPORT


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



     Date of report (Date of earliest event reported): February 1, 1999


                         CARETENDERS HEALTH CORP.
          (Exact Name of Registrant as Specified in Charter)


             Delaware                   1-9848                06-1153720
   (State or Other Jurisdiction      (Commission            (IRS Employer
        of Incorporation)            File Number)         Identification No.)




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


     Registrant's telephone number, including area code: (502) 899-5355


<PAGE>
Item 5.   OTHER EVENTS

On February 1, 1999, the Board of Directors of Caretenders Health Corp. (the
"Company") approved a Stockholder Protection Rights Agreement (the "Rights
Plan").  The Board approved the Rights Plan in order to preserve the long-term
value of the Company for its stockholders.  In connection with the adoption of
the Rights Plan, the Board has declared a dividend of one Right for each share
of the Company's common stock ("Common Stock") outstanding at the close of
business on February 16, 1999.  A summary of the Rights is set forth below.

DISTRIBUTION AND
TRANSFER OF RIGHTS       The Board of Directors has declared a dividend of one
                         Right for each share of the Company's Common Stock
                         outstanding at the close of business on February 16,
                         1999.  Prior to the Separation Time referred to below,
                         the Rights will be evidenced by and traded with the
                         certificates for the Common Stock.  After the
                         Separation Time, the Company or the Rights Agent  will
                         mail Rights certificates to the Company's stockholders
                         and the Rights will become transferable apart from the
                         Common Stock.
EXERCISE OF RIGHTS FOR
PREFERRED STOCK          After the Separation Time, each Right (other than
                         Rights held by an Acquiring Person) will entitle the
                         holder to purchase for the exercise price ("Exercise
                         Price") a fraction of a share of the Company's Series
                         B Junior Participating Preferred Stock with economic
                         terms similar to those of one share of the Company's
                         Common Stock.  The initial exercise price (which is
                         subject to amendment or adjustment as provided in the
                         Rights Plan) is $16 per share.

SEPARATION TIME          In general, the Rights will separate from the Common
                         Stock and become exercisable ("Separation Time") at
                         the close of business on the earlier of: (a) the tenth
                         business day after the date on which any person
                         commences a tender or exchange offer which, if
                         consummated, would result in such person becoming an
                         Acquiring Person (as described below) and (b) the
                         Flip-In Date (as described below).

ACQUIRING PERSON         In general, Acquiring Person means any person who is a
                         beneficial owner of 20% or more of the outstanding
                         shares of Common Stock.  However, no person will
                         become an Acquiring Person as a result of the
                         acquisition of shares upon the exercise of any option,
                         warrant or right currently outstanding.

FLIP-IN                  In the event that a Flip-In Date occurs, each Right
                         (other than Rights held by the Acquiring Person)  will
                         constitute the right to purchase from the Company,
                         upon exercise of the Right, for the Exercise Price, a
                         number of shares of the Company's Common Stock having
                         a then current market value of twice the Exercise
                         Price.  In general, the Flip-In Date is the tenth
                         business day after any Stock Acquisition Date.  The
                         Stock Acquisition Date means the first date of public
                         announcement by the Company that any person has become
                         an Acquiring Person.

<PAGE>
FLIP-OVER TRANSACTION
OR EVENT                 Prior to the Expiration Time (as described below), the
                         Company may not enter into any agreement relating to a
                         Flip-Over Transaction or Event, unless and until, the
                         Company has entered into a supplemental agreement with
                         the Flip-Over Entity for the benefit of the holders of
                         the Rights.  The supplemental agreement must provide,
                         among other things, that upon consummation or
                         occurrence of the Flip-Over Transaction or Event, each
                         Right will constitute the right to purchase a number
                         of shares of the Flip-Over Entity having an aggregate
                         market price equal to twice the Exercise Price for an
                         amount equal to the Exercise Price.  In general, a
                         Flip-Over Transaction or Event means (a) a
                         consolidation, merger or share exchange occurring
                         after the Flip-In Date and involving the Company if,
                         at the time of the transaction or the time when the
                         Company enters into any agreement for a consolidation,
                         merger or share exchange, the Acquiring Person
                         controls the Company's Board of Directors and either
                         (i) the person with whom the transaction occurs is the
                         Acquiring Person (or a related person); or (ii) any
                         term or arrangement concerning the treatment of shares
                         held by the Acquiring Person is not the same as the
                         terms or arrangements applicable to shares held by
                         other holders of the Common Stock; or (b) a sale or
                         transfer of more than 50% of the assets of the Company
                         to any person if, at the time of the sale or transfer,
                         or the time when any agreement relating to the sale or
                         transfer is entered into by the Company, the Acquiring
                         Person controls the Company's Board of Directors.  In
                         general, a Flip-Over Entity is the entity issuing
                         securities into which shares of the Company's Common
                         Stock are being converted or exchanged in a merger,
                         consolidation or exchange or the entity receiving the
                         greatest portion of the Company's assets or earning
                         power in an asset sale.

EXCHANGE PROVISION       At any time after a Flip-In Date and prior to the time
                         that an Acquiring Person becomes the beneficial owner
                         of more than 50% of the outstanding shares of Common
                         Stock, the Board may elect to exchange all Rights
                         (other than Rights held by the Acquiring Person) for
                         shares of Common Stock at an exchange ratio of one
                         share of Common Stock per Right, subject to
                         adjustment.

REDEMPTION OF RIGHTS     Rights will be redeemable at the Company's option for
                         $.01 per Right at any time prior to a Flip-In Date.

EXPIRATION OF THE RIGHTS The Rights will expire on the earliest of: (1) the
                         February 1, 2009; (2) the redemption or exchange of
                         the Rights; or (3) the merger of the Company into
                         another corporation pursuant to an agreement approved
                         by the Board of Directors and entered into prior to a
                         Flip-In Date.

AMENDMENT OF RIGHTS      The terms of the Rights and the Rights Plan may be
                         amended in any respect without the approval of the
                         holders of Rights prior to the close of business on
                         the Flip-In Date.  After Flip-In Date, the Rights and
                         the Rights Plan may be amended in order to cure any
                         ambiguities or inconsistencies or to effect other
                         changes the Company deems necessary or desirable and
                         which do not materially adversely affect the interests
                         of the holders of Rights in general.

VOTING RIGHTS            The Rights will not have any voting rights.

<PAGE>

ANTI-DILUTION PROVISIONS The Rights will have the benefit of certain customary
                         anti-dilution provisions.

TAXES                    The Rights distribution should not be taxable for
                         federal income tax purposes.  However, following an
                         event which renders the Rights exercisable, or upon
                         redemption of the Rights, stockholders may recognize
                         taxable income.


The Rights are designed to protect and maximize the value of the outstanding
equity interests in the Company in the event of an unsolicited attempt.  The
Rights Plan was approved in order to deter coercive takeover tactics which
might unfairly pressure stockholders or deprive them of the full value of their
shares.

The Rights may have the effect of making more difficult or discouraging an
acquisition of the Company deemed undesirable by the Board of Directors.  The
Rights may cause substantial dilution to a person who attempts to acquire the
Company on terms or in a manner not approved by the Company's Board of
Directors.

The Rights are not intended to prevent a takeover of the Company.  Subject to
the restrictions described above, the Rights may be redeemed by the Company at
any time prior to the Separation Time.  Accordingly, the Rights Plan should not
interfere with any merger or business combination approved by the Board of
Directors.

The Rights Plan, which includes the form of Rights certificate, is included as
an exhibit to this Form 8-K to which reference is hereby made.  The foregoing
description of the Rights does not purport to be complete and is qualified in
its entirety by reference to the Rights Plan.
   
On February 1, 1999, the Board of Directors also approved certain amendments to
the Company's By-laws designed to complement the Rights Plan.  The amendments
relate to establishment of the size of the Board of Directors, the calling and
conduct of special meetings, the adjournment of meetings, the vote required and
the establishment of a record date for written consents, procedures relating to
stockholder proposals and nominations for directors, and the stockholder vote
required to amend the By-laws.  The Company's Amended and Restated By-laws are
included as an exhibit to this Form 8-K to which reference is hereby made.

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

          (a) and (b) Not Applicable.

          (c) Exhibits:

          Exhibit 3--Amended and Restated By-laws of Caretenders Health Corp.

          Exhibit 4--Stockholder Protection Rights Agreement dated February 1,
          1999, by and between Caretenders Health Corp. and Reliance Trust
          Company, as Rights Agent (including the form of Certificate of
          Designation of Rights and Preferences and the form of Rights
          Certificate.

          Exhibit 99.1--Press Release Dated February 1, 1999

<PAGE>


SIGNATURES

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



                                   Caretenders Health Corp.

Date:  February 16, 1999           By: /s/ C. Steven Guenthner 
                                       ------------------------     
                                   C. Steven Guenthner
                                   Senior Vice President and
                                   Chief Financial Officer



                                                                  EXHIBIT 3
                                                                  
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
                    -------------------------------------
                         AMENDED AND RESTATED BY-LAWS

                                     OF

                           CARETENDERS HEALTH CORP.
                    -------------------------------------








                               February 1, 1999







<PAGE>
                                TABLE OF CONTENTS
Section                                                                  Page

1.  Identification........................................................ 1
    1.1  Name............................................................. 1
    1.2  Seal............................................................. 1
    1.3  Offices.......................................................... 1

2.  Meeting of Stockholders............................................... 1
    2.1   Annual Meeting.................................................. 1
    2.2   Special Meeting................................................. 1
    2.3   Place of Meetings............................................... 1
    2.4   Notice of Meetings and Adjourned Meetings....................... 1
    2.5   Stockholders List............................................... 2 
    2.6   Quorum; Adjournments............................................ 2
    2.7   Voting and Proxies.............................................. 2
    2.8   Introduction of Business at a Meeting of Stockholders........... 3
    2.9   Nomination of Directors......................................... 4
    2.10  Action Without a Meeting........................................ 5

3.  Directors............................................................. 6
    3.1   Number of Directors............................................. 6
    3.2   Term............................................................ 6
    3.3   Regular Meetings................................................ 6
    3.4   Other Meetings.................................................. 6
    3.5   Quorum.......................................................... 6
    3.6   Committees of Directors......................................... 6
    3.7   Action Without Meeting.......................................... 7
    3.8   Resignation and Removal......................................... 7
    3.9   Vacancies....................................................... 7
    3.10  Compensation.................................................... 7

4.  Officers.............................................................. 7
    4.1   Election........................................................ 7
    4.2   Chairman of the Board........................................... 7
    4.3   President....................................................... 7
    4.4   Vice-President.................................................. 8
    4.5   Secretary....................................................... 8
    4.6   Assistant Secretary............................................. 8
    4.7   Treasurer....................................................... 8
    4.8   Assistant Treasurer............................................. 8

<PAGE>

    4.9   Other Officers.................................................. 8
    4.10  Transfer of Authority........................................... 9
    4.11  Resignation and Removal......................................... 9
    4.12  Vacancies....................................................... 9

5.  Capital Stock......................................................... 9
    5.1   Consideration and Payment....................................... 9
    5.2   Stock Certificates.............................................. 9
    5.3   Lost Certificate................................................ 9
    5.4   Transfer of Stock............................................... 9

6.  Dividends and Reserves............................................... 10
    6.1   Dividends...................................................... 10
    6.2   Reserves....................................................... 10

7.  Specific Corporate Actions........................................... 10

8.  Fiscal Year.......................................................... 10

9.  Indemnification...................................................... 10
    9.1   Right to Indemnification....................................... 10
    9.2   Procedure for Indemnification.................................. 11
    9.3   Advances for Expenses.......................................... 11
    9.4   Other Rights; Continuation of Right to Indemnification......... 11
    9.5   Insurance...................................................... 12

10. Amendments........................................................... 12

<PAGE>

                         AMENDED AND RESTATED BY-LAWS

                                     OF

                           CARETENDERS HEALTH CORP.


1.  IDENTIFICATION.  

     1.1  Name.  The name of the Corporation is Caretenders Health Corp.

     1.2  Seal.   Upon the seal of the Corporation shall appear the name of the
     Corporation and the state and year of incorporation, and the words
     "Corporate Seal."

     1.3  Offices.  The registered office of the Corporation shall be in the
     City of Wilmington, County of New Castle, State of Delaware.  The
     Corporation may also have offices at such other places, either within or
     without the State of Delaware, as the Board of Directors of the
     Corporation ("Board") may determine or as the activities of the
     Corporation may require.

2.  MEETING OF STOCKHOLDERS.  

     2.1  Annual Meeting.   An annual meeting of the stockholders of the
     Corporation for the election of directors, the consideration of financial
     statements and other reports, and the transaction of such other business
     as may properly come before such meeting, shall be held each year on such
     date in the first five months of the Corporation's fiscal year as shall be
     designated by the President, or in the absence of such designation, on the
     first Tuesday of the sixth month of the fiscal year, if not a legal
     holiday, and if a legal holiday, then on the next succeeding business day,
     or on such other date and time as shall be designated from time to time by
     the Board.

     2.2  Special Meeting.   Special meetings of stockholders of the
     Corporation, for any purpose or purposes, may be called at any time only
     by the Board or by the Chairman of the Board ("Chairman").  No business
     other than the purpose or purposes stated in the notice of the special
     meeting shall be transacted at any special meeting.

     2.3  Place of Meetings.   All meetings of the stockholders for the
     election of directors shall be held at such place, either within or
     without the State of Delaware, as may be fixed from time to time by the
     Board and stated in the notice of the meeting.  Meetings of stockholders
     for any other purpose may be held at such time and place, either within or
     without the State of Delaware, as shall be stated in the notice of such
     meeting.


     2.4  Notice of Meetings and Adjourned Meetings.   Written notice of each
     meeting of stockholders, stating the place, day and hour of the meeting
     and, in the case of a special meeting, the purpose or purposes for which
     the meeting is called, shall be given to each stockholder entitled to vote
     at such meeting by leaving such notice with the stockholder personally or
     by transmitting such notice with confirmed delivery (including, by telex,
     cable or other form of recorded communication, provided that delivery of
     such notice in written form is confirmed in a writing) to the 

<PAGE>     

     stockholder's residence or usual place of business, or by depositing such
     notice in the mails in a postage prepaid envelope addressed to the
     stockholder at the stockholder's post office address as it appears on the
     corporate records of the Corporation.  Notice of any meeting of
     stockholders may be waived in writing by all stockholders entitled to vote
     at such meeting.  Attendance at a meeting by any stockholder shall
     constitute a waiver of notice of such meeting, except when the person
     attends a meeting for the express purpose of objecting, at the beginning
     of the meeting, to the transaction of any business because the meeting is
     not lawfully called or convened.  The Chairman shall have the power to
     adjourn any meeting of stockholders, from time to time, without further
     notice of the adjourned meeting if the time and place thereof are
     announced at the meeting at which the adjournment is taken.  At the
     adjourned meeting, the Corporation may transact any business which might
     have been transacted at the original meeting.  If the adjournment is for
     more than thirty days, or if after the adjournment a new record date is
     fixed for the adjourned meeting, a notice of the adjourned meeting shall
     be given to each stockholder of record entitled to vote at the meeting.
     Any previously scheduled meeting of the stockholders may be postponed, and
     any special meeting of the stockholders may be canceled, by resolution of
     the Board upon public notice or notice to all of the stockholders given
     prior to the date previously scheduled for such meeting of stockholders.

     2.5  Stockholders List.   The officer who has charge of the stock ledger
     of the Corporation shall, at least ten days before each meeting of
     stockholders, prepare or procure a complete alphabetically addressed list
     of the stockholders entitled to vote at the meeting, with the number of
     shares held by each.  Said list shall be open to the examination of any
     stockholder, for any purpose germane to the meeting, during ordinary
     business hours, for a period of at least ten days prior to the meeting,
     either at a place within the city where the meeting is to be held, which
     place shall be specified in the notice of the meeting, or, if not so
     specified, at the place where the meeting is to be held.  The list shall
     also be produced and kept at the time and place of the meeting during the
     whole time thereof, and may be inspected by any stockholder who is
     present.

     2.6  Quorum; Adjournments.   At any meeting of stockholders, the holders
     of a majority of the issued and outstanding stock entitled to vote,
     represented in person or by proxy, shall constitute a quorum for the
     transaction of business, except as otherwise specially provided by these
     By-Laws, by the Corporation's Amended and Restated Certificate of
     Incorporation, as the same may be amended from time to time ("Certificate
     of Incorporation"), or by statute.  The affirmative vote, at a meeting of
     stockholders duly held and at which a quorum is present, of a majority of
     the voting power of the shares represented as such meeting which are
     entitled to vote on the subject matter, shall be the act of the
     stockholders, except as otherwise specifically provided by these By-Laws,
     by the Certificate of Incorporation or by statute.  The Chairman shall
     have the power to adjourn a stockholder meeting from time to time, without
     notice other than announcement at the meeting, even if a quorum shall be
     present or represented.


     2.7  Voting and Proxies.   When a quorum is present or represented at any
     meeting, the vote of the holders of a majority of the shares of stock
     having voting power present in person or represented by proxy shall decide 

<PAGE>
     
     any question brought before such meeting, unless the question is one upon
     which by express provision of a statute or of the Certificate of
     Incorporation or of these By-Laws a different vote is required, in which
     case such express provision shall govern and control the decision of such
     question.  At each meeting of the stockholders, each stockholder shall,
     unless otherwise provided by the Certificate of Incorporation, be entitled
     to one vote in person or by proxy for each share of stock held by the
     stockholder which has voting power upon the matter in question.  No proxy,
     however, shall be voted more than eleven months after the date thereof,
     unless the proxy provides for a longer period.

     2.8  Introduction of Business at a Meeting of Stockholders.   At an annual
     or special meeting of stockholders, only such business shall be conducted,
     and only such proposals shall be acted upon, as shall have been properly
     brought before an annual or special meeting of stockholders.
     Notwithstanding anything in these By-Laws to the contrary, no business
     shall be conducted at a meeting of stockholders except in accordance with
     the procedure set forth in this Section 2.8.  The Chairman shall, if the
     facts warrant, determine and declare to the meeting that the business was
     not properly brought before the meeting in accordance with the procedures
     described by the By-Laws, and if the Chairman should so determine, the
     Chairman shall so declare to the meeting and any such business not
     properly brought before the meeting shall not be considered.

          (a)  Special Meetings.  To be properly brought before a special
          meeting of stockholders and acted upon at the meeting, business must
          be specified in the notice of the special meeting (or any supplement
          thereto) given by or at the direction of the Board or the Chairman
          pursuant to Section 2.4 of these By-Laws.  

          (b)  Annual Meetings.  At an annual meeting of stockholders, only
          such business shall be conducted, and only such proposals shall be
          acted upon, as shall have been properly brought before the annual
          meeting of stockholders (1) by, or at the direction of, the Board, or
          (2) by any stockholder of the Corporation who was a stockholder of
          record at the time of giving of notice of the annual meeting, who is
          entitled to vote at the annual meeting and who otherwise complies
          with all procedures and requirements set forth in this Section 2.8.

          (c)  Stockholder Notice.  For business to be properly brought before
          an annual meeting of stockholders by a stockholder, the stockholder
          must have given timely written notice to the President or Secretary
          of the Corporation.  To be timely, a stockholder's notice must be
          received at the principal executive offices of the Corporation not
          fewer than thirty days prior to the scheduled date of the annual
          meeting regardless of any postponement, deferral or adjournment of
          that meeting to a later date.  A stockholder's notice shall set forth
          as to each matter the stockholder proposes to bring before an annual
          meeting of stockholders:

               (1)   a brief description of the business desired to be brought
               before the annual meeting, 

               (2)  the name and address, as they appear on the Corporation's
               books, of the stockholder proposing such business and any other
               stockholders known by such stockholder to be supporting such
               proposal, 

<PAGE>

               (3)  the class and number of shares of the Corporation which are
               beneficially owned by such stockholder on the date of such
               stockholder's notice and by any other stockholders known by such
               stockholder to be supporting such proposal on the date of such
               stockholder's notice, and 

               (4)  any material interest of the stockholder in such proposal.

     2.9  Nomination of Directors.   No person shall be eligible for election
     as a director of the Corporation unless nominated in accordance with the
     procedures set forth in this Section 2.9.  The Chairman shall, if the
     facts warrant, determine and declare to the meeting that a nomination was
     not made in accordance with the procedures prescribed by the By-Laws, and
     if the Chairman should so determine, the Chairman shall so declare to the
     meeting and the defective nomination shall be disregarded.  Nominations of
     persons for election to the Board may be made at a meeting of stockholders
     by, or at the direction of, the Board or by any stockholder of the
     Corporation who is entitled to vote for the election of directors at such
     meeting and who complies with the notice procedures set forth in this
     Section 2.9.  

          (a)  Stockholder Notice.  Nominations by stockholders shall be made
          pursuant to timely notice in writing to the President or Secretary of
          the Corporation.  To be timely, a stockholder's notice must be
          received at the principal executive offices of the Corporation not
          fewer than thirty days prior to the scheduled date of a meeting,
          regardless of any postponement, deferral or adjournment of that
          meeting to a later date.  A stockholder's notice shall set forth:

               (1)  as to each person whom the stockholder proposes to nominate
               for election or reelection as a director 

                    (A)  the name, age, business address and residence address
                    of such person, 

                    (B)  the principal occupation or employment of such person, 

                    (C)  the class and number of shares of the Corporation
                    which are beneficially owned by such person on the date of
                    such stockholder's notice, and 

                    (D)  any other information relating to such person that is
                    required to be disclosed in solicitations of proxies for
                    election of directors, or is otherwise required, in each
                    case, pursuant to Regulation 14A under the Securities
                    Exchange Act of 1934, as amended (including without
                    limitation such person's written consent to being named in
                    the proxy statement as a nominee and to serving as a
                    director if elected); and 

               (2)  as to the stockholder giving the notice 

<PAGE>

                    (A)  the name and address, as they appear on the
                    Corporation's books, of such stockholder and any other
                    stockholders known by such stockholder to be supporting
                    such nominees, and 

                    (B)  the class and number of shares of the Corporation
                    which are beneficially owned by such stockholder on the
                    date of such stockholder's notice and by any other
                    stockholders known by such stockholder to be supporting
                    such nominees on the date of such stockholder's notice.

          (b)  Exceptions Pursuant to Corporate Law.  This Section 2.9 shall
          not apply to the election of a director to a directorship which may
          be filled by the Board or by statute.

     2.10  Action Without a Meeting.  

          (a)  Action.  Any action which may be taken at a meeting of
          stockholders may be taken without a meeting, without prior notice,
          and without a vote, if consent or consents in writing, setting forth
          the action so taken, shall be signed by the holders of outstanding
          stock representing not less than 80% of the votes entitled to be
          cast.  Prompt notice of the taking of the corporate action shall be
          given to those stockholders who have not consented in writing.

          (b)  Record Date.  In order that the Corporation may determine the
          stockholders entitled to consent to corporate action in writing
          without a meeting, the Board may fix a record date, which record date
          shall not precede the date upon which the resolution fixing the
          record date is adopted by the Board, and which date shall not be more
          than ten days after the date upon which the resolution fixing the
          record date is adopted by the Board.  Any stockholder of record
          seeking to have the stockholders authorize or take corporate action
          by written consent shall, by written notice to the Secretary, request
          the Board to fix a record date.  The Board shall promptly, but in all
          events within ten days after the date on which such a request is
          received, adopt a resolution fixing the record date.  If no record
          date has been fixed by the Board within ten days of the date on which
          such a request is received, the record date for determining
          stockholders entitled to consent to corporate action in writing
          without a meeting, when no prior action by the Board is required by
          applicable law, shall be the first date on which a signed written
          consent setting forth the action taken or proposed to be taken is
          delivered to the Corporation by delivery to its registered office,
          its principal place of business, or an officer or agent of the
          Corporation having custody of the book in which proceedings of
          meetings of stockholders are recorded.  Delivery made to the
          Corporation's registered office shall be by hand or by certified or
          registered mail, return receipt requested.  If no record date has
          been fixed by the Board and prior action by the Board is required by
          applicable law, the record date for determining stockholders entitled
          to consent to corporate action in writing without a meeting shall be
          at the close of business on the date on which the Board adopts the
          resolution taking such prior action.

<PAGE>


3.  DIRECTORS.  

     3.1  Number of Directors.  The business affairs of the Corporation shall
     be managed by its Board.  The number of directors who will constitute the
     entire Board shall be as fixed by a resolution of the Board from time to
     time, except as otherwise provided by the Certificate of Incorporation.  

     3.2  Term.   Each director shall hold office until the next annual meeting
     of the stockholders and until the director's successor has been duly
     elected and qualified or until such director's earlier resignation,
     removal from office or death.
 
     3.3  Regular Meetings.   After each annual election of directors, a
     regular meeting of the Board shall be held without other notice than this
     By-Law, immediately after, and at the same place as, the annual meeting of
     stockholders.  Other regular meetings of the Board may be held without
     notice at such time and place as the Board may from time to time
     determine.

     3.4  Other Meetings.   Other meetings of the Board may be called by the
     President on two days' notice to each director, either personally, or by
     telephone, telex, telegram or other form of recorded communication, or by
     mail.  Said notice may be waived by a written waiver signed by any
     director who does not receive notice of such meeting.  The attendance of a
     director at a meeting shall constitute a waiver of notice of such meeting,
     except where a director attends a meeting for the express purpose of
     objecting to the transaction of any business because the meeting is not
     lawfully called or convened.

     3.5  Quorum.   At all meetings of the Board, a majority of directors shall
     constitute a quorum for the transaction of business.  The act of a
     majority of the directors present at a meeting at which a quorum is
     present shall be the act of the Board unless a greater number is
     specifically required by the By-Laws, by the Certificate of Incorporation
     or by statute.  A meeting may be adjourned by less than a quorum if a
     quorum is not present at the meeting.  A director may participate at a
     meeting of the Board by means of a conference telephone or similar
     communications equipment provided such equipment enables all directors at
     the meeting to hear one another.

     3.6  Committees of Directors.   The Board, by resolution adopted by a
     majority of the entire Board, may designate one or more directors to
     constitute a committee.  Such committee, to the extent provided in the
     resolution of the Board, shall have and may exercise the powers of the
     Board in the management of the business, property and affairs of the
     Corporation, and shall keep records of its acts and proceedings and report
     the same to the Board as and when required; but no such committee shall
     have the power or authority to amend the Corporation's Certificate of
     Incorporation or By-Laws, adopt an agreement of merger or consolidation,
     recommend to the stockholders the sale, lease or exchange of all or
     substantially all of the Corporation's property and assets or the
     dissolution of the Corporation or declare a dividend.  The Compensation
     Committee established by the Board shall have the power to authorize the
     issuance of Common Stock in connection with the Corporation's stock option
     plans and otherwise for compensation purposes.  Any director may be
     removed from a  committee with or without cause by the affirmative vote of
     a majority of the entire Board.
  
<PAGE>  
  
     3.7  Action Without Meeting.   Any action required or permitted to be
     taken at any meeting of the Board, or of any committee thereof, may be
     taken without a meeting, if all members of the Board or committee, as the
     case may be, consent thereto in writing, and such written consent is filed
     with the minutes of proceedings of the Board or such committee.
  
     3.8  Resignation and Removal.   Unless otherwise provided in any contract
     with the Corporation, any director may resign or be removed at any time.
     A director who intends to resign shall give written notice to the Chief
     Executive Officer or to the Secretary.  Removal of a Voting Preferred
     Stock Director or Common Stock Director, with or without cause, may be
     effected by the affirmative vote of the holders of a majority of the
     Voting Preferred Stock or the Common Stock, respectively, entitled to
     vote.  Any director may be removed for cause by action of the Board.
  
     3.9  Vacancies.   Any vacancy occurring on the Board, including a vacancy
     resulting from an increase in the number of directors, or by reason of the
     death, resignation, disqualification, removal or inability to act or
     otherwise, may be filled by the affirmative vote of a majority of the
     remaining directors though less than a quorum of the Board.  A director
     elected to fill a vacancy shall be elected for the unexpired term of the
     predecessor and until the successor is duly chosen.

     3.10  Compensation.  The directors may be reimbursed for any expenses
     incurred by them in attendance at any meeting of the Board or of any of
     its committees.  Every director may be paid a stated fee as director
     and/or a fixed sum for attendance at each meeting at which such director
     is present.  No payments or reimbursements described herein shall preclude
     any director from serving the Corporation in any other capacity and
     receiving compensation therefor.

4.  OFFICERS.  

     4.1  Election.   A President, a Secretary, and when deemed necessary by
     the Board, a Chairman, one or more vice-presidents, a treasurer and other
     officers and assistant officers shall be elected by the Board to hold
     office until their successors are elected and qualified or until their
     earlier removal or resignation.  More than two offices may be held by the
     same person.

     4.2  Chairman of the Board.   The Chairman, if one shall be elected, shall
     preside at all meetings of the stockholders and directors, shall see that
     all orders and resolutions of the Board are carried into effect, and shall
     perform such other duties as the Board may from time to time assign to the
     Chairman.


     4.3  President.   The powers and duties of the President, except to the
     extent delegated by the Board to the Chairman if one shall be elected,
     shall include active executive management of the operations of the 
     
<PAGE>
     
     Corporation, subject to the control of the Board, and responsibility for
     carrying out all orders and directions of the Board.  Except to the extent
     delegated by the Board to the Chairman, the President shall also preside
     at meetings of stockholders and directors, discharging all duties
     incumbent upon a presiding officer, and shall perform such other duties as
     the By-Laws provide and as the Board may prescribe.

     4.4  Vice-President.   Vice Presidents, when elected, shall have such
     powers and perform such duties as the President or the Board may from time
     to time assign and shall perform such other duties as may be prescribed by
     these By-Laws.  At the request of the President, or in case of the
     President's absence or inability to act, any Vice President, so appointed,
     shall perform the duties of the President and, when so acting, shall have
     all the powers of, and be subject to all the restrictions upon, the
     President.

     4.5  Secretary.   The Secretary shall keep true and complete records of
     the proceedings of the meetings of the stockholders, the Board and any
     committees of directors and shall file any written consents of the
     stockholders, the Board and any committees of directors with these
     records.  It shall be the duty of the Secretary to be custodian of the
     records and of the seal of the Corporation.  The Secretary shall also
     attend to the giving of all notices and shall perform such other duties as
     the By-Laws may provide or the Board may assign.

     4.6  Assistant Secretary.  If one shall be elected, the Assistant
     Secretary shall have such powers and perform such duties as the President,
     Secretary or the Board may from time to time assign and shall perform such
     other duties as may be prescribed by these By-Laws.  At the request of the
     Secretary, or in case of the Secretary's absence or inability to act, the
     Assistant Secretary shall perform the duties of the Secretary and, when so
     acting, shall have all the powers of, and be subject to all the
     restrictions upon, the Secretary.

     4.7  Treasurer.   If one shall be elected, the Treasurer shall keep
     correct and complete records of account showing accurately at all times
     the financial condition of the Corporation.  The Treasurer shall also act
     as legal custodian of all moneys, notes, securities, and other valuables
     that may from time to time come into the possession of the Corporation,
     and shall promptly deposit all funds of the Corporation coming into the
     Treasurer's hands in the bank or other depository designated by the Board
     and shall keep such bank account in the name of the Corporation.  Whenever
     requested by the Board, the Treasurer shall furnish a statement of the
     financial condition of the Corporation and shall perform such other duties
     as the By-Laws may provide and the Board may assign.

     4.8  Assistant Treasurer.   If one shall be elected, the Assistant
     Treasurer shall have such powers and perform such duties as the President,
     Treasurer or Board may from time to time assign and shall perform such
     other duties as may be prescribed by these By-Laws.  At the request of the
     Treasurer, or in case of the Treasurer's absence or inability to act, the
     Assistant Treasurer shall perform the duties of the Treasurer and, when so
     acting, shall have all the powers of, and be subject to all the
     restrictions upon, the Treasurer.

     4.9  Other Officers.   Such other officers as are appointed shall exercise
     such duties and have such powers as the Board may assign.

<PAGE>

     4.10  Transfer of Authority.   In case of the absence of any officer of
     the Corporation or for any other reason that the Board may deem
     sufficient, the Board may transfer the powers or duties of that officer to
     any other officer or to any director or employee of the Corporation,
     provided that a majority of the entire Board approves.

     4.11  Resignation and Removal.   Unless otherwise provided in any contract
     with the Corporation, any officer may resign or be removed at any time.
     An officer who intends to resign shall give written notice to the Chief
     Executive Officer or to the Secretary.  Removal of an officer, with or
     without cause, may be effected by the Board.

     4.12  Vacancies.   A vacancy occurring in any office may be filled for the
     unexpired portion of the term of office by the Board.

5.  CAPITAL STOCK.  

     5.1  Consideration and Payment.   The capital stock may be issued for such
     consideration, not less than the par value of any such stock expressed in
     dollars, as shall be fixed by the Board.  Payment of such consideration
     may be made, in whole or in part, in money, other tangible or intangible
     property, labor or services performed.  No certificate shall be issued for
     any share until the share is fully paid.

     5.2  Stock Certificates.   Every holder of the capital stock of the
     Corporation shall be entitled to a certificate signed by, or in the name
     of the Corporation, by the Chairman or Vice-Chairman, if any, or the
     President or a Vice President and by the Secretary or an Assistant
     Secretary or the Treasurer or an Assistant Treasurer.  Any of or all the
     signatures on the certificate may be a facsimile.  Upon each such
     certificate shall appear such legend or legends as may be required by law
     or by any contract or agreement to which the Corporation is a party.  No
     certificate shall be valid without such signatures or legends as are
     required hereby.

     5.3  Lost Certificate.   Whenever a person shall request the issuance of a
     certificate of stock to replace a certificate alleged to have been lost by
     theft, destruction or otherwise, the Board shall require that such person
     make an affidavit to the fact of such loss before the Board shall
     authorize the requested issuance.  Before issuing a new certificate, the
     Board may also require a bond of indemnity against any claim that may be
     made against the Corporation with respect to the certificate alleged to
     have been lost.


     5.4  Transfer of Stock.   The Corporation or its transfer agent shall
     register a transfer of a stock certificate, issue a new certificate and
     cancel the old certificate upon presentation for transfer of a stock
     certificate duly endorsed or accompanied by proper evidence of succession,
     assignment or authority to transfer if there has been compliance with any
     applicable tax law relating to the collection of taxes and after the
     Corporation or its agent has discharged any duty to inquire into any
     adverse claims of which the Corporation or agent has notice.
     Notwithstanding the foregoing, no such transfer shall be effected by the
     Corporation or its transfer agent if such transfer is prohibited by
     statute, by the Certificate of Incorporation or a By-Law of the
     Corporation or by any contract or agreement to which the Corporation is a
     party.

<PAGE>

6.  DIVIDENDS AND RESERVES.  

     6.1  Dividends.   Subject to any limitations or conditions contained in
     the Certificate of Incorporation, dividends may be declared by a
     resolution duly adopted by the Board and may be paid in cash, property or
     in shares of the capital stock of the Corporation.

     6.2  Reserves.   Before payment of any dividend, the Board may set aside
     out of any funds available for dividends such sum or sums as the Board, in
     its absolute discretion, deems proper as a reserve fund to meet
     contingencies or for equalizing dividends or to repair or maintain
     property or to serve such other purposes conducive to the interests of the
     Corporation.

7.  SPECIFIC CORPORATE ACTIONS.   All checks, drafts, notes, bonds, bills of
exchange, and orders for the payment of money of the Corporation; all deeds,
mortgages and other written contracts and agreements to which the Corporation
shall be a party, and all assignments or endorsements of stock certificates,
registered bonds or other securities owned by the Corporation shall be signed
by the President and, if required by law, attested by the Secretary or an
Assistant Secretary, unless otherwise directed by the Board or otherwise
required by statute.

8.  FISCAL YEAR.   The fiscal year of the Corporation shall be determined by
resolution of the Board.

9.  INDEMNIFICATION.  

     9.1  Right to Indemnification.  

          (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 such person 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 such person in connection with
          such action, suit or proceeding if 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, had no reasonable cause to
          believe such person's 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 such person reasonably
          believed to be in or not opposed to the best interests of the 
         
<PAGE>         
         
          Corporation, and, with respect to any criminal action or proceeding,
          had reasonable cause to believe that such person's conduct was
          unlawful.

          (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 such
          person 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 such person in connection with the defense or settlement of such
          action or suit if 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 except that no indemnification shall
          be made in respect to any claim, issue or matter as to which such
          person shall have been adjudged to be liable for negligence or
          misconduct in the performance of such person's duty to the
          Corporation unless and only to the extent that the Court or 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 or
          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) and in defense of any claim, issue, or matter therein, such
          director, officer, employee or agent shall be indemnified against
          expenses (including attorneys' fees) actually and reasonably incurred
          by such person in connection therewith.

     9.2  Procedure for Indemnification.   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 determination
     that indemnification of the director, officer, employee or agent is proper
     in the circumstances because such person has met the applicable standard
     of conduct set forth in Subsections (a) and (b).  Such determination shall
     be made (1) by the Board by a majority vote of a quorum consisting of
     directors who were not parties to such action, suit or proceeding, or (2)
     if such 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.

     9.3  Advances for Expenses.   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 in the specific case upon receipt of an
     undertaking by or on behalf of the director, officer, employee or agent to
     repay such amount.  Such director, officer, employee or agent shall not
     repay the amount if it shall be ultimately determined that such person is
     entitled to be indemnified by this section.


     9.4  Other Rights; Continuation of Right to Indemnification.   The
     indemnification provided by this section shall not be deemed exclusive of
     
<PAGE>     
     
     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 such person's 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.  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 9, with
     respect to the resulting or surviving corporation, as such person would if
     such person had served the resulting or surviving corporation in the same
     capacity.

     9.5  Insurance.   The Corporation is authorized, according to the
     discretion of the Board, 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 such person and incurred by such person in any such capacity, or
     arising out of such person's status as such, whether or not the
     Corporation must indemnify such person against such liability under the
     provisions of this section.

10.  AMENDMENTS.   These By-Laws may be amended or repealed or new by-laws
adopted by (a) the affirmative vote of the holders of at least 80% of the
voting power of all shares of the Corporation entitled to vote generally in the
election of directors, voting together as a single class or (b) by action of
the Board at a regular or special meeting thereof.  



IN WITNESS WHEREOF these Restated By-Laws have been signed under the seal of
the Corporation this 1st day of February, 1999.



                                        CARETENDERS HEALTH CORP.


                                        By: /s/ William B. Yarmuth 
                                           -------------------------
                                           WILLIAM B. YARMUTH,
                                           PRESIDENT

     (SEAL)

<PAGE>


The foregoing Amended and Restated By-Laws are a true and correct copy of the
Amended and Restated By-Laws, as of February 1, 1999.


 /s/ C. Steven Guenthner 
 -------------------------------- 
 C. STEVEN  GUENTHNER, SECRETARY




                                                                    EXHIBIT 4






               ---------------------------------------------
                  STOCKHOLDER PROTECTION RIGHTS AGREEMENT
               ---------------------------------------------





                              February 1, 1999







<PAGE>

                              TABLE OF CONTENTS
Section                                                                    PAGE

1.  Certain Definitions                                                     -1-
    1.1  Certain Definitions                                                -1-

2.  The Rights                                                              -6-
    2.1  Summary of Rights                                                  -6-
    2.2  Legend on Common Stock Certificates                                -6-
    2.3  Exercise of Rights; Separation of Rights                           -6-
    2.4  Adjustments to Exercise Price; Number of Rights                    -8-
    2.5  Date on Which Exercise is Effective                                -9-
    2.6  Execution, Authentication, Delivery and Dating of
          Rights Certificates                                               -9-
    2.7  Registration, Registration of Transfer and Exchange               -10-
    2.8  Mutilated, Destroyed, Lost and Stolen Rights Certificates         -11-
    2.9  Persons Deemed Owners                                             -11-
    2.10 Delivery and Cancellation of Certificates                         -11-
    2.11 Agreement of Rights Holders                                       -12-

3.  Adjustments to the Rights in the Event of Certain Transactions         -12-
    3.1  Flip-In                                                           -12-
    3.2  Flip-Over                                                         -14-

4.  The Rights Agent                                                       -15-
    4.1  General                                                           -15-
    4.2  Merger or Consolidation or Change of Name of Rights Agent         -15-
    4.3  Duties of Rights Agent                                            -16-
    4.4  Change of Rights Agent                                            -18-

5.  Miscellaneous                                                          -19-
    5.1  Redemption and Termination                                        -19-
    5.2  Expiration                                                        -19-
    5.3  Issuance of New Rights Certificate                                -20-
    5.4  Supplements and Amendments                                        -20-
    5.5  Fractional Shares                                                 -20-
    5.6  Rights of Action                                                  -20-
    5.7  Holder of Rights Not Deemed a Stockholder                         -21-
    5.8  Notice of Proposed Actions                                        -21-
    5.9  Notices                                                           -21-
    5.10 Suspension of Exercisability                                      -22-
    5.11 Costs of Enforcement                                              -22-
    5.12 Successors                                                        -22-
    5.13 Benefits of this Agreement                                        -22-

<PAGE>

                              TABLE OF CONTENTS
Section                                                                    PAGE

    5.14 Determination and Actions by the Board of Directors               -22-
    5.15 Descriptive Headings                                              -23-
    5.16 Governing Law                                                     -23-
    5.17 Counterparts                                                      -23-
    5.18 Severability                                                      -23-

<PAGE>

                                 EXHIBITS
Description                                                             Exhibit

Form of Rights Certificate................................................ A
Certificate of Designation of Preferences and Rights...................... B


<PAGE>


                    STOCKHOLDER PROTECTION RIGHTS AGREEMENT

THIS STOCKHOLDER PROTECTION RIGHTS AGREEMENT (as amended from time to time,
this "Agreement") is made and entered into as of February 1, 1999, between
CARETENDERS HEALTH CORP., a Delaware corporation (the "Company"), and RELIANCE
TRUST COMPANY, a bank chartered under the laws of the State of Georgia, as
Rights Agent (the "Rights Agent," which term shall include any successor Rights
Agent hereunder).

RECITALS:

 1.  The Board of Directors of the Company has (a) authorized and declared a
 dividend of one right ("Right") in respect of each share of Common Stock (as
 hereinafter defined) held of record as of the close of business on February
 16, 1999 (the "Record Time") and (b) as provided in Section 2.4, authorized
 the issuance of one Right in respect of each share of Common Stock issued
 after the Record Time and prior to the Separation Time (as hereinafter
 defined) and, to the extent provided in Section 5.3, each share of Common
 Stock issued after the Separation Time;

 2.  Subject to Sections 3.1, 5.1, 5.2 and 5.10, each Right entitles the holder
 thereof, after the Separation Time, to purchase securities of the Company (or,
 in certain cases, of certain other entities) pursuant to the terms and subject
 to the conditions set forth herein; and

 3.  The Company desires to appoint the Rights Agent to act on behalf of the
 Company, and the Rights Agent is willing so to act, in connection with the
 issuance, transfer, exchange and replacement of Rights Certificates (as
 hereinafter defined), the exercise of Rights and other matters referred to
 herein.

AGREEMENT:

 NOW, THEREFORE, the parties hereby agree as follows:

 1.  CERTAIN DEFINITIONS.  

     1.1  Certain Definitions.  For purposes of this Agreement, the following
     terms have the meanings indicated:

          (a)  "Acquiring Person" shall mean any Person who is a Beneficial
          Owner of 20% or more of the outstanding shares of Common Stock;
          provided, however, that the term "Acquiring Person" shall not include
          any Person who is the Beneficial Owner of 20% or more of the
          outstanding shares of Common Stock on the date of this Agreement or
          who shall become the Beneficial Owner of 20% or more of the
          outstanding shares of Common Stock solely as a result of an
          acquisition by the Company of shares of Common Stock, until such time
          hereafter or thereafter as such Person shall become the Beneficial
          Owner (other than by means of a stock dividend or stock split) of any
          additional shares of Common Stock, (ii) who is the Beneficial Owner
          of 20% or more of the outstanding shares of Common Stock but who
          acquired Beneficial Ownership of shares of Common Stock without any 

<PAGE>          
          plan or intention to seek or affect control of the Company, if such
          Person promptly enters into an irrevocable commitment promptly to
          divest, and thereafter promptly divests (without exercising or
          retaining any power, including voting power, with respect to such
          shares), sufficient shares of Common Stock (or securities convertible
          into, exchangeable into or exercisable for Common Stock) so that such
          Person ceases to be the Beneficial Owner of 20% or more of the
          outstanding shares of Common Stock or (iii) who Beneficially Owns
          shares of Common Stock consisting solely of one or more of (A) shares
          of Common Stock Beneficially Owned pursuant to the grant or exercise
          of an option granted to such Person by the Company in connection with
          an agreement to merge with, or acquire, the Company entered into
          prior to a Flip-In Date, (B) shares of Common Stock (or securities
          convertible into, exchangeable into or exercisable for Common Stock),
          Beneficially Owned by such Person or its Affiliates or Associates at
          the time of grant of such option or (C) shares of Common Stock (or
          securities convertible into, exchangeable into or exercisable for
          Common Stock) acquired by Affiliates or Associates of such Person
          after the time of such grant which, in the aggregate, amount to less
          than 1% of the outstanding shares of Common Stock.  Notwithstanding
          the foregoing, no Person shall become an Acquiring Person as a result
          of such Person's acquisition of Common Stock (or any security
          convertible into, exchangeable for or exercisable for Common Stock)
          upon the exercise or receipt of any option, warrant or right to
          acquire Common Stock (or any security convertible into, exchangeable
          for or exercisable for Common Stock) outstanding as of the date of
          this Agreement.  In addition, the Company, any wholly owned
          Subsidiary of the Company and any employee stock ownership or other
          employee benefit plan of the Company or a wholly owned Subsidiary of
          the Company shall not be an Acquiring Person.

          (b)  "Affiliate" and "Associate" shall have the respective meanings
          ascribed to such terms in Rule 12b-2 under the Securities Exchange
          Act of 1934, as such Rule is in effect on the date of this Agreement.


          (c)  A Person shall be deemed the "Beneficial Owner" and to have
          "Beneficial Ownership" of, and to "Beneficially Own," any securities
          as to which such Person or any of such Person's Affiliates or
          Associates is or may be deemed to be the beneficial owner of pursuant
          to Rule 13d-3 and 13d-5 under the Securities Exchange Act, as such
          Rules are in effect on the date of this Agreement as well as any
          securities as to which such Person or any of such Person's Affiliates
          or Associates has the right to become the Beneficial Owner (whether
          such right is exercisable immediately or only after the passage of
          time or the occurrence of conditions) pursuant to any agreement,
          arrangement or understanding, or upon the exercise of conversion
          rights, exchange rights, rights (other than the Rights), warrants or
          options, or otherwise; provided, however, that a Person shall not be
          deemed the "Beneficial Owner," or to have "Beneficial Ownership" of,
          or to "Beneficially Own," any security (i) solely because such
          security has been tendered pursuant to a tender or exchange offer
          made by such Person or any of such Person's Affiliates or Associates
          until such tendered security is accepted for payment or exchange,
          (ii) securities which such Person or any of such Person's Affiliates
          or Associates may acquire, do acquire, or may be deemed to have the
          right to acquire pursuant to any merger or other acquisition
          agreement between the Company and such Person (or one or more of such
          Person's Affiliates or Associates) if such agreement has been 
          
<PAGE>          
          approved by the Board of Directors of the Company prior to such
          Person's becoming an Acquiring Person or (iii) solely because such
          Person or any of such Person's Affiliates or Associates has or shares
          the power to vote or direct the voting of such security pursuant to a
          revocable proxy given in response to a public proxy or consent
          solicitation made to more than ten holders of shares of a class of
          stock of the Company registered under Section 12 of the Securities
          Exchange Act of 1934 and pursuant to, and in accordance with, the
          applicable rules and regulations under the Securities Exchange Act of
          1934, except if such power (or the arrangements relating thereto) is
          then reportable under Item 6 of Schedule 13D under the Securities
          Exchange Act of 1934 (or any similar provision of a comparable or
          successor report).  Notwithstanding the foregoing, no officer or
          director of the Company shall be deemed to Beneficially Own any
          securities of any other Person by virtue of any actions such officer
          or director takes in such capacity.  For purposes of this Agreement,
          in determining the percentage of the outstanding shares of Common
          Stock with respect to which a Person is the Beneficial Owner, all
          shares as to which such Person is deemed the Beneficial Owner shall
          be deemed outstanding.

          (d)  "Business Day" shall mean any day other than a Saturday, Sunday
          or a day on which banking institutions in Louisville, Kentucky are
          generally authorized or obligated by law or executive order to close.

          (e)  "Close of Business" on any given date shall mean 5:00 p.m.
          Louisville, Kentucky time on such date (or, if such date is not a
          Business Day, 5:00 p.m. Louisville, Kentucky time on the next
          succeeding Business Day).

          (f)  "Common Stock" shall mean the shares of Common Stock, par value
          $.10 per share, of the Company.

          (g)  "Exchange Time" shall mean the time at which the right to
          exercise the Rights shall terminate pursuant to Section 3.1(c)
          hereof.

          (h)  "Exercise Price" shall mean, as of any date, the price at which
          a holder may purchase the securities issuable upon exercise of one
          whole Right.  Until adjustment thereof in accordance with the terms
          hereof, the Exercise Price shall equal $16.

          (i)  "Expiration Time" shall mean the earliest of (i) the Exchange
          Time, (ii) the Termination Time, (iii) February 1, 2009 and (iv) upon
          the merger of the Company into another corporation pursuant to an
          agreement approved by the Board of Directors and entered into prior
          to a Flip-In Date.

          (j)  "Flip-In Date" shall mean the tenth business day after any Stock
          Acquisition Date or such earlier or later date as the Board of
          Directors of the Company may from time to time fix by resolution
          adopted prior to the Flip-In Date that would otherwise have occurred.


          (k)  "Flip-Over Entity" for purposes of Section 3.2, shall mean (i)
          in the case of a Flip-Over Transaction or Event described in clause
          (i) of the definition thereof, the Person issuing any securities into
          which shares of Common Stock are being converted or exchanged and, if
          no such securities are being issued, the other party to such 
          
<PAGE>          
          Flip-Over Transaction or Event and (ii) in the case of a Flip-Over
          Transaction or Event referred to in clause (ii) of the definition
          thereof, the Person receiving the greatest portion of the assets or
          earning power being transferred in such Flip-Over Transaction or
          Event, provided in all cases if such Person is a subsidiary of a
          corporation, the parent corporation shall be the Flip-Over Entity.

          (l)  "Flip-Over Stock" shall mean the capital stock (or similar
          equity interest) with the greatest voting power in respect of the
          election of directors (or other persons similarly responsible for
          direction of the business and affairs) of the Flip-Over Entity.

          (m)  "Flip-Over Transaction or Event" shall mean a transaction or
          series of transactions after a Flip-In Date in which, directly or
          indirectly, (i) the Company shall consolidate or merge or participate
          in a share exchange with any other Person if, at the time of the
          consolidation, merger or share exchange or at the time the Company
          enters into any agreement with respect to any such consolidation,
          merger or share exchange, the Acquiring Person Controls the Board of
          Directors of the Company and either (A) any term of or arrangement
          concerning the treatment of shares of capital stock in such
          consolidation, merger or share exchange relating to the Acquiring
          Person is not identical to the terms and arrangements relating to
          other holders of the Common Stock or (B) the Person with whom the
          transaction or series of transactions occurs is the Acquiring Person
          or an Affiliate or Associate of the Acquiring Person or (ii) the
          Company shall sell or otherwise transfer (or one or more of its
          Subsidiaries shall sell or otherwise transfer) assets (A) aggregating
          more than 50% of the assets (measured by either book value or fair
          market value) or (B) generating more than 50% of the operating income
          or cash flow, of the Company and its Subsidiaries (taken as a whole)
          to any Person (other than the Company or one or more of its wholly
          owned Subsidiaries) or to two or more such Persons which are
          Affiliates or Associates or otherwise acting in concert, if, at the
          time of the entry by the Company (or any such Subsidiary) into an
          agreement with respect to such sale or transfer of assets, the
          Acquiring Person Controls the Board of Directors of the Company.  An
          Acquiring Person shall be deemed to "Control" the Company's Board of
          Directors when, following a Flip-In Date, the persons who were
          directors of the Company before the Flip-In Date shall cease to
          constitute a majority of the Company's Board of Directors.


          (n)  "Market Price" per share of any securities on any date shall
          mean the average of the daily closing prices per share of such
          securities (determined as described below) on each of the 20
          consecutive Trading Days through and including the Trading Day
          immediately preceding such date; provided, however, that if an event
          of a type analogous to any of the events described in Section 2.4
          hereof shall have caused the closing prices used to determine the
          Market Price on any Trading Days during such period of 20 Trading
          Days not to be fully comparable with the closing price on such date,
          each such closing price so used shall be appropriately adjusted in
          order to make it fully comparable with the closing price on such
          date.  The closing price per share of any securities on any date
          shall be the last reported sale price, regular way, or, in case no
          such sale takes place or is quoted on such date, the average of the
          closing bid and asked prices, regular way, for each share of such
          securities, in either case as reported in the principal consolidated 
<PAGE>          
          
          transaction reporting system with respect to securities listed or
          admitted to trading on the New York Stock Exchange, Inc. or, if the
          securities are not listed or admitted to trading on the New York
          Stock Exchange, Inc., as reported in the principal consolidated
          transaction reporting system with respect to securities listed on the
          principal national securities exchange on which the securities are
          listed or admitted to trading or, if the securities are not listed or
          admitted to trading on any national securities exchange, as reported
          by The Nasdaq Stock Market, Inc.'s Nasdaq National Market or such
          other system then in use, or, if on any such date the securities are
          not listed or admitted to trading on any national securities exchange
          or quoted by any such organization, the average of the closing bid
          and asked prices as furnished by a professional market maker making a
          market in the securities selected by the Board of Directors of the
          Company; provided, however that if on any such date the securities
          are not listed or admitted to trading on a national securities
          exchange or traded in the over-the-counter market, the closing price
          per share of such securities on such date shall mean the fair value
          per share of securities on such date as determined in good faith by
          the Board of Directors of the Company, after consultation with a
          nationally recognized investment banking firm, and set forth in a
          certificate delivered to the Rights Agent.

          (o)  "Person" shall mean any individual, firm, partnership,
          association, group (as such term is used in Rule 13d-5 under the
          Securities Exchange Act of 1934, as such Rule is in effect on the
          date of this Agreement), corporation or other entity.

          (p)  "Preferred Stock" shall mean the Series B Junior Participating
          Preferred Stock, par value $.05 per share, of the Company created by
          the Certificate of Designation, Preferences and Rights of Series B
          Junior Participating Preferred Stock in substantially the form set
          forth in Exhibit B hereto appropriately completed.

          (q)  "Separation Time" shall mean the Close of Business on the
          earlier of (i) the tenth business day (or such later date as the
          Board of Directors of the Company may from time to time fix by
          resolution adopted prior to the Separation Time that would otherwise
          have occurred) after the date on which any Person commences a tender
          or exchange offer which, if consummated, would result in such
          Person's becoming an Acquiring Person and (ii) the Flip-In Date;
          provided, that if the foregoing results in the Separation Time being
          prior to the Record Time, the Separation Time shall be the Record
          Time and provided further, that if any tender or exchange offer
          referred to in clause (i) of this paragraph is canceled, terminated
          or otherwise withdrawn prior to the Separation Time without the
          purchase of any shares of Common Stock pursuant thereto, such offer
          shall be deemed, for purposes of this paragraph, never to have been
          made.

          (r)  "Stock Acquisition Date" shall mean the first date of public
          announcement by the Company (by any means) that an Acquiring Person
          has become such.

          (s)  "Subsidiary" of any specified Person shall mean any corporation
          or other entity of which a majority of the voting power of the equity
          securities or a majority of the equity interest is Beneficially
          Owned, directly or indirectly, by such Person.

          (t)  "Termination Time" shall mean the time at which the right to
          exercise the Rights shall terminate pursuant to Section 5.1 hereof.

<PAGE>

          (u)  "Trading Day," when used with respect to any securities, shall
          mean a day on which the New York Stock Exchange, Inc. is open for the
          transaction of business or, if such securities are not listed or
          admitted to trading on the New York Stock Exchange, Inc., a day on
          which the principal national securities exchange on which such
          securities are listed or admitted to trading is open for the
          transaction of business or, if such securities are not listed or
          admitted to trading on any national securities exchange, a Business
          Day.

 2.  THE RIGHTS.  

     2.1  Summary of Rights.  As soon as practicable after the Record Time, the
     Company will mail a letter summarizing the terms of the Rights to each
     holder of record of Common Stock as of the Record Time, at such holder's
     address as shown by the records of the Company.

     2.2  Legend on Common Stock Certificates.  Certificates for the Common
     Stock issued after the Record Time but prior to the Separation Time shall
     evidence one Right for each share of Common Stock represented thereby and
     shall have impressed on, printed on, written on or otherwise affixed to
     them the following legend:

     "Until the Separation Time (as defined in the Rights Agreement referred to
     below), this certificate also evidences and entitles the holder hereof to
     certain Rights as set forth in a Rights Agreement, dated as of February 1,
     1999 (as such may be amended from time to time, the "Rights Agreement"),
     between Caretenders Health Corp. (the "Company") and Reliance Trust
     Company, as Rights Agent, the terms of which are hereby incorporated
     herein by reference and a copy of which is on file at the principal
     executive offices of the Company.  Under certain circumstances, as set
     forth in the Rights Agreement, such Rights may be terminated, may become
     exercisable for securities or assets of the Company or of another entity,
     may be exchanged for shares of Common Stock or other securities or assets
     of the Company, may expire, may be redeemed, may become void (if they are
     "Beneficially Owned" by an "Acquiring Person" or an Affiliate or Associate
     thereof, as such terms are defined in the Rights Agreement, or by any
     transferee of any of the foregoing) or may be evidenced by separate
     certificates and may no longer be evidenced by this certificate.  The
     Company will mail or arrange for the mailing of a copy of the Rights
     Agreement to the holder of this certificate without charge promptly after
     the receipt of a written request therefor."

     Certificates representing shares of Common Stock that are issued and
     outstanding at the Record Time shall evidence one Right for each share of
     Common Stock evidenced thereby notwithstanding the absence of the
     foregoing
     legend.

     2.3  Exercise of Rights; Separation of Rights.  

          (a)  Subject to Sections 3.1, 5.1, 5.2 and 5.10 and subject to
          adjustment as herein set forth, each Right will entitle the holder
          thereof, after the Separation Time and prior to the Expiration Time,
          to purchase, for the Exercise Price, one one-hundredth (1/100th) of a
          share of Preferred Stock.

<PAGE>

          (b)  Until the Separation Time, (i) no Right may be exercised and
          (ii) each Right will be evidenced by the certificate for the
          associated share of Common Stock (together, in the case of
          certificates issued prior to the Record Time, with the letter or
          notice mailed to the record holder thereof pursuant to Section 2.1)
          and will be transferable only together with, and will be transferred
          by a transfer (whether with or without such letter or notice) of,
          such associated share.

          (c)  Subject to this Section 2.3 and to Sections 3.1, 5.1, 5.2 and
          5.10, after the Separation Time and prior to the Expiration Time, the
          Rights (i) may be exercised and (ii) may be transferred independent
          of shares of Common Stock.  Promptly following the Separation Time,
          the Rights Agent will mail to each holder of record of Common Stock
          as of the Separation Time (other than any Person whose Rights have
          become void pursuant to Section 3.1(b)), at such holder's address as
          shown by the records of the Company (the Company hereby agreeing to
          furnish copies of such records to the Rights Agent for this purpose),
          (x) a certificate (a "Rights Certificate") in substantially the form
          of Exhibit A hereto appropriately completed, representing the number
          of Rights held by such holder at the Separation Time and having such
          marks of identification or designation and such legends, summaries or
          endorsements printed thereon as the Company may deem appropriate and
          as are not inconsistent with the provisions of this Agreement, or as
          may be required to comply with any law or with any rule or regulation
          made pursuant thereto or with any rule or regulation of any national
          securities exchange or quotation system on which the Rights may from
          time to time be listed or traded, or to conform to usage, and (y) a
          disclosure statement describing the Rights.

          (d)  Subject to Sections 3.1, 5.1, 5.2 and 5.10, Rights may be
          exercised on any Business Day after the Separation Time and prior to
          the Expiration Time by submitting to the Rights Agent the Rights
          Certificate evidencing such Rights with an Election to Exercise (an
          "Election to Exercise") substantially in the form attached to the
          Rights Certificate duly completed, accompanied by payment in cash, or
          by certified or official bank check or money order payable to the
          order of the Company, of a sum equal to the Exercise Price multiplied
          by the number of Rights being exercised and a sum sufficient to cover
          any transfer tax or charge which may be payable in respect of any
          transfer involved in the transfer or delivery of Rights Certificates
          or the issuance or delivery of certificates for shares or depository
          receipts (or both) in a name other than that of the holder of the
          Rights being exercised.

          (e)  Upon receipt of a Rights Certificate, with an Election to
          Exercise accompanied by payment as set forth in Section 2.3(d), and
          subject to Sections 3.1, 5.1, 5.2 and 5.10, the Rights Agent will
          thereupon promptly (i) (A) requisition from a transfer agent stock
          certificates evidencing such number of shares or other securities to
          be purchased (the Company hereby irrevocably authorizing its transfer
          agent to comply with all such requisitions) and (B) if the Company
          elects pursuant to Section 5.5 not to issue certificates representing
          fractional shares, requisition from the depository selected by the
          Company depository receipts representing the fractional shares to be
          purchased or requisition from the Company the amount of cash to be
          paid in lieu of fractional shares in accordance with Section 5.5 and
          (ii) after receipt of such certificates, depository receipts and/or
          cash, deliver the same to or upon the order of the registered holder
          of such Rights Certificate, registered (in the case of certificates
          or depository receipts) in such name or names as may be designated by
          such holder.

<PAGE>

          (f)  In case the holder of any Rights shall exercise less than all
          the Rights evidenced by such holder's Rights Certificate, a new
          Rights Certificate evidencing the Rights remaining unexercised will
          be issued by the Rights Agent to such holder or to such holder's duly
          authorized assigns.

          (g)  The Company covenants and agrees that it will (i) take all such
          action as may be necessary to ensure that all shares delivered upon
          exercise of Rights shall, at the time of delivery of the certificates
          for such shares (subject to payment of the Exercise Price), be duly
          and validly authorized, executed, issued and delivered and fully paid
          and nonassessable; (ii) take all such action as may be necessary to
          comply with any applicable requirements of the Securities Act of 1933
          or the Securities Exchange Act of 1934, and the rules and regulations
          thereunder, and any other applicable law, rule or regulation, in
          connection with the issuance of any shares upon exercise of Rights;
          and (iii) pay when due and payable any and all federal and state
          transfer taxes and charges which may be payable in respect of the
          original issuance or delivery of the Rights Certificates or of any
          shares issued upon the exercise of Rights, provided that the Company
          shall not be required to pay any transfer tax or charge which may be
          payable in respect of any transfer involved in the transfer or
          delivery of Rights Certificates or the issuance or delivery of
          certificates for shares in a name other than that of the holder of
          the Rights being transferred or exercised.

     2.4  Adjustments to Exercise Price; Number of Rights.  

          (a)  In the event the Company shall at any time after the Record Time
          and prior to the Separation Time (i) declare or pay a dividend on
          Common Stock payable in Common Stock, (ii) subdivide the outstanding
          Common Stock or (iii) combine the outstanding Common Stock into a
          smaller number of shares of Common Stock, (x) the Exercise Price in
          effect after such adjustment will be equal to the Exercise Price in
          effect immediately prior to such adjustment divided by the number of
          shares of Common Stock (the "Expansion Factor") that a holder of one
          share of Common Stock immediately prior to such dividend, subdivision
          or combination would hold thereafter as a result thereof and (y) each
          Right held prior to such adjustment will become that number of Rights
          equal to the Expansion Factor, and the adjusted number of Rights will
          be deemed to be distributed among the shares of Common Stock with
          respect to which the original Rights were associated (if they remain
          outstanding) and the shares issued in respect of such dividend,
          subdivision or combination, so that each such share of Common Stock
          will have exactly one Right associated with it.  Each adjustment made
          pursuant to this paragraph shall be made as of the payment or
          effective date for the applicable dividend, subdivision or
          combination.

          In the event the Company shall at any time after the Record Time and
          prior to the Separation Time issue any shares of Common Stock
          otherwise than in a transaction referred to in the preceding
          paragraph, each such share of Common Stock so issued shall
          automatically have one new Right associated with it, which Right
          shall be evidenced by the certificate representing such share.  To
          the extent provided in Section 5.3, Rights shall be issued by the
          Company in respect of shares of Common Stock that are issued or sold
          by the Company after the Separation Time.

          (b)  In the event the Company shall at any time after the Record Time
          and prior to the Separation Time issue or distribute any securities

<PAGE>

          or assets in respect of, in lieu of or in exchange for Common Stock
          (other than pursuant to a regular periodic cash dividend or a
          dividend paid solely in Common Stock) whether by dividend, in a
          reclassification or recapitalization (including any such transaction
          involving a merger, consolidation or share exchange), or otherwise,
          the Company shall make such adjustments, if any, in the Exercise
          Price, number of Rights and/or securities or other property
          purchasable upon exercise of Rights as the Board of Directors of the
          Company, in its sole discretion, may deem to be appropriate under the
          circumstances in order to adequately protect the interests of the
          holders of Rights generally, and the Company and the Rights Agent
          shall amend this Agreement as necessary to provide for such
          adjustments.

          (c)  Each adjustment to the Exercise Price made pursuant to this
          Section 2.4 shall be calculated to the nearest cent.  Whenever an
          adjustment to the Exercise Price is made pursuant to this Section
          2.4, the Company shall (i) promptly prepare a certificate setting
          forth such adjustment and a brief statement of the facts accounting
          for such adjustment and (ii) promptly file with the Rights Agent and
          with each transfer agent for the Common Stock a copy of such
          certificate.  The Rights Agent shall be fully protected in relying on
          any such certificate and on any adjustment therein and shall not be
          deemed to have knowledge of any such adjustment unless and until it
          shall have received such a certificate.

          Rights Certificates shall represent the securities purchasable under
          the terms of this Agreement, including any adjustment or change in
          the securities purchasable upon exercise of the Rights, even though
          such certificates may continue to express the securities purchasable
          at the time of issuance of the initial Rights Certificates.

     2.5  Date on Which Exercise is Effective.  Each person in whose name any
     certificate for shares is issued upon the exercise of Rights shall for all
     purposes be deemed to have become the holder of record of the shares
     represented thereby on the date upon which the Rights Certificate
     evidencing such Rights was duly surrendered and payment of the Exercise
     Price for such Rights (and any applicable taxes and other governmental
     charges payable by the exercising holder hereunder) was made; provided,
     however, that if the date of such surrender and payment is a date upon
     which the stock transfer books of the Company are closed such person shall
     be deemed to have become the record holder of such shares on, and such
     certificate shall be dated, the next succeeding Business Day on which the
     stock transfer books of the Company are open.

     2.6  Execution, Authentication, Delivery and Dating of Rights
     Certificates.  

          (a)  The Rights Certificates shall be executed on behalf of the
          Company by its Chairman of the Board, President or one of its Vice
          Presidents, under its corporate seal reproduced thereon attested by
          its Secretary or one of its Assistant Secretaries.  The signature of
          any of these officers on the Rights Certificates may be manual or
          facsimile.

          Rights Certificates bearing the manual or facsimile signatures of
          individuals who were at any time the proper officers of the Company
          shall bind the Company, notwithstanding that such individuals or any
          of them have ceased to hold such offices prior to the
          countersignature and delivery of such Rights Certificates.

<PAGE>

          Promptly after the Separation Time, the Company will notify the
          Rights Agent of such Separation Time and will deliver Rights
          Certificates executed by the Company to the Rights Agent for
          countersignature, and, subject to Section 3.1(b), the Rights Agent
          shall manually countersign and deliver such Rights Certificates to
          the holders of the Rights pursuant to Section 2.3(c) hereof.  No
          Rights Certificate shall be valid for any purpose unless manually
          countersigned by the Rights Agent.

          (b)  Each Rights Certificate shall be dated the date of
          countersignature thereof.

     2.7  Registration, Registration of Transfer and Exchange.  

          (a)  After the Separation Time, the Company will cause to be kept a
          register (the "Rights Register") in which, subject to such reasonable
          regulations as it may prescribe, the Company will provide for the
          registration and transfer of Rights.  The Rights Agent is hereby
          appointed "Rights Registrar" for the purpose of maintaining the
          Rights Register for the Company and registering Rights and transfers
          of Rights after the Separation Time as herein provided.  In the event
          that the Rights Agent shall cease to be the Rights Registrar, the
          Rights Agent will have the right to examine the Rights Register at
          all reasonable times after the Separation Time.

          After the Separation Time and prior to the Expiration Time, upon
          surrender for registration of transfer or exchange of any Rights
          Certificate, and subject to the provisions of Section 2.7(c) and (d),
          the Company will execute and the Rights Agent will countersign and
          deliver, in the name of the holder or the designated transferee or
          transferees, as required pursuant to the holder's instructions, one
          or more new Rights Certificates evidencing the same aggregate number
          of Rights as did the Rights Certificate so surrendered.

          (b)  Except as otherwise provided in Section 3.1(b), all Rights
          issued upon any registration of transfer or exchange of Rights
          Certificates shall be the valid obligations of the Company, and such
          Rights shall be entitled to the same benefits under this Agreement as
          the Rights surrendered upon such registration of transfer or
          exchange.

          (c)  Every Rights Certificate surrendered for registration of
          transfer or exchange shall be duly endorsed, or be accompanied by a
          written instrument of transfer in form satisfactory to the Company or
          the Rights Agent, as the case may be, duly executed by the holder
          thereof or such holder's attorney duly authorized in writing.  As a
          condition to the issuance of any new Rights Certificate under this
          Section 2.7, the Company may require the payment of a sum sufficient
          to cover any tax or other governmental charge that may be imposed in
          relation thereto.

          (d)  The Company shall not be required to register the transfer or
          exchange of any Rights after such Rights have become void under
          Section 3.1(b), been exchanged under Section 3.1(c) or been redeemed
          and terminated under Section 5.1.

<PAGE>

     2.8  Mutilated, Destroyed, Lost and Stolen Rights Certificates.  

          (a)  If any mutilated Rights Certificate is surrendered to the Rights
          Agent prior to the Expiration Time, then, subject to Sections 3.1(b),
          3.1(c), 5.1 and 5.2, the Company shall execute and the Rights Agent
          shall countersign and deliver in exchange therefor a new Rights
          Certificate evidencing the same number of Rights as did the Rights
          Certificate so surrendered.

          (b)  If there shall be delivered to the Company and the Rights Agent
          prior to the Expiration Time (i) evidence to their satisfaction of
          the destruction, loss or theft of any Rights Certificate and (ii)
          such security or indemnity as may be required by them to save each of
          them and any of their agents harmless, then, subject to Sections
          3.1(b), 3.1(c), 5.1 and 5.2 and in the absence of notice to the
          Company or the Rights Agent that such Rights Certificate has been
          acquired by a bona fide purchaser, the Company shall execute and upon
          its request the Rights Agent shall countersign and deliver, in lieu
          of any such destroyed, lost or stolen Rights Certificate, a new
          Rights Certificate evidencing the same number of Rights as did the
          Rights Certificate so destroyed, lost or stolen.

          (c)  As a condition to the issuance of any new Rights Certificate
          under this Section 2.8, the Company may require the payment of a sum
          sufficient to cover any tax or other governmental charge that may be
          imposed in relation thereto and any other expenses (including the
          fees and expenses of the Rights Agent) connected therewith.

          (d)  Every new Rights Certificate issued pursuant to this Section 2.8
          in lieu of any destroyed, lost or stolen Rights Certificate shall
          evidence a contractual obligation of the Company, whether or not the
          destroyed, lost or stolen Rights Certificate shall be at any time
          enforceable by anyone, and, subject to Section 3.1(b), shall be
          entitled to all the benefits of this Agreement equally and
          proportionately with any and all other Rights duly issued hereunder.

     2.9  Persons Deemed Owners.  Prior to due presentment of a Rights
     Certificate (or, prior to the Separation Time, the associated Common Stock
     certificate) for registration of transfer, the Company, the Rights Agent
     and any agent of the Company or the Rights Agent may deem and treat the
     person in whose name such Rights Certificate (or, prior to the Separation
     Time, such Common Stock certificate) is registered as the absolute owner
     thereof and of the Rights evidenced thereby for all purposes whatsoever,
     and neither the Company nor the Rights Agent shall be affected by any
     notice to the contrary.  As used in this Agreement, unless the context
     otherwise requires, the term "holder" of any Rights shall mean the
     registered holder of such Rights (or, prior to the Separation Time, the
     associated shares of Common Stock).


     2.10  Delivery and Cancellation of Certificates.  All Rights Certificates
     surrendered upon exercise or for registration of transfer or exchange
     shall, if surrendered to any person other than the Rights Agent, be
     delivered to the Rights Agent and, in any case, shall be promptly canceled
     by the Rights Agent.  The Company may at any time deliver to the Rights
     Agent for cancellation any Rights Certificates previously countersigned
     and delivered hereunder which the Company may have acquired in any manner
     whatsoever, and all Rights Certificates so delivered shall be promptly
     canceled by the Rights Agent.  No Rights Certificates shall be
<PAGE>     
     
     countersigned in lieu of or in exchange for any Rights Certificates
     canceled as provided in this Section 2.10, except as expressly permitted
     by this Agreement.  The Rights Agent shall return all canceled Rights
     Certificates to the Company.

     2.11  Agreement of Rights Holders.  Every holder of Rights by accepting
     the same consents and agrees with the Company and the Rights Agent and
     with every other holder of Rights that:

          (a)  prior to the Separation Time, each Right will be transferable
          only together with, and will be transferred by a transfer of, the
          associated share of Common Stock;

          (b)  after the Separation Time, the Rights Certificates will be
          transferable only on the Rights Register as provided herein;

          (c)  prior to due presentment of a Rights Certificate (or, prior to
          the Separation Time, the associated Common Stock certificate) for
          registration of transfer, the Company, the Rights Agent and any agent
          of the Company or the Rights Agent may deem and treat the person in
          whose name the Rights Certificate (or, prior to the Separation Time,
          the associated Common Stock certificate) is registered as the
          absolute owner thereof and of the Rights evidenced thereby for all
          purposes whatsoever, and neither the Company nor the Rights Agent
          shall be affected by any notice to the contrary;

          (d)  Rights beneficially owned by certain Persons will, under the
          circumstances set forth in Section 3.1(b), become void; and

          (e)  this Agreement may be supplemented or amended from time to time
          pursuant to Section 2.4(b) or 5.4 hereof.
 

3.  ADJUSTMENTS TO THE RIGHTS IN THE EVENT OF CERTAIN TRANSACTIONS.  

     3.1  Flip-In.  

          (a)  In the event that prior to the Expiration Time a Flip-In Date
          shall occur, except as provided in this Section 3.1, each Right shall
          constitute the right to purchase from the Company, upon exercise
          thereof in accordance with the terms hereof (but subject to Section
          5.1, 5.2 and 5.10), that number of shares of Common Stock having an
          aggregate Market Price on the Stock Acquisition Date equal to twice
          the Exercise Price for an amount in cash equal to the Exercise Price
          (such right to be appropriately adjusted in order to protect the
          interests of the holders of Rights generally in the event that on or
          after such Stock Acquisition Date an event of a type analogous to any
          of the events described in Section 2.4(a) or (b) shall have occurred
          with respect to the Common Stock).


          (b)  Notwithstanding the foregoing, any Rights that are or were
          Beneficially Owned on or after the Stock Acquisition Date by an
          Acquiring Person or an Affiliate or Associate thereof or by any
          transferee, direct or indirect, of any of the foregoing shall become
          void and any holder of such Rights (including transferees) shall
          thereafter have no right to exercise or transfer such Rights under
          any provision of this Agreement.  If any Rights Certificate is

<PAGE>

          presented for assignment or exercise and the Person presenting the
          same will not complete the certification set forth at the end of the
          form of assignment or notice of election to exercise and provide such
          additional evidence of the identity of the Beneficial Owner and its
          Affiliates and Associates (or former Beneficial Owners and their
          Affiliates and Associates) as the Company shall reasonably request,
          then the Company shall be entitled conclusively to deem the
          Beneficial Owner thereof to be an Acquiring Person or an Affiliate or
          Associate thereof or a transferee of any of the foregoing and
          accordingly will deem the Rights evidenced thereby to be void and not
          transferable or exercisable.

          (c)  The Board of Directors of the Company may, at its option, at any
          time after a Flip-In Date and prior to the time that an Acquiring
          Person becomes the Beneficial Owner of more than 50% of the
          outstanding shares of Common stock, elect to exchange all (but not
          less than all) the then outstanding Rights (which shall not include
          Rights that have become void pursuant to the provisions of Section
          3.1(b)) for shares of Common Stock at an exchange ratio of one share
          of Common Stock per Right, appropriately adjusted in order to protect
          the interests of holders of Rights generally in the event that after
          the Separation Time an event of a type analogous to any of the events
          described in Section 2.4(a) or (b) shall have occurred with respect
          to the Common Stock (such exchange ratio, as adjusted from time to
          time, being hereinafter referred to as the "Exchange Ratio").

          Immediately upon the action of the Board of Directors of the Company
          electing to exchange the Rights, without any further action and
          without any notice, the right to exercise the Rights will terminate
          and each Right (other than Rights that have become void pursuant to
          Section 3.1(b)) will thereafter represent only the right to receive a
          number of shares of Common Stock equal to the Exchange Ratio.
          Promptly after the action of the Board of Directors electing to
          exchange the Rights, the Company shall give notice thereof
          (specifying the steps to be taken to receive shares of Common Stock
          in exchange for Rights) to the Rights Agent and the holders of the
          Rights (other than Rights that have become void pursuant to Section
          3.1(b)) outstanding immediately prior thereto by mailing such notice
          in accordance with Section 5.9.

          Each Person in whose name any certificate for shares is issued upon
          the exchange of Rights pursuant to this Section 3.1(c) or Section
          3.1(d) shall for all purposes be deemed to have become the holder of
          record of the shares represented thereby on, and such certificate
          shall be dated, the date upon which the Rights Certificate evidencing
          such Rights was duly surrendered and payment of any applicable taxes
          and other governmental charges payable by the holder was made;
          provided, however, that if the date of such surrender and payment is
          a date upon which the stock transfer books of the Company are closed,
          such Person shall be deemed to have become the record holder of such
          shares on, and such certificate shall be dated, the next succeeding
          Business Day on which the stock transfer books of the Company are
          open.

          (d)  Whenever the Company shall become obligated under Section 3.1(a)
          or (c) to issue shares of Common Stock upon exercise of or in
          exchange for Rights, the Company, at its option, may substitute
          therefor shares of Preferred Stock, at a ratio of one one-hundredth
          (1/l00th) of a share of Preferred Stock for each share of Common
          Stock so issuable.

<PAGE>

          (e)  In the event that there shall not be sufficient treasury shares
          or authorized but unissued shares of Common Stock or Preferred Stock
          of the Company to permit the exercise or exchange in full of the
          Rights in accordance with Section 3.1(a) or (c), the Company shall
          either (i) call a meeting of stockholders seeking approval to cause
          sufficient additional shares to be authorized (provided that if such
          approval is not obtained the Company will take the action specified
          in clause (ii) of this sentence) or (ii) take such action as shall be
          necessary to ensure and provide, to the extent permitted by
          applicable law and any agreements or instruments in effect on the
          Stock Acquisition Date to which it is a party, that each Right shall
          thereafter constitute the right to receive, (x) at the Company's
          option, either (A) in return for the Exercise Price, debt or equity
          securities or other assets (or a combination thereof) having a fair
          value equal to twice the Exercise Price, or (B) without payment of
          consideration (except as otherwise required by applicable law), debt
          or equity securities or other assets (or a combination thereof)
          having a fair value equal to the Exercise Price, or (y) if the Board
          of Directors of the Company elects to exchange the Rights in
          accordance with Section 3.1(c), debt or equity securities or other
          assets (or a combination thereof) having a fair value equal to the
          product of the Market Price of a share of Common Stock on the Flip-In
          Date times the Exchange Ratio in effect on the Flip-In Date, where in
          any case set forth in (x) or (y) above the fair value of such debt or
          equity securities or other assets shall be as determined in good
          faith by the Board of Directors of the Company, after consultation
          with a nationally recognized investment banking firm.

     3.2  Flip-Over.  

          (a)  Prior to the Expiration Time, the Company shall not enter into
          any agreement with respect to, consummate or permit to occur any
          Flip-Over Transaction or Event unless and until it shall have entered
          into a supplemental agreement with the Flip-Over Entity, for the
          benefit of the holders of the Rights, providing that, upon
          consummation or occurrence of the Flip-Over Transaction or Event (i)
          each Right shall thereafter constitute the right to purchase from the
          Flip-Over Entity, upon exercise thereof in accordance with the terms
          hereof, that number of shares of Flip-Over Stock of the Flip-Over
          Entity having an aggregate Market Price on the date of consummation
          or occurrence of such Flip-Over Transaction or Event equal to twice
          the Exercise Price for an amount in cash equal to the Exercise Price
          (such right to be appropriately adjusted in order to protect the
          interests of the holders of Rights generally in the event that after
          such date of consummation or occurrence an event of a type analogous
          to any of the events described in Section 2.4(a) or (b) shall have
          occurred with respect to the Flip-Over Stock) and (ii) the Flip-Over
          Entity shall thereafter be liable for, and shall assume, by virtue of
          such Flip-Over Transaction or Event and such supplemental agreement,
          all the obligations and duties of the Company pursuant to this
          Agreement.  The provisions of this Section 3.2 shall apply to
          successive Flip-Over Transactions or Events.


          (b)  Prior to the Expiration Time, unless the Rights will be
          terminated pursuant to Section 5.1 hereof in connection therewith,
          the Company shall not enter into any agreement with respect to,
          consummate or permit to occur any Flip-Over Transaction or Event if
          at the time thereof there are any rights, warrants or securities
          outstanding or any other arrangements, agreements or instruments that
          would eliminate or otherwise diminish in any material respect the
          benefits intended to be afforded by this Rights Agreement to the
          holders of Rights upon consummation of such transaction.

<PAGE>

4.  THE RIGHTS AGENT.  

     4.1  General.  

          (a)  The Company hereby appoints the Rights Agent to act as agent for
          the Company in accordance with the terms and conditions hereof, and
          the Rights Agent hereby accepts such appointment.  The Company agrees
          to pay to the Rights Agent reasonable compensation for all services
          rendered by it hereunder and, from time to time, on demand of the
          Rights Agent, its reasonable expenses and counsel fees and other
          disbursements incurred in the administration and execution of this
          Agreement and the exercise and performance of its duties hereunder.
          The Company also agrees to indemnify the Rights Agent, its directors,
          officers, employees and agents for, and to hold each of them harmless
          against, any loss, liability, or expense, incurred without gross
          negligence, bad faith or willful misconduct on the part of the Rights
          Agent or such indemnified party, for anything done or omitted to be
          done by the Rights Agent in connection with the acceptance and
          administration of this Agreement or the exercise or performance of
          its duties hereunder, including the costs and expenses of defending
          against any claim of liability.  The indemnity provided in this
          Section 4.1(a) shall survive the expiration of the Rights and the
          termination of this Agreement.

          (b)  The Rights Agent shall be protected and shall incur no liability
          for or in respect of any action taken, suffered or omitted by it in
          connection with its administration of this Agreement or the exercise
          or performance of its duties hereunder in reliance upon any
          certificate for securities purchasable upon exercise of Rights,
          Rights Certificate, certificate for other securities of the Company,
          instrument of assignment or transfer, power of attorney, endorsement,
          affidavit, letter, notice, direction, consent, certificate,
          statement, or other paper or document believed by it to be genuine
          and to be signed, executed and, where necessary, verified or
          acknowledged, by the proper person or persons.

     4.2  Merger or Consolidation or Change of Name of Rights Agent.  


          (a)  Any corporation into which the Rights Agent or any successor
          Rights Agent may be merged or with which it may be consolidated, or
          any corporation resulting from any merger or consolidation to which
          the Rights Agent or any successor Rights Agent is a party, or any
          corporation succeeding to the stockholder services business of the
          Rights Agent or any successor Rights Agent, will be the successor to
          the Rights Agent under this Agreement without the execution or filing
          of any paper or any further act on the part of any of the parties
          hereto, provided that such corporation would be eligible for
          appointment as a successor Rights Agent under the provisions of
          Section 4.4 hereof.  In case at the time such successor Rights Agent
          succeeds to the agency created by this Agreement any of the Rights
          Certificates have been countersigned but not delivered, any such
          successor Rights Agent may adopt the countersignature of the
          predecessor Rights Agent and deliver such Rights Certificates so
          countersigned; and in case at that time any of the Rights

<PAGE>
          Certificates have not been countersigned, any successor Rights Agent
          may countersign such Rights Certificates either in the name of the
          predecessor Rights Agent or in the name of the successor Rights
          Agent; and in all such cases such Rights Certificates will have the
          full force provided in the Rights Certificates and in this Agreement.

          (b)  In case at any time the name of the Rights Agent is changed and
          at such time any of the Rights Certificates shall have been
          countersigned but not delivered, the Rights Agent may adopt the
          countersignature under its prior name and deliver Rights Certificates
          so countersigned; and in case at that time any of the Rights
          Certificates shall not have been countersigned, the Rights Agent may
          countersign such Rights Certificates either in its prior name or in
          its changed name; and in all such cases such Rights Certificates
          shall have the full force provided in the Rights Certificates and in
          this Agreement.

     4.3  Duties of Rights Agent.  The Rights Agent undertakes the duties and
     obligations imposed by this Agreement upon the following terms and
     conditions, by all of which the Company and the holders of Rights
     Certificates, by their acceptance thereof, shall be bound:

          (a)  The Rights Agent may consult with legal counsel (who may be
          legal counsel for the Company), and the advice or opinion of such
          counsel will be full and complete authorization and protection to the
          Rights Agent as to any action taken or omitted by it in good faith
          and in accordance with such advice or opinion.

          (b)  Whenever in the performance of its duties under this Agreement
          the Rights Agent deems it necessary or desirable that any fact or
          matter be proved or established by the Company prior to taking or
          suffering any action hereunder, such fact or matter (unless other
          evidence in respect thereof be herein specifically prescribed) may be
          deemed to be conclusively proved and established by a certificate
          signed by a person believed by the Rights Agent to be the Chairman of
          the Board, the President or any Vice President and by the Treasurer
          or any Assistant Treasurer or the Secretary or any Assistant
          Secretary of the Company and delivered to the Rights Agent; and such
          certificate will be full authorization to the Rights Agent for any
          action taken or suffered in good faith by it under the provisions of
          this Agreement in reliance upon such certificate.

          (c)  The Rights Agent will be liable hereunder only for its own gross
          negligence, bad faith or willful misconduct.

          (d)  The Rights Agent will not be liable for or by reason of any of
          the statements of fact or recitals contained in this Agreement or in
          the certificates for securities purchasable upon exercise of Rights
          or the Rights Certificates (except its countersignature thereof) or
          be required to verify the same, but all such statements and recitals
          are and will be deemed to have been made by the Company only.


          (e)  The Rights Agent will not be under any responsibility in respect
          of the validity of any provision of this Agreement or the execution
          and delivery hereof (except the due authorization, execution and
          delivery hereof by the Rights Agent) or in respect of the validity or
          execution of any certificate for securities purchasable upon exercise
          of Rights or Rights Certificate (except its countersignature
          thereof); nor will it be responsible for any breach by the Company of
          any covenant or condition contained in this Agreement or in any

<PAGE>

          Rights Certificate; nor will it be responsible for any change in the
          exercisability of the Rights (including the Rights becoming void
          pursuant to Section 3.1(b) hereof) or any adjustment required under
          any provision of this Agreement or responsible for the manner, method
          or amount of any such adjustment or the ascertaining of the existence
          of facts that would require any such adjustment (except with respect
          to the exercise of Rights after receipt of the certificate
          contemplated by Section 2.4 describing any such adjustment); nor will
          it by any act hereunder be deemed to make any representation or
          warranty as to the authorization or reservation of any securities
          purchasable upon exercise of Rights or any Rights or as to whether
          any securities purchasable upon exercise of Rights will, when issued,
          be duly and validly authorized, executed, issued and delivered and
          fully paid and nonassessable.

          (f)  The Company agrees that it will perform, execute, acknowledge
          and deliver or cause to be performed, executed, acknowledged and
          delivered all such further and other acts, instruments and assurances
          as may reasonably be required by the Rights Agent for the carrying
          out or performing by the Rights Agent of the provisions of this
          Agreement.

          (g)  The Rights Agent is hereby authorized and directed to accept
          instructions with respect to the performance of its duties hereunder
          from any person believed by the Rights Agent to be the Chairman of
          the Board, the President or any Vice President or the Secretary or
          any Assistant Secretary or the Treasurer or any Assistant Treasurer
          of the Company, and to apply to such persons for advice or
          instructions in connection with its duties, and it shall not be
          liable for any action taken or suffered by it in good faith in
          accordance with instructions of any such person, or for any delay in
          acting while awaiting instructions.  Any application by the Rights
          Agent for written instructions from the Company may, at the option of
          the Rights Agent, set forth in writing any action proposed to be
          taken or omitted by the Rights Agent under this Agreement and the
          date on or after which such action shall be taken or such omission
          shall be effective.  The Rights Agent shall not be liable for any
          action taken by, or omission of, the Rights Agent in accordance with
          a proposal included in any such application on or after the date
          specified in such application (which date shall not be less than five
          Business Days after the date any officer of the Company actually
          receives such application, unless any such officer shall have
          consented in writing to an earlier date) unless, prior to taking any
          such action (or the effective date in the case of an omission), the
          Rights Agent shall have received written instructions in response to
          such application specifying the action to be taken or omitted.

          (h)  The Rights Agent and any stockholder, director, officer or
          employee of the Rights Agent may buy, sell or deal in Common Stock,
          Rights or other securities of the Company or become pecuniarily
          interested in any transaction in which the Company may be interested,
          or contract with or lend money to the Company or otherwise act as
          fully and freely as though it were not Rights Agent under this
          Agreement.  Nothing herein shall preclude the Rights Agent from
          acting in any other capacity for the Company or for any other legal
          entity.


          (i)  The Rights Agent may execute and exercise any of the rights or
          powers hereby vested in it or perform any duty hereunder either
          itself or by or through its attorneys or agents, and the Rights Agent
          will not be answerable or accountable for any act, default, neglect

<PAGE>

          or misconduct of any such attorneys or agents or for any loss to the
          Company resulting from any such act, default, neglect or misconduct,
          provided the Rights Agent was not grossly negligent in the selection
          and continued employment thereof.

          (j)  The Rights Agent undertakes only the express duties and
          obligations imposed on it by this Agreement and no implied duties or
          obligations shall be read into this Agreement against the Rights
          Agent.

          (k)   Anything in this Agreement to the contrary notwithstanding, in
          no event shall the Rights Agent be liable for special, indirect or
          consequential loss or damage of any kind whatsoever (including but
          not limited to lost profits).

          (l)  No provision of this Agreement shall require the Rights Agent to
          expend or risk its own funds or otherwise incur any financial
          liability in the performance of any of its duties hereunder or in the
          exercise of its rights if there shall be reasonable grounds for
          believing that repayment of such funds or adequate indemnification
          against such risk or liability is not reasonably assured to it.

          (m)  The Company agrees that it will provide prompt written notice to
          the Rights Agent of any transaction or event of which the Company
          becomes aware that has resulted in or that is reasonably likely to
          result in the occurrence of a Flip-In Date, a Flip-Over Transaction
          or Event, the Separation Time or a Stock Acquisition Date.


     4.4  Change of Rights Agent.  The Rights Agent may resign and be
     discharged from its duties under this Agreement upon 90 days notice (or
     such lesser notice as is acceptable to the Company) in writing mailed to
     the Company and to each transfer agent of Common Stock by registered or
     certified mail, and to the holders of the Rights in accordance with
     Section 5.9. The Company may remove the Rights Agent upon 30 days notice
     in writing, mailed to the Rights Agent and to each transfer agent of the
     Common Stock by registered or certified mail, and to the holders of the
     Rights in accordance with Section 5.9.  If the Rights Agent should resign
     or be removed or otherwise become incapable of acting, the Company will
     appoint a successor to the Rights Agent. If the Company fails to make such
     appointment within a period of 30 days after such removal or after it has
     been notified in writing of such resignation or incapacity by the
     resigning or incapacitated Rights Agent or by the holder of any Rights
     (which holder shall, with such notice, submit such holder's Rights
     Certificate for inspection by the Company), then the holder of any Rights
     may apply to any court of competent jurisdiction for the appointment of a
     new Rights Agent.  Any successor Rights Agent, whether appointed by the
     Company or by such a court, shall be (a) a corporation organized and doing
     business under the laws of the United States or any State of the United
     States, in good standing, which is authorized under such laws to exercise
     the powers of the Rights Agent contemplated by this Agreement and is
     subject to supervision or examination by federal or state authority and
     which has at the time of its appointment as Rights Agent a combined
     capital and surplus of at least $5,000,000 or (b) an affiliate of a
     corporation described in the immediately preceding clause (a).  After
     appointment, the successor Rights Agent will be vested with the same
     powers, rights, duties and responsibilities as if it had been originally
     named as Rights Agent without further act or deed; but the predecessor

<PAGE>

     Rights Agent shall deliver and transfer to the successor Rights Agent any
     property at the time held by it hereunder, and execute and deliver any
     further assurance, conveyance, act or deed necessary for the purpose.  Not
     later than the effective date of any such appointment, the Company will
     file notice thereof in writing with the predecessor Rights Agent and each
     transfer agent of the Common Stock, and mail a notice thereof in writing
     to the holders of the Rights.  Failure to give any notice provided for in
     this Section 4.4, however, or any defect therein, shall not affect the
     legality or validity of the resignation or removal of the Rights Agent or
     the appointment of the successor Rights Agent, as the case may be.


5.  MISCELLANEOUS.  

     5.1  Redemption and Termination.  

          (a)  The Board of Directors of the Company may, at its option, at any
          time prior to a Flip-in Date, redeem all but not less than all of the
          then outstanding Rights at a redemption price of $.01 per Right,
          appropriately adjusted to reflect any stock split, stock dividend,
          recapitalization or similar transaction occurring after the date of
          this Agreement (such redemption price being hereinafter referred to
          as the "Redemption Price").  The Company may, at its option, pay the
          Redemption Price in shares of Common Stock (based on current Market
          Price at the time of redemption), cash or any other form of
          consideration deemed appropriate by the Board of Directors.  The
          redemption of the Rights by the Board of Directors may be made
          effective at such time, on such basis and subject to such conditions
          as the Board of Directors in its sole discretion may establish.

          (b)  Immediately upon the action of the Board of Directors of the
          Company ordering the redemption of the Rights (or at such later time
          as the Board of Directors may establish for the effectiveness of such
          redemption), and without any further action and without any notice,
          the right to exercise the Rights will terminate and the only right
          thereafter of the holders of Rights shall be to receive the
          Redemption Price for each Right so held.  The Company shall promptly
          give public notice of such redemption; provided, however, that the
          failure to give, or any defect in, any such notice shall not affect
          the validity of such redemption.  The Company shall promptly give, or
          cause the Rights Agent to give, notice of such redemption to the
          holders of the then outstanding Rights by mailing such notice to all
          such holders at their last addresses as they appear upon the registry
          books of the Rights Agent or, prior to the Separation Time, on the
          registry books of the transfer agent for the Common Stock.  Any
          notice which is mailed in the manner herein provided shall be deemed
          given, whether or not the holder receives the notice.  Each such
          notice of redemption shall state the method by which payment of the
          Redemption Price will be made.  Neither the Company nor any of its
          Affiliates or Associates may redeem, acquire or purchase for value
          any Rights at any time in any manner other than as set forth herein.

     5.2  Expiration.  The Rights and this Agreement shall expire at the
     Expiration Time and no Person shall have any rights pursuant to this
     Agreement or any Right after the Expiration Time, except, if the Rights
     are exchanged, as provided in Section 3.1 hereof, or if the Rights are
     redeemed, as provided in Section 5.1 hereof.

<PAGE>


     5.3  Issuance of New Rights Certificate.  Notwithstanding any of the
     provisions of this Agreement or of the Rights to the contrary, the Company
     may, at its option, issue new Rights Certificates evidencing Rights in
     such form as may be approved by its Board of Directors to reflect any
     adjustment or change in the number or kind or class of shares of stock
     purchasable upon exercise of Rights made in accordance with the provisions
     of this Agreement.  In addition, in connection with the issuance or sale
     of shares of Common Stock by the Company following the Separation Time and
     prior to the Expiration Time pursuant to the terms of securities
     convertible or redeemable into shares of Common Stock or to options, in
     each case issued or granted prior to, and outstanding at, the Separation
     Time, the Company shall issue to the holders of such shares of Common
     Stock, Rights Certificates representing the appropriate number of Rights
     in connection with the issuance or sale of such shares of Common Stock;
     provided, however, in each case, (i) no such Rights Certificate shall be
     issued, if, and to the extent that, the Company shall be advised by
     counsel that such issuance would create a significant risk of material
     adverse tax consequences to the Company or to the Person to whom such
     Rights Certificates would be issued, (ii) no such Rights Certificates
     shall be issued if, and to the extent that, appropriate adjustment shall
     have otherwise been made in lieu of the issuance thereof and (iii) the
     Company shall have no obligation to distribute Rights Certificates to any
     Acquiring Person or Affiliate or Associate of an Acquiring Person or any
     transferee of any of the foregoing.

     5.4  Supplements and Amendments.  The Company and the Rights Agent may
     from time to time supplement or amend this Agreement without the approval
     of any holders of Rights (i) prior to the Close of Business on the Flip-In
     Date, in any respect and (ii) after the Close of Business on the Flip-In
     Date, to make any changes that the Company may deem necessary or desirable
     and which shall not materially adversely affect the interests of the
     holders of Rights generally or in order to cure any ambiguity or to
     correct or supplement any provision contained herein which may be
     inconsistent with any other provisions herein or otherwise defective.  The
     Rights Agent will duly execute and deliver any supplement or amendment
     hereto requested by the Company upon receipt of a certificate from the
     Company that such supplement or amendment satisfies the terms of the
     preceding sentence.  Notwithstanding anything contained in this Agreement
     to the contrary, no supplement or amendment that changes the rights and
     duties of the Rights Agent under this Agreement shall be effective without
     the consent of the Rights Agent.

     5.5  Fractional Shares.  If the Company elects not to issue certificates
     representing fractional shares upon exercise of Rights, the Company shall,
     in lieu thereof, in the sole discretion of the Board of Directors, either
     (a) evidence such fractional shares by depository receipts issued pursuant
     to an appropriate agreement between the Company and a depository selected
     by it, providing that each holder of a depository receipt shall have all
     of the rights, privileges and preferences to which such holder would be
     entitled as a beneficial owner of such fractional share, or (b) sell such
     shares on behalf of the holders of Rights and pay to the registered holder
     of such Rights the appropriate fraction of price per share received upon
     such sale.


     5.6  Rights of Action.  Subject to the terms of this Agreement (including
     Section 3.1(b)), rights of action in respect of this Agreement, other than
     rights of action vested solely in the Rights Agent, are vested in the
     respective holders of the Rights; and any holder of any Rights, without
     the consent of the Rights Agent or of the holder of any other Rights, may,

<PAGE>

     on such holder's own behalf and for such holder's own benefit and the
     benefit of other holders of Rights, enforce, and may institute and
     maintain any suit, action or proceeding against the Company to enforce, or
     otherwise act in respect of, such holder's right to exercise such holder's
     Rights in the manner provided in such holder's Rights Certificate and in
     this Agreement.  Without limiting the foregoing or any remedies available
     to the holders of Rights, it is specifically acknowledged that the holders
     of Rights would not have an adequate remedy at law for any breach of this
     Agreement and will be entitled to specific performance of the obligations
     under, and injunctive relief against actual or threatened violations of,
     the obligations of any Person subject to this Agreement.

     5.7  Holder of Rights Not Deemed a Stockholder.  No holder, as such, of
     any Rights shall be entitled to vote, receive dividends or be deemed for
     any purpose the holder of shares or any other securities which may at any
     time be issuable on the exercise of such Rights, nor shall anything
     contained herein or in any Rights Certificate be construed to confer upon
     the holder of any Rights, as such, any of the rights of a stockholder of
     the Company or any right to vote for the election of directors or upon any
     matter submitted to stockholders at any meeting thereof, or to give or
     withhold consent to any corporate action, or to receive notice of meetings
     or other actions affecting stockholders (except as provided in Section 5.8
     hereof), or to receive dividends or subscription rights, or otherwise,
     until such Rights shall have been exercised or exchanged in accordance
     with the provisions hereof.

     5.8  Notice of Proposed Actions.  In case the Company shall propose after
     the Separation Time and prior to the Expiration Time (i) to effect or
     permit occurrence of any Flip-Over Transaction or Event or (ii) to effect
     the liquidation, dissolution or winding up of the Company, then, in each
     such case, the Company shall give to each holder of a Right, in accordance
     with Section 5.9 hereof, a notice of such proposed action, which shall
     specify the date on which such Flip-Over Transaction or Event,
     liquidation, dissolution, or winding up is to take place, and such notice
     shall be so given at least 20 Business Days prior to the date of the
     taking of such proposed action.

     5.9  Notices.  Notices or demands authorized or required by this Agreement
     to be given or made by the Rights Agent or by the holder of any Rights to
     the Company shall be sufficiently given or made if delivered or sent by
     first-class mail, postage prepaid, addressed (until another address is
     filed in writing with the Rights Agent) as follows:

               Caretenders Health Corp.
               100 Mallard Creek Road, Suite 400
               Louisville, Kentucky 40207
               Attention:  Secretary

     Any notice or demand authorized or required by this Agreement to be given
     or made by the Company or by the holder of any Rights to or on the Rights
     Agent shall be sufficiently given or made if delivered or sent by
     first-class mail, postage prepaid, addressed (until another address is
     filed in writing with the Company) as follows:

<PAGE>

               Reliance Trust Company
               3384 Peachtree Road, NE, Suite 900
               Atlanta, Georgia 30326

     Notices or demands authorized or required by this Agreement to be given or
     made by the Company or the Rights Agent to or on the holder of any Rights
     shall be sufficiently given or made if delivered or sent by first-class
     mail, postage prepaid, addressed to such holder at the address of such
     holder as it appears upon the registry books of the Rights Agent or, prior
     to the Separation Time, on the registry books of the transfer agent for
     the Common Stock.  Any notice which is mailed in the manner herein
     provided shall be deemed given, whether or not the holder receives the
     notice.

     5.10  Suspension of Exercisability.  To the extent that the Company
     determines in good faith that some action will or need be taken pursuant
     to Section 3.1 or to comply with federal or state securities laws, the
     Company may suspend the exercisability of the Rights for ninety (90) days
     and any additional period that may be reasonable in order to take such
     action or comply with such laws.  In the event of any such suspension, the
     Company shall issue as promptly as practicable a public announcement
     stating that the exercisability or exchangeability of the Rights has been
     temporarily suspended.  Notice thereof pursuant to Section 5.9 shall not
     be required.

     Failure to give a notice pursuant to the provisions of this Agreement
     shall not affect the validity of any action taken hereunder.

     5.11  Costs of Enforcement.  The Company agrees that if the Company or any
     other Person the securities of which are purchasable upon exercise of
     Rights fails to fulfill any of its obligations pursuant to this Agreement,
     then the Company or such Person will reimburse the holder of any Rights
     for the costs and expenses (including legal fees) incurred by such holder
     in actions to enforce such holder's rights pursuant to any Rights or this
     Agreement.

     5.12  Successors.  All the covenants and provisions of this Agreement by
     or for the benefit of the Company or the Rights Agent shall bind and inure
     to the benefit of their respective successors and assigns hereunder.

     5.13  Benefits of this Agreement.  Nothing in this Agreement shall be
     construed to give to any Person other than the Company, the Rights Agent
     and the holders of the Rights any legal or equitable right, remedy or
     claim under this Agreement and this Agreement shall be for the sole and
     exclusive benefit of the Company, the Rights Agent and the holders of the
     Rights.


     5.14  Determination and Actions by the Board of Directors.  The Board of
     Directors of the Company shall have the exclusive power and authority to
     administer this Agreement and to exercise all rights and powers
     specifically granted to the Board or to the Company, or as may be
     necessary or advisable in the administration of this Agreement, including,
     without limitation, the right and power to (i) interpret the provisions of
     this Agreement and (ii) make all determinations deemed necessary or
     advisable for the administration of this Agreement.  All such actions,
     calculations, interpretations and determinations (including, for purposes
 
 <PAGE>
 
     of clause (y) below, all omissions with respect to the foregoing) which
     are done or made by the Board in good faith, shall (x) be final,
     conclusive and binding on the Company, the Rights Agent, the holders of
     the Rights and all other parties, and (y) not subject the Board of
     Directors of the Company to any liability to the holders of the Rights.

     5.15  Descriptive Headings.  Descriptive headings appear herein for
     convenience only and shall not control or affect the meaning or
     construction of any of the provisions hereof.

     5.16  Governing Law.  THIS AGREEMENT AND EACH RIGHT ISSUED HEREUNDER SHALL
     BE DEEMED TO BE A CONTRACT MADE UNDER THE LAWS OF THE STATE OF DELAWARE
     AND FOR ALL PURPOSES SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH
     THE LAWS OF SUCH STATE APPLICABLE TO CONTRACTS TO BE MADE AND PERFORMED
     ENTIRELY WITHIN SUCH STATE.

     5.17  Counterparts.  This Agreement may be executed in any number of
     counterparts and each of such counterparts shall for all purposes be
     deemed to be an original, and all such counterparts shall together
     constitute but one and the same instrument.

     5.18  Severability.  If any term or provision hereof or the application
     thereof to any circumstance shall, in any jurisdiction and to any extent,
     be invalid or unenforceable, such term or provision shall be ineffective
     as to such jurisdiction to the extent of such invalidity or
     unenforceability without invalidating or rendering unenforceable the
     remaining terms and provisions hereof or the application of such term or
     provision to circumstances other than those as to which it is held invalid
     or unenforceable.

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


                                        CARETENDERS HEALTH CORP.


                                        By: /s/ William B. Yarmuth  
                                            -------------------------
                                            William B. Yarmuth
                                        Title: Chairman of the Board,
                                               President and Chief
                                               Executive Officer
                                                  ("Company")


                                        RELIANCE TRUST COMPANY


                                        By: /s/ Jerry W. Dawson 
                                           -------------------------
                                        Title: Senior Vice President
                                        ("Rights Agent")
                                        


<PAGE>

                                 EXHIBIT A

                           Certificate No. ______

                       (Form of Rights Certificate)

                              _______ Rights

THE RIGHTS ARE SUBJECT TO TERMINATION, REDEMPTION OR MANDATORY EXCHANGE, AT THE
OPTION OF THE COMPANY, ON THE TERMS SET FORTH IN THE RIGHTS AGREEMENT.  RIGHTS
BENEFICIALLY OWNED BY ACQUIRING PERSONS OR AFFILIATES OR ASSOCIATES THEREOF AS
SUCH TERMS ARE DEFINED IN THE RIGHTS AGREEMENT) OR TRANSFEREES OF ANY OF THE
FOREGOING WILL BE VOID.

                             Rights Certificate

                          CARETENDERS HEALTH CORP.


This certifies that _____________________________, or registered assigns, is
the registered holder of the number of Rights set forth above, each of which
entitles the registered holder thereof, subject to the terms, provisions and
conditions of the Stockholder Protection Rights Agreement, dated as of February
1, 1999 (as amended from time to time, the "Rights Agreement"), between
Caretenders Health Corp., a Delaware corporation (the "Company"), and Reliance
Trust Company, a Georgia state banking corporation, as Rights Agent (the
"Rights Agent," which term shall include any successor Rights Agent under the
Rights Agreement), to purchase from the Company at any time after the
Separation Time (as such term is defined in the Rights Agreement) and prior to
the Close of Business on February 1, 2009, one one-hundredth (1/100th) of a
fully paid share of Series B Junior Participating Preferred Stock, par value
$.05 per share (the "Preferred Stock"), of the Company (subject to adjustment
as provided in the Rights Agreement) at the Exercise Price referred to below,
upon presentation and surrender of this Rights Certificate with the Form of
Election to Exercise duly executed at the principal office of the Rights Agent.
The Exercise Price shall initially be $16 per Right and shall be subject to
adjustment as provided in the Rights Agreement.

In certain circumstances described in the Rights Agreement, the Rights
evidenced hereby may entitle the registered holder thereof to purchase
securities of an entity other than the Company or securities or assets of the
Company other than Preferred Stock, all as provided in the Rights Agreement.

This Rights Certificate is subject to all of the terms, provisions and
conditions of the Rights Agreement, which terms, provisions and conditions are
hereby incorporated herein by reference and made a part hereof and to which
Rights Agreement reference is hereby made for a full description of the rights,
limitations of rights, obligations, duties and immunities hereunder of the
Rights Agent, the Company and the holders of the Rights Certificates.  Copies
of the Rights Agreement are on file at the principal office of the Company and
are available without cost upon written request.

<PAGE>

This Rights Certificate, with or without other Rights Certificates, upon
surrender at the office of the Rights Agent designated for such purpose, may be
exchanged for another Rights Certificate or Rights Certificates of like tenor
evidencing an aggregate number of Rights equal to the aggregate number of
Rights evidenced by the Rights Certificate or Rights Certificates surrendered.
If this Rights Certificate shall be exercised in part, the registered holder
shall be entitled to receive, upon surrender hereof, another Rights Certificate
or Rights Certificates for the number of whole Rights not exercised.

Subject to the provisions of the Rights Agreement, each Right evidenced by this
Certificate may be (a) amended, redeemed and terminated by the Company under
certain circumstances, at its option, or (b) exchanged by the Company under
certain circumstances, at its option, for one share of Common Stock or one
one-hundredth (1/100th) of a share of Preferred Stock per Right (or, in certain
cases, other securities or assets of the Company), subject in each case to
adjustment in certain events as provided in the Rights Agreement.

No holder of this Rights Certificate, as such, shall be entitled to vote or
receive dividends or be deemed for any purpose the holder of any securities
which may at any time be issuable on the exercise hereof, nor shall anything
contained in the Rights Agreement or herein be construed to confer upon the
holder hereof, as such, any of the rights of a stockholder of the Company or
any right to vote for the election of directors or upon any matter submitted to
stockholders at any meeting thereof, or to give or withhold consent to any
corporate action, or to receive notice of meetings or other actions affecting
stockholders (except as provided in the Rights Agreement), or to receive
dividends or subscription rights, or otherwise, until the Rights evidenced by
this Rights Certificate shall have been exercised or exchanged as provided in
the Rights Agreement.

This Rights Certificate shall not be valid or obligatory for any purpose until
it shall have been countersigned by the Rights Agent.

<PAGE>

WITNESS the facsimile signature of the proper officers of the Company and its
corporate seal.


Date:  ______________


ATTEST:                                           CARETENDERS HEALTH CORP.


______________________________               By:_____________________________
Secretary                                    
                                             Title:__________________________



Countersigned:

RELIANCE TRUST COMPANY


By:  ______________________________

Title:  _____________________________



<PAGE>


                    [Form of Reverse Side of Rights Certificate]
                                 FORM OF ASSIGNMENT
                            _ _ _ _ _ _ _ _ _ _ _ _ _ _


                  (To be executed by the registered holder if such
                 holder desires to transfer this Rights Certificate.)


FOR VALUE RECEIVED ___________________ hereby sells, assigns and transfers unto

_______________________________________________________________________________
                  (Please print name and address of transferee)

this Rights Certificate, together with all right, title and interest therein,
and does hereby irrevocably constitute and appoint _____________________
Attorney, to transfer the within Rights Certificate on the books of the within
named Company, with full power of substitution.


Date:  ______________


Signature Guaranteed:                   _______________________________________
                                        Signature
                                        (Signature must correspond to name as
                                        written upon the face of this Rights
                                        Certificate in every particular,
                                        without alteration or enlargement or
                                        any change whatsoever.)


Signatures must be guaranteed by an eligible guarantor institution (Banks,
Stockholders, Savings and Loan Associations and Credit Unions with membership
in an approved Signature guarantee medallion program) pursuant to S.E.C. Rule
17 Ad-15.

______________________________________________________________________________

                        (To be completed if true)

The undersigned hereby represents, for the benefit of all holders of Rights and
shares of Common Stock, that the Rights evidenced by this Rights Certificate
are not, and, to the knowledge of the undersigned, have never been,
Beneficially Owned by an Acquiring Person or an Affiliate or Associate thereof
(as defined in the Rights Agreement).


                                        _______________________________________
                                        Signature


<PAGE>

______________________________________________________________________________
                              
                                    NOTICE
                                   _ _ _ _ _


In the event the certification set forth above is not completed in connection
with a purported assignment, the Company will deem the Beneficial Owner of the
Rights evidenced by the enclosed Rights Certificate to be an Acquiring Person
or an Affiliate or Associate thereof (as defined in the Rights Agreement) or a
transferee of any of the foregoing and accordingly will deem the Rights
evidenced by such Rights Certificate to be void and not transferable or
exercisable.

               [To be attached to each Rights Certificate]

                       FORM OF ELECTION TO EXERCISE
                _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 


             (To be executed if holder desires to exercise the
               Rights represented by the Rights Certificate.)


TO:  CARETENDERS HEALTH CORP.

The undersigned hereby irrevocably elects to exercise ___________________ whole
Rights represented by the attached Rights Certificate to purchase the shares of
Series B Junior Participating Preferred Stock issuable upon the exercise of
such Rights and requests that certificates for such shares be issued in the
name of:

                                             __________________________________
                                             Address:
                                             Social Security or other Taxpayer
                                             Identification Number:

If such number of Rights shall not be all the Rights evidenced by this Rights
Certificate, a new Rights Certificate for the balance of such Rights shall be
registered in the name of and delivered to:

                                             __________________________________
                                             Address:
                                             Social Security or other Taxpayer
                                             Identification Number:

<PAGE>


Date:  ______________

Signature Guaranteed:                        __________________________________
                                             Signature
                                             (Signature must correspond to name
                                             as written upon the face of this
                                             Rights Certificate in every
                                             particular, without alteration or
                                             enlargement or any change
                                             whatsoever.)

Signatures must be guaranteed by an eligible guarantor institution (Banks,
Stockholders, Savings and Loan Associations and Credit Unions with membership
in an approved Signature guarantee medallion program) pursuant to S.E.C. Rule
17 Ad-15.

______________________________________________________________________________

                         (To be completed if true)

The undersigned hereby represents, for the benefit of all holders of Rights and
shares of Common Stock, that the Rights evidenced by this Rights Certificate
are not, and, to the knowledge of the undersigned, have never been,
Beneficially Owned by an Acquiring Person or an Affiliate or Associate thereof
(as defined in the Rights Agreement).


                                             __________________________________
                                             Signature


______________________________________________________________________________
                                    NOTICE
                                   _ _ _ _ _


In the event the certification set forth above is not completed in connection
with a purported assignment, the Company will deem the Beneficial Owner of the
Rights evidenced by the enclosed Rights Certificate to be an Acquiring Person
or an Affiliate or Associate thereof (as defined in the Rights Agreement) or a
transferee of any of the foregoing and accordingly will deem the Rights
evidenced by such Rights Certificate to be void and not transferable or
exercisable.


<PAGE>


                                 EXHIBIT B

           CERTIFICATE OF DESIGNATION OF RIGHTS AND PREFERENCES

                                    OF

               SERIES B JUNIOR PARTICIPATING PREFERRED STOCK

                                    OF

                         CARETENDERS HEALTH CORP.

                       Pursuant to Section 151 of the
                      Delaware General Corporation Law


Caretenders Health Corp., a corporation organized under the laws of the State
of Delaware (the "Corporation"), hereby certifies that, pursuant to the
authority conferred upon the Board of Directors by the Certificate of
Incorporation, as amended, of the Corporation, the Board of Directors on
February 1, 1999 adopted the following resolution creating a series of 100,000
shares of Preferred Stock designated as Series B Junior Participating Preferred
Stock:

RESOLVED, that pursuant to the authority vested in the Board of Directors in
accordance with the provisions of the Certificate of Incorporation of the
Corporation, the Board of Directors hereby creates, authorizes and provides for
the issuance of Series B Junior Participating Preferred Stock having the
designations and relative rights, preferences and limitations that are set
forth below:

1.  Series B Junior Participating Preferred Stock.  There is hereby established
a series of Preferred Stock, par value $.05 per share, of the Corporation, and
the designation and certain terms, powers, preferences and other rights of the
shares of such series, and certain qualifications, limitations and restrictions
thereon, are hereby fixed as follows:

     (i)  The distinctive serial designation of this series shall be "Series B
     Junior Participating Preferred Stock" (hereinafter called "this Series").
     Each share of this Series shall be identical in all respects with the
     other shares of this Series except as to the dates from and after which
     dividends thereon shall be cumulative.

     (ii) The number of shares in this Series shall initially be 100,000 which
     number may from time to time be increased or decreased (but not below the
     number then outstanding) by the Board of Directors.  Shares of this Series
     purchased by the Corporation shall be canceled and shall revert to
     authorized but unissued shares of Preferred Stock undesignated as to
     series.  Shares of this Series may be issued in fractional shares, which
     fractional shares shall entitle the holder, in proportion to such holder's
     fractional share, to all rights of a holder of a whole share of this
     Series.


    (iii) The holders of full or fractional shares of this Series shall be
    entitled to receive, when and as declared by the Board of Directors, but
    only out of funds legally available therefor, dividends, (A) on each date
    that dividends or other distributions payable in Common Stock of the

<PAGE>

    Corporation are payable on or in respect of Common Stock comprising part of
    the Reference Package (as defined below), in an amount per whole share of
    this Series equal to the aggregate amount of dividends or other
    distributions (other than dividends or distributions payable in Common
    Stock of the Corporation) that would be payable on such date to a holder of
    the Reference Package and (B) on the last day of March, June, September and
    December in each year, in an amount per whole share of this Series equal to
    the excess (if any) of $1.00 over the aggregate dividends paid per whole
    share of this Series during the three-month period ending on such last day.
    Each such dividend shall be paid to the holders of record of shares of this
    Series on the date, not exceeding sixty days preceding such dividend or
    distribution payment date, fixed for that purpose by the Board of Directors
    in advance of payment of each particular dividend or distribution.
    Dividends on each full and each fractional share of this Series shall be
    cumulative from the date such full or fractional share is originally
    issued; provided that any such full or fractional share originally issued
    after a dividend record date and on or prior to the dividend payment date
    to which such record date relates shall not be entitled to receive the
    dividend payable on such dividend payment date or any amount in respect of
    the period from such original issuance to such dividend payment date.

    The term "Reference Package" shall initially mean 100 shares of Common
    Stock, par value $0.10 per share ("Common Stock"), of the Corporation.  In
    the event the Corporation shall at any time (A) declare or pay a dividend
    on any Common Stock payable in Common Stock, (B) subdivide any Common Stock
    or (C) combine any Common Stock into a smaller number of shares, then and
    in each such case the Reference Package after such event shall be the
    Common Stock that a holder of the Reference Package immediately prior to
    such event would hold thereafter as a result thereof.

    Holders of shares of this Series shall not be entitled to any dividends,
    whether payable in cash, property or stock, in excess of full cumulative
    dividends, as herein provided, on this Series.

    So long as any shares of this Series are outstanding, no dividend (other
    than a dividend in Common Stock or in any other stock ranking junior to
    this Series as to dividends and upon liquidation) shall be declared or paid
    or set aside for payment or other distribution declared or made upon the
    Common Stock or upon any other stock ranking junior to this Series as to
    dividends or upon liquidation, nor shall any Common Stock nor any other
    stock of the Corporation ranking junior to this Series as to dividends or
    upon liquidation be redeemed, purchased or otherwise acquired for any
    consideration (or any moneys be paid to or made available for a sinking
    fund for the redemption of any shares of any such stock) by the Corporation
    (except by conversion into or exchange for stock of the Corporation ranking
    junior to this Series as to dividends and upon liquidation), unless, in
    each case, the full cumulative dividends (including the dividend to be due
    upon payment of such dividend, distribution, redemption, purchase or other
    acquisition) on all outstanding shares of this Series shall have been, or
    shall contemporaneously be, paid.

<PAGE>

    (iv)  In the event of any merger, consolidation, reclassification or other
    transaction in which the shares of Common Stock are exchanged for or
    changed into other stock or securities, cash and/or any other property,
    then in any such case the shares of this Series shall at the same time be
    similarly exchanged or changed in an amount per whole share equal to the
    aggregate amount of stock, securities, cash and/or any other property
    (payable in kind), as the case may be, that a holder of the Reference
    Package would be entitled to receive as a result of such transaction.

    (v)   In the event of any liquidation, dissolution or winding up of the
    affairs of the Corporation, whether voluntary or involuntary, the holders
    of full and fractional shares of this Series shall be entitled, before any
    distribution or payment is made on any date to the holders of the Common
    Stock or any other stock of the Corporation ranking junior to this Series,
    but after any distribution or payment is made on any date to the holders of
    Series A Preferred Stock upon liquidation, to be paid in full an amount per
    whole share of this Series equal to the greater of (A) $1.00 or (B) the
    aggregate amount distributed or to be distributed prior to such date in
    connection with such liquidation, dissolution or winding up to a holder of
    the Reference Package (such greater amount being hereinafter referred to as
    the "Liquidation Preference"), together with accrued dividends to such
    distribution or payment date, whether or not earned or declared.  If such
    payment shall have been made in full to all holders of shares of this
    Series, the holders of shares of this Series as such shall have no right or
    claim to any of the remaining assets of the Corporation.

    In the event the assets of the Corporation available for distribution to
    the holders of shares of this Series upon any liquidation, dissolution or
    winding up of the Corporation, whether voluntary or involuntary, shall be
    insufficient to pay in full all amounts to which such holders are entitled
    pursuant to the first paragraph of this Section (v), no such distribution
    shall be made on account of any shares of any other class or series of
    Preferred Stock ranking on a parity with the shares of this Series upon
    such liquidation, dissolution or winding up unless proportionate
    distributive amounts shall be paid on account of the shares of this Series,
    ratably in proportion to the full distributable amounts for which holders
    of all such parity shares are respectively entitled upon such liquidation,
    dissolution or winding up.

    Upon the liquidation, dissolution or winding up of the Corporation, the
    holders of shares of this Series then outstanding shall be entitled to be
    paid out of assets of the Corporation available for distribution to its
    stockholders all amounts to which such holders are entitled pursuant to the
    first paragraph of this Section (v) before any payment shall be made to the
    holders of Common Stock or any other stock of the Corporation ranking
    junior upon liquidation to this Series, but after payments made to the
    holders of Series A Preferred Stock.

    For the purposes of this Section (v), the consolidation or merger of, or
    share exchange by, the Corporation with any other corporation shall not be
    deemed to constitute a liquidation, dissolution or winding up of the
    corporation.

    (vi)  The shares of this Series shall not be redeemable.

<PAGE>

    (vii) In addition to any other vote or consent of stockholders required by
    law or by the Certificate of Incorporation, as amended, of the Corporation,
    each whole share of this Series shall, on any matter, vote as a class with
    any other capital stock comprising part of the Reference Package and voting
    on such matter and shall have the number of votes thereon that a holder of
    the Reference Package would have.


Notwithstanding any provision hereof, the rights and preferences of this Series
shall be deemed, in all respects, junior to the Company's Series A Preferred
Stock.


IN WITNESS WHEREOF, Caretenders Health Corp. has caused this Certificate of
Designation of Rights and Preferences to be executed as of February 1, 1999.




                                        By:____________________________________
                                           William B. Yarmuth
                                        Title: Chairman of the Board, President
                                        and Chief Executive Officer





                                                                 EXHIBIT 99.1

                         CARETENDERS HEALTH CORP.
               ADOPTS STOCKHOLDER PROTECTION RIGHTS AGREEMENT

LOUISVILLE, Ky. -- February 1, 1999 -- Caretenders Health Corp. (Nasdaq/NMS:
CTND - news) today announced that it adopted a stockholder protection rights
agreement on February 1, 1999.  The rights plan provides that one right will be
distributed as a dividend on each outstanding share of common stock of the
Company held of record as of the close of business on February 16, 1999.

William B. Yarmuth, President of the Company, stated, "The rights plan does not
prevent an acquisition of the Company, but it is designed to protect
stockholders' interests by encouraging anyone seeking control of the Company to
negotiate with the Board of Directors."  Mr. Yarmuth added, "The rights plan is
intended to enable stockholders to realize the long-term value of their
investments in the Company."  Mr. Yarmuth observed that such plans have been
adopted by a significant number of public corporations in recent years.

The rights will be exercisable only if a person or group acquires beneficial
ownership of 20% or more of the Company's common stock or announces a tender or
exchange offer upon consummation of which, such person or group would
beneficially own 20% or more of the common stock of the Company.  The rights
are not triggered by present beneficial holders of 20% or more of the common
stock unless, in general, any such holder subsequently increases its beneficial
holdings.

If the rights are triggered, then each right not owned by the acquiring person
or group entitles its holder to purchase shares of Company common stock at the
right's current exercise price (or in certain circumstances as determined by
the Company, a combination of cash, property, common shares or other
securities), having a value of twice the right's exercise price.  In addition,
if the Company is involved in a merger or business combination transaction with
another person in which the Company is not the surviving corporation, each
right that has not previously been exercised will entitle its holder to
purchase, at the right's current exercise price, common shares of such other
person having a value of twice the right's exercise price.

The Company may redeem the rights at any time until the close of business on
the tenth business day following an announcement by the Company that an
acquiring person or group has become the beneficial owner of 20% or more of the
Company's common stock.

Details of the rights agreement are outlined in a letter to be mailed to all
stockholders of record at the close of business on February 16, 1999.

Caretenders Health Corp. provides home and community based health care services
in Kentucky, Maryland, Alabama, Massachusetts, Connecticut, Indiana, Ohio,
Virginia and Florida.

For more information: William Yarmuth or Steve Guenthner (502) 899-5355.



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