NOVACARE INC
10-Q, 1999-05-17
MISC HEALTH & ALLIED SERVICES, NEC
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<PAGE>   1
                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549


                                    FORM 10-Q



                  QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF
                       THE SECURITIES EXCHANGE ACT OF 1934

                  FOR THE QUARTERLY PERIOD ENDED MARCH 31, 1999


                         COMMISSION FILE NUMBER 1-10875


                                 NOVACARE, INC.
             (Exact name of registrant as specified in its charter)

        DELAWARE                                        13-3247827
(State of incorporation)                    (I.R.S. Employer Identification No.)

1016 W. NINTH AVENUE, KING OF PRUSSIA, PA                 19406
 (Address of principal executive office)                (Zip code)

                  Registrant's telephone number: (610) 992-7200


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

                                  Yes  X    No
                                      ---      ---

As of April 30, 1999, NovaCare, Inc. had 63,155,560 shares of common stock, $.01
par value, outstanding.
<PAGE>   2
                         NOVACARE, INC. AND SUBSIDIARIES

                    FORM 10-Q - QUARTER ENDED MARCH 31, 1999


                                      INDEX

<TABLE>
<CAPTION>
PART NO.          ITEM NO.                      DESCRIPTION                                           PAGE NO.
- --------          --------                      -----------                                           --------
<S>               <C>            <C>                                                                  <C>
     I                           FINANCIAL INFORMATION

                     1           Financial Statements
                                 - Condensed Consolidated Balance Sheets as of
                                    March 31, 1999 and June 30, 1998                                      1

                                 - Condensed Consolidated Statements of Operations
                                    for the Three Months Ended March 31, 1999 and
                                    1998                                                                  2

                                 - Condensed Consolidated Statements of Operations
                                    for the Nine Months Ended March 31, 1999 and 1998                     3

                                 - Condensed Consolidated Statements of Cash Flows
                                    for the Nine Months Ended March 31, 1999 and
                                    1998                                                                  4

                                 - Notes to Condensed Consolidated Financial
                                    Statements                                                          5-10

                     2           Management's Discussion and Analysis of Financial
                                 Condition and Results of Operations                                    11-19

    II                           OTHER INFORMATION


                     6           Exhibits and Reports on Form 8-K                                        20

Signatures                                                                                               21
</TABLE>



                                       i
<PAGE>   3
                         NOVACARE, INC. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS
                   AS OF MARCH 31, 1999 AND JUNE 30, 1998 (In
                        thousands, except per share data)

<TABLE>
<CAPTION>
                                                                                  MARCH 31,          June 30,
                                                                                    1999               1998
                                                                                 -----------        -----------
                                                                                 (UNAUDITED)        (See Note 1)
<S>                                                                              <C>                <C>
ASSETS
Current assets:
   Cash and cash equivalents ...............................................     $    23,804        $    32,760
   Accounts receivable, net of allowances at March 31, 1999 and at
     June 30, 1998 of $42,774 and $55,060, respectively ....................         301,369            338,328
   Inventories .............................................................          45,135             38,207
   Income tax receivable ...................................................          27,869                 --
   Deferred income taxes ...................................................          14,580             14,580
   Other current assets ....................................................          27,771             27,978
                                                                                 -----------        -----------
       Total current assets ................................................         440,528            451,853
Property and equipment, net ................................................          64,541             80,857
Excess cost of net assets acquired, net ....................................         719,592            767,729
Investments in joint ventures ..............................................          15,203             14,881
Other assets, net ..........................................................          49,965             40,722
                                                                                 -----------        -----------
                                                                                 $ 1,289,829        $ 1,356,042
                                                                                 ===========        ===========

LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
   Current portion of financing arrangements ...............................     $   540,696        $    32,074
   Accounts payable and accrued expenses ...................................         160,796            193,025
   Income taxes payable ....................................................              --                981
                                                                                 -----------        -----------
       Total current liabilities ...........................................         701,492            226,080
Financing arrangements, net of current portion .............................          55,267            476,308
Deferred income taxes ......................................................          41,684             41,067
Other ......................................................................           6,200             13,608
                                                                                 -----------        -----------
       Total liabilities ...................................................         804,643            757,063
                                                                                 -----------        -----------
Minority interest in consolidated subsidiaries .............................          27,501             18,306
Commitments and contingencies ..............................................              --                 --

Shareholders' equity:
   Common stock, $.01 par value; authorized 200,000 shares;
     issued 68,371 shares at March 31, 1999 and issued 67,935 shares at
     June 30, 1998 .........................................................             684                679
   Additional paid-in capital ..............................................         274,285            273,157
   Retained earnings .......................................................         225,388            350,255
                                                                                 -----------        -----------
                                                                                     500,357            624,091

   Less:Common stock in treasury (at cost), 5,307 shares at March 31, 1999
     and 5,401 shares at June 30, 1998 .....................................         (42,672)           (43,418)
                                                                                 -----------        -----------
       Total shareholders' equity ..........................................         457,685            580,673
                                                                                 -----------        -----------
                                                                                 $ 1,289,829        $ 1,356,042
                                                                                 ===========        ===========
</TABLE>

  The accompanying Notes to Condensed Consolidated Financial Statements are an
                       integral part of these statements.


                                       1
<PAGE>   4
                         NOVACARE, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                      (In thousands, except per share data)
                                   (Unaudited)


<TABLE>
<CAPTION>
                                                          FOR THE THREE MONTHS ENDED
                                                                   MARCH 31,
                                                          --------------------------
                                                             1999             1998
                                                          ---------        ---------
<S>                                                       <C>              <C>      
Net revenues ........................................     $ 437,307        $ 451,767
Cost of services ....................................       386,997          358,199
                                                          ---------        ---------

    Gross profit ....................................        50,310           93,568

Selling, general and administrative expenses ........        51,945           52,551
Provision for uncollectible accounts ................         8,378            6,009
Amortization of excess cost of net assets acquired ..         6,301            5,230
Provision for restructure, net ......................       111,947               --
                                                          ---------        ---------

     (Loss) income from operations ..................      (128,261)          29,778

Investment income ...................................           127              171
Interest expense ....................................        (9,667)          (7,628)
Minority interest ...................................          (886)            (467)
                                                          ---------        ---------

    (Loss) income before income taxes ...............      (138,687)          21,854

Income taxes ........................................       (26,645)           9,209
                                                          ---------        ---------

    Net (loss) income ...............................     $(112,042)       $  12,645
                                                          =========        =========
    Net (loss) income per share - basic .............     $   (1.78)       $     .21
                                                          =========        =========
    Net (loss) income per share - assuming dilution .     $   (1.78)       $     .20
                                                          =========        =========
</TABLE>


  The accompanying Notes to Condensed Consolidated Financial Statements are an
                       integral part of these statements.


                                       2
<PAGE>   5
                         NOVACARE, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                      (In thousands, except per share data)
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                            FOR THE NINE MONTHS ENDED
                                                                    MARCH 31,
                                                          ------------------------------
                                                              1999               1998
                                                          -----------        -----------
<S>                                                       <C>                <C>        
Net revenues ........................................     $ 1,398,830        $ 1,207,283
Cost of services ....................................       1,183,863            948,985
                                                          -----------        -----------

    Gross profit ....................................         214,967            258,298

Selling, general and administrative expenses ........         158,223            147,589
Provision for uncollectible accounts ................          23,439             15,957
Amortization of excess cost of net assets acquired ..          18,789             14,495
Provision for restructure, net ......................         129,747             23,500
                                                          -----------        -----------

     Income from operations .........................        (115,231)            56,757

Gain from issuance of subsidiary stock ..............           1,506             38,128
Investment income ...................................             423                617
Interest expense ....................................         (28,373)           (20,117)
Minority interest ...................................          (2,355)              (887)
                                                          -----------        -----------

    (Loss) income before income taxes ...............        (144,030)            74,498

Income taxes ........................................         (19,163)            31,057
                                                          -----------        -----------

    Net (loss) income ...............................     $  (124,867)       $    43,441
                                                          ===========        ===========
    Net (loss) income per share - basic .............     $     (1.99)       $       .71
                                                          ===========        ===========
    Net (loss) income per share - assuming dilution .     $     (1.99)       $       .69
                                                          ===========        ===========
</TABLE>

  The accompanying Notes to Condensed Consolidated Financial Statements are an
                       integral part of these statements.


                                       3
<PAGE>   6
                         NOVACARE, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                      (In thousands, except per share data)
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                                                FOR THE NINE MONTHS ENDED
                                                                                        MARCH 31,
                                                                                --------------------------
                                                                                   1999             1998
                                                                                ---------        ---------
<S>                                                                             <C>              <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net (loss) income .........................................................     $(124,867)       $  43,441

Adjustments to reconcile net income to net cash flows provided by
      operating activities:
     Provision for restructure, net .......................................       129,747           23,500
     Gain from issuance of subsidiary stock ...............................        (1,506)         (38,128)
     Depreciation and amortization ........................................        42,543           37,165
     Provision for uncollectible accounts .................................        23,439           15,957
     Minority interest ....................................................         2,355              887
     Deferred income taxes ................................................           617            5,856
     Changes in assets and liabilities, net of effects from acquisitions:
         Accounts and notes receivable ....................................        10,564          (66,440)
         Inventories ......................................................        (6,960)         (10,595)
         Other current assets .............................................          (475)          (5,982)
         Accounts payable and accrued expenses ............................       (56,940)          15,761
         Income taxes payable .............................................       (28,850)          11,089
         Other, net .......................................................        (3,825)          (1,071)
                                                                                ---------        ---------

         Net cash flows (used in)  provided by operating activities .......       (14,158)          31,440
                                                                                ---------        ---------

CASH FLOWS FROM INVESTING ACTIVITIES:
Payments for businesses acquired, net of cash acquired ....................       (56,434)        (144,677)
Net additions to property and equipment ...................................       (28,767)         (20,818)
Other, net ................................................................           857           (2,497)
                                                                                ---------        ---------

         Net cash flows (used in) investing activities ....................       (84,344)        (167,992)
                                                                                ---------        ---------

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from financing arrangements ......................................       351,280          364,140
Payment of financing arrangements .........................................      (263,420)        (259,389)
Proceeds from common stock issued .........................................         1,681            4,855
Proceeds from the issuance of subsidiary stock ............................             5           45,719
                                                                                ---------        ---------

         Net cash flows provided by financing activities ..................        89,546          155,325
                                                                                ---------        ---------

Net (decrease) increase in cash and cash equivalents ......................        (8,956)          18,773
Cash and cash equivalents, beginning of period ............................        32,760           22,716
                                                                                ---------        ---------
Cash and cash equivalents, end of period ..................................     $  23,804        $  41,489
                                                                                =========        =========

Supplemental disclosures of cash flow information:
      Interest paid .......................................................     $  28,622        $  15,130
                                                                                =========        =========
      Income taxes paid ...................................................     $   9,162        $  14,196
                                                                                =========        =========
</TABLE>


  The accompanying Notes to Condensed Consolidated Financial Statements are an
                       integral part of these statements.


                                       4
<PAGE>   7
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

1.    BASIS OF PRESENTATION

            The accompanying condensed consolidated financial statements of
      NovaCare, Inc. (the "Company") are unaudited. The balance sheet as of June
      30, 1998 is condensed from the audited balance sheet of the Company at
      that date. These statements have been prepared in accordance with the
      rules and regulations of the Securities and Exchange Commission and should
      be read in conjunction with the Company's consolidated financial
      statements and the notes thereto for the year ended June 30, 1998. Certain
      information and footnote disclosures normally included in financial
      statements prepared in accordance with generally accepted accounting
      principles have been condensed or omitted pursuant to such rules and
      regulations. In the opinion of Company management, the condensed
      consolidated financial statements for the unaudited interim periods
      presented include all adjustments (consisting of only normal recurring
      adjustments) necessary to present a fair statement of the results for such
      interim periods.

            Operating results for the three-and nine-month periods ended March
      31, 1999 are not necessarily indicative of the results that may be
      expected for a full year or any portion thereof.

2.    PROVISION FOR RESTRUCTURE, NET

            In the nine-months ended March 31, 1999, the Company recorded a net
      provision for restructure of $129,747 composed of the following:

<TABLE>
<S>                                                                         <C>
          Long-term care services......................................     $     98,647
          Outpatient services..........................................           31,100
                                                                            ------------
               Net restructure provision...............................     $    129,747
                                                                            ============
</TABLE>

            LONG-TERM CARE SERVICES

            In the second quarter of fiscal 1998 the Company recorded a
      provision for restructure of $23,500 based on an evaluation of the impact
      of changes in the Medicare reimbursement system mandated by the Balanced
      Budget Act of 1997 (the "BBA") on the Company's long-term care services
      segment. The provision related principally to severance costs associated
      with personnel changes required by the Company's revised operating model
      in the long-term care services segment.

            During the second quarter of fiscal 1999 it became apparent that a
      portion of this fiscal 1998 charge would not be required. A significant
      portion of the employee base covered by the restructure reserve
      voluntarily resigned to seek new employment or obtained employment with
      customers when these customer facilities converted to in-house therapy
      programs. Accordingly, the Company determined that $6,750 was required to
      complete the conversion of the Company's long-term care services segment
      to the revised operating model and reversed $13,300 of the remaining
      balance of the December 31, 1997 restructure reserve at that date.

            In the third quarter of fiscal 1999, the Company continued to
      experience a significant reduction in revenues in the long-term care
      services segment. This decline resulted from a combination of, reduced
      patient volume (related to, fewer therapy patients per customer facility,
      contract cancellations and fewer treatments per patient) and lower prices
      reflecting reduced reimbursement rates under the BBA. In order to mitigate
      the effect of these trends, the Company is in the process of implementing
      a restructure plan which involves a complete exit of selected long-term
      care markets with low customer and therapist concentration. These markets
      are generally in the Western United States and include California,
      Colorado, Texas and the Northwest. The Company intends to concentrate its
      efforts in markets that are believed to have sufficient patient density to
      support profitable operations.


                                       5
<PAGE>   8
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

            Despite implementation of the revised operating plan, the Company
      has determined that it will be unable to recover its investment in
      long-lived assets in the long-term care services segment. Accordingly, the
      Company recorded a provision for restructure of $111,947 in the three
      months ended March 31,1999 to write-off all of its investment in these
      assets and to provide for the costs of exiting the selected markets,
      consisting principally of employee severance costs.

            The third quarter provision for restructure consists of the
      following:

<TABLE>
<S>                                                                         <C>
          Write down of excess cost of net assets acquired, net.......      $    73,716
          Write down of property and equipment........................           20,748
          Employee severance and other................................           17,483
                                                                            -----------
              Total fiscal 1999 provision, net........................      $   111,947
                                                                            ===========
</TABLE>

            The Company continues to evaluate its alternatives with respect to
      the long-term care services segment, which could involve: (i) further
      efforts to reduce costs and improve patient density in the segment's
      remaining markets, (ii) a complete exit of all long-term care services
      markets, or (iii) a sale of the remaining long-term care services segment.
      The Company believes that the maximum additional loss that might be
      incurred under the preceding scenarios (ii) and (iii) would be
      approximately $52,000.

            OUTPATIENT SERVICES

            During the second quarter of fiscal 1999, the Company decided to
      exit certain non-strategic markets being served by its outpatient physical
      therapy and rehabilitation and occupational health business ("PROH"). The
      markets consist of 40 PROH clinics. The decision resulted in a write-down
      of the value of the related assets to estimated net realizable value. The
      related provision for restructure is as follows:

<TABLE>
<S>                                                                         <C>
          Write down of excess cost of net assets acquired, net........     $    28,300
          Employee severance and other.................................           2,800
                                                                            -----------
              Total provision for restructure..........................     $    31,100
                                                                            ===========
</TABLE>

            The estimated net realizable value of PROH assets (principally
      excess cost of net assets acquired, net) was determined by reference to
      the Company's experience with purchases and sales of comparable assets
      over the past several years and in consultation with financial advisors.
      The clinics to be disposed of had annualized net revenues of approximately
      $16,600 and annualized operating profit of approximately $200. The
      annualized pre-tax effect of suspending depreciation and amortization on
      these assets is approximately $800. At March 31, 1999, two of the clinics
      have been sold for proceeds totaling $483. The net book value of the
      remaining assets to be sold is approximately $6,300. All clinics are
      expected to be sold by September 30, 1999.


                                       6
<PAGE>   9
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

3.    NET (LOSS) INCOME PER SHARE

            The following table sets forth the computation and reconciliation of
      net (loss) income per share-basic and net (loss) income per share-assuming
      dilution:

<TABLE>
<CAPTION>
                                                FOR THE THREE MONTHS ENDED        FOR THE NINE MONTHS ENDED
                                                          MARCH 31,                        MARCH 31,
                                                ---------------------------       --------------------------
                                                   1999              1998            1999             1998
                                                ----------        ---------       ---------        ---------
<S>                                             <C>               <C>             <C>              <C>
NET (LOSS) INCOME .........................     $ (112,042)       $  12,645       $(124,867)       $  43,441
                                                ==========        =========       =========        =========

WEIGHTED AVERAGE SHARES OUTSTANDING:

  WEIGHTED AVERAGE SHARES OUTSTANDING -
    BASIC .................................         62,930           61,486          62,738           61,275

  Stock options ...........................             --            1,755              --            1,908
  Contingently issuable shares - assuming
    dilution ..............................             --               43              --               43
                                                ----------        ---------       ---------        ---------
  WEIGHTED AVERAGE SHARES OUTSTANDING -
    ASSUMING DILUTION .....................         62,930           63,284          62,738           63,226
                                                ==========        =========       =========        =========

  NET (LOSS) INCOME PER SHARE - BASIC .....     $    (1.78)       $     .21       $   (1.99)       $     .71
                                                =========        =========        =========        =========
  NET (LOSS) INCOME PER SHARE - ASSUMING
    DILUTION ..............................     $    (1.78)       $     .20       $   (1.99)       $     .69
                                                ==========        =========       =========        =========
</TABLE>

            The Company did not include convertible subordinated debentures,
      equivalent to 6,567 shares of common stock, or options to purchase 9,653
      and 216 shares of common stock for the three-month periods and 7,066 and
      79 shares of common stock for the nine-month periods ended March 31, 1999
      and 1998, respectively, because their effects are anti-dilutive. There
      were no transactions that occurred subsequent to March 31, 1999 that would
      have materially changed the number of shares used in computing net income
      per share-basic or net income per share-assuming dilution.

4.    ACCOUNTS PAYABLE AND ACCRUED EXPENSES

            Accounts payable and accrued expenses are summarized as follows:

<TABLE>
<CAPTION>
                                                                                       MARCH 31,            June 30,
                                                                                         1999                 1998
                                                                                    --------------        ------------
<S>                                                                                 <C>                   <C>         
         Accounts payable.....................................................      $       27,146        $     19,679
         Accrued compensation and benefits....................................              67,876              87,985
         Accrued costs of productivity and cost improvement programs..........              22,879              23,748
         Accrued workers' compensation and health claims......................              16,804              25,000
         Deferred and contingent purchase price obligations...................               7,379               8,756
         Accrued interest.....................................................               4,885               7,080
         Other................................................................              13,827              20,777
                                                                                    --------------       -------------
                                                                                    $      160,796       $     193,025
                                                                                    ==============       =============
</TABLE>


                                       7
<PAGE>   10
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

5.    FINANCING ARRANGEMENTS

            Financing arrangements consisted of the following:

<TABLE>
<CAPTION>
                                                                                       MARCH 31,            June 30,
                                                                                         1999                 1998
                                                                                    --------------       --------------
<S>                                                                                 <C>                  <C>
         Revolving credit facility (LIBOR plus 3%), due                       
              December 31, 1999...............................................      $      337,000       $      227,500
         Convertible subordinated debentures (5.5%), due January 2000.........             175,000              175,000
         Subordinated promissory notes (5% to 10%), through 2007..............              80,770               98,318
         $25,000 revolving credit facility of subsidiary, due                 
              November 17, 2000...............................................                  --                   --
         Other................................................................               3,193                7,564
                                                                                    --------------       --------------
                                                                                           595,963              508,382
         Less:  current portion...............................................             540,696               32,074
                                                                                    --------------       --------------
                                                                                    $       55,267       $      476,308
                                                                                    ==============       ==============
</TABLE>

            The Company has a revolving credit facility with a syndicate of
      lenders. The facility is collateralized by substantially all the common
      stock of the Company's subsidiaries and accounts receivable.

            Maximum amounts which may be borrowed under the revolving credit
      facility are the lesser of (a) projected borrowings plus $10,000 or (b)
      $375,000 through May 31, 1999; $400,000 from June 1 through July 9, 1999;
      and $50,000 from the earlier of the sale of the Company's orthotic and
      prosthetic business ("O&P") (see note 8) or July 10, 1999. All financial
      covenants have been eliminated.

            NovaCare Employee Services, Inc. ("NCES") has a revolving credit
      facility with a syndicate of lenders. As of March 31, 1999 and 1998, there
      were no borrowings or letters of credit outstanding.

6.    COMMITMENTS AND CONTINGENCIES

            The Company is subject to legal proceedings and claims which arise
      in the ordinary course of its business. In the opinion of management, the
      amount of ultimate liability, if any, with respect to these actions will
      not have a material adverse effect on the financial position or results of
      operations of the Company.

            Certain purchase agreements require additional payments if specific
      financial targets and non-financial conditions are met. Aggregate
      contingent payments in connection with these acquisitions at March 31,
      1999 of approximately $70,423 in cash and common stock of NCES have not
      been included in the initial determination of cost of the businesses
      acquired since the amount of such contingent consideration, if any, is not
      presently determinable. For the nine-months ended March 31, 1999 and March
      31, 1998, the Company paid $10,991 and $27,594 in cash and common stock of
      NCES, respectively, and issued 53 and 65 shares, respectively, of the
      Company's common stock in connection with businesses acquired in prior
      years.

7.    OPERATING SEGMENTS

            The Company adopted Statement of Financial Accounting Standards
      ("SFAS") No. 131, "Disclosures About Segments of an Enterprise and Related
      Information" in fiscal 1998. Segment information is presented for
      outpatient services, long-term care services and employee services,
      consistent with the Company's reporting, organization and management
      structure.


                                       8
<PAGE>   11
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

            Operating results and other financial data are presented for the
      principal operating segments of the Company as follows:

<TABLE>
<CAPTION>
                                                  THREE MONTHS ENDED                     NINE MONTHS ENDED
                                                       MARCH 31,                             MARCH 31,
                                            ------------------------------        ------------------------------
                                                1999              1998               1999                1998
                                            -----------        -----------        -----------        -----------
<S>                                         <C>                <C>                <C>                <C>
NET REVENUES:
     Outpatient services ..............     $   145,572        $   130,928        $   448,726        $   370,194
     Long-term care services ..........          68,616            176,309            332,261            497,335
     Employee services ................         384,029            338,367          1,170,228            907,875
                                            -----------        -----------        -----------        -----------
         Total ........................         598,217            645,604          1,951,215          1,775,404
     Intrasegment elimination -
        employee services .............        (160,910)          (193,837)          (552,385)          (568,121)
                                            -----------        -----------        -----------        -----------
         Consolidated revenues ........     $   437,307        $   451,767        $ 1,398,830        $ 1,207,283
                                            ===========        ===========        ===========        ===========

GROSS PROFIT:
     Outpatient services ..............     $    42,078        $    37,463        $   131,757        $   110,144
     Long-term care services ..........           2,365             51,651             65,772            140,212
     Employee services ................          16,717             11,302             47,379             29,042
                                            -----------        -----------        -----------        -----------
         Total ........................          61,160            100,416            244,908            279,398
     Intrasegment elimination -
        employee services .............          (7,690)            (3,725)           (20,118)           (12,367)
     Depreciation .....................          (3,160)            (3,123)            (9,823)            (8,733)
                                            -----------        -----------        -----------        -----------
         Consolidated gross profit ....     $    50,310        $    93,568        $   214,967        $   258,298
                                            ===========        ===========        ===========        ===========

(LOSS) INCOME FROM OPERATIONS:
     Outpatient services ..............     $    12,938        $    12,310        $    46,305        $    42,025
     Long-term care services ..........         (12,540)            33,431             18,826             89,772
     Employee services ................           4,872              2,840             13,128              7,253
                                            -----------        -----------        -----------        -----------
         Total ........................           5,270             48,581             78,259            139,050
     Unallocated selling, general and
        administrative expenses .......         (21,584)           (18,803)           (63,743)           (58,793)
     Provision for restructure ........        (111,947)                --           (129,747)           (23,500)
                                            -----------        -----------        -----------        -----------
         Consolidated (loss) income
            from operations ...........     $  (128,261)       $    29,778        $  (115,231)       $    56,757
                                            ===========        ===========        ===========        ===========
</TABLE>


                                       9
<PAGE>   12
                         NOVACARE, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                 MARCH 31, 1999
                      (In thousands, except per share data)
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                  THREE MONTHS ENDED                NINE MONTHS ENDED
                                                       MARCH 31,                        MARCH 31,
                                              --------------------------        --------------------------
                                                 1999             1998             1999             1998
                                              ---------        ---------        ---------        ---------
<S>                                           <C>              <C>              <C>              <C>
DEPRECIATION AND AMORTIZATION:
     Outpatient services ................     $   7,691        $   6,621        $  23,074        $  18,118
     Long-term care services ............         2,939            3,063            9,336            8,808
     Employee services ..................         1,315            1,041            3,901            2,736
                                              ---------        ---------        ---------        ---------
         Total ..........................        11,945           10,725           36,311           29,662
     Unallocated selling, general and
        administrative expenses .........         2,074            2,508            6,232            7,503
                                              ---------        ---------        ---------        ---------
         Consolidated depreciation
            and amortization ............     $  14,019        $  13,233        $  42,543        $  37,165
                                              =========        =========        =========        =========


EARNINGS BEFORE INTEREST, INCOME TAXES,
DEPRECIATION AND AMORTIZATION
("EBITDA"):
     Outpatient services ................     $  20,629        $  18,931        $  69,379        $  60,143
     Long-term care services ............        (9,601)          36,494           28,162           98,580
     Employee services ..................         6,187            3,881           17,029            9,989
                                              ---------        ---------        ---------        ---------
         Total ..........................        17,215           59,306          114,570          168,712
     Unallocated selling, general and
        administrative expenses .........       (19,510)         (16,295)         (57,511)         (51,290)
     Provision for restructure ..........      (111,947)              --         (129,747)         (23,500)
                                              ---------        ---------        ---------        ---------
         Consolidated EBITDA ............     $(114,242)       $  43,011        $ (72,688)       $  93,922
                                              =========        =========        =========        =========
</TABLE>

<TABLE>
<CAPTION>
                                     AS OF            As of
                                    MARCH 31,        June 30,
                                      1999             1998
                                   ----------       ----------
<S>                                <C>              <C>
SEGMENT ASSETS:
     Outpatient services ........  $  921,858       $  876,250
     Long-term care services ....     171,612          326,872
     Employee services ..........     127,078          112,583
     Unallocated assets .........      69,281           40,337
                                   ----------       ----------
                                   $1,289,829       $1,356,042
                                   ==========       ==========
</TABLE>


8.    SUBSEQUENT EVENTS

            On April 5, 1999, the Company announced the execution of a
      definitive agreement to sell O&P to Hanger Orthopedic Group, Inc.
      ("Hanger"). Under the terms of the agreement, Hanger will pay the Company
      total consideration of approximately $455,000, including the payment of
      approximately $417,000 of cash and the assumption of approximately $38,000
      of debt. The transaction is subject to certain regulatory approvals. Net
      proceeds from the sale will principally be used to repay amounts borrowed
      under the Company's revolving credit facility agreement.


                                       10
<PAGE>   13
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                            AND RESULTS OF OPERATIONS

      OVERVIEW

            Operating Segments

            In fiscal 1998, NovaCare, Inc. (the "Company") adopted Statement of
      Financial Accounting Standards ("SFAS") No. 131, "Disclosures About
      Segments of an Enterprise and Related Information," which requires
      companies to report operating segments based upon the way a company
      manages its activities. Consistent with the Company's reporting,
      organization and management structure, the Company presents segment
      information for outpatient services, long-term care services and employee
      services. Segment information for the three-and nine-month periods ended
      March 31, 1998 has been restated to conform to the requirements of SFAS
      No. 131.

            See Note 7 to the Condensed Consolidated Financial Statements for
      financial data for each of the Company's operating segments.

            Provision for Restructure, Net

            In the nine-months ended March 31, 1999, the Company recorded a net
      $129.7 million restructure provision composed of the following (in
      thousands):

<TABLE>
<S>                                                                         <C>
          Long-term care services......................................     $     98,647
          Outpatient services..........................................           31,100
                                                                            ------------
               Net restructure provision...............................     $    129,747
                                                                            ============
</TABLE>

            LONG-TERM CARE SERVICES

            In the second quarter of fiscal 1998 the Company recorded a
      restructure charge of $23.5 million based on an evaluation of the impact
      of changes in the Medicare reimbursement system mandated by the Balanced
      Budget Act of 1997 (the "BBA") on the Company's long-term care services
      segment. The provision related principally to severance costs associated
      with personnel changes required by the Company's revised operating model
      in the long-term care services segment.

            During the second quarter of fiscal 1999 it became apparent that a
      portion of this fiscal 1998 charge would not be required. A significant
      portion of the employee base covered by the restructure reserve
      voluntarily resigned to seek new employment or obtained employment with
      customers when these customer facilities converted to in-house therapy
      programs. Accordingly, the Company determined that $6.8 million was
      required to complete the conversion of the Company's long-term care
      services segment to the revised operating model and reversed $13.3 million
      of the remaining balance of the December 31, 1997 restructure reserve at
      that date.

            In the third quarter of fiscal 1999, the Company continued to
      experience a significant reduction in revenues in the long-term care
      services segment. This decline resulted from a combination of, reduced
      patient volume (related to, fewer therapy patients per customer facility,
      contract cancellations and fewer treatments per patient) and lower prices
      reflecting reduced reimbursement rates under the BBA. In order to mitigate
      the effect of these trends, the Company is in the process of implementing
      a restructure plan which involves a complete exit of selected long-term
      care markets with low customer and therapist concentration. These markets
      are generally in the Western United States and include California,
      Colorado, Texas and the Northwest. The Company intends to concentrate its
      efforts in markets that are believed to have sufficient patient density to
      support profitable operations.


                                       11
<PAGE>   14
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


            Despite implementation of the revised operating plan, the Company
      has determined that it will be unable to recover its investment in
      long-lived assets in the long-term care services segment. Accordingly, the
      Company recorded a provision for restructure of $111.9 million in the
      three months ended March 31,1999 to write-off all of its investment in
      these assets and to provide for the costs of exiting the selected markets,
      consisting principally of employee severance costs.

            The third quarter provision for restructure consists of the
      following (in thousands):

<TABLE>
<S>                                                                         <C>
          Write down of excess cost of net assets acquired, net.......      $    73,716
          Write down of property and equipment........................           20,748
          Employee severance and other................................           17,483
                                                                            -----------
              Total fiscal 1999 provision, net........................      $   111,947
                                                                            ===========
</TABLE>

            The provision for restructure, net for the long-term care services
      segment for the nine months ended March 31, 1999 totaled $98.6 million,
      consisting of the fiscal 1999 third quarter provision and the reversal of
      the fiscal 1998 provision in the second quarter of fiscal 1999.

            The Company continues to evaluate its alternatives with respect to
      the long-term care services segment, which could involve: (i) further
      efforts to reduce costs and improve patient density in the segment's
      remaining markets, (ii) a complete exit of all long-term care services
      markets, or (iii) a sale of the remaining long-term care services segment.
      The Company believes that the maximum additional loss that might be
      incurred under the preceding scenarios (ii) and (iii) would be
      approximately $52.0 million.

            OUTPATIENT SERVICES

            During the second quarter of fiscal 1999, the Company decided to
      exit certain non-strategic markets being served by its outpatient physical
      therapy and rehabilitation and occupational health business ("PROH"). The
      markets consist of 40 PROH clinics. The decision resulted in a write-down
      of the value of the related assets to estimated net realizable value. The
      related provision for restructure is as follows (in thousands):

<TABLE>
<S>                                                                         <C>
          Write down of excess cost of net assets acquired, net........     $    28,300
          Employee severance and other.................................           2,800
                                                                            -----------
              Total provision for restructure..........................     $    31,100
                                                                            ===========
</TABLE>

            The estimated net realizable value of PROH assets (principally
      excess cost of net assets acquired, net) was determined by reference to
      the Company's experience with purchases and sales of comparable assets
      over the past several years and in consultation with financial advisors.
      The clinics to be disposed of had annualized net revenues of approximately
      $16.6 million and annualized operating profit of approximately $0.2
      million. The annualized pre-tax effect of suspending depreciation and
      amortization on these assets is approximately $0.8 million. At March 31,
      1999, two of the clinics have been sold for proceeds totaling $0.5
      million. The net book value of the remaining assets to be sold is
      approximately $6.3 million. All clinics are expected to be sold by
      September 30, 1999.

            Regulatory Changes

            In the three- and nine-month periods ended March 31, 1999, the
      long-term care services segment experienced a decline in earnings compared
      with the corresponding periods of fiscal 1998. This reduced operating
      performance (as discussed below in the long-term care services section of
      "Results of Operations") resulted principally from: (i) lower Medicare
      reimbursement rates due to salary equivalency guidelines implemented by
      the Health Care Financing Administration ("HCFA") effective April 1998 and
      a prospective payment system ("PPS") for Medicare Part A services
      effective for customer Medicare cost reporting years beginning July 1,
      1998 and thereafter, (ii) an approximately 36% decline in the number of
      rehabilitation patients per Company-served long-term care facility,


                                       12
<PAGE>   15
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


      resulting from the regulatory uncertainty surrounding the level of
      reimbursement for therapy services for Medicare patients under the BBA,
      and (iii) conversion of certain nursing home chain customers to in-house
      therapy programs.

            In the fourth quarter of fiscal 1998, HCFA implemented salary
      equivalency reimbursement guidelines for occupational therapy and speech
      language pathology services and revised guidelines for physical therapy
      services. The net effect of these guidelines was to reduce the long-term
      care services segment's reimbursement rates and gross profit percentage
      from previous levels. Additionally, the BBA requires a change from these
      salary equivalency guidelines for therapy services to a PPS for Medicare
      Part A services effective for Medicare cost reporting periods beginning
      July 1, 1998 and thereafter and a fee schedule with annual maximum
      payments per patient for Medicare Part B services effective January 1,
      1999.

            By changing Medicare reimbursement to long-term care facilities from
      a cost basis to a fixed fee, the BBA is a fundamental change in the
      economic assumptions underlying patient care in long-term care facilities.
      Due to the extensive nature of the reimbursement changes specified by the
      BBA, the ultimate effect these changes may have on the demand for services
      and management's inability to predict what portion of the PPS and fee
      schedule rates that the Company will continue to receive based on
      negotiated terms of service contracts with its customers, the Company is
      unable to determine the final impact that the BBA will have on its
      financial position or results of operations.

            Sale of Orthotics and Prosthetic Services Business

            On April 5, 1999, the Company announced the execution of a
      definitive agreement to sell its orthotic and prosthetic services business
      ("O&P") to Hanger Orthopedic Group, Inc. ("Hanger"). Under the terms of
      the agreement, Hanger will pay the Company total consideration of
      approximately $455 million, including the payment of approximately $417
      million of cash and the assumption of approximately $38 million of debt.
      The transaction is subject to certain regulatory approvals. The net
      proceeds from the sale will be used principally to repay amounts borrowed
      under the Company's revolving credit facility agreement.

            Corporate and Capital Structure Changes

            In addition to the sale of the O&P business, the Company continues
      to evaluate its strategic alternatives for obtaining capital to fund its
      ongoing working capital needs, satisfy its remaining debt obligations and
      maximize shareholder value. Such alternatives include the evaluation of
      the long-term care services segment as discussed above, replacing current
      debt with long-term financing through a high-yield debt offering or
      private placement or the sale of one or more of the Company's remaining
      businesses. The feasibility and timing of these alternatives will depend
      on a variety of capital markets, tax, regulatory and operations issues.

      RESULTS OF OPERATIONS FOR THE THREE MONTHS ENDED MARCH 31, 1999 VS. MARCH
      31, 1998

            Consolidated net revenues were $437.3 million, a decrease of $14.5
      million (3%) over fiscal 1998, reflecting a decline in long-term care
      services segment revenue which was only partially offset by expansion in
      the Company's outpatient services and employee services segments. The
      revenue decline in long-term care services was substantially due to
      regulatory changes which resulted in: (i) lower pricing, (ii) fewer
      patients on caseload, (iii) contract cancellations, and (iv) lower
      utilization per patient. Growth in the outpatient services segment
      resulted primarily from the effect of fiscal 1998 and fiscal 1999
      acquisitions. Growth in the employee services segment was due to a
      combination of acquisitions completed subsequent to March 31, 1998,
      internal growth, and the entry into new markets. The Company made no
      acquisitions in the third quarter of fiscal year 1999, compared with 11
      outpatient physical therapy and rehabilitation businesses, 8 O&P
      businesses and two occupational health businesses in the third quarter 
      of last year.


                                       13
<PAGE>   16
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


            Consolidated gross profit (excluding depreciation expense) was $53.5
      million, a decrease of $43.2 million (45%) from fiscal 1998. The decrease
      in gross profit was due to lower net revenues in the long-term care
      services segment, which was only partially offset by lower salaries and
      wages. This gross profit decrease in long-term care services was partially
      offset by acquisitions in the outpatient services and employee services
      segments and also same market growth and the entry into new markets in the
      employee services segment. Gross profit as a percentage of net revenue
      ("gross profit margin") declined to 12% compared with 21% last year, due
      primarily to lower gross profit margins in the long-term care services
      segment.

            Other operating expenses, excluding the provision for restructure,
      which consist of selling, general and administrative expenses,
      depreciation, amortization of excess cost of net assets acquired and
      provision for uncollectible accounts were $69.8 million, an increase of
      $2.9 million (4%) over fiscal 1998. The increase results principally from
      businesses acquired during fiscal 1998 and fiscal 1999. As a percentage of
      net revenues, other operating expenses increased to 16% from 15% in fiscal
      1998 because the decrease in net revenues from long-term care services was
      significantly greater than the decrease in other operating expenses.

            Depreciation expense and amortization of excess cost of net assets
      acquired ("amortization") was $14.0 million in the third quarter of fiscal
      1999, an increase of $800,000 (6%) over fiscal 1998 as a result of
      businesses acquired subsequent to March 31, 1998.

            Interest expense, net of investment income, was $9.5 million, an
      increase of $2.1 million (28%), over fiscal 1998 as a result of increased
      borrowings principally associated with the Company's acquisitions, as
      discussed under "Liquidity and Capital Resources."

            Income tax benefit for the three months ended March 31, 1999 was
      approximately 19% of pre-tax loss as compared to income tax expense of
      42.1% on pre-tax income for the same period in fiscal 1998. The decreased
      rate resulted from (i) non-deductible components of the provision for
      restructure, (ii) non-deductible amortization, and (iii) the inability to
      use loss carrybacks in certain states.

      OPERATING RESULTS BY SEGMENT

            Outpatient Services

            Net revenues for the outpatient services segment were $145.6
      million, an increase of $14.6 million (11%) over fiscal 1998. The increase
      in net revenues was due principally to the effect of fiscal 1998 and
      fiscal 1999 acquisitions and an increase in same market volumes, partially
      offset by a decrease in pricing.

            Gross profit (excluding depreciation) was $42.1 million, an increase
      of $4.6 million (12%) over the third quarter of fiscal 1998 resulting
      principally from the inclusion of businesses acquired in fiscal 1998 and
      fiscal 1999. The decrease in prices was principally offset by the increase
      in patient volume. Gross profit margin was 29%, unchanged from the third
      quarter of fiscal 1998.

            Income from operations was $12.9 million, an increase of $600,000
      (5%) over last year. The increase resulted from the higher gross profit
      noted above, offset partially by higher provision for uncollectible
      accounts, amortization, and selling, general and administrative expenses.


                                       14
<PAGE>   17
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


            Long-term Care Services

            Net revenues for long-term care services were $68.6 million, a
      decrease of $107.7 million (61%) from the third quarter of fiscal 1998.
      The decrease in net revenues resulted from an overall pricing and patient
      volume decline. The pricing and patient volume decreases resulted from:
      (i) overall lower reimbursement rates adopted through the implementation
      of salary equivalency and the BBA, (ii) decreased Medicare patient census
      in facilities served due to the uncertainty of long-term care providers
      with respect to the reimbursement economics of Medicare patients under the
      BBA, and (iii) the loss of chain contracts that brought their
      rehabilitation services in-house, partially offset by new contract sales
      to small and medium-sized long-term care providers.

            Gross profit (excluding depreciation expense) was $2.4 million, a
      decrease of $49.3 million (95%) from last year. The gross profit margin
      was 3% compared to 29% last year. The decline in gross profit and gross
      profit margin resulted from the lower pricing and patient volume
      experienced in fiscal 1999 as a result of regulatory changes, which was
      only partially offset by lower salary and wage costs per employee.

            Long-term care services incurred a loss from operations (excluding
      provision for restructure) of $12.5 million, compared with income from
      operations of $33.4 million for the third quarter of fiscal 1998. The
      decrease was due to the decline in gross profit, partially offset by lower
      selling, general and administrative expenses.

            Employee Services

            Employee services net revenues were $384.0 million (before an
      intercompany elimination of $160.9 million related to services provided to
      the outpatient services and long-term care services segments), an increase
      of $45.7 million (13%) over last year's revenues of $338.4 million (before
      an intercompany elimination of $193.8 million). The increase in net
      revenues reflects an increase of $78.6 million in third-party net revenues
      due to acquisitions, same market growth and the entry into new markets.
      Revenues earned by the employee services segment under a contract with the
      Company's outpatient services and long-term care services segment (the
      "NovaCare Contract") decreased principally as a result of a 18% decrease
      in the average number of worksite employees, primarily in the long-term
      care services segment.

            Gross profit was $16.7 million, an increase of $5.4 million (48%)
      over the third quarter of fiscal 1998. The gross profit margin was 4%
      compared to 3% in the third quarter of fiscal 1998. The increase in gross
      profit and gross profit margin resulted from the increase in net revenues
      described above and higher margin services under the NovaCare Contract.

            Income from operations was $4.9 million, an increase of $2.0 million
      (72%) over last year. The increase resulted from the improvement in gross
      profit noted above, partially offset by higher selling, general and
      administrative expenses related to acquisitions and additional costs
      incurred to support internal growth.

      RESULTS OF OPERATIONS FOR THE NINE MONTHS ENDED MARCH 31, 1999 VS. MARCH
      31, 1998

      Consolidated net revenues were $1.40 billion, an increase of $191.5
      million (16%) over fiscal 1998, as continued expansion in the Company's
      outpatient services and employee services operating segments more than
      offset the decline in long-term care services segment revenues. Growth in
      the outpatient services segment resulted primarily from acquisitions and
      same market growth. Employee services growth was due primarily to
      acquisitions, same market growth and the entry into new markets. The
      revenue decline in long-term care services was substantially due to
      regulatory changes. The Company acquired six outpatient physical therapy
      and rehabilitation businesses and two employee services businesses in the
      first nine months of fiscal 1999, compared to 33 outpatient physical
      therapy and rehabilitation businesses, 29 O&P businesses, three
      occupational health business, and one employee services businesses in the
      first nine months of last year.


                                       15
<PAGE>   18
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)

            Consolidated gross profit (excluding depreciation expense) was
      $224.8 million, a decrease of $42.2 million (16%) over fiscal 1998. Gross
      profit margin declined to 16% compared to 22% last year. The gross profit
      and gross profit margin declines were due principally to the impact of
      regulatory changes in the long-term care services segment.

            Other operating expenses, excluding the restructure provision, which
      include selling, general and administrative expenses, depreciation,
      amortization of excess cost of net assets acquired and provision for
      uncollectible accounts, were $210.3 million, an increase of $23.5 million
      (13%) over fiscal 1998. The increase relates principally to businesses
      acquired during fiscal 1998 and fiscal 1999. As a percentage of net
      revenues, other operating expenses remained unchanged from the prior year
      at 15%.

            Depreciation expense and amortization was $42.5 million in the first
      nine months of fiscal 1999, an increase of $5.4 million (14%) over fiscal
      1998 primarily as a result of businesses acquired subsequent to March 31,
      1998.

            During the nine months ended March 31, 1999 and 1998, the Company
      recognized pre-tax gains of $1.5 million and $38.1 million, respectively,
      for the difference between the Company's historical cost of its investment
      in NCES and its portion of NCES equity for the periods then ended. The
      gains resulted from NCES shares issued in connection with acquisitions
      and, in the prior year, the issuance of 5.8 million NCES shares in
      connection with NCES' initial public offering in November 1997. Proceeds
      from the NCES initial public offering, net of underwriters' fees and
      issuance costs, were $45.7 million.

            Interest expense, net of investment income, was $28.0 million, an
      increase of $8.5 million (43%) over fiscal 1998 as a result of increased
      borrowings principally associated with the Company's acquisitions, as
      discussed under "Liquidity and Capital Resources."

            Income tax benefit for the nine months ended March 31, 1999 was
      13.3% of pre-tax loss compared to income tax expense of 41.7% on pre-tax
      income in the prior year. The decreased rate was due to (i) non-deductible
      components of the provision for restructure, (ii) non-deductible
      amortization, and (iii) the inability to use loss carrybacks in certain
      states.

      OPERATING RESULTS BY SEGMENT

            Outpatient Services

            Net revenues for the outpatient services segment were $448.7
      million, an increase of $78.5 million (21%) over fiscal 1998. The increase
      in net revenues was due to the effect of fiscal 1998 and fiscal 1999
      acquisitions and also an increase in same-market volume in outpatient
      physical therapy and occupational health rehabilitation, partially offset
      by a decrease in pricing.

            Gross profit (excluding depreciation expense) was $131.8 million, an
      increase of $21.6 million (20%) over the first nine months of fiscal 1998
      resulting primarily from the inclusion of businesses acquired in fiscal
      1998 and fiscal 1999. Gross profit margin declined slightly to 29% from
      30% during fiscal 1998, principally due to pricing pressure in outpatient
      physical therapy and occupational rehabilitation.

            Income from operations (excluding provision for restructure) was
      $46.3 million, an increase of $4.3 million (10%) over last year. The
      increase resulted from the higher gross profit noted above, offset
      partially by higher selling, general and administrative expenses and
      higher amortization expense, provision for uncollectible accounts and
      depreciation. The increase in these costs was principally the result of
      expenses associated with acquired businesses.

            Long-term Care Services

            Net revenues for long-term care services were $332.3 million, a
      decrease of $165.1 million (33%) from the first nine months of fiscal
      1998. The decrease in net revenues resulted from the overall pricing and
      patient volume decline. The pricing and patient volume decreases resulted
      from: (i) the overall lower reimbursement rates adopted through the
      implementation of salary equivalency and the BBA, (ii) decreased Medicare
      patient census in facilities served due to the uncertainty of long-term
      care providers with respect to the reimbursement economics of Medicare
      patients under the BBA, and (iii) the loss of chain contracts that brought
      their rehabilitation services in-house, partially offset by new contract
      sales to small and medium-sized long-term care providers.


                                       16
<PAGE>   19
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)

            Gross profit (excluding depreciation expense) was $65.8 million, a
      decrease of $74.4 million (53%) from last year. The gross profit margin
      was 20%, compared with 28% in fiscal 1998. The decline in gross profit and
      gross profit margin resulted from the lower pricing and patient volume
      experienced in fiscal 1999 as a result of regulatory changes which was
      only partially offset by lower salary and wage costs per employee.

            Income from operations (excluding provision for restructure) was
      $18.8 million, a decrease of $70.9 million (79%) from last year. The lower
      income from operations was due to the decline in gross profit, partially
      offset by lower selling, general and administrative expenses.

            Employee Services

            Employee services net revenues were $1.17 billion (before an
      intercompany elimination of $552.4 million related to services provided
      under the NovaCare contract), an increase of $262.4 million (29%) over
      last year's revenues of $907.9 million (before an intercompany elimination
      of $568.1 million). This increase in net revenues is due to an increase in
      third-party net revenues due to acquisitions, same market growth and the
      entry into new markets.

            Gross profit was $47.4 million, an increase of $18.3 million over
      fiscal 1998. The gross profit margin was 4% compared to 3% in fiscal 1998.
      The increase in gross profit and gross profit margin resulted from the
      increase in net revenue described above and higher margin services under
      the NovaCare Contract.

            Income from operations was $13.1 million, an increase of $5.9
      million (81%) over last year. The increase resulted from the improvement
      in gross profit noted above, partially offset by higher selling, general
      and administrative expenses related to acquisitions and additional costs
      incurred to support same market growth.

      LIQUIDITY AND CAPITAL RESOURCES

            At March 31, 1999, cash and cash equivalents totaled $23.8 million,
      a decrease of $9.0 million from June 30, 1998. During the nine months
      ended March 31, 1999, the Company used $14.2 million of cash in operating
      activities. The unfavorable cash flow from operating activities in fiscal
      1999 resulted principally from the net loss and the timing of payments for
      accounts payable and accrued expenses, partially offset by non-cash
      charges.

            The Company also used $84.3 million of cash in investing activities
      in the first nine months of fiscal 1999, of which $56.4 million related to
      acquisitions and $28.8 million was for capital expenditures. Capital
      expenditures consisted principally of information systems software and
      hardware costs in support of regulatory change in the long-term care
      services segment and equipment and leasehold improvements in start-up
      operations in the outpatient services segment.

            To finance these cash requirements, the Company borrowed a net
      $109.5 million under its revolving credit facility and reduced its cash
      balances by $9.0 million. At March 31, 1999, the Company had borrowings of
      $337.0 million outstanding under the revolving credit facility and NCES
      had no borrowings or letters of credit outstanding under its $25.0 million
      credit facility.

            The Company has negotiated a series of amendments to the revolving
      credit facility. The final amendment, dated April 19, 1999 expires on
      December 31, 1999. The facility is collateralized by substantially all the
      common stock of the Company's subsidiaries and accounts receivable.
      Maximum amounts which may be borrowed under the revolving credit facility
      are the lesser of (a) projected borrowings plus $10.0 million or (b)
      $375.0 million through May 31, 1999; $400.0 million from June 1 through
      July 9, 1999; and $50.0 million from the earlier of the sale of the
      Company's O&P business or July 10, 1999. All financial covenants have been
      eliminated.


                                       17
<PAGE>   20
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


            In order to improve its overall cash flow and reduce its outstanding
      borrowings, the Company will sell its O&P business and evaluate the future
      of its long-term care services segment and its strategic alternatives as
      described under "Overview". The Company has deferred all significant
      acquisitions and has reduced its budget for capital expenditures.

      YEAR 2000 READINESS

            During the quarter ended March 31, 1999, NovaCare continued to
      address issues associated with the "Year 2000" problem. The Year 2000
      problem occurs because, historically, certain computer programs have been
      written using two digits, rather than four digits, to define the
      applicable year. The Company's financial and management operating systems,
      microprocessors embedded in physical therapy, office or other equipment
      ("embedded chips") or computer systems used by third parties (such as
      financial institutions, customers or suppliers) could malfunction when
      dates occurring after December 31, 1999 are recognized as twentieth
      century dates (e.g. 1900) rather than twenty-first century dates (e.g.
      2000).

            NovaCare is currently in the process of implementing its
      comprehensive response to the Year 2000 problem. At March 31, 1999, the
      Company had completed its inventory of financial and management operating
      systems, developed strategic and tactical plans for correcting potential
      problems and had completed over two-thirds of the field testing required
      to determine the state of Year 2000 readiness for these systems. NovaCare
      anticipates that the remainder of this testing will be completed by June
      30, 1999, with all significant software modifications to these systems
      completed by that date. In some cases, Year 2000 readiness is being
      addressed through the development of programs that enhance or provide new
      functionality to these financial and management operating systems. These
      enhanced systems are also expected to be complete by June 30, 1999. The
      Company anticipates completion of computer hardware replacements,
      modifications and upgrades by September 30, 1999.

            NovaCare has completed approximately two-thirds of its assessment
      regarding embedded chips. Completion of this assessment is anticipated by
      June 30, 1999, with all significant modifications to physical therapy,
      office or other equipment completed by September 30, 1999. The Company
      believes that the total cost of correcting equipment with embedded chips
      which are not Year 2000 ready will not exceed $0.1 million and that parts
      will be available to correct problems. The Company has contacted 190
      suppliers who were deemed critical to the operation of the Company's
      business and has received assurances from those suppliers that the
      suppliers' business, financial and management operating systems that
      affect NovaCare either were or would be Year 2000 ready by December 31,
      1999.

            The Company is in the process of developing contingency plans in the
      event of a business disruption related to the Year 2000 problem. NovaCare
      has a contract with a disaster recovery company for restoring data for
      mission critical business systems, as well as serving as an alternative
      data processing site. A back-up to this primary contingency plan involves
      manual systems that could be implemented within the Company or between the
      Company and its customers or suppliers while the issue is diagnosed and
      repaired. NovaCare expects to complete these plans and implement them in
      the field prior to December 31, 1999. However, there can be no assurance
      that these contingency plans will identify all Year 2000 issues that could
      occur, either within the Company's control or in the systems of its
      customers or suppliers, or that the plans will partially or completely
      ameliorate Year 2000 issues.

            NovaCare has spent $2.7 million in fiscal 1999 related to Year 2000
      readiness, of which $0.1 million was for capitalized equipment and
      software. The Company anticipates $1.4 million of expenditures during the
      remainder of fiscal 1999, of which $0.7 million relates to capitalized
      equipment and software for systems that are not Year 2000 ready. During
      fiscal 2000, the Company anticipates expenditures of up to $2.0 million,
      including up to $1.7


                                       18
<PAGE>   21
                         NOVACARE, INC. AND SUBSIDIARIES
           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                      AND RESULTS OF OPERATIONS (CONTINUED)


      million of capital, to complete remediation of computer hardware and
      embedded chip equipment which are not Year 2000 ready and to complete and
      roll out contingency plans. The Company has increased its overall
      technology budget to accommodate Year 2000 issues and has not delayed
      other projects critical to the Company's business.

      CAUTIONARY STATEMENT

            Except for historical information, matters discussed above
      including, but not limited to, statements concerning future growth, are
      forward-looking statements that are based on management's estimates,
      assumptions and projections. Important factors that could cause results to
      differ materially from those expected by management include reimbursement
      system changes, including customer response to the establishment of salary
      equivalency guidelines for certain therapies and the change from
      cost-based reimbursement to fee schedules and per diem payments, the
      number and productivity of clinicians, pricing of payer contracts,
      management retention and development, management's success in integrating
      acquired businesses and in developing and introducing new products and
      lines of business, the ability of the Company, its customers and suppliers
      to complete assessment, testing and remediation of Year 2000 issues, the
      ability of the Company to improve its cash flow from operations, adverse
      Internal Revenue Service rulings with respect to the employer status of
      employee services businesses and the Company's ability to implement the
      employee services business model.


                                       19
<PAGE>   22
                                          NOVACARE, INC. AND SUBSIDIARIES
                                            PART II - OTHER INFORMATION


ITEM 6 - EXHIBITS AND REPORTS ON FORM 8-K

<TABLE>
<CAPTION>
(A)   Exhibit
      Number                            Exhibit Description                              Page Number
      ------                            -------------------                              -----------
<S>                     <C>                                                                 <C>
      10(a)             Revolving Credit Facility Agreement Eighteenth Amendment
                        dated as of December 18, 1998 by and among NovaCare and
                        certain of its subsidiaries and PNC Bank N.A, First
                        Union National Bank, Fleet National Bank, Mellon Bank,
                        N.A., Nations Bank, N.A., The Bank of New York, SunTrust
                        Bank (Central Florida) N.A., Bank One (Kentucky) N.A.,
                        The Fuji Bank, Limited (New York Branch), Crestar Bank,
                        Bank of Tokyo-Mitsubishi Trust Company, AmSouth Bank,
                        Bank of America NT and SA, Comerica Bank, Credit
                        Lyonnais (New York Branch), Cooperative Centrale
                        Raiffersen-Boerenleenbank B.A., "Rabobank Nederland"
                        (New York Branch), The Tokai Bank, Limited (New York
                        Branch), Toronto Dominion (Texas), Inc.

      10(b)             Revolving Credit Facility Agreement Nineteenth Amendment
                        dated as of March 31, 1999 by and among NovaCare and
                        certain of its subsidiaries and PNC Bank N.A, First
                        Union National Bank, Fleet National Bank, Mellon Bank,
                        N.A., Nations Bank, N.A., The Bank of New York, SunTrust
                        Bank (Central Florida) N.A., Bank One (Kentucky) N.A.,
                        The Fuji Bank, Limited (New York Branch), Crestar Bank,
                        Bank of Tokyo-Mitsubishi Trust Company, AmSouth Bank,
                        Bank of America NT and SA, Comerica Bank, Credit
                        Lyonnais (New York Branch), Cooperative Centrale
                        Raiffersen-Boerenleenbank B.A., "Rabobank Nederland"
                        (New York Branch), The Tokai Bank, Limited (New York
                        Branch), Toronto Dominion (Texas), Inc.

      10(c)             Revolving Credit Facility Agreement Twentieth Amendment
                        dated as of April 19, 1999 by and among NovaCare and
                        certain of its subsidiaries and PNC Bank N.A, First
                        Union National Bank, Fleet National Bank, Mellon Bank,
                        N.A., Nations Bank, N.A., The Bank of New York, SunTrust
                        Bank (Central Florida) N.A., Bank One (Kentucky) N.A.,
                        The Fuji Bank, Limited (New York Branch), Crestar Bank,
                        Bank of Tokyo-Mitsubishi Trust Company, AmSouth Bank,
                        Bank of America NT and SA, Comerica Bank, Credit
                        Lyonnais (New York Branch), Cooperative Centrale
                        Raiffersen-Boerenleenbank B.A., "Rabobank Nederland"
                        (New York Branch), The Tokai Bank, Limited (New York
                        Branch), Toronto Dominion (Texas), Inc.


      27                Financial Data Schedule
</TABLE>

(B)   Current Reports on From 8-K:

            On April 7, 1999, the Company filed a Current Report on Form 8-K
      dated April 2, 1999 with the Securities and Exchange Commission reporting
      information under Item 5, Other Events.


                                       20
<PAGE>   23
                                   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 THEREUNTO DULY AUTHORIZED.


                                         NOVACARE, INC. 
                                      --------------------
                                          (REGISTRANT)  




MAY 17, 1999               BY /S/ ROBERT E. HEALY, JR.          
                              ----------------------------------
                              ROBERT E. HEALY, JR.,
                              SENIOR VICE PRESIDENT,
                              FINANCE & ADMINISTRATION AND
                              CHIEF FINANCIAL OFFICER




                           BY /S/ BARRY E. SMITH 
                              ----------------------------------
                              BARRY E. SMITH,
                              VICE PRESIDENT, CONTROLLER AND
                              CHIEF ACCOUNTING OFFICER



                                       21

<PAGE>   1
                                                                 Exhibit 10 (a)
                                 NOVACARE, INC.
                             1016 WEST NINTH AVENUE
                            KING OF PRUSSIA, PA 19406

                                December 18, 1998


PNC Bank, National Association,
  as Agent
One PNC Plaza
Fifth Avenue and Wood Street
Pittsburgh, PA  15265
Attn:  Marcie Knittel, Vice President

         RE:      Eighteenth Amendment to Credit Agreement (the "Eighteenth
                  Amendment")

Dear Marcie:

         We refer to that certain Credit Agreement, dated as of May 27, 1994, as
amended (the "Credit Agreement"), by and among NovaCare, Inc. ("NovaCare") and
certain of its Subsidiaries, the Banks party thereto and PNC Bank, National
Association, as agent for the Banks ("Agent"). Defined terms used herein, not
otherwise defined herein, shall have the meanings given to them under the Credit
Agreement as amended hereby.

         The Borrowers and Guarantors, the Banks and the Agent hereby desire to
amend the Credit Agreement, as hereinafter provided.

         The parties hereto in consideration of their mutual covenants and
agreements hereinafter set forth, and intending to be legally bound hereby,
covenant and agree as follows:



                                    AGREEMENT

         1.       Amendment of Credit Agreement.

                The parties hereto do hereby modify and amend the Credit
Agreement as follows:

                (a) Section 4.01 [Interest Rate Options] is hereby amended by
deleting in its entirety subsection (a)(ii) [Revolving Credit Base Rate Option]
and inserting in lieu thereof, the following:

                      "(i) Revolving Credit Base Rate Option: A fluctuating rate
per annum (computed on the basis of a year of 365 or 366 days, as the case may
be, and actual days elapsed) equal to (i) the Base Rate plus .25% for periods in
which the ratio of Consolidated Funded Debt to Consolidated Cash Flow from
Operations is greater than 4.0 to 1.0 and (ii) the Base Rate for periods in
which the ratio of Consolidated Funded Debt to Consolidated Cash Flow from
Operations is less than or equal to 4.0 to 1.0, such interest rate to change
automatically from time to time effective as of the effective date of each
change in the Base Rate."
<PAGE>   2

                (b) Section 4.01 [Interest Rate Options] is hereby amended by
deleting the line in subsection (a)(ii) [Revolving Credit Euro-Rate Option]
which reads:

      "Greater than 4.0 to 1.0                        Euro-Rate plus 1.50%"

and inserting in lieu thereof, the following:

      "Greater than 4.25 to 1.0                       Euro-Rate plus 1.75%

      Greater than 4.0 to 1.0                         Euro-Rate plus 1.50%"
      but less than or equal to 4.25 to 1.0

and by deleting the line in subsection (a)(ii) which reads:

      "Greater than 4.0 to 1.0                        Euro-Rate plus 1.375%"

and inserting in lieu thereof, the following:

      "Greater than 4.25 to 1.0                       Euro-Rate plus 1.75%

      Greater than 4.0 to 1.0                         Euro-Rate plus 1.375%"
      but less than or equal to 4.25 to 1.0


                (c) Section 8.02 [Negative Covenants] is hereby amended by
deleting in its entirety subsection (n) [Funded Debt to Cash Flow From
Operations] and inserting in lieu thereof, the following:

                      "(n) Funded Debt to Cash Flow From Operations. The Loan
              Parties shall not permit the ratio of Consolidated Funded Debt to
              Consolidated Cash Flow from Operations, calculated as of the end
              of each fiscal quarter for the four fiscal quarters then ended, to
              exceed the ratio set forth below during the period specified
              below:
<TABLE>
<CAPTION>

                                                              RATIO OF CONSOLIDATED FUNDED
                                                              DEBT TO CONSOLIDATED CASH 
                    PERIOD                                    FLOW FROM OPERATIONS
                    ------                                    --------------------
<S>                                                           <C>     <C>
                    Through 9/30/1998                         4.25 to 1.0
                    10/1/1998 through 12/31/1998              4.50 to 1.0
                    1/1/99 through 6/30/2000                  4.25 to 1.0
                    7/1/2000 and thereafter                   3.75 to 1.0"
</TABLE>


                (d) Section 8.02 [Negative Covenants] is hereby amended by
deleting in its entirety subsection (o) [Minimum Fixed Charge Coverage Ratio]
and inserting in lieu thereof, the following:

                                      -2-
<PAGE>   3
                      "(o) Minimum Fixed Charge Coverage Ratio. The Loan Parties
              shall not permit the ratio of Consolidated Earnings Available for
              Fixed Charges to Consolidated Fixed Charges, calculated as of the
              end of each fiscal quarter for the four fiscal quarters then
              ended, to be less than 1.30 to 1.0 for the fiscal quarter ending
              September 30, 1998, 1.20 to 1.0 for the fiscal quarter ending
              December 31, 1998 or 1.30 for any fiscal quarter ending after
              January 1, 1999."

         2.       Amendment Schedules.

                (a) Schedules. The following Schedules to the Credit Agreement
are hereby amended and restated in their entirety in the forms of such Schedules
attached hereto:

               Schedule 1.1(E)                        Excluded Entities
               Schedule 6.01(c)                       Subsidiaries

         3.       Closing Fees.

                The Borrowers jointly and severally agree to reimburse the Agent
and the Banks on demand for all costs, expenses and disbursements relating to
this Eighteenth Amendment which are payable by the Borrower as provided in
Section 10.05 of the Credit Agreement. In addition, the Borrowers shall pay to
the Agent for the benefit of the applicable Banks the fees identified in Exhibit
I hereto as the "Amendment Fee".

         4.       Conditions of Effectiveness.

                The effectiveness of this Eighteenth Amendment is expressly
conditioned upon the occurrence and completion of all of the following: (i)
receipt by the Agent on behalf of the Banks of the nonrefundable fees equal to
the aggregate of the amounts set forth on Exhibit I hereto; and (ii) the Agent's
receipt of counterparts of this Eighteenth Amendment duly executed by the
Borrowers, the Guarantors, the Agent and the Banks.

         This Eighteenth Amendment shall be dated as of and shall be effective
as of the date and year first above written subject to satisfaction of all
conditions precedent to effectiveness as set forth in this Section 4, which date
shall be the Eighteenth Amendment Effective Date.

         5.       Consent of Required Banks, Approval of Increase in Revolving
         Credit Commitments.

                Pursuant to Section 11.01 of the Credit Agreement, this
Eighteenth Amendment shall require the written consent of the Required Banks.

         6.       Full Force and Effect.

                Each of the following documents, as amended through and
including this Eighteenth Amendment, shall remain in full force and effect on
and after the date of this Amendment:

                                      -3-
<PAGE>   4
                (a) the Credit Agreement, except as expressly modified and
amended by this Eighteenth Amendment,

                (b) each of the Schedules attached to the Credit Agreement
except for the Schedules which are being amended and restated hereby;

                (c) each of the Exhibits attached to the Credit Agreement except
for the Exhibit which is being amended and restated hereby; and

                the Notes, the Guaranty Agreements, the Pledge Agreements, the
Agent's Fee Letter, the Subordination Agreement (Intercompany), the Borrower
Agency Agreement and all other Loan Documents.

                On and after the date hereof, each reference in the Credit
Agreement to "this Agreement", "hereunder" or words of like import shall mean
and be a reference to the Credit Agreement, as previously amended and as amended
by this Eighteenth Amendment, and each reference in each other Loan Document to
the "Credit Agreement" shall mean and be a reference to the Credit Agreement, as
previously amended and as amended by this Eighteenth Amendment. No novation is
intended by this Eighteenth Amendment.

                The parties hereto do not amend or waive any provisions of the
Agreement or the other Loan Documents except as expressly set forth herein.

         7.       Counterparts.

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

         8.       Governing Law.

                This Eighteenth Amendment shall be deemed to be a contract under
the laws of the Commonwealth of Pennsylvania and for all purposes shall be
governed by and construed and enforced in accordance with the internal laws of
the Commonwealth of Pennsylvania without regard to its conflict of laws
principles.


                              [INTENTIONALLY BLANK]


                                      -4-
<PAGE>   5
                [Signature Page 1 of 19 to Eighteenth Amendment]

         IN WITNESS WHEREOF, the parties hereto, by their officers thereunto
duly authorized, have executed this Amendment as of the day and year first above
written.

                                            BORROWERS AND GUARANTORS:

ATTEST:                                     NOVACARE, INC., a Delaware
                                            corporation, and each of the
                                            BORROWERS and GUARANTORS listed on
                                            Schedule A attached hereto
                                    

By:    /s/ Richard S. Binstein              By:   /s/ Richard A. McDonald  
       -----------------------                    -----------------------------
     Richard S. Binstein, Secretary         Richard A. McDonald, the Vice 
                                            President of each Borrower and
                                            Guarantor listed on Schedule A
                                            attached hereto which is a
                                            corporation and of each general
                                            partner of each Guarantor listed
                                            on Schedule A attached hereto
                                            which is a partnership
                                            
    [Seal]                          

ATTEST:                                     NOVAFUNDS, INC., a Delaware 
                                            corporation, and each of the
                                            GUARANTORS listed on Schedule B
                                            attached hereto
                                            
                                    
By:    /s/ Andrew T. Panaccione             By:   /s/ Robert C. Campbell  
       ------------------------                  ---------------------------  
     Andrew T. Panaccione, Secretary        Robert C. Campbell, the Vice 
                                            President of each Borrower and
                                            Guarantor listed on Schedule B
                                            attached hereto
                                            
[Seal]                              
<PAGE>   6
                [Signature Page 2 of 19 to Eighteenth Amendment]



                                      AGENT:

                                       PNC BANK, NATIONAL ASSOCIATION, as Agent


                                       By:   /s/ Justin J. Falgione           
                                          -------------------------------------
                                       Title:   AVP                           
                                             ----------------------------------


                                      BANKS:

                                       PNC BANK, NATIONAL ASSOCIATION

                                       By: /s/ Justin J. Falgione 
                                          -------------------------------------
                                        Title:   AVP                         
                                              ---------------------------------
<PAGE>   7
                [Signature Page 3 of 19 to Eighteenth Amendment]


                                       FIRST UNION NATIONAL BANK

                                       By:   /s/ James H. Hebengeter  
                                          -------------------------------------
                                       Name:  James H. Hebengeter     
                                            -----------------------------------
                                       Title:   SR. V. P.             
                                             ----------------------------------
<PAGE>   8
                [Signature Page 4 of 19 to Eighteenth Amendment]


                                        FLEET NATIONAL BANK

                                        By:   /s/ Toby B. Shea              
                                          -------------------------------------
                                        Name:  Toby B. Shea                 
                                             ----------------------------------
                                        Title:   ASST. VICE PRESIDENT       
                                             ----------------------------------
<PAGE>   9
                [Signature Page 5 of 19 to Eighteenth Amendment]


                                         MELLON BANK, N.A.

                                         By:   /s/ Colleen McCullum 
                                            -----------------------------------
                                         Name:   Colleen McCullum         
                                              ---------------------------------
                                         Title:   ASSISTANT VICE PRESIDENT
                                               --------------------------------
<PAGE>   10
                [Signature Page 6 of 19 to Eighteenth Amendment]


                                         NATIONSBANK, N.A.


                                         By:   /s/ Kevin Wagley   
                                          -------------------------------------
                                         Name:   KEVIN WAGLEY     
                                             ----------------------------------
                                         Title:   VICE PRESIDENT  
                                              ---------------------------------
<PAGE>   11
                [Signature Page 7 of 19 to Eighteenth Amendment]


                                          THE BANK OF NEW YORK


                                          By:   /s/ Thomas C. McCrohan      
                                             ----------------------------------
                                          Name:   Thomas C. McCrohan        
                                               --------------------------------
                                          Title:   Assistant Vice President 
                                               --------------------------------
<PAGE>   12
                [Signature Page 8 of 19 to Eighteenth Amendment]


                                           SUNTRUST BANK, CENTRAL FLORIDA, N.A.


                                           By:   /s/ Harold Bitler       
                                              ---------------------------------
                                           Name:   Harold Bitler         
                                               --------------------------------
                                           Title:   First Vice President 
                                                -------------------------------
<PAGE>   13
                [Signature Page 9 of 19 to Eighteenth Amendment]


                                           BANK ONE, KENTUCKY, NA


                                           By:   /s/ Todd D. Munson   
                                              ---------------------------------
                                           Name:   TODD D. MUNSON         
                                                -------------------------------
                                           Title:   SENIOR VICE PRESIDENT 
                                                 ------------------------------
<PAGE>   14
                [Signature Page 10 of 19 to Eighteenth Amendment]


                                            THE FUJI BANK, LIMITED
                                            NEW YORK BRANCH


                                            By:   /s/ Kazuyuki Nishimura    
                                               --------------------------------
                                            Name:   Kazuyuki Nishimura      
                                                 ------------------------------
                                            Title:   Senior Vice President  
                                                 ------------------------------
<PAGE>   15
                [Signature Page 11 of 19 to Eighteenth Amendment]


                                  CRESTAR BANK


                                           By:   /s/ Leesa McShane    
                                               --------------------------------
                                           Name:  Leesa McShane 
                                                -------------------------------
                                           Title:   VP          
                                                 ------------------------------
<PAGE>   16
                [Signature Page 12 of 19 to Eighteenth Amendment]


                                           BANK OF TOKYO - MITSUBISHI TRUST
                                           COMPANY


                                           By:   /s/ John E. Beckwith 
                                               --------------------------------
                                           Name:   JOHN E. BECKWITH          
                                                -------------------------------
                                           Title:   Vice President & Manager 
                                                 ------------------------------
<PAGE>   17
                [Signature Page 13 of 19 to Eighteenth Amendment]


                                  AMSOUTH BANK


                                           By:   /s/ J. Ken DiFatta   
                                               --------------------------------
                                           Name:   J. KEN DiFATTA            
                                                -------------------------------
                                           Title:   ASSISTANT VICE PRESIDENT 
                                                -------------------------------
<PAGE>   18
                [Signature Page 14 of 19 to Eighteenth Amendment]


                                            BANK OF AMERICA NT & SA


                                            By:   /s/ Kevin Workey    
                                                ------------------------------- 
                                            Name:   Kevin Workey      
                                                 ------------------------------
                                            Title:   Vice President   
                                                 ------------------------------
<PAGE>   19
                [Signature Page 15 of 19 to Eighteenth Amendment]


                                  COMERICA BANK


                                            By:   /s/ Kimberly S. Reich 
                                               --------------------------------
                                            Name:   Kimberly S. Reich   
                                                 ------------------------------
                                            Title:   Vice President     
                                                  -----------------------------
<PAGE>   20
                [Signature Page 16 of 19 to Eighteenth Amendment]


                                           CREDIT LYONNAIS NEW YORK BRANCH


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


                      [SIGNATURE PAGE NOT EXECUTED BY BANK]
<PAGE>   21
                [Signature Page 17 of 19 to Eighteenth Amendment]


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


                                         By:   /s/ M. Christina Debler  
                                              ---------------------------------
                                         Name:   M. Christina Debler    
                                              ---------------------------------
                                         Title:   Vice President        
                                               --------------------------------

                                         By:   /s/ W. Pieter C. Kodde   
                                             ----------------------------------
                                         Name:   W. Pieter C. Kodde     
                                              ---------------------------------
                                         Title:   Vice President        
                                               --------------------------------
<PAGE>   22
                [Signature Page 18 of 19 to Eighteenth Amendment]


                                         THE TOKAI BANK, LIMITED NEW YORK BRANCH


                                         By:   /s/ Shinichi Nakatani        
                                             ----------------------------------
                                         Name:   Shinichi Nakatani          
                                              ---------------------------------
                                         Title:   Assistant General Manager 
                                               --------------------------------
<PAGE>   23
                [Signature Page 19 of 19 to Eighteenth Amendment]


                                       TORONTO DOMINION (TEXAS), INC.


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

                      [SIGNATURE PAGE NOT EXECUTED BY BANK]
<PAGE>   24
STATE OF GEORGIA

COUNTY OF FULTON


         On the 16th day of December, 1998 personally appeared Harold Bitler,
as the First Vice President of SunTrust Bank, Central Florida, National
Association, and before me executed the attached Eighteenth Amendment Waiver and
Consent dated as of _____________, 1998 to the Credit Agreement between
NovaCare, Inc., with SunTrust Bank, Central Florida, National Association, as
Lender.

         IN WITNESS WHEREOF, I have hereunto set my hand and official seal, in
the state and county aforesaid.

                                    /s/ Christine Alford   
                           ----------------------------------------------------
                           Signature of Notary Public, State of  Georgia 
                                                                ---------------

                                    Christine Alford 
                           ----------------------------------------------------
                           (Print, Type or Stamp Commissioned Name of Notary 
                           Public) Personally known X ; OR Produced 
                                                   ---
                           Identification 
                                          -------------------------------------
                           Type of identification produced:

                           ----------------------------------------------------
                                    Notary Public, DeKalb county, Georgia
                                    My Commission Expires June 29, 2001
<PAGE>   25
                                   SCHEDULE A


                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
NovaCare, Inc. (a Delaware corporation)                                 B
NovaCare, Inc. (a Pennsylvania corporation)                             B
RehabClinics, Inc.                                                      B
Rehab Managed Care of Arizona, Inc.                                     B
A.D. Craig Company                                                      G
Advanced Orthopedic Technologies, Inc. (a Nevada corporation)           G
Advanced Orthopedic Technologies, Inc. (a New York corporation)         G
Advance Orthotics, Inc.                                                 G
Advanced Orthotics and Prosthetics, Inc.                                G
Advanced Orthopedic Systems, Inc.                                       G
Advanced Orthopedic Technologies (Clayton), Inc.                        G
Advanced Orthopedic Technologies (Lett), Inc.                           G
Advanced Orthopedic Technologies (New Jersey), Inc.                     G
Advanced Orthopedic Technologies (New Mexico), Inc.                     G
Advanced Orthopedic Technologies (New York), Inc.                       G
Advanced Orthopedic Technologies (OTI), Inc.                            G
Advanced Orthopedic Technologies (Parmeco), Inc.                        G
Advanced Orthopedic Technologies (SFV), Inc.                            G
Advanced Orthopedic Technologies (Virginia), Inc.                       G
Advanced Orthopedic Technologies (West Virginia), Inc.                  G
Advanced Orthopedic Technologies Management Corp.                       G
Affiliated Physical Therapists, Ltd.                                    G
American Rehabilitation Center, Inc.                                    G
American Rehabilitation Clinic, Inc.                                    G
American Rehabilitation Systems, Inc.                                   G
Artificial Limb and Brace Center                                        G
Athens Sports Medicine Clinic, Inc.                                     G
Ather Sports Injury Clinic, Inc.                                        G
Atlanta Prosthetics, Inc.                                               G
Atlantic Health Group, Inc.                                             G
Atlantic Rehabilitation Services, Inc.                                  G
<PAGE>   26
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------

Boca Rehab Agency, Inc.                                                 G
Bowman-Shelton Orthopedic Service, Incorporated                         G
Buendel Physical Therapy, Inc.                                          G
C.E.R. - West, Inc.                                                     G
Cahill Orthopedic Laboratory, Inc.                                      G
Cannon & Associates, Inc.                                               G
Cenla Physical Therapy & Rehabilitation Agency, Inc.                    G
Center for Evaluation & Rehabilitation, Inc.                            G
Center for Physical Therapy and Sports Rehabilitation, Inc.             G
CenterTherapy, Inc.                                                     G
Certified Orthopedic Appliance Co., Inc.                                G
Central Missouri Rehabilitation Services, Inc.                          G
Central Missouri Therapy, Inc.                                          G
Central Valley Prosthetics & Orthotics, Inc.                            G
Champion Physical Therapy, Inc.                                         G
CMC Center Corporation                                                  G
Coplin Physical Therapy Associates, Inc.                                G
Crowley Physical Therapy Clinic, Inc.                                   G
Dale Clark Prosthetics, Inc.                                            G
Douglas Avery and Associates, Ltd.                                      G
Douglas C. Claussen, R.P.T., Physical Therapy, Inc.                     G
E.A. Warnick-Pomeroy Co., Inc.                                          G
Elk County Physical Therapy, Inc.                                       G
Fine, Bryant & Wah, Inc.                                                G
Francis Naselli, Jr. & Stewart Rich Physical Therapists, Inc.           G
Frank J. Malone & Son, Inc.                                             G
Fresno Orthopedic Company                                               G
Gallery Physical Therapy Center, Inc.                                   G
Georgia Health Group, Inc.                                              G
Georgia Physical Therapy of West Georgia, Inc.                          G
Georgia Physical Therapy, Inc.                                          G
Greater Sacramento Physical Therapy Associates, Inc.                    G
Grove City Physical Therapy and Sports Medicine, Inc.                   G
<PAGE>   27
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
Gulf Breeze Physical Therapy, Inc.                                      G
Gulf Coast Hand Specialists, Inc.                                       G
Hand Therapy and Rehabilitation Associates, Inc.                        G
Hand Therapy Associates, Inc.                                           G
Hangtown Physical Therapy, Inc.                                         G
Hawley Physical Therapy, Inc.                                           G
Heartland Rehabilitation, Inc.                                          G
High Desert Institute of Prosthetics & Orthotics                        G
Human Performance and Fitness, Inc.                                     G
Indianapolis Physical Therapy and Sports Medicine, Inc.                 G
Industrial Health Care Company, Inc.                                    G
J.E. Hanger, Incorporated                                               G
JOYNER SPORTS SCIENCE INSTITUTE, Inc.                                   G
JOYNER SPORTSMEDICINE INSTITUTE, INC.                                   G
Kentucky Rehabilitation Services, Inc.                                  G
Kesinger Physical Therapy, Inc.                                         G
Kroll's, Inc.                                                           G
Lynn M. Carlson, Inc.                                                   G
McKinney Prosthetics/Orthotics, Inc.                                    G
Mark Butler Physical Therapy Center, Inc.                               G
Meadowbrook Orthopedics, Inc.                                           G
Medical Arts O&P Services, Inc.                                         G
Medical Plaza Physical Therapy, Inc.                                    G
Metro Rehabilitation Services, Inc.                                     G
Michigan Therapy Centre, Inc.                                           G
MidAtlantic Health Group, Inc.                                          G
Mill River Management, Inc.                                             G
Mitchell Tannenbaum I, Inc.                                             G
Mitchell Tannenbaum II, Inc.                                            G
Mitchell Tannenbaum III, Inc.                                           G
Monmouth Rehabilitation, Inc.                                           G
New England Health Group, Inc.                                          G
New Mexico Physical Therapists, Inc.                                    G
<PAGE>   28
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
Northland Regional Orthotic and Prosthetic Center, Inc.                 G
Northside Physical Therapy, Inc.                                        G
NovaCare (Arizona), Inc.                                                G
NovaCare (Colorado), Inc.                                               G
NovaCare (Texas), Inc.                                                  G
NovaCare Management Company, Inc.                                       G
NovaCare Management Services, Inc.                                      G
NovaCare Northside Therapy, Inc.                                        G
NovaCare Occupational Health Services, Inc.                             G
NovaCare Orthotics & Prosthetics East, Inc.                             G
NovaCare Orthotics & Prosthetics Holdings, Inc.                         G
NovaCare Orthotics & Prosthetics West, Inc.                             G
NovaCare Orthotics & Prosthetics, Inc.                                  G
NovaCare Outpatient Rehabilitation East, Inc.                           G
NovaCare Outpatient Rehabilitation I, Inc.                              G
NovaCare Outpatient Rehabilitation West, Inc.                           G
NovaCare Outpatient Rehabilitation, Inc.                                G
NovaCare Rehab Agency of Alabama, Inc.                                  G
NovaCare Rehab Agency of Arkansas, Inc.                                 G
NovaCare Rehab Agency of Florida, Inc.                                  G
NovaCare Rehab Agency of Georgia, Inc.                                  G
NovaCare Rehab Agency of Illinois, Inc.                                 G
NovaCare Rehab Agency of Kansas, Inc.                                   G
NovaCare Rehab Agency of Lubbock, Inc.                                  G
NovaCare Rehab Agency of Michigan, Inc.                                 G
NovaCare Rehab Agency of Missouri, Inc.                                 G
NovaCare Rehab Agency of New Jersey, Inc.                               G
NovaCare Rehab Agency of North Carolina, Inc.                           G
NovaCare Rehab Agency of Northern California, Inc.                      G
NovaCare Rehab Agency of Ohio, Inc.                                     G
NovaCare Rehab Agency of Oklahoma, Inc.                                 G
NovaCare Rehab Agency of Oregon, Inc.                                   G
NovaCare Rehab Agency of Pennsylvania, Inc.                             G
<PAGE>   29
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------

NovaCare Rehab Agency of Reno, Inc.                                     G
NovaCare Rehab Agency of San Antonio, Inc.                              G
NovaCare Rehab Agency of San Diego, Inc.                                G
NovaCare Rehab Agency of South Carolina, Inc.                           G
NovaCare Rehab Agency of Southern California, Inc.                      G
NovaCare Rehab Agency of Tennessee, Inc.                                G
NovaCare Rehab Agency of Virginia, Inc.                                 G
NovaCare Rehab Agency of Washington, Inc.                               G
NovaCare Rehab Agency of Wyoming, Inc.                                  G
NovaCare Rehabilitation Agency of Wisconsin, Inc.                       G
NovaCare Rehabilitation, Inc.                                           G
NovaCare Service Corp.                                                  G
Opus Care, Inc.                                                         G
Ortho East, Inc.                                                        G
Ortho Rehab Associates, Inc.                                            G
Ortho-Fab Laboratories, Inc.                                            G
Orthopedic Appliances, Inc.                                             G
Orthopedic and Sports Physical Therapy of Cupertino, Inc.               G
Orthopedic Rehabilitative Services, Ltd.                                G
Orthotic & Prosthetic Rehabilitation Technologies, Inc.                 G
Orthotic and Prosthetic Associates, Inc.                                G
Orthotic Specialists, Inc.                                              G
Peter Trailov R.P.T. Physical Therapy Clinic, 
Orthopaedic Rehabilitation & Sports Medicine, Ltd.                      G
Peters, Starkey & Todrank Physical Therapy Corporation                  G
Physical Focus Inc.                                                     G
Physical Rehabilitation Partners, Inc.                                  G
Physical Restoration Laboratories, Inc.                                 G
Physical Therapy Clinic of Lee's Summit, Inc.                           G
Physical Therapy Enterprises, Inc.                                      G
Physical Therapy Institute, Inc.                                        G
Physical Therapy Services of the Jersey Cape, Inc.                      G
Pro Active Therapy, Inc.                                                G
Professional Orthotics and Prosthetics, Inc.                            G
<PAGE>   30
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
Professional Orthotics and Prosthetics, Inc. of Santa Fe                G
Professional Therapeutic Services, Inc.                                 G
Progressive Orthopedic                                                  G
Prosthetics-Orthotics Associates, Inc.                                  G
Protech Orthotic and Prosthetic Center, Inc.                            G
Quad City Management, Inc.                                              G
RCI (Colorado), Inc.                                                    G
RCI (Exertec), Inc.                                                     G
RCI (Illinois), Inc.                                                    G
RCI (Michigan), Inc.                                                    G
RCI (S.P.O.R.T.), Inc.                                                  G
RCI (WRS), Inc.                                                         G
RCI Nevada, Inc.                                                        G
Rebound Oklahoma, Inc.                                                  G
Redwood Pacific Therapies, Inc.                                         G
Rehab Provider Network of Florida, Inc.                                 G
Rehab Provider Network - New Jersey, Inc.                               G
Rehab Provider Network - California, Inc.                               G
Rehab Provider Network - Delaware, Inc.                                 G
Rehab Provider Network - Georgia, Inc.                                  G
Rehab Provider Network - Illinois, Inc.                                 G
Rehab Provider Network - Indiana, Inc.                                  G
Rehab Provider Network - Maryland, Inc.                                 G
Rehab Provider Network - Michigan, Inc.                                 G
Rehab Provider Network - Ohio, Inc.                                     G
Rehab Provider Network - Oklahoma, Inc.                                 G
Rehab Provider Network - Virginia, Inc.                                 G
Rehab Provider Network - Washington, D.C., Inc.                         G
Rehab Provider Network - Pennsylvania, Inc.                             G
Rehab Provider Network of Colorado, Inc.                                G
Rehab Provider Network of Nevada, Inc.                                  G
Rehab Provider Network of New Mexico, Inc.                              G
Rehab Provider Network of North Carolina, Inc.                          G
<PAGE>   31
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
Rehab Provider Network of Texas, Inc.                                   G
Rehab Provider Network of Wisconsin, Inc.                               G
Rehab World, Inc.                                                       G
Rehab/Work Hardening Management Associates, Ltd.                        G
RehabClinics (COAST), Inc.                                              G
RehabClinics (GALAXY), Inc.                                             G
RehabClinics (New Jersey), Inc.                                         G
RehabClinics (PTA), Inc.                                                G
RehabClinics (SPT), Inc.                                                G
RehabClinics Abilene, Inc.                                              G
RehabClinics Dallas, Inc.                                               G
RehabClinics Pennsylvania, Inc.                                         G
Rehabilitation Fabrication, Inc.                                        G
Rehabilitation Management, Inc.                                         G
Reid Medical Systems, Inc.                                              G
Robert M. Bacci, R.P.T. Physical Therapy, Inc.                          G
Robin Aids Prosthetics, Inc.                                            G
S.T.A.R.T., Inc.                                                        G
Salem Orthopedic & Prosthetic, Inc.                                     G
San Joaquin Orthopedic, Inc.                                            G
Scott G. Knoche, Inc.                                                   G
SG Rehabilitation Agency, Inc.                                          G
SG Speech Associates, Inc.                                              G
Sierra Nevada Physical Therapy Corporation                              G
South Jersey Physical Therapy Associates, Inc.                          G
South Jersey Rehabilitation and Sports Medicine Center, Inc.            G
Southern Illinois Prosthetic & Orthotic, Ltd.                           G
Southern Illinois Prosthetic & Orthotic of Missouri, Ltd.               G
Southpointe Fitness Center, Inc.                                        G
Southwest Emergency Associates, Inc.                                    G
Southwest Medical Supply Company                                        G
Southwest Physical Therapy, Inc.                                        G
Southwest Therapists, Inc.                                              G
<PAGE>   32
                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
Sporthopedics Sports and Physical Therapy Centers, Inc.                 G
Sports Therapy and Arthritis Rehabilitation, Inc.                       G
Star Physical Therapy Inc.                                              G
Stephenson-Holtz, Inc.                                                  G
T.D. Rehab Systems, Inc.                                                G
Texoma Health Care Center, Inc.                                         G
The Center for Physical Therapy and Rehabilitation, Inc.                G
The Orthopedic Sports and Industrial Rehabilitation Network, Inc.       G
Theodore Dashnaw Physical Therapy, Inc.                                 G
Treister, Inc.                                                          G
Tucson Limb & Brace, Inc.                                               G
Union Square Center for Rehabilitation & Sports Medicine, Inc.          G
University Orthotic and Prosthetic Consultants, Ltd.                    G
Valley Group Physical Therapists, Inc.                                  G
Vanguard Rehabilitation, Inc.                                           G
Wayzata Physical Therapy Center, Inc.                                   G
West Side Physical Therapy, Inc.                                        G
West Suburban Health Partners, Inc.                                     G
Western Missouri Rehabilitation Services, Inc.                          G
Western Rehab Services, Inc.                                            G
Worker Rehabilitation Services, Inc.                                    G
Yuma Rehabilitation Center, Inc.                                        G
A.D. Craig (A.D. Craig Company is general partner)                      G
Advanced Orthopedic Services, Ltd. 
 (RehabClinics Dallas, Inc. is general partner)                         G
Craig Weymouth Enterprises 
 (A.D. Craig Company is general partner)                                G
Land Park Physical Therapy (Union Square Center for 
 Rehabilitation & Sports Medicine, Inc. is general partner)             G
NovaPartners (IND), LP (NovaCare, Inc. 
  (a Pennsylvania corporation) is general partner)                      G
<PAGE>   33
                                   SCHEDULE B

                                                                BORROWER ("B")/ 
               ENTITY                                           GUARANTOR ("G")
               ------                                           ---------------
NovaFunds, Inc.                                                        B
NC Cash Management, Inc.                                               G
NC Resources, Inc.                                                     G
NovaMark, Inc.                                                         G
NovaStock, Inc.                                                        G
<PAGE>   34
                                    EXHIBIT I

                   AMENDMENT FEES TO BANKS APPROVING AMENDMENT

<TABLE>
<CAPTION>
                          Bank                                          Amendment Fee*
                          ----                                         --------------
<S>                                                                         <C>    
PNC Bank, National Association                                           $20,000
First Union National Bank                                                $15,500
Fleet  National Bank                                                     $15,500
Mellon Bank, N.A                                                         $15,500
NationsBank, N.A                                                         $15,500
Bank One, Kentucky, NA                                                   $11,375
Credit Lyonnais New York Branch                                          $     0
Cooperatieve Centrale Raiffeisen-Boerenleenbank B.A.,
 "Rabobank Nederland", New York Branch                                   $11,375
Toronto Dominion (Texas), Inc.                                           $     0
The Bank of New York                                                     $10,000
SunTrust Bank, Central Florida, N.A                                      $10,000
AmSouth Bank                                                             $ 7,500
Bank of America NT & SA                                                  $ 7,500
Bank of Tokyo - Mitsubishi Trust Company                                 $ 7,500
Comerica Bank                                                            $ 7,500
Crestar Bank                                                             $ 7,500
The Fuji Bank, Limited New York Branch                                   $ 7,500
The Tokai Bank, Limited New York Branch                                  $ 7,500
</TABLE>

*fee paid only to banks approving the Amendment


<PAGE>   1
                                                                   EXHIBIT 10(b)


                                 NOVACARE, INC.
                             1016 WEST NINTH AVENUE
                            KING OF PRUSSIA, PA 19406

                                 March 31, 1999


PNC Bank, National Association,
  as Agent
One PNC Plaza
Fifth Avenue and Wood Street
Pittsburgh, PA  15265
Attn:  Frank Taucher, Senior Vice President

      RE: Nineteenth Amendment to Credit Agreement (the "Nineteenth Amendment")

Dear Frank:

      We refer to that certain Credit Agreement, dated as of May 27, 1994, as
amended (the "Credit Agreement"), by and among NovaCare, Inc. ("NovaCare") and
certain of its Subsidiaries, the Banks party thereto and PNC Bank, National
Association, as agent for the Banks ("Agent"). Defined terms used herein, not
otherwise defined herein, shall have the meanings given to them under the Credit
Agreement as amended hereby.

      The parties hereto in consideration of their mutual covenants and
agreements hereinafter set forth, and intending to be legally bound hereby,
covenant and agree as follows:



                                    AGREEMENT

      1.    Temporary Waiver of Certain Provisions of Credit Agreement.

            The Agent on behalf of the Banks hereby waives for the period
commencing on April 1, 1999 and ending at 11:59 P.M. on April 19, 1999 (the
"Waiver Period") the following provisions :

                  (a) compliance with subsection (l) [Minimum Net Worth],
            subsection (n) [Funded Debt to Cash Flow From Operations] and
            subsection (o) [Minimum Fixed Charge Coverage Ratio] of Section 8.02
            [Negative Covenants] of the Credit Agreement;

                  (b) the making by the Loan Parties of the representation and
            warranty contained in the second sentence of subsection (i)(B)
            [Financial Projections] of Section 6.01 [Representations and
            Warranties] of the Credit Agreement;

                  (c) the making by the Loan Parties of the representation and
            warranty contained in the last sentence ["Since June 30, 1997 no
            Material Adverse 
<PAGE>   2
            Change has occurred"] of subsection (i)(C) [Accuracy of Financial
            Statements] of Section 6.01 [Representations and Warranties] of the
            Credit Agreement; and

                  (d) the Loan Parties non-compliance with the provisions of the
            Credit Agreement set forth in the foregoing subsections (a) through
            and including (c) of this Section 1 constituting a Potential Default
            during the Waiver Period.

      2.    Amendments to Credit Agreement.

      (a) Section 1.01 [Certain Definitions] of the Credit Agreement is hereby
amended by the deletion of the definition of the term "Permitted Investment in
Excluded Entities" and the addition of the following new definitions:

            "Collateral shall mean the Pledged Collateral and the Other
      Collateral."

            "Other Collateral shall mean the property of the Loan Parties in
      which security interests are to be granted under the Security Agreement
      and the Patent, Trademark and Copyright Security Agreement."

            "Patent, Trademark and Copyright Security Agreement shall mean the
      Patent, Trademark and Copyright Security Agreement in substantially the
      form attached hereto as Exhibit 1.01(P)(8) executed by the Loan Parties."

            "Security Agreement" shall mean the Security Agreement in
      substantially the form attached hereto as Exhibit 1.01(P)(9) executed by
      the Loan Parties."

      (b) Section 1.01 [Certain Definitions] of the Credit Agreement is hereby
amended by restating in its entirety the definition of the terms "Loan
Documents" and "Loan Document" and "Pledge Agreements" and "Pledge Agreement" to
read as follows:

            "Loan Documents shall mean this Agreement, the Notes, the Guaranty
      Agreements, the Pledge Agreements, the Agent's Fee Letter, the
      Subordination Agreement (Intercompany), the Borrower Agency Agreement, the
      Patent, Trademark and Copyright Security Agreement, the Security Agreement
      and any other instruments, certificates or documents delivered or
      contemplated to be delivered hereunder or thereunder or in connection
      herewith or therewith, as the same may be supplemented or amended from
      time to time in accordance herewith or therewith, and Loan Document shall
      mean any of the Loan Documents."

            "Pledge Agreements shall mean the Pledge Agreement in substantially
      the form attached hereto as Exhibit 1.01(P)(4) executed and delivered by
      NovaCare and each other Borrower which owns stock in any other Loan Party,
      Exhibit 1.01(P)(5) executed and delivered by each Guarantor which owns
      stock in any other Loan Party, Exhibit 1.01(P)(6) executed and delivered
      by each Borrower or Guarantor which owns any partnership interests in any
      other Loan Party, the Pledge Agreement (Stock of NCES) in substantially
      the form attached hereto as Exhibit 1.01(P)(7) executed and delivered by
      NC Resources, Inc., a Delaware corporation, and any other form of
      agreement, in form and substance acceptable to the Agent, pledging any
      interests in a Loan Party (including, 


                                       -2-
<PAGE>   3
      without limitation, ownership interests in any Loan Party which is a
      limited liability company) or the equity interests in an Excluded Entity
      owned by any Loan Party executed and delivered by the holders of such
      interests, in each instance to the Agent for the benefit of the Banks, and
      Pledge Agreement shall mean separately any Pledge Agreement."

      (c) Clause (xi) and subclause (2) of clause (xi) of the definition of the
term Permitted Liens in Section 1.01 [Certain Definitions] of the Credit
Agreement is hereby amended by substituting for the term "Pledged Collateral"
the word "Collateral" in each place in such clause (xi) and subclause (2) where
the term "Pledged Collateral" appears.

      (d) The first sentence of Section 2.03 [Commitment Fees; Closing Fees] of
the Credit Agreement is amended and restated in its entirety to read as follows:

            "The Borrowers, jointly and severally, agree to pay to the Agent for
      the account of each Bank, as consideration for such Bank's Revolving
      Credit Commitment hereunder, a commitment fee (the "Commitment Fee") equal
      to

                  (x) during the period commencing on April 1, 1999 and ending
            at 11:59 P.M. on April 19, 1999, a rate per annum (computed on the
            basis of a year of 365 days or 366 days, as the case may be, and
            actual days elapsed) equal to 0.500% of the average daily difference
            between the unborrowed amount of such Bank's Revolving Credit
            Commitment as the same may be constituted from time to time and such
            Bank's Ratable Share of Letters of Credit Outstanding, and

                  (y) during all times other than the period set forth in the
            preceding clause (x), the per annum rate (computed on the basis of a
            year of 365 days or 366 days, as the case may be, and actual days
            elapsed) set forth below as the "Applicable Commitment Fee", on the
            average daily difference between the unborrowed amount of such
            Bank's Revolving Credit Commitment as the same may be constituted
            from time to time and such Bank's Ratable Share of Letters of Credit
            Outstanding."

      (e) Clause (i) [Revolving Credit Base Rate Option] of subsection (a)
[Revolving Credit Interest Rate Options] of section 4.01 [Interest Rate Options]
is amended and restated in its entirety to read as follows:

            "(i) Revolving Credit Base Rate Option. A fluctuating rate per annum
      (computed on the basis of a year of 365 or 366 days, as the case may be,
      and actual days elapsed) equal to

                  (x) during the period commencing on April 1, 1999 and ending
            at 11:59 P.M. on April 19, 1999, the Base Rate plus 1.50%, and

                  (y) during all times other than the period set forth in the
            preceding clause (x), the Base Rate."


                                       -3-
<PAGE>   4
      (f) The first sentence of clause (ii) [Revolving Credit Euro-Rate Option]
of subsection (a) [Revolving Credit Interest Rate Options] of section 4.01
[Interest Rate Options] is amended and restated in its entirety to read as
follows:

            "A rate per annum (computed on the basis of a year of 360 days and
      actual days elapsed), equal to the Euro-Rate plus

                  (x) during the period commencing on April 1, 1999 and ending
            at 11:59 P.M. on April 19, 1999, 3.00%, and

                  (y) during all times other than the period set forth in the
            preceding clause (x), the applicable percentage (the "Applicable
            Percentage Over Euro-Rate") set forth below based upon the ratio of
            (a) Consolidated Funded Debt to (b) Consolidated Cash Flow from
            Operations."

      (g) The introductory language of Section 4.02 [Interest Periods] which
precedes clause (a) thereof of the Credit Agreement is amended and restated in
its entirety to read as follows:

            "At any time when NovaCare, as agent for the Borrowers, shall
      select, convert to or renew a Revolving Credit Euro-Rate Option, NovaCare
      shall notify the Agent thereof at least three (3) Business Days prior to
      the effective date of such Revolving Credit Euro-Rate Option by delivering
      a Revolving Credit Loan Request. The interest period during which such
      Interest Rate Option shall apply shall be for a period of one month
      ("Euro-Rate Interest Period"), provided, that:"

      (h) Section 4.03 [Interest After Default] of the Credit Agreement is
amended and restated in its entirety to read as follows:

            "4.03 Interest After Default To the extent permitted by Law, upon
      the occurrence and during the continuation of an Event of Default, any
      principal, interest, fee or other amount payable hereunder shall bear
      interest for each day thereafter until paid in full (before and after
      judgment) at a rate per annum which shall be equal to three hundred fifty
      (350) basis points (3.50% per annum) above the Base Rate. Each Borrower
      acknowledges that such increased interest rate reflects, among other
      things, the fact that such Revolving Credit Loans or other amounts have
      become a substantially greater risk given their default status and that
      the Banks are entitled to additional compensation for such risk."

      (i) Subsection (o) [Security Interests] of section 6.01 [Representations
and Warranties] of the Credit Agreement is amended and restated in its entirety
to read as follows:

            "(o) Security Interests. The Liens and security interests granted to
      the Agent for the benefit of the Banks pursuant to the Patent, Trademark
      and Copyright Security Agreement, the Pledge Agreements and the Security
      Agreement in the Collateral constitute and will continue to constitute
      Prior Security Interests [other than the security interest in the stock of
      NovaCare Employee Services, Inc. ("NCES") which is subject to the prior
      security interest granted to PNC Bank, National Association to secure
      loans and other obligations under a Credit Agreement dated as of November
      17, 1997 among 


                                       -4-
<PAGE>   5
      NCES, the guarantors parties thereto and the banks parties thereto] under
      the Uniform Commercial Code as in effect in each applicable jurisdiction
      (the "Uniform Commercial Code") or other applicable Law entitled to all
      the rights, benefits and priorities provided by the Uniform Commercial
      Code or such Law. Upon the filing of financing statements relating to said
      security interests in each office and in each jurisdiction where required
      in order to perfect the security interests described above, taking
      possession of any stock certificates, certificates of Beneficial Interests
      or certificates of Members Interests evidencing the Pledged Collateral
      which consists of stock, certificated Beneficial Interests or certificated
      Member Interests, as the case may be, and recordation of the Patent,
      Trademark and Copyright Security Agreement in the United States Patent and
      Trademark Office and United States Copyright Office, as applicable, all
      such action as is necessary or advisable to establish such rights of the
      Agent will have been taken, and there will be upon execution and delivery
      of the Patent, Trademark and Copyright Security Agreement, the Pledge
      Agreement and the Security Agreement, such filings and such taking of
      possession, no necessity for any further action in order to preserve,
      protect and continue such rights, except the filing of continuation
      statements with respect to such financing statements within six months
      prior to each five-year anniversary of the filing of such financing
      statements. All filing fees and other expenses in connection with each
      such action have been or will be paid by the Borrower."

      (j) The introductory language of clause (ii) of subsection (d)
[Liquidations, Mergers, Consolidations, Acquisitions] of section 8.02 [Negative
Covenants] which precedes subclause (A) thereof of the Credit Agreement is
amended and restated in its entirety to read as follows:

            "(ii) any Loan Party may acquire prior to (but not on or after)
      April 1, 1999, whether by purchase or by merger, (A) all of the ownership
      interests of another Person or (B) substantially all of the assets of
      another Person or of a business or division of another Person (each a
      "Permitted Acquisition"), provided that each of the following requirements
      is met:"

      (k) Clause (v) of subsection (i) [Loans and Investments] of section 8.02
[Negative Covenants of the Credit Agreement is hereby amended and restated in
its entirety to read as follows:

            "(v) Restricted Investments existing as of March 25, 1999 in the
      Excluded Entities listed on Schedule 8.02(i)(v) in amounts not to exceed
      the per entity amount as of March 25, 1999 which is specified on such
      Schedule for such entity; provided, however, that on and after the
      Spin-Off Consummation, no Restricted Investments shall be made by NovaCare
      or any Subsidiary of NovaCare in NovaCare Employee Services, Inc."

      (l) Subsection (j) [Dividends and Related Distributions] of section 8.02
[Negative Covenants] of the Credit Agreement is hereby amended and restated in
its entirety to read as follows:

            "(j) Dividends and Related Distributions. The Loan Parties shall not
      make or pay, or agree to become or remain liable to make or pay, any
      dividend or other distribution of any nature (whether in cash, property,
      securities or otherwise) on account 


                                       -5-
<PAGE>   6
      of or in respect of its shares of capital stock or on account of the
      purchase, redemption, retirement or acquisition of its shares of capital
      stock (or warrants, options or rights therefor), except dividends payable
      by any Subsidiary of NovaCare to NovaCare or to any other Loan Party."

      (m) Subsection (i) of section 11.18 [Joinder of Loan Parties] is hereby
and amended and restated in its entirety to read as follows:

            "(i) All Subsidiaries (other than those which are Excluded
      Qualifying Subsidiaries) of NovaCare acquired or created on or after the
      Closing Date shall join this Agreement as a Guarantor or a Borrower (a
      "Joining Subsidiary") on the date of their acquisition or creation by
      completing all of the following by such date: (1) executing and delivering
      to the Agent (A) in the case of a Joining Subsidiary which becomes a
      Borrower, a Revolving Credit Note in the form of Exhibit 1.01(R) payable
      to each Bank, (B) a joinder to this Agreement in form satisfactory to the
      Agent, (C) a Guaranty Agreement in the form of Exhibit 1.01(G)(1), in the
      case of a Joining Subsidiary which becomes a Borrower and Exhibit
      1.01(G)(2), in the case of a Joining Subsidiary which becomes a Guarantor,
      and (D) a Patent, Trademark and Copyright Security Agreement in the form
      of Exhibit 1.01(P)(8) and a Security Agreement in the Form of Exhibit
      1.01(P)(9) and, if it owns stock or other ownership interests in any
      Subsidiary, a Pledge Agreement in the form of Exhibit 1.01(P)(4),
      1.01(P)(5), 1.01(P)(6) or 1.01(P)(7) or other appropriate form acceptable
      to the Agent if such Subsidiary is not a partnership or corporation, as
      applicable, and delivering, as applicable, the original certificates
      evidencing such stock or other ownership interest if it is certificated
      with appropriate stock powers or other assignments signed in blank and
      UCC-1 financing statements necessary to perfect the security interests of
      the Agent for the benefit of the Banks therein; (2) delivering to the
      Agent an opinion of counsel reasonably satisfactory to the Agent regarding
      such Joining Subsidiary and such joinder; and (3) delivering to the Agent
      certified copies of its organizational documents and other documents as
      requested by the Agent. The Loan Party which owns the stock or other
      ownership interest of the Joining Subsidiary shall execute and deliver to
      the Agent for the benefit of the Banks a Pledge Agreement in the form of
      Exhibit 1.01(P)(4), 1.01(P)(5), 1.01(P)(6) or 1.01(P)(7) or other
      appropriate form acceptable to the Agent if such Subsidiary is not a
      partnership or corporation, as applicable, and the original certificates
      evidencing such stock or other ownership interest if it is certificated
      with appropriate stock powers or other assignments signed in blank and
      UCC-1 financing statements necessary to perfect the security interests of
      the Agent for the benefit of the Banks therein. Notwithstanding the
      provisions of this Section 11.18(i) to the contrary, for periods after the
      Spin-Off Consummation, NovaCare Employee Services, Inc. shall not be
      required to join this Agreement as a Guarantor or Borrower."

      3.    Other Matters.

      (a) The Loan Parties have previously delivered to the Agent for the
benefit of the Banks the Pledge Agreement (Stock of NCES), the Patent, Trademark
and Copyright Security Agreement, the Security Agreement and financing
statements duly executed by the Loan Parties.


                                       -6-
<PAGE>   7
      (b) During the Waiver Period, the Borrowers shall not request Revolving
Credit Loans or Letters which would result in the Revolving Facility Usage
exceeding $355,000,000 and the Banks shall not be obligated to fund any
Revolving Credit Loans or to issue and Letter of Credit which would result in
the Revolving Facility Usage exceeding $355,000,000.

      (c) Each Loan Party acknowledges that it has no claim, counterclaim,
setoff, action or cause of action of any kind or nature whatsoever against all
or any of the Agent, the Banks or any of the Agent's or the Bank's directors,
officers, employees, agents, attorneys, legal representatives, successors and
assigns (the Agent, the Banks and their directors, officers, employees, agents,
attorneys, legal representatives, successors and assigns are collectively
referred to as the "Lender Group"), that directly or indirectly arise out of or
are based upon or in any manner connected with any "Prior Event" (as defined
below), and each Loan Party hereby releases the Lender Group from any liability
whatsoever should any nonetheless exist with respect to such claims. As used
herein the term "Prior Event" means any transaction, event, circumstance,
action, failure to act or occurrence of any sort or type, whether known or
unknown, which occurred, existed, was taken, permitted or begun prior to the
execution of this Nineteenth Amendment and occurred, existed, was taken,
permitted or begun in accordance with, pursuant to or by virtue of any terms of
this Nineteenth Amendment or any Loan Document or oral or written agreement
relating to any of the foregoing.

      (d) Schedule 8.02(i)(v) [Permitted Investments in Excluded Entities] is
hereby added to the Credit Agreement. Exhibit 2.05 [Revolving Credit Loan
Requests] is amended and restated in its entirety to read as attached hereto.
The following new Exhibits are hereby added to the Credit Agreement in the form
of such Exhibit attached hereto:

          Exhibit 1.01(P)(7)         Pledge Agreement (Stock of NCES)

          Exhibit 1.01(P)(8)         Patent, Trademark and Copyright
                                     Security Agreement

          Exhibit 1.01(P)(9)         Security Agreement

      4.    Closing Fees and Post-Closing Matters.

            The Borrowers jointly and severally agree to reimburse the Agent on
demand for all costs, expenses and disbursements relating to this Nineteenth
Amendment which are payable by the Borrower as provided in Section 10.05 of the
Credit Agreement. In addition, the Borrowers shall pay to the Agent for the
benefit of the applicable Banks the fees identified in Exhibit I hereto as the
"Amendment Fee". The Borrowers shall promptly deliver such certificates,
resolutions and opinions in form and substance satisfactory to the Agent as the
Agent shall have reasonably requested from time to time.

      5.    Conditions of Effectiveness.

            The effectiveness of this Nineteenth Amendment is expressly
conditioned upon the occurrence and completion of all of the following: (i)
receipt by the Agent on behalf of the 


                                       -7-
<PAGE>   8
Banks of the nonrefundable fees equal to the aggregate of the amounts set forth
on Exhibit I hereto; (ii) receipt by PNC Capital Markets, Inc. of the
nonrefundable fee due pursuant to that certain fee letter dated as of this date
(iii) payment by the Borrower of all costs, expenses and disbursements submitted
on or before the date hereof to the Borrower pursuant to section 4 hereof, and
(iv) the Agent's receipt of counterparts of this Nineteenth Amendment duly
executed by the Borrowers, the Guarantors, the Agent and the Required Banks.

      This Nineteenth Amendment shall be dated as of and shall be effective as
of the date and year first above written subject to satisfaction of all
conditions precedent to effectiveness as set forth in this Section 5, which date
shall be the Nineteenth Amendment Effective Date.

      6.    Consent of Required Banks, Approval of Increase in Revolving Credit
            Commitments.

            Pursuant to Section 11.01 of the Credit Agreement, this Nineteenth
Amendment shall require the written consent of the Required Banks, which shall
be evidenced by the Required Banks execution and delivery to the Agent of
counterparts of this Nineteenth Amendment.

      7.    Full Force and Effect.

            Each of the following documents, as amended through and including
this Nineteenth Amendment, shall remain in full force and effect on and after
the date of this Amendment:

                  (a) the Credit Agreement, except as expressly modified and
            amended by this Nineteenth Amendment,

                  (b) each of the Schedules attached to the Credit Agreement;

                  (c) each of the Exhibits attached to the Credit Agreement; and

            the Notes, the Guaranty Agreements, the Pledge Agreements, the
Agent's Fee Letter as modified by a fee letter dated this date, the
Subordination Agreement (Intercompany), the Borrower Agency Agreement and all
other Loan Documents.

            On and after the date hereof, each reference in the Credit Agreement
to "this Agreement", "hereunder" or words of like import shall mean and be a
reference to the Credit Agreement, as previously amended and as amended by this
Nineteenth Amendment, and each reference in each other Loan Document to the
"Credit Agreement" shall mean and be a reference to the Credit Agreement, as
previously amended and as amended by this Nineteenth Amendment. No novation is
intended by this Nineteenth Amendment.

            The parties hereto do not amend or waive any provisions of the
Credit Agreement or the other Loan Documents except as expressly set forth
herein.


                                       -8-
<PAGE>   9
      8.    Counterparts.

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

      9.    Governing Law.

            This Nineteenth Amendment shall be deemed to be a contract under the
laws of the Commonwealth of Pennsylvania and for all purposes shall be governed
by and construed and enforced in accordance with the internal laws of the
Commonwealth of Pennsylvania without regard to its conflict of laws principles.

            [SIGNATURES BEGIN ON NEXT PAGE]


                                       -9-
<PAGE>   10
                [Signature Page 1 of 19 to Nineteenth Amendment]

      IN WITNESS WHEREOF, the parties hereto, by their officers thereunto duly
authorized, have executed this Amendment as of the day and year first above
written.

                                    BORROWERS AND GUARANTORS:

ATTEST:                                 NOVACARE, INC., a Delaware corporation, 
                                        and each of the BORROWERS and GUARANTORS
                                        listed on Schedule A attached hereto

By: /s/ Richard S. Binstein             By: /s/ Richard A. McDonald
    ------------------------------          ------------------------------
    Richard S. Binstein, Secretary          Richard A. McDonald, the Vice 
                                            President of each Borrower and 
                                            Guarantor listed on Schedule A 
                                            attached hereto which is a
                                            corporation and of each general 
                                            partner of each Guarantor listed on 
                                            Schedule A attached hereto which is 
                                            a partnership

   [Seal]

ATTEST:                                 NOVAFUNDS, INC., a Delaware corporation,
                                        and each of the Guarantors listed on 
                                        Schedule B attached hereto

By: /s/ Andrew T. Panaccione            By: /s/ Robert C. Campbell         
    ------------------------------          ------------------------------
    Andrew T. Panaccione, Secretary         Robert C. Campbell, the Vice 
                                            President of each Borrower and 
                                            Guarantor listed on Schedule B 
                                            attached hereto

[Seal]
<PAGE>   11
                [Signature Page 2 of 19 to Nineteenth Amendment]



                                  AGENT:

                                    PNC BANK, NATIONAL ASSOCIATION, as Agent


                                    By: /s/ Roland Taub
                                    Title:  SVP                              



                                  BANKS:

                                    PNC BANK, NATIONAL ASSOCIATION


                                    By: /s/ Roland Taub
                                    Title:  SVP                              
<PAGE>   12
                [Signature Page 3 of 19 to Nineteenth Amendment]


                                    FIRST UNION NATIONAL BANK

                                    By: /s/ Elizabeth D. Morris             
                                    Name:   Elizabeth D. Morris               
                                    Title:  Vice President                   
<PAGE>   13
                [Signature Page 4 of 19 to Nineteenth Amendment]


                                    FLEET NATIONAL BANK

                                    By: /s/ Maryann S. Smith                
                                    Name:   MARYANN S. SMITH                  
                                    Title:  VICE PRESIDENT                   
<PAGE>   14
                [Signature Page 5 of 19 to Nineteenth Amendment]


                                MELLON BANK, N.A.

                                    By:____________________________________
                                    Name:__________________________________
                                    Title:_________________________________

                                    [SIGNATURE PAGE NOT EXECUTED BY BANK]
<PAGE>   15
                [Signature Page 6 of 19 to Nineteenth Amendment]


                                NATIONSBANK, N.A.


                                    By: /s/ Kevin Wagley                    
                                    Name:   KEVIN WAGLEY                      
                                    Title:  VICE PRESIDENT                   
<PAGE>   16
                [Signature Page 7 of 19 to Nineteenth Amendment]


                                    THE BANK OF NEW YORK


                                    By: /s/ Peter H. Abdill                 
                                    Name:   Peter H. Abdill                   
                                    Title:  Vice President                   
<PAGE>   17
                [Signature Page 8 of 19 to Nineteenth Amendment]


                                    SUNTRUST BANK, CENTRAL FLORIDA, N.A.


                                    By: /s/ Cynthia D. Eggers               
                                    Name:   Cynthia D. Eggers                 
                                    Title:  Vice President                   
<PAGE>   18
                [Signature Page 9 of 19 to Nineteenth Amendment]


                                    BANK ONE, KENTUCKY, NA


                                    By: /s/ Patricia S. Carpin              
                                    Name:   Patricia S. Carpin                
                                    Title:  Vice President                   
<PAGE>   19
                [Signature Page 10 of 19 to Nineteenth Amendment]


                                    THE FUJI BANK, LIMITED
                                    NEW YORK BRANCH


                                    By: /s/ Teiji Teramoto                  
                                    Name:   Teiji Teramoto                    
                                    Title:  Vice President and Manager       
<PAGE>   20
                [Signature Page 11 of 19 to Nineteenth Amendment]


                                  CRESTAR BANK


                                    By: /s/ Leesa McShane                   
                                    Name:   Leesa McShane                     
                                    Title:  VP                               
<PAGE>   21
                [Signature Page 12 of 19 to Nineteenth Amendment]


                                    BANK OF TOKYO - MITSUBISHI TRUST COMPANY


                                    By: /s/ Douglas J. Weir                 
                                    Name:   Douglas J. Weir                   
                                    Title:  Vice President                   
<PAGE>   22
                [Signature Page 13 of 19 to Nineteenth Amendment]


                                  AMSOUTH BANK


                                    By: /s/ J. Ken DiFatta                  
                                    Name:   J. KEN DiFATTA                    
                                    Title:  ASSISTANT VICE PRESIDENT         
<PAGE>   23
                [Signature Page 14 of 19 to Nineteenth Amendment]


                                    BANK OF AMERICA NT & SA


                                    By: /s/ Kevin Wagley                    
                                    Name:   KEVIN WAGLEY                      
                                    Title:  VICE PRESIDENT                   
<PAGE>   24
                [Signature Page 15 of 19 to Nineteenth Amendment]


                                  COMERICA BANK


                                    By: /s/ Kimberly S. Reich               
                                    Name:   KIMBERLY S. REICH                 
                                    Title:  VICE PRESIDENT                   
<PAGE>   25
                [Signature Page 16 of 19 to Nineteenth Amendment]


                                    CREDIT LYONNAIS NEW YORK BRANCH


                                    By: /s/ Henry Reukauf                   
                                    Name:   Henry Reukauf                     
                                    Title:  Vice President                   
<PAGE>   26
                 [Signature Page 17 of 19 to Nineteenth Amendment]


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


                                    By: /s/ Ellen Polensky                  
                                    Name:   Ellen Polensky                    
                                    Title:  Vice President                   


                                    By: /s/ Robet S. Bucklin                
                                    Name:   Robert S. Bucklin                 
                                    Title:  Chief Corporate Banking Officer  
<PAGE>   27
                [Signature Page 18 of 19 to Nineteenth Amendment]


                                    THE TOKAI BANK, LIMITED NEW YORK BRANCH


                                    By: /s/ Shinichi Nakatani               
                                    Name:   Shinichi Nakatani                 
                                    Title:  Assistant General Manager        
<PAGE>   28
                [Signature Page 19 of 19 to Nineteenth Amendment]


                                    TORONTO DOMINION (TEXAS), INC.


                                    By: /s/ Jimmy Simlen                    
                                    Name:   Jimmy Simlen                      
                                    Title:  Vice President                   
<PAGE>   29
STATE OF GEORGIA

COUNTY OF FULTON


      On the 31st day of March, 1999 personally appeared Cynthia D. Eggers, as
the Vice President of SunTrust Bank, Central Florida, National Association, and
before me executed the attached Nineteenth Amendment dated as of March 31, 1999
to the Credit Agreement between NovaCare, Inc., with SunTrust Bank, Central
Florida, National Association, as Lender.

      IN WITNESS WHEREOF, I have hereunto set my hand and official seal, in the
state and county aforesaid.

                  /s/ Christine B. Alford
                  -------------------------------------------------------------
                  Signature of Notary Public, State of Georgia
                                                      -------------------------

                  /s/ Christine B. Alford 
                  -------------------------------------------------------------
                  (Print, Type or Stamp Commissioned Name of Notary Public) 
                  Personally known X; OR Produced Identification
                                  ---                             -------------
                  Type of identification produced:
                                                  -----------------------------
                  -------------------------------------------------------------

                       Notary Public, DeKalb county, Georgia
                       My Commission Expires June 29, 2001
<PAGE>   30
                                   SCHEDULE A


<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
NovaCare, Inc. (a Delaware corporation)                                                B
NovaCare, Inc. (a Pennsylvania corporation)                                            B
RehabClinics, Inc.                                                                     B
Rehab Managed Care of Arizona, Inc.                                                    B
A.D. Craig Company                                                                     G
Advanced Orthopedic Technologies, Inc. (a Nevada corporation)                          G
Advanced Orthopedic Technologies, Inc. (a New York corporation)                        G
Advance Orthotics, Inc.                                                                G
Advanced Orthotics and Prosthetics, Inc.                                               G
Advanced Orthopedic Systems, Inc.                                                      G
Advanced Orthopedic Technologies (Clayton), Inc.                                       G
Advanced Orthopedic Technologies (Lett), Inc.                                          G
Advanced Orthopedic Technologies (New Jersey), Inc.                                    G
Advanced Orthopedic Technologies (New Mexico), Inc.                                    G
Advanced Orthopedic Technologies (New York), Inc.                                      G
Advanced Orthopedic Technologies (OTI), Inc.                                           G
Advanced Orthopedic Technologies (Parmeco), Inc.                                       G
Advanced Orthopedic Technologies (SFV), Inc.                                           G
Advanced Orthopedic Technologies (Virginia), Inc.                                      G
Advanced Orthopedic Technologies (West Virginia), Inc.                                 G
Advanced Orthopedic Technologies Management Corp.                                      G
Affiliated Physical Therapists, Ltd.                                                   G
American Rehabilitation Center, Inc.                                                   G
American Rehabilitation Clinic, Inc.                                                   G
American Rehabilitation Systems, Inc.                                                  G
Artificial Limb and Brace Center                                                       G
Athens Sports Medicine Clinic, Inc.                                                    G
Ather Sports Injury Clinic, Inc.                                                       G
Atlanta Prosthetics, Inc.                                                              G
Atlantic Health Group, Inc.                                                            G
</TABLE>
<PAGE>   31
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
Atlantic Rehabilitation Services, Inc.                                                 G
Boca Rehab Agency, Inc.                                                                G
Bowman-Shelton Orthopedic Service, Incorporated                                        G
Buendel Physical Therapy, Inc.                                                         G
C.E.R. - West, Inc.                                                                    G
Cahill Orthopedic Laboratory, Inc.                                                     G
Cannon & Associates, Inc.                                                              G
Cenla Physical Therapy & Rehabilitation Agency, Inc.                                   G
Center for Evaluation & Rehabilitation, Inc.                                           G
Center for Physical Therapy and Sports Rehabilitation, Inc.                            G
CenterTherapy, Inc.                                                                    G
Certified Orthopedic Appliance Co., Inc.                                               G
Central Missouri Rehabilitation Services, Inc.                                         G
Central Missouri Therapy, Inc.                                                         G
Central Valley Prosthetics & Orthotics, Inc.                                           G
Champion Physical Therapy, Inc.                                                        G
CMC Center Corporation                                                                 G
Coplin Physical Therapy Associates, Inc.                                               G
Crowley Physical Therapy Clinic, Inc.                                                  G
Dale Clark Prosthetics, Inc.                                                           G
Douglas Avery and Associates, Ltd.                                                     G
Douglas C. Claussen, R.P.T., Physical Therapy, Inc.                                    G
E.A. Warnick-Pomeroy Co., Inc.                                                         G
Elk County Physical Therapy, Inc.                                                      G
Fine, Bryant & Wah, Inc.                                                               G
Francis Naselli, Jr. & Stewart Rich Physical Therapists, Inc.                          G
Frank J. Malone & Son, Inc.                                                            G
Fresno Orthopedic Company                                                              G
Gallery Physical Therapy Center, Inc.                                                  G
Georgia Health Group, Inc.                                                             G
Georgia Physical Therapy of West Georgia, Inc.                                         G
Georgia Physical Therapy, Inc.                                                         G
Greater Sacramento Physical Therapy Associates, Inc.                                   G
</TABLE>
<PAGE>   32
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
Grove City Physical Therapy and Sports Medicine, Inc.                                  G
Gulf Breeze Physical Therapy, Inc.                                                     G
Gulf Coast Hand Specialists, Inc.                                                      G
Hand Therapy and Rehabilitation Associates, Inc.                                       G
Hand Therapy Associates, Inc.                                                          G
Hangtown Physical Therapy, Inc.                                                        G
Hawley Physical Therapy, Inc.                                                          G
Heartland Rehabilitation, Inc.                                                         G
High Desert Institute of Prosthetics & Orthotics                                       G
Human Performance and Fitness, Inc.                                                    G
Indianapolis Physical Therapy and Sports Medicine, Inc.                                G
Industrial Health Care Company, Inc.                                                   G
J.E. Hanger, Incorporated                                                              G
JOYNER SPORTS SCIENCE INSTITUTE, Inc.                                                  G
JOYNER SPORTSMEDICINE INSTITUTE, INC.                                                  G
Kentucky Rehabilitation Services, Inc.                                                 G
Kesinger Physical Therapy, Inc.                                                        G
Kroll's, Inc.                                                                          G
Lynn M. Carlson, Inc.                                                                  G
McKinney Prosthetics/Orthotics, Inc.                                                   G
Mark Butler Physical Therapy Center, Inc.                                              G
Meadowbrook Orthopedics, Inc.                                                          G
Medical Arts O&P Services, Inc.                                                        G
Medical Plaza Physical Therapy, Inc.                                                   G
Metro Rehabilitation Services, Inc.                                                    G
Michigan Therapy Centre, Inc.                                                          G
MidAtlantic Health Group, Inc.                                                         G
Mill River Management, Inc.                                                            G
Mitchell Tannenbaum I, Inc.                                                            G
Mitchell Tannenbaum II, Inc.                                                           G
Mitchell Tannenbaum III, Inc.                                                          G
Monmouth Rehabilitation, Inc.                                                          G
New England Health Group, Inc.                                                         G
</TABLE>
<PAGE>   33
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
New Mexico Physical Therapists, Inc.                                                   G
Northland Regional Orthotic and Prosthetic Center, Inc.                                G
Northside Physical Therapy, Inc.                                                       G
NovaCare (Arizona), Inc.                                                               G
NovaCare (Colorado), Inc.                                                              G
NovaCare (Texas), Inc.                                                                 G
NovaCare Management Company, Inc.                                                      G
NovaCare Management Services, Inc.                                                     G
NovaCare Northside Therapy, Inc.                                                       G
NovaCare Occupational Health Services, Inc.                                            G
NovaCare Orthotics & Prosthetics East, Inc.                                            G
NovaCare Orthotics & Prosthetics Holdings, Inc.                                        G
NovaCare Orthotics & Prosthetics West, Inc.                                            G
NovaCare Orthotics & Prosthetics, Inc.                                                 G
NovaCare Outpatient Rehabilitation East, Inc.                                          G
NovaCare Outpatient Rehabilitation I, Inc.                                             G
NovaCare Outpatient Rehabilitation West, Inc.                                          G
NovaCare Outpatient Rehabilitation, Inc.                                               G
NovaCare Rehab Agency of Alabama, Inc.                                                 G
NovaCare Rehab Agency of Arkansas, Inc.                                                G
NovaCare Rehab Agency of Florida, Inc.                                                 G
NovaCare Rehab Agency of Georgia, Inc.                                                 G
NovaCare Rehab Agency of Illinois, Inc.                                                G
NovaCare Rehab Agency of Kansas, Inc.                                                  G
NovaCare Rehab Agency of Lubbock, Inc.                                                 G
NovaCare Rehab Agency of Michigan, Inc.                                                G
NovaCare Rehab Agency of Missouri, Inc.                                                G
NovaCare Rehab Agency of New Jersey, Inc.                                              G
NovaCare Rehab Agency of North Carolina, Inc.                                          G
NovaCare Rehab Agency of Northern California, Inc.                                     G
NovaCare Rehab Agency of Ohio, Inc.                                                    G
NovaCare Rehab Agency of Oklahoma, Inc.                                                G
NovaCare Rehab Agency of Oregon, Inc.                                                  G
</TABLE>
<PAGE>   34
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
NovaCare Rehab Agency of Pennsylvania, Inc.                                            G
NovaCare Rehab Agency of Reno, Inc.                                                    G
NovaCare Rehab Agency of San Antonio, Inc.                                             G
NovaCare Rehab Agency of San Diego, Inc.                                               G
NovaCare Rehab Agency of South Carolina, Inc.                                          G
NovaCare Rehab Agency of Southern California, Inc.                                     G
NovaCare Rehab Agency of Tennessee, Inc.                                               G
NovaCare Rehab Agency of Virginia, Inc.                                                G
NovaCare Rehab Agency of Washington, Inc.                                              G
NovaCare Rehab Agency of Wyoming, Inc.                                                 G
NovaCare Rehabilitation Agency of Wisconsin, Inc.                                      G
NovaCare Rehabilitation, Inc.                                                          G
NovaCare Service Corp.                                                                 G
Opus Care, Inc.                                                                        G
Ortho East, Inc.                                                                       G
Ortho Rehab Associates, Inc.                                                           G
Ortho-Fab Laboratories, Inc.                                                           G
Orthopedic Appliances, Inc.                                                            G
Orthopedic and Sports Physical Therapy of Cupertino, Inc.                              G
Orthopedic Rehabilitative Services, Ltd.                                               G
Orthotic & Prosthetic Rehabilitation Technologies, Inc.                                G
Orthotic and Prosthetic Associates, Inc.                                               G
Orthotic Specialists, Inc.                                                             G
Peter Trailov R.P.T. Physical Therapy Clinic, Orthopaedic                              G
Rehabilitation & Sports Medicine, Ltd.                                                 
Peters, Starkey & Todrank Physical Therapy Corporation                                 G
Physical Focus Inc.                                                                    G
Physical Rehabilitation Partners, Inc.                                                 G
Physical Restoration Laboratories, Inc.                                                G
Physical Therapy Clinic of Lee's Summit, Inc.                                          G
Physical Therapy Enterprises, Inc.                                                     G
Physical Therapy Institute, Inc.                                                       G
Physical Therapy Services of the Jersey Cape, Inc.                                     G
Pro Active Therapy, Inc.                                                               G
</TABLE>
<PAGE>   35
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
Professional Orthotics and Prosthetics, Inc.                                           G
Professional Orthotics and Prosthetics, Inc. of Santa Fe                               G
Professional Therapeutic Services, Inc.                                                G
Progressive Orthopedic                                                                 G
Prosthetics-Orthotics Associates, Inc.                                                 G
Protech Orthotic and Prosthetic Center, Inc.                                           G
Quad City Management, Inc.                                                             G
RCI (Colorado), Inc.                                                                   G
RCI (Exertec), Inc.                                                                    G
RCI (Illinois), Inc.                                                                   G
RCI (Michigan), Inc.                                                                   G
RCI (S.P.O.R.T.), Inc.                                                                 G
RCI (WRS), Inc.                                                                        G
RCI Nevada, Inc.                                                                       G
Rebound Oklahoma, Inc.                                                                 G
Redwood Pacific Therapies, Inc.                                                        G
Rehab Provider Network of Florida, Inc.                                                G
Rehab Provider Network - New Jersey, Inc.                                              G
Rehab Provider Network - California, Inc.                                              G
Rehab Provider Network - Delaware, Inc.                                                G
Rehab Provider Network - Georgia, Inc.                                                 G
Rehab Provider Network - Illinois, Inc.                                                G
Rehab Provider Network - Indiana, Inc.                                                 G
Rehab Provider Network - Maryland, Inc.                                                G
Rehab Provider Network - Michigan, Inc.                                                G
Rehab Provider Network - Ohio, Inc.                                                    G
Rehab Provider Network - Oklahoma, Inc.                                                G
Rehab Provider Network - Virginia, Inc.                                                G
Rehab Provider Network - Washington, D.C., Inc.                                        G
Rehab Provider Network - Pennsylvania, Inc.                                            G
Rehab Provider Network of Colorado, Inc.                                               G
Rehab Provider Network of Nevada, Inc.                                                 G
Rehab Provider Network of New Mexico, Inc.                                             G
</TABLE>
<PAGE>   36
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
Rehab Provider Network of North Carolina, Inc.                                         G
Rehab Provider Network of Texas, Inc.                                                  G
Rehab Provider Network of Wisconsin, Inc.                                              G
Rehab World, Inc.                                                                      G
Rehab/Work Hardening Management Associates, Ltd.                                       G
RehabClinics (COAST), Inc.                                                             G
RehabClinics (GALAXY), Inc.                                                            G
RehabClinics (New Jersey), Inc.                                                        G
RehabClinics (PTA), Inc.                                                               G
RehabClinics (SPT), Inc.                                                               G
RehabClinics Abilene, Inc.                                                             G
RehabClinics Dallas, Inc.                                                              G
RehabClinics Pennsylvania, Inc.                                                        G
Rehabilitation Fabrication, Inc.                                                       G
Rehabilitation Management, Inc.                                                        G
Reid Medical Systems, Inc.                                                             G
Robert M. Bacci, R.P.T. Physical Therapy, Inc.                                         G
Robin Aids Prosthetics, Inc.                                                           G
S.T.A.R.T., Inc.                                                                       G
Salem Orthopedic & Prosthetic, Inc.                                                    G
San Joaquin Orthopedic, Inc.                                                           G
Scott G. Knoche, Inc.                                                                  G
SG Rehabilitation Agency, Inc.                                                         G
SG Speech Associates, Inc.                                                             G
Sierra Nevada Physical Therapy Corporation                                             G
South Jersey Physical Therapy Associates, Inc.                                         G
South Jersey Rehabilitation and Sports Medicine Center, Inc.                           G
Southern Illinois Prosthetic & Orthotic, Ltd.                                          G
Southern Illinois Prosthetic & Orthotic of Missouri, Ltd.                              G
Southpointe Fitness Center, Inc.                                                       G
Southwest Emergency Associates, Inc.                                                   G
Southwest Medical Supply Company                                                       G
Southwest Physical Therapy, Inc.                                                       G
</TABLE>
<PAGE>   37
<TABLE>
<CAPTION>
                                                                                BORROWER ("B")/
                          ENTITY                                                GUARANTOR ("G")
                          ------                                                ---------------
<S>                                                                             <C>
Southwest Therapists, Inc.                                                             G
Sporthopedics Sports and Physical Therapy Centers, Inc.                                G
Sports Therapy and Arthritis Rehabilitation, Inc.                                      G
Star Physical Therapy Inc.                                                             G
Stephenson-Holtz, Inc.                                                                 G
T.D. Rehab Systems, Inc.                                                               G
Texoma Health Care Center, Inc.                                                        G
The Center for Physical Therapy and Rehabilitation, Inc.                               G
The Orthopedic Sports and Industrial Rehabilitation Network, Inc.                      G
Theodore Dashnaw Physical Therapy, Inc.                                                G
Treister, Inc.                                                                         G
Tucson Limb & Brace, Inc.                                                              G
Union Square Center for Rehabilitation & Sports Medicine, Inc.                         G
University Orthotic and Prosthetic Consultants, Ltd.                                   G
Valley Group Physical Therapists, Inc.                                                 G
Vanguard Rehabilitation, Inc.                                                          G
Wayzata Physical Therapy Center, Inc.                                                  G
West Side Physical Therapy, Inc.                                                       G
West Suburban Health Partners, Inc.                                                    G
Western Missouri Rehabilitation Services, Inc.                                         G
Western Rehab Services, Inc.                                                           G
Worker Rehabilitation Services, Inc.                                                   G
Yuma Rehabilitation Center, Inc.                                                       G
A.D. Craig (A.D. Craig Company is general partner)                                     G
Advanced Orthopedic Services, Ltd. (RehabClinics Dallas,                               G
Inc. is general partner)                                                               
Craig Weymouth Enterprises (A.D. Craig Company is general                              G
partner)                                                                               
Land Park Physical Therapy (Union Square Center for Rehabilitation                     G
& Sports Medicine, Inc. is general partner)                                            
NovaPartners (IND), LP (NovaCare, Inc. (a Pennsylvania                                 G
corporation) is general partner)                                    
</TABLE>
<PAGE>   38
                                   SCHEDULE B


                                                                 BORROWER ("B")/
                        ENTITY                                   GUARANTOR ("G")
                        ------                                   ---------------
NovaFunds, Inc.                                                         B
NC Cash Management, Inc.                                                G
NC Resources, Inc.                                                      G
NovaMark, Inc.                                                          G
NovaStock, Inc.                                                         G
<PAGE>   39
                               SCHEDULE 8.02(i)(v)
                   Restricted Investments in Excluded Entities


                Name of                          Restricted Investment
            Excluded Entity                        as of March 25,1999
            ---------------                        -------------------
<PAGE>   40
                                    EXHIBIT I

                   AMENDMENT FEES TO BANKS APPROVING AMENDMENT


<TABLE>
<CAPTION>
                      Bank                                        Amendment Fee*
                      ----                                        --------------
<S>                                                               <C>     
PNC Bank, National Association                                       $ 60,000
                                                                       
First Union National Bank                                            $ 46,500
                                                                       
Fleet  National Bank                                                 $ 46,500
                                                                       
Mellon Bank, N.A                                                     $ 46,500
                                                                       
NationsBank, N.A                                                     $ 46,500
                                                                       
Bank One, Kentucky, NA                                               $ 34,125
                                                                       
Credit Lyonnais New York Branch                                      $ 34,125
                                                                       
Cooperatieve Centrale Raiffeisen-Boerenleenbank                      $ 34,125
B.A., "Rabobank Nederland", New York Branch                            
                                                                       
Toronto Dominion (Texas), Inc.                                       $ 34,125
                                                                       
The Bank of New York                                                 $ 30,000
                                                                       
SunTrust Bank, Central Florida, N.A                                  $ 30,000
                                                                       
AmSouth Bank                                                         $ 22,500
                                                                       
Bank of America NT & SA                                              $ 22,500
                                                                       
Bank of Tokyo - Mitsubishi Trust Company                             $ 22,500
                                                                       
Comerica Bank                                                        $ 22,500
                                                                       
Crestar Bank                                                         $ 22,500
                                                                       
The Fuji Bank, Limited New York Branch                               $ 22,500
                                                                       
The Tokai Bank, Limited New York Branch                              $ 22,500
</TABLE>

* fee paid only to banks approving the Amendment

<PAGE>   1
                                                                   Exhibit 10(c)

                                 NOVACARE, INC.
                             1016 WEST NINTH AVENUE
                            KING OF PRUSSIA, PA 19406

                           Dated as of April 19, 1999


PNC Bank, National Association,
  as Agent
One PNC Plaza
Fifth Avenue and Wood Street
Pittsburgh, PA  15265
Attn:  Frank Taucher, Senior Vice President

      RE:   Twentieth Amendment to Credit Agreement (the "Twentieth Amendment")

Dear Frank:

      We refer to that certain Credit Agreement, dated as of May 27, 1994, as
amended (the "Credit Agreement"), by and among NovaCare, Inc. ("NovaCare") and
certain of its Subsidiaries, the Banks party thereto and PNC Bank, National
Association, as agent for the Banks ("Agent"). Defined terms used herein, not
otherwise defined herein, shall have the meanings given to them under the Credit
Agreement as amended hereby.

      The parties hereto in consideration of their mutual covenants and
agreements hereinafter set forth, and intending to be legally bound hereby,
covenant and agree as follows:



                                    AGREEMENT

      1.    Amendments to Credit Agreement.

      (a)   Section 1.01 [Certain Definitions] of the Credit Agreement is hereby
amended by the deletion of the definition of the terms "Consolidated Cash Flow
from Operations," "Consolidated Funded Debt," "Consolidated Earnings Available
for Fixed Charges," "Consolidated Fixed Charges," "Minimum Net Worth
Requirement," "Permitted Additional Institutional Indebtedness," and "Permitted
Additional Subordinated Indebtedness" and the addition of the following new
definitions:

            "Facility Usage Default shall have the meaning assigned to such term
in Section 8.01(m)(vii)."

            "Forecast Extension shall have the meaning assigned to such term in
Section 8.01(m)(vii)."

<PAGE>   2
            "Forecast Reconciliation shall have the meaning assigned to such
term in Section 8.01 (m)(vii)."

            "Initial Cash Flow Forecast shall mean that certain cash flow
forecast, delivered to the Agent and the Banks on April 9, 1999, detailing for
each week in the thirteen week period beginning April 12, 1999, the projected
cash flow of NovaCare and its Subsidiaries, without regard to either any updates
thereto or any Forecast Extensions thereto."

            "Long Term Care Business shall mean with respect to NovaCare and its
Subsidiaries the business of providing rehabilitation therapy and health
consulting services on a contract basis to health care institutions, primary
long term care facilities and acute care hospitals."

            "Net Cash Proceeds shall mean, with respect to any transaction, an
amount equal to the cash proceeds received by NovaCare or any of its
Subsidiaries from or in respect of such transaction (including, when received,
any cash proceeds received as income or other cash proceeds of any non-cash
proceeds of such transaction), less any amounts approved by the Agent which are
considered appropriate by the chief financial officer of the Borrowers to
provide reserves in accordance with GAAP for payment of indemnities or
liabilities that may be incurred in connection with such sale or disposition. At
such time as any reserved amount described above is no longer required to be
held in reserve, the balance thereof, after payment of the related liabilities
or indemnities, shall be used to make a mandatory prepayment of the Revolving
Credit Loans and a mandatory permanent reduction of the Commitments in
accordance with Section 5.05. It is expressly agreed that taxes, commissions,
investment banking fees or other transaction costs shall not reduce cash
proceeds received by NovaCare or any of its Subsidiaries for purposes of
determining the Net Cash Proceeds from any transaction."

            "O&P Sale Agreement shall mean that certain Stock Purchase Agreement
by and among NovaCare, NC Resources, Hangar Orthopedic Group, Inc., and HPO
Acquisition Corp., dated as of April 2, 1999, as thereafter amended as permitted
by Section 8.02(e), which provides for an O&P Sale."

            "O&P Sale Date shall mean the date of the O&P Sale."

            "O&P Sale shall mean that certain transaction pursuant to which
NovaCare and its Subsidiaries shall have sold all of their ownership interests
in the Orthotics and Prosthetics Business."

            "O&P Sale Termination Date shall mean the date which is the tenth
day following the termination, for any reason, of the O&P Sale Agreement."

            "Orthotics and Prosthetics Business shall mean with respect to
NovaCare and its Subsidiaries the business of providing orthotic rehabilitation
and prosthetic rehabilitation services usually on an outpatient basis which
currently is conducted through NovaCare Orthotic and Prosthetics, Inc. and its
Subsidiaries."


                                      -2-
<PAGE>   3
            "Projected Facility Usage shall have the meaning assigned to such
term in Section 8.01 (m)(vii)."

            "Reduced Facility shall mean that certain revolving credit facility,
resulting from the amendment and restatement of this Agreement on terms and
conditions (including, without limitation a borrowing base and affirmation of
the security interest in all assets of the Loan Parties) approved by the Agent
and the Required Banks (other than the amount of such facility which shall
require the approval of the Supermajority Required Banks), applicable for the
period commencing on the date provided therein through and including the
Expiration Date, with maximum Commitments during such period not to exceed
$90,000,000 or such lesser amount (which shall not be less than $50,000,000) as
the amount of such facility shall be approved by the Supermajority Required
Banks."

            "Required Report Date shall have the meaning assigned to such term
in Section 8.01(m)(vii).

            "Rolling Cash Flow Forecast shall mean the Initial Cash Flow
Forecast, together with each Forecast Extension thereto delivered in accordance
with Section 8.01(m)(vii)."

            "Supermajority Required Banks shall mean (i) if there are no
Revolving Credit Loans outstanding Banks whose Revolving Credit Commitments
aggregate at least 66 2/3% of the Revolving Credit Commitments of all of the
Banks, or (ii) if there are Revolving Credit Loans outstanding, Banks whose
Revolving Credit Loans outstanding aggregate at least 66 2/3% of the total
amount of the Revolving Credit Loans outstanding hereunder."

            "Twentieth Amendment Effective Date shall mean as of April 19, 1999
which is the effective date of the Twentieth Amendment to this Agreement."

            "U.S. shall mean the United States of America."

      (b)   Section 1.01 [Certain Definitions] of the Credit Agreement is hereby
amended by restating in its entirety the definition of the terms "Commitments,"
"Expiration Date," "Material Adverse Change," "Revolving Credit Commitment," and
"Revolving Facility Usage" to read as follows:

      "Commitments shall mean Revolving Credit Commitments, and Commitment shall
mean Revolving Credit Commitment, as such amounts may be reduced or increased
from time to time in accordance with this Agreement."

      "Expiration Date shall mean, with respect to the Revolving Credit
Commitments, December 31, 1999."

      "Material Adverse Change shall mean any set of circumstances or events
which (a) has or could reasonably be expected to have any material adverse
effect whatsoever upon the validity or enforceability of this Agreement or any
other Loan Document, (b) is or could reasonably be 


                                       -3-
<PAGE>   4
expected to be material and adverse to the business, properties, assets,
financial condition, results of operations or prospects of the Loan Parties
taken as a whole, (c) impairs materially or could reasonably be expected to
impair materially the ability of any one or more Loan Parties to duly and
punctually pay or perform Indebtedness in principal amount in excess of
$1,000,000 in the aggregate, (d) impairs materially or could reasonably be
expected to impair materially the ability of the Agent or any of the Banks, to
the extent permitted, to enforce its legal remedies pursuant to this Agreement
or any other Loan Document, or (e) has impaired or could impair in the judgment
of the Required Banks the Borrowers' ability to make mandatory repayments of the
Loans in order that the Revolving Facility Usage does not exceed on and after
the date specified in Section 5.05(c) the maximum Revolving Facility Usage
permitted by or the reduced Commitments set forth in such Section."

      "Revolving Credit Commitment shall mean as to any Bank at any time, the
amount initially set forth opposite its name on Schedule 1.01(B) hereto in the
column labeled "Amount of Commitment for Revolving Credit Loans," and thereafter
on Schedule 1 to the most recent Assignment and Assumption Agreement, and
Revolving Credit Commitments shall mean the aggregate Revolving Credit
Commitments of all of the Banks, as such amounts may be reduced or increased
from time to time in accordance with this Agreement."

      "Revolving Facility Usage shall mean at any time the aggregate of the
Revolving Credit Loans outstanding and the Letters of Credit Outstanding."

      (c)   Section 2.01 [Revolving Credit Borrowing] is hereby renamed
"[Revolving Credit Borrowing; Limitations on Revolving Facility Usage]."
Further, the first sentence of Section 2.01 is hereby amended by inserting "(a)"
before the first word thereof. Section 2.01 is further amended by inserting the
following new subsection "(b)" as a new paragraph after the third sentence of
such Section:

            "(b)  Notwithstanding the provisions of subsection (a) above, the
      following limitations on the Revolving Facility Usage shall apply. During
      the period commencing on April 19, 1999 through and including 11:59 p.m.
      on May 31, 1999, the Borrowers shall not request Revolving Credit Loans or
      the issuance of Letters of Credit which would result in the Revolving
      Facility Usage exceeding $375,000,000, and the Banks shall not be
      obligated to fund any Revolving Credit Loans or to issue any Letter of
      Credit which would result in the Revolving Facility Usage exceeding
      $375,000,000. During the period commencing on June 1, 1999 through and
      including the earlier of the O&P Sale and 11:59 p.m. on July 9, 1999, the
      Borrowers shall not request Revolving Credit Loans or the issuance of
      Letters of Credit which would result in the Revolving Facility Usage
      exceeding $400,000,000, and the Banks shall not be obligated to fund any
      Revolving Credit Loans or to issue any Letter of Credit which would result
      in the Revolving Facility Usage exceeding $400,000,000. During the period
      commencing on the earlier of the O&P Sale and July 10, 1999 through and
      including the Expiration Date, the Borrowers shall not request Revolving
      Credit Loans or the issuance of Letters of Credit which would result in
      the Revolving Facility Usage exceeding $50,000,000, and the Banks shall
      not be obligated to fund any Revolving Credit Loans or to issue any Letter
      of Credit which would result in the 


                                      -4-
<PAGE>   5
      Revolving Facility Usage exceeding $50,000,000. The Borrowers shall make a
      mandatory repayment of principal, whether or not the Agent has given
      notice to such effect, in order that the Revolving Facility Usage during
      any period does not exceed the amount during such period as specified
      above."

      (d)   The first sentence of Section 2.03 [Commitment Fees; Closing Fees]
of the Credit Agreement is amended and restated in its entirety to read as
follows:

            "The Borrowers, jointly and severally, agree to pay to the Agent for
      the account of each Bank, as consideration for such Bank's Revolving
      Credit Commitment hereunder, a commitment fee (the "Commitment Fee") equal
      to, during the period commencing on April 19, 1999 and thereafter, a rate
      per annum (computed on the basis of a year of 365 days or 366 days, as the
      case may be, and actual days elapsed) equal to 0.500% of the average daily
      difference between the unborrowed amount of such Bank's Revolving Credit
      Commitment as the same may be constituted from time to time and such
      Bank's Ratable Share of Letters of Credit Outstanding."

      The second and third sentences of Section 2.03 and the table immediately
following the third sentence are hereby deleted.

      (e)   Clause (iii) of Section 2.08 is amended and restated in its entirety
to read as follows:

            "(iii) general corporate purposes, provided, however, that no
      portion of the Revolving Credit Loans shall be used directly or indirectly
      for the purpose of prepaying, purchasing, repaying or redeeming any
      Subordinated Indebtedness."

      (f)   Clause (a) of Section 2.09 [Letter of Credit Subfacility] is amended
and restated in its entirety to read as follows:

            "(a)  NovaCare as agent for any Borrower may request the issuance
      of, on the terms and conditions hereinafter set forth, standby letters of
      credit (together with all letters of credit issued hereunder prior to the
      Twentieth Amendment Effective Date each a "Letter of Credit" and
      collectively, "Letters of Credit") by delivering to the Agent a completed
      application and agreement for letters of credit in such form as the Agent
      may specify from time to time by no later than 10:00 a.m., Pittsburgh
      time, at least three (3) Business Days, or such shorter period as may be
      agreed to by the Agent, in advance of the proposed date of issuance.
      Subject to the terms and conditions hereof and in reliance on the
      agreements of the other Banks set forth in this Section 2.09, the Agent
      will issue a Letter of Credit provided that each Letter of Credit shall
      (A) have a maximum maturity of


                                      -5-
<PAGE>   6
      twelve (12) months from the date of issuance, and (B) in no event expire
      later than ten (10) Business Days prior to the Expiration Date and
      providing that in no event shall (i) the Letters of Credit Outstanding
      exceed, at any one time, $5,000,000, or (ii) the Revolving Facility Usage
      exceed, at any one time, the Revolving Credit Commitments. Schedule 2.09
      hereto lists letters of credit which PNC Bank issued for the accounts of
      certain of the Loan Parties prior to the date hereof and which shall
      remain outstanding after the Closing Date (the "Existing Letters of
      Credit"). Each Existing Letter of Credit shall be a Letter of Credit
      hereunder on and after the Closing Date and the provisions of this Section
      2.09 shall apply to such Existing Letter of Credit. Schedule 2.09(B)
      hereto lists each Letter of Credit, existing on the Twentieth Amendment
      Effective Date the term of which expires later than ten (10) Business Days
      prior to the Expiration Date (the "Collateralized Letters of Credit"). On
      the Twentieth Amendment Effective Date the Loan Parties shall deposit
      cash, as cash collateral, to an account owned by the Agent for the benefit
      of the Banks from which account the Agent alone shall have sole power of
      withdrawal (the "Letter of Credit Cash Collateral Account") in an amount
      equal to 105% of the maximum amount available to be drawn under the
      Collateralized Letters of Credit. Each Loan Party hereby agrees and
      directs the Agent to apply, from the Letter of Credit Cash Collateral
      Account, the amount of each of the Collateralized Letters of Credit upon
      presentation thereof for draw, and to also apply from the Letter of Credit
      Cash Collateral Account any other amounts necessary to reimburse the Agent
      and the Banks for any other payments made or to be made or costs or
      interest incurred (including, without limitation, interest, fees, and the
      amount that the Agent estimates will be necessary to cover expenses and
      legal fees) in connection with such of the Collateralized Letters of
      Credit presented for draw by the Agent under such Collateralized Letters
      of Credit. Each of the Loan Parties to secure the Reimbursement
      Obligations and all of the other obligations of the Loan Parties under the
      Loan Documents hereby pledges all of its rights and interests in the
      Letter of Credit Cash Collateral Account and all proceeds arising
      therefrom to the Agent for the benefit of the Banks.

            Subsections (b), (d), (e), (f), (g), (j), (k) and (l) of Section
      2.09 [Letter of Credit Subfacility] are amended by deleting the word
      "Borrower" for each occurrence of such term and inserting in lieu thereof
      the word "Borrowers". Subsection (d) of Section 2.09 is hereby further
      amended by deleting the word "fails" in the third sentence and inserting
      in lieu thereof the word "fail". Subsection (f) of Section 2.09 is hereby
      further amended by deleting the words "the Borrower's" in the first
      sentence and inserting in lieu thereof the words "any Borrowers'".


      (g)   Clause (i) [Revolving Credit Base Rate Option] of subsection (a)
[Revolving Credit Interest Rate Options] of Section 4.01 [Interest Rate Options]
is amended and restated in its entirety to read as follows:


                                      -6-
<PAGE>   7
            "(i) Revolving Credit Base Rate Option. A fluctuating rate per annum
      (computed on the basis of a year of 365 or 366 days, as the case may be,
      and actual days elapsed) equal to, the Base Rate plus 1.50% such rate to
      change automatically from time to time effective as of the effective date
      of each change in the Base Rate."

      (h)   The first sentence of clause (ii) [Revolving Credit Euro-Rate
Option] of subsection (a) [Revolving Credit Interest Rate Options] of Section
4.01 [Interest Rate Options] is amended and restated in its entirety to read as
follows:

            "A rate per annum (computed on the basis of a year of 360 days and
      actual days elapsed), equal to the Euro-Rate plus 3.00%."

      The remainder of Section 4.01(a)(ii) and the two tables in such Section
are deleted in their entirety.

      (i)   In Section 5.05 the word "[Reserved]" is hereby deleted and the
following is inserted in lieu thereof:

      "Mandatory Repayments; Mandatory Commitment Reduction.

            (a)   O&P Sale. Notwithstanding the ability, if any, of any Borrower
      to borrow hereunder, NovaCare shall cause Net Cash Proceeds of the O&P
      Sale to be paid by the purchaser of the Orthotics and Prosthetics Business
      on the O&P Sale Date, in an amount, directly to the Agent as a mandatory
      repayment of the Loans, such that (i) all outstanding Loans, together with
      accrued interest thereon are repaid in full and (ii) a deposit is made in
      an account with the Agent, as cash collateral, for all outstanding Letters
      of Credit (other than those Letters of Credit listed on Schedule 2.09(B)
      for which cash collateral, in accordance with Section 2.09, was provided
      to the Agent on the Twentieth Amendment Effective Date).

            (b)   Other Asset Sales. To the extent that NovaCare or any
      Subsidiary of NovaCare sells or transfers assets (other than as
      contemplated by the Initial Cash Flow Forecast ) (i) with a Sale Price for
      an individual sale or transfer transaction in excess of $250,000 or (ii)
      with a Sale Price for an individual sale or transfer transaction which
      together with the Sale Price for all sale or transfer transactions that
      occurred in the same calendar month would result in the aggregate Sales
      Prices for all sale and transfer transactions in such month exceeding
      $750,000, then NovaCare shall cause the entire Net Cash Proceeds from all
      of such sale or transfer transactions to be used immediately to make a
      mandatory repayment of the Loans in an amount equal to the Net Cash
      Proceeds from each sale and/or transfer transaction(s) and the amount of
      such repayment shall automatically and permanently reduce the Commitments.


                                      -7-
<PAGE>   8
            (c)   Mandatory Commitment Reduction. The aggregate Commitments
      shall be automatically and permanently reduced to $90,000,000 on the
      earlier of the O&P Sale and July 10, 1999. The Borrowers shall make
      mandatory repayments of the Loans, whether or not the Agent has given
      notice to such effect, so that the Revolving Facility Usage on such date
      of reduction of the Commitments does not exceed $50,000,000.

            (d)   Application Among Interest Rate Options. All repayments
      required pursuant to this Section 5.05 shall first be applied among the
      Loans subject to the Base Rate Option, then to Loans subject to a
      Euro-Rate Option. In accordance with Section 5.06(b) [Indemnity], the Loan
      Parties shall indemnify the Banks for any loss or expense, including loss
      of margin, incurred with respect to any such repayments applied against
      Loans subject to a Euro-Rate Option on any day other than the last day of
      the applicable Interest Period."

      (j)   The second sentence of Section 6.01(i)(C) [Accuracy of Financial
Statements] is hereby amended and restated in its entirety to read as follows:

            "Except as set forth on Schedule 6.01(i)(C), since June 30, 1997, no
            Material Adverse Change has occurred."

      (k)   Section 8.01(k) [Further Assurances], is hereby amended and restated
in its entirety to read as follows:

            Further Assurances. Each Loan Party shall, from time to time, at its
expense, faithfully preserve and protect the Agent's Lien on and Prior Security
Interest in the Collateral as a continuing first priority perfected Lien, and
shall do such other acts and things as the Agent in its sole discretion
reasonably may deem necessary or advisable from time to time in order to (i)
preserve, perfect and protect the Liens granted under the Loan Documents, (ii)
exercise and enforce its rights and remedies thereunder with respect to the
Collateral, (iii) cause all of the equity interests of all Loan Parties (other
than NovaCare) owned by another Loan Party to be pledged on a first priority
perfected basis to the Agent for the benefit of the Banks, and (iv) provide any
additional security interests, liens and pledges in any assets of the Loan
Parties as the Agent may specify from time to time.

      (l)   Section 8.01(1)(B) [Permitted Additional Subordinated Indebtedness]
is hereby deleted in its entirety.

      (m)   Subsection 8.01(m) [Certificates of Borrowers; Other Reports and
Information] is hereby amended by adding new clauses (vii), (viii), (ix), (x),
and (xi) as follows:

            "(vii) Rolling Cash Flow Forecast. The Borrowers have delivered to
      the Agent and the Banks the Initial Cash Flow Forecast, which is based
      upon various assumptions of NovaCare's management and represents
      reasonable possible results in light of the condition of the business of
      NovaCare and its Subsidiaries as 


                                      -8-
<PAGE>   9
      of the Twentieth Amendment Effective Date and as foreseeable as of such
      date including the intentions of NovaCare's management. Such forecast
      shall accurately reflect the liabilities of NovaCare and its Subsidiaries
      during the period thereof. Beginning on April 23, 1999 and every two weeks
      thereafter (for example, without limitation, May 7, 1999, May 21, 1999,
      June 4, 1999, June 18, 1999, etc.) (the date of each two week anniversary
      being a "Required Report Date"), the Borrowers shall deliver to the Agent
      and the Banks: (i) updates for periods following the applicable Required
      Report Date, to the Rolling Cash Flow Forecast, if needed, to give effect
      to any differences in actual results of operations of NovaCare and its
      Subsidiaries, (ii) a cash flow forecast of NovaCare and its Subsidiaries
      for an additional two week period immediately following the period which
      is the last day of the Rolling Cash Flow Forecast then provided to the
      Agent and the Banks so that at all times the Agent and the Banks have a
      Rolling Cash Flow Forecast covering a thirteen week period (each such two
      week extension to the Rolling Cash Flow Forecast being a "Forecast
      Extension"), and (iii) a reconciliation (each a "Forecast Reconciliation")
      showing the difference between the actual Revolving Facility Usage on such
      Required Report Date and the Revolving Facility Usage projected for such
      date as set forth in the Initial Cash Flow Forecast (each projected amount
      of a Revolving Facility Usage being the "Projected Facility Usage"), and
      the difference between the actual line item amount as of such Required
      Report Date and the projected line item amount as set forth in the Initial
      Cash Flow Forecast (on a line by line basis with an explanation of
      significant variances). If a Forecast Reconciliation shows that on any
      Required Report Date the actual Revolving Facility Usage exceeded the
      lesser of (i) the Revolving Facility Usage permitted by Section 2.01, and
      (ii) the sum of $10,000,000 plus the applicable Projected Facility Usage,
      then such event shall constitute a "Facility Usage Default." NovaCare
      shall work with its accountants, PricewaterhouseCoopers LLP (or successor
      thereto in accordance with this Agreement), so that such accountants shall
      be reasonably available as the Agent or any Bank (or any financial advisor
      to the Agent and the Banks) may request to review the Rolling Cash Flow
      Forecast and the updates thereto.

            (viii) Certain Projections. On or before June 1, 1999, NovaCare
      shall deliver to the Agent and the Banks a cash flow forecast and
      financial projections of NovaCare and its Subsidiaries for the period
      beginning on July 1, 1999 and ending on the Expiration Date. Such forecast
      and projections shall be based upon various assumptions of NovaCare's
      management and represent reasonable possible results in light of the
      condition of the business of NovaCare and its Subsidiaries as of such date
      and as foreseeable as of such date including the intentions of NovaCare's
      management. Such forecast and projections shall include any other
      information reasonably requested by the Agent or any Bank, including,
      without limitation, for purposes of determining the terms and provisions
      of the Reduced Facility. NovaCare shall work with its accountants,
      PricewaterhouseCoopers LLP, (or successor thereto in accordance with this
      Agreement), so that such accountants shall be reasonably available as the
      Agent


                                      -9-
<PAGE>   10
      or any Bank (or any financial advisor to the Agent and the Banks) may
      request to review such forecast and projections.

            (ix)  Repayment Plan. On or before September 15, 1999, NovaCare
      shall deliver to the Agent and the Banks a formalized plan satisfactory to
      the Required Banks for the repayment of the Revolving Facility Usage on
      the Expiration Date. NovaCare shall work with its accountants,
      PricewaterhouseCoopers LLP, (or successor thereto in accordance with this
      Agreement), so that such accountants shall be reasonably available as the
      Agent or any Bank (or any financial advisor to the Agent and the Banks)
      may request to review such plan.

            (x)   Changes in Management. Within five (5) Business Days following
      any change in employment status or the terms of employment of Timothy E.
      Foster, James W. McLane or Robert E. Healy, Jr., NovaCare shall provide
      notice thereof to the Agent and the Banks.

            (xi)  Termination of the O&P Sale Agreement. Promptly upon (i) any
      Loan Party becoming aware that a termination could reasonably be
      anticipated to occur, for any reason, of the O&P Sale Agreement or (ii)
      the occurrence of the termination, for any reason, of the O&P Sale
      Agreement, provide notice to the Agent and the Banks."

      (n)   Section 8.01 [Affirmative Covenants] is hereby amended to insert the
following new subsections "(n)" and "(o)":

            "(n)  Matters Regarding Certain Key Employees. On or before May 31,
1999, the Loan Parties shall have provided evidence to the Agent and the Banks
that the Loan Parties have entered into binding arrangements with Timothy E.
Foster, James W. McLane and Robert E. Healy, Jr., key management of the Loan
Parties, for the retention by the Loan Parties of such persons through at least
the Expiration Date.

            (o)   Cooperation with Agent. Each Loan Party shall and shall cause
its Subsidiaries and its independent public accountants to cooperate with the
Agent, the Banks and the financial advisors of the Agent and the Banks with
respect to review of the business affairs, finances, accounts and valuations of
the Loan Parties and their Subsidiaries."

      (o)   Subsection (a) [Indebtedness] of Section 8.02 [Negative Covenants]
is amended and restated to read as follows:

            "(a)  Indebtedness. Each Loan Party and its Subsidiaries shall not
at any time create, incur, assume or suffer to exist any Indebtedness, except:

                  (i)   Indebtedness under the Loan Documents;


                                      -10-
<PAGE>   11
                  (ii)  Existing Indebtedness which was set forth in the balance
sheet of the Loan Parties as of December 31, 1998; and

                  (iii) Permitted Intercompany Indebtedness provided, however,
that neither NovaCare nor any Subsidiary of NovaCare shall make any loans or
advances to NovaCare Employee Services, Inc."

      (p)   Subsection (c) [Guaranties] of Section 8.02 [Negative Covenants] is
hereby amended and restated to read as follows:

                  "(c)  Guaranties. Each Loan Party shall not at any time,
directly or indirectly, become or be liable in respect of any Guaranty, or
assume, guarantee, become surety for, endorse or otherwise agree, become or
remain directly or contingently liable upon or with respect to any obligation or
liability of any other person which obligation or liability would be required to
be reported or noted in the financial statements of such Loan Party in
accordance with GAAP, except pursuant to (x) the Guaranty Agreement; or (y) any
Guaranty listed on Schedule 8.02(c)."

      (q)   Section 8.02(e) [Disposition of Assets or Subsidiaries] is hereby
amended by inserting in the first line of clause (iv) after the word "assets"
the words "for fair market value", by deleting the "." in the last line of
clause (iv) and inserting in lieu thereof a ";" and by inserting the following
new clauses (v) and (vi):

            "(v)  the O&P Sale so long as (v) such sale occurs substantially in
      accordance with the O&P Sale Agreement, with any material changes to the
      O&P Sale Agreement satisfactory to the Agent in its sole and absolute
      discretion, (w) the closing of such sale is consummated on or before July
      9, 1999 for Net Cash Proceeds of at least $395,000,000, (x) all of the
      terms and provisions regarding payment of the Net Cash Proceeds by
      NovaCare to the Agent for the benefit of the Banks and all provisions
      regarding any release of collateral or any Guaranty in connection with the
      sale shall be satisfactory to the Agent in its sole and absolute
      discretion, (y) all investment banking and other similar fees in
      connection with or related to, directly or indirectly, the O&P Sale are
      paid following the payment required by the following clause (z) of this
      Section 8.02(e)(v), and (z) all of the Net Cash Proceeds therefrom are
      applied as a mandatory prepayment of the Loans and the Commitments are
      reduced in accordance with Section 5.05; or

            (vi)  the sale, transfer or other disposition by NovaCare and its
      Subsidiaries of the Long Term Care Business on terms and conditions
      satisfactory to the Required Banks."

      (r)   The second sentence of Section 8.02(g) [Continuation of or Change in
Business] is hereby amended and restated in its entirety to read as follows:

            "NovaCare shall not change its business materially after the Closing
Date, other than by selling, disposing or otherwise transferring the ownership
interests in the Orthotics and 


                                      -11-
<PAGE>   12
Prosthetics Business or selling, disposing, otherwise transferring or exiting
from the Long Term Care Business, in either case in accordance with this
Agreement."

      (s)   Section 8.02(l) [Minimum Net Worth], Section 8.02(n) [Funded Debt to
Cash Flow from Operations] and Section 8.02(o) [Minimum Fixed Charge Coverage
Ratio] are hereby deleted in their entirety and inserted in lieu thereof after
the numerical reference to each such subsection are the words "[Intentionally
Omitted]."

      (t)   Section 8.02(p) [Changes in Subordinated Indebtedness Documents] is
hereby amended and restated in its entirety to read as follows:

            "(p)  Changes in Subordinated Indebtedness Documents. NovaCare shall
      not, and shall not permit any Subsidiary to, amend or modify any
      provisions of the Subordinated Indebtedness Documents without providing at
      least fifteen (15) Business Days' prior written notice to the Agent and
      the Banks, and obtaining the prior written consent of the Required Banks.
      The Loan Parties shall not directly or indirectly make any payment or
      other distribution directly or indirectly to the obligees under the
      Subordinated Indebtedness, except for regularly scheduled mandatory
      payments under the Subordinated Indebtedness Documents excluding any
      mandatory payments required by reason of acceleration. It is expressly
      agreed that no portion of the Revolving Credit Loans shall be used
      directly or indirectly for the purpose of prepaying, repaying, purchasing
      or redeeming any Subordinated Indebtedness."

      (u)   Section 9.01 [Events of Default] is hereby amended by deleting the
word "or" in the last line of clause (m), by deleting the "." in the last line
of clause (n) and inserting in lieu thereof a";" and by inserting the following
new clauses (o), (p) and (q):

            "(o)  A Material Adverse Change shall occur;

            (p)   The O&P Sale Termination Date shall occur; or

            (q)   A Facility Usage Default shall occur."

      (v)   Subsection (a) of Section 9.02 [Consequences of Event of Default] is
hereby amended by inserting in the second line immediately after the words "or
(n)" the words "through (q)".

      (w)   Subsection (e) of Section 9.02 [Consequences of Event of Default] is
hereby amended by deleting the word "Following" at the beginning of the first
sentence and inserting in lieu thereof the word "Upon" and deleting the word
"Pledged" preceding the word "Collateral" for each occurrence of the term
"Pledged Collateral" in such Section.

      (x)   Subsection (f) of Section 9.02 [Consequences of Event of Default] is
hereby amended by deleting the word "[Reserved]" and the following is inserted
in lieu thereof:


                                      -12-
<PAGE>   13
            "(f)  Upon the occurrence and during continuance of an Event of
      Default, the Agent may request, without limiting the rights and remedies
      of the Agent on behalf of the Banks otherwise provided hereunder and under
      the other Loan Documents, that the Borrowers do any of the following: (i)
      give the Agent on behalf of the Banks specific assignments of the accounts
      receivable of the Borrowers and each of their Subsidiaries (other than the
      Excluded Entities) after such accounts receivable come into existence, and
      schedules of such accounts receivable, the form and content of such
      assignment and schedules to be satisfactory to the Agent, (ii) immediately
      notify the Agent if any of such accounts receivable arise out of contracts
      with the U.S. Government or any department, agency or instrumentality
      thereof, and execute any instruments and take any steps required by the
      Agent in order that all moneys due and to become due under such contract
      shall be assigned (to the extent permitted by law) to the Agent on behalf
      of the Banks and notice thereof given to the government under the Federal
      Assignment of Claims Act, if applicable, or any other applicable law or
      regulation, in order to better secure the Agent on behalf of the Banks, in
      relation to such accounts receivable, (iii) to the extent permitted by
      Law, enter into such lockbox agreements and establish such lockbox
      accounts as the Agent may require, with the local banks in areas in which
      the Borrowers and their Subsidiaries (other than the Excluded Entities)
      may be operating (in such cases, all local lockbox accounts shall be
      depository transfer accounts entitled "In trust for PNC Bank, National
      Association, as Agent") which shall have agreed in writing to the Agent's
      requirements for the handling of such accounts and the transfer of account
      funds to the Agent on behalf of the Banks, all at the Loan Parties' sole
      expense, and shall direct all payments from Medicare, Medicaid, Blue Cross
      and Blue Shield, private payors, health maintenance organizations, all
      commercial payors and all other payors due to the Borrowers or any of
      their Subsidiaries (other than the Excluded Entities), to such lockbox
      accounts, (iv) notify all account debtors to make all payments due from
      them to the Borrowers and their Subsidiaries (other than the Excluded
      Entities) directly to a lockbox for collection pursuant to a lockbox
      agreement, in form and substance acceptable to the Agent, (the "Cash
      Collateral Account"), and (v) in the event any Borrower or any Subsidiary
      of any Borrower (other than the Excluded Entities) or any of the
      respective Affiliates, shareholders, directors, officers, employees, or
      agents of any Borrower or any such Subsidiary acting for or in concert
      with such Person shall receive any cash, checks, notes, drafts or other
      similar items of payment relating to or constituting the Collateral (or
      proceeds thereof), no later than the first Business Day following receipt
      thereof, such Borrower or Subsidiary of a Borrower shall (A) deposit or
      cause the same to be deposited, in kind, in the Cash Collateral Account
      established by NovaCare with the Agent or such other depository as may be
      designated in writing by the Agent (the "Depository"), from which account
      the Agent alone shall have sole power of withdrawal, and with respect to
      which the Depository shall waive any rights of set off, and (B) forward to
      the Agent on a daily basis, a collection report in form and substance
      satisfactory to the Agent and, at the Agent's request, copies of all such
      items and 


                                      -13-
<PAGE>   14
      deposit slips related thereto. All cash, notes, checks, drafts or similar
      items of payment by or for the account of the Borrowers and their
      Subsidiaries (other than Excluded Entities) shall be the sole and
      exclusive property of the Banks immediately upon the earlier of the
      receipt of such items by the Agent or the Depository or the receipt of
      such items by the Borrowers or their Subsidiaries (other than Excluded
      Entities); provided, however, that for the purpose of computing interest
      hereunder such items shall be deemed to have been collected and shall be
      applied by the Agent on account of the Loans one (1) Business Day after
      receipt by the Agent (subject to correction for any items subsequently
      dishonored for any reason whatsoever). Notwithstanding anything to the
      contrary herein, all such items of payment shall, solely for purposes of
      determining the occurrence of an Event of Default, be deemed received upon
      actual receipt by the Agent, unless the same are subsequently dishonored
      for any reason whatsoever. All funds in the Cash Collateral Account,
      including all payments made by or on behalf of and all credits due the
      Borrowers or their Subsidiaries, may be applied and reapplied in whole or
      in part to any of the Loans to the extent and in the manner the Agent
      deems advisable."

      (y)   Subsection (g) of Section 9.02 [Consequences of Event of Default],
Section 9.03 [Notice of Sale] and Section 11.16 [Consent to Forum; Waiver of
Jury Trial] are hereby amended by deleting the word "Pledged" preceding the word
"Collateral" for each occurrence of the term "Pledged Collateral" in such
Sections.

      (z)   Subsections (b), (c) and (d) of Section 11.01 [Modifications,
Amendments or Waivers] are hereby amended and restated in their entirety to read
as follows:

                  "(b)  Increase the amount of the Commitments or of any
      Commitment, increase any dollar limitation set forth in Section 2.09(a)(i)
      or whether or not any Revolving Credit Loans are outstanding, extend the
      time for payment of principal or interest of any Revolving Credit Loan, or
      reduce the principal amount of or reduce the rate of interest borne by any
      Revolving Credit Loan (other than reductions, if any, of the interest rate
      in effect on the Twentieth Amendment Effective Date, for purposes of
      establishing the initial interest rates of the Reduced Facility, it being
      expressly agreed that such reductions in the interest rate for
      establishing the initial interest rates of the Reduced Facility,
      notwithstanding this Section 11.01 (b) shall only require the approval of
      the Required Banks, provided, that such initial interest rate is at least
      equal to the Euro-Rate plus 2.0%), and prior to the effective date of the
      Reduced Facility, increase the amounts of the Revolving Facility Usage;

                  (c)   Except for sales or other transfers of assets permitted
      by Section 8.02(e) (with respect to which the Agent may release such
      collateral or Guaranty Agreement of a Guarantor in connection therewith
      upon receipt by the Agent, to the Agent's satisfaction, of a certificate
      of an Authorized Officer of NovaCare that after giving effect to such sale
      or transfer no Potential Default or 


                                      -14-
<PAGE>   15
      Event of Default exists or is continuing), release any collateral or other
      security, including, without limitation, the Guaranties, if any, for any
      Loan Party's obligations hereunder; or

                  (d)   Amend this Section 11.01, change the definition of
      Required Banks, change the definition of Supermajority Required Banks, or
      change any requirement providing for the Banks, Required Banks, or
      Supermajority Required Banks to authorize the taking of any action
      hereunder."

      (aa)  Section 11.10 [Duration; Survival] is hereby amended by adding the
words "2.09 (including without limitation the Reimbursement Obligations),"
immediately after the word "Sections" in the last sentence thereof.

      (bb)  The second sentence of Section 11.11 [Successors and Assigns] is
hereby deleted in its entirety and the following is inserted in lieu thereof:

      "Each Bank may, at its own cost, make assignments of or sell
participations in all or any part of its Revolving Credit Commitment and the
Loans made by it to one or more banks or other entities, subject, in the case of
assignment, to the consent of the Agent which shall not be unreasonably
withheld; provided that participations may be sold only to banks or other
financial institutions. Neither the consent of NovaCare nor the Agent is
required for any Bank to grant a participation in its Loans."

      (cc)  Clause (iii) of Section 11.12 [Confidentiality] is hereby amended by
inserting after the words "bank regulatory authority" the words ", insurance
company regulatory authority". Section 11.12 is further amended by deleting the
word "or" immediately before clause "(v)", by deleting the "." at the end of
clause (v) and inserting in lieu thereof ", or (vi) the National Association of
Insurance Commissioners or any similar organization, or any nationally
recognized rating agency that requires access to information about any Bank's
(or any permitted assignee of a Bank) investment portfolio."

      2.    Temporary Waiver of Certain Provisions of Credit Agreement.

      The Agent on behalf of the Banks hereby extends the Waiver Period set
forth in Section 1 of the Nineteenth Amendment to Credit Agreement to end at
11:59 AM (Pittsburgh, Pennsylvania time) on April 22, 1999.

      3.    Other Matters.

      (a)   Each Loan Party acknowledges that it has no claim, counterclaim,
setoff, action or cause of action of any kind or nature whatsoever against all
or any of the Agent, the Banks or any of the Agent's or the Banks' directors,
officers, employees, agents, attorneys, legal representatives, successors and
assigns (the Agent, the Banks and their directors, officers, employees, agents,
attorneys, legal representatives, successors and assigns are collectively
referred to as the "Lender Group"), that directly or indirectly arise out of or
are based upon or in any manner connected with any "Prior Event" (as defined
below), and each Loan Party hereby 


                                      -15-
<PAGE>   16
releases the Lender Group from any liability whatsoever should any nonetheless
exist with respect to such claims. As used herein the term "Prior Event" means
any transaction, event, circumstance, action, failure to act or occurrence of
any sort or type, whether known or unknown, which occurred, existed, was taken,
permitted or begun prior to the execution of this Twentieth Amendment and
occurred, existed, was taken, permitted or begun in accordance with, pursuant to
or by virtue of any terms of this Twentieth Amendment or any Loan Document or
oral or written agreement relating to any of the foregoing.

      (b)   Each Bank, by their execution of this Twentieth Amendment, hereby
approves the Reduced Facility (as such term is defined in Section 1(a) of this
Twentieth Amendment above).

      (c)   Schedule 2.09 (B) [Letters of Credit Expiring Beyond the Expiration
Date], Schedule 6.01(i)(C) [Certain Events Constituting a Material Adverse
Change] and Schedule 8.02(c) [Guaranties] are hereby added to the Credit
Agreement. Schedule 6.01(c) [Subsidiaries] and Exhibit 8.01(m)(iii) [Compliance
Certificate] are amended and restated in their entirety to read as attached
hereto.

      4.    Closing Fees and Post-Closing Matters.

            The Borrowers jointly and severally agree to reimburse the Agent on
demand for all costs, expenses and disbursements relating to this Twentieth
Amendment which are payable by the Borrower as provided in Section 10.05 of the
Credit Agreement. In addition, the Borrowers shall pay to the Agent for the
benefit of the applicable Banks the fees identified in Exhibit I hereto as the
"Amendment Fee." The Borrowers shall promptly deliver such certificates,
resolutions and opinions in form and substance satisfactory to the Agent as the
Agent shall have reasonably requested from time to time. The Borrowers jointly
and severally agree to reimburse the Agent for the benefit of the Banks on
demand for all reasonable fees and out-of-pocket expenses of Blank Rome Comisky
& McCauley LLP, counsel to the Banks (or any substitute therefor), other local
counsel engaged by the Banks, any financial advisors and other experts engaged
by the Banks. On or before May 1, 1999, the Agent shall engage a financial
advisor, at the expense of the Borrowers, to review the financial condition of
NovaCare and its Subsidiaries, to undertake valuation or other matters requested
by the Agent in connection with the sale of any Collateral or other assets of
NovaCare or any of its Subsidiaries, and to undertake such other matters as the
Agent from time to time may request.

      5.    Conditions of Effectiveness.

            The effectiveness of this Twentieth Amendment is expressly
conditioned upon the occurrence and completion of all of the following: (i)
receipt by the Agent on behalf of the Banks of the nonrefundable fees equal to
the aggregate of the amounts set forth on Exhibit I hereto; (ii) receipt by PNC
Capital Markets, Inc. of the nonrefundable fee due pursuant to that certain fee
letter dated March 30, 1999; (iii) payment by the Borrowers of all costs,
expenses and disbursements submitted on or before the date hereof to the
Borrowers pursuant to Section 3 hereof, and (iv) the Agent's receipt of
counterparts of this Twentieth Amendment duly executed by the Borrowers, the
Guarantors, the Agent and the Banks.


                                      -16-
<PAGE>   17
            This Twentieth Amendment shall be dated as of and shall be effective
as of the date and year first above written subject to satisfaction of all
conditions precedent to effectiveness as set forth in this Section 5, which date
shall be the Twentieth Amendment Effective Date.

      6.    Consent of Banks.

            Pursuant to Section 11.01 of the Credit Agreement, this Twentieth
Amendment shall require the written consent of the Banks, which shall be
evidenced by the Banks' execution and delivery to the Agent of counterparts of
this Twentieth Amendment.

      7.    Full Force and Effect.

            Each of the following documents, as amended through and including
this Twentieth Amendment, shall remain in full force and effect on and after the
date of this Amendment:

                        (a)   the Credit Agreement, except as expressly modified
            and amended by this Twentieth Amendment,

                        (b)   each of the Schedules attached to the Credit
            Agreement;

                        (c)   each of the Exhibits attached to the Credit
            Agreement; and

            the Notes, the Guaranty Agreements, the Security Agreement, the
Pledge Agreements, the Agent's Fee Letter, the Subordination Agreement
(Intercompany), the Borrower Agency Agreement and all other Loan Documents.

            On and after the date hereof, each reference in the Credit Agreement
to "this Agreement," "hereunder" or words of like import shall mean and be a
reference to the Credit Agreement, as previously amended and as amended by this
Twentieth Amendment, and each reference in each other Loan Document to the
"Credit Agreement" shall mean and be a reference to the Credit Agreement, as
previously amended and as amended by this Twentieth Amendment. No novation is
intended by this Twentieth Amendment.

            The parties hereto do not amend or waive any provisions of the
Credit Agreement or the other Loan Documents except as expressly set forth
herein.

      8.    Counterparts.

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

      9.    Governing Law.

            This Twentieth Amendment shall be deemed to be a contract under the
laws of the Commonwealth of Pennsylvania and for all purposes shall be governed
by and construed and enforced in accordance with the internal laws of the
Commonwealth of Pennsylvania without regard to its conflict of laws principles.


                                      -17-
<PAGE>   18
                         [SIGNATURES BEGIN ON NEXT PAGE]


                                      -18-
<PAGE>   19
                 [Signature Page 1 of 19 to Twentieth Amendment]

      IN WITNESS WHEREOF, the parties hereto, by their officers thereunto duly
authorized, have executed this Amendment as of the day and year first above
written.

                                      BORROWERS AND GUARANTORS:

ATTEST:                                 NOVACARE, INC., a Delaware corporation, 
                                        and each of the BORROWERS and GUARANTORS
                                        listed on Schedule A attached hereto

By: /s/ Richard S. Binstein               By: /s/ Richard A. McDonald
    ------------------------------            ----------------------------------
    Richard S. Binstein, Secretary        Richard A. McDonald, the Vice
                                          President of each Borrower and 
                                          Guarantor listed on Schedule A 
                                          attached hereto which is a corporation
                                          and of each general partner of each 
                                          Guarantor listed on Schedule A 
                                          attached hereto which is a partnership

    [Seal]

ATTEST:                                 NOVAFUNDS, INC., a Delaware corporation,
                                        and each of the GUARANTORS listed on 
                                        Schedule B attached hereto

By: /s/ Andrew T. Panaccione              By: /s/ Robert C. Campbell           
    ------------------------------            ----------------------------------
    Andrew T. Panaccione, Secretary       Robert C. Campbell, the Vice President
                                          of each Borrower and Guarantor listed
                                          on Schedule B attached hereto

[Seal]

- ------------------------------
<PAGE>   20
                 [Signature Page 2 of 19 to Twentieth Amendment]



                                     AGENT:

                                       PNC BANK, NATIONAL ASSOCIATION, as Agent


                                       By:    /s/ Roland Taub                   
                                              ----------------------------------
                                       Title: SVP                               



                                     BANKS:

                                       PNC BANK, NATIONAL ASSOCIATION


                                       By:    /s/ 
                                              ----------------------------------
                                       Title: SVP                             
<PAGE>   21
                 [Signature Page 3 of 19 to Twentieth Amendment]


                                       FIRST UNION NATIONAL BANK

                                       By:    /s/ Elizabeth D. Morris
                                              ----------------------------------
                                       Name:  Elizabeth D. Morris    
                                       Title: Vice President         
<PAGE>   22
                 [Signature Page 4 of 19 to Twentieth Amendment]


                                       FLEET NATIONAL BANK

                                       By:    /s/ Fred N. Manning  
                                              ----------------------------------
                                       Name:  Fred N. Manning      
                                       Title: Senior Vice President
<PAGE>   23
                 [Signature Page 5 of 19 to Twentieth Amendment]


                                       MELLON BANK, N.A.

                                       By:    /s/ Carl S. Tabacjar, Jr.   
                                              ----------------------------------
                                       Name:  CARL S. TABACJAR, JR.       
                                       Title: ASSISTANT VICE PRESIDENT    
<PAGE>   24
                 [Signature Page 6 of 19 to Twentieth Amendment]


                                       NATIONSBANK, N.A.


                                       By:    /s/ Kevin Wagley    
                                              ----------------------------------
                                       Name:  KEVIN WAGLEY        
                                       Title: VICE PRESIDENT      
<PAGE>   25
                 [Signature Page 7 of 19 to Twentieth Amendment]


                                       THE BANK OF NEW YORK


                                       By:    /s/ Peter H. Abdill  
                                              ----------------------------------
                                       Name:  Peter H. Abdill      
                                       Title: Vice President       
<PAGE>   26
                 [Signature Page 8 of 19 to Twentieth Amendment]


                                       SUNTRUST BANK, CENTRAL FLORIDA, N.A.


                                       By:    /s/ Harold Bitler       
                                              ----------------------------------
                                       Name:  Harold Bitler           
                                       Title: First Vice President    
<PAGE>   27
                 [Signature Page 9 of 19 to Twentieth Amendment]


                                       BANK ONE, KENTUCKY, NA


                                       By:    /s/ Richard Babcock  
                                              ----------------------------------
                                       Name:  RICHARD BABCOCK      
                                       Title: VICE PRESIDENT       
<PAGE>   28
                [Signature Page 10 of 19 to Twentieth Amendment]


                                       THE FUJI BANK, LIMITED
                                       NEW YORK BRANCH


                                       By:    /s/ Teiji Teramoto   
                                              ----------------------------------
                                       Name:  Teiji Teramoto             
                                       Title: Vice President and Manager 
<PAGE>   29
                [Signature Page 11 of 19 to Twentieth Amendment]


                                       CRESTAR BANK


                                       By:    /s/ Leesa McShane    
                                              ----------------------------------
                                       Name:  Leesa McShane        
                                       Title: VP                   
<PAGE>   30
                [Signature Page 12 of 19 to Twentieth Amendment]


                                       BANK OF TOKYO - MITSUBISHI TRUST COMPANY


                                       By:    /s/ John R. Bicsi     
                                              ----------------------------------
                                       Name:  John R. Bicsi         
                                       Title: Vice President        
<PAGE>   31
                [Signature Page 13 of 19 to Twentieth Amendment]


                                       AMSOUTH BANK


                                       By:    /s/ J. Ken DiFatta   
                                              ----------------------------------
                                       Name:  J. KEN DiFATTA           
                                       Title: ASSISTANT VICE PRESIDENT 
<PAGE>   32
                [Signature Page 14 of 19 to Twentieth Amendment]


                                       BANK OF AMERICA NT & SA


                                       By:    /s/ Kevin Wagley     
                                              ----------------------------------
                                       Name:  KEVIN WAGLEY        
                                       Title: VICE PRESIDENT      
<PAGE>   33
                [Signature Page 15 of 19 to Twentieth Amendment]


                                       COMERICA BANK


                                       By:    /s/ Mark J. Herman   
                                              ----------------------------------
                                       Name:  Mark J. Herman       
                                       Title: First Vice President 
<PAGE>   34
                [Signature Page 16 of 19 to Twentieth Amendment]


                                       CREDIT LYONNAIS NEW YORK BRANCH


                                       By:    /s/ Henry Reukauf    
                                              ----------------------------------
                                       Name:  Henry Reukauf        
                                       Title: Vice President       
<PAGE>   35
                [Signature Page 17 of 19 to Twentieth Amendment]


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


                                       By:    /s/ Ian Reece        
                                              ----------------------------------
                                       Name:  IAN REECE            
                                       Title: Senior Credit Officer


                                       By:    /s/ R. A. Matthews   
                                              ----------------------------------
                                       Name:                       
                                       Title: V.P. SAR             
<PAGE>   36
                [Signature Page 18 of 19 to Twentieth Amendment]


                                       THE TOKAI BANK, LIMITED NEW YORK BRANCH


                                       By:    /s/ Shinichi Nakatani    
                                              ----------------------------------
                                       Name:  Shinichi Nakatani        
                                       Title: Assistant General Manager
<PAGE>   37
                [Signature Page 19 of 19 to Twentieth Amendment]


                                       TORONTO DOMINION (TEXAS), INC.


                                       By:    /s/ Jimmy Simlen      
                                              ----------------------------------
                                       Name:  Jimmy Simlen          
                                       Title: Vice President        
<PAGE>   38
STATE OF GEORGIA

COUNTY OF FULTON


         On the 15th day of April, 1999 personally appeared Harold Bitler, as
the First Vice President of SunTrust Bank, Central Florida, National
Association, and before me executed the attached Twentieth Amendment dated as of
_____________, 1999 to the Credit Agreement between NovaCare, Inc., with
SunTrust Bank, Central Florida, National Association, as Lender.

         IN WITNESS WHEREOF, I have hereunto set my hand and official seal, in
the state and county aforesaid.

                           /s/ Christine B. Alford                     
                           -----------------------------------------------------
                           Signature of Notary Public, State of Georgia
                                                                ----------------

                                    Christine B. Alford 
                           -----------------------------------------------------
                           (Print, Type or Stamp Commissioned Name of 
                           Notary Public) 
                           Personally known X ; OR Produced Identification 
                                           ---                            ------
                           Type of identification produced:
                                                           ---------------------

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

                                           Notary Public, DeKalb county, Georgia
                                           My Commission Expires June 29, 2001
<PAGE>   39
                                   SCHEDULE A

<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
NovaCare, Inc. (a Delaware corporation)                                                             B

NovaCare, Inc. (a Pennsylvania corporation)                                                         B

RehabClinics, Inc.                                                                                  B

Rehab Managed Care of Arizona, Inc.                                                                 B

A.D. Craig Company                                                                                  G

Advanced Orthopedic Technologies, Inc. (a Nevada corporation)                                       G

Advanced Orthopedic Technologies, Inc. (a New York corporation)                                     G

Advance Orthotics, Inc.                                                                             G

Advanced Orthotics and Prosthetics, Inc.                                                            G

Advanced Orthopedic Systems, Inc.                                                                   G

Advanced Orthopedic Technologies (Clayton), Inc.                                                    G

Advanced Orthopedic Technologies (Lett), Inc.                                                       G

Advanced Orthopedic Technologies (New Jersey), Inc.                                                 G

Advanced Orthopedic Technologies (New Mexico), Inc.                                                 G

Advanced Orthopedic Technologies (New York), Inc.                                                   G

Advanced Orthopedic Technologies (OTI), Inc.                                                        G

Advanced Orthopedic Technologies (Parmeco), Inc.                                                    G

Advanced Orthopedic Technologies (SFV), Inc.                                                        G

Advanced Orthopedic Technologies (Virginia), Inc.                                                   G

Advanced Orthopedic Technologies (West Virginia), Inc.                                              G

Advanced Orthopedic Technologies Management Corp.                                                   G

Affiliated Physical Therapists, Ltd.                                                                G

American Rehabilitation Center, Inc.                                                                G

American Rehabilitation Clinic, Inc.                                                                G

American Rehabilitation Systems, Inc.                                                               G

Artificial Limb and Brace Center                                                                    G

Athens Sports Medicine Clinic, Inc.                                                                 G

Ather Sports Injury Clinic, Inc.                                                                    G

Atlanta Prosthetics, Inc.                                                                           G

Atlantic Health Group, Inc.                                                                         G
</TABLE>
<PAGE>   40
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
Atlantic Rehabilitation Services, Inc.                                                              G

Boca Rehab Agency, Inc.                                                                             G

Bowman-Shelton Orthopedic Service, Incorporated                                                     G

Buendel Physical Therapy, Inc.                                                                      G

C.E.R. - West, Inc.                                                                                 G

Cahill Orthopedic Laboratory, Inc.                                                                  G

Cannon & Associates, Inc.                                                                           G

Cenla Physical Therapy & Rehabilitation Agency, Inc.                                                G

Center for Evaluation & Rehabilitation, Inc.                                                        G

Center for Physical Therapy and Sports Rehabilitation, Inc.                                         G

CenterTherapy, Inc.                                                                                 G

Certified Orthopedic Appliance Co., Inc.                                                            G

Central Missouri Rehabilitation Services, Inc.                                                      G

Central Missouri Therapy, Inc.                                                                      G

Central Valley Prosthetics & Orthotics, Inc.                                                        G

Champion Physical Therapy, Inc.                                                                     G

CMC Center Corporation                                                                              G

Coplin Physical Therapy Associates, Inc.                                                            G

Crowley Physical Therapy Clinic, Inc.                                                               G

Dale Clark Prosthetics, Inc.                                                                        G

Douglas Avery and Associates, Ltd.                                                                  G

Douglas C. Claussen, R.P.T., Physical Therapy, Inc.                                                 G

E.A. Warnick-Pomeroy Co., Inc.                                                                      G

Elk County Physical Therapy, Inc.                                                                   G

Fine, Bryant & Wah, Inc.                                                                            G

Francis Naselli, Jr. & Stewart Rich Physical Therapists, Inc.                                       G

Frank J. Malone & Son, Inc.                                                                         G

Fresno Orthopedic Company                                                                           G

Gallery Physical Therapy Center, Inc.                                                               G

Georgia Health Group, Inc.                                                                          G

Georgia Physical Therapy of West Georgia, Inc.                                                      G

Georgia Physical Therapy, Inc.                                                                      G

Greater Sacramento Physical Therapy Associates, Inc.                                                G
</TABLE>
<PAGE>   41
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
Grove City Physical Therapy and Sports Medicine, Inc.                                               G

Gulf Breeze Physical Therapy, Inc.                                                                  G

Gulf Coast Hand Specialists, Inc.                                                                   G

Hand Therapy and Rehabilitation Associates, Inc.                                                    G

Hand Therapy Associates, Inc.                                                                       G

Hangtown Physical Therapy, Inc.                                                                     G

Hawley Physical Therapy, Inc.                                                                       G

Heartland Rehabilitation, Inc.                                                                      G

High Desert Institute of Prosthetics & Orthotics                                                    G

Human Performance and Fitness, Inc.                                                                 G

Indianapolis Physical Therapy and Sports Medicine, Inc.                                             G

Industrial Health Care Company, Inc.                                                                G

J.E. Hanger, Incorporated                                                                           G

JOYNER SPORTS SCIENCE INSTITUTE, Inc.                                                               G

JOYNER SPORTSMEDICINE INSTITUTE, INC.                                                               G

Kentucky Rehabilitation Services, Inc.                                                              G

Kesinger Physical Therapy, Inc.                                                                     G

Kroll's, Inc.                                                                                       G

Lynn M. Carlson, Inc.                                                                               G

McKinney Prosthetics/Orthotics, Inc.                                                                G

Mark Butler Physical Therapy Center, Inc.                                                           G

Meadowbrook Orthopedics, Inc.                                                                       G

Medical Arts O&P Services, Inc.                                                                     G

Medical Plaza Physical Therapy, Inc.                                                                G

Metro Rehabilitation Services, Inc.                                                                 G

Michigan Therapy Centre, Inc.                                                                       G

MidAtlantic Health Group, Inc.                                                                      G

Mill River Management, Inc.                                                                         G

Mitchell Tannenbaum I, Inc.                                                                         G

Mitchell Tannenbaum II, Inc.                                                                        G

Mitchell Tannenbaum III, Inc.                                                                       G

Monmouth Rehabilitation, Inc.                                                                       G

New England Health Group, Inc.                                                                      G
</TABLE>
<PAGE>   42
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
New Mexico Physical Therapists, Inc.                                                                G

Northland Regional Orthotic and Prosthetic Center, Inc.                                             G

Northside Physical Therapy, Inc.                                                                    G

NovaCare (Arizona), Inc.                                                                            G

NovaCare (Colorado), Inc.                                                                           G

NovaCare (Texas), Inc.                                                                              G

NovaCare Management Company, Inc.                                                                   G

NovaCare Management Services, Inc.                                                                  G

NovaCare Northside Therapy, Inc.                                                                    G

NovaCare Occupational Health Services, Inc.                                                         G

NovaCare Orthotics & Prosthetics East, Inc.                                                         G

NovaCare Orthotics & Prosthetics Holdings, Inc.                                                     G

NovaCare Orthotics & Prosthetics West, Inc.                                                         G

NovaCare Orthotics & Prosthetics, Inc.                                                              G

NovaCare Outpatient Rehabilitation East, Inc.                                                       G

NovaCare Outpatient Rehabilitation I, Inc.                                                          G

NovaCare Outpatient Rehabilitation West, Inc.                                                       G

NovaCare Outpatient Rehabilitation, Inc.                                                            G

NovaCare Rehab Agency of Alabama, Inc.                                                              G

NovaCare Rehab Agency of Arkansas, Inc.                                                             G

NovaCare Rehab Agency of Florida, Inc.                                                              G

NovaCare Rehab Agency of Georgia, Inc.                                                              G

NovaCare Rehab Agency of Illinois, Inc.                                                             G

NovaCare Rehab Agency of Kansas, Inc.                                                               G

NovaCare Rehab Agency of Lubbock, Inc.                                                              G

NovaCare Rehab Agency of Michigan, Inc.                                                             G

NovaCare Rehab Agency of Missouri, Inc.                                                             G

NovaCare Rehab Agency of New Jersey, Inc.                                                           G

NovaCare Rehab Agency of North Carolina, Inc.                                                       G

NovaCare Rehab Agency of Northern California, Inc.                                                  G

NovaCare Rehab Agency of Ohio, Inc.                                                                 G

NovaCare Rehab Agency of Oklahoma, Inc.                                                             G

NovaCare Rehab Agency of Oregon, Inc.                                                               G
</TABLE>
<PAGE>   43
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
NovaCare Rehab Agency of Pennsylvania, Inc.                                                         G

NovaCare Rehab Agency of Reno, Inc.                                                                 G

NovaCare Rehab Agency of San Antonio, Inc.                                                          G

NovaCare Rehab Agency of San Diego, Inc.                                                            G

NovaCare Rehab Agency of South Carolina, Inc.                                                       G

NovaCare Rehab Agency of Southern California, Inc.                                                  G

NovaCare Rehab Agency of Tennessee, Inc.                                                            G

NovaCare Rehab Agency of Virginia, Inc.                                                             G

NovaCare Rehab Agency of Washington, Inc.                                                           G

NovaCare Rehab Agency of Wyoming, Inc.                                                              G

NovaCare Rehabilitation Agency of Wisconsin, Inc.                                                   G

NovaCare Rehabilitation, Inc.                                                                       G

NovaCare Service Corp.                                                                              G

Opus Care, Inc.                                                                                     G

Ortho East, Inc.                                                                                    G

Ortho Rehab Associates, Inc.                                                                        G

Ortho-Fab Laboratories, Inc.                                                                        G

Orthopedic Appliances, Inc.                                                                         G

Orthopedic and Sports Physical Therapy of Cupertino, Inc.                                           G

Orthopedic Rehabilitative Services, Ltd.                                                            G

Orthotic & Prosthetic Rehabilitation Technologies, Inc.                                             G

Orthotic and Prosthetic Associates, Inc.                                                            G

Orthotic Specialists, Inc.                                                                          G

Peter Trailov R.P.T. Physical Therapy Clinic, Orthopaedic Rehabilitation & Sports                   G
Medicine, Ltd.

Peters, Starkey & Todrank Physical Therapy Corporation                                              G

Physical Focus Inc.                                                                                 G

Physical Rehabilitation Partners, Inc.                                                              G

Physical Restoration Laboratories, Inc.                                                             G

Physical Therapy Clinic of Lee's Summit, Inc.                                                       G

Physical Therapy Enterprises, Inc.                                                                  G

Physical Therapy Institute, Inc.                                                                    G

Physical Therapy Services of the Jersey Cape, Inc.                                                  G

Pro Active Therapy, Inc.                                                                            G
</TABLE>
<PAGE>   44
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
Professional Orthotics and Prosthetics, Inc.                                                        G

Professional Orthotics and Prosthetics, Inc. of Santa Fe                                            G

Professional Therapeutic Services, Inc.                                                             G

Progressive Orthopedic                                                                              G

Prosthetics-Orthotics Associates, Inc.                                                              G

Protech Orthotic and Prosthetic Center, Inc.                                                        G

Quad City Management, Inc.                                                                          G

RCI (Colorado), Inc.                                                                                G

RCI (Exertec), Inc.                                                                                 G

RCI (Illinois), Inc.                                                                                G

RCI (Michigan), Inc.                                                                                G

RCI (S.P.O.R.T.), Inc.                                                                              G

RCI (WRS), Inc.                                                                                     G

RCI Nevada, Inc.                                                                                    G

Rebound Oklahoma, Inc.                                                                              G

Redwood Pacific Therapies, Inc.                                                                     G

Rehab Provider Network of Florida, Inc.                                                             G

Rehab Provider Network - New Jersey, Inc.                                                           G

Rehab Provider Network - California, Inc.                                                           G

Rehab Provider Network - Delaware, Inc.                                                             G

Rehab Provider Network - Georgia, Inc.                                                              G

Rehab Provider Network - Illinois, Inc.                                                             G

Rehab Provider Network - Indiana, Inc.                                                              G

Rehab Provider Network - Maryland, Inc.                                                             G

Rehab Provider Network - Michigan, Inc.                                                             G

Rehab Provider Network - Ohio, Inc.                                                                 G

Rehab Provider Network - Oklahoma, Inc.                                                             G

Rehab Provider Network - Virginia, Inc.                                                             G

Rehab Provider Network - Washington, D.C., Inc.                                                     G

Rehab Provider Network - Pennsylvania, Inc.                                                         G

Rehab Provider Network of Colorado, Inc.                                                            G

Rehab Provider Network of Nevada, Inc.                                                              G

Rehab Provider Network of New Mexico, Inc.                                                          G
</TABLE>
<PAGE>   45
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
Rehab Provider Network of North Carolina, Inc.                                                      G

Rehab Provider Network of Texas, Inc.                                                               G

Rehab Provider Network of Wisconsin, Inc.                                                           G

Rehab World, Inc.                                                                                   G

Rehab/Work Hardening Management Associates, Ltd.                                                    G

RehabClinics (COAST), Inc.                                                                          G

RehabClinics (GALAXY), Inc.                                                                         G

RehabClinics (New Jersey), Inc.                                                                     G

RehabClinics (PTA), Inc.                                                                            G

RehabClinics (SPT), Inc.                                                                            G

RehabClinics Abilene, Inc.                                                                          G

RehabClinics Dallas, Inc.                                                                           G

RehabClinics Pennsylvania, Inc.                                                                     G

Rehabilitation Fabrication, Inc.                                                                    G

Rehabilitation Management, Inc.                                                                     G

Reid Medical Systems, Inc.                                                                          G

Robert M. Bacci, R.P.T. Physical Therapy, Inc.                                                      G

Robin Aids Prosthetics, Inc.                                                                        G

S.T.A.R.T., Inc.                                                                                    G

Salem Orthopedic & Prosthetic, Inc.                                                                 G

San Joaquin Orthopedic, Inc.                                                                        G

Scott G. Knoche, Inc.                                                                               G

SG Rehabilitation Agency, Inc.                                                                      G

SG Speech Associates, Inc.                                                                          G

Sierra Nevada Physical Therapy Corporation                                                          G

South Jersey Physical Therapy Associates, Inc.                                                      G

South Jersey Rehabilitation and Sports Medicine Center, Inc.                                        G

Southern Illinois Prosthetic & Orthotic, Ltd.                                                       G

Southern Illinois Prosthetic & Orthotic of Missouri, Ltd.                                           G

Southpointe Fitness Center, Inc.                                                                    G

Southwest Emergency Associates, Inc.                                                                G

Southwest Medical Supply Company                                                                    G

Southwest Physical Therapy, Inc.                                                                    G
</TABLE>
<PAGE>   46
<TABLE>
<CAPTION>
                                                                                            BORROWER ("B") /
                                       ENTITY                                               GUARANTOR ("G")
- --------------------------------------------------------------------------------            ----------------
<S>                                                                                         <C>
Southwest Therapists, Inc.                                                                          G

Sporthopedics Sports and Physical Therapy Centers, Inc.                                             G

Sports Therapy and Arthritis Rehabilitation, Inc.                                                   G

Star Physical Therapy Inc.                                                                          G

Stephenson-Holtz, Inc.                                                                              G

T.D. Rehab Systems, Inc.                                                                            G

Texoma Health Care Center, Inc.                                                                     G

The Center for Physical Therapy and Rehabilitation, Inc.                                            G

The Orthopedic Sports and Industrial Rehabilitation Network, Inc.                                   G

Theodore Dashnaw Physical Therapy, Inc.                                                             G

Treister, Inc.                                                                                      G

Tucson Limb & Brace, Inc.                                                                           G

Union Square Center for Rehabilitation & Sports Medicine, Inc.                                      G

University Orthotic and Prosthetic Consultants, Ltd.                                                G

Valley Group Physical Therapists, Inc.                                                              G

Vanguard Rehabilitation, Inc.                                                                       G

Wayzata Physical Therapy Center, Inc.                                                               G

West Side Physical Therapy, Inc.                                                                    G

West Suburban Health Partners, Inc.                                                                 G

Western Missouri Rehabilitation Services, Inc.                                                      G

Western Rehab Services, Inc.                                                                        G

Worker Rehabilitation Services, Inc.                                                                G

Yuma Rehabilitation Center, Inc.                                                                    G

A.D. Craig (A.D. Craig Company is general partner)                                                  G

Advanced Orthopedic Services, Ltd. (RehabClinics Dallas, Inc. is general partner)                   G

Craig Weymouth Enterprises (A.D. Craig Company is general partner)                                  G

Land Park Physical Therapy (Union Square Center for Rehabilitation & Sports                         G
Medicine, Inc. is general partner)

NovaPartners (IND), LP (NovaCare, Inc. (a Pennsylvania corporation) is general                      G
partner)
</TABLE>
<PAGE>   47
                                    EXHIBIT I

                   AMENDMENT FEES TO BANKS APPROVING AMENDMENT

<TABLE>
<CAPTION>
                   Bank                                               Amendment Fee
                   ----                                               -------------
<S>                                                                   <C>
PNC Bank, National Association                                        $      90,000

First Union National Bank                                             $      69,750

Fleet  National Bank                                                  $      69,750

Mellon Bank, N.A                                                      $      69,750

NationsBank, N.A                                                      $      69,750

Bank One, Kentucky, NA                                                $   51,187.50

Credit Lyonnais New York Branch                                       $   51,187.50

Cooperatieve Centrale Raiffeisen-Boerenleenbank B.A., 
"Rabobank Nederland", New York Branch                                 $   51,187.50

Toronto Dominion (Texas), Inc.                                        $   51,187.50

The Bank of New York                                                  $      45,000

SunTrust Bank, Central Florida, N.A                                   $      45,000

AmSouth Bank                                                          $      33,750

Bank of America NT & SA                                               $      33,750

Bank of Tokyo - Mitsubishi Trust Company                              $      33,750

Comerica Bank                                                         $      33,750

Crestar Bank                                                          $      33,750

The Fuji Bank, Limited New York Branch                                $      33,750

The Tokai Bank, Limited New York Branch                               $      33,750
</TABLE>


<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
CONDENSED CONSOLIDATED BALANCE SHEET AS OF MARCH 31, 1999 AND THE CONDENSED
CONSOLIDATED STATEMENT OF OPERATIONS FOR THE NINE MONTHS ENDED MARCH 31, 1999.
AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH STATEMENT IN FORM 10-Q FOR
THE QUARTERLY PERIOD ENDED MARCH 31, 1999.
</LEGEND>
<CIK> 0000802843
<NAME> NOVACARE, INC.
<MULTIPLIER> 1000
<CURRENCY> U.S. DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          JUN-30-1999
<PERIOD-START>                             JUL-01-1998
<PERIOD-END>                               MAR-31-1999
<EXCHANGE-RATE>                                      1
<CASH>                                          23,804
<SECURITIES>                                         0
<RECEIVABLES>                                  344,143
<ALLOWANCES>                                    42,774
<INVENTORY>                                     45,135
<CURRENT-ASSETS>                               440,528
<PP&E>                                         165,331
<DEPRECIATION>                               (100,790)
<TOTAL-ASSETS>                               1,289,829
<CURRENT-LIABILITIES>                          701,492
<BONDS>                                         55,267
                                0
                                          0
<COMMON>                                           684
<OTHER-SE>                                     457,001
<TOTAL-LIABILITY-AND-EQUITY>                 1,289,829
<SALES>                                              0
<TOTAL-REVENUES>                             1,398,830
<CGS>                                                0
<TOTAL-COSTS>                                1,342,086<F1>
<OTHER-EXPENSES>                               148,962<F2>
<LOSS-PROVISION>                                23,439
<INTEREST-EXPENSE>                              28,373
<INCOME-PRETAX>                              (144,030)
<INCOME-TAX>                                  (19,163)
<INCOME-CONTINUING>                          (124,867)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                 (124,867)
<EPS-PRIMARY>                                   (1.99)
<EPS-DILUTED>                                   (1.99)
<FN>
<F1>"TOTAL COSTS" CONSIST OF COST OF SERVICE AND SELLING AND ADMINISTRATIVE
EXPENSES.
<F2>"OTHER EXPENSES" CONSIST OF AMORTIZATION OF GOODWILL MINORITY INTEREST AND
PROVISION FOR RESTRUCTURE OFFSET BY INVESTMENT INCOME AND GAIN FROM ISSUANCE OF
SUBSIDIARY STOCK.
</FN>
        

</TABLE>


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