REHABCARE GROUP INC
8-K, 1998-08-28
HOSPITALS
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<PAGE> 1
                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

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



                                    FORM 8-K

                                 CURRENT REPORT

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


        Date of Report (Date of earliest event reported): August 14, 1998



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


Delaware                       0-19294                         51-0265872
(State or other                (Commission File                (I.R.S. Employer
jurisdiction of                Number)                         Identification
organization)                                                  Number)



       7733 Forsyth Boulevard
             17th Floor
        St. Louis, Missouri                                             63105
(Address of principal executive offices)                              (Zip Code)



       Registrant's telephone number, including area code: (314) 863-7422













<PAGE> 2
Item 2.    Acquisition or Disposition of Assets.

          On August 14, 1998, RehabCare Group, Inc., a Delaware corporation (the
"Company"), through its wholly-owned subsidiary,  Healthcare Staffing Solutions,
Inc., a  Massachusetts  corporation  ("HSSI"),  acquired all of the  outstanding
capital stock of StarMed Staffing,  Inc., a Delaware corporation ("StarMed") and
wholly-owned  subsidiary  of  Medical  Resources,   Inc.  ("MRI"),  and  related
entities.  The acquisition was consummated  pursuant to the terms and conditions
of a Stock Purchase  Agreement,  dated as of July 8, 1998 (the "Agreement"),  by
and among MRI, HSSI and the Company.

          Pursuant to the  Agreement,  HSSI paid an  aggregate of $33 million as
consideration for the capital stock of StarMed and related entities. Two million
of the $33 million purchase price has been placed in escrow to be available, for
a specified  period of time, to offset  indemnification  obligations that may be
incurred by MRI. The purchase price paid in connection  with the acquisition was
determined through arms'-length negotiations among the parties to the Agreement.
The funds utilized for the acquisition  were obtained from borrowings  under the
Company's  senior  credit  facility  with  NationsBank,  N.A.,  Mercantile  Bank
National  Association,  U.S. Trust, Bank of America NTSA and Credit Lyonnais New
York Branch.

          StarMed provides  temporary staffing of nurses and nurse assistants to
hospitals and nursing homes on a short-term and extended-term  basis, and is one
of the largest  providers of temporary  registered  nurses in the United States.
StarMed  reported  revenues of  approximately  $58 million for the twelve months
ended  December 31, 1997 and  approximately  $19.8  million for the three months
ended March 31, 1998.

          The foregoing description is qualified in its entirety by reference to
a copy of the  Agreement,  the  related  Escrow  Agreement  and  L/C  Procedures
Agreement  and the press  release  which are  attached  as  exhibits  hereto and
incorporated by reference herein.

Item 7.   Financial Statements and Exhibits.

          (a)  Financial  statements of  businesses  acquired.  Pursuant to Item
7(a)(4) of Form 8-K, the Company will file the required financial  statements of
StarMed and related  entities and pro forma financial  information as soon as is
practicable,  but not later  than 60 days  after  the date  that this  report is
required to be filed.

          (b) Pro forma financial information. See Item 7(a) above.

          (c) Exhibits. See Exhibit Index.


                                      - 2 -

<PAGE> 3
                                   SIGNATURES

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

Dated:  August 26, 1998

                                             REHABCARE GROUP, INC.



                                             By:/s/ John R. Finkenkeller
                                             -----------------------------------
                                             John R. Finkenkeller
                                             Senior Vice President
                                              and Chief Financial Officer




                                      - 3 -

<PAGE> 4
                                  EXHIBIT INDEX
Exhibit 
Number  Description                                                        Page
- ------  -----------                                                        ----
2.1     Stock Purchase Agreement,  dated as of July 8, 1998, by and among
        Medical Resources,  Inc., Healthcare Staffing Solutions, Inc. and
        RehabCare Group, Inc.                                                5

2.2     Escrow  Agreement,  dated as of  August  14,  1998,  by and among
        Medical Resources,  Inc.,  RehabCare Group, Inc. and IBJ Schroder
        Bank &Trust Company.                                                36

2.3     L/C  Procedures  Agreement,  dated  as of  July 8,  1998,  by and
        between Medical Resources, Inc. and RehabCare Group, Inc.           45

99.1    Text of press release, dated August 17, 1998, issued by RehabCare
        Group, Inc.                                                         54





                                    
 
<PAGE> 5

                                                                     EXHIBIT 2.1














                            STOCK PURCHASE AGREEMENT


                                 by and between


                            MEDICAL RESOURCES, INC.,
                                   as Seller,


                                       and


                             REHABCARE GROUP, INC.,
                                       and


                      HEALTHCARE STAFFING SOLUTIONS, INC.,
                                    as Buyer









                                   Dated as of

                                  July 8, 1998





                                     





<PAGE> 6
                                TABLE OF CONTENTS
                                                                            PAGE
 
ARTICLE I. DEFINITIONS

1.1.  Definitions    ..........................................................1

ARTICLE II. SALE OF SHARES

2.1.  Purchase and Sale of the Shares..........................................3
2.2.  Closing        ..........................................................3

ARTICLE III. REPRESENTATIONS AND WARRANTIES OF SELLER

3.1.  Corporate Organization, Etc..............................................4
3.2.  Capitalization of Companies..............................................5
3.3.  Company Subsidiaries.....................................................5
3.4.  Authority Relative to this Agreement.....................................5
3.5.  Consents and Approvals; No Violations....................................5
3.6.  Financial Statements.....................................................6
3.7.  Absence of Certain Changes...............................................6
3.8.  Compliance with Law......................................................7
3.9.  Contracts and Commitments................................................7
3.10.  No Undisclosed Liabilities..............................................7
3.11.  No Default    ..........................................................7
3.12.  Litigation    ..........................................................7
3.13.  Taxes         ..........................................................7
3.14.  Employee Benefit Plans; ERISA...........................................8
3.15.  Title to Properties.....................................................9
3.16.  Patents, Trademarks, Etc................................................9
3.17.  Insurance     .........................................................10
3.18.  Environmental Matters..................................................10
3.19.  Employee and Labor Matters.............................................10
3.20.  Brokers and Finders....................................................11
3.21.  Year 2000 Compliance...................................................11

ARTICLE IV. REPRESENTATIONS AND WARRANTIES OF BUYER

4.1.  Corporate Organization; Etc.............................................11
4.2.  Authority Relative to this Agreement....................................11
4.3.  Consents and Approvals; No Violations...................................12
4.4.  Available Funds.........................................................12
4.5.  Brokers and Finders.....................................................12

ARTICLE V. COVENANTS

5.1.  Conduct of the Business Pending the Closing.............................12
5.2.  Access to Information...................................................14
5.3.  Disclosure Supplements..................................................15
5.4.  Consents and Approvals..................................................15
5.5.  Filings        .........................................................15
5.6.  Covenant to Satisfy Conditions..........................................15
5.7.  Further Assurances......................................................16
5.8.  Employee Benefit Matters................................................16
5.9.  Elimination of Indebtedness.............................................16
5.10.  Assumption of Certain Liabilities......................................16
5.11.  Section 338(h)(10) Election............................................16
5.12.  Insurance     .........................................................17

                                       i

<PAGE> 7
ARTICLE VI. CONDITIONS TO SELLER'S OBLIGATIONS

 6.1.  Representations and Warranties True....................................17
 6.2.  Performance   .........................................................17
 6.3.  Certificates  .........................................................17
 6.4.  No Injunction or Proceeding............................................17
 6.5.  HSR Act       .........................................................17
 6.6.  Lender Consent.........................................................17

ARTICLE VII. CONDITIONS TO BUYER'S AND PARENT'S OBLIGATIONS

 7.1.  Representations and Warranties of Seller True..........................17
 7.2.  Performance by Seller..................................................18
 7.3.  Certificates  .........................................................18
 7.4.  No Injunction or Proceeding............................................18
 7.5.  HSR Act       .........................................................18
 7.6.  Receipt of 1996 Audit..................................................18

ARTICLE VIII. TERMINATION AND ABANDONMENT; INDEMNIFICATION

 8.1.  Termination   .........................................................18
 8.2.  Procedure and Effect of Termination....................................19
 8.3.  Survival of Representations, Warranties and Covenants..................19
 8.4.  Indemnification........................................................19
 8.5.  Tax Matters   .........................................................22

ARTICLE IX. MISCELLANEOUS

 9.1.  Amendment and Modifications............................................23
 9.2.  Extension; Waiver......................................................23
 9.3.  Representations and Warranties; Etc....................................23
 9.4.  Entire Agreement; Assignment...........................................24
 9.5.  Validity      .........................................................24
 9.6.  Notices       .........................................................24
 9.7.  Governing Law .........................................................25
 9.8.  Specific Performance...................................................25
 9.9.  Publicity     .........................................................25
 9.10.  Arbitration  .........................................................25
 9.11.  Descriptive Headings..................................................26
 9.12.  Counterparts .........................................................26
 9.13.  Expenses     .........................................................26
 9.14.  Parties in Interest...................................................27
 9.15.  Interpretation........................................................27

                                       ii



<PAGE> 8
                            STOCK PURCHASE AGREEMENT

          This STOCK PURCHASE AGREEMENT (this "Agreement"),  dated as of July 8,
1998,  is by  and  between  Medical  Resources,  Inc.,  a  Delaware  corporation
("Seller"),  and Healthcare Staffing Solutions, Inc., a Massachusets corporation
("Buyer") and RehabCare Group, Inc., a Delaware corporation ("Parent"). 
          WHEREAS,  Seller  owns all of the  issued  and  outstanding  shares of
common stock, par value $.01 per share of StarMed Staffing, Inc. ("StarMed"),  a
Delaware  corporation,  and all of the issued and  outstanding  shares of common
stock, no par value, of Wesley Medical Resources,  Inc. ("Wesley"), a California
corporation (collectively, the "Shares"); and 
          WHEREAS,  Buyer desires to purchase from Seller, and Seller desires to
sell to Buyer,  the Shares,  all in accordance with and subject to the terms and
conditions of this Agreement; and
          NOW,  THEREFORE,  in consideration  of the foregoing  premises and the
mutual representations,  warranties,  covenants and agreements herein contained,
Buyer and Seller hereby agree as follows:

ARTICLE I. 
DEFINITIONS

1.1.  Definitions.  The terms  defined in this Article I,  whenever used herein,
shall  have  the  following   meanings  for  all  purposes  of  this  Agreement.

          "Affiliate" shall have the meaning set forth in Rule 12b-2 promulgated
under the Exchange Act.
          "Agreement" shall have the meaning set forth in the preamble hereto.
          "Audited  Financial  Statements"  shall have the  meaning set forth in
Section 3.6 hereof.
          "Buyer" shall have the meaning set forth in the preamble hereto.
          "Buyer  Disclosure  Schedule"  shall  have the  meaning  set  forth in
Article IV hereof.
          "Buyer  Indemnified  Parties"  shall  have the  meaning  set  forth in
Section 8.4(a) hereof.
          "Buyer  Material  Adverse  Effect" shall have the meaning set forth in
Section 4.1 hereof.
          "Closing" shall have the meaning set forth in Section 2.2(a) hereof.
          "Closing  Date"  shall have the  meaning  set forth in Section  2.2(a)
hereof.
          "Code" shall have the meaning set forth in Section 3.14(a) hereof.
 "Companies" shall mean StarMed and Wesley. 
          "Company  Financial  Statements"  shall have the  meaning set forth in
Section 3.6 hereof.
          "Company  Subsidiaries"  shall mean the  Subsidiaries  of StarMed  and
Wesley.
          "Confidentiality  Agreement"  shall  have  the  meaning  set  forth in
Section 5.2 hereof.
          "Contracts" shall have the meaning set forth in Section 3.9 hereof.
          "Credit Facility" shall have the meaning set forth in Section 5.1(e).
          "Damages" shall have the meaning set forth in Section 8.4(a) hereof.
          "Deductible Amount" shall have the meaning set forth in Section 8.4(c)
hereof.
          "Dispute" shall have the meaning set forth in Section 9.10(a) hereof.
          "DOJ" shall have the meaning set forth in Section 3.5 hereof.
          "Encumbrance"  shall mean any lien,  encumbrance,  security  interest,
charge,  mortgage,  option,  pledge or  restriction  on  transfer  of any nature
whatsoever  (except,  in the case of the Shares,  for  restrictions  relating to
applicable  securities  laws).  "Environmental  Claim" means any claim,  action,
demand,  order, or written notice by or on behalf of, any Governmental Entity or
Person alleging  potential  liability arising out of, based on or resulting from
the violation of any Environmental Law or permit.
          "Environmental Laws" shall mean all Federal, state, and local laws and
regulations  relating to Releases or threatened  Releases of Hazardous Materials
or  otherwise  relating to the  generation,  treatment,  storage,  transport  or
handling of Hazardous  Materials. 
<PAGE> 9

          "Escrow Agent" shall mean IBJ Schroder Bank & Trust Company or another
bank or trust  company  mutually  agreed  between  Buyer and Seller prior to the
Closing Date.
          "Escrow Agreement" shall mean the escrow agreement among Buyer, Seller
and the Escrow Agent substantially in the form of Exhibit A hereto.
          "Escrow Deposit" shall mean the Letter of Credit.
          "ERISA" shall have the meaning set forth in Section 3.14(a) hereof.
          "Exchange  Act" shall mean the  Securities  Exchange  Act of 1934,  as
amended.
          "FTC" shall have the meaning set forth in Section 3.5 hereof.
          "Final  Determination"  shall  have the  meaning  set forth in Section
9.10(e) hereof.
          "GAAP"  shall  mean  United  States  generally   accepted   accounting
principles as in effect on the date or for the period with respect to which such
principles are applied.
          "Governmental  Entity" shall have the meaning set forth in Section 3.5
hereof.
          "Hazardous  Materials"  means  all  substances  defined  as  hazardous
substances  in  the  Comprehensive  Environmental  Response,   Compensation  and
Liability Act.
          "HSR Act" shall mean the Hart-Scott-Rodino  Antitrust Improvements Act
of 1976, as amended.
          "Indemnified Party" shall have the meaning set forth in Section 8.4(g)
hereof.
          "Indemnifying  Party"  shall  have the  meaning  set forth in  Section
8.4(g) hereof.
          "Insurance  Policies" shall have the meaning set forth in Section 3.17
hereof.
          "Intellectual  Property  Rights"  shall have the  meaning set forth in
Section 3.16(b) hereof.
          "L/C  Procedures  Agreement"  shall mean the L/C procedures  agreement
between Seller and Parent substantially in the form of Exhibit B hereto.
          "Letter of Credit"  shall mean the Letter of Credit (as defined in the
L/C Procedures Agreement).
          "Material  Adverse Effect" shall have the meaning set forth in Section
3.1 hereof.
          "Multiemployer  Plan" has the  meaning  set forth in Section  3(37) of
ERISA.
          "Multiple  Employer  Plan" means a plan with two or more  contributing
sponsors, at least two of which are not under common control, within the meaning
of Section 4063 of ERISA.
          "Notice of  Arbitration"  shall have the  meaning set forth in Section
9.10(b) hereof.
          "Parent" has the meaning set forth in the Preamble hereto.
          "Permits" shall have the meaning set forth in Section 3.11 hereof.
          "Person" shall mean any individual, corporation, partnership, trust or
other entity.
          "Plans" shall have the meaning set forth in Section 3.14(a) hereof.
          "Purchase  Price"  shall have the  meaning  set forth in  Section  2.1
hereof.
          "Release"  shall  have the  meaning  set  forth  in the  Comprehensive
Environmental Response, Compensation and Liability Act.
          "Representative"  shall mean, with respect to any Person, each of such
Person's directors, officers, employees, representatives and agents, and each of
the heirs, executors and assigns of any of the foregoing.
          "Selling  Indemnified  Parties"  shall have the  meaning  set forth in
Section 8.4(b) hereof.
          "Single  Employer Plan" means a defined  benefit pension plan which is
subject to Title IV of ERISA and which is not a Multiemployer Plan.
          "Seller" shall have the meaning set forth in the preamble hereto.
          "Seller  Disclosure  Schedule"  shall  have the  meaning  set forth in
Article III hereof.
          "Senior  Notes" shall mean the Senior Notes of Seller issued  pursuant
to the Note Purchase  Agreements dated as of February 20, 1997 and June 26, 1997
among Seller and the purchasers listed on Exhibit A thereto.
          "Shares" shall have the meaning set forth in the preamble hereto.
          "StarMed" shall have the meaning set forth in the preamble hereto.

                                     - 2 -
<PAGE> 10
          "Straddle  Period" shall have the meaning set forth in Section  8.5(a)
hereof.
          "Subsidiary" of a Person shall mean a corporation,  partnership, joint
venture,  association,  limited  liability company or other entity of which such
Person owns,  directly or indirectly,  more than 50% of the  outstanding  voting
stock or other ownership interest.
          "Taxes"  shall have the meaning set forth in Section  3.13(c)  hereof.
          "Tax Claim" shall have the meaning set forth in Section 8.5(c) hereof.
          "Tax  Return"  shall have the  meaning  set forth in  Section  3.13(c)
hereof.
          "Termination Date" shall have the meaning set forth in Section 8.1(b).
          "338(h)(10) Election" shall have the meaning set forth in Section 5.11
hereof.
          "Unaudited  Financial  Statements" shall have the meaning set forth in
Section 3.6 hereof.  
          "Wesley" shall have the meaning set forth in the preamble hereto.

ARTICLE  II.  
SALE OF SHARES 

2.1.  Purchase and Sale of the Shares.  Buyer and Seller  hereby agree that upon
the terms and subject to the  satisfaction  or waiver,  if  permissible,  of the
conditions hereof,  Seller shall sell,  transfer and deliver to Buyer, and Buyer
shall purchase from Seller, free and clear of all Encumbrances, the Shares for a
purchase  price  equal  to  Thirty  Three  Million  Dollars  ($33,000,000)  (the
"Purchase Price").

2.2.  Closing.  (a) Subject to the  satisfaction or waiver of the conditions set
forth in Articles VI and VII hereof, the closing of the purchase and sale of the
Shares and the other transactions  contemplated  hereby (the "Closing") shall be
held at 10:00 a.m. on the third business day following the  satisfaction of such
conditions (or such other place as the parties may mutually agree).  The date on
which the Closing  actually  occurs is  hereinafter  referred to as the "Closing
Date." 

          (b) At the Closing, Seller shall deliver the following to Buyer:
                
              (i)    Stock  certificate(s) with appropriate  transfer stamps, if
                     any,   affixed   thereto,   representing  the  Shares  with
                     appropriate   stock  powers  duly   endorsed  in  blank  or
                     accompanied by other duly executed instruments of transfer;
                

              (ii)   All other  documents  required to be delivered by Seller on
                     or prior to the Closing Date pursuant to this  Agreement or
                     otherwise required from Seller in connection herewith;

              (iii)  The resignations of such members of the boards of directors
                     of each of the  Companies as Buyer shall have  requested in
                     writing no less than two business days prior to the Closing
                     Date;

              (iv)   The stock books, stock ledgers,  minute books and corporate
                     seals of each of the Companies;  provided,  that any of the
                     foregoing  items  shall be deemed  to have  been  delivered
                     pursuant to this Section  2.2(b)

              (iv)   if such item has been delivered to or is otherwise  located
                     at any offices of the Companies;

              (v)    The Escrow Agreement;

              (vi)   The L/C Procedures Agreement;

              (vii)  The  certificates  contemplated  by  Section  7.3 hereof as
                     Buyer  shall  have  requested  in  writing no less than two
                     business days prior to the Closing Date; and

                                     - 3 -

<PAGE> 11

              (viii) All other  documents  required to be delivered by Seller on
                     or prior to the Closing Date pursuant to this  Agreement or
                     otherwise   reasonably  required  by  Buyer  in  connection
                     herewith as Buyer shall have  requested  in writing no less
                     than two business days prior to the Closing Date.
          (c) At the Closing,  Buyer and Parent shall  deliver to Seller or such
other person as provided below:

              (i)    The Purchase Price less $2,000,000;

              (ii)   The Letter of Credit to the Escrow Agent in accordance with
                     the Escrow Agreement;

              (iii)  The Escrow Agreement;

              (iv)   The L/C Procedures Agreement;

              (v)    The  certificates  contemplated  by  Section  6.3 hereof as
                     Seller  shall  have  requested  in writing no less than two
                     business days prior to the Closing Date; and

              (vi)   All other documents required to be delivered by Buyer on or
                     prior to the Closing  Date  pursuant to this  Agreement  or
                     otherwise  reasonably  required  by  Seller  in  connection
                     herewith as Seller shall have  requested in writing no less
                     than two business days prior to the Closing Date.

          (d) All  payments  to be made by  Buyer  or  Parent  pursuant  to this
Section 2.2 shall be made by wire  transfer of  immediately  available  funds to
such bank account or bank  accounts  designated at least two business days prior
to the Closing Date by Seller.


ARTICLE III.
REPRESENTATIONS AND WARRANTIES OF SELLER

                  Except as set forth in the  Disclosure  Schedule  delivered by
Seller to Buyer  concurrently  with the execution and delivery by Seller of this
Agreement  (the "Seller  Disclosure  Schedule"),  Seller hereby  represents  and
warrants to Buyer and Parent as follows:

3.1. Corporate Organization,  Etc. Each of Seller, the Companies and each of the
Company  Subsidiaries is a corporation  duly organized,  validly existing and in
good standing under the laws of the  jurisdiction of its  incorporation  and has
all requisite corporate power and authority to conduct its business as it is now
being  conducted and to own,  lease and operate its property and assets,  except
where the failure to be so  organized,  existing and in good standing or to have
such power or authority will not, in the  aggregate,  either (i) have a material
adverse  effect on the business,  operations,  assets or financial  condition or
results of operations of the Companies and the Company  Subsidiaries  taken as a
whole or (ii)  materially  impair the  ability  of Seller to perform  any of its
obligations  under this Agreement  (either of such effects,  a "Material Adverse
Effect").  Each of Seller, the Companies and each of the Company Subsidiaries is
qualified  or licensed to do  business as a foreign  corporation  and is in good
standing in each  jurisdiction  in which ownership of property or the conduct of
its business requires such qualification or license, except where the failure to
be so qualified or licensed will not have a Material  Adverse  Effect.  True and

                                     - 4 -
<PAGE> 12
complete copies of the Articles of  Incorporation  and By-Laws of the Companies,
as presently in effect, have been heretofore delivered to Buyer.

3.2.  Capitalization of Companies . The authorized  capital stock of each of the
Companies and the Company  Subsidiaries is as set forth in Section 3.2 of Seller
Disclosure Schedule. All the Shares are issued and outstanding as of the date of
this Agreement.  All of the Shares are duly  authorized,  validly issued,  fully
paid and  non-assessable  and free of any preemptive  rights in respect thereto.
There are no outstanding (a) securities convertible into or exchangeable for the
capital  stock  of the  Companies  or the  Company  Subsidiaries,  (b)  options,
warrants  or other  rights to  purchase or  subscribe  for capital  stock of the
Companies  or  the  Company   Subsidiaries,   or  (c)  contracts,   commitments,
agreements,  understandings or arrangements of any kind relating to the issuance
of any capital  stock of the  Companies  or the Company  Subsidiaries,  any such
convertible or exchangeable securities or any such options,  warrants or rights,
pursuant to which, in any of the foregoing cases, either of the Companies or the
Company   Subsidiaries  is  subject  or  bound.  There  are  no  voting  trusts,
stockholders' agreements or other similar instruments restricting or relating to
the rights of the holders of Shares to vote,  transfer or receive dividends with
respect to the Shares.

3.3. Company Subsidiaries.  Section 3.3 of Seller Disclosure Schedule lists each
of the Company Subsidiaries.  All issued and outstanding shares of capital stock
of each of the Company  Subsidiaries are duly authorized,  validly issued, fully
paid and  nonassessable,  and are owned,  directly or indirectly,  by one of the
Companies,  free and  clear of all  Encumbrances  and any  preemptive  rights in
respect  thereto.  True and complete copies of the Certificate of  Incorporation
and By-Laws of each of the Company  Subsidiaries have been heretofore  delivered
to Buyer.

3.4.  Authority Relative to this Agreement.  Seller has all requisite  corporate
authority and power to execute and deliver this  Agreement and to consummate the
transactions  contemplated  hereby. The execution and delivery of this Agreement
and the consummation of the transactions  contemplated hereby have been duly and
validly authorized by all required corporate action on the part of Seller and no
other  corporate  proceedings  on the part of Seller are  necessary to authorize
this  Agreement or to consummate  the  transactions  contemplated  hereby.  This
Agreement  has been duly and  validly  executed  and  delivered  by Seller  and,
assuming  this  Agreement  has been duly  authorized,  executed and delivered by
Buyer,  this  Agreement  constitutes  a valid and binding  agreement  of Seller,
enforceable  against Seller in accordance  with its terms,  except as limited by
applicable bankruptcy, insolvency,  reorganization,  moratorium or other similar
laws now or  hereafter  in effect  relating to or  affecting  creditors'  rights
generally, including the effect of statutory and other laws regarding fraudulent
conveyances and preferential transfers and subject to the limitations imposed by
general  equitable   principles   (regardless  whether  such  enforceability  is
considered in a proceeding at law or in equity).

3.5. Consents and Approvals;  No Violations.  Neither the execution and delivery
of  this  Agreement  by  Seller  nor  the   consummation  of  the   transactions
contemplated  hereby by Seller will (a) violate any provision of the certificate
of incorporation or by-laws (or other comparable governing documents) of Seller,
the  Companies or the Company  Subsidiaries,  (b) require any  consent,  waiver,
approval,  license,  authorization  or permit of, or filing with or notification
to, any Federal, state, local or foreign government, executive official thereof,
governmental or regulatory authority, agency or commission,  including courts of
competent jurisdiction,  domestic or foreign (a "Governmental  Entity"),  except
for (i)  filings  with the  Federal  Trade  Commission  (the "FTC") and with the
Antitrust  Division  of the United  States  Department  of Justice  (the  "DOJ")
pursuant to the HSR Act, and the rules and  regulations  promulgated  thereunder
and (ii) such consents, waivers, approvals, authorizations,  permits, filings or

                                     - 5 -
<PAGE> 13
notifications which, if not obtained or made, will not, in the aggregate, have a
Material  Adverse Effect,  (c) result in a violation or breach of, or constitute
(with or without notice or lapse of time or both) a default (or give rise to any
right of  termination,  cancellation or acceleration or any obligation to repay)
under,  any of the terms,  conditions or provisions of any indenture,  mortgage,
note, bond, encumbrance,  license,  government  registration,  contract,  lease,
franchise,  permit,  agreement or other instrument or obligation to which any of
Seller, the Companies or the Company Subsidiaries is a party or by which Seller,
the Companies or the Company Subsidiaries or any of their respective  properties
or assets may be bound, except such violations,  breaches and defaults which, in
the aggregate, will not have a Material Adverse Effect or (d) violate any order,
writ, judgment,  injunction,  decree, statute,  ordinance, rule or regulation of
any  Governmental  Entity  applicable  to Seller,  the  Companies or the Company
Subsidiaries  or by which any of their  respective  properties  or assets may be
bound, except such violations which, in the aggregate,  will not have a Material
Adverse Effect.

3.6.  Financial  Statements.  Seller has  previously  furnished to Buyer the (i)
unaudited  combined  balance  sheets  of the  Companies,  the  related  combined
statements  of earnings,  changes in  stockholders  equity and cash flows of the
Companies  for the three months ended March 31, 1998 (the  "Unaudited  Financial
Statements")  and (ii) the audited  combined  balance sheet of the Companies and
the related  audited  combined  statements of earnings,  changes in stockholders
equity and cash flows of the  Companies  (including  any related  notes) for the
fiscal year ended  December 31, 1997,  together  with the report  thereon of the
independent   public  accountants  of  the  Companies  (the  "Audited  Financial
Statements" and, together with the Unaudited Financial Statements,  the "Company
Financial  Statements").  Each of the  balance  sheets  included  in the Company
Financial  Statements,  in all material  respects,  fairly presents the combined
financial  position  of the  Companies  as of its date,  and the  other  related
statements  included  in the  Company  Financial  Statements,  in  all  material
respects,  fairly  present the  combined  results of  operations  and changes in
combined  financial position of the Companies for the periods presented therein,
all in conformity  with GAAP,  applied on a consistent  basis during the periods
involved,  except as otherwise  noted  therein,  and except,  in the case of the
Unaudited  Financial  Statements,  for the  absence  of  notes  thereto  and for
customary year-end  adjustments which are not material to the financial position
or results of operations of the Companies taken as a whole.

3.7.  Absence of Certain  Changes.  Since March 31, 1998,  the Companies and the
Company  Subsidiaries  taken as a whole have not (a)  suffered any change in its
business,  operations or financial  position,  except such changes which, in the
aggregate,  are not reasonably  likely to have a Material  Adverse  Effect,  (b)
conducted  their  respective  businesses  in  any  material  respect  not in the
ordinary and usual  course  consistent  with past  practice or (c) except in the
ordinary course of business and consistent with past practice,  (i) incurred any
long-term  indebtedness or issued any debt securities or assumed,  guaranteed or
endorsed the  obligations  of any other  Person,  (ii)  declared,  set aside for
payment or paid any  dividend or other  distribution  (whether  in cash,  stock,
property or any  combination  thereof)  in respect of the  capital  stock of the
Companies,  or redeemed or otherwise acquired any shares of capital stock of the
Companies  or the Company  Subsidiaries,  (iii) sold,  transferred  or otherwise
disposed of, any of their material property or assets, (iv) created any material
Encumbrance  on any of their material  property or assets,  (v) increased in any
manner the rate or terms of compensation of any of their directors,  officers or
other employees, (vi) paid or agreed to pay any pension, retirement allowance or
other employee  benefit not required by any existing Plan or other  agreement or
arrangement to any such director,  officer or employee, whether past or present,
or (vii) entered into or amended any employment,  bonus, severance or retirement
contract.

                                     - 6 -
<PAGE> 14
3.8.  Compliance  with  Law.  The  business  of the  Companies  and the  Company
Subsidiaries is not being conducted in violation of any applicable order,  writ,
judgment,  injunction,  decree,  statute,  ordinance,  rule or regulation of any
Governmental  Entity,  except such violations which, in the aggregate,  will not
have a Material Adverse Effect.

3.9. Contracts and Commitments.  Section 3.9 of Seller Disclosure  Schedule sets
forth,  as of the  date  of this  Agreement,  a list  of all  written  Insurance
Policies,  collective bargaining agreements,  employment,  consulting or similar
agreements,  real and personal  property  leases  involving  annual  payments in
excess of $25,000 other  agreements,  including any oral  agreements,  requiring
annual payments in excess of $25,000 guarantees, indentures, mortgages and notes
or other debt  instruments  evidencing  indebtedness  and agreements  containing
covenants not to compete (collectively,  the "Contracts") to which the Companies
or the Company  Subsidiaries  is a party.  Neither the Companies nor the Company
Subsidiaries  is in breach or default and, to the knowledge of Seller,  no other
party to any of the  Contracts is as of the date of this  Agreement in breach or
default  (and no event has  occurred  which with  notice or the lapse of time or
both would constitute a default or violation) under any of the Contracts, except
such defaults which, in the aggregate, will not have a Material Adverse Effect.

3.10.  No  Undisclosed  Liabilities.  None  of the  Companies  and  the  Company
Subsidiaries  has any  liabilities  (whether  absolute,  accrued,  contingent or
otherwise),  except (i) as and to the extent set forth in the Company  Financial
Statements  (including  the notes  thereto),  (ii) such  immaterial  contractual
liabilities  as are not required to be disclosed  pursuant to Section 3.9 hereof
to which any of the Companies or the Company  Subsidiaries is a party, and (iii)
such  liabilities  which were  incurred  in the  ordinary  course of business or
which,  in the  aggregate,  are not  material to the  Companies  and the Company
Subsidiaries taken as a whole.

3.11. No Default.  Neither the Companies nor any of the Company  Subsidiaries is
in default or  violation  (and no event has  occurred  which with  notice or the
lapse of time or both  would  constitute  a default or  violation)  of any term,
condition or provision of (i) its Articles of Incorporation or By-Laws (or other
comparable governing  documents) or (ii) any order, writ, judgment,  injunction,
decree,  statute,  ordinance,  rule or  regulation  of any  Governmental  Entity
applicable to the Companies and the Company  Subsidiaries,  except such defaults
and violations which, in the aggregate, will not have a Material Adverse Effect.
The  Companies  and the  Company  Subsidiaries  have all  governmental  permits,
licenses and authorizations necessary for the conduct of their businesses in all
material  respects as presently  conducted (the "Permits") and are in compliance
with the terms of the  Permits,  except for such  Permits  the  absence of which
would not have a Material  Adverse Effect or any  non-compliance  which will not
have a Material Adverse Effect.

3.12. Litigation. As of the date of this Agreement,  there is no action, suit or
proceeding pending,  or, to the knowledge of Seller,  action, suit or proceeding
threatened,  against the Companies or the Company Subsidiaries or any properties
or rights of the Companies or the Company Subsidiaries,  before any Governmental
Entity  which (a)  involves a claim in excess of  $50,000 or (b) seeks  material
injunctive  relief.  As of the date of this Agreement,  neither of the Companies
nor any of the Company  Subsidiaries  has received  notice that it is subject to
any outstanding injunction,  writ, judgment, order or decree of any Governmental
Entity which will have a Material Adverse Effect.

3.13.  Taxes.  (a)  The  Companies and  the Company  Subsidiaries  have,  within
the  time and  manner  prescribed  by  law,   (i)  filed  with  the  appropriate
taxing  authorities (or  joined in the filing of) all Tax Returns required to be
filed by it in  respect of any Taxes other than those Tax Returns the failure of

                                     - 7 -
<PAGE> 15
which to file would not have a Material Adverse Effect, and each such Tax Return
was complete  and  accurate in all  material  respects and (ii) paid in full all
Taxes shown to be due and payable thereon.

          (b) (i) No  deficiencies  for any Taxes have been  asserted in writing
or, to the knowledge of Seller,  verbally proposed or assessed against either of
the Companies or any of the Company  Subsidiaries  which remain unpaid and which
in the  aggregate  are material to the  business or  financial  condition of the
Companies and the Company  Subsidiaries taken as a whole, or which are not being
contested in good faith by  appropriate  proceedings;  (ii) the  Companies  have
adequately  reserved for all material  Taxes  payable by the Companies or any of
the  Company  Subsidiaries  for which no Tax  Return has yet been  filed;  (iii)
neither the Companies nor any of the Company  Subsidiaries is a "foreign person"
for purposes of Section 1445 of the  Internal  Revenue Code of 1986,  as amended
(the  "Code");  and (iv) neither of the  Companies is a party to any tax sharing
agreement with Seller or any corporate  subsidiary of Seller relating to federal
income taxes of the "affiliated  group," as defined under Section 1504(a) of the
Code,  that includes  Seller.  

          (c) For purposes of this  Agreement,  (i) "Taxes"  shall mean all U.S.
Federal,  state,  local or  foreign  and other  taxes,  assessments,  duties and
similar charges of any kind imposed by any taxing authority, including interest,
penalties  and additions  thereto,  and (ii) "Tax Return" shall mean any return,
report,   information  return  or  other  document  (including  any  related  or
supporting  information)  with respect to Taxes. 

3.14.  Employee Benefit Plans;  ERISA. (a) Section 3.14(a) of Seller  Disclosure
Schedule sets forth a complete and correct list of all "employee benefit plans",
as defined in Section 3(3) of the  Employee  Retirement  Income  Security Act of
1974,  as amended  ("ERISA"),  maintained by the Companies or any of the Company
Subsidiaries  or to which the Companies or any of the Company  Subsidiaries  has
any  obligation  or liability,  contingent or otherwise;  and all bonus or other
incentive compensation, deferred compensation, salary continuation,  disability,
stock  award,  stock  option,  stock  purchase,  severance,  parachute  or other
material employee benefit policies or arrangements which the Companies or any of
the  Company  Subsidiaries  maintains  or to which the  Companies  or any of the
Company  Subsidiaries has any obligation or liability  (contingent or otherwise)
(collectively  referred  to as the  "Plans").  

          (b) None of the Plans is a Multiemployer  Plan or a Multiple  Employer
Plan. None of the Companies or any of the Company  Subsidiaries  has any present
liability due to a complete or partial  withdrawal from a Multiemployer  Plan or
Multiple  Employer  Plan  or due  to  the  termination  or  reorganization  of a
Multiemployer  Plan, and no events have occurred and no circumstances exist that
could reasonably be expected to result in any such liability to the Companies or
any of the Company Subsidiaries. 

          (c)  None of the  Plans  is a  Single  Employer  Plan  and none of the
Companies or any of the Company Subsidiaries has any outstanding liability under
Section 4062 of ERISA to the Pension Benefit Guaranty Corporation ("PBGC") or to
a trustee appointed under Section 4042 of ERISA, and no events have occurred and
no  circumstances  exist that could reasonably be expected to result in any such
liability to the Companies or any of the Company Subsidiaries.

          (d) Each Plan that is intended to qualify under Section  401(a) of the
Code, and the trust maintained  pursuant  thereto,  has been determined to be so
qualified and exempt from taxation under Section 501(a) of the Code, and nothing
has  occurred  with  respect  to the  operation  of any  such  Plan  that  could
reasonably  be expected to adversely  affect such  qualification  or  tax-exempt
status.

                                     - 8 -
<PAGE> 16
          (e)  All  contributions  (including  all  employer  contributions  and
employee  contributions)  required  to have been made by the  Companies  and the
Company  Subsidiaries  under  the  Plans  or by  law  to  any  funds  or  trusts
established thereunder or in connection therewith have been made by the due date
thereof  (including any valid  extension),  and all contributions for any period
ending on or before the  Closing  Date which  become  due  (including  any valid
extension) will have been paid by the Closing Date.

          (f) There has been no  violation  of ERISA or the Code with respect to
the filing of applicable reports,  documents or notices regarding the Plans with
any governmental  authority or the furnishing of required reports,  documents or
notices to the  participants  or  beneficiaries  of the  Plans,  except for such
violations as would not result in a Material Adverse Effect.

          (g) True, correct and complete copies of the following documents, with
respect  to  each of the  Plans,  have  been  made  available  to  Buyer  by the
Companies,  if  applicable:  (i) all  plans and  related  trust  documents,  and
amendments  thereto;  (ii)  the most  recent  Forms  5500;  (iii)  summary  plan
descriptions;  and (iv) and any written agreements,  policies or practices.  

          (h) The Plans have been maintained and administered in all respects in
accordance  with their  terms and  applicable  laws,  which  include but are not
limited to all the provisions of ERISA and the Code,  except for such violations
as would not result in a Material Adverse Effect.

          (i) There are no pending or, to the knowledge of the Companies and the
Company  Subsidiaries,  threatened  actions,  claims or  proceedings  against or
relating  to any Plan,  the assets of any of the trusts  under such plans or the
plan sponsor or the plan  administrator,  or against any  fiduciary of the Plans
with respect to the operation of such plans (other than routine benefit claims).

          (j) To the  knowledge of the  Companies  or the Company  Subsidiaries,
none of the Companies or the Company  Subsidiaries or any "party in interest" or
"disqualified  person"  with  respect to the Plans has engaged in a  "prohibited
transaction", as defined in Section 4975 of the Code or Section 406 of ERISA, or
taken any action, or failed to take any action, which could reasonably result in
any material  liability under ERISA or the Code.

3.15. Title to Properties.  The Companies and the Company Subsidiaries have good
and valid title to all of the material assets and properties (real and personal)
which they own, and such assets and  properties  are owned free and clear of all
Encumbrances,  except for (i) Encumbrances to secure  indebtedness  reflected on
the Company Financial Statements or indebtedness incurred in the ordinary course
of business and  consistent  with past  practice  after the date  thereof,  (ii)
mechanics',  materialmens'  and  other  Encumbrances  which  have  arisen in the
ordinary course of business and (iii) Encumbrances which, in the aggregate,  are
not reasonably likely to impair,  in any material respect,  the continued use of
such asset or property.

3.16. Patents,  Trademarks,  Etc. (a) Seller has previously delivered to Buyer a
true and complete list of all  Intellectual  Property Rights filed by, or issued
or  registered  to, the Companies or the Company  Subsidiaries  and all material
intellectual  property license  agreements to which the Companies or the Company
Subsidiaries are a party. With respect to registered trademarks,  such list sets
forth a list of all  jurisdictions  in which such  trademarks  are registered or
applied for and all registration and application numbers.

                                     - 9 -

<PAGE> 17
          (b) (i) The  Companies  or the  Company  Subsidiaries  own or  possess
adequate  licenses  or other valid  rights to use all United  States and foreign
patents,  trademarks  (registered or unregistered),  trade names, service marks,
copyrights and applications and registrations therefor,  trade secrets and other
intellectual  property  and  proprietary  rights,  whether  or  not  subject  to
statutory  registration or protection,  which are material to the conduct of the
business of the  Companies  and the Company  Subsidiaries  taken as a whole (the
"Intellectual  Property  Rights"),  (ii) as of the date of this  Agreement,  the
validity  of the  Intellectual  Property  Rights  and the title or rights to use
thereof of the Companies or the Company Subsidiaries are not being questioned in
any  litigation to which the Companies or the Company  Subsidiaries  is a party,
nor to the knowledge of Seller, is any such litigation  threatened,  (iii) as of
the date of this  Agreement,  none of the Companies or the Company  Subsidiaries
has received notice that is a party to any litigation in connection with which a
Person has alleged  that the conduct of the  business  of the  Companies  or the
Company Subsidiaries infringed or infringes with any valid patents,  trademarks,
trade name,  service  marks or  copyrights  of others,  nor, to the knowledge of
Seller, is any such litigation threatened,  and (iv) to the knowledge of Seller,
(A) no Person is materially infringing upon or violating any of the Intellectual
Property  Rights and (B) no  material  claim is pending  or  threatened  to that
effect.

3.17. Insurance. The Companies and the Company Subsidiaries maintain policies of
fire and casualty,  liability and other forms of insurance in such amounts, with
such  deductibles  and against such risks and losses as are reasonable for their
business, assets and properties. All material insurance policies (the "Insurance
Policies") with respect to the property,  assets, operations and business of the
Companies  and the  Company  Subsidiaries  are in full  force and effect and all
premiums  due and  payable  thereon  have  been  paid in full,  and no notice of
cancellation  or  termination  has been received with respect to any such policy
which has not been replaced on substantially  similar terms prior to the date of
such  cancellation.  As of the  date of this  Agreement,  there  are no  pending
material  claims under the  Insurance  Policies by the Companies as to which the
insurers have denied liability.  Seller makes no representation or warranty that
such insurance will be continued or is continuable after the Closing.

3.18.  Environmental  Matters.  To Seller's  knowledge (a) the Companies and the
Company  Subsidiaries are in compliance with all applicable  Environmental Laws,
except  where  failure to be in  compliance  would not have a  Material  Adverse
Effect;  (b) there is no Environmental  Claim pending or threatened  against the
Companies or any of the Company Subsidiaries which would have a Material Adverse
Effect;  and (c) no person or party has any  reasonable  basis for any action or
proceeding against the Companies or any of the Company Subsidiaries  relating to
the  violation  by  the  Company  or  any of  the  Company  Subsidiaries  of any
Environmental  Law which  could have a Material  Adverse  Effect and none of the
Companies and the Company  Subsidiaries  has received oral or written notice of,
nor does  Seller  have any reason to believe  there is, any  existing or pending
violation,  citation,  claim  or  complaint  relating  to the  violation  of any
Environmental Law by the Companies or the Company Subsidiaries,  which violation
is reasonably likely to have a Material Adverse Effect.

3.19.  Employee and Labor Matters.  Neither the Companies nor any of the Company
Subsidiaries  is a party  to any  collective  bargaining  or other  labor  union
contract  applicable  to persons  employed  by them,  no  collective  bargaining
agreement  is  being   negotiated  by  the  Companies  or  any  of  the  Company
Subsidiaries,  and none of Seller,  the  Companies  or the Company  Subsidiaries
knows of any activities or proceedings of any labor union to organize any of the
employees of the Companies and the Company Subsidiaries.  As of the date hereof,
(i)  the  Companies  and  the  Company  Subsidiaries are in  compliance  in  all
material  respects  with  all  applicable  laws  relating   to  employment   and
employment  practices,  wages, hours, and  terms and  conditions  of employment,
(ii) there are no material  charges with respect to or relating to the Companies
or  any  of  the  Company  Subsidiaries  pending  before  the  Equal  Employment

                                     - 10 -

<PAGE> 18
Opportunity Commission or any state, local or foreign agency responsible for the
prevention  of  unlawful  employment  practices,  and  (iii)  there  is no labor
dispute,   strike  or  work  stoppage  against  the  Companies  or  the  Company
Subsidiaries,  pending or, to Seller's knowledge, threatened which may interfere
with the business activities of the Companies and the Company Subsidiaries taken
as a whole, except where such non-compliance,  charge,  dispute,  strike or work
stoppage would not have a Material Adverse Effect. As of the date hereof, to the
knowledge of Seller,  neither the  Companies  and the Company  Subsidiaries  nor
their  respective  representatives  or employees  has committed any unfair labor
practices in connection  with the operation of the business of the Companies and
the  Company  Subsidiaries,  and  there is no charge or  complaint  against  the
Companies or the Company Subsidiaries,  by the National Labor Relations Board or
any comparable state agency pending or threatened in writing,  except where such
unfair labor  practice,  charge or complaint  would not have a Material  Adverse
Effect.

3.20.  Brokers  and  Finders.  None of  Seller,  the  Companies  or the  Company
Subsidiaries  or any of their  respective  officers,  directors or employees has
employed  any broker or finder or  incurred  any  liability  for any  investment
banking fees,  brokerage  fees,  commissions or finders' fees in connection with
the  transactions  contemplated by this Agreement,  except for fees and expenses
payable  to SBC  Warburg  Dillon  Read Inc.  for  investment  banking  and other
advisory services which fees and expenses will be paid by Seller.

3.21. Year 2000 Compliance. To Seller's knowledge, the software package that the
Companies are  contemplating  acquiring  from  HealthNet  Systems,  Inc. for the
Companies' per diem business  pursuant to the proposal  attached as Section 3.21
of Seller Disclosure  Schedule will be year 2000 compliant,  which, for purposes
of this Agreement,  shall mean that the data outside the range 1900-1999 will be
correctly  processed,  except where the failure to  correctly  process such data
would not have a Material Adverse Effect.

ARTICLE IV.
REPRESENTATIONS AND WARRANTIES OF BUYER

                  Except as set forth in the  Disclosure  Schedule  delivered by
Buyer and Parent to Seller concurrently with the execution and delivery by Buyer
of this Agreement (the "Buyer  Disclosure  Schedule"),  each of Buyer and Parent
jointly and severally represents and warrants to Seller as follows:

4.1. Corporate Organization; Etc. Each of Buyer and Parent is a corporation duly
organized,  validly  existing  and  in  good  standing  under  the  laws  of the
jurisdiction  of its  incorporation  and has all requisite  corporate  power and
authority to conduct its business as it is now being conducted and to own, lease
and operate its property and assets except where the failure to be so organized,
existing and in good  standing or to have such power or authority  would not, in
the  aggregate,  either  (i) have a  material  adverse  effect on the  business,
operations,  assets or financial  condition  of Buyer or (ii) impair,  hinder or
adversely  affect the ability of Buyer to perform any of its  obligations  under
this Agreement or to consummate the transactions  contemplated hereby (either of
such effects, a "Buyer Material Adverse Effect").

4.2.  Authority  Relative  to this  Agreement.  Each of Buyer and Parent has all
requisite  corporate  authority and power to execute and deliver this  Agreement
and to  consummate  the  transactions  contemplated  hereby.  The  execution and
delivery of this Agreement and the consummation of the transactions contemplated
hereby have been duly and validly authorized by all required corporate action on
the part of Buyer and Parent and no other  corporate  proceedings on the part of
Buyer or Parent  are necessary  to  authorize  this  Agreement or to  consummate
the  transactions  contemplated   hereby.  This  Agreement  has  been  duly  and
validly  executed  and  delivered  by   Buyer  and  Parent  and,  assuming  this

                                     - 11 -
<PAGE> 19
Agreement has been duly authorized,  executed and delivered by each of the other
parties  hereto,  this  Agreement  constitutes a valid and binding  agreement of
Buyer and Parent,  enforceable  against  each of Buyer and Parent in  accordance
with  its  terms,  except  as  limited  by  applicable  bankruptcy,  insolvency,
reorganization,  moratorium  or other  similar  laws now or  hereafter in effect
relating to or affecting  creditors' rights  generally,  including the effect of
statutory  and other laws  regarding  fraudulent  conveyances  and  preferential
transfers and subject to the limitations imposed by general equitable principles
(regardless  whether such enforceability is considered in a proceeding at law or
in equity).

4.3. Consents and Approvals;  No Violations.  Neither the execution and delivery
of this Agreement by Buyer or Parent nor the  consummation  of the  transactions
contemplated  hereby by Buyer or Parent will (a) violate  any  provision  of the
articles  of  incorporation  or  by-laws  of Buyer or Parent,  (b)  require  any
consent,  waiver,  approval,  authorization  or permit  of,  or  filing  with or
notification  to, any Governmental  Entity,  except for (i) filings with the FTC
and the DOJ pursuant to the HSR Act and (ii) such consents,  waivers, approvals,
authorizations,  permits,  filings or  notifications  which,  if not obtained or
made,  will not, in the aggregate,  have a Buyer Material  Adverse Effect or (c)
result in a violation  or breach of, or  constitute  (with or without  notice or
lapse of time or both) a  default  (or give  rise to any  right of  termination,
cancellation  or  acceleration  or any  obligation to repay)  under,  any of the
terms,  conditions  or  provisions  of  any  indenture,  mortgage,  note,  bond,
encumbrance,  license,  government  registration,  contract,  lease,  franchise,
permit,  agreement or other instrument or obligation to which Buyer or Parent is
a party or by which  Buyer or Parent or any of its  properties  or assets may be
bound,  except such  violations,  breaches and defaults which, in the aggregate,
will not have a Buyer Material  Adverse  Effect or (d) violate any order,  writ,
judgment,  injunction,  decree,  statute,  ordinance,  rule or regulation of any
Governmental  Entity  applicable  to Buyer  or  Parent  or by  which  any of its
properties  or  assets  may be  bound,  except  such  violations  which,  in the
aggregate, will not have a Buyer Material Adverse Effect.

4.4.  Available Funds. As of the date of this Agreement,  and as of the Closing,
Buyer or Parent will have  sufficient  funds available to satisfy the obligation
of Buyer to pay the  Purchase  Price and to pay all fees and  expenses  of Buyer
related to the transaction contemplated hereby.

4.5.  Brokers  and  Finders.  None of Buyer,  Parent or any of their  respective
officers,  directors or employees has employed any investment banker,  broker or
finder or incurred any liability  for any  investment  banking  fees,  brokerage
fees,   commissions  or  finders'  fees  in  connection  with  the  transactions
contemplated  by this  Agreement for which  Seller,  or in the event the Closing
does not occur, the Companies or Seller, has or could have any liability.

ARTICLE V.
COVENANTS

5.1. Conduct of the Business Pending the Closing. Except as contemplated by this
Agreement, as set forth in Section 5.1 of Seller Disclosure Schedule or with the
prior  written  consent of Buyer or Parent,  during the period  from the date of
this Agreement to the Closing, Seller will cause the Companies to, conduct their
respective   businesses   and   operations   (including   but  not  limited  to,
the   management  of  the  payment  and  receipt  of   the  Companies'  and  the
Company Subsidiaries' accounts payable and accounts  receivable,  respectively),
according  to   their  ordinary  and  usual  course   of   business   consistent
with  past practice and will use all  reasonable  efforts  consistent  therewith
to preserve intact the Companies' properties, assets and business organizations,
to  keep  available  the  services  of  the  Companies'  officers and  employees
and  to   maintain  satisfactory  relationships   with   customers,   suppliers,
distributors  and others  having commercially  beneficial business relationships
with  the  Companies,  in  each   case  in  the  ordinary  course  of   business
consistent  with   past  practice.   Without  limiting  the  generality  of  the

                                     - 12 -
<PAGE> 20
foregoing,  during the period from the date of this  Agreement  to the  Closing,
Seller  shall use its  reasonable  best  efforts to manage the  business  of the
Companies so as to avoid a material  adverse change in March 31 Working Capital,
and to have a combined cash balance on the Closing Date at the Companies and the
Company  Subsidiaries of  approximately  $500,000.  For purposes of the previous
sentence,  March 31 Working  Capital  shall  mean the  combined  current  assets
(including for purposes of this  definition  only,  cash of $500,000),  less the
combined current  liabilities  (excluding (a) any amounts due from the Companies
or the  Company  Subsidiaries  to Seller or any  subsidiary  of Seller,  (b) any
short-term  indebtedness for notes payable or borrowed money and (c) any accrued
income  taxes  for  the  1998  tax  year)  of  the  Companies  and  the  Company
Subsidiaries  taken  as a  whole  as  of  March  31,  1998,  which  the  parties
acknowledge  was  approximately  $13 million as of March 31, 1998 (which  amount
reflects adjusted cash of $500,000).  Buyer acknowledges that the foregoing does
not constitute a guarantee by Seller of any minimum combined working capital for
the Companies and the Company Subsidiaries. Seller will not, and will not permit
the  Companies  to,  take any action  with the  purpose  of  causing  any of the
conditions  to Buyer's  obligations  set forth in  Article  VII hereof to not be
satisfied.  Except as set forth in Section  5.1 of Seller  Disclosure  Schedule,
without  limiting  the  generality  of the  foregoing,  and except as  otherwise
provided in this Agreement,  Seller will not permit the Companies,  prior to the
Closing, without the prior written consent of Buyer or Parent, to:

          (a) issue, sell or pledge, or authorize or propose the issuance,  sale
or pledge of (i)  additional  shares of  capital  stock of any class  (including
Shares), or securities  convertible into or exchangeable for any such shares, or
any rights,  warrants or options to acquire any such shares or other convertible
securities  or (ii) any  other  securities  in  respect  of,  in lieu of,  or in
substitution for, Shares outstanding on the date hereof;

          (b) declare or pay any dividend or  distribution  on any shares of the
capital stock of the Companies;

          (c) redeem,  purchase or otherwise  acquire any outstanding  shares of
the capital stock of the Companies;

          (d) propose or adopt any amendment to the Certificate of Incorporation
or By-Laws of the Companies;

          (e) except in the  ordinary  course of business  consistent  with past
practice or pursuant to the terms of StarMed's  existing  credit  facility  (the
"Credit  Facility"),   incur  any  long-term  indebtedness  or  issue  any  debt
securities or assume, guarantee or endorse the obligations of any other Person;

          (f) (i)  increase in any manner the rate or terms of  compensation  or
benefits of any of its directors,  officers or other employees, except as may be
allowed under existing employment agreements or such increases as are granted in
the ordinary course of business  consistent  with past practice,  or (ii) pay or
agree to pay any pension,  retirement  allowance or other  employee  benefit not
required or permitted by any existing Plan or other  agreement or arrangement to
any such director,  officer or employee, whether past or present, or (iii) enter
into or amend any employment,  bonus,  severance or retirement contract or adopt
any employee benefit plan;

          (g) (i) except in the ordinary course of business consistent with past
practice,  sell,  lease,  transfer or otherwise  dispose of, any of its material
property or assets or (ii) except for Encumbrances  securing amounts outstanding

                                     - 13 -
<PAGE> 21
under  the  Credit  Facility,  create  any  Encumbrance  on any of its  material
property or assets;

          (h) make any loans, advances or capital contributions, except advances
for travel and other normal  business  expenses to officers and  employees in an
aggregate amount outstanding at any one time not to exceed $10,000;

          (i) enter into other  material  agreements,  commitments or contracts,
except  agreements,  commitments  or contracts  made in the  ordinary  course of
business consistent with past practice; or

          (j) fail to  maintain  all its assets in good  repair  and  condition,
except to the  extent of wear or use in the  ordinary  course  of  business  and
consistent with past practice or damage by fire or other unavoidable casualty;

          (k) institute,  settle or dismiss any action, claim, demand,  lawsuit,
proceeding,  arbitration  or  grievance  by or before  any  Governmental  Entity
threatened  against,  relating  to or  involving  the  Companies  or the Company
Subsidiaries in connection  with any business,  asset or property of the Company
or the  Company  Subsidiaries  other  than in the  ordinary  course of  business
consistent  with past  practices but not, in any  individual  case, in excess of
$50,000; or

          (l) agree in writing to take any of the foregoing actions.

5.2.  Access to  Information.  From the date of this  Agreement  to the Closing,
Seller will,  and will cause the Companies to (i) give Buyer and its  authorized
Representatives reasonable access to all personnel,  books, records, offices and
other  facilities and properties of the Companies and the Company  Subsidiaries,
(ii)  permit  Buyer to make such  inspections  thereof  as Buyer may  reasonably
request and (iii) cause its officers to furnish  Buyer with such  financial  and
operating  data and other  information  (other than  detailed  information  with
respect  the  identity,  address  and  social  security  number  of  nurses  and
nurse-practitioner personnel of the Companies and the Company Subsidiaries) with
respect  to the  business  and  properties  of the  Companies  and  the  Company
Subsidiaries  as  Buyer  may from  time to time  reasonably  request;  provided,
however,  that any such access shall be  conducted  at a reasonable  time and in
such a  manner  as not to  interfere  unreasonably  with  the  operation  of the
business  of the  Companies;  provided  further  that  Buyer and its  authorized
Representatives shall not contact or hold discussions with customers,  suppliers
or non-management employees of the Companies of the Company Subsidiaries without
the prior  written  consent  of  Seller,  such  consent  not to be  unreasonably
withheld.  All such  information  and  access  shall be subject to the terms and
conditions  of the letter  agreement  dated  April 7, 1998,  between  Parent and
Seller  (the  "Confidentiality  Agreement").  Notwithstanding  anything  to  the
contrary in this Agreement,  neither the Companies nor the Company  Subsidiaries
shall be  required  to  disclose  any  information  to  Buyer,  Parent  or their
authorized  Representatives  if doing so could violate any agreement or federal,
state, local or foreign law, rule or regulation to which any of the Companies or
the  Company  Subsidiaries  is a party  or to  which  any of  them  is  subject.
Following the Closing,  neither Buyer, nor Parent will, nor will either of Buyer
or Parent permit the Companies or any of the Company  Subsidiaries to, engage in
any  discussions  or  provide  any  oral or  written  information  to any of the
plaintiffs or any other persons (or their counsel or  representatives) in any of
the matters referred to in Section 5.10 of Seller  Disclosure  Schedule,  unless
Buyer and Parent have  received  the prior  written  consent of Seller or unless
Buyer or Parent is compelled to do so as a matter of law.

                                     - 14 -

<PAGE> 22
5.3. Disclosure Supplements. From time to time prior to the Closing, Seller will
supplement  or amend  Seller  Disclosure  Schedule  with  respect  to any matter
hereafter  arising  which,  if existing or  occurring at or prior to the date of
this Agreement,  would have been required to be set forth or described in Seller
Disclosure Schedule or which is necessary to complete or correct any information
in Seller  Disclosure  Schedule or in any  representation  or warranty of Seller
which has been  rendered  inaccurate  thereby.  No such  supplement or amendment
shall be given effect for purposes of determining  (a) the  satisfaction  of the
conditions  set forth in Article  VII  hereof,  except as  explicitly  set forth
herein  including  as set forth in Article VII hereof and (b)  Buyer's  right to
indemnification  pursuant to Section 8.4(a) hereof,  except as specifically  set
forth in Section 8.4(e) hereof.

5.4.  Consents  and  Approvals.  (a) Each of the  parties  hereto  shall use its
reasonable  best efforts to (i) obtain as promptly as practicable  all consents,
authorizations,   approvals  and  waivers   required  in  connection   with  the
consummation  of the  transactions  contemplated  by this  Agreement  under  any
federal,  state,  local or foreign law or  regulation,  (ii) lift or rescind any
injunction or restraining  order or other order adversely  affecting the ability
of the parties hereto to consummate  the  transactions  contemplated  hereby and
(iii) effect all necessary registrations and filings including,  but not limited
to, filings under the HSR Act and  submissions  of information  requested by any
Governmental Entity. The parties hereto further covenant and agree, with respect
to any threatened or pending preliminary or permanent injunction or other order,
decree or ruling or statute,  rule,  regulation  or  executive  order that would
adversely   affect  the  ability  of  the  parties   hereto  to  consummate  the
transactions  contemplated  hereby,  to respectively  use their  reasonable best
efforts to prevent the entry, enactment or promulgation thereof, as the case may
be.

          (b) Each party hereto shall promptly  inform the other of any material
communication from the FTC, the DOJ or any other  Governmental  Entity regarding
any  of  the  transactions  contemplated  hereby.  If any  party  hereto  or any
Affiliate  thereof receives a request for additional  information or documentary
material  from any such  Governmental  Entity with  respect to the  transactions
contemplated  hereby,  then such party shall  endeavor in good faith to make, or
cause to be made, as soon as reasonably  practicable and after consultation with
the other party, an appropriate response in compliance with such request.  Buyer
or Parent  shall  advise  Seller  promptly  in  respect  of any  understandings,
undertakings  or agreements  (oral or written) that Buyer or Parent  proposes to
make or enter  into with the FTC,  the DOJ or any other  Governmental  Entity in
connection with the transactions  contemplated  hereby. 

5.5.  Filings.  Promptly  after the  execution  of this  Agreement,  each of the
parties hereto shall prepare and make or cause to be made any required  filings,
submissions  and  notifications  under  the  laws  of any  domestic  or  foreign
jurisdiction  to the extent that such filings are  necessary to  consummate  the
transactions  contemplated  hereby and will use its  reasonable  best efforts to
take all other actions  necessary to consummate  the  transactions  contemplated
hereby in a manner  consistent  with  applicable law. Each of the parties hereto
will furnish to the other  parties such  necessary  information  and  reasonable
assistance as such other parties may reasonably  request in connection  with the
foregoing.

5.6. Covenant to Satisfy Conditions. Seller will use its reasonable best efforts
to ensure  that the  conditions  set forth in  Articles  VI and VII  hereof  are
satisfied, insofar as such matters are within the control of Seller, and each of
Buyer and  Parent  will use its  reasonable  best  efforts  to  ensure  that the
conditions  set forth in  Articles VI and VII hereof are  satisfied,  insofar as
such matters are within the control of Buyer or Parent.

                                     - 15 -

<PAGE> 23
5.7.  Further  Assurances.  Upon the terms and subject to the conditions  herein
provided,  each of the parties hereto agrees to use its reasonable  best efforts
to take or cause  to be  taken  all  action,  to do or cause to be done,  and to
assist and cooperate with the other party hereto in doing, all things necessary,
proper or advisable under applicable laws and regulations to consummate and make
effective,  in  the  most  expeditious  manner  practicable,   the  transactions
contemplated  by  this  Agreement,  including,  but  not  limited  to,  (i)  the
satisfaction  of  the  conditions  precedent  to the  obligations  of any of the
parties hereto;  (ii) the defending of any lawsuits or other legal  proceedings,
whether   judicial  or   administrative,   challenging  this  Agreement  or  the
performance of the obligations hereunder or thereunder;  and (iii) the execution
and delivery of such  instruments,  and the taking of such other  actions as the
other party  hereto may  reasonably  require in order to carry out the intent of
this Agreement.

5.8.  Employee  Benefit  Matters.  From and  after  the  Closing,  Buyer and its
Affiliates  shall  continue the Plans as Plans of the  Companies and the Company
Subsidiaries  until such time as the  employees of the Companies and the Company
Subsidiaries  are integrated into the employee  benefit plans that are available
to  other  employees  of Buyer  or its  Affiliates,  subject  to the  terms  and
conditions  specified  in such  plans  and to  such  changes  therein  as may be
necessary to reflect the consummation of the transactions contemplated hereby.

5.9. Elimination of Indebtedness.  At or prior to the Closing,  Seller will take
all  necessary  steps to cause the  Companies  and the Company  Subsidiaries  to
eliminate all  indebtedness  for borrowed money of the Companies and the Company
Subsidiaries (including all intercompany obligations).

5.10.  Assumption  of  Certain  Liabilities.   At  the  Closing,  Seller  hereby
acknowledges  and agrees that Seller shall remain liable for and,  following the
Closing,   shall  pay,  discharge  or  perform,  as  applicable,   any  and  all
liabilities,  obligations,  claims and  commitments  of or against  Seller,  the
Companies or the Company Subsidiaries in respect of any of the matters set forth
in Section 5.10 of Seller Disclosure Schedule (the "Assumed Liabilities"). Buyer
shall cause the Companies to furnish any information concerning the Companies or
the  Company  Subsidiaries  reasonably  requested  by  Seller in order to enable
Seller to satisfy its obligations  hereunder,  and shall not settle or otherwise
resolve any Assumed Liability without Seller's consent. 

5.11.  Section  338(h)(10)  Election.  Buyer and Seller shall in a timely manner
take any and all  actions  necessary  to make an  election  with  respect to the
Companies  under  Section  338(h)(10)  of the Internal  Revenue Code of 1986, as
amended (the "Code"),  the Treasury Regulations  promulgated  thereunder and any
comparable  provision  of  state,  local or  foreign  tax law  (the  "338(h)(10)
Election").  The allocation of the "modified adjusted deemed sale price" (within
the meaning of Income Tax Regulation section 1.338(h)(10)-1(f)) among the assets
of the Companies, shall be made in accordance with the fair market value of such
assets as shall be agreed to by Buyer and Seller no later than 30 days following
the Closing Date in a manner  consistent with Section 338 of the Code. Buyer and
Seller  acknowledge  that such  allocation  has been  arrived at by arm's length
negotiation.  Neither  Buyer nor Seller  shall take a position  in any return or
examination or other administrative or judicial proceeding (including any ruling
request)  relating to any tax that is inconsistent  with such allocation.  Buyer
shall  be  responsible  for  and  control  the  preparation  and  filing  of the
338(h)(10)  Election.  Seller shall  prepare,  execute and deliver to Buyer such
documents or forms (including Section 338 Forms as defined below) as Buyer shall
request  or as are  required  by  applicable  law  for an  effective  338(h)(10)
Election.  "Section 338 Forms" shall mean all  returns,  documents,  statements,
schedules and other forms that are required to be submitted in connection with a
338(h)(10)  Election,  including,  without limitation,  U.S. Treasury Department
Form 8023-A (together with any schedules or attachments thereto).

                                     - 16 -
<PAGE> 24
5.12. Insurance.  Seller shall cause the Companies to keep, or cause to be kept,
all material insurance  policies for the Companies and the Company  Subsidiaries
existing on the date of this Agreement,  or suitable  replacements  therefor, in
full force and effect through the close of business on the Closing. Seller shall
use its  reasonable  best  efforts  to  cooperate  with Buyer  and/or  Parent in
obtaining  satisfactory  "tail"  coverage from Seller's  professional  liability
insurance carriers.

ARTICLE VI.
CONDITIONS TO SELLER'S OBLIGATIONS

                The   obligations   of  Seller  to   effect   the   transactions
contemplated  hereby shall be subject to the  fulfillment,  or written waiver by
Seller, at or prior to the Closing, of each of the following conditions:

6.1.  Representations and Warranties True. The representations and warranties of
Buyer and Parent contained herein qualified as to materiality  shall be true and
correct and those not so  qualified  shall be true and  correct in all  material
respects as of the date hereof and at and as of the Closing  Date as though such
representations  and warranties  were made at and as of such date unless limited
by their terms to a prior date.

6.2.  Performance.  Buyer and Parent  shall have  performed  and complied in all
material  respects with all  agreements,  obligations,  covenants and conditions
required by this Agreement to be performed or complied with by it on or prior to
the Closing.

6.3.  Certificates.  Buyer or  Parent  shall  have  furnished  Seller  with such
certificates  to  evidence  its  compliance  with the  conditions  set  forth in
Sections 6.1 and 6.2 hereof as Seller may reasonably request.

6.4. No Injunction or Proceeding. No statute, rule, regulation, executive order,
decree, preliminary or permanent injunction or restraining order shall have been
enacted,  entered,  promulgated  or enforced by any  Governmental  Entity  which
prohibits or restricts the consummation of the transactions contemplated hereby.

6.5. HSR Act. All required waiting periods  applicable to this Agreement and the
transactions  contemplated  hereby  under the HSR Act shall have expired or been
terminated.

6.6.  Lender Consent.  Seller shall have received  consent of the holders of its
Senior Notes on terms reasonably satisfactory to Seller.

ARTICLE VII.
CONDITIONS TO BUYER'S AND PARENT'S OBLIGATIONS

                The  obligation  of Buyer and Parent to effect the  transactions
contemplated  hereby shall be subject to the  fulfillment,  or written waiver by
Buyer, at or prior to the Closing of each of the following conditions:

7.1.  Representations  and  Warranties of Seller True. The  representations  and
warranties of Seller contained herein qualified as to materiality  shall be true
and correct and those not so qualified shall be true and correct in all material
respects as of the date hereof and at and as of the Closing  Date as though such
representations  and warranties  were made at and as of such date unless limited
by their terms to a prior date.

                                     - 17 -

<PAGE> 25
7.2.  Performance  by Seller.  Seller shall have  performed  and complied in all
material  respects with all  agreements,  obligations,  covenants and conditions
required by this  Agreement  to be  performed  or complied  with by Seller on or
prior to the Closing.

7.3.  Certificates.  Seller  shall  have  furnished  Buyer or  Parent  with such
certificates  to  evidence  its  compliance  with the  conditions  set  forth in
Sections  7.1 and 7.2 hereof as Buyer may  reasonably  request.  Nothing  herein
shall  restrict the ability of Seller to provide a certificate  pursuant to this
Section  7.3 that  sets  forth  therein  exceptions,  and the  existence  of any
exceptions  in the  certificate  delivered  pursuant to this  Section 7.3 hereof
shall not be deemed a failure to meet the  condition  set forth in this  Section
7.3; provided,  however,  that the existence of the events described therein may
result in the failure to satisfy the  conditions set forth in Section 7.1 or 7.2
hereof.

7.4. No Injunction or Proceeding. No statute, rule, regulation, executive order,
decree, preliminary or permanent injunction or restraining order shall have been
enacted,  entered,  promulgated  or enforced by any  Governmental  Entity  which
prohibits or restricts the consummation of the transactions contemplated hereby.

7.5. HSR Act. All required waiting periods  applicable to this Agreement and the
transactions  contemplated  hereby  under the HSR Act shall have expired or been
terminated.

7.6.  Receipt of 1996 Audit.  Buyer shall have  received  the audited  financial
statements  for the  Companies  for fiscal year 1996,  together  with the report
thereon of the Companies'  independent  public  accountants,  and such financial
statements  shall not result in any Material  Adverse Effect which would have to
be reflected on the Audited Financial Statements.

ARTICLE VIII.
TERMINATION AND ABANDONMENT; INDEMNIFICATION

8.1.  Termination.  This  Agreement  may be  terminated at any time prior to the
Closing:

          (a) by the consent of all the parties hereto;

          (b) by Buyer,  Parent or Seller if the Closing shall not have occurred
on or before August 20, 1998 (the "Termination Date"), except that Buyer, Parent
or Seller shall have the right, in their mutual  discretion,  to extend the time
period in this  Section  8.1(b) for such time  period  (which  shall in no event
exceed 45  days),  and only for such time  period,  as shall be needed  for such
parties  to  satisfy  their  respective  obligations  under  the  HSR  Act,  the
satisfaction  of  which  shall  at all  times  remain  subject  to each  party's
obligations pursuant to Section 5.6 hereof; provided that the right to terminate
this  Agreement  pursuant to this  Section  8.1(b) shall not be available to any
party  whose  failure to perform  any of its  obligations  under this  Agreement
results in the failure of the Closing to be consummated by such date;

          (c) by Buyer,  Parent or Seller, if any Governmental Entity shall have
issued an order,  decree  or  ruling  or taken  any  other  action  restraining,
enjoining or otherwise  prohibiting any of the transactions  contemplated hereby
and such order,  decree,  ruling or other  action  shall have  become  final and
nonappealable; or

          (d) by Buyer,  Parent or Seller in the event of a material  volitional
breach by the other party to this  Agreement  of any  representation,  warranty,
covenant or  agreement  contained  herein,  which breach is not cured within the
earlier of the Termination Date or thirty (30) days after written notice thereof
is given to the breaching party by the  non-breaching  party or is not waived by
the non-breaching party during such period.

                                     - 18 -
<PAGE> 26
8.2.  Procedure and Effect of  Termination.  In the event of termination of this
Agreement  pursuant to Section 8.1 hereof, by one party,  written notice thereof
shall  forthwith  be given to the other party,  and,  except as set forth below,
this  Agreement  shall  terminate  and be  void  and  have  no  effect  and  the
transactions  contemplated  hereby  shall be  abandoned.  If this  Agreement  is
terminated as provided  herein:  

          (a)  Buyer and  Parent  will  redeliver,  and will  cause  its  agents
(including,  without  limitation,  attorneys and accountants) to redeliver,  all
documents, work papers and other material of Seller or the Companies relating to
the  transactions  contemplated  hereby,  whether  obtained  before or after the
execution hereof;

          (b) all  information  received by Buyer and Parent with respect to the
business,  operations,  assets or financial  condition  of the  Companies or the
Company Subsidiaries shall remain subject to the Confidentiality Agreement; and

          (c) except as otherwise  expressly set forth herein,  no party to this
Agreement shall have any liability  hereunder to any other party, except (i) for
any breach by such party of the terms and provisions of this Agreement,  (ii) as
stated in  paragraphs  (a) and (b) of this  Section 8.2 and (iii) as provided in
the Confidentiality Agreement.

8.3.   Survival  of   Representations,   Warranties  and   Covenants.   (a)  The
representations and warranties contained in Section 3.18 (Environmental Matters)
hereof  shall  survive the Closing and remain in full force and effect until the
fourth anniversary of the Closing Date, at which time they shall terminate.  The
representations  and  warranties  contained in Section 3.13 (Taxes) hereof shall
survive the Closing and remain in full force and effect until the  expiration of
the applicable  statute of limitations  (including any extensions  thereof),  at
which  time they  shall  terminate.  All other  representations  and  warranties
contained  herein shall  survive the Closing and remain in full force and effect
until December 31, 1999, at which time they shall terminate.

          (b) All covenants and  agreements  contained  herein shall survive the
Closing and remain in full force and effect until the first  anniversary  of the
Closing Date, at which time they shall terminate except that those covenants and
agreements  that  by  their  terms  are to be  performed  in  whole  or in  part
subsequent to the Closing  (including  without  limitation  Section 5.10), shall
survive the Closing.

          (c)  The  sole  and   exclusive   remedy   for  any   breach   of  any
representation, warranty, covenant or agreement shall be pursuant to Section 8.4
hereof  contained  herein,  except  in  the  case  of  actual  fraud.  Under  no
circumstances,  except in the case of actual  fraud,  shall  Seller be liable to
Buyer for consequential,  incidental or punitive damages. 

8.4. Indemnification. (a) From and after the Closing, Seller shall indemnify and
hold harmless Buyer,  Parent and the Companies and their respective officers and
directors  (collectively,  the "Buyer Indemnified Parties") from and against any
liabilities,   costs  or  expenses  (including   reasonable   attorneys'  fees),
judgments,  fines,  losses,  claims,  damages  and  amounts  paid in  settlement
(collectively,  "Damages") arising from or in connection with (i) any inaccuracy
in any  representation  or the  breach  of any  warranty  of Seller  under  this
Agreement,  (ii) the  failure of Seller to duly  perform  or  observe  any term,
provision,  covenant or agreement to be performed or observed by Seller pursuant
to this  Agreement  or (iii)  any  liability  of the  Companies  under  Treasury
Regulations  ss.  1.1502-6  for federal  income taxes of the Seller or any other
member of the "affiliated group" that includes Seller.

                                     - 19 -
<PAGE> 27
          (b) From and after the Closing,  each of Buyer and Parent  jointly and
severally  shall  indemnify  and hold  harmless  Seller and its  Affiliates  and
Representatives  (collectively,  the  "Selling  Indemnified  Parties")  from and
against any Damages to the extent they are the result of (i) any  inaccuracy  in
any  representation  or the breach of any warranty of Buyer or Parent under this
Agreement,  (ii) the  failure of Buyer or Parent to duly  perform or observe any
term,  provision,  covenant or agreement to be performed or observed by Buyer or
Parent  pursuant to this  Agreement or (iii) any claim arising after the Closing
Date for  which  Seller is not  obligated  to  indemnify  Buyer or Parent or any
matter  arising  from the  conduct of the  business of the  Companies  after the
Closing Date.

          (c)  Notwithstanding  anything  herein  to the  contrary,  except  for
Damages  incurred  by the  Buyer  Indemnified  Parties  in  connection  with the
inaccuracy  of any  representation  or the  breach  of any  warranty  of  Seller
relating  to Taxes or actual  fraud by the  Seller or  Damages  incurred  by the
Seller   Indemnified   Parties  relating  to  fraud  by  Buyer  or  Parent,   no
indemnification  shall be available to Buyer  Indemnified  Parties under Section
8.4(a)(i) hereof or to Seller Indemnified Parties under Section 8.4(b)(i) hereof
unless and until the aggregate amount of Damages that would otherwise be subject
to indemnification, exceeds $500,000 (in each case, the "Deductible Amount"), in
which case the party  entitled  to such  indemnification  shall be  entitled  to
receive only the amounts in excess of the Deductible Amount. 

          (d)  Notwithstanding  anything  herein to the  contrary,  the  maximum
aggregate  liability  of Seller  to Buyer  Indemnified  Parties  or of Buyer and
Parent to Seller  Indemnified  Parties  under this  Section 8.4 hereof shall not
exceed Ten Million Dollars ($10,000,000).

          (e) Notwithstanding anything herein to the contrary, none of the Buyer
Indemnified  Parties  shall be  entitled  to  indemnification  by Seller for any
Damages  arising  from any matter of which Buyer or Parent had  knowledge  at or
prior to Closing by reason of Seller having  delivered  written notice  thereto,
either in a supplemented disclosure schedule or an officer's certificate,  at or
prior to Closing,  if the conditions to Buyer's or Parent's obligation set forth
in  Article  VII fail to be  satisfied  at  Closing  by  reason  of the  matters
disclosed in such supplemented  disclosure schedule or officer's certificate and
Buyer or  Parent  waives  its right not to Close  unless  Seller  made a knowing
misrepresentation with respect to such matter on the date of this Agreement.

          (f) Any  calculation of Damages for purposes of this Section 8.4 shall
be (i) net of any insurance recovery made by the Indemnified Party (whether paid
directly to such Indemnified Party or assigned by the Indemnifying Party to such
Indemnified  Party)  and (ii)  reduced to take  account  of any net Tax  benefit
realized by the  Indemnified  Party arising from the  deductibility  of any such
Damages or Tax. Any  indemnification  payment  hereunder shall initially be made
without  regard to this  paragraph  and shall be reduced to reflect any such net
Tax benefit only after the Indemnified Party has actually realized such benefit.
For purposes of this  Agreement,  an  Indemnified  Party shall be deemed to have
"actually  realized" a net Tax benefit to the extent that,  and at such time as,
the amount of Taxes  payable  by such  Indemnified  Party is  reduced  below the
amount of Taxes that such Indemnified  Party would have been required to pay but
for deductibility of such Damages.  The amount of any reduction  hereunder shall
be  adjusted  to  reflect  any final  determination  (which  shall  include  the
execution  of Form 870-AD or  successor  form) with  respect to the  Indemnified
Party's liability for Taxes and, if necessary, either Seller or Buyer or Parent,
as the case may be, shall make payments to the other to reflect such adjustment.
Any indemnity  payment under this Agreement shall be treated as an adjustment to
the Purchase Price for Tax purposes,  unless a final determination  (which shall
include the  execution of a Form 870-AD or  successor  form) with respect to the
Indemnified  Party or any of its  Affiliates  causes any such  payment not to be

                                     - 20 -

<PAGE> 28
treated as an  adjustment  to the  Purchase  Price for U.S.  Federal  income Tax
purposes.  

          (g) No action,  claim or setoff for Damages subject to indemnification
under this Section 8.4 shall be brought or made:  

          (i) with respect to claims for Damages  resulting from a breach of any
covenant  contained  in this  Agreement,  or in any  instrument  of  transfer or
assumption  related hereto,  after the date on which such covenant or instrument
shall terminate pursuant to Section 8.3 hereof; and

          (ii) with respect to claims for Damages resulting from a breach of any
representation  or  warranty,  after the date on which  such  representation  or
warranty shall terminate pursuant to Section 8.3 hereof;

          provided,  however, that any claim notified in writing with reasonable
specificity by the party seeking  indemnification  (the "Indemnified  Party") to
the party from which indemnification is sought (the "Indemnifying Party") within
the  time   periods  set  forth  above   shall   survive   (and  be  subject  to
indemnification) until it is finally and fully resolved.

          (h) Upon  receipt by the  Indemnified  Party of notice of any  action,
suit,  proceedings,  claim,  demand or assessment against such Indemnified Party
which might give rise to a claim for Damages,  the Indemnified  Party shall give
written notice thereof to the  Indemnifying  Party indicating the nature of such
claim and the basis  therefor;  provided,  however,  that  failure  to give such
notice shall not affect the  indemnification  provided  hereunder  except to the
extent the Indemnifying Party shall have been actually prejudiced as a result of
such  failure.  A  claim  to  indemnity  hereunder  may,  at the  option  of the
Indemnified  Party,  be asserted as soon as Damages  have been  threatened  by a
third party  orally or in writing,  regardless  of whether  actual harm has been
suffered or  out-of-pocket  expenses  incurred,  provided the Indemnified  Party
shall  reasonably  determine  that it may be  liable  or  otherwise  incur  such
Damages.  However,  payments  for Damages for third  party  claims  shall not be
required  except  to  the  extent  that  the  Indemnified   Party  has  expended
out-of-pocket  sums. The Indemnifying Party shall have the right, at its option,
to assume the defense of, at its own  expense and by its own  counsel,  any such
matter involving the asserted liability of the Indemnified Party as to which the
Indemnifying  Party shall have  acknowledged  its  obligation  to indemnify  the
Indemnified  Party. If any  Indemnifying  Party shall undertake to compromise or
defend any such asserted  liability,  it shall promptly  notify the  Indemnified
Party of its intention to do so, and the  Indemnified  Party agrees to cooperate
fully  with the  Indemnifying  Party and its  counsel in the  compromise  of, or
defense  against,  any such  asserted  liability;  provided,  however,  that the
Indemnifying  Party  shall not settle any such  asserted  liability  without the
written consent of the Indemnified Party (which consent will not be unreasonably
withheld);  provided,  further,  however that the immediately  preceding  clause
shall not  apply in the case of relief  consisting  solely of money  damages  at
least 80% of which shall be borne by the  Indemnifying  Party after  taking into
account  any  limitation  thereon.  Notwithstanding  an  election  to assume the
defense of such  action or  proceeding,  such  Indemnified  Party shall have the
right to employ  separate  counsel  and to  participate  in the  defense of such
action or proceeding, and the Indemnifying Party shall bear the reasonable fees,
costs and expenses of such separate  counsel (and shall pay such fees, costs and
expenses  at least  quarterly),  if (A) the  Indemnifying  Party  shall not have
employed counsel reasonably  satisfactory to such Indemnified Party to represent
such Indemnified  Party within a reasonable time after notice of the institution
of such action or proceeding, or (B) the Indemnifying Party shall authorize such
Indemnified  Party  to  employ  separate  counsel  at the  Indemnifying  Party's
expense.  In any event,  the  Indemnified  Party and its counsel shall cooperate
with the Indemnifying Party and its counsel and shall not assert any position in

                                     - 21 -

<PAGE> 29
any proceeding  inconsistent  with that asserted by the Indemnifying  Party. All
costs  and  expenses   incurred  in  connection  with  an  Indemnified   Party's
cooperation  shall  be  borne  by the  Indemnifying  Party.  In any  event,  the
Indemnified  Party shall have the right at its own expense to participate in the
defense of such asserted liability.

 8.5. Tax Matters.  (a) Seller shall prepare and file all Tax Returns
with the appropriate  federal,  state, local and foreign  governmental  agencies
relating to the Companies  for periods  ending on or before the Closing Date and
shall pay all Taxes due with  respect to such Tax Returns.  Buyer shall  prepare
and file,  or cause to be prepared  and filed,  all Tax  Returns  required to be
filed by the Companies  covering a Tax year commencing prior to the Closing Date
and ending  after the Closing  Date (a  "Straddle  Period")  and shall cause the
Companies to pay the Taxes shown to be due thereon. Seller will furnish to Buyer
all information and records reasonably requested by Buyer for use in preparation
of any Tax Returns  relating to a Straddle  Period.  Buyer shall allow Seller to
review,  comment upon and  reasonably  approve  without undue delay any such Tax
Returns at any time during the 45-day period immediately preceding the filing of
such Tax Return.  Buyer and Seller agree to cause the  Companies to file all Tax
Returns for any Straddle  Period on the basis that the relevant  taxable  period
ended as of the close of  business  on the  Closing  Date,  unless the  relevant
taxing authority will not accept a Tax Return filed on that basis.

          (b) Tax  Cooperation.  Seller shall  reasonably  cooperate,  and shall
cause its respective Affiliates (including the Companies),  officers, employees,
agents,  auditors and  Representatives  reasonably  to cooperate  (including  by
maintaining  and  making  available  to each  other all  relevant  records),  in
preparing  and filing all Tax Returns and in  resolving  all disputes and audits
with respect to Taxes of the  Companies for any  Pre-Closing  Tax Period and for
any Straddle Period.

          (c) Procedures  Relating to  Indemnification  of Tax Claims.  (i) If a
claim shall be made by any Tax authority  which, if successful,  might result in
an indemnity  payment to the Indemnified  Parties  pursuant to Section 8.5(a) or
(b) hereof,  the  Indemnified  Parties  shall  notify the  Indemnifying  Parties
promptly of such claim (a "Tax Claim");  provided,  however, that the failure to
give such notice shall not affect the indemnification  provided hereunder except
to the extent the Indemnifying Parties have actually been prejudiced as a result
of such  failure.  

          (ii) (A) With  respect to any Tax Claim  relating to a taxable  period
ending on or before the Closing  Date,  Seller shall have the right,  at its own
expense,  to  control  all  proceedings  and may  make  all  decisions  taken in
connection  with such Tax Claim;  provided  that  Buyer,  and counsel of its own
choosing,  shall have the right, at its own expense, to participate fully in all
aspects of the  prosecution or defense of such Tax Claim;  and provided  further
that  Seller  shall not  settle  any such Tax Claim  without  the prior  written
consent of Buyer, which consent shall not be unreasonably withheld; and provided
further  that,  notwithstanding  anything in this Section  8.5(c)(ii)(A)  to the
contrary,  Seller shall have the exclusive  right to make all decisions to grant
or deny any waiver or extension of the applicable  statute of limitation.  Buyer
shall deliver its consent, or any objections, within 15 business days of receipt
of any settlement proposal.  Buyer and the Companies shall cooperate with Seller
in contesting any Tax Claim under this Section 8.5(c)(ii)(A),  which cooperation
shall  include the  retention  and,  upon  request of Seller,  the  provision of
records  and  information  which are  reasonably  relevant to such Tax Claim and
making employees  available to provide additional  information or explanation of
any material provided hereunder.  (B) Seller and Buyer shall jointly control all
proceedings with respect to any Tax Claim relating to any Straddle Period.

          (iii) The party  bearing the  liability or obligation to indemnify for
any Taxes  described  under  Section  8.5 shall be  entitled  to any  refunds or
credits of such Taxes.  Buyer shall cause the  Companies to promptly  forward to

                                     - 22 -

<PAGE> 30
Seller, or after Buyer's receipt  reimburse  Seller,  for any refunds or credits
due Seller  (pursuant to the terms of this Section  8.5(c)(iii) and Seller shall
promptly  forward to the  Companies  or after  Seller's  receipt  reimburse  the
Companies,  for any refunds or credits due Buyer  (pursuant to the terms of this
Section 8.5(c)(iii)).

          (d)  Tax  Sharing  Agreements.  Seller  will  cause  any  tax  sharing
agreement or similar  arrangement  with respect to Taxes involving the Companies
to be terminated  as of the Closing  Date,  to the extent any such  agreement or
arrangement relates to the Companies.

          (e)  Transfer   Taxes.   All  transfer,   documentary,   sales,   use,
registration and similar Taxes (including all applicable real estate transfer or
gains Taxes and stock transfer Taxes) and related fees (including any penalties,
interest  and  additions  to Tax)  incurred in  connection  with the sale of the
Shares or otherwise in  connection  with this  Agreement,  and the  transactions
contemplated  hereby  shall be shared be borne by Buyer,  and  Seller  and Buyer
shall  cooperate  in timely  preparing  and  filing  all Tax  Returns  as may be
required to comply with the provisions of such Tax laws.

          (f) Coordination With Section 8.4. In the event the provisions of this
Section 8.5 and the provisions of Section 8.4 hereof  conflict or otherwise each
apply by their  terms,  this  Section 8.5 shall  exclusively  govern all matters
concerning Taxes;  provided that paragraphs (c), (d) and (e) of this Section 8.5
shall apply in any event.

ARTICLE  IX.
MISCELLANEOUS 

9.1.  Amendment and  Modifications.  This Agreement may be amended,  modified or
supplemented  at any time by the parties  hereto.  This Agreement may be amended
only by an instrument in writing signed on behalf of all parties.

9.2.  Extension;  Waiver.  At any time prior to the Closing,  the parties hereto
entitled to the benefits of the respective  term or provision may (i) extend the
time for the  performance  of any of the  obligations or other acts of the other
parties  hereto,   (ii)  waive  any  inaccuracies  in  the  representations  and
warranties contained herein or in any document, certificate or writing delivered
pursuant  hereto  or  (iii)  waive  compliance  with any  obligation,  covenant,
agreement or condition  contained herein. Any agreement on the part of any party
to any  such  extension  or  waiver  shall  be  valid  only if set  forth  in an
instrument in writing  signed on behalf of the parties  entitled to the benefits
of such extended or waived term or provision.

9.3.  Representations  and Warranties;  Etc. (a) Each of Buyer and Parent hereby
acknowledges and agrees that Seller is not making any representation or warranty
whatsoever, express or implied, including, without limitation, in respect of the
Companies or their respective assets,  liabilities and businesses,  except those
representations  and warranties of Seller explicitly set forth in this Agreement
or in the Seller Disclosure  Schedule or in any certificate  contemplated hereby
and delivered by Seller in connection herewith.

          (b) Except as set forth in the  indemnification  provisions of Section
8.4 hereof,  Buyer,  Parent and Seller  agree that on and after the Closing Date
neither  Seller,  nor  any  of the  respective  officers,  directors,  partners,
employees, Affiliates,  Representatives or agents, as the case may be, of Seller
(collectively,  the "Selling Group"), shall have any liability or responsibility
to any Person,  including,  without limitation,  Buyer, Parent or the Companies,
for (and each of them  unconditionally  releases  the  Selling  Group  from) any
liability or  obligation  of, or arising out of, or relating to, the  Companies,
Parent or Buyer of whatever  kind or nature,  whether  contingent  or  absolute,

                                     - 23 -

<PAGE> 31
whether arising prior to, on or after, and whether  determined or indeterminable
on, the  Closing  Date,  and  whether or not  specifically  referred  to in this
Agreement,  including,  without  limitation,  liabilities  and  obligations  (i)
relating  to this  Agreement  and the  transactions  contemplated  hereby,  (ii)
arising out of or due to any inaccuracy of any representation or warranty or the
breach of any covenant,  undertaking or other  agreement of Seller  contained in
this Agreement,  Seller Disclosure  Schedule or in any certificate  contemplated
hereby and delivered by Seller in connection  herewith and (iii) relating to any
information  (whether  written or oral),  documents  or  materials  furnished by
Seller  or any of its  Affiliates  or any of their  respective  Representatives,
including the Confidential Information Memorandum prepared by SBC Warburg Dillon
Read Inc. and any information,  documents or material made available to Buyer in
certain "data rooms",  management presentations or any other form in expectation
of the  transactions  contemplated  by this Agreement. 

9.4.  Entire  Agreement;  Assignment.  This Agreement (a) constitutes the entire
agreement  among the  parties  with  respect to the  subject  matter  hereof and
supersedes all other prior agreements and understandings, both written and oral,
among the  parties or any of them with  respect  to the  subject  matter  hereof
(other  than the  Confidentiality  Agreement)  and (b) shall not be  assigned by
operation  of law or  otherwise;  provided,  however,  that Buyer may assign its
rights and obligations to any wholly owned  subsidiary of Buyer (unless to do so
would restrict or delay the  consummation  of the  transactions  contemplated by
this  Agreement),  but no such assignment shall relieve Buyer of its obligations
hereunder.

9.5.  Validity.  The  invalidity  or  unenforceability  of any provision of this
Agreement shall not affect the validity or enforceability of any other provision
of this Agreement, each of which shall remain in full force and effect.

9.6. Notices. All notices,  requests,  claims,  demands and other communications
hereunder  shall be in  writing  and shall be deemed to have been duly  given if
delivered  personally,  telecopied (which is confirmed) or sent by registered or
certified mail (postage prepaid, return receipt requested) to the parties at the
following addresses:

                  If to Buyer, to:
                           Healthcare Staffing Solutions, Inc.
                           Cross Point Tower II
                           900 Chelmsford Street
                           Lowell, Massachusetts 08152
                           Attention:  Richard C. Stoddard
                           Telecopy: (978) 551-4037

                  If to Parent, to:
                           RehabCare Group, Inc.
                           7733 Forsyth Boulevard
                           Suite 1700
                           St. Louis, Missouri 63105
                           Attention:  Gregory J. Eisenhauer
                           Telecopy:  (314) 863-5244

                  With a copy to:
                           Thompson Coburn
                           One Mercantile Center
                           St. Louis, Missouri 63101-1693
                           Attention:  Robert M. LaRose, Esq.
                           Telecopy:   (314) 552-7000

                                     - 24 -

<PAGE> 32
                If to Seller, to:
                           Medical Resources, Inc.
                           155 State Street
                           Hackensack, NJ  07601
                           Attention:  Christopher J. Joyce, Esq.
                           Telecopy:   (201) 488-8230


                With a copy to:
                           Willkie Farr & Gallagher
                           787 Seventh Avenue
                           New York, New York 10019
                           Attention:  Steven J. Gartner, Esq.
                           Telecopy:  (212) 728-8111

or to such  other  address  as the  Person  to whom  notice  is  given  may have
previously  furnished  to the others in  writing  in the manner set forth  above
(provided  that  notice of any change of address  shall be  effective  only upon
receipt thereof).

9.7.  Governing  Law.  This  Agreement  shall be  governed by and  construed  in
accordance  with the laws of the State of New York,  regardless of the laws that
might otherwise govern under applicable principles of conflicts of laws thereof.

9.8.  Specific  Performance.  The  parties  hereto  agree  that  if  any  of the
provisions  of this  Agreement  were not  performed  in  accordance  with  their
specific terms or were otherwise  breached,  irreparable  damage would occur, no
adequate  remedy at law would exist and damages would be difficult to determine,
and that the parties  shall be entitled  to  specific  performance  of the terms
hereof, in addition to any other remedy at law or equity.

9.9.  Publicity.  Except  as  otherwise  required  by  law,  for so long as this
Agreement is in effect,  none of Seller,  Buyer,  Parent or the Companies  shall
issue or cause the publication of any press release or other public announcement
with respect to the  transactions  contemplated  by this  Agreement  without the
express prior written  approval of the other parties.  Each of Seller (on behalf
of itself and the Companies),  Buyer and Parent agree to afford each other party
a reasonable period of time to review and comment upon any such press release or
public  announcement,  subject at all times to any requirement of law or rule or
regulation  of any stock  exchange or  automated  interdealer  quotation  system
governing the timing of any such press release or public announcement.

9.10.  Arbitration  (a) The  parties  hereto  agree to  submit  any  dispute  or
controversy  arising out of or in connection  with or relating to this Agreement
or the breach or alleged  breach  thereof (a  "Dispute"),  including any Dispute
relating to any claim for Damages subject to indemnification pursuant to Section
8.4 hereof,  to final and binding  arbitration  pursuant to the  provisions  set
forth below. Nothing in this Section 9.10 shall prohibit Buyer, Parent or Seller
from  instituting  litigation  to enforce  any Final  Determination  (as defined
below).  The parties hereby  acknowledge and agree that,  except as set forth in

                                     - 25 -

<PAGE> 33
this  Section  9.10 or in the  arbitration  rules  of the  American  Arbitration
Association  as in effect from time to time, the  arbitration  procedure and any
Final  Determination  hereunder  shall be  governed  by,  and shall be  enforced
pursuant to applicable New York law.

          (b) In the event that  either  Buyer,  Parent or Seller  asserts  that
there exists a Dispute,  such party shall deliver a written  notice to the other
party  specifying the nature of the asserted Dispute and requesting a meeting to
attempt to resolve the same. If no such resolution is reached within twenty days
after the delivery of such notice,  the party  delivering such notice of Dispute
may,  within  45 days  after  delivery  of  such  notice,  commence  arbitration
hereunder  by  delivering  to each  other  party  involved  therein  a notice of
arbitration  (a "Notice  of  Arbitration").  Such  Notice of  Arbitration  shall
specify  the  matters  as to which  arbitration  is  sought,  the  nature of any
Dispute,  the  claims of each party to the  arbitration  and shall  specify  the
amount and nature of any Damages,  if any, sought to be recovered as a result of
any alleged claim,  and any other matters  required by the arbitration  rules of
the American Arbitration  Association in effect from time to time to be included
therein, if any. 

          (c)  Arbitration  shall be conducted in the City of New York, New York
before a single  arbitrator  agreeable  to both  parties.  In the event that the
parties fail to agree on a designee within 20 days from the delivery of a Notice
of Arbitration, then the arbitration shall proceed in the same location before a
single  arbitrator  appointed by the  American  Arbitration  Association  at the
request of either party thereto.

          (d) The costs and expenses of  arbitration  shall be borne  equally by
each party.

          (e) The  arbitrator  shall so  conduct  the  arbitration  that a final
result,   determination,    finding,   judgment   and/or   award   (the   "Final
Determination")  is made or  rendered  as soon as  practicable,  but in no event
later than 90 days after the  delivery  of the Notice of  Arbitration  nor later
than 10 days  following  completion  of the  arbitration. 

          (f) The Buyer and the Seller may  enforce any Final  Determination  in
any state or federal court located in New York, New York. For the purpose of any
action or proceeding  instituted with respect to any Final  Determination,  each
party hereto  hereby  irrevocably  submits to the  jurisdiction  of such courts,
irrevocably  consents to the service of process by  registered  mail or personal
service and hereby  irrevocably  waives, to the fullest extent permitted by law,
any objection  which it may have or hereafter have as to personal  jurisdiction,
the  laying of the venue of any such  action or  proceeding  brought in any such
court and any claim that any such action or proceeding  brought in any court has
been  brought  in  an  inconvenient  forum.  9.11.   Descriptive  Headings.  The
descriptive  headings  herein are inserted for convenience of reference only and
are not  intended  to be part of or to affect the meaning or  interpretation  of
this Agreement.

9.12. Counterparts.  This Agreement may be executed in two or more counterparts,
each of  which  shall  be  deemed  to be an  original,  but all of  which  shall
constitute one and the same agreement.

9.13. Expenses.  Whether or not the transactions  contemplated by this Agreement
are consummated,  and except as otherwise  expressly set forth herein, all legal
and other  costs and  expenses  incurred  in  connection  with the  transactions
contemplated  by  this  Agreement  shall  be paid by the  party  incurring  such
expenses.

                                     - 26 -

<PAGE> 34
9.14.  Parties in  Interest.  This  Agreement  shall be binding  upon and inure
solely to the benefit of each party hereto and,  except as set forth in Sections
5.9 and 8.4 hereof,  nothing in this Agreement,  express or implied, is intended
by or shall  confer upon any other  Person or Persons  any  rights,  benefits or
remedies  of any nature  whatsoever  under or by reason of this  Agreement.  Any
Person who is a beneficiary  of any of the  aforementioned  provisions  shall be
entitled to enforce his rights thereunder; provided, however, that, prior to the
Closing,  no action to enforce  such rights may be  commenced by any such Person
without the prior written consent of Seller.

9.15.  Interpretation.  No  reference  in this  Agreement  to  "reasonable  best
efforts" or "all  reasonable  efforts"  shall require a Person  obligated to use
such  efforts to incur  out-of-pocket  expenses or  indebtedness  or,  except as
expressly  provided herein,  to institute  litigation or to consent generally to
service of process in any jurisdiction.

                                     - 27 -



<PAGE> 35

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


                                             MEDICAL RESOURCES, INC.



                                                 _         
                                             By: /s/ Duane C. Montopoli
                                             -----------------------------------
                                             Name:  Duane C. Montopoli
                                             Title: President & CEO



                                             REHABCARE GROUP, INC.



                                             
                                             By: /s/ Gregory Eisenhauer
                                             -----------------------------------
                                             Name:  Gregory Eisenhauer
                                             Title: Senior Vice President,
                                                            Acquisitions

                                             HEALTHCARE STAFFING SOLUTIONS, INC.



                                             By: /s/ R.C. Stoddard
                                             -----------------------------------
                                             Name:  R.C. Stoddard
                                             Title: President

                                     - 28 -


<PAGE> 36
                                                                     EXHIBIT 2.2

                                ESCROW AGREEMENT


          ESCROW AGREEMENT,  dated as of August 14, 1998, by and between Medical
Resources,  Inc., a Delaware  corporation  ("Seller"),  RehabCare Group, Inc., a
Delaware corporation ("Parent") and IBJ Schroder Bank & Trust Company, as Escrow
Agent (the "Escrow Agent").

                                 R E C I T A L S

          WHEREAS, Seller, Healthcare Staffing Solutions,  Inc., a Massachusetts
corporation ("Buyer"), and Parent are parties to a Stock Purchase Agreement (the
"Purchase  Agreement"),  pursuant to which Buyer will purchase from Seller,  and
Seller will sell to Buyer, StarMed Staffing,  Inc. and Wesley Medical Resources,
Inc.  (collectively,  the  "Companies")  on the terms and  conditions  set forth
therein; and

          WHEREAS,  pursuant to the  Purchase  Agreement,  Buyer and Parent have
agreed to deposit a letter of credit in the  amount of  $2,000,000  into  escrow
pursuant to the terms of this Agreement.

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

          1.  Appointment  of Escrow  Agent;  Fee. (a) Seller and Parent  hereby
appoint  the Escrow  Agent as the escrow  agent  under this  Agreement,  and the
Escrow Agent accepts such appointment  according to the terms and conditions set
forth herein.

          (b) In  consideration  for its  services  hereunder,  the Escrow Agent
shall be paid a fee as set forth in Schedule I.

          2.  Delivery  of Letter of  Credit.  On the date  hereof,  Parent  has
deposited  with the Escrow  Agent,  and the  Escrow  Agent  hereby  acknowledges
receipt  of, a letter of credit  (the  "Letter of  Credit"),  a copy of which is
attached hereto as Exhibit A, issued by NationsBank, N.A. (the "Bank").

          3. Release of Letter of Credit. The Escrow Agent shall hold the Letter
of Credit in escrow in  accordance  with this  Agreement.  If the  Escrow  Agent
receives a written  notice (a "Draw  Notice")  (a) in the case of a Draw  Notice
delivered on or before December 31, 1999, from Seller and Buyer  requesting that
the Escrow  Agent make a draw on the Letter of Credit,  and (b) in the case of a
Draw Notice  delivered  after December 31, 1999, from Seller (i) requesting that
the Escrow Agent make a draw on the Letter of Credit,  (ii)  certifying that the
Seller is entitled to make such request in  accordance  with the L/C  Procedures
Agreement  (as  defined in the  Purchase  Agreement)  and (iii) in the case of a
partial draw on the Letter of Credit,  certifying  that the requested  amount of
such draw does not exceed the amount  permitted  to be drawn under the Letter of
Credit in accordance with the terms thereof, the Escrow Agent shall, within five
business  days of the date on which it  receives  the Draw  Notice,  present the
Letter of Credit to the Bank, demand payment of the amount indicated in the Draw
Notice  (which  shall  not  exceed  the  amount of the  Letter  of  Credit  then
outstanding), and deposit the proceeds thereof to be held by the Escrow Agent in
escrow pursuant to the terms hereof ("Escrow Proceeds").

<PAGE> 37
          4.  Investment  of  Escrow  Proceeds.  Until the  termination  of this
Agreement, the Escrow Proceeds, together with any interest earned thereon, shall
be invested (as directed in written  instructions  to the Escrow Agent from time
to time by Seller) solely in one or more of the investments referred to below:

          (a) interest  bearing time deposits with maturity  dates of 30 days or
less of any bank located  within the United States of America,  including one or
more accounts  maintained in the commercial  banking  department (if any) of the
Escrow  Agent;  provided  that any amount held on deposit in any bank not having
unsecured,   non-subordinated   indebtedness   outstanding   that  is  rated  as
"investment grade" by a nationally recognized rating agency shall be so invested
only  if  such  amount  is  fully  insured  by  the  Federal  Deposit  Insurance
Corporation ("FDIC");

          (b)  certificates  of deposit with  maturity  dates of 30 days or less
issued by the commercial  banking department (if any) of the Escrow Agent, or of
any bank located in the United States of America,  provided that any amount held
on  deposit  in any bank not  having  unsecured,  non-subordinated  indebtedness
outstanding  that is rated as  "investment  grade"  by a  nationally  recognized
rating  agency shall be so invested  only if such amount is fully insured by the
FDIC;

          (c)  direct  obligations  of,  or  obligations  guaranteed  as to  all
principal  and  interest  by, the United  States of  America,  in each case with
maturity dates of 30 days or less;

          (d) repurchase  agreements with maturity dates of 30 days or less that
are fully  secured  as to  payment  of  principal  and  interest  by  collateral
consisting of obligations described in Sections 4(a) through (c) above;

          (e)  commercial  paper with maturity  dates of 30 days or less that is
rated A-1 by  Standard & Poor's  Corporation  or  Prime-1  by Moody's  Investors
Service, Inc., or better; or

          (f)  investments  in   institutional   money  market  funds  investing
principally  in  obligations  permitted  by  Sections  4(a)  through  (e) above,
including  money  market  funds  managed  by  the  Escrow  Agent  or  any of its
affiliates.

          In  the  absence  of  any  written  instructions  from  Seller  to the
contrary,  the Escrow  Agent is hereby  authorized  and  directed  to invest and
reinvest the Escrow  Proceeds in money  market  funds  referred to in clause (f)
above.

The parties  acknowledge  that the Escrow Agent shall not be responsible for any
diminution in the Escrow Proceeds due to losses  resulting from investments made
pursuant to this Agreement.

          5.  Payments  From  Escrow.  The  Escrow  Agent  shall hold the Escrow
Proceeds in escrow in  accordance  with this  Agreement  and shall make payments
from the Escrow Proceeds only as follows:

          (a) Parent shall be paid such amounts as are  authorized to be paid to
it pursuant to Section 6 below.

                                     - 2 -

<PAGE> 38
          (b) On the  later to occur of (i)  April 1, 1999 or (ii) the date upon
which  Seller  shall  certify to Parent and the Escrow Agent in writing that the
following  events have occurred (the "First  Release Date  Conditions"):  (A)(I)
Seller  shall have  received  from the  requisite  holders of its Senior Notes a
waiver of all  defaults in  existence  as of June 30, 1998 or (II) Seller  shall
have repaid in full all  amounts  due to the  holders of such  Senior  Notes and
(B)(I) the Companies  shall have been released from the litigation  entitled Ash
v. Medical Resources, Inc. et. al. (U.S.D.C.  Northern District California, Case
No.  C-98-02251)  or,  in the  event of any  transfer  of such  case to  another
jurisdiction or forum, any such transferred case (the "Ash  Litigation") or (II)
there  shall  have  been  rendered  a  final,  non-appealable  order  in the Ash
Litigation,  and any judgment against the Companies shall have been satisfied in
full by Seller (the later to occur of the dates set forth in (i) and (ii) above,
the "First  Release  Date"),  Seller shall be paid an amount equal to $1,000,000
less the aggregate of the then existing  Claim  Reserves (as defined  below) for
Open  Claims  (as  defined  below) and the  amount of any  unresolved  claim for
indemnification  pursuant to the Purchase  Agreement  not  constituting  an Open
Claim  which  is  described  in a  written  notice  of a claim  from  Parent  in
accordance with Section 6(a) (a "Notified  Claim") and actually  received by the
Escrow  Agent  at any  time  prior  to the  First  Release  Date.  Buyer  hereby
acknowledges that such $1,000,000 payment shall only be reduced by the aggregate
amount of such Claim  Reserves for Open Claims and Notified Claim amounts to the
extent such aggregate  amount exceeds the amount  remaining under the Deductible
Amount (as defined in the Purchase  Agreement) as of the First Release Date. The
Escrow Agent shall bear no responsibility for determining  whether the aggregate
amount of such Claim Reserves for Open Claims and Notified Claim amounts exceeds
the amount remaining under the Deductible Amount as of the First Release Date.

          (c) On January 2, 2000 (the "Final Release Date"), notwithstanding the
occurrence or  non-occurrence  as of such date of the First Release Date, Seller
shall be paid an amount equal to the entire balance of the Escrow  Proceeds then
remaining less the aggregate of the then existing Claim Reserves for Open Claims
and the amount of any Notified  Claim  actually  received by the Escrow Agent at
any time on or prior to December  31,  1999,  excluding  the amount of any Claim
Reserve  established in respect of the Ash Litigation (the "Ash Claim Reserve");
provided,  however,  that such  payment  shall only be reduced by the  aggregate
amount of such Claim  Reserves for Open Claims and Notified Claim amounts to the
extent such aggregate  amount exceeds the amount  remaining under the Deductible
Amount as of the Final Release  Date.  The amount of the Ash Claim Reserve shall
be  established  in good  faith by Parent and shall be  furnished  to the Escrow
Agent in a  written  instrument  executed  by  Parent,  which  instrument  shall
reference  this Section 5(c) and shall be furnished to the Escrow Agent prior to
December 31, 1999. In the event Parent fails to deliver such written  instrument
to the Escrow  Agent  prior to  December  31,  1999,  the Escrow  Agent shall be
entitled to assume that the amount of the Ash Claim Reserve is zero.

          (d) Notwithstanding anything herein to the contrary, in the event that
the First Release Date  condition set forth in Section  5(b)(ii)(B)  hereof (the
"Ash Condition") shall not have been fulfilled as of the Final Release Date, any
amounts owed under Section 5(c) above shall be reduced by  $1,000,000  (the "Ash
Holdback"),  provided,  however,  that the Ash Holdback  shall be paid to Seller
within  three  business  days of the date Seller  certifies in writing to Parent
that the Ash Condition has been fulfilled.

          (e) Within two banking days of the Escrow  Agent's having been given a
copy of a Final  Determination  (as defined below) for an Open Claim, (i) Parent
shall be paid an amount equal to the  aggregate  amount  payable to Parent under
the Final Determination for such Open Claim and (ii) to the extent authorized in

                                     - 3 -

<PAGE> 39
Section 6 below,  Seller  shall be paid an amount  equal to the  balance  of the
Claim Reserve established in respect of such Open Claim.

          (f)  Seller and Parent  hereby  covenant  and agree to take all action
necessary to commence the  arbitration  procedures  set forth in Section 9.10 of
the Purchase  Agreement  promptly  after each of the First  Release Date and the
Final  Release  Date in  respect  of all Open  Claims  and  Notified  Claims  in
existence as of each such date, respectively.

          (g) Any payment required to be made hereunder by the Escrow Agent from
the Escrow Proceeds shall be delivered in accordance  with written  instructions
given to the Escrow Agent by the party  entitled under this Agreement to receive
such payment, which written instructions shall be reasonably satisfactory to the
Escrow  Agent  and  shall be  furnished  to the  Escrow  Agent at least  two (2)
business  days  prior to any  date on  which  any  payment  required  to be made
hereunder by the Escrow Agent from the Escrow Proceeds is made.

          (h) In the event the  expiration of the Letter of Credit occurs before
the resolution of the Ash Litigation,  the Escrow Agent shall make a draw on the
Letter of Credit in the amount of the Ash Claim  Reserve and invest the proceeds
accordingly.

          6. Parent Claims.  The procedure for payments from the Escrow Proceeds
to Parent or, in the case of Section 6(d) hereof, to Parent or Seller,  shall be
as follows:

          (a) From time to time prior to the Final Release Date, if Parent shall
have determined that it is entitled to an indemnification  payment under Section
8.4 of the  Purchase  Agreement,  Parent  may  request  payment  from the Escrow
Proceeds by giving  written  notice of Parent's claim to the Escrow Agent and to
Seller, certifying in such notice the nature of the claim, the amount thereof if
then ascertainable and, if not then ascertainable,  a good faith estimate of the
estimated  amount  thereof  (provided,  however,  that Parent shall  provide the
Escrow Agent and Seller with a specific  amount),  and the  provision(s)  in the
Purchase  Agreement  on which the  claim is based and the  method by and date on
which such notice was given to the Escrow Agent and to Seller.

          (b) If,  within  twenty (20) days after  actual  receipt by the Escrow
Agent of the written  notice of a claim from Parent in  accordance  with Section
6(a), the Escrow Agent has not actually received written objection to such claim
from Seller, the claim stated in such notice shall be conclusively  deemed to be
approved by Seller and the Escrow Agent shall promptly  thereafter pay to Parent
from the  Escrow  Proceeds  an amount  equal to the  amount of such claim to the
extent of the  funds in the  Escrow  Proceeds.  If there has been no draw on the
Letter  of Credit at the time of such  payment,  the  Escrow  Agent  shall  make
payment as promptly  as  practicable  after such time,  if any, as the Letter of
Credit is drawn, to the extent funds are available.

          (c) If within  said  twenty  (20) days the  Escrow  Agent  shall  have
actually  received  from  Seller a written  objection  to the  claim by  Parent,
certifying  the  nature  of and  grounds  for  such  objection  (a copy of which
objection shall be sent to Parent by Seller in accordance with the provisions of
Section 11 below), then such claim shall be deemed to be an "Open Claim" and the
Escrow  Agent  shall  reserve  an amount  equal to the  amount of the Open Claim
(which amount for each Open Claim is referred to herein as the "Claim Reserve").

                                     - 4 -

<PAGE> 40
          (d) The  amount  constituting  the Claim  Reserve  for each Open Claim
shall be paid by the Escrow  Agent from the Escrow  Proceeds to Parent or Seller
only either (i) in  accordance  with a written  instruction  jointly  issued and
signed by both Parent and Seller or (ii) if and to the extent  consistent with a
copy of a written  decision of an  arbitrator  made pursuant to the terms of the
Purchase  Agreement  or a final  judgment  by or order  of a court of  competent
jurisdiction with respect to which any period of time to appeal such judgment or
order shall have lapsed  pertaining to the Open Claim,  sent to the Escrow Agent
by Parent or Seller, and accompanied by, in the case of an order or judgment,  a
certification  that any  period of time to file an appeal has lapsed and no such
appeal has been filed or is otherwise pending (a "Final Determination"), and any
portion of the Claim  Reserve  for such Open Claim not so required to be paid to
Parent shall be paid by the Escrow Agent to Seller in  accordance  with Sections
5(b) or 5(c) above and such Claim Reserve shall be reduced to zero, but if it is
then prior to the Final  Release  Date,  such portion of the Claim Reserve shall
cease to be a reserved portion of the Escrow Proceeds.

          (e) Buyer hereby acknowledges that it shall not make any Open Claim or
Notified Claim until the aggregate  amount of Claim Reserves for Open Claims and
Notified Claim amounts exceeds the amount remaining under the Deductible Amount.
The Escrow  Agent  shall bear no  responsibility  for  determining  whether  the
aggregate  amount of such Claim  Reserves  for Open  Claims and  Notified  Claim
amounts exceeds the amount remaining under the Deductible Amount.

          7. Conditions to Escrow. The Escrow Agent agrees to hold the Letter of
Credit and the Escrow  Proceeds and to perform in accordance  with the terms and
provisions of this Agreement. Seller and Parent agree that the Escrow Agent does
not assume any  responsibility for the failure of Seller or Parent to perform in
accordance with the Purchase Agreement or this Agreement.  The acceptance by the
Escrow Agent of its responsibilities hereunder is subject to the following terms
and  conditions,  which the parties  hereto  agree shall govern and control with
respect to the Escrow Agent's rights, duties, liabilities and immunities:

          (a) The Escrow Agent may conclusively  rely, and shall be protected in
acting or  refraining  from  acting  upon,  any written  notice,  certification,
request,  waiver,  consent,  receipt or other paper or document furnished to it,
not  only  as to  its  due  execution  and  validity  and  effectiveness  of its
provisions  but also as to the truth and  accuracy  of any  information  therein
contained and its signature and presentation by the proper party or parties.  It
is understood that any references herein to joint  instructions or joint written
instructions  or words of similar  import  include  any  instructions  signed in
counterpart.

          (b) The Escrow  Agent shall not be liable for any error of judgment or
for any act  done or step  taken  or  omitted  by it in good  faith,  or for any
mistake of fact or law, or for anything which it may do or refrain from doing in
connection herewith, except for its own gross negligence or willful misconduct.

          (c) The Escrow Agent may consult with,  and obtain advice from,  legal
counsel in the event of any question as to any of the  provisions  hereof or the
duties  hereunder,  and it shall incur no liability and shall be fully protected
in acting in good faith in accordance with the opinion and  instructions of such
counsel.  The reasonable  costs of such counsel's  services shall be paid to the
Escrow Agent in accordance with Section 10 below.

                                     - 5 -

<PAGE> 41
          (d) The Escrow  Agent  shall  have no duties  except  those  which are
expressly  set  forth  herein  and it shall  not be  bound  by (i) the  Purchase
Agreement or any  agreement of the other parties  hereto  (whether or not it has
any  knowledge  thereof)  or by any notice of a claim,  or demand  with  respect
thereto, or (ii) any waiver, modification,  amendment, termination or rescission
of this Agreement unless the Escrow Agent agrees thereto in writing.

          (e) The Escrow Agent may resign and be discharged  from its duties and
obligations hereunder by giving notice in writing of such resignation specifying
a date (no earlier than thirty (30) days following the date of such notice) when
such resignation  will take effect,  provided,  however,  that until a successor
escrow agent is appointed by Parent and Seller and such  successor  accepts such
appointment,  the Escrow  Agent shall  continue to hold the Letter of Credit and
the Escrow  Proceeds  and  otherwise  comply  with the terms of this  Agreement;
provided  further that the parties to this Escrow  Agreement  agree to use their
best efforts to mutually  agree on a successor  escrow agent within  thirty (30)
days after the giving of Escrow Agent's  notice and if no such successor  escrow
agent shall be appointed  within thirty (30) days of the Escrow Agent  providing
its notice,  the Escrow  Agent may,  at the  expense of Parent and  Seller,  (i)
appoint a successor  escrow  agent  which shall be a national or stat  chartered
banking,  trust or savings  association,  (ii)  petition  any court of competent
jurisdiction  for the  appointment  of a  successor  escrow  agent or (iii)  may
deposit the Letter of Credit or the Escrow Proceeds with the office of the clerk
of  registry  of any state or federal  court in the State of New York,  at which
time the Escrow Agent's duties hereunder shall  terminate.  Any successor escrow
agent shall execute and deliver an instrument  accepting such appointment and it
shall, without further acts, be vested with all the estates, properties, rights,
powers and duties of the  predecessor  escrow  agent as if  originally  named as
escrow agent.  The resigning Escrow Agent shall thereupon be discharged from any
further obligations under this Escrow Agreement.

          (f) Upon  delivery of all of the Letter of Credit or the entire Escrow
Proceeds pursuant to the terms hereof or to a successor escrow agent, the Escrow
Agent shall thereafter be discharged from any further obligations hereunder. The
Escrow  Agent is hereby  authorized,  in any and all events,  to comply with and
obey any and all final judgments,  orders and decrees (not subject to appeal) of
any court of competent  jurisdiction which may be filed, entered or issued, and,
if it shall so  comply or obey,  it shall  not be liable to any other  person by
reason of such compliance or obedience.

          (g) In the event that the Escrow  Agent shall be  uncertain  as to its
duties or rights  hereunder or shall  receive  instructions  with respect to the
Letter of Credit or the  Escrow  Proceeds  which,  in its sole  opinion,  are in
conflict with either other instructions  received by it or any provision of this
Agreement,  it shall  without  liability  of any kind,  be  entitled to hold the
Letter  of  Credit  or the  Escrow  Proceeds  pending  the  resolution  of  such
uncertainty  to the Escrow  Agent's sole  satisfaction,  by final  judgment of a
court or courts of competent jurisdiction or otherwise,  or the Escrow Agent, at
its option,  may, in final  satisfaction  of its duties  hereunder,  deposit the
Letter of Credit or the Escrow Proceeds with the office of the clerk of registry
of any state or federal  court in the State of New York.  The Escrow Agent shall
not be bound by, or obligated to consider any instructions  received from Parent
that are inconsistent with any Draw Notice given by Seller.

          8. Indemnification.  Parent and Seller, jointly and severally,  hereby
agree to  indemnify  the  Escrow  Agent,  its  directors,  officers,  agents and
employees and any person who  "controls"  the Escrow Agent within the meaning of
Section  15 of  the  Securities  Act of  1933  (collectively,  the  "Indemnified
Parties") for and to hold them harmless  against any loss,  liability or expense

                                     - 6 -

<PAGE> 42
(including,   without  limitation,  all  expenses  reasonably  incurred  in  its
investigation  and  defense  and  costs  and  expenses  reasonably  incurred  in
enforcing this right of  indemnification)  incurred  without gross negligence or
willful  misconduct on the part of the Indemnified  Parties arising out of or in
connection with this  Agreement.  The provisions of this Section 8 shall survive
the termination of this  Agreement.  The Escrow Agent shall have and does have a
first lien against the Escrow Proceeds to satisfy any claims for indemnification
made hereunder.

          9. Banking  Days. If any date on which the Escrow Agent is required to
make an  investment  or a delivery  pursuant to the  provisions  hereof is not a
banking day, then the Escrow Agent shall make such investment or delivery on the
next succeeding banking day.

          10.  Escrow  Costs;  No Right of  Set-off.  The Escrow  Agent shall be
entitled to be paid a fee for its services pursuant to the attached Fee Schedule
and to be reimbursed for its reasonable costs and expenses hereunder  (including
reasonable  counsel fees),  which fees,  costs and expenses shall be paid 50% by
Parent and 50% by Seller.

          The Escrow Agent acknowledges and agrees that it is holding the Escrow
Proceeds  in its  capacity  as  escrow  agent  and that it has no right to apply
amounts in the Escrow  Proceeds  against any obligations of the other parties to
this Agreement that do not arise under this Agreement.

          11. Notices.

          (a) All  communications  under this Agreement  shall be in writing and
shall be delivered by hand or by facsimile, or mailed by overnight courier or by
registered mail or certified mail, postage prepaid:

               (i) if to Seller,  at 155 State  Street,  Hackensack,  New Jersey
07601 or at such other  address as Seller may have  furnished  the other parties
hereto in  writing,  with a copy to Willkie  Farr &  Gallagher,  at 787  Seventh
Avenue, New York, New York 10019, marked for the attention of Steven J. Gartner,
Esq. (Facsimile No.: 212-728-8111),

               (ii)  if to  Parent,  at  RehabCare  Group,  Inc.,  7733  Forsyth
Boulevard,  Suite 1700,  St. Louis,  Missouri  63105 or at such other address as
Parent may have  furnished the other parties  hereto in writing,  with copies to
Thompson  Coburn,  at One Mercantile  Center,  St. Louis,  Missouri  63101-1693,
marked  for  the   attention  of  Robert  M.  LaRose,   Esq.   (Facsimile   No.:
314-552-7000), or

               (iii) if to the Escrow Agent, at One State Street,  New York, New
York 10004, marked to the attention of Kevin Fox (Facsimile No.: 212-858-2952).

          (b) Any notice so addressed  shall be deemed to be given: if delivered
by hand or by facsimile,  on the date of such delivery; if mailed by courier, on
the first  business day  following  the date of such  mailing;  and if mailed by
registered or certified  mail, on the fifth  business day after the date of such
mailing.

          12.  Entire  Agreement.  This  Agreement,  together  with the Purchase
Agreement and the L/C Procedures  Agreement and related  exhibits and schedules,
contains  the entire  understanding  of the parties  hereto with  respect to the

                                     - 7 -

<PAGE> 43
transactions contemplated hereby and may be amended,  modified,  supplemented or
altered only by a writing duly executed by the Escrow Agent,  Parent and Seller,
and any  prior  agreements  or  understandings,  whether  oral or  written,  are
entirely superseded hereby.

          13.  Assigns and  Assignment.  This  Agreement  shall extend to, shall
inure to the benefit of and shall be binding upon all of the parties  hereto and
upon all of their respective successors and permitted assigns.

          14.  Payment and Taxation of Interest  Earned on Investments of Escrow
Proceeds.  Any and all interest or other income  accrued or earned on the Escrow
Proceeds  shall be paid to Seller on or as  promptly  as  practicable  following
September 30, December 31, March 31 and June 30 of each year in which all or any
portion of the Escrow Proceeds  remains  undistributed  pursuant to the terms of
this Agreement.  Seller hereby  acknowledges  that, for federal and state income
tax purposes,  interest earned on the investment of the Escrow Proceeds shall be
treated as income of Seller. The Escrow Agent shall be responsible for reporting
any interest earned to Seller.

          15. No Other Third Party Beneficiaries.  Except as otherwise expressly
provided  herein,  nothing  herein  expressed or implied is intended or shall be
construed  to confer upon or to give any person  other than the parties  hereto,
any rights or remedies under or by reason of this Agreement.

          16. No Waiver.  No failure or delay by an party  hereto in  exercising
any right, power or privilege  hereunder shall operate as a waiver thereof,  and
no single or  partial  exercise  thereof  shall  preclude  any right of  further
exercise or the exercise of any other right, power or privilege.

          17.  Severability.  If any covenant,  agreement,  provision or term of
this  Agreement  is held to be  invalid  for any  reason  whatsoever,  then such
covenant,  agreement,  provision  or term  will be  deemed  severable  from  the
remaining covenants, agreements, provisions and terms of this Agreement and will
in no way affect the validity or  enforceability  of any other provision of this
Agreement.

          18. Governing Law. This Agreement will be governed by and construed in
accordance  with the laws of the State of New York,  regardless of the laws that
might otherwise govern under applicable principles of conflicts of laws thereof.

          19. Counterparts. This Agreement may be executed by the parties hereto
individually or in any combination,  in one or more counterparts,  each of which
shall be an original and all of which shall together constitute one and the same
agreement.

                                   * * * * * *

                                      - 8 -

<PAGE> 44
          IN WITNESS  WHEREOF,  the  parties  hereto have  executed  this Escrow
Agreement on the date first written above.

                                                  SELLER:

                                                  MEDICAL RESOURCES, INC.



                                                  By: /s/ Chris Joyce
                                                  ------------------------------
                                                  Name:  Chris Joyce
                                                  Title:



                                                  PARENT:

                                                  REHABCARE GROUP, INC.


                                                  By: /s/ Gregory J. Eisenhauer
                                                  ------------------------------
                                                  Name:Gregory J. Eisenhauer,CFA
                                                  Title: Senior Vice President,
                                                                 Acquisitions




                                                  IBJ SCHRODER BANK & TRUST
                                                  COMPANY, as Escrow Agent


                                                  By: /s/ Stephen J. Giurlando
                                                  ------------------------------
                                                  Name:Stephen J. Giurlando
                                                  Title:Assistant Vice President

                                     - 9 -

<PAGE> 45

                                                                     EXHIBIT 2.3

                                                             Execution Copy

                            L/C PROCEDURES AGREEMENT

          THIS  L/C  PROCEDURES  AGREEMENT,  dated  as  of  July  8,  1998  (the
"Agreement"),  by and between MEDICAL  RESOURCES,  INC., a Delaware  corporation
("Seller"), and REHABCARE GROUP, INC., a Delaware corporation ("Parent").

                              W I T N E S S E T H:

          WHEREAS, Parent, Healthcare Staffing Solutions,  Inc., a Massachusetts
corporation ("Buyer"),  and Seller have entered into a Stock Purchase Agreement,
dated as of the date hereof (the "Purchase Agreement"),  pursuant to which Buyer
has agreed to purchase and Seller has agreed to sell StarMed Staffing,  Inc. and
Wesley Medical Resources, Inc. (collectively, the "Companies"); and

          WHEREAS,  pursuant to the terms of the Purchase  Agreement,  Buyer has
agreed to provide the Letter of Credit (as defined  below) as an  inducement  to
Seller to consummate the transactions contemplated by the Purchase Agreement and
to maintain the Letter of Credit on the terms and conditions set forth herein.

          NOW,  THEREFORE,  in  consideration  of the  foregoing  premises,  the
parties hereto agree as follows:

                                    ARTICLE I
                                   DEFINITIONS

          1.1  Definitions.  Capitalized  terms used in this  Agreement  without
definition have the respective  meanings  ascribed to such terms in the Purchase
Agreement. The terms defined in this Article I, whenever used herein, shall have
the following meanings for all purposes of this Agreement.

          "Ash  Condition"  shall have the meaning  set forth in Section  2.2(c)
hereof.

          "Ash  Holdback"  shall have the  meaning  set forth in Section  2.2(c)
hereof.

          "Ash  Litigation"  shall  have the  meaning  set  forth in the  Escrow
Agreement.

          "Buyer" shall have the meaning set forth in the recitals hereto.

          "Claim  Reserves"  shall  have the  meaning  set  forth in the  Escrow
Agreement.

          "Claim  Reserve  Amount"  shall mean the lesser of (i) the December 31
Claim  Reserve and (ii) the  difference  between (x) the Letter of Credit Amount
and (y) all  amounts  previously  drawn on the Letter of Credit or, in the event
Parent made any payments  pursuant to Sections  2.2(b) or 2.2(c),  the amount of
such payments.

<PAGE> 46
          "December 31 Claim  Reserve"  shall mean the  aggregate  amount of the
Claim Reserve and Notified Claim amounts as of December 31, 1999.

          "Final Release Date" shall mean December 31, 1999.

          "First  Release  Date"  shall have the meaning set forth in the Escrow
Agreement.

          "First  Release Date  Conditions"  shall have the meaning set forth in
the Escrow Agreement.

          "Letter  of Credit"  shall  mean the Letter of Credit to be  deposited
with the  Escrow  Agent on the  Closing  Date  pursuant  to  Section  2.2 of the
Purchase Agreement and otherwise meeting the requirements of Section 2.1 hereof.

          "Letter of Credit  Amount" shall have the meaning set forth in Section
2.1 hereof.

          "Letter of Credit  Termination  Date" shall have the meaning set forth
in Section 2.1 hereof.

          "Notified  Claim"  shall  have the  meaning  set  forth in the  Escrow
Agreement.

          "Open Claim" shall have the meaning set forth in the Escrow Agreement.

          "Parent" shall have the meaning set forth in the preamble hereto.

          "Purchase  Agreement" shall have the meaning set forth in the recitals
hereto.

          "Seller" shall have the meaning set forth in the preamble hereto.

                                   ARTICLE II
                           LETTER OF CREDIT PROCEDURES

          2.1 Letter of Credit.

          (a) On the Closing Date,  Parent shall deliver or shall cause Buyer to
deliver  the  Letter of Credit to the  Escrow  Agent  pursuant  to the  Purchase
Agreement.  The Letter of Credit (i) shall be issued by a bank or trust  company
reasonably  acceptable to Seller,  other than the Escrow Agent, in the amount of
$2,000,000  (the  "Letter of Credit  Amount"),  (ii) shall have a term  expiring
January 31, 2000 (the "Letter of Credit Termination  Date"),  (iii) shall permit
partial draws and (iv) shall be accompanied  by a site draft and  certificate of
drawing, which shall be substantially in the form of Exhibit A hereto.

          (b) Parent  shall take all action  necessary to keep in full force and
effect the Letter of Credit.

                                     - 2 -

<PAGE> 47
          2.2 Requirements for Drawing Against the Letter of Credit.

          (a) In the  event  Parent  fails  to make  the  payments  required  by
Sections  2.2(b) or 2.2(c)  when due,  Seller  shall have the sole and  absolute
right to instruct the Escrow Agent to draw on the Letter of Credit in the amount
of such payment.

          (b) On the First Release Date,  Parent shall pay or cause Buyer to pay
Seller an amount equal to  $1,000,000  less the  aggregate of the then  existing
Claim Reserves for Open Claims and the amount of any  unresolved  Notified Claim
actually  received  by the  Escrow  Agent at any  time on or prior to the  First
Release Date;  provided,  however,  that such  $1,000,000  payment shall only be
reduced by the  aggregate  amount of such  Claim  Reserves  for Open  Claims and
Notified  Claim amounts to the extent such  aggregate  amount exceeds the amount
remaining under the Deductible Amount as of the First Release Date.

          (c) On the Final  Release  Date,  notwithstanding  the  occurrence  or
non-occurrence as of such date of the First Release Date, Parent shall,  subject
to  Section  2.2(d),  pay or cause  Buyer to pay  Seller an amount  equal to the
entire  balance of the Letter of Credit Amount then remaining less the aggregate
of the then  existing  Claim  Reserves  for Open  Claims  and the  amount of any
Notified Claim actually  received by the Escrow Agent at any time on or prior to
December 31, 1999  (excluding  the amount of any Claim  Reserves  established in
respect of the Ash  Litigation);  provided,  however,  that such payment  amount
shall only be reduced by the  aggregate  amount of such Claim  Reserves for Open
Claims and Notified  Claim amounts to the extent such  aggregate  amount exceeds
the amount remaining under the Deductible Amount as of the Final Release Date.

          (d) Notwithstanding anything herein to the contrary, in the event that
the First Release Date Condition set forth in Section  5(b)(ii)(B) of the Escrow
Agreement  (the "Ash  Condition")  shall not have been fulfilled as of the Final
Release Date,  any amounts owed under  Section  2.2(c) above shall be reduced by
$1,000,000 (the "Ash Holdback");  provided, however, that the Ash Holdback shall
be paid to Seller within three business of the date Seller  certifies in writing
to Parent that the Ash Condition has been fulfilled.

          (e) All payments to Seller hereunder shall be made by wire transfer of
immediately available funds to such account as Seller may designate in writing.

          (f) At any time after the Final  Release  Date and prior to the Letter
of Credit  Termination  Date, unless Parent shall have paid to Seller the entire
Letter of Credit Amount or previously deposited with the Escrow Agent an amount,
in cash,  equal to the Claim  Reserve  Amount,  Seller  shall  have the sole and
absolute  right to instruct  the Escrow Agent to draw on the Letter of Credit in
the amount of the Claim Reserve Amount (including the Ash Holdback).

          (g) Parent shall not take any action to prevent Seller from exercising
its rights pursuant to this Section 2.2,  including without  limitation,  giving
the Escrow Agent inconsistent instructions.  Except as specifically set forth in
the  Escrow  Agreement,  in no event  shall any  drawing on the Letter of Credit
require the consent of Parent or Buyer.

                                     - 3 -

<PAGE> 48
          (h) Any amounts  deposited by Parent with the Escrow Agent pursuant to
this  Agreement  and the  proceeds of any draw on the Letter of Credit  shall be
held in escrow by the Escrow Agent and disbursed in  accordance  with the Escrow
Agreement.

          (i) In the event Parent makes any payments to Seller  pursuant to this
Section  2.2 or  deposits  any amounts  with the Escrow  Agent  pursuant to this
Agreement, Seller shall take all actions reasonably requested by Parent to amend
the  Escrow  Agreement  to reduce  the  Letter  of Credit by the  amount of such
payment  or to  permit  Parent to  substitute  a new  letter of credit  for such
reduced  amount,  provided  such  substitute  letter of credit is  substantially
similar in all other respects to the Letter of Credit.

          (j) Parent shall be solely responsible for the payment of all fees and
expenses,   including,   without  limitation,   all  commitment,   facility  and
maintenance  fees and fees and  disbursements  of counsel for the issuing  bank,
incurred in connection with the  establishment  and maintenance of the Letter of
Credit (or any substitute  letter of credit permitted  hereby).  Parent shall be
solely responsible for any reimbursement  obligations associated with the Letter
of Credit.

                                   ARTICLE III
                                  MISCELLANEOUS

          3.1  Amendment  and  Modifications.  This  Agreement  may be  amended,
modified or supplemented  at any time by the parties hereto.  This Agreement may
be amended only by an instrument in writing signed on behalf of all parties.

          3.2  Entire  Agreement;   Assignment.  This  Agreement,  the  Purchase
Agreement and the Escrow Agreement (a) constitute the entire agreement among the
parties with respect to the subject  matter hereof and supersede all other prior
agreements and  understandings,  both written and oral, among the parties or any
of  them  with   respect  to  the  subject   matter   hereof   (other  than  the
Confidentiality  Agreement) and (b) shall not be assigned by operation of law or
otherwise.

          3.3 Validity.  The invalidity or  unenforceability of any provision of
this  Agreement  shall not affect the  validity or  enforceability  of any other
provision  of this  Agreement,  each of which  shall  remain  in full  force and
effect.

          3.4  Notices.  All  notices,   requests,  claims,  demands  and  other
communications  hereunder  shall be in writing  and shall be deemed to have been
duly given if delivered  personally,  telecopied (which is confirmed) or sent by
registered or certified mail (postage prepaid,  return receipt requested) to the
parties as provided in the Purchase Agreement.

          3.5 Governing Law. This  Agreement  shall be governed by and construed
in  accordance  with the laws of the State of New York,  regardless  of the laws
that might  otherwise  govern under  applicable  principles of conflicts of laws
thereof.

          3.6 Specific Performance.  The parties hereto agree that if any of the
provisions  of this  Agreement  were not  performed  in  accordance  with  their
specific terms or were otherwise  breached,  irreparable  damage would occur, no
adequate  remedy at law would exist and damages would be difficult to determine,
and that the parties  shall be entitled  to  specific  performance  of the terms
hereof, in addition to any other remedy at law or equity.

                                     - 4 -

<PAGE> 49
          3.7  Arbitration.  The parties  hereto  agree to submit any dispute or
controversy  arising out of or in connection  with or relating to this Agreement
to final and binding  arbitration  pursuant to the provisions of Section 9.10 of
the Purchase Agreement. The parties hereby acknowledge and agree that, except as
set forth in Section 9.10 of the Purchase  Agreement or in the arbitration rules
of the  American  Arbitration  Association  as in effect from time to time,  the
arbitration  procedure and any Final  Determination  (as defined in the Purchase
Agreement)  hereunder  shall be governed  by, and shall be enforced  pursuant to
applicable New York law.

          3.8 Descriptive Headings. The descriptive headings herein are inserted
for  convenience  of  reference  only and are not  intended  to be part of or to
affect the meaning or interpretation of this Agreement.

          3.9  Counterparts.  This  Agreement  may be  executed  in two or  more
counterparts,  each of which shall be deemed to be an original, but all of which
shall constitute one and the same agreement.

          3.10 Parties in Interest..  This  Agreement  shall be binding upon and
inure solely to the benefit of each party hereto and nothing in this  Agreement,
express or  implied,  is intended  by or shall  confer upon any other  Person or
Persons any rights,  benefits or remedies of any nature  whatsoever  under or by
reason of this Agreement.

                                     - 5 -

<PAGE> 50
          IN WITNESS WHEREOF, the parties hereto have executed this Agreement as
of the date first above written.


                                                  MEDICAL RESOURCES, INC.



                                                  By:/s/ Duane C. Montopoli
                                                  ------------------------------
                                                  Name:  Duane C. Montopoli
                                                  Title: President & CEO



                                                  REHABCARE GROUP, INC.



                                                  By:/s/ Gregory Eisenhauer
                                                  ------------------------------
                                                  Name:  Gregory Eisenhauer
                                                  Title: Senior Vice President,
                                                                 Acquisitions


                                     - 6 -

<PAGE> 51
                                                                       Exhibit A

             Form of Sight Draft and Certificate of Drawing Language

Sight Draft

[Date]
[Bank]
[Address]
Re:  Irrevocable Standby Letter of Credit No. _________
Pay to the Order of [Escrow  Agent] the amount of  $______________  drawn  under
Irrevocable Standby Letter of Credit No. _________, in favor of [Escrow Agent].


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


<PAGE> 52
Certificate of Drawing on
Letter of Credit No. _________

[Bank]
[Address]
Re:  Irrevocable Standby Letter of Credit No. _________

Ladies and Gentlemen:

The undersigned,  the authorized  representative  of [Escrow Agent] (the "Escrow
Agent"),  hereby certifies to [Bank] under Irrevocable  Standby Letter of Credit
No. _______ (the "Letter of Credit"), that:

              1.     The undersigned is [president/vice president] of the Escrow
                     Agent  and  the  authorized  representative  of the  Escrow
                     Agent.

              2.     All  conditions  precedent to the making of a drawing under
                     the above-referenced Letter of Credit pursuant to the sight
                     draft accompanying this certificate have been satisfied.

              3.     The amount of the sight draft accompanying this certificate
                     does not exceed the amount  permitted to be drawn under the
                     Letter of Credit in accordance with the Letter of Credit.




<PAGE> 53
          IN WITNESS  WHEREOF,  the  undersigned has executed and delivered this
certificate in good faith as of the ___ day of _____, __________.


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




<PAGE> 54
                                                                    EXHIBIT 99.1

         REHABCARE GROUP COMPLETES ACQUISITION OF STARMED STAFFING, INC.
                             FROM MEDICAL RESOURCES


          ST. LOUIS, MO, August 17,  1998--RehabCare  Group, Inc.  (Nasdaq:RHBC)
announced the consummation of its acquisition,  through RehabCare's wholly-owned
subsidiary,  Healthcare Staffing Solutions, Inc., (HSSI), of all the outstanding
shares of StarMed Staffing, Inc. and related entities.

          StarMed  is a  provider  of  temporary  staffing  of nurses  and nurse
assistants  to hospitals  and nursing  homes on a short-term  and  extended-term
basis. StarMed is one of the largest providers of temporary registered nurses in
the U.S. In 1997 the company reported  approximately $58 million in revenues and
for the first quarter ended March 31, 1998,  they reported  approximately  $19.8
million in revenues.

          Alan C. Henderson, President and Chief Executive Officer of RehabCare,
said:  "We are excited  about this  opportunity  as it allows us to meet our two
strategic goals of growing our temporary nursing and per diem therapy components
of our staffing business.  Combined with HSSI, RehabCare's staffing business now
has a revenue run rate of approximately $115-120 million."

          Richard C. Stoddard,  President of HSSI, remarked:  "We see tremendous
cross  selling   opportunities   between  HSSI  and  StarMed.  This  acquisition
accelerates the growth of our existing temporary nurse staffing business."

          RehabCare  Group,  Inc.,  headquartered  in St.  Louis,  is a  leading
provider of acute rehabilitation,  subacute, outpatient, temporary and permanent
therapist and nurse staffing  services on a contract  basis in conjunction  with
over 750 hospitals,  nursing homes and contract  therapy  companies in all 50 of
the United States.

          Except for historical  information contained herein, the statements in
this release are  forward-looking  statements that are made pursuant to the safe
harbor  provisions  of the  Private  Securities  Litigation  Reform Act of 1995.
Forward-looking  statements  involve known and unknown  risks and  uncertainties
which  may cause the  Company's  actual  results  in  future  periods  to differ
materially from forecasted results.

   CONTACT:  RehabCare Group, Inc.
             Alan C. Henderson, President and Chief Executive Officer
             John R. Finkenkeller, Senior Vice President and
             Chief Financial Officer
             Betty Cammarata, Manager-Investor Relations
             314/863-7422
                 or
             Morgen-Walke Associates:
             June Filingeri/Jennifer Angell
             Press: Darren Brandt
             212/850-5600




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