HORIZON CMS HEALTHCARE CORP
10-Q, 1997-01-14
SKILLED NURSING CARE FACILITIES
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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
 
                             WASHINGTON, D.C. 20549
 
                            ------------------------
 
                                   FORM 10-Q
 
/X/       QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
          EXCHANGE ACT OF 1934
 
               FOR THE QUARTERLY PERIOD ENDED: NOVEMBER 30, 1996
                                       OR
 
/ /       TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
          EXCHANGE ACT OF 1934
 
                         COMMISSION FILE NUMBER: 1-9369
 
                            ------------------------
 
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             (Exact name of registrant as specified in its charter)
 
             DELAWARE                               91-1346899
   (State or other jurisdiction                  (I.R.S. Employer
 of incorporation or organization)              Identification No.)
 
                         6001 INDIAN SCHOOL ROAD, N.E.
                         ALBUQUERQUE, NEW MEXICO 87110
                                 (505) 878-6100
                  (Address and telephone number of Registrant)
 
    Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such report(s), and (2) has been subject to such
filing requirements for the past 90 days.
 
                             Yes __XX__ No _______
 
    The number of shares of the registrant's Common Stock, $.001 par value,
outstanding at January 10, 1997 was 51,799,219.
 
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<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
                                     INDEX
            FORM 10-Q -- FOR THE SIX MONTHS ENDED NOVEMBER 30, 1996
                        PART I. -- FINANCIAL INFORMATION
 
<TABLE>
<CAPTION>
                                                                                                      PAGE NUMBERS
                                                                                                   -------------------
<S>           <C>                                                                                  <C>
Item 1.       Financial Statements:
              Consolidated Balance Sheets
                November 30, 1996 and May 31, 1996...............................................               3
              Consolidated Statements of Operations
                For the three months and the six months ended November 30, 1996 and 1995.........               4
              Consolidated Statements of Cash Flows
                For the six months ended November 30, 1996 and 1995..............................               5
              Notes to Consolidated Financial Statements.........................................               6
Item 2.       Management's Discussion and Analysis of Financial Condition and Results of
                Operations.......................................................................              12
 
                                            PART II. -- OTHER INFORMATION
Item 1.       Legal Proceedings..................................................................              20
Item 6.       Exhibits and Reports on Form 8-K...................................................              23
Signatures.......................................................................................              24
</TABLE>
 
                                       2
<PAGE>
                        PART I -- FINANCIAL INFORMATION
 
ITEM 1.  FINANCIAL STATEMENTS
 
                       HORIZON/CMS HEALTHCARE CORPORATION
                          CONSOLIDATED BALANCE SHEETS
                       NOVEMBER 30, 1996 AND MAY 31, 1996
                             (DOLLARS IN THOUSANDS)
 
                                     ASSETS
 
<TABLE>
<CAPTION>
                                                    NOVEMBER 30      MAY 31
                                                    ------------  ------------
                                                    (UNAUDITED)
<S>                                                 <C>           <C>
CURRENT ASSETS:
  Cash and cash equivalents.......................  $     7,741   $     31,836
  Patient care accounts receivable, net of
    allowance for doubtful accounts of $44,765 at
    November 30 and $41,347 at May 31.............      300,981        293,365
  Estimated third party settlements...............       35,292         37,529
  Prepaid and other assets........................      249,872        269,850
  Deferred income taxes...........................       23,860         21,287
                                                    ------------  ------------
    Total current assets..........................      617,746        653,867
PROPERTY AND EQUIPMENT, net.......................      548,836        542,676
GOODWILL, net.....................................      216,208        156,127
OTHER INTANGIBLE ASSETS, net......................       33,962         38,269
NOTES RECEIVABLE, excluding current portion.......       75,062         71,757
OTHER ASSETS......................................       55,157         50,055
                                                    ------------  ------------
    Total assets..................................  $ 1,546,971   $  1,512,751
                                                    ------------  ------------
                                                    ------------  ------------
 
                     LIABILITIES AND STOCKHOLDERS' EQUITY
 
CURRENT LIABILITIES:
  Current portion of long-term debt...............  $     7,223   $      6,522
  Accounts payable................................       22,502         18,500
  Accrued expenses and other liabilities..........      180,721        172,435
                                                    ------------  ------------
    Total current liabilities.....................      210,446        197,457
LONG-TERM DEBT, excluding current portion.........      658,020        637,884
OTHER LIABILITIES.................................       10,424          9,374
                                                    ------------  ------------
    Total liabilities.............................      878,890        844,715
MINORITY INTERESTS................................       18,591         16,688
STOCKHOLDERS' EQUITY:
  Common stock of $.001 par value, authorized
    150,000,000 shares, 52,655,275 shares issued
    with 52,015,264 shares outstanding at November
    30 and 52,581,762 shares issued with
    51,941,751 shares outstanding at May 31.......           53             53
  Additional paid-in capital......................      590,026        589,516
  Retained earnings...............................       68,116         70,484
  Treasury stock..................................       (8,705 )       (8,705)
                                                    ------------  ------------
    Total stockholders' equity....................      649,490        651,348
                                                    ------------  ------------
    Total liabilities and stockholders' equity....  $ 1,546,971   $  1,512,751
                                                    ------------  ------------
                                                    ------------  ------------
</TABLE>
 
   The accompanying notes are an integral part of these financial statements.
 
                                       3
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                   FOR THE THREE MONTHS AND SIX MONTHS ENDED
                           NOVEMBER 30, 1996 AND 1995
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED       SIX MONTHS ENDED
                                                                        NOVEMBER 30,            NOVEMBER 30,
                                                                   ----------------------  ----------------------
                                                                      1996        1995        1996        1995
                                                                   ----------  ----------  ----------  ----------
<S>                                                                <C>         <C>         <C>         <C>
TOTAL OPERATING REVENUES.........................................  $  444,306  $  440,752  $  887,940  $  872,159
                                                                   ----------  ----------  ----------  ----------
COSTS AND EXPENSES:
  Cost of services...............................................     372,775     356,630     744,622     705,777
  Facility leases................................................      21,358      21,847      42,399      42,925
  Depreciation and amortization..................................      15,210      15,107      30,186      29,758
  Interest expense...............................................      13,738      11,364      26,050      24,476
  Special charge.................................................       4,000      --          11,150      63,540
                                                                   ----------  ----------  ----------  ----------
    Total costs and expenses.....................................     427,081     404,948     854,407     866,476
                                                                   ----------  ----------  ----------  ----------
    Earnings before minority interests, income taxes and
      extraordinary item.........................................      17,225      35,804      33,533       5,683
    Minority interests...........................................      (1,633)     (2,078)     (3,680)     (3,402)
                                                                   ----------  ----------  ----------  ----------
    Earnings before income taxes and extraordinary item..........      15,592      33,726      29,853       2,281
Income taxes.....................................................       8,200      14,183      14,400      11,663
                                                                   ----------  ----------  ----------  ----------
    Earnings (loss) before extraordinary item....................       7,392      19,543      15,453      (9,382)
Extraordinary item, net of tax...................................     (17,821)    (22,075)    (17,821)    (22,075)
                                                                   ----------  ----------  ----------  ----------
    Net loss.....................................................  $  (10,429) $   (2,532) $   (2,368) $  (31,457)
                                                                   ----------  ----------  ----------  ----------
                                                                   ----------  ----------  ----------  ----------
Earnings (loss) per common and common equivalent share:
  Earnings before extraordinary item.............................  $     0.14  $     0.38  $     0.29  $    (0.18)
  Extraordinary item.............................................       (0.34)      (0.43)      (0.34)      (0.43)
                                                                   ----------  ----------  ----------  ----------
  Net loss.......................................................  $    (0.20) $    (0.05) $    (0.05) $    (0.61)
                                                                   ----------  ----------  ----------  ----------
                                                                   ----------  ----------  ----------  ----------
Weighted average number of shares outstanding....................      52,153      51,814      52,132      51,696
                                                                   ----------  ----------  ----------  ----------
                                                                   ----------  ----------  ----------  ----------
</TABLE>
 
   The accompanying notes are an integral part of these financial statements.
 
                                       4
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
              FOR THE SIX MONTHS ENDED NOVEMBER 30, 1996 AND 1995
                                 (IN THOUSANDS)
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                                   1996         1995
                                                                                                -----------  -----------
<S>                                                                                             <C>          <C>
Cash flows from operating activities:
  Net loss....................................................................................  $    (2,368) $   (31,457)
                                                                                                -----------  -----------
  Adjustments:
    Depreciation and amortization.............................................................       30,186       29,758
    Provision for loss on patient care accounts receivable....................................       10,197       10,648
    Other.....................................................................................          409       (7,324)
    Special charge............................................................................       11,150       63,540
    Extraordinary loss........................................................................       20,237       38,062
    Increase (decrease) in cash from changes in assets and liabilities, excluding effects of
      acquisitions and dispositions:
      Patient care accounts receivable and estimated third party settlements..................       (1,728)     (45,966)
      Prepaid and other assets................................................................       (7,076)     (27,873)
      Deferred income taxes...................................................................           58          185
      Accounts payable........................................................................        3,812       (2,033)
      Accrued expenses and other liabilities..................................................       (9,331)     (36,095)
                                                                                                -----------  -----------
Total adjustments.............................................................................       57,914       22,902
                                                                                                -----------  -----------
Net cash provided by (used in) operating activities...........................................       55,546       (8,555)
                                                                                                -----------  -----------
Cash flows from investing activities:
  Payments pursuant to acquisition agreements, net of cash acquired...........................      (74,457)     (15,074)
  Acquisition of property and equipment.......................................................      (29,547)     (25,819)
  Proceeds from disposition of assets.........................................................       22,177      --
  Notes receivable............................................................................       (2,266)         857
  Other investing activities..................................................................       (4,696)        (687)
                                                                                                -----------  -----------
  Net cash used in investing activities.......................................................      (88,789)     (40,723)
                                                                                                -----------  -----------
Cash flows from financing activities:
  Long-term debt borrowings...................................................................      295,584      551,053
  Long-term debt repayments...................................................................     (284,898)    (483,836)
  Premium and other payments on early retirement of debt......................................      --           (30,636)
  Issuance of common stock....................................................................          511        3,739
  Other financing activities..................................................................         (236)        (476)
  Distributions to minority interests.........................................................       (1,813)      (1,507)
                                                                                                -----------  -----------
  Net cash provided by financing activities...................................................        9,148       38,337
                                                                                                -----------  -----------
Net decrease in cash and cash equivalents.....................................................      (24,095)     (10,941)
Cash and cash equivalents, beginning of period................................................       31,836       40,674
Effect of pooling of interests restatement (Note 3)...........................................      --            (3,311)
                                                                                                -----------  -----------
Cash and cash equivalents, end of period......................................................  $     7,741  $    26,422
                                                                                                -----------  -----------
                                                                                                -----------  -----------
Supplemental disclosures of cash flow information:
  Cash paid during the period for:
    Interest..................................................................................  $    17,961  $    30,400
                                                                                                -----------  -----------
                                                                                                -----------  -----------
    Income taxes, net.........................................................................  $    13,612  $     1,300
                                                                                                -----------  -----------
                                                                                                -----------  -----------
Non-cash investing and financing activities:
  Assumption of long-term debt in connection with acquisitions................................  $    13,924  $   --
                                                                                                -----------  -----------
                                                                                                -----------  -----------
</TABLE>
 
   The accompanying notes are an integral part of these financial statements.
 
                                       5
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(1) BASIS OF PRESENTATION
 
    The consolidated financial statements included herein have been prepared by
Horizon/CMS Healthcare Corporation and its subsidiaries (collectively, the
"Company") pursuant to the rules and regulations of the Securities and Exchange
Commission (the "Commission"). Accordingly, they are unaudited and certain
information and footnote disclosures normally included in the Company's annual
consolidated financial statements prepared in accordance with generally accepted
accounting principles have been condensed or omitted, as permitted under the
applicable rules and regulations. In the opinion of management, all adjustments
necessary for a fair presentation of the financial position, results of
operations and cash flows for the periods presented have been made and are of a
normal recurring nature.
 
    These consolidated financial statements should be read in conjunction with
the Company's consolidated financial statements and the notes thereto included
in the Company's Annual Report on Form 10-K for the year ended May 31, 1996,
filed with the Commission. The results of operations for the interim periods
presented are not necessarily indicative of the results to be expected for the
entire year.
 
(2) OPERATING REVENUES
 
    The Company derives net patient care revenues principally from public
funding through the Medicaid and Medicare programs, private pay patients and
non-affiliated long-term care facilities. For the three months ended November
30, 1996 and 1995, the Company derived 34% and 31%, respectively, of its
revenues from Medicare. For the six months ended November 30, 1996 and 1995, the
Company derived 33% and 31%, respectively, of its revenues from Medicare. For
the three months ended November 30, 1996 and 1995, the Company derived 19% and
18%, respectively, of its revenues from Medicaid. For the six months ended
November 30, 1996 and 1995, the Company derived 19% and 18%, respectively, of
its revenues from Medicaid. Under the Medicare program and some state Medicaid
programs, the Company's long-term care facilities are paid interim amounts
designed to approximate the facilities' reimbursable costs. Such interim amounts
due from third party payors and amounts due from other payor sources are
recorded as patient care accounts receivable. With respect to these programs for
which interim payments are subject to retroactive cost adjustment, actual costs
incurred are reported through cost reports by each facility annually. Throughout
the annual cost reporting period, the Company records, for each of several
hundred Medicare and Medicaid certified providers operated by the Company, the
estimated difference between interim payments received and the expected actual
costs as estimated third party settlements. The cost reports are subject to
examinations and retroactive adjustments, which may result in upward or downward
adjustment from initially submitted reimbursable costs. The Company generally
expects final settlement on annual cost reports to occur approximately 24 months
following the end of an annual cost reporting period. Tentative partial
settlement may occur as soon as six months following the cost reporting period.
Differences between amounts accrued as estimated third-party settlements and
amounts ultimately received or paid are recorded in operations in the year of
final settlement. Most of the Company's Medicaid payments are prospective and no
retroactive adjustment is made to such payments.
 
    While settlement adjustments are common upon third-party intermediary cost
report examination, the Company is currently unaware of any matters that may
result in a retroactive cost report adjustment that would have a material effect
on the Company's financial condition or results of operations.
 
    There have been and the Company expects that there will continue to be a
number of reform proposals to develop cost containment in respect of Medicare
and Medicaid reimbursement, some of
 
                                       6
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(2) OPERATING REVENUES (CONTINUED)
which have, and the Company expects will continue to have, the effect of
limiting the amount of reimbursement under these programs. The Company cannot
predict at this time whether any of these proposals will be adopted or, if
adopted and implemented, what effect such proposals would have on the Company.
 
    The Company has also entered into payment agreements with certain commercial
insurance carriers, health maintenance organizations and other payor sources.
The basis for payment under these arrangements includes prospectively determined
amounts for each unit of service.
 
(3) ACQUISITIONS
 
    In November 1996, the Company completed the merger of a wholly owned
subsidiary of the Company with The Rehab Group, Inc. ("Rehab Group") and Rehab
Group became an indirect wholly owned subsidiary of the Company. The purchase
price, including transaction costs was approximately $23.3 million in cash. In
addition, the Company assumed approximately $2.9 million in debt. The total
amount of goodwill recorded in connection with this acquisition approximated
$18.8 million. Rehab Group operates 26 outpatient medical rehabilitation clinics
in Tennessee, Virginia, Georgia, Alabama, Arkansas and Mississippi and generated
total annual revenues of approximately $17.8 million for its fiscal year ended
September 30, 1996.
 
    In July 1996, the Company completed the merger of a wholly owned subsidiary
of the Company with Medical Innovations, Inc. ("Medical Innovations") and
Medical Innovations became a wholly owned subsidiary of the Company. Under the
merger agreement, the Company paid $1.85 for each share of Medical Innovations
common stock. The purchase price, including transaction costs, was approximately
$31.8 million in cash. In addition, the Company assumed approximately $11.0
million in debt. The total amount of goodwill recorded in connection with this
acquisition approximated $36.8 million. Medical Innovations provides services
primarily in Texas and Nevada. These services include specialized home care,
home medical equipment, home medical and intravenous therapies, as well as
comprehensive home health care management services under contractual
arrangements with hospitals and other providers. Total annual revenues of
Medical Innovations for its fiscal year ended December 31, 1995 were
approximately $69.4 million.
 
    Also in July 1996, the Company acquired American Rehabilitation Network,
Inc. ("ARN") for approximately $7.8 million in cash. The total goodwill recorded
in connection with this acquisition approximated $6.6 million. ARN operates six
outpatient rehabilitation centers in Michigan and generated total annual
revenues of approximately $7.2 million for its fiscal year ended December 31,
1995.
 
    During the six months ended November 30, 1996, the Company made various
other acquisitions which individually and in the aggregate were insignificant.
The total goodwill recorded in connection with these acquisitions approximated
$8.9 million.
 
    All of the acquisitions described above have been accounted for under the
purchase method of accounting. Goodwill recorded in connection with these
acquisitions will be amortized on a straight-line basis over a period of 40
years. The following unaudited pro forma financial information reflects the
 
                                       7
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(3) ACQUISITIONS (CONTINUED)
combined results of operations for the six months ended November 30, 1996 and
1995 as if the Rehab Group, Medical Innovations and ARN acquisitions had been
consumated on June 1, 1995.
 
<TABLE>
<CAPTION>
                                                                                     SIX MONTHS ENDED
                                                                                       NOVEMBER 30,
                                                                                  ----------------------
                                                                                     1996        1995
                                                                                  ----------  ----------
                                                                                  (IN THOUSANDS, EXCEPT
                                                                                    PER SHARE AMOUNTS)
<S>                                                                               <C>         <C>
Total operating revenues........................................................  $  901,204  $  920,590
Total operating expenses........................................................     874,495     918,034
                                                                                  ----------  ----------
  Operating income..............................................................      26,709       2,556
  Income taxes..................................................................      13,073      11,779
                                                                                  ----------  ----------
  Net Earnings (loss) before extraordinary item.................................  $   13,636  $   (9,223)
                                                                                  ----------  ----------
                                                                                  ----------  ----------
Net loss........................................................................      [4,185]    [31,298]
Net earnings (loss) per share...................................................  $    (0.08) $    (0.61)
                                                                                  ----------  ----------
                                                                                  ----------  ----------
</TABLE>
 
    In December 1996, the Company completed the acquisition of all of the
outstanding shares of Pacific Rehabilitation & Sports Medicine, Inc. ("Pacific
Rehab"), a provider of outpatient rehabilitation services in 66 outpatient
clinics. Under the terms of the merger agreement, Pacific Rehab stockholders
received $6.50 per share of Pacific Rehab common stock and Pacific Rehab became
an indirect wholly owned subsidiary of the Company. The purchase price was
approximately $54.0 million in cash. In addition, the Company assumed
approximately $22.3 million in debt. Total annual revenues of Pacific Rehab for
its fiscal year ended December 31, 1995 were approximately $35.1 million. This
acquisition will be accounted for under the purchase method. Goodwill will be
amortized on a straight-line basis over a period of 40 years.
 
    In July 1995, a wholly-owned subsidiary of the Company merged with
Continental Medical Systems, Inc. ("CMS") and CMS became a wholly owned
subsidiary of the Company (the "CMS Merger"). Under the terms of the merger
agreement, the Company issued approximately 20.9 million shares of its common
stock, valued at approximately $393.9 million based on the closing price of the
Company's common stock on July 10, 1995, for all the outstanding shares of CMS's
common stock. Additionally, outstanding options to acquire CMS's common stock
were converted to options to acquire approximately 3.8 million shares of the
Company's common stock. CMS was one of the largest providers of comprehensive
medical rehabilitation programs and services in the country with a significant
presence in each of the rehabilitation industry's three principal sectors --
inpatient rehabilitation care, outpatient rehabilitation care and contract
therapy. The merger has been accounted for as a pooling of interests and,
accordingly, the Company's historical financial information has been restated to
include CMS's financial results. In connection with the CMS Merger, the Company
changed its name to Horizon/CMS Healthcare Corporation.
 
    The duplication of reporting CMS's June 1995 operating results of $4.1
million in fiscal year 1995 and in the six months ended November 30, 1995, has
been adjusted for by a charge to retained earnings. Appropriate adjustments have
also been made in the statement of cash flows for the six months ended November
30, 1995.
 
                                       8
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(3) ACQUISITIONS (CONTINUED)
    Separate results of the Company and CMS for the periods presented prior to
the consummation of the CMS Merger and in total for the periods are as follows
(in thousands):
 
<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED       SIX MONTHS ENDED
                                                                        NOVEMBER 30,            NOVEMBER 30,
                                                                   ----------------------  ----------------------
                                                                      1996        1995        1996        1995
                                                                   ----------  ----------  ----------  ----------
<S>                                                                <C>         <C>         <C>         <C>
Total operating revenues:
  The Company, prior to the CMS Merger...........................  $   --      $   59,065  $   --      $   59,065
  CMS, prior to the CMS Merger...................................      --          83,684      --          83,684
  The Company, subsequent to the CMS Merger......................     444,306     298,003     887,940     729,410
                                                                   ----------  ----------  ----------  ----------
                                                                   $  444,306  $  440,752  $  887,940  $  872,159
                                                                   ----------  ----------  ----------  ----------
                                                                   ----------  ----------  ----------  ----------
Net earnings (loss):
  The Company, prior to the CMS Merger...........................  $   --      $    2,280  $   --      $    2,280
  CMS, prior to the CMS Merger...................................      --           4,122      --           4,122
  The Company, subsequent to the CMS Merger......................     (10,429)     (8,934)     (2,368)    (37,859)
                                                                   ----------  ----------  ----------  ----------
                                                                   $  (10,429) $   (2,532) $   (2,368) $  (31,457)
                                                                   ----------  ----------  ----------  ----------
                                                                   ----------  ----------  ----------  ----------
</TABLE>
 
(4) SPECIAL CHARGE
 
    The Company recorded a special charge of approximately $11.2 million
(pre-tax), during the six months ended November 30, 1996. Included in the
special charge is $7.2 million recorded during the three months ended August 31,
1996 which resulted from the approval by management of the Company of
restructuring measures relating to the Company's rehabilitation hospital
corporate office located in Mechanicsburg, Pennsylvania and certain contract
rehabilitation therapy operations. These measures included the transition of all
corporate-related functions being performed in Mechanicsburg to the Company's
corporate office in Albuquerque, New Mexico and the further consolidation of the
contract rehabilitation therapy division's administrative and management
organization. The special charge also includes a $4.0 million charge recorded
during the second quarter of fiscal 1997 related to the settlement of the
investigation by the Office of the Inspector General ("OIG") and the Department
of Justice ("DOJ") of certain of the Company's Medicare Part B and related
co-insurance billings. See "Item 1. Legal Proceedings -- OIG/DOJ Investigation
Involving Certain Medicare Part B and Related Co-Insurance Billings" in Part II
of this Report.
 
    Approximately $5.3 million of the first quarter of fiscal 1997 special
charge is comprised of involuntary termination benefits paid or expected to be
paid to an estimated 130 employees impacted by the restructuring. The completion
of these terminations is expected to occur by January 1997. Management approved
and committed the Company to the employee terminations and, during the first
quarter of fiscal 1997, the Company communicated the termination benefits
payable to the employees. Approximately $1.5 million of the first quarter of
fiscal 1997 special charge is comprised of lease exit costs related primarily to
office space that will be vacated as a result of the restructuring. The
remaining approximate $400,000 balance of the first quarter of fiscal 1997
special charge is comprised of impairment charges related to excess assets that
will be sold as a result of the restructuring. This charge adjusts the carrying
 
                                       9
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(4) SPECIAL CHARGE (CONTINUED)
amount of those assets to their estimated fair values. The Company does not
anticipate any significant changes to the restructuring plan through the
expected completion date of January 1997.
 
    The Company has recorded various special charges since fiscal 1994 for which
a portion of the original accruals are included in accrued expenses and other
liabilities as of November 30, 1996. At November 30, 1996, the remaining balance
in the special charge accruals is approximately $19.2 million. The impairment of
property and equipment and other asset balances are reflected as reductions of
the related asset accounts while the remaining amounts are included in accrued
expenses. The components of these special charges and balances reflected as
accrued expenses are as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                 FISCAL YEAR
                                                       BALANCE      1997      FISCAL YEAR    BALANCE
                                                       MAY 31,     SPECIAL       1997      NOVEMBER 30,
                                                        1996       CHARGE      ACTIVITY        1996
                                                      ---------  -----------  -----------  ------------
<S>                                                   <C>        <C>          <C>          <C>
Impairment of assets and future noncancellable
 commitments........................................  $   4,895   $     400    $  (3,108)   $    2,187
Legal...............................................      6,000       4,000       (1,445)        8,555
Termination benefits................................      1,724       5,250       (3,298)        3,676
Lease exit and other................................      4,834       1,500       (1,535)        4,799
                                                      ---------  -----------  -----------  ------------
                                                      $  17,453   $  11,150    $  (9,386)   $   19,217
                                                      ---------  -----------  -----------  ------------
                                                      ---------  -----------  -----------  ------------
</TABLE>
 
(5) LONG-TERM DEBT
 
    The Company is the borrower under a credit agreement dated as of September
26, 1995 (the "Credit Facility") with NationsBank of Texas, N.A., as Agent, and
the lenders named therein. The aggregate revolving credit commitment under the
Credit Facility is $750 million, of which the Company had borrowed $531.0
million and had outstanding letters of credit of $33.8 million at November 30,
1996. Borrowings under the Credit Facility bear interest, payable monthly, at a
rate equal to either, as selected by the Company, the Alternate Base Rate (as
therein defined) of the Agent in effect from time to time, or the Adjusted
London Inter-Bank Offer Rate ("LIBOR") plus 0.625% to 1.25% per annum, depending
on the maintenance of specified financial ratios. The applicable interest rates
at November 30, 1996 were 8.25% and 6.75% - 6.88% on the Alternate Base Rate and
LIBOR advances, respectively. In addition, borrowings thereunder mature in
September 2000 and are secured by a pledge of the capital stock of substantially
all subsidiaries of the Company. Under the terms of the Credit Facility, the
Company is required to maintain certain financial ratios and is restricted in
the payment of dividends to an amount which shall not exceed 20% of the
Company's net earnings for the prior fiscal year.
 
    The Company utilizes an interest rate collar agreement, consisting of the
combination of an interest rate cap and an interest rate floor in a single
transaction, to reduce the impact of increases in interest rates on its floating
rate debt. The Company entered into the $200 million notional amount collar
agreement at no initial investment following the expansion of the Credit
Facility in September 1995. The Company utilizes the collar as an interest rate
hedge on its floating rate, LIBOR based Credit Facility and does not intend the
instrument to be speculative in nature. The agreement has a term of two years
and expires in October 1997. The collar agreement entitles the Company to
receive from the counterparty the amount, if any, by which average LIBOR
interest payments on the notional amount exceed 8.0% per annum. The
 
                                       10
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(5) LONG-TERM DEBT (CONTINUED)
collar agreement requires that the Company pay to the counterparty the amount,
if any, by which average LIBOR interest payments on the notional amount are less
than 4.57% per annum. The fair value of the collar agreement is estimated based
on quotes from market makers of these instruments and represents the estimated
amount that the Company would expect to receive or pay if the agreement was
terminated. The fair value of the collar on November 30, 1996 would require that
a $10,263 payment be made by the counterparty to the Company to terminate the
agreement.
 
(6) EXTRAORDINARY ITEM
 
    During the three months ended November 30, 1996, the Company disposed of
certain assets and operations of a non-invasive medical diagnostic company
providing hospital-based and mobile ultrasound related diagnostic services. The
Company also disposed of a medical office automation operation company providing
medical and financial systems. As a result of these two dispositions, the
Company recorded an extraordinary charge of $2.9 million, inclusive of income
tax expense of $2.7 million.
 
    In addition, during the three months ended November 30, 1996, management
obtained board of director approval to pursue the sale of a long-term care
facility and a subacute care facility located in California and Maryland,
respectively, and its interest in four rehabilitation hospitals, eleven hospital
based or freestanding outpatient rehabilitation clinics and six congregate care
facilities located in California. Subsequent to November 30, 1996, the Company
signed definitive agreements to dispose of the long-term care facility and
subacute care facility, the expected disposal dates of which are March 1997 and
January 1997, respectively. Also, subsequent to November 30, 1996, in December
1996, the Company completed the sale of its interest in the four rehabilitation
hospitals, eleven hospital based or freestanding outpatient rehabilitation
clinics and six congregate care facilities. The difference between the actual or
proposed sales price or estimated fair value of the operations and the recorded
basis of the assets sold or to be sold subsequent to November 30, 1996 is
approximately $20.0 million. As a result, an extraordinary charge of $14.9
million, net of an income tax benefit of $5.1 million, was recorded during the
three months ended November 30, 1996.
 
    In accordance with the provisions of Accounting Principles Board Opinion No.
16 ("APB 16"), "Business Combinations," the charges described above were
classified as extraordinary items. Management's decision with respect to these
operations disposed of or to be disposed of occurred subsequent to the merger
with CMS, in July 1995, which was accounted for as a pooling of interests. APB
16 requires that profit or loss resulting from the disposal of assets within two
years after a pooling of interests be classified as an extraordinary item, net
of tax.
 
    In addition to the above dispositions, the Company, as previously disclosed,
is currently pursuing the disposition of 21 leased long-term care facilities,
ten owned long-term care facilities, three managed long-term care facilities,
one pharmacy operation, the Company's rights in respect of one pharmacy
operation and the Company's investment interest in a pharmacy operation. See
Note (17) to the Company's audited financial statements in its Annual Report on
Form 10-K for the year ended May 31, 1996.
 
                                       11
<PAGE>
                       HORIZON/CMS HEALTHCARE CORPORATION
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                               NOVEMBER 30, 1996
 
                                  (UNAUDITED)
 
(6) EXTRAORDINARY ITEM (CONTINUED)
    The results of operations of the properties held for sale as of November 30,
1996 discussed above, are as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED       SIX MONTHS ENDED
                                                                        NOVEMBER 30,            NOVEMBER 30,
                                                                   ----------------------  -----------------------
                                                                      1996        1995        1996        1995
                                                                   ----------  ----------  ----------  -----------
<S>                                                                <C>         <C>         <C>         <C>
Revenues.........................................................  $   46,997  $   49,711  $   95,309  $    98,736
Expenses.........................................................     (50,531)    (51,446)    (99,733)    (102,472)
                                                                   ----------  ----------  ----------  -----------
                                                                   $   (3,534) $   (1,735) $   (4,424) $    (3,736)
                                                                   ----------  ----------  ----------  -----------
                                                                   ----------  ----------  ----------  -----------
</TABLE>
 
    Total assets, net of the impairment reserve discussed above, of
approximately $167.1 million related to the operations to be disposed of have
been reclassified and are included within prepaid and other assets in the
November 30, 1996 balance sheet. Total liabilities of $24.8 million related to
these operations have been reclassified to accrued expenses and other
liabilities in the November 30, 1996 balance sheet. In the May 31, 1996 balance
sheet, total assets and total liabilities related to the operations held for
sale of approximately $89.0 million and $5.7 million, respectively, have been
reclassified and are included within prepaid and other assets and accrued
expenses and other liabilities, respectively.
 
(7) COMMITMENTS AND CONTINGENCIES
 
    The Company is a party to threatened or pending litigation in connection
with several matters any one of which, if adversely determined, could have a
material adverse impact on the Company's financial condition and/or results of
operations. See "Item 1. Legal Proceedings" in Part II of this report for a
description of such litigation.
 
                                       12
<PAGE>
ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
  OF OPERATIONS
 
GENERAL OVERVIEW
 
    The Company is a leading provider of post-acute health care services,
including specialty health care services and long-term care services,
principally in the Midwest, Southwest, Northeast and Southeast regions of the
United States. At November 30, 1996, Horizon provided specialty health care
services through 37 acute rehabilitation hospitals in 16 states (2,065 beds), 58
specialty hospitals and subacute care units in 17 states (1,925 beds), 222
outpatient rehabilitation clinics in 25 states and 1,436 rehabilitation therapy
contracts in 35 states. At that date, Horizon provided long-term care services
through 121 owned or leased facilities (15,147 beds) and 142 managed facilities
(15,798 beds) in a total of 18 states. Other medical services offered by the
Company include pharmacy, laboratory, physician and allied health professional
staffing services, Alzheimer's care, home health care, physician practice
management, non-invasive medical diagnostic, assisted living, home respiratory,
home infusion therapy and hospice care. For the six months ended November 30,
1996 and 1995, the Company derived 48% and 51%, respectively, of its revenues
from private sources, 33% and 31%, respectively, from Medicare and 19% and 18%,
respectively, from Medicaid.
 
REGULATION
 
    GENERAL.  The federal government and the governments of all states in which
the Company operates regulate various aspects of its businesses. There can be no
assurance that federal or state governments will not impose additional
restrictions on its activities that might adversely affect its businesses. The
operation of the Company's long-term care facilities and certain segments of its
specialty health care business and the provision of these services are subject
to federal, state and local licensure and certification laws. These facilities
and segments are subject to periodic inspection by governmental and other
authorities to assure compliance with the various standards established for
continued licensure under state law, certification under the Medicare and
Medicaid programs and participation in the Veteran's Administration program. As
previously disclosed, the Company's specialty hospital in Dallas, Texas was
decertified from the Medicare program in June 1996. The Company has appealed the
decertification and, simultaneously with that, moved to begin the
recertification process. During the quarter, the specialty hospital completed a
recertification survey by representatives of the Health Care Financing
Administration ("HCFA"). Effective in October 1996, this specialty hospital was
recertified for participation in the Medicare program. To the extent that
Certificates of Need or other similar approvals are required for expansion of
the Company's operations, the Company could be adversely affected by the failure
or inability to obtain such approvals, by changes in the standards applicable to
approvals and by possible delays and expenses associated with obtaining
approvals. The failure by the Company to maintain, obtain, retain or renew any
required regulatory approvals, licenses or certifications could prevent the
Company from being reimbursed for or offering its services or could adversely
affect its operations, financial performance and its ability to expand.
 
    MEDICARE/MEDICAID FRAUD AND ABUSE.  A wide array of Medicare/Medicaid fraud
and abuse provisions apply to long-term care facilities, other specialty health
care facilities, home health agencies, pharmacies and clinical laboratories.
Penalties for violation of these federal laws include exclusion from
participation in the Medicare/Medicaid programs, asset forfeiture, civil
penalties and criminal penalties. The OIG, the DOJ and other federal agencies
interpret these fraud and abuse provisions liberally and enforce them
aggressively. The Health Care Portability Act of 1996, which expands
significantly the federal government's involvement in curtailing
Medicare/Medicaid fraud and abuse and increases the monetary penalties for
violations of these provisions. The Company believes that its operations and
practices comply with these fraud and abuse provisions. The Company is unable to
predict, however, the effect of future administrative or judicial
interpretations of these laws, regulations and rules, whether other legislation
or regulations on the federal or state level in any of these areas will be
adopted, what form such legislation or regulations may take, or their impact on
the Company. There can be no assurance that such laws, regulations or rules,
 
                                       13
<PAGE>
or the interpretation thereof, will ultimately be consistent with the Company's
practices. See "Item 1. Legal Proceedings -- OIG/DOJ Investigation Involving
Certain Medicare Part B and Related Co-Insurance Billings and -- Michigan
Attorney General Investigation into Long-Term Care Facility in Michigan" in Part
II of this Report.
 
    REIMBURSEMENT RATES FOR CONTRACT THERAPY SERVICES.  In April 1995, HCFA
issued a memorandum to its Medicare fiscal intermediaries (the "Fiscal
Intermediaries") providing guidelines for assessing costs incurred by inpatient
providers ("Care Providers") relating to payment of occupational and speech
language pathology services furnished under arrangements that include contracts
between therapy providers and Care Providers. While not binding on the Fiscal
Intermediaries, the HCFA memorandum suggested certain rates to the Fiscal
Intermediaries to assist them in making annual "prudent buyer" assessments of
speech and occupational therapy rates paid by Care Providers during the Fiscal
Intermediary's reviews of the Care Providers' cost reports. The HCFA memorandum
acknowledges that the rates noted in the memorandum are not absolute limits and
should only be used by the Fiscal Intermediaries for comparative purposes.
Following the issuance of the HCFA memorandum, meetings between industry
representatives and the HCFA have been held concerning the merits of the HCFA
memorandum. In light of the fluid nature of the HCFA memorandum, the Company
cannot predict what effect, if any, the HCFA memorandum will have on the Company
or if the rates suggested in the HCFA memorandum will continue to be recommended
by the HCFA. Additionally, the Company cannot determine at this time whether the
rates suggested in the HCFA memorandum would be used by the HCFA as a basis for
developing possible future regulations creating a salary equivalency based
reimbursement system for speech and occupational therapy services. Although
management of the Company has developed strategies to deal with potential future
changes, there can be no assurance that future changes in the administration or
interpretation of governmental health care programs will not have an adverse
effect on the results of operations of the Company.
 
    HEALTH CARE REFORM.  During fiscal 1996, various Congressional legislators
introduced reform proposals that are intended to control health care costs,
improve access to medical services for uninsured individuals and balance the
federal budget by the year 2002. Certain of these budgetary proposals were
passed by both Houses of Congress, including passage of resultant committee
bills. These proposals include reduced rates of growth in the Medicare and
Medicaid programs and proposals to block grant funds to the states to administer
the Medicaid program. These proposals were included in the 1995 budget
reconciliation act, which the President of the United States vetoed. In January
1996, the President presented his own plan to balance the federal budget by
2002. From time to time discussions have occurred between members of the House
of Representatives, members of the Senate and the President to devise a balanced
budget plan. While these proposals do not, at this time, appear to affect the
Company adversely, significant changes in reimbursement levels under Medicare or
Medicaid and changes in applicable governmental regulations could affect the
future results of operations of the Company. There can be no assurance that
future legislation, health care or budgetary, will not have an adverse effect on
the future results of operations of the Company.
 
                                       14
<PAGE>
RESULTS OF OPERATIONS
 
    The following table sets forth certain statement of operations data
expressed as a percentage of total operating revenues:
 
<TABLE>
<CAPTION>
                                                               THREE MONTHS ENDED     SIX MONTHS ENDED
                                                                  NOVEMBER 30,          NOVEMBER 30,
                                                              --------------------  --------------------
                                                                1996       1995       1996       1995
                                                              ---------  ---------  ---------  ---------
<S>                                                           <C>        <C>        <C>        <C>
Total operating revenues....................................      100.0%     100.0%     100.0%     100.0%
                                                              ---------  ---------  ---------  ---------
Cost of services............................................       83.9       80.9       83.9       80.9
Facility leases.............................................        4.8        5.0        4.8        4.9
Depreciation and amortization...............................        3.4        3.4        3.4        3.4
Interest expense............................................        3.1        2.6        2.9        2.8
Special charge..............................................        0.9     --            1.2        7.3
                                                              ---------  ---------  ---------  ---------
Earnings before minority interests, income taxes and
  extraordinary item........................................        3.9        8.1        3.8        0.7
Minority interests..........................................       (0.4)      (0.5)      (0.4)      (0.4)
                                                              ---------  ---------  ---------  ---------
Earnings before income taxes and extraordinary item.........        3.5        7.6        3.4        0.3
Income taxes................................................        1.8        3.2        1.7        1.4
                                                              ---------  ---------  ---------  ---------
Earnings (loss) before extraordinary item...................        1.7        4.4        1.7       (1.1)
Extraordinary item, net of tax..............................       (4.0)      (5.0)      (2.0)      (2.5)
                                                              ---------  ---------  ---------  ---------
Net loss....................................................       (2.3)%      (0.6)%      (0.3)%      (3.6)%
                                                              ---------  ---------  ---------  ---------
                                                              ---------  ---------  ---------  ---------
</TABLE>
 
    The following table sets forth a summary of the Company's total operating
revenues by type of service and the percentage of total operating revenues that
each such service represented for each period indicated:
 
<TABLE>
<CAPTION>
                                                 THREE MONTHS ENDED NOVEMBER 30,              SIX MONTHS ENDED NOVEMBER 30,
                                            ------------------------------------------  ------------------------------------------
                                                    1996                  1995                  1996                  1995
                                            --------------------  --------------------  --------------------  --------------------
                                                                            (DOLLARS IN THOUSANDS)
<S>                                         <C>        <C>        <C>        <C>        <C>        <C>        <C>        <C>
Long-term care services...................  $ 102,663       23.1% $  95,175       21.6% $ 203,073       22.9% $ 189,711       21.7%
Specialty health care services:
  Acute and outpatient rehabilitation.....    130,245       29.3    135,153       30.7    258,931       29.1    264,349       30.3
  Contract therapy........................     89,128       20.1     96,124       21.8    182,083       20.5    198,445       22.8
  Other services (1)......................    114,043       25.7    100,242       22.7    228,156       25.7    201,214       23.1
Other revenues (2)........................      8,227        1.8     14,058        3.2     15,697        1.8     18,440        2.1
                                            ---------  ---------  ---------  ---------  ---------  ---------  ---------  ---------
    Total operating revenues..............  $ 444,306      100.0% $ 440,752      100.0% $ 887,940      100.0% $ 872,159      100.0%
                                            ---------  ---------  ---------  ---------  ---------  ---------  ---------  ---------
                                            ---------  ---------  ---------  ---------  ---------  ---------  ---------  ---------
</TABLE>
 
- ------------------------
 
(1) Includes revenues derived from pharmacy, laboratory, physician and allied
    health professional staffing services, Alzheimer's care, home health care,
    physician practice management, non-invasive medical diagnostic, assisted
    living, home respiratory, home infusion therapy and hospice care.
 
(2) Includes revenues derived from management fees, interest income, rental
    income and other miscellaneous revenues, including $9.3 million, net of
    direct expenses, resulting from arrangements related to an unsuccessful
    merger effort during the three months and six months ended November 30,
    1995.
 
                                       15
<PAGE>
REVENUES
 
    Total operating revenues increased approximately $3.6 million, or 0.8%, and
$15.8 million, or 1.8%, for the three months and six months ended November 30,
1996, respectively, compared to the corresponding periods in fiscal 1996. The
increase in total operating revenues for the fiscal 1997 period is primarily
attributable to acquisitions of specialty health care and long-term care
operations and internal growth of institutional pharmacy programs. The increase
in revenues resulting from these acquisitions was offset somewhat by a decline
in acute rehabilitation and contract rehabilitation therapy revenues.
 
    Specialty health care acquisitions resulted in $23.4 million and $42.0
million of additional revenues during the three months and six months ended
November 30, 1996, respectively. Approximately $12.4. million and $23.2 million
of the increase during the three months and six months ended November 30, 1996,
respectively, was the result of the acquisition of Medical Innovations, Inc. in
July 1996. The balance of the increase was primarily related to various
outpatient rehabilitation therapy acquisitions that resulted in approximately
$11.0 million and $18.8 million of additional revenues during the three months
and six months ended November 30, 1996, respectively. Various long-term care
acquisitions resulted in approximately $3.7 million and $5.5 million of
additional revenues during the three months and six months ended November 30,
1996, respectively, compared to the corresponding periods in fiscal 1996.
 
    Acute rehabilitation revenues declined approximately $13.5 million and $20.6
million during the three months and six months ended November 30, 1996,
respectively, compared to the corresponding periods in fiscal 1996. The decline
is largely the result of cost containment measures implemented in the acute
rehabilitation hospitals. Because the Medicare program provides for cost-based
reimbursement, the reduction in operating costs has resulted in a reduction in
operating revenues. The decline also results, in part, from the sale of a 50%
interest in one acute rehabilitation hospital in the fourth quarter of fiscal
1996. The sale provided for a transfer of control of the operation and, as a
result, that hospital's results are no longer consolidated. Revenues for this
acute rehabilitation hospital were approximately $3.8 million and $8.1 million
during the three and six months ended November 30, 1995, respectively.
 
    Contract rehabilitation therapy revenues declined approximately $7.0 million
and $16.4 million during the three months and six months ended November 30,
1996, respectively, compared to the corresponding periods in fiscal 1996. This
decline was caused by a decrease in volume as certain customers elected to
provide their therapy services in-house, contracts were lost through acquisition
and contracts were terminated that did not meet the Company's profitability
standards.
 
COSTS AND EXPENSES
 
    Cost of services increased approximately $16.1 million, or 4.5%, and $38.8
million , or 5.5%, for the three months and six months ended November 30, 1996,
respectively, compared to the corresponding periods in fiscal 1996. The increase
in cost of services is primarily attributable to specialty health care and
long-term care acquisitions as discussed above, as well as internal expansion of
the Company's specialty health care services and programs. As a percentage of
total operating revenues, cost of services for the three months and six months
ended November 30, 1996 increased to 83.9% from 80.9%, for the corresponding
periods in fiscal 1996. This increase is due primarily to a change in the mix of
margins among the various divisions, a change in the mix among payor sources
and, to a lesser extent, a general increase in corporate costs during the three
months and six months ended November 30, 1996.
 
    Facility lease expense remained constant for the three months and six months
ended November 30, 1996 compared to the corresponding periods in fiscal 1996. As
a percentage of total operating revenues, facility lease expense decreased to
4.8% for the three months and six months ended November 30, 1996 from 5.0% and
4.9%, respectively, for the corresponding periods in fiscal 1996.
 
    Depreciation and amortization increased $0.1 million, or 0.7%, and $0.4
million, or 1.4 %, for the three months and six months ended November 30, 1996,
respectively, compared to the corresponding
 
                                       16
<PAGE>
periods in fiscal 1996. As a percentage of total operating revenues,
depreciation and amortization remained constant at 3.4% for the three months and
six months ended November 30, 1996 as compared with the corresponding periods in
fiscal 1996.
 
    Interest expense increased $2.4 million, or 20.9%, and $1.6 million, or
6.4%, for the three months and six months ended November 30, 1996, respectively,
compared to the corresponding periods in fiscal 1996. The increase in interest
expense is primarily attributable to the increase in the outstanding balance of
the Credit Facility and other long-term debt during the period as a result of
acquisitions.
 
    The Company recorded a $4.0 million special charge during the three months
ended November 30, 1996 related to the settlement of the investigation by the
OIG and the DOJ of certain of the Company's Medicare Part B and related
co-insurance billings. In addition, the Company recorded a $7.2 million special
charge during the three months ended August 31, 1996 as a result of the approval
by management of the Company of restructuring measures relating to the Company's
rehabilitation hospital corporate office located in Mechanicsburg, Pennsylvania
and certain contract rehabilitation therapy operations. See Note (4) of Notes to
Consolidated Financial Statements.
 
    The Company recorded a $63.5 million special charge in the first quarter of
fiscal 1996. The special charge resulted primarily from (i) the write-off of
transaction costs of $6.7 million which had been incurred in completing the CMS
Merger, (ii) the approval by management of the Company of restructuring costs of
$44.9 million related to efforts to combine and restructure the operations of
the Company and CMS and (iii) the $11.9 million write down of assets expected to
be divested during fiscal 1997. See Note (7) to the Company's audited financial
statements in its Annual Report on Form 10-K for the year ended May 31, 1996 and
Note (4) of Notes to Consolidated Financial Statements.
 
LIQUIDITY AND CAPITAL RESOURCES
 
    At November 30, 1996, the Company's working capital was $407.3 million and
included cash and cash equivalents of $7.7 million as compared with $456.4
million in working capital and $31.8 million in cash and cash equivalents at May
31, 1996. During the six months ended November 30, 1996, the Company's operating
activities provided $55.5 million of net cash.
 
    As a result of the restructuring commitments and the special charges
recorded during fiscal 1996 and prior periods, the Company made cash payments
during the three months and six months ended November 30, 1996 totaling $1.4
million and $4.2 million, respectively. As a result of the restructuring
commitments and the special charges recorded during the six months ended
November 30, 1996, the Company made cash payments during the three months and
six months ended November 30, 1996 totaling $1.7 million.
 
EXPANSION PROGRAM
 
    The net cash used in the Company's investing activities increased from $40.7
million for the six months ended November 30, 1995 to $88.8 million for the six
months ended November 30, 1996. The uses of cash in investing activities
included acquisitions and, to a lesser extent, internal construction and capital
expenditures for property and equipment. Cash paid for acquisitions increased
considerably during the six months ended November 30, 1996 compared with the
corresponding period of fiscal 1996 as the Company has elected to structure cash
rather than stock transactions due to the decline in the Company's stock price
in the latter part of fiscal 1996. Cash required for internal construction and
capital expenditures for property and equipment during the six months ended
November 30, 1996 increased by $3.7 million as compared with that required
during the corresponding period of fiscal 1996.
 
    The Company's expansion program requires funds: (i) to acquire assets and to
expand and improve existing and newly acquired facilities; (ii) to discharge
funded indebtedness assumed or otherwise acquired in connection with the
acquisitions of facilities and properties; and (iii) to finance the increase in
patient
 
                                       17
<PAGE>
and other accounts receivable resulting from acquisitions. The funds necessary
to meet these requirements have historically been provided principally by the
Company's financing activities and, to a lesser extent, from operating and
investing activities. However, during the six months ended November 30, 1996,
net cash provided by operating activities substantially exceeded that provided
by financing activities.
 
SOURCES
 
    At November 30, 1996, the available credit under the Company's Credit
Facility was $185.2 million. To the extent that the Company's operations and
expansion program require cash expenditures in excess of the amounts provided by
operations and available to it under the Credit Facility, management of the
Company believes that the Company can obtain the necessary funds through other
financing activities, including the issuance and sale of debt and through the
sale of property and equipment.
 
    The Company has committed to analyze business units and to concentrate
efforts on the businesses and the regions where the Company can reasonably
expect to achieve growth in revenues and earnings. Operations not identified as
consistent with this objective will be considered for disposal. As a result of
this analysis, in September 1996 the Company sold a medical office automation
company providing medical and financial systems in the mid-atlantic region. In
November 1996, the Company completed the sale of certain assets and operations
of a non-invasive medical diagnostic company providing hospital-based and mobile
ultrasound related diagnostic services. The dispositions during the six months
ended November 30, 1996 generated $22.2 million of net cash proceeds.
 
    Also, in December 1996, the Company completed the sale of its interest in
four rehabilitation hospitals, eleven hospital based or freestanding outpatient
rehabilitation clinics and six congregate care facilities located in California.
In November 1996, the Company signed definitive agreements to sell its long-term
care and subacute care facilities in California and Maryland, respectively. As a
result of these transactions completed subsequent to November 30, 1996 or as
currently proposed, the Company anticipates it will generate net cash proceeds
of approximately $44.4 million.
 
    In addition to the above dispositions, the Company, as previously disclosed,
is currently pursuing the disposition of 21 leased long-term care facilities,
ten owned long-term care facilities, three managed long-term care facilities,
one pharmacy operation, the Company's rights in respect of one pharmacy
operation and the Company's investment interest in a pharmacy operation. The
Company will also consider other potential dispositions which provide the
opportunity to concentrate operations in a manner consistent with the Company's
objectives.
 
CREDIT FACILITY
 
    The Company is the borrower under the Credit Facility dated as of September
26, 1995 with NationsBank of Texas, N.A., as Agent, and the lenders named
therein. The aggregate revolving credit commitment under the Credit Facility is
$750 million, of which the Company had borrowed $531.0 million and had
outstanding letters of credit of $33.8 million at November 30, 1996. Borrowings
under the Credit Facility bear interest, payable monthly, at a rate equal to
either, as selected by the Company, the Alternate Base Rate (as therein defined)
of the Agent in effect from time to time, or the Adjusted London Inter-Bank
Offer Rate plus 0.625% to 1.25% per annum, depending on the maintenance of
specified financial ratios. The applicable interest rates at November 30, 1996
were 8.25% and 6.75% - 6.88% on the Alternate Base Rate and Adjusted London
Inter-Bank Offer Rate advances, respectively. Borrowings under the Credit
Facility mature in September 2000 and are secured by a pledge of the capital
stock of substantially all subsidiaries of the Company. Under the terms of the
Credit Facility, the Company is required to maintain certain financial ratios
and is restricted in the payment of dividends to an amount which shall not
exceed 20% of the Company's net earnings for the prior fiscal year.
 
    The lenders' obligations to make additional loans pursuant to the Credit
Facility are subject to the satisfaction of certain conditions, including that
(i) the Company is not in violation of any law, rule or
 
                                       18
<PAGE>
regulation of any governmental authority where such violation could be
reasonably expected to result in a Material Adverse Effect (as defined in the
credit agreement, which definition includes a material adverse effect on the
financial condition or results of operations of the Company) and (ii) that there
are no suits pending as to which there is a reasonable possibility of an adverse
determination and which, if adversely determined, could be reasonably expected
to result in a Material Adverse Effect. After discussions between the Company
and representatives of the Agent, the Company does not believe that the
existence of, or the occurrence of the events giving rise to the pending SEC
investigation or the pending stockholder litigation (see "Item 1. Legal
Proceedings" in Part II of this report) will prevent satisfaction of these
conditions at this time. In addition, pursuant to an amendment to the credit
agreement underlying the Credit Facility, the Company, the Agent and each of the
participating lenders agreed that the Company's knowledge of the existence of
these matters will not prevent satisfaction of these conditions at this time or
in the future. No assurance can be given, however, that future adverse
developments or determinations with respect to these matters will not prevent
satisfaction of such conditions.
 
FORWARD-LOOKING STATEMENTS
 
    The matters discussed in this Report contain forward-looking statements that
involve risks and uncertainties. Although the Company believes that its
expectations are based on reasonable assumptions, it can give no assurance that
the anticipated results will occur. Important factors that could cause actual
results to differ materially from those in the forward-looking statements
include conditions in the capital markets, including the interest rate
environment and stock market levels and activity, the regulatory environment in
which the Company operates and the enactment by Congress of health care reform
measures.
 
                                       19
<PAGE>
                          PART II -- OTHER INFORMATION
 
ITEM 1.  LEGAL PROCEEDINGS
 
LITIGATION AGAINST TENET HEALTHCARE CORPORATION
 
    As previously disclosed, the Company filed a lawsuit on March 7, 1996
against Tenet Healthcare Corporation ("Tenet") in the United District Court for
the District of Nevada. The lawsuit arose out of an agreement entered into
between the Company and Tenet in connection with the Company's attempted
acquisition of The Hillhaven Corporation ("Hillhaven") in January 1995. In the
lawsuit, the Company alleges that Tenet has failed to honor its commitment to
pay Horizon approximately $14.5 million pursuant to the agreement. Tenet has
contended that the amount owing to the Company under the agreement is
approximately $5.1 million. In the quarter ended November 30, 1995, the Company
recognized as a receivable approximately $13.0 million of the approximately
$14.5 million the Company contends it is owed under the agreement. While the
Company continues to vigorously prosecute this lawsuit, no assurance can be
given that the Company will prevail or that the Company will not be required at
a future date to record a charge for a portion of the receivable previously
recorded.
 
OIG/DOJ INVESTIGATION INVOLVING CERTAIN MEDICARE PART B AND RELATED CO-INSURANCE
  BILLINGS
 
    The Company announced on March 15, 1996 that certain Medicare Part B and
related co-insurance billings previously submitted by the Company are being
investigated by the Office of Inspector General of the Department of Health and
Human Services (the "OIG") and the Department of Justice (the "DOJ").
 
    On December 31, 1996, the Company announced it reached a settlement with the
DOJ and the OIG that concludes their investigation of these billings. The
Company also announced that it received a letter from the United States Attorney
indicating that the United States is declining any criminal prosecution of the
Company or any of its employees because of these billings. Under the settlement,
the Company paid approximately $5.8 million to the United States as a complete
and final resolution of the issues arising out of these billings. This amount
includes the $1.2 million the Company previously refunded to the United States
and the affected parties in respect of related co-insurance billings. In
addition, the United States has agreed to refrain from instituting or taking any
action to exclude the Company or any of its affiliates from the Medicare and
Medicaid programs as a result of these billings. In addition, pursuant to the
terms of the settlement, the Company is implementing a corporate-wide Medicare
Part B compliance program that includes the appointment of a subcommittee to the
Company's Corporate Compliance Committee reporting directly to the Chairman's
office and to the Company's Board of Directors, ongoing orientation and training
sessions for current and new employees, training evaluation and annual audits to
assess accuracy, validity and reliability of billings. Board member Dr. Ronald
Riner will serve as the Board's representative and participate in the process.
In addition, the Company will publicize the OIG hotline and will set up a
toll-free Medicare Part B corporate compliance hot line to encourage the
Company's employees to report any compliance concerns.
 
SECURITIES AND EXCHANGE COMMISSION AND NEW YORK STOCK EXCHANGE INVESTIGATIONS
 
    The Company has been advised that the staff of the Division of Enforcement
of the Commission has commenced a private investigation with respect to trading
in the securities of the Company and CMS. In connection with that investigation,
the Company has voluntarily produced certain documents and Neal M. Elliott,
Chairman of the Board, President and Chief Executive Officer of the Company, has
voluntarily given testimony to the Commission. The Company has also been
informed that certain of its divisional office employees and an individual,
affiliates of whom have limited business relationships with the Company, have
responded to subpoenas from the Commission. Mr. Elliott has also produced
certain documents in response to a subpoena from the Commission. In addition,
the Company and Mr. Elliott are each in the process of responding to separate
subpoenas from the Commission pertaining to trading in the Company's common
stock and the Company's March 1, 1996 press release announcing a revision in the
 
                                       20
<PAGE>
Company's third quarter earnings estimate, the Company's March 7, 1996, press
release announcing the filing of a lawsuit against Tenet, the March 12, 1996
press release announcing that the merger with Pacific Rehabilitation and Sports
Medicine, Inc. could not be effected by April 1, 1996 and the Company's March
15, 1996 press release announcing the existence of a federal investigation into
certain of the Company's Medicare Part B billings. The investigation is ongoing,
and neither the Company nor Mr. Elliott possesses all the facts with respect to
the matters under investigation. Although neither the Company nor Mr. Elliott
has been advised by the Commission that the Commission has concluded that any of
the Company, Mr. Elliott or any other current or former officer or director of
the Company has been involved in any violation of the federal securities laws,
there can be no assurance as to the outcome of the investigation or the time of
its conclusion. Both the Company and Mr. Elliott intend to continue cooperating
fully with the Commission in connection with the investigation.
 
    In March 1995, the New York Stock Exchange, Inc. (the "NYSE") informed the
Company that it had initiated a review of trading in Hillhaven common stock
prior to the announcement of the Company's proposed acquisition of Hillhaven.
The NYSE extended in April 1995 the review of trading to include all dealings
with CMS. On April 3, 1996, the NYSE notified the Company that it had initiated
a review of trading in the Company's Common Stock preceding the Company's March
1, 1996 press release described above. The Company is cooperating with the NYSE
in its reviews and, to the Company's knowledge, the reviews are ongoing.
 
MICHIGAN ATTORNEY GENERAL INVESTIGATION INTO LONG-TERM CARE FACILITY IN MICHIGAN
 
    The Company learned on September 18, 1996, that the Attorney General of the
State of Michigan is investigating one of its skilled nursing facilities. The
facility, in Howell, Michigan, has been owned and operated by the Company since
February 1994. As widely reported in the press, the Attorney General seized a
number of patient, financial and accounting records that were located at this
facility. By order of a circuit judge in the county in which the facility is
located, the Attorney General was ordered to return patient records to the
facility for copying.
 
    The investigation appears to involve allegations arising out of a licensing
survey conducted in April 1996. The Company believes the allegations are untrue
and, therefore, denies the same. The Company has advised the Michigan Attorney
General that it is willing to cooperate in this investigation. Due to the
preliminary nature of this investigation, the Company cannot now predict when
the investigation will be completed; the ultimate outcome of the investigation;
or the effect thereof on the Company's financial condition or results of
operations. If adversely determined, this investigation could result in the
imposition of civil and/or criminal fines or sanctions against the Company,
which could have a material adverse impact on the Company's financial condition
and/or its results of operations.
 
STOCKHOLDER LITIGATION
 
    On March 28, 1996, the Company was served with a lawsuit filed on March 21,
1996, in New Mexico state district court in Albuquerque, New Mexico by a former
stockholder of CMS, RONALD GOTTESMAN VS. HORIZON/CMS HEALTHCARE CORPORATION, NO.
CV-96-02894, SECOND JUDICIAL DISTRICT COURT, COUNTY OF BERNALILLO, STATE OF NEW
MEXICO. This lawsuit, which among other things seeks class certification,
alleges violations of federal and New Mexico state securities laws arising from
what the plaintiff contends are materially misleading statements by the Company
in its June 6, 1995 joint proxy statement/prospectus (the "CMS Prospectus"). The
plaintiff alleges that the Company failed to disclose in the CMS Prospectus
those problems in the Company's Medicare Part B billings the Company described
in its related March 15, 1996 announcement. In this action, the plaintiff seeks
damages in an unspecified amount, plus costs and attorneys' fees. The Company
disputes the factual and legal premises upon which the plaintiff's lawsuit is
based and denies that the plaintiff is entitled to any recovery on His claim. To
that end, the Company intends to contest this litigation vigorously. In the
first quarter of fiscal 1997, the Company filed its motion seeking to dismiss
this lawsuit because, among other things, the Company believes the lawsuit fails
to state
 
                                       21
<PAGE>
a claim upon which the plaintiffs are entitled to redress. That motion has not
been ruled on by the judge assigned to the case. Because the lawsuit is in the
initial stages, the Company cannot now predict the outcome of this litigation;
the length of time it will take to resolve this litigation; or the effect of any
such outcome on the Company's financial condition or results of operations.
 
    Since April 5, 1996, the Company was served with several complaints by
current or former stockholders of the Company on behalf of all persons who
purchased common stock of the Company between June 6, 1995 and March 15, 1996.
Each of these lawsuits was filed in the United States District Court for the
District of New Mexico, in Albuquerque, New Mexico. In these lawsuits, the
plaintiffs have alleged in substantially similar complaints violations of
federal and New Mexico state securities laws. In this connection, the plaintiffs
allege that during the class period, the named defendants disseminated
materially misleading statements or omitted disclosing material facts about the
Company, its business, its Greenery and CMS acquisitions, Greenery's improved
operations after the acquisition, the successful integration of CMS's operations
into those of the Company and the cost savings and operating efficiencies
obtained thereby, the Company's earnings growth and financial statements, the
Company's ability to continue to achieve profitable growth and the status and
magnitude of regulatory investigations into and audits of the Company. The
plaintiffs seek damages in any unspecified amount and extraordinary, equitable
or injunctive relief, including attachment, impoundment, or imposition of a
constructive trust against the individual defendants, plus costs and attorneys'
fees. The Company disputes the factual and legal bases upon which the
plaintiffs' lawsuits are based and denies that the plaintiffs are entitled to
any recovery on their claims. To that end, the Company intends to contest these
litigation matters vigorously. In July 1996, the Court entered its order
consolidating these lawsuits into a single action styled IN RE HORIZON/CMS
HEALTHCARE CORPORATION SECURITIES LITIGATION, Case No. CIV 96-0442-BB. On
September 30, 1996, the consolidated putative class plaintiffs filed their
consolidated complaint. Pursuant to court order, the Company and the individual
defendants must answer or otherwise respond to the consolidated complaint by
December 1, 1996. In December 1996, the Company and the individual defendants
filed their motions to dismiss this consolidated lawsuit. Because these lawsuits
are in their initial stages, the Company cannot now predict the outcome of this
litigation; the length of time it will take to resolve this litigation; or the
effect of any such outcome on the Company's financial condition or results of
operations.
 
STOCKHOLDER DERIVATIVE ACTIONS
 
    Commencing in April and continuing into May 1996, the Company was served
with six complaints alleging a class action derivative action brought by
stockholders of the Company for and on behalf of the Company in the Court of
Chancery of New Castle County, Delaware, against Neal M. Elliott, Klemett L.
Belt, Jr., Rocco A. Ortenzio, Robert A. Ortenzio, Russell L. Carson, Bryan C.
Cressey, Charles H. Gonzales, Michael A. Jeffries, Gerard M. Martin, Frank M.
McCord, Raymond M. Noveck, Barry M. Portnoy, and LeRoy S. Zimmerman. The six
lawsuits have been consolidated into one action styled IN RE HORIZON/CMS
HEALTHCARE CORPORATION SHAREHOLDERS LITIGATION. The plaintiffs allege, among
other things, that the Company's current and former directors breached their
fiduciary duties to the Company and the Stockholders as a result of (i) the
purported failure to supervise adequately and the purported knowing
mismanagement of the operations of the Company, and the (ii) purported misuse of
inside information in connection with the sale of the Company's common stock by
certain of the current and former directors in January and February 1996. To
that end, the plaintiff seeks an accounting from the directors for profits to
themselves and damages suffered by the Company as a result of the transaction
complained of in the complaint and attorneys' fees and costs. On June 21, 1996,
the individual defendants filed a motion with the Chancery Court seeking to
dismiss this matter because, among other things, the plaintiffs failed to make a
demand on the board of directors prior to commencing this litigation. The
Company cannot now predict the outcome or the effect of this litigation or the
length of time it will take to resolve this litigation.
 
    In April 1996, the Company was served with a complaint in a stockholders
derivative lawsuit styled LIND V. ROCCO A. ORTENZIO, NEAL M. ELLIOTT, KLEMETT L.
BELT, JR., ROBERT A. ORTENZIO, RUSSELL L. CARSON, BRYAN C.
 
                                       22
<PAGE>
CRESSEY, CHARLES H. GONZALES, MICHAEL A. JEFFRIES, GERARD M. MARTIN, FRANK M.
MCCORD, RAYMOND N. NOVECK, BARRY M. PORTNOY, LEROY S. ZIMMERMAN AND HORIZON/CMS
HEALTHCARE CORPORATION, No. CIV 96-0538-BB, pending in the United States
District Court for the District of New Mexico. The plaintiff alleges, among
other things, that the Company's current and former directors breached their
fiduciary duties to the Company and the stockholders as a result of (i) the
purported failure to supervise adequately and the purported knowing
mismanagement of the operations of the Company, and the (ii) purported misuse of
inside information in connection with the sale of the Company's common stock by
certain of the current and former directors in January and February 1996. To
that end, the plaintiff seeks an accounting from the directors for profits to
themselves and damages suffered by the Company as a result of the transaction
complained of in the complaint and attorneys' fees and costs. The Company filed
a motion seeking a stay of this case pending the outcome of the motion to
dismiss in the Delaware derivative lawsuits or, in the alternative, to dismiss
this case for those same reasons. The Company cannot now predict the outcome or
the effect of this litigation or the length of time it will take or resolve this
litigation.
 
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
 
    At the Company's Annual Meeting of Stockholders, held September 10, 1996, as
adjourned to September 23, 1996 and October 22, 1996, with respect to item a.
below, the following actions were taken:
 
    a.  The amendment to the Company's Restated Certificate of Incorporation to
change: (i) the vote required to fill newly created directorships and vacancies
on the Board of Directors, (ii) the vote required to appoint and remove officers
of the Company, and (iii) the vote required to designate committees of the
Board, remove committee members and fill vacancies on any committee of the
Board, was approved and adopted. The results of the vote were as follows:
 
<TABLE>
<CAPTION>
    FOR        AGAINST    ABSTENTIONS  BROKER NON-VOTES
- ------------  ----------  -----------  ----------------
<S>           <C>         <C>          <C>
 34,813,275   2,094,910     361,734           --
</TABLE>
 
    b.  The election of the following Class 3 Directors to serve until the 1999
Annual Meeting of Stockholders:
 
    (i) Charles K. Bradford, Ronald N. Riner, M.D. and Ernest A. Schofield were
elected as Class 3 Directors of the Company.
 
    The results of the vote were as follows:
 
<TABLE>
<CAPTION>
                                                    FOR        AGAINST    ABSTENTIONS  BROKER NON-VOTES
                                                ------------  ----------  -----------  ----------------
<S>                                             <C>           <C>         <C>          <C>
Charles K. Bradford...........................   32,610,449    866,419        --              --
Ronald N. Riner...............................   32,609,293    867,575        --              --
Ernest A. Schofield...........................   32,452,862   1,024,006       --              --
</TABLE>
 
    c.  The Horizon/CMS Healthcare Corporation 1996 Employee Stock Purchase Plan
was approved and adopted. The results of the vote were as follows:
 
<TABLE>
<CAPTION>
    FOR        AGAINST    ABSTENTIONS  BROKER NON-VOTES
- ------------  ----------  -----------  ----------------
<S>           <C>         <C>          <C>
 30,449,095   2,415,056     157,397        455,320
</TABLE>
 
    d.  The appointment of Arthur Andersen LLP as independent auditors for the
Company for the fiscal year ending May 31, 1997 was ratified. The results of the
vote were as follows:
 
<TABLE>
<CAPTION>
    FOR        AGAINST    ABSTENTIONS  BROKER NON-VOTES
- ------------  ----------  -----------  ----------------
<S>           <C>         <C>          <C>
 33,288,364    131,513      56,991            --
</TABLE>
 
                                       23
<PAGE>
ITEM 5. OTHER INFORMATION
 
    On December 31, 1996, the Company announced that Neal M. Elliott, its
Chairman and Chief Executive Officer, is recovering from cancer-related surgery.
As he recuperates and undergoes some additional preventive therapy, he will
continue to oversee the Company as Chairman and Chief Executive Officer, with
the support of an interim management committee comprised of senior executive
officers at the Company.
 
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
 
    a. Exhibits
 
    4.24.1    Third Amendment dated as of November 6, 1996 to the Amended and
              Restated Credit Agreement dated as of September 26, 1995 by and
              among the Company, CMS, the Lenders named therein and NationsBank
              of Texas, N.A., as Agent and Issuing Bank.
 
      11.1    Statement Re: Computation of Per Share Earnings
 
      27.1    Financial Data Schedule - Six Months Ended November 30, 1996
 
    b. Reports on Form 8-K
 
<TABLE>
<CAPTION>
    DATE OF REPORT                                    ITEMS REPORTED
- ----------------------  --------------------------------------------------------------------------
<S>                     <C>
 
November 18, 1996       Filed on November 21, 1996, reporting under "Item 5. Other Events" the (i)
                          joint announcement by the Company and Pacific Rehabilitation & Sports
                          Medicine, Inc. that they entered into a definitive merger agreement and
                          (ii) announcement that the Company signed definitive agreements to sell
                          to Regency Health Services, Inc. its interest in four acute
                          rehabilitation hospitals, eleven hospital based or free-standing
                          outpatient rehabilitation clinics and six congregate care facilities
                          located in California
 
September 18, 1996      Filed on September 27, 1996, reporting under "Item 5. Other Events" the
                          investigation of the Attorney General of the State of Michigan of one of
                          the Company's skilled nursing facilities located in Howell, Michigan
</TABLE>
 
                                       24
<PAGE>
                                   SIGNATURES
 
    Pursuant to the requirements of the Securities and Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 
                                          HORIZON/CMS HEALTHCARE CORPORATION
 
                                          By
                                            ------------------------------------
 
                                                    Ernest A. Schofield
                                                CHIEF FINANCIAL OFFICER AND
                                                   SENIOR VICE PRESIDENT
 
Date: January 14, 1997
 
- ------------------------
 
*   Ernest A. Schofield is signing in the dual capacities as Chief Financial
    Officer and as a duly authorized officer of the Company.
 
                                       24
<PAGE>
                               INDEX TO EXHIBITS
 
<TABLE>
<CAPTION>
  EXHIBIT
  NUMBER                                             DESCRIPTION OF EXHIBITS
- -----------  --------------------------------------------------------------------------------------------------------
<C>          <S>
    4.24.1   Third Amendment dated as of November 6, 1996 to the Amended and Restated Credit Agreement dated as of
             September 26, 1995 by and among the Company, CMS, the Lenders named therein and NationsBank of Texas,
             N.A., as Agent and Issuing Bank.
      11.1   Statement Re: Computation of Per Share Earnings
      27.1   Financial Data Schedule -- Six Months Ended November 30, 1996
</TABLE>
 
                                       25

<PAGE>
                                 EXHIBIT (B)(4)
<PAGE>


                                                                EXECUTION COPY

                      THIRD AMENDMENT dated as of November 6, 1996 (this 
                   "THIRD AMENDMENT"), to the Amended and Restated Credit 
                   Agreement dated as of September 26, 1995 (as amended to 
                   the date hereof, the "AMENDED CREDIT AGREEMENT"), among 
                   Horizon/CMS Healthcare Corporation, a Delaware corporation 
                   ("HORIZON"), Continental Medical Systems, Inc., a 
                   Delaware corporation ("CONTINENTAL"), and together with 
                   Horizon, the "BORROWERS"), the lenders listed on the 
                   signature pages thereto (the "LENDERS") and NationsBank 
                   of Texas, N.A., as agent for the Lenders (in such 
                   capacity, the "AGENT") and as issuing bank (in such 
                   capacity, the "ISSUING BANK").

   The parties hereto have agreed, subject to the terms and conditions 
hereof, to amend the Amended Credit Agreement as provided herein.

   Capitalized terms used and not otherwise defined herein shall have the 
meanings assigned to such terms in the Amended Credit Agreement (the Amended 
Credit Agreement, as amended and waived by, and together with, this Third 
Amendment, and as hereinafter amended, modified, extended or restated from 
time to time, being called the "AMENDED AGREEMENT").

   Accordingly, the parties hereto hereby agree as follows:

   SECTION 1.01. AMENDMENTS TO SECTION 1.01 AND RELATED AMENDMENT TO 
COMPLIANCE CERTIFICATE. (a) The definition of "Total Funded Debt" in Section 
1.01 of the Amended Agreement is hereby amended by adding the following 
phrase after the words "account party" in cause (b) thereof:

     ", but excluding letters of credit issued in support of facility 
     lease agreements, to the extent that the costs associated with such 
     lease arrangements for any period are fully reflected in Rental Expense 
     of such person for such period"

   (b) The form of Compliance Certificate attached as Exhibit G to the 
Amended Agreement is hereby amended by adding the following language at the 
end of Line I.3. of Exhibit G:

        ", but excluding letters of credit issued in support of facility 
     lease agreements, to the extent that the costs associated with such 
     lease agreements for such period are fully reflected in Rental Expense 
     for such period"

   (c) The definition of "Rental Expense" in Section 1.01 of the Amended 
Agreement is hereby amended by adding the following phrase after the words 
"Consolidated Subsidiaries":

        "(net of the aggregate amount of fixed and contingent rentals 
        receivable by such person and its Consolidated Subsidiaries)"


<PAGE>

   SECTION 1.02. AMENDMENT TO SECTION 6.04 and Adoption of Related Schedule. 
(a) Section 6.04 of the Amended Agreement is hereby amended by deleting the 
period at the end of paragraph (1) thereof and adding "; and" in lieu thereof 
and by adding the following paragraph immediately after paragraph (1) thereof:

   "(m) investments described on Schedule 6.04(a) hereto."

   (b) Schedule 6.04(a) attached to this Third Amendment is hereby adopted as 
Schedule 6.04(a) for purposes of the Amended Agreement.

   SECTION 1.03. AMENDMENTS TO SECTION 6.05 AND ADOPTION OF RELATED SCHEDULE. 
(a)  Section 6.05(a) of the Amended Agreement is hereby amended by deleting 
the period at the end of clause (D) thereof and adding "; and" in lieu 
thereof and by adding the following clause immediately after clause (D) 
thereof:

           "(E) dispositions described on Schedule 6.05(b) hereto, so long as 
     100% of the Net Proceeds thereof remaining after the repayment of 
     existing debt, if any, relating to the assets being disposed of in such 
     described dispositions shall be promptly applied to the prepayment of 
     outstanding Loans, but shall not be applied to reduce the Commitments."
     
   (b) Schedule 6.05(b) attached to this Third Amendment is hereby adopted 
as Schedule 6.05(b) for purposes of the Amended Agreement. 

   SECTION  1.04. AMENDMENTS TO SCHEDULE 6.05(a) AND RELATED AMENDMENTS TO 
SECTION 3.07 AND 6.02.  (a) Schedule 6.05(a) attached to the Second 
Amendment to the Amended Agreement is hereby amended by adding the following 
information:

        "Notwithstanding anything to the contrary set forth herein, the 
     following leased facilities will be subleased to GranCare, Inc. under 
     terms that mirror the terms of the master lease and that require the 
     sublessee to assume all the obligations of the lessee under the master 
     lease:
     
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
                               #                             ANNUAL     LEASE
FACILITY NAME AND ADDRESS     BEDS       LANDLORD             RENT   TERMINATION
- --------------------------------------------------------------------------------
Canterbury Villa of Alliance
1785 S. Preshley Avenue              Alliance Associates
Alliance, OH 44601            100    Ltd. Partnership      $  466,000  02/13/00
- --------------------------------------------------------------------------------
Colonial Manor
196 Colonial Drive                   Little Forest Medical
Youngstown, OH 44505          100    Center                $  164,250  12/31/04
- --------------------------------------------------------------------------------
Wyant Woods Care Center
200 Wyant Rd.
Akron, OH 44313               200    HRPT                  $1,045,400   5/31/97
- --------------------------------------------------------------------------------


                                       2


<PAGE>
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
                               #                             ANNUAL     LEASE
FACILITY NAME AND ADDRESS     BEDS       LANDLORD             RENT   TERMINATION
- --------------------------------------------------------------------------------
Horizon Village Nursing &
Rehab Center    
2473 North Road NE                   Nationwide Health
Warren, OH 44483              222    Properties            $ 943,332   10/31/97
- --------------------------------------------------------------------------------
Heritage Care Center
100 Rogers Lane                      Cardinal Nursing
Shelby, OH 44875               50    Home, Inc.            $  87,300   06/30/00
- --------------------------------------------------------------------------------
Imperial Skilled Care Center
4121 Tod Avenue                      Little Forest Medical
Warren, OH 44485              121    Center                $ 200,385   12/31/04
- --------------------------------------------------------------------------------
Boardman Community Care
Center
5665 South Avenue                    Nationwide Health
Youngstown, OH 44512          221    Properties            $ 843,756   10/31/97
- --------------------------------------------------------------------------------
Ridge Crest Care Center
1926 Ridge Avenue                    Warren Assoc. Ltd.
Warren, OH 44484              100    Partnership           $ 416,400   03/22/99
- --------------------------------------------------------------------------------
Horizon Meadows
1495 S. Preshley Road                Nationwide Health                 12/15/98
Alliance, OH 44601             78    Properties            $ 286,968   10/31/97
- --------------------------------------------------------------------------------
Rosewood Manor
935 Rosewood Drive                   Nationwide Health
Galion, OH 44833               90    Properties            $ 350,520   10/31/97
- --------------------------------------------------------------------------------
Village Care Center
925 Wagner Avenue                    Cardinal Nursing
Galion, OH 44833               58    Home, Inc.            $ 121,500   06/30/00
- --------------------------------------------------------------------------------
Village Square Nursing Center
7787 Staley Rd.                      Village Square
East Orwell, OH 44076          50    Nursing Center, Inc.  $ 186,000   08/31/02
- --------------------------------------------------------------------------------
Hudson Elms Nursing Home
563 W. Streetsboro Rd.
Hudson, OH 44236               50    Hudson Care Corp.     $ 180,000   03/31/01
- --------------------------------------------------------------------------------
Auburn Manor
375 Glenn Avenue
Wash. Court House, OH                Nationwide Health
43160                         100    Properties            $ 393,132   09/30/01
- --------------------------------------------------------------------------------
Janesville Health Care Center
119 S. Parker Drive
Janesville, WI 53545          104    Mi-Conn Associates    $ 362,400   03/31/06
- --------------------------------------------------------------------------------

                                       3
<PAGE>
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
                               #                           ANNUAL      LEASE
FACILITY NAME AND ADDRESS     BEDS       LANDLORD           RENT    TERMINATION
- --------------------------------------------------------------------------------
Greenery Rehabilitation Center
99 Chestnut Hill Avenue
Brighton, MA 02135             201       HRPT            $3,109,926   06/30/05
- --------------------------------------------------------------------------------
Greenery Rehab & Skilled
Nursing Center of Hyannis
89 Lewis Bay Road
Hyannis, MA 02601              142       HRPT            $1,040,800   06/30/05
- --------------------------------------------------------------------------------
Greenery Rehab & Skilled
Nursing Ctr. of Middleboro
23 Isaac Street, P.O. Box 1330
Middleboro, MA 02346           124       HRPT            $2,131,243   06/30/05
- --------------------------------------------------------------------------------
Greenery Extended Care
Center of North Andover
75 Park Street
North Andover, MA 01845        122       HRPT            $1,567,473   06/30/05
- --------------------------------------------------------------------------------
Greenery Extended Care
Center
59 Acton Street
Worcester, MA 01604            173       HRPT            $2,198,253   06/30/05
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

   (b) Section 3.07(c) of the Amended Agreement is hereby amended by deleting 
the second sentence thereof and adding the following in lieu thereof:

   "Each of Horizon and the Subsidiaries enjoys peaceful and undisturbed 
   possession under all material leases to which it is a party, except for 
   facilities which are listed on Schedule 6.05(a) as having been subleased 
   to GranCare, Inc. under terms that mirror the terms of the master lease 
   and that require the sublessee to assume all the obligations of the 
   lessee under the master lease. GranCare, Inc. has complied in all 
   material respects with all obligations under such subleases."

   (c) Section 6.02 of the Amended Agreement is hereby amended by adding the 
following phrase immediately prior to the semicolon at the end of paragraph 
(b) thereof:

   "and subleases of facilities which are listed on Schedule 6.05(a) as 
   having been subleased to GranCare, Inc., provided that the terms of each 
   such sublease mirrors the terms of the master lease and require the 
   sublessee to assume all the obligations of the lessee under the master 
   lease"
   
   SECTION 1.05. AMENDMENT TO SECTION 6.06. Section 6.06 is hereby amended by 
(a) deleting the "and" at the end of paragraph (v) of the proviso thereof, 
(b) deleting the period at the end of paragraph (vi) of the proviso thereof, 
(c) substituting in lieu thereof "; and" and (d) adding the following 
paragraph immediately following paragraph (vi) of the proviso thereof:

                                      4


<PAGE>

      "(vii) so long as no Default or Event of Default has occurred and is 
   continuing at the time thereof or would occur immediately after giving 
   effect thereto, Horizon may repurchase shares of its Common Stock for 
   cash in an aggregate amount of up to $25,000,000.

   SECTION 1.06. AMENDMENT TO SECTION 6.19(d). The table in Section 6.19(d) 
is hereby amended (a) with respect to the second quarter of fiscal year 1997, 
by deleting the ratio of "5.00:1.00" and by substituting in lieu thereof the 
ratio of "5.25:1.00" and (b) with respect to the fourth quarter of fiscal 
year 1997, by deleting the ratio of "4.50:1.00" and by substituting in lieu 
thereof the ratio of "5.00:1.00".

   SECTION 1.07. WAIVER. On and as of (but not before) the Third Amendment 
Effective Date (as defined in Section 1.09), the failure of the Borrower to 
comply with paragraph (B) of the proviso to Section 6.04(e) of the Amended 
Agreement solely as a result of the acquisition of outstanding common stock 
of Pacific Rehabilitation & Sports Medicine, Inc. ("PRSM") through a tender 
offer and, ultimately, the merger of Horizon PRSM Corporation with and into 
PRSM, with PRSM becoming a Wholly-Owned Subsidiary of Eagle Rehab Corporation 
(a Wholly-Owned Subsidiary of Horizon) for aggregate consideration of up to 
$78,000,000 shall be permanently waived. The preceding sentence shall be 
limited precisely as written.

   SECTION 1.08. REPRESENTATIONS AND WARRANTIES. The Borrowers hereby 
represent and warrant to the Agent and the Lenders, as follows:

         (a) The representations and warranties set forth in Article III of 
      the Amended Agreement, and in each other Loan Document, are true and 
      correct in all material respects on and as of the date hereof and on and 
      as of the Third Amendment Effective Date (as defined below) with the 
      same effect as if made on and as of the date hereof or the Third 
      Amendment Effective Date, as the case may be, except to the extent such 
      representations and warranties expressly relate solely to an earlier 
      date.
      
         (b) Each of the Borrowers, the Subsidiary Pledgors and the Subsidiary 
      Guarantors is in compliance with all the terms and conditions of the 
      Amended Agreement and the other Loan Documents on its part to be 
      observed or performed and no Default or Event of Default has occurred or 
      is continuing under the Amended Agreement.
      
         (c) The execution, delivery and performance by each of the Borrowers 
      of this Third Amendment have been duly authorized by such party.
      
         (d) This Third Amendment constitutes the legal, valid and binding 
      obligation of each of the Borrowers, enforceable against it in 
      accordance with its terms.
      
         (e) The execution, delivery and performance by each of the Borrowers 
      of this Third Amendment (i) do not conflict with or violate (A) any 
      provision of law, statute, rule or regulation, or of the certificate of 
      incorporation or by-laws of either of the Borrowers, (B) any order of 
      any Governmental Authority or 
      
                                       5
<PAGE>


      (C) any provision of any indenture, agreement or other instrument to 
      which either of the Borrowers is a party or by which it or any of its 
      property may be bound and (ii) do not require any consents under, result 
      in a breach of or constitute (with notice or lapse of time or both) a 
      default under any such indenture, agreement or instrument.

   SECTION 1.09. EFFECTIVENESS. This Third Amendment shall become effective 
only upon satisfaction of the following considerations precedent (the first 
date upon which each such condition has been satisfied being herein called 
the "THIRD AMENDMENT EFFECTIVE DATE"):

         (a) The Agent shall have received duly executed counterparts of this 
      Third Amendment which, when taken together, bear the authorized 
      signatures of the Borrowers and the Required Lenders.
      
         (b) The Required Lenders shall be satisfied that the representations 
      and warranties set forth in Section 1.08 are true and correct on and as 
      of the Third Amendment Effective Date and that no Default or Event of 
      Default has occurred or is continuing.
      
         (c) There shall not be any action pending or any judgment, order or 
      decree in effect which, in the judgment of the Required Lenders or their 
      counsel, is likely to restrain, prevent or impose materially adverse 
      conditions upon performance by any of the Borrowers, the Subsidiary 
      Pledgors or the Subsidiary Guarantors of its obligations under the Loan 
      Documents.
      
         (d) Horizon shall have pledged and delivered to the Agent for the 
      benefit of the Secured Parties the promissory notes and preferred stock 
      described on Schedule 6.04(a), together with instruments of assignment 
      executed in blank.
      
         (e) The Required Lenders shall have received such other documents, 
      legal opinions, instruments and certificates as they shall reasonably 
      request and such other documents, legal opinions, instruments and 
      certificates shall be satisfactory in form and substance to the Required 
      Lenders and their counsel. All corporate and other proceedings taken or 
      to be taken in connection with this Third Amendment and all documents 
      incidental thereto, whether or not referred to herein, shall be 
      satisfactory in form and substance to the Required Lenders and their 
      counsel.
      
         (f) Horizon shall have paid in full all amounts due and payable as of 
      the Third Amendment Effective Date under the Amended Agreement and 
      upon receipt of the Required Lenders' consent shall have paid to the 
      Agent for the account of each Lender that consents to this Third 
      Amendment on or prior to November 6, 1996 an amendment fee in an 
      aggregate principal amount equal to (i) .06% of the consenting Lender's 
      Commitments, so long as a signature page to the Third Amendment executed 
      by such Lender is received by Fennebresque, Clark, Swindell & Hay by 
      5:00 p.m., Charlotte time, on November 4, 1996 and (ii) .04% of the 
      consenting Lender's Commitments, so long as a signature page to the 
      Third Amendment executed by such Lender is received
      
                                      6



<PAGE>

     by Fennebresque, Clark, Swindell & Hay after 5:00 p.m., Charlotte time, 
on  November 4, 1996 but by 5:00 p.m., Charlotte time, on November 6, 1996.

    SECTION 1.10 APPLICABLE LAW.  THIS THIRD AMENDMENT SHALL BE GOVERNED BY 
AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK, EXCEPT TO 
THE EXTENT THAT THE FEDERAL LAWS OF THE UNITED STATES OF AMERICA MAY APPLY.

     SECTION 1.11. EXPENSES. The Borrowers shall pay all reasonable 
out-of-pocket expenses incurred by the Agent and the Required Lenders in 
connection with the preparation, negotiation, execution, delivery and 
enforcement of this Third Amendment, including, but not limited to, the 
reasonable fees and disbursements of counsel. The agreement set forth in this 
Section 1.11 shall survive the termination of this Third Amendment and the 
Amended Agreement.

     SECTION 1.12. COUNTERPARTS.  This Third Amendment may be executed in any 
number of counterparts, each of which shall constitute an original but all of 
which when taken together shall constitute but one agreement.

     SECTION 1.13. CREDIT AGREEMENT.  Except as expressly set forth herein, 
the amendments and waiver provided herein shall not by implication or 
otherwise limit, constitute a waiver of, or otherwise affect the rights and 
remedies of the Lenders, the Agent or the other Secured Parties under the 
Amended Agreement or any other Loan Document, nor shall they constitute a 
waiver of any Default or Event of Default, nor shall they alter, modify, 
amend or in any way affect any of the terms, conditions, obligations, 
covenants or agreements contained in the Amended Agreement or any other Loan 
Document. Each of the amendments and waiver provided herein shall apply and 
be effective only with respect to the provisions of the Amended Agreement 
specifically referred to by such amendment or waiver, as the case may be. 
Except as expressly amended herein, the Amended Agreement shall continue in 
full force and effect in accordance with the provisions thereof. As used in 
the Amended Agreement, the terms  "Agreement", "herein", "hereinafter", 
"hereunder", "hereto" and words of similar import shall mean, from and after 
the date hereof, the Amended Agreement.
                   


                                      7

<PAGE>

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

                                  HORIZON/CMS HEALTHCARE CORPORATION
                                  as a Borrower

                                  by /s/ ERNEST A. SCHOFIELD
                                    ---------------------------------------
                                  Name: Ernest A. Schofield
                                  Title: Senior Vice President



                                  CONTINENTAL MEDICAL SYSTEMS, INC.
                                  as a Borrower

                                  by /s/ ERNEST A. SCHOFIELD
                                    ---------------------------------------
                                  Name: Ernest A. Schofield
                                  Title: Senior Vice President


                                  NATIONSBANK OF TEXAS, N.A. as Agent, as 
                                  Issuing Bank and as a Lender
                                  
                                  by /s/ THOMAS BLAKE
                                    ---------------------------------------
                                  Name: Thomas Blake
                                  Title: SVP


                                  BANK OF AMERICA NT & SA, as Managing Agent 
                                  and as a Lender
                                  
                                  by /s/ RUTH EDWARDS
                                    ---------------------------------------
                                  Name: Ruth Edwards
                                  Title: Vice President


                                  MORGAN GUARANTY TRUST COMPANY OF NEW YORK,
                                  as a Lender

                                  by /s/ ROBERT OSIESKI
                                    ---------------------------------------
                                  Name: Robert Osieski
                                  Title: Vice President


                                  CREDIT LYONNAIS NEW YORK BRANCH,
                                  as Co-Agent and as a Lender

                                  by /s/ F. TAVANGAR
                                    ---------------------------------------
                                  Name: Farboud Tavangar
                                  Title: Vice President

                                   8
<PAGE>



                                  LONG TERM CREDIT BANK OF JAPAN, LTD., LA
                                  AGENCY, as Co-Agent and as a Lender

                                  by /s/ T. MORGAN EDWARDS, II
                                    ---------------------------------------
                                  Name: T. Morgan Edwards, II
                                  Title: Deputy General Manager



                                  PNC BANK, NATIONAL ASSOCIATION, as Co-Agent 
                                  and as a Lender
                                  
                                  by /s/ KAREN M. GEORGE
                                    ---------------------------------------
                                  Name: Karen M. George
                                  Title: AVP



                                  THE CHASE MANHATTAN BANK, as successor to 
                                  Chemical Bank, as a Lender

                                  by /s/ DAWN LEE LUM
                                    ---------------------------------------
                                  Name: Dawn Lee Lum
                                  Title: Vice President


                                  WELLS FARGO BANK (TEXAS), NATIONAL
                                  ASSOCIATION, formerly First Interstate 
                                  Bank of Texas, N.A., as a Lender

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:


                                  TORONTO DOMINION (TEXAS) INC., as a Lender

                                  by /s/ NEVA NESBITT
                                    ---------------------------------------
                                  Name: Neva Nesbitt
                                  Title: Vice President


                                  BANKERS TRUST COMPANY, as a Lender

                                  by /s/ PATRICIA HOGAN
                                    ---------------------------------------
                                  Name: Patricia Hogan
                                  Title: Vice President



                                      9
<PAGE>


                                  BANQUE PARIBAS, as a Lender

                                  by /s/  ROSEMARY DAVIS
                                    ---------------------------------------
                                  Name: ROSEMARY DAVIS
                                  Title: Vice President

                                  by /s/ LARRY ROBINSON
                                    ---------------------------------------
                                  Name: Larry Robinson
                                  Title: Vice President


                                  BANQUE NATIONALE de PARIS, as a Lender

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:


                                  DEUTSCHE BANK AG, LOS ANGELES AND/OR
                                  CAYMAN ISLANDS BRANCHES, as a Lender

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:


                                  MELLON BANK, N.A., as a Lender

                                  by /s/ RICHARD A. LOPATT
                                    ---------------------------------------
                                  Name: Richard A. Lopatt
                                  Title: Vice President


                                  FLEET NATIONAL BANK, f/k/a/ Fleet Bank of
                                  Massachusetts, as a Lender

                                  by
                                    ---------------------------------------
                                  Name:
                                  Title:




                                     10

<PAGE>

                           KEYBANK NATIONAL ASSOCIATION as successor
                           to Society National Bank, as a Lender

                           by /s/ ANGELA G. MAGO
                           ------------------------------------
                           Name:  Angela G. Mago
                           Title: Vice President


                           SUNWEST BANK OF ALBUQUERQUE, N.A., as a
                           Lender and as Issuing Bank
                           
                           by /s/ NANCY K. MADIGAN
                              ------------------------------------
                           Name: Nancy K. Madigan
                           Title: Vice President


                           THE BANK OF TOKYO TRUST COMPANY, as a Lender
                           
                           by
                              ------------------------------------
                           Name:
                           Title:
                           

                           THE BOATMEN'S NATIONAL BANK OF ST. LOUIS,
                           as a Lender
                           
                           by /s/ JUAN A. CAZORLA
                              ------------------------------------
                           Name: Juan A. Cazorla
                           Title: Vice President


                           THE NIPPON CREDIT BANK, LTD., LOS ANGELES
                           AGENCY, as a Lender
                           
                           by /s/ BERNARDO E. CORREA-HENSCHKE
                              ------------------------------------
                           Name: Bernardo E. Correa-Henschke
                           Title: Vice President & Senior Manager


                           THE SUMITOMO BANK, LIMITED, as a Lender
                           
                           by /s/ TATFUO UEDA
                              ------------------------------------
                           Name: Tatfuo Ueda
                           Title: General Manager
                           

                           THE SUMITOMO TRUST & BANKING CO., LTD., NEW
                           YORK BRANCH, as a Lender
                           
                           by /s/ SURAJ P. BHATIA
                              ------------------------------------
                           Name: Suraj P. Bhatia
                           Title: Senior Vice President
                                  Manager, Corporate Finance Dept.

                                       11
<PAGE>

                           THE SUMITOMO BANK, LIMITED, CHICAGO 
                           BRANCH, as a Lender
                           
                           by /s/ KIRK L. STITES
                              ------------------------------------
                           Name:  Kirk L. Stites
                           Title: Vice President & Manager
                           
                           by /s/ JULIE A. SCHELL
                              ------------------------------------
                           Name:  Julie A. Schell
                           Title: Vice President
                           
                           
                           THE MITSUBISHI BANK, LTD., LOS ANGELES
                           BRANCH, as a Lender
                           
                           by
                              ------------------------------------
                           Name:
                           Title:
                           
                           
                           THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                           as a Lender
                           
                           by /s/ AKIJIRO YOSHINO
                              ------------------------------------
                           Name: Akijiro Yoshino
                           Title: Executive Vice President,
                                  Houston Office
                           
                           NATIONSBANK, N.A., as a Lender
                           
                           by /s/ CHRIS BARTON
                              ------------------------------------
                           Name: Chris Barton
                           Title: VP
                           
                           
                                        12
                           

<PAGE>
                                                                    EXHIBIT 11.1
 
                       HORIZON/CMS HEALTHCARE CORPORATION
                STATEMENT RE: COMPUTATION OF PER SHARE EARNINGS
                   (IN THOUSANDS, EXCEPT PER SHARE EARNINGS)
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                        FOR THE ENDED SIX
                                                               FOR THE THREE MONTHS           MONTHS
                                                                ENDED NOVEMBER 30,         NOVEMBER 30,
                                                              ----------------------  ----------------------
                                                                 1996        1995        1996        1995
                                                              ----------  ----------  ----------  ----------
<S>                                                           <C>         <C>         <C>         <C>
Common and Common Equivalents:
  Earnings (loss) before extraordinary item.................  $    7,392  $   19,543  $   15,453  $   (9,382)
  Extraordinary item, net of tax............................     (17,821)    (22,075)    (17,821)    (22,075)
                                                              ----------  ----------  ----------  ----------
  Net loss..................................................  $  (10,429) $   (2,532) $   (2,368) $  (31,457)
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
Applicable common shares:
  Weighted average outstanding shares during the period.....      52,005      51,150      51,991      50,974
  Weighted average shares issuable upon exercise of common
    stock equivalents outstanding (principally stock options
    and warrants using the treasury stock method)...........         148         664         141         722
                                                              ----------  ----------  ----------  ----------
Total.......................................................      52,153      51,814      52,132      51,696
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
Net earnings (loss) per share:
  Earnings (loss) before extraordinary item.................  $     0.14  $     0.38  $     0.29  $    (0.18)
  Extraordinary item, net of tax............................       (0.34)      (0.43)      (0.34)      (0.43)
                                                              ----------  ----------  ----------  ----------
  Net loss..................................................  $    (0.20) $    (0.05) $    (0.05) $    (0.61)
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
Assuming Full Dilution:
  Earnings (loss) before extraordinary item.................  $    7,392  $   19,543  $   15,453  $   (9,382)
  Extraordinary item, net of tax............................     (17,821)    (22,075)    (17,821)    (22,075)
                                                              ----------  ----------  ----------  ----------
  Net loss..................................................  $  (10,429) $   (2,532) $   (2,368) $  (31,457)
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
Applicable common shares:
  Weighted average outstanding shares during the period.....      52,005      51,150      51,991      50,974
  Weighted average shares issuable upon exercise of common
    stock equivalents outstanding (principally stock options
    and warrants using the treasury stock method and
    convertible debentures).................................         274         823         272         898
                                                              ----------  ----------  ----------  ----------
  Total.....................................................      52,279      51,973      52,263      51,872
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
Net earnings (loss) per share:
  Earnings (loss) before extraordinary item.................  $     0.14  $     0.38  $     0.29  $    (0.18)
  Extraordinary item, net of tax............................       (0.34)      (0.43)      (0.34)      (0.43)
                                                              ----------  ----------  ----------  ----------
  Net loss..................................................  $    (0.20) $    (0.05) $    (0.05) $    (0.61)
                                                              ----------  ----------  ----------  ----------
                                                              ----------  ----------  ----------  ----------
</TABLE>
 
                                       26

<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM NOVEMBER 30,
1996 FORM 10-Q AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL
STATEMENTS.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          MAY-31-1997
<PERIOD-START>                             SEP-01-1996
<PERIOD-END>                               NOV-30-1996
<CASH>                                           7,741
<SECURITIES>                                         0
<RECEIVABLES>                                  381,038
<ALLOWANCES>                                    44,765
<INVENTORY>                                          0
<CURRENT-ASSETS>                               617,746
<PP&E>                                         690,043
<DEPRECIATION>                               (141,207)
<TOTAL-ASSETS>                               1,546,971
<CURRENT-LIABILITIES>                          210,446
<BONDS>                                        658,020
                                0
                                          0
<COMMON>                                            53
<OTHER-SE>                                     649,437
<TOTAL-LIABILITY-AND-EQUITY>                 1,546,971
<SALES>                                              0
<TOTAL-REVENUES>                               887,940
<CGS>                                                0
<TOTAL-COSTS>                                  854,407
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                10,197
<INTEREST-EXPENSE>                              26,050
<INCOME-PRETAX>                                 29,853
<INCOME-TAX>                                    14,400
<INCOME-CONTINUING>                             15,453
<DISCONTINUED>                                       0
<EXTRAORDINARY>                               (17,821)
<CHANGES>                                            0
<NET-INCOME>                                   (2,368)
<EPS-PRIMARY>                                    (.05)
<EPS-DILUTED>                                    (.05)
        

</TABLE>


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