IN HOME HEALTH INC /MN/
PRER14A, 1995-08-11
HOME HEALTH CARE SERVICES
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<PAGE>
                                  SCHEDULE 14A
                                 (RULE 14A-101)
                    INFORMATION REQUIRED IN PROXY STATEMENT
                            SCHEDULE 14A INFORMATION

                Proxy Statement Pursuant to Section 14(a) of the
               Securities Exchange Act of 1934 (Amendment No.  )

    Filed by the Registrant /X/
    Filed by a Party other than the Registrant / /

    Check the appropriate box:
    /X/  Preliminary Proxy Statement
    / /  Confidential, for Use of the Commission Only (as permitted by Rule
         14a-6(e)(2))
    / /  Definitive Proxy Statement
    / /  Definitive Additional Materials
    / /  Soliciting Material Pursuant to Rule 14a-11(c) or Rule 14a-12

                                      IN HOME HEALTH, INC.
- --------------------------------------------------------------------------------
                (Name of Registrant as Specified In Its Charter)

                                       IN HOME HEALTH, INC.
- --------------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

/ /  $125  per Exchange  Act Rules  0-11(c)(1)(ii), 14a-6(i)(1),  14a-6(i)(2) or
     Items 22(a)(2) of Schedule A.
/ /  $500 per  each party  to  the controversy  pursuant  to Exchange  Act  Rule
     14a-6(i)(3).
/ /  Fee   computed  on   table  below   per  Exchange   Act  Rules  14a-6(i)(4)
     and 0-11.
     1) Title of each class of securities to which transaction applies:
        ------------------------------------------------------------------------
     2) Aggregate number of securities to which transaction applies:
        ------------------------------------------------------------------------
     3) Per unit price or other underlying value of transaction computed
        pursuant to Exchange Act Rule 0-11 (Set forth the amount on which the
        filing fee is calculated and state how it was determined):
        ------------------------------------------------------------------------
     4) Proposed maximum aggregate value of transaction:
        ------------------------------------------------------------------------
     5) Total fee paid:
        ------------------------------------------------------------------------
/X/  Fee paid previously with preliminary materials.
/ /  Check box if any part of the fee is offset as provided by Exchange Act Rule
     0-11(a)(2) and identify the  filing for which the  offsetting fee was  paid
     previously.  Identify the previous filing by registration statement number,
     or the Form or Schedule and the date of its filing.
     1) Amount Previously Paid:
        ------------------------------------------------------------------------
     2) Form, Schedule or Registration Statement No.:
        ------------------------------------------------------------------------
     3) Filing Party:
        ------------------------------------------------------------------------
     4) Date Filed:
        ------------------------------------------------------------------------
<PAGE>
                                                                         8-11-95
                                                                         REVISED
                                                                     PRELIMINARY
                                                                 PROXY MATERIALS
                              IN HOME HEALTH, INC.
                           CARLSON CENTER, SUITE 500
                             601 LAKESHORE PARKWAY
                        MINNETONKA, MINNESOTA 55305-5214

                                                            [DATE]
Dear Stockholder:

    At a special meeting called for [DATE], stockholders of In Home Health, Inc.
(the "Company") will be asked to consider a proposed investment of approximately
$41.9  million in  the Company by  Manor Healthcare  Corp. ("Manor Healthcare").
Approximately $21.9 million of  this investment will provide  the funding for  a
tender  offer by  the Company to  repurchase approximately 40%  of the Company's
outstanding Common  Stock. Company  stockholders will  receive separate  written
materials describing the tender offer.

    The  proposed Manor Healthcare investment is described in the attached Proxy
Statement, which I invite you to review carefully. Stockholders are being  asked
to  authorize  the  sale  and  issuance  to  Manor  Healthcare  of approximately
6,440,000 shares of Common Stock, 200,000 shares of Series A Preferred Stock and
a three-year warrant  to purchase up  to 6,000,000 additional  shares of  Common
Stock.  The Series A Preferred Stock would  pay a 12% cumulative dividend, would
be convertible into  10,000,000 shares  of Common  Stock and  would have  voting
rights  on  an as-if-converted  basis. On  completion  of its  investment, Manor
Healthcare would directly own shares representing approximately 63% of the  then
existing  voting power of the Company and would effectively control the Company.
Upon full  exercise  of  the  three-year warrant,  Manor  Healthcare  would  own
approximately   70%  of  the  Company's  combined  voting  power.  The  proposed
investment is  contingent upon  the Company's  stockholders tendering,  and  the
Company  repurchasing,  a minimum  of 5,635,000  shares of  Common Stock  in the
Company tender offer,  at a purchase  price of  $3.40 per share.  The number  of
shares of Common Stock sold by the Company to Manor Healthcare will in all cases
equal  the number of shares  of Common Stock tendered  to and repurchased by the
Company from current stockholders. If the Company repurchases the minimum number
of shares, the Manor Healthcare investment  would be reduced by $2.7 million  to
approximately  $39.2 million, with an equivalent reduction in the proceeds to be
used by the Company to fund the tender offer. Stockholders are also being  asked
to  approve  amendments to  the Company's  Articles  of Incorporation  and Stock
Option Plans which are  related to the Manor  Healthcare investment. A  complete
discussion  of the background and considerations  relevant to the proposed Manor
Healthcare investment begins at page [10]  of the attached Proxy Statement  (See
"Investment Proposals").

    YOUR  BOARD  OF  DIRECTORS  HAS UNANIMOUSLY  APPROVED  THE  MANOR HEALTHCARE
INVESTMENT AND UNANIMOUSLY RECOMMENDS THAT  YOU VOTE FOR THE PROPOSALS  RELATING
TO THAT INVESTMENT.

    It  is important that your  shares be represented and  voted at the meeting.
Whether or not you plan to attend the special meeting, please sign and date  the
enclosed  proxy  card  and  return  it  promptly  in  the  enclosed postage-paid
envelope. Please  note that  a failure  to  vote in  effect constitutes  a  vote
against  the proposals related to  the Manor Healthcare investment. Accordingly,
we urge you to take a moment now to sign, date and mail your proxy.

    On behalf of  the Board  of Directors, thank  you for  your cooperation  and
continued support.

                                          Sincerely,

                                          Judy M. Figge
                                          PRESIDENT AND CHIEF EXECUTIVE OFFICER
<PAGE>
                              IN HOME HEALTH, INC.
                               ------------------

                   NOTICE OF SPECIAL MEETING OF STOCKHOLDERS
                               [DATE OF MEETING]
                             MINNEAPOLIS, MINNESOTA
                             ---------------------

To the Stockholders of
 IN HOME HEALTH, INC.:

    Notice  is hereby given  that a Special  Meeting of Stockholders  of In Home
Health, Inc. (the "Company")  will be held on  [WEEKDAY, DATE] at [TIME],  local
time,  at [LOCATION], to consider and  act upon three proposals (the "Investment
Proposals") related to the  Securities Purchase and Sale  Agreement dated as  of
May 2, 1995 between the Company and Manor Healthcare Corp. ("Manor Healthcare"),
as it may be amended from time to time (the "Purchase Agreement"). A copy of the
Purchase  Agreement as  presently in  effect is  attached as  Appendix I  to the
enclosed Proxy Statement. The Investment Proposals are summarized as follows:

    1.  To approve the  Purchase Agreement and the  transactions on the part  of
       the  Company  thereunder,  including  the  issuance  and  sale  to  Manor
       Healthcare of  approximately 6,440,000  shares of  Common Stock,  200,000
       shares  of Series A Preferred Stock  and a three-year warrant to purchase
       up to 6,000,000 additional shares of Common Stock (Proposal One);

    2.  To approve an amendment to Article III of the Articles of  Incorporation
       of the Company to provide that the Board of Directors, in designating the
       voting  rights of any series of  preferred stock, may provide that shares
       of preferred stock have  voting rights equal to  the number of shares  of
       Common Stock into which they are convertible (Proposal Two);

    3.   To approve amendments to the Company's 1987 and 1995 Stock Option Plans
       to: (i) provide that the options of non-employee directors of the Company
       will vest upon  a change  in control of  the Company;  (ii) increase  the
       total  number of  shares of Common  Stock available under  the 1995 Stock
       Option Plan from 650,000 to 1,300,000 in order to permit the granting  of
       options  for an aggregate 650,000 shares to five officers or employees of
       the Company as of the closing of the Purchase Agreement; and (iii) impose
       a limit of  300,000 shares that  can be issued  to any participant  under
       each Plan during any fiscal year (Proposal Three).

    THE  APPROVAL OF EACH INVESTMENT PROPOSAL IS CONTINGENT UPON THE APPROVAL OF
ALL INVESTMENT PROPOSALS. UNLESS  ALL INVESTMENT PROPOSALS  ARE APPROVED BY  THE
STOCKHOLDERS  AT THE SPECIAL MEETING, NONE OF  THE PROPOSALS WILL BE EFFECTED BY
THE COMPANY. Holders of record of shares  of Common Stock of the Company at  the
close  of business on [RECORD DATE] are entitled to notice of and to vote at the
Special Meeting and any adjournments thereof.

                                          By Order of the Board of Directors,

                                          Kenneth J. Figge, SECRETARY

Minneapolis, Minnesota
[MAILING DATE]

    WHETHER OR NOT  YOU EXPECT TO  ATTEND THE SPECIAL  MEETING, PLEASE SIGN  AND
DATE  THE ACCOMPANYING  PROXY AND RETURN  IT PROMPTLY IN  THE ENCLOSED ENVELOPE.
Proxies are  revocable  at any  time  prior to  the  time they  are  voted,  and
stockholders  who are present at the  Special Meeting may withdraw their proxies
and vote in person if they so desire.
<PAGE>
                              IN HOME HEALTH, INC.
                           CARLSON CENTER, SUITE 500
                             601 LAKESHORE PARKWAY
                        MINNETONKA, MINNESOTA 55305-5214

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

                                PROXY STATEMENT
                        SPECIAL MEETING OF STOCKHOLDERS
                                 [MEETING DATE]

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

                                  INTRODUCTION

    This Proxy  Statement is  furnished by  the Board  of Directors  of In  Home
Health,  Inc. (the "Company") in connection  with the solicitation of proxies to
be voted at a Special Meeting of  Stockholders which will be held at  [LOCATION]
at  [TIME], local  time, on [WEEKDAY],  [DATE], and at  any adjournments thereof
(the "Special  Meeting")  for  the  purpose  of submitting  to  a  vote  of  the
stockholders  the proposals described in the  attached Notice of Special Meeting
(the "Investment Proposals"). This Proxy Statement and the accompanying form  of
proxy are being mailed to stockholders on or about [MAILING DATE].

    Shares  represented by properly executed proxies received prior to or at the
Special Meeting,  unless  such proxies  have  been  revoked, will  be  voted  in
accordance  with the instructions  indicated in the  proxies. If no instructions
are indicated on a  properly executed proxy  of the Company,  the proxy will  be
voted  in  accordance  with  the  recommendations  of  the  Board  of Directors.
Stockholders will not  have dissenters'  rights with respect  to the  Investment
Proposals.

    A  stockholder may  revoke a  proxy at  any time  before it  is exercised by
filing with the Secretary of the Company a written revocation or a duly executed
proxy bearing a later date  or by voting in person  at the Special Meeting.  Any
written  notice revoking a proxy  should be sent to  the attention of Kenneth J.
Figge, Secretary, In Home Health, Inc., Carlson Center, Suite 500, 601 Lakeshore
Parkway, Minnetonka, Minnesota 55305-5214.

    The cost of  soliciting proxies will  be borne by  the Company. The  Company
expects  to  solicit  proxies  by mail,  but  directors,  officers,  and regular
employees of the Company may also  solicit in person or by telephone,  facsimile
or  mail. The Company  has retained D.F. King  & Company, Inc.  to assist in the
solicitation for a fee estimated at $6,500 plus reasonable expenses. The Company
may also  reimburse brokers,  nominees, fiduciaries  or other  custodians  their
reasonable  expenses for sending  proxy material to,  and obtaining instructions
from, persons for whom they hold Common Stock of the Company.

                                       1
<PAGE>
                               TABLE OF CONTENTS

<TABLE>
<S>                                                                         <C>
INTRODUCTION..............................................................     1
TABLE OF CONTENTS.........................................................     2
SUMMARY...................................................................     3
VOTING SECURITIES AND PRINCIPAL HOLDERS...................................     9
INVESTMENT PROPOSALS......................................................    10
  Background of the Investment Proposals..................................    10
  Reasons for the Purchase Agreement Transactions.........................    12
  Board of Directors Recommendations......................................    13
  Opinion of Financial Advisor............................................    15
  Description of the Investment by Manor Healthcare.......................    19
    Common Stock Investment by Manor Healthcare...........................    19
    Company Self-Tender Offer.............................................    20
    Purchase of Series A Preferred Stock..................................    20
    Stock Purchase Warrant................................................    22
    Registration Rights Agreement.........................................    22
  Description of the Purchase Agreement...................................    22
    Purchase and Sale of Securities.......................................    22
    Conditions to Closing.................................................    23
    Representations and Warranties; Indemnification.......................    23
    Covenants.............................................................    24
    Conduct of Business Pending Closing...................................    24
    Termination...........................................................    25
    Company Payments in the Event of Termination..........................    25
  Effects of the Investment on the Company................................    25
    Use of Proceeds.......................................................    25
    Pro Forma Financial Effect............................................    26
    Required Consents.....................................................    29
    Percentage Ownership by Manor Healthcare After Closing................    29
  Changes to Company Management...........................................    30
    Board of Directors....................................................    30
    Management Personnel..................................................    31
    Post-Closing Covenants................................................    32
    Future Arrangements...................................................    32
  Source of Funds.........................................................    32
  Information Concerning Manor Healthcare.................................    33
MANAGEMENT'S DISCUSSION AND ANALYSIS......................................    34
PROPOSAL 1 -- APPROVAL OF PURCHASE AGREEMENT..............................    39
  Reasons for Approval....................................................    39
  Control Share Acquisition Act Approval..................................    39
  Required Vote...........................................................    39
PROPOSAL 2 -- AMENDMENT TO ARTICLES OF INCORPORATION......................    40
  Reasons for the Amendment...............................................    40
  Required Vote...........................................................    40
PROPOSAL 3 -- AMENDMENT OF STOCK OPTION PLANS.............................    41
  Reasons for the Amendments..............................................    41
  Summary of the Plans....................................................    42
  Grants of Options.......................................................    44
  Federal Income Tax Treatment............................................    45
  Required Vote...........................................................    45
STOCKHOLDER PROPOSALS FOR 1996 ANNUAL MEETING.............................    45
OTHER MATTERS.............................................................    46
FINANCIAL STATEMENTS OF THE COMPANY.......................................   F-1
APPENDIX I -- Securities Purchase and Sale Agreement dated as of May 2,
              1995 between In Home Health, Inc. and Manor Healthcare
              Corp........................................................   A-1
APPENDIX II -- Certificate of Designation for Series A Preferred Stock....  A-35
APPENDIX III -- Opinion of Hambrecht & Quist LLC..........................  A-51
APPENDIX IV -- Manor Healthcare Corp. Information Statement...............  A-54
</TABLE>

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<PAGE>
                                    SUMMARY

    THE  FOLLOWING IS A BRIEF SUMMARY OF CERTAIN INFORMATION CONTAINED ELSEWHERE
IN THIS PROXY STATEMENT. REFERENCE IS MADE TO, AND THIS SUMMARY IS QUALIFIED  IN
ITS  ENTIRETY  BY,  THE  MORE  DETAILED  INFORMATION  AND  FINANCIAL  STATEMENTS
CONTAINED IN THIS PROXY STATEMENT, THE APPENDICES HERETO AND DOCUMENTS  REFERRED
TO HEREIN.

<TABLE>
<S>                                  <C>
PARTIES TO THE PURCHASE AGREEMENT:
In Home Health, Inc. ..............  In  Home  Health, Inc.,  a Minnesota  corporation (the
                                     "Company"), provides health  care services to  clients
                                     of  all ages in their homes. Since its organization in
                                     1984, the  Company  has  grown to  41  offices  in  19
                                     geographic  markets throughout the  United States. The
                                     Company provides a variety  of services which  include
                                     skilled   nursing,   infusion  therapy   and  hospice,
                                     rehabilitation and personal care.
                                     The Company's executive offices are located at Carlson
                                     Center, Suite 500, 601 Lakeshore Parkway,  Minnetonka,
                                     Minnesota 55305-5214 and its telephone number is (612)
                                     449-7500.
Manor Healthcare Corp. ............  Manor Healthcare Corp., a Delaware corporation ("Manor
                                     Healthcare"),  is a subsidiary of  Manor Care, Inc., a
                                     publicly-held corporation  with consolidated  revenues
                                     of $1.3 billion in its fiscal year ended May 31, 1995,
                                     of  which  approximately 77%  was derived  from health
                                     care related services. Manor Healthcare owns, operates
                                     or manages 179 nursing  centers (including 10  medical
                                     and  physical rehabilitation  centers and  15 assisted
                                     living centers)  which provide  high acuity  services,
                                     skilled   nursing  care,  intermediate  nursing  care,
                                     custodial   care   and   assisted   living   services,
                                     principally  for residents  over the age  of 65. Manor
                                     Healthcare also owns  approximately 82.3% of  Vitalink
                                     Pharmacy   Services,  Inc.,  a   public  company  that
                                     operates 18 institutional  pharmacies in five  states.
                                     Manor  Healthcare also owns and operates an acute care
                                     general hospital and  five nursing assistant  training
                                     schools.
                                     Manor  Healthcare's nursing  centers generally provide
                                     five types  of  services:  high  acuity  services  for
                                     persons  who  require  complex  medical  and  physical
                                     rehabilitation  services;  skilled  nursing  care  for
                                     persons   who   require  24   hour-a-day  professional
                                     services of  a registered  nurse or  a licensed  prac-
                                     tical  nurse;  intermediate care  for  persons needing
                                     less  intensive  nursing  care;  custodial  care   for
                                     persons  needing a minimum level of care; and assisted
                                     living  for  persons  needing  some  supervision   and
                                     assistance with personal care.
                                     Substantially   all  of   Manor  Healthcare's  nursing
                                     centers are  currently certified  to receive  benefits
                                     provided    under   Medicare    and   under   programs
                                     administered by the various states to provide  medical
                                     assistance  to  the  medically  indigent ("Medicaid").
                                     However,  Manor  Healthcare  attempts  to  locate  and
                                     operate  its nursing  centers in a  manner designed to
                                     attract patients who  pay directly  to the  facilities
                                     for services
</TABLE>

                                       3
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<TABLE>
<S>                                  <C>
                                     without  benefit of any government assistance program.
                                     Patients seeking the services  of the nursing  centers
                                     come  from a  variety of  sources and  are principally
                                     referred by hospitals and physicians.
                                     Manor Healthcare's  principal  executive  offices  are
                                     located   at  10750  Columbia   Pike,  Silver  Spring,
                                     Maryland 20901  and  its  telephone  number  is  (301)
                                     681-9400.
SPECIAL MEETING OF THE COMPANY STOCKHOLDERS:
Time, Date and Place...............  The Special Meeting will be held at [TIME], local time
                                     on [DATE] at [LOCATION]
Purpose of Special Meeting.........  The  purpose of the Special Meeting is to consider and
                                     vote upon  three  related proposals  (the  "Investment
                                     Proposals"):
                                     (1)   The first proposal  is to approve the Securities
                                     Purchase and Sale  Agreement dated as  of May 2,  1995
                                     between   the  Company   and  Manor   Healthcare  (the
                                     "Purchase Agreement"), attached hereto as Appendix  I,
                                     and  the  transactions  on  the  part  of  the Company
                                     thereunder. The  Purchase  Agreement provides  for  an
                                     investment  of  approximately $41.9  million  by Manor
                                     Healthcare  in  various  securities  of  the   Company
                                     including  Series  A  Preferred Stock,  a  Warrant and
                                     Common Stock  of  the Company,  as  set forth  in  the
                                     Purchase Agreement and summarized in this Proxy State-
                                     ment  (the "Investment").  Of the  total Investment by
                                     Manor Healthcare, approximately $21.9 million will  be
                                     used  by the Company to  effect a self-tender offer to
                                     repurchase  approximately  40%  of  its   out-standing
                                     Common  Stock.  The  remaining  $20  million,  net  of
                                     approximately  $2  million  in  transaction   expenses
                                     described  in this document, will be available for use
                                     by the Company  following the  self-tender offer.  See
                                     "Investment  Proposals" and "Proposal  One -- Approval
                                     of Purchase Agreement."
                                     (2)  The  second proposal is  an amendment to  Article
                                     III of the Articles of Incorporation of the Company to
                                     make  it clear that any  series of preferred stock may
                                     have voting rights  equal to the  number of shares  of
                                     Common  Stock into  which the shares  of the preferred
                                     stock are convertible. See "Proposal Two --  Amendment
                                     to Articles of Incorporation."
                                     (3)   The third  proposal is to  approve amendments to
                                     the Company's 1987 and 1995 Stock Option Plans to: (i)
                                     provide that the options of non-employee directors  of
                                     the  Company will vest upon a change in control of the
                                     Company; (ii) increase the  total number of shares  of
                                     Common  Stock  available under  the 1995  Stock Option
                                     Plan from 650,000 to 1,300,000 in order to permit  the
                                     granting of options for an aggregate 650,000 shares to
                                     five  officers or employees  of the Company  as of the
                                     closing  of  the  transactions  contemplated  by   the
                                     Purchase  Agreement;  and  (iii)  impose  a  limit  of
                                     300,000 shares that can  be issued to any  participant
                                     under
</TABLE>

                                       4
<PAGE>

<TABLE>
<S>                                  <C>
                                     each  Plan  during  any fiscal  year.  See "Investment
                                     Proposals  --   Changes  to   Company  Management   --
                                     Management Personnel" and "Proposal Three -- Amendment
                                     of Stock Option Plans."
                                     Approval  of each Investment Proposal is contingent on
                                     the approval of all  Investment Proposals. Unless  all
                                     Investment  Proposals  are  approved  at  the  Special
                                     Meeting, and certain other  conditions to closing  are
                                     met,   including  the   successful  completion   of  a
                                     self-tender  offer  by  the   Company,  none  of   the
                                     Proposals   will  be  effected  by  the  Company.  See
                                     "Investment Proposals --  Description of the  Purchase
                                     Agreement -- Conditions to Closing."
Record Date........................  Only  holders  of  record of  shares  of  Common Stock
                                     outstanding as  of the  close of  business on  [RECORD
                                     DATE], 1995 (the "Record Date") are entitled to notice
                                     of and to vote at the Special Meeting.
Vote Required for Approval.........  Approval  of Proposal One will require the affirmative
                                     vote of (i) a majority  of the shares of Common  Stock
                                     outstanding on the Record Date, and (ii) a majority of
                                     such   outstanding  shares  excluding  those  held  by
                                     officers and directors of  the Company. See  "Proposal
                                     One  --  Approval  of Purchase  Agreement  -- Required
                                     Vote." Approval  of  Proposal  Two  will  require  the
                                     affirmative vote of a majority of the shares of Common
                                     Stock  outstanding on  the Record  Date. See "Proposal
                                     Two --  Amendment  to  Articles  of  Incorporation  --
                                     Required   Vote."  Approval  of  Proposal  Three  will
                                     require the affirmative vote of a majority of all  the
                                     votes  present  and entitled  to  vote at  the Special
                                     Meeting. See  "Proposal Three  -- Amendment  of  Stock
                                     Option Plans -- Required Vote."
Opinion of Financial Advisor
 Regarding the Investment..........  The  Company's  financial advisor,  Hambrecht  & Quist
                                     LLC, has rendered an opinion to the Board of Directors
                                     of the Company that  the transactions contemplated  by
                                     the  Purchase  Agreement  are fair,  from  a financial
                                     point of view,  to the Company  and its  stockholders.
                                     See  "Investment  Proposals  --  Opinion  of Financial
                                     Advisor" and  the opinion  of  Hambrecht &  Quist  LLC
                                     attached hereto as Appendix III.
Board Recommendation...............  THE  BOARD  OF  DIRECTORS OF  THE  COMPANY UNANIMOUSLY
                                     RECOMMENDS APPROVAL OF THE INVESTMENT PROPOSALS.

TERMS OF THE INVESTMENT:
Company Self-Tender Offer; Common
 Stock Investment by Manor
 Healthcare........................  As part  of  the  Investment,  Manor  Healthcare  will
                                     purchase  for $3.40 per  share approximately 6,440,000
                                     shares of Common Stock. This purchase of Common  Stock
                                     will  be  made  concurrently  with  the  closing  of a
                                     self-tender offer by the  Company for the same  number
                                     of shares at $3.40 per share
</TABLE>

                                       5
<PAGE>

<TABLE>
<S>                                  <C>
                                     (the "Self-Tender Offer"), which will be funded out of
                                     the  proceeds of the purchase by Manor Healthcare. The
                                     Investment is contingent upon  a minimum of  5,635,000
                                     shares  of Common Stock being tendered and repurchased
                                     by the  Company  in  the  Self-Tender  Offer.  If  the
                                     Company  repurchases the minimum number of shares, the
                                     Manor Healthcare Investment would  be reduced by  $2.7
                                     million,  to  approximately  $39.2  million,  with  an
                                     equivalent reduction in the proceeds to be used by the
                                     Company to fund  the Self-Tender Offer.  The terms  of
                                     the  Self-Tender Offer are described in a Tender Offer
                                     Statement dated               , 1995, being mailed  to
                                     the  stockholders of the Company  on or about [MAILING
                                     DATE].
Investment in Series A Preferred
 Stock.............................  As part  of  the  Investment,  Manor  Healthcare  will
                                     purchase  200,000 shares  of Series  A Preferred Stock
                                     for $20 million in cash. The Series A Preferred  Stock
                                     pays  cumulative dividends at a rate of 12%, which are
                                     payable, at the Company's option, in cash or in shares
                                     of Common  Stock,  which  is lower  than  the  current
                                     trading  price of  the Company's Common  Stock and the
                                     trading price as of the execution date of the Purchase
                                     Agreement.  See  "Investment  Proposals  --  Board  of
                                     Directors  Recommendations"  for a  discussion  of the
                                     factors considered by the Company's Board of Directors
                                     in agreeing to  this conversion  price. The  Preferred
                                     Stock  is convertible into 10,000,000 shares of Common
                                     Stock, subject to anti-dilution adjustments, resulting
                                     in an effective initial conversion price of $2.00  per
                                     share  of  Common Stock.  The  Preferred Stock  may be
                                     converted, in  whole  or  in part  at  any  time,  and
                                     conversion  will not  result in  the Company receiving
                                     any additional consideration. See "Description of  the
                                     Investment by Manor Healthcare -- Purchase of Series A
                                     Preferred  Stock  --  Conversion." The  Series  A Pre-
                                     ferred Stock votes together  with the Common Stock  as
                                     if  the  Series  A  Preferred  Stock  had  been  fully
                                     converted. Thus,  each  share of  Series  A  Preferred
                                     Stock initially has 50 votes.
Stock Purchase Warrant.............  As  part  of  the  Investment,  Manor  Healthcare will
                                     receive  a  three-year  Warrant  to  purchase  up   to
                                     6,000,000  shares of Common Stock of the Company at an
                                     exercise price of $3.75 per share (the "Warrant"). The
                                     Warrant is exercisable effective immediately, in whole
                                     or in part at  any time, for a  period of three  years
                                     from  the date  of the  Warrant. The  Warrant will not
                                     have voting  rights,  although the  shares  of  Common
                                     Stock  purchasable upon  exercise of  the Warrant will
                                     have voting rights upon issuance.
EFFECTS ON THE COMPANY:
Ownership by Manor Healthcare in
 the Company.......................  Upon consummation of the transactions contemplated  by
                                     the Purchase Agreement, Manor Healthcare will directly
                                     own  approximately  6,440,000  shares  of  the  Common
                                     Stock,
</TABLE>

                                       6
<PAGE>

<TABLE>
<S>                                  <C>
                                     200,000 shares of the Series  A Preferred Stock and  a
                                     Warrant  to  acquire  up  to  an  additional 6,000,000
                                     shares of  the  Common  Stock of  the  Company.  Manor
                                     Healthcare  would  then  directly  own  shares  having
                                     approximately 63% of the Company's total voting power,
                                     reflecting the voting power of the Series A  Preferred
                                     Stock   on   an   as-if-converted   basis   (initially
                                     equivalent to 10,000,000 shares  of Common Stock)  and
                                     would  effectively control the  Company. Assuming com-
                                     plete exercise of the Warrant, Manor Healthcare  would
                                     hold  approximately 70%  of the  Company's outstanding
                                     voting power,  of  which approximately  20%  would  be
                                     represented  by  Common  Stock  purchased  directly by
                                     Manor Healthcare  under  the Purchase  Agreement,  31%
                                     would  be represented by the Series A Preferred Stock,
                                     and  19%  would  be  represented  by  the   additional
                                     6,000,000  shares of Common Stock issued upon exercise
                                     of the Warrant.
Post-Closing Operations............  Manor Healthcare has agreed that,  for a period of  at
                                     least  two years following the closing of the Purchase
                                     Agreement: the Company's  corporate headquarters  will
                                     be    maintained   in   the   Minneapolis,   Minnesota
                                     metropolitan  area   (unless   otherwise   unanimously
                                     approved  by  the Company's  Board of  Directors); the
                                     Common Stock  of  the  Company  will  continue  to  be
                                     publicly  traded;  and  the Company  will  continue to
                                     operate in the lines of business in which it currently
                                     engages.
Effects on Management of the
 Company...........................  Upon consummation of  the Investment, the  conditional
                                     resignations  of  two  directors  of  the  Company (S.
                                     Marcus Finkle  and  Sheldon  Lieberbaum)  will  become
                                     effective and the Company's Board of Directors will be
                                     expanded  to seven  members, four  of which  have been
                                     designated by  Manor  Healthcare, as  described  under
                                     "Investment    Proposals   --   Changes   to   Company
                                     Management." At the same time Mark Gildea, an  officer
                                     of  Manor  Healthcare,  will  become  Chief  Executive
                                     Officer and a director of the Company. Judy Figge will
                                     continue as President and will be named as Chairperson
                                     of the Board  of Directors of  the Company. Ms.  Figge
                                     and   Kenneth  Figge,  the  Company's  Executive  Vice
                                     President and Chief  Financial Officer,  will each  be
                                     employed   by   the  Company   pursuant   to  two-year
                                     employment agreements. Ms.  Figge and  Mr. Figge  will
                                     continue   as  members  of   the  Company's  Board  of
                                     Directors. James Lynn,  who is  also a  member of  the
                                     Board   of  Directors,  will  be  offered  a  two-year
                                     employment agreement.
                                     Cathy  Reeves,   the  Company's   Vice  President   of
                                     Operations,  and  Margaret Maxon,  the  Company's Vice
                                     President of Customer Relations, will each be  offered
                                     one-year  employment  agreements by  the  Company. See
                                     "Investment Proposals -- Changes to Company Management
                                     -- Management Personnel."
</TABLE>

                                       7
<PAGE>

<TABLE>
<S>                                  <C>
CLOSING:
Conditions to Closing..............  Consummation of  the  Investment and  the  Self-Tender
                                     Offer   by  the   Company  is   conditioned  upon  the
                                     fulfillment of  certain conditions  set forth  in  the
                                     Purchase  Agreement. These  include completion  of the
                                     Self-Tender Offer by the Company pursuant to which  at
                                     least 5,635,000 shares of Common Stock shall have been
                                     tendered  and accepted  for purchase,  approval of the
                                     Investment  Proposals  at  the  Special  Meeting,  the
                                     completion of requirements under the Hart-Scott-Rodino
                                     Antitrust  Improvements  Act of  1976,  the continuing
                                     accuracy of the representations of the parties made in
                                     the  Purchase  Agreement,   the  performance  of   the
                                     obligations   of   each  party   under   the  Purchase
                                     Agreement, and the  absence of  threatened or  pending
                                     litigation  challenging the  transaction. The Purchase
                                     Agreement may  be terminated  prior  to closing  in  a
                                     number  of  circumstances:  by mutual  consent  of the
                                     Company and Manor  Healthcare; if  the transaction  is
                                     not  completed by September 15,  1995; if any required
                                     regulatory approval is denied  or if any  governmental
                                     entity  enjoins or prohibits  the consummation; if the
                                     stockholders  of  the  Company  fail  to  approve  the
                                     Purchase  Agreement; or if a party materially breaches
                                     the Purchase Agreement and  does not cure such  breach
                                     within 10 business days after receipt of proper notice
                                     of   such   breach.  See   "Investment   Proposals  --
                                     Description of the Purchase Agreement."
Closing Date.......................  The Closing  is  expected to  be  held on  the  second
                                     business  day following the  satisfaction or waiver of
                                     all of  the conditions  to Closing,  unless  otherwise
                                     agreed.
</TABLE>

                                       8
<PAGE>
                    VOTING SECURITIES AND PRINCIPAL HOLDERS

    Only  holders of record of  the Company's Common Stock,  par value $.01 (the
"Common Stock"), at the close of  business on [RECORD DATE] (the "Record  Date")
are  entitled to  vote at the  Special Meeting. As  of the close  of business on
[RECORD DATE], there were  outstanding 16,142,980 shares  of Common Stock.  Such
shares are each entitled to one vote.

    The  following table presents information provided  to the Company as to the
beneficial ownership of the Common Stock as of [RECORD DATE] by persons known to
the Company to hold 5% or more of such stock and by all directors and  executive
officers  as of the end of the last fiscal year and by all current directors and
executive officers as a group. All  shares represent sole voting and  investment
power,  unless indicated  to the  contrary. Some  officers and  directors of the
Company may tender  all or  a portion  of their  shares in  connection with  the
Self-Tender Offer.

<TABLE>
<CAPTION>
                                                AMOUNT AND NATURE
               NAME AND ADDRESS                   OF BENEFICIAL     PERCENT OF
             OF BENEFICIAL OWNER                    OWNERSHIP         SHARES
- ----------------------------------------------  ------------------  -----------
<S>                                             <C>                 <C>
Judy M. and Kenneth J. Figge (1)(2)(3)               996,306(4)(5)        6.1%
S. Marcus Finkle (2)                                 134,166(5)          *
Sheldon Lieberbaum (2)                                34,166(5)          *
James J. Lynn (2)                                     70,926(5)          *
Cathy R. Reeves (3)                                   72,869(5)          *
Harry W. Alcorn, Jr. (3)                              32,500(5)          *
Wesley N. Perry (3)                                   41,874             *
All Current Directors and Executive Officers
 as a Group (7 persons)                            1,328,431(5)           8.1%
<FN>
- ------------------------
 *   Less than one percent

(1)  Ms.  Figge's and Mr. Figge's business address is Carlson Center, Suite 500,
     601 Lakeshore Parkway, Minnetonka, Minnesota 55305-5214.

(2)  Director of the Company.

(3)  Executive  officer  named  in  Summary  Compensation  Table  of  the  proxy
     statement  for the Company's 1995 Annual  Meeting. Mr. Perry resigned as an
     officer in November of 1994.

(4)  Kenneth J. Figge is  the husband of Judy  M. Figge. Ms. Figge  beneficially
     owns 616,956 shares of Company Common Stock and Mr. Figge beneficially owns
     379,350 shares of Company Common Stock, and each of Ms. Figge and Mr. Figge
     disclaim  beneficial  ownership of  the  other's shares  of  Company Common
     Stock.

(5)  Includes 85,833 shares for Ms. Figge,  52,500 shares for Mr. Figge,  14,166
     shares  for each  of Messrs. Finkle  and Lieberbaum, 44,166  shares for Mr.
     Lynn, 54,500  shares for  Ms.  Reeves, 32,500  shares  for Mr.  Alcorn  and
     284,914  shares for all current directors and officers as a group which may
     be acquired within sixty days  upon exercise of outstanding stock  options.
     Does  not include options to  purchase 300,000 shares to  be granted to Ms.
     Figge, 200,000 shares to be granted to  Mr. Figge, and 50,000 shares to  be
     granted  to each of Mr. Lynn, Ms. Reeves and Margaret Maxon, effective upon
     closing of  the Purchase  Agreement. Also  does not  include an  additional
     20,900  shares for each  of Messrs. Finkle and  Lieberbaum that will become
     exercisable upon the approval of Proposal Three at the Special Meeting.
</TABLE>

                                       9
<PAGE>
                              INVESTMENT PROPOSALS

    CERTAIN ASPECTS  OF  THE INVESTMENT  PROPOSALS  ARE SUMMARIZED  BELOW.  THIS
SUMMARY  DOES NOT  PURPORT TO BE  COMPLETE AND  IS QUALIFIED IN  ITS ENTIRETY BY
REFERENCE  TO  THE  PURCHASE  AGREEMENT  AND  OTHER  APPENDICES  TO  THIS  PROXY
STATEMENT,   EACH  OF  WHICH   IS  HEREBY  INCORPORATED   HEREIN  BY  REFERENCE.
STOCKHOLDERS ARE URGED TO READ THE  APPENDICES TO THIS PROXY STATEMENT IN  THEIR
ENTIRETY.

    THE  APPROVAL OF EACH  INVESTMENT PROPOSAL IS CONTINGENT  ON THE APPROVAL OF
ALL INVESTMENT PROPOSALS. UNLESS  ALL INVESTMENT PROPOSALS  ARE APPROVED BY  THE
STOCKHOLDERS  AT THE  MEETING, ALL INVESTMENT  PROPOSALS WILL BE  DEEMED TO HAVE
BEEN REJECTED BY THE STOCKHOLDERS.

BACKGROUND OF THE INVESTMENT PROPOSALS

    The background  of the  proposed Purchase  Agreement with  Manor  Healthcare
involves  the Company's participation  in the Medicare  program, which accounted
for 74%,  73% and  68%  of the  Company's revenues  in  its fiscal  years  ended
September  30, 1994,  1993 and 1992,  respectively. While  these percentages are
higher than the Company would  prefer, the Company has  not been able to  reduce
the  relative  proportion of  its  Medicare business  because  of the  very high
percentage of home health service recipients who are Medicare beneficiaries  and
the  impracticality of  refusing Medicare  patients referred  to the  Company by
valued referral sources.

    The Medicare program's method  for paying for  home health services,  unlike
that for inpatient hospital services, is based on cost reimbursement. Under this
system,  the Medicare program pays the portion  of the provider's costs which it
believes are allowable under Medicare regulations  and not in excess of  certain
ceilings.  Thus for  a significant portion  of its overall  business, namely the
Medicare portion,  the  Company  cannot  establish in  advance  a  price  for  a
particular service or services. Instead, to recognize revenue under the Medicare
program,  the Company keeps detailed accounting records as to its costs and each
fiscal year submits  a cost report,  based on incurred  expenses believed to  be
reimbursable, to one of the fiscal intermediaries (typically members of the Blue
Cross  Association or insurance  companies) who administer  the Medicare program
for home health services. Pursuant to generally accepted accounting  principles,
the  Company recognizes  revenue for services  to Medicare  beneficiaries at the
time it  provides  the  services and  incurs  the  costs that  it  believes  are
reimbursable.

    The  cost reports submitted by home  health providers to the Medicare fiscal
intermediaries are subject to audit and retroactive adjustment or  disallowance,
and  these procedures often occur years after  the cost report was filed. If the
fiscal intermediary believes that the provider has been overpaid, the amount  of
the  alleged overpayment is setoff from undisputed payments owed to the provider
for subsequent years.  While the  provider has  the right  to an  administrative
appeal, these appeals often take years to be heard.

    While the Company (and to its knowledge, many other providers of home health
services)  have  always  had some  disputes  concerning  Medicare reimbursement,
beginning in fiscal 1993 the magnitude of these disputes began to increase. This
in turn has forced the Company to  curtail its growth and to establish  reserves
which have substantially eroded the Company's profitability.

    During  fiscal  1993  and  1994  the  Company's  Board  of  Directors became
progressively more concerned about the reductions in the Company's profitability
and in its  cash and working  capital due to  Medicare disputes, and  ultimately
concluded  that the  Company should  consider additional  financing, a strategic
partnership or a sale of the Company. The Board of Directors was also  concerned
that  to remain  competitive in  the face of  the continuing  integration of the
health care industry it might be advantageous for the Company to enter into some
form of partnership or alliance to broaden the scope of services it could offer.

                                       10
<PAGE>
    The Board  authorized  the  Company  to  enter  into  a  financial  advisory
agreement with Hambrecht & Quist LLC ("Hambrecht & Quist") on September 19, 1994
to investigate these alternatives and on September 21, 1994 the Company issued a
press  release  to publicly  announce the  retention of  Hambrecht &  Quist. The
Company also separately continued very  preliminary discussions which had  taken
place over an extended period of time with an integrated health care company.

    The  announcement  of the  retention  of Hambrecht  &  Quist led  to several
preliminary inquiries concerning  the possibility  of some  form of  transaction
with  the  Company.  Ultimately  eleven  entities  entered  into confidentiality
agreements in order to obtain nonpublic information concerning the Company or to
conduct varying degrees of "due diligence" inquiries. Discussions with eight  of
the  eleven  entities did  not develop  to  the stage  of those  entities making
written proposals for a transaction with the Company, and discussions with those
eight entities were terminated. However, in March 1995 two companies (other than
Manor Healthcare) which had entered into confidentiality agreements delivered to
the Company nonbinding "indication of interest" letters. Both of these companies
already had a  substantial presence in  the home health  industry. One of  these
firms  proposed  discussions  concerning  an acquisition  of  all  the Company's
outstanding Common Stock  for $2.65 per  share in cash,  and the other  proposed
discussion  of an acquisition of all outstanding Common Stock for a price in the
$2.75 to $3.25 per  share range, payable  entirely in the form  of stock of  the
acquiring entity.

    In March 1995 the Company also received a verbal indication of interest from
Manor  Care,  Inc.,  the parent  company  of  Manor Healthcare.  This  led  to a
presentation on April  5, 1995  to the Company's  entire Board  of Directors  by
representatives  of Manor Healthcare, who included Mark Gildea, the President of
its Alternate Site Services  Division, and the  Vice President-Finance of  Manor
Care, Inc. Representatives of Hambrecht & Quist and Lindquist & Vennum P.L.L.P.,
the  Company's legal counsel, also  participated in the meeting.  At the April 5
meeting, Manor  Healthcare  made its  initial  proposal to  the  Company,  which
proposal  consisted of  a tender offer  for 25-35% of  the Company's outstanding
Common Stock at $2.85 per  share and the purchase  for $20 million of  preferred
stock  or debentures  convertible to  11 million  shares of  Common Stock  and a
warrant to obtain up to  5 million additional shares  of Common Stock for  $4.00
per  share. The Board  of Directors and  its advisors conferred  and advised the
Manor Healthcare  representatives that  the price  proposed for  purchasing  the
outstanding  Common Stock  was too  low. There  was also  discussion of whether,
under certain "anti-takeover provisions"  of the Minnesota Business  Corporation
Act,  it was preferable for  the Company to make any  tender offer and issue the
same number of shares to Manor Healthcare. This was not resolved at the April  5
meeting,  but Manor Healthcare's  representatives did indicate  that it would be
willing to acquire 40% (instead of  25-35%) of the outstanding Common Stock  for
$3.40  per share (instead  of $2.85) and  have the preferred  stock or debenture
convertible to 10 million (instead of 11 million) shares of Common Stock, if the
exercise price  of the  proposed warrant  was reduced  from $4.00  to $3.75  per
share.

    The   Company's  Board  of  Directors   concluded  from  Manor  Healthcare's
presentation on  April  5 that  there  was  a reasonable  basis  for  continuing
discussions  with Manor Healthcare and trying  to reach agreement concerning the
terms of a  possible transaction.  It appeared to  the Board  of Directors  that
there  was a good strategic fit between  Manor Healthcare and the Company. Manor
Healthcare was not providing home health services and was anxious to enter  that
field to complement its existing business. Manor Healthcare's parent corporation
was  well established and had a strong  balance sheet. Manor Healthcare also was
interested in a strategic  partnership rather than  a complete acquisition.  The
Company's  Board of Directors found this attractive, in that it might allow both
liquidity for the Company's stockholders who wished to sell all or a portion  of
their  shares and a  continued investment opportunity  in a potentially stronger
Company for those who continued as  Company stockholders. The other two  parties
which  made proposals were already in the  home health industry and seemed to be
motivated by a desire to increase market share. Thus, they did not seem  willing
to  offer the price Manor Healthcare was willing to pay and were interested in a
complete acquisition,  which would  not allow  any continued  investment in  the
Company   as   a   separate   entity.   For   these   reasons   the   Board   of

                                       11
<PAGE>
Directors decided on April 5 to focus on negotiations with Manor Healthcare  and
not  to pursue  the two  proposals referred  to above  from other  parties which
involved lower prices. Thus, neither of these two entities were asked to make  a
higher offer in light of Manor Healthcare's proposal.

    On  April 18, 19 and 20, 1995, Ms. Figge, Mr. Figge, the Company's Treasurer
and representatives of Hambrecht  & Quist and Lindquist  & Vennum P.L.L.P.,  the
Company's  legal counsel,  met in  New York  City with  representatives of Manor
Healthcare (who  included Mr.  Gildea and  the Vice  President-Finance of  Manor
Care,  Inc.)  and  their legal  counsel  to continue  negotiations  concerning a
possible transaction.  The  principal  unresolved  issues  that  were  discussed
included whether the Company or Manor Healthcare would conduct the tender offer,
whether  the  Company  would  issue  preferred  stock  or  debentures  to  Manor
Healthcare, the extent of voting rights which any preferred stock would possess,
the amount  of  the  "break-up  fee" (which  Manor  Healthcare  proposed  be  $5
million),  the  period for  which the  Company's representations  and warranties
would survive after a closing, which Company officers (in addition to Ms.  Figge
and  Mr. Figge) would enter into employment agreements with the Company and what
the compensation provisions of  all of the employment  agreements would be,  and
the  scope and duration of any  individual representations and warranties by Ms.
Figge and Mr. Figge. It was tentatively resolved that the Company would  conduct
any tender offer and issue a like number of shares to Manor Healthcare, and that
preferred  stock  rather  than  debentures  would  be  issued  if  the  proposed
investment was consummated. However, the remainder of the principal issues  were
unresolved.

    On   April  24,  1995  the  Company's  entire  Board  of  Directors  met  in
Minneapolis, together with a representative of Hambrecht & Quist and Lindquist &
Vennum P.L.L.P.,  the Company's  legal  counsel, to  review  the status  of  the
negotiations  and the outstanding issues. The Board authorized Hambrecht & Quist
to communicate compromise proposals to Manor Healthcare concerning voting rights
of the proposed preferred stock, the  terms of employment contracts, the  amount
of  the break-up fee  and the terms of  corporate and individual representations
and warranties. At the April 24 meeting, the Board of Directors also appointed a
Special Committee consisting  of S.  Marcus Finkle and  Sheldon Lieberbaum  (the
Company's  two non-employee  directors) to be  ready to  evaluate the definitive
offer that Manor Healthcare was expected to make in the near future.

    Several days later, the Company was advised that on April 27, 1995 the Board
of Directors  of Manor  Healthcare's  parent corporation  had met  and  approved
making  a definitive offer to the Company that was consistent with the Company's
compromise proposals on April 24.

    Both members of the  Special Committee of the  Company's Board of  Directors
met  by  conference telephone  call  on Monday,  May  1, 1995  to  discuss Manor
Healthcare's now definitive  proposal and  to consult with  a representative  of
Hambrecht  &  Quist. There  was considerable  discussion  and Hambrecht  & Quist
orally opined that  the proposed  transaction was fair  to the  Company and  its
stockholders  from a financial point of  view. The Special Committee unanimously
resolved to approve the proposed transaction  and recommend it to the  Company's
Board of Directors.

    On  May 2, 1995  the Company's entire  Board of Directors  met (with Messrs.
Finkle  and  Lieberbaum   participating  by  telephone   conference  call)   and
unanimously  approved the proposed transaction and the Purchase Agreement. Later
that  day  the  Purchase  Agreement  was  signed.  The  conditional   employment
agreements of Ms. Figge and Mr. Figge and conditional resignations of Mr. Finkle
and  Mr. Lieberbaum (all of which become effective only if and when the Purchase
Agreement is  closed) were  also executed  on May  2, 1995  as required  by  the
Purchase Agreement.

REASONS FOR THE PURCHASE AGREEMENT TRANSACTIONS

    The  reasons for the  Company's Board of  Directors authorizing the Purchase
Agreement and  proposed transactions  thereunder and  recommending them  to  the
Company's stockholders include the following:

        (i)  the proposed  transactions would  provide substantial  new cash and
    working capital to the Company which, among other things, should allow it to
    grow more quickly;

                                       12
<PAGE>
        (ii) the proposed  transactions would provide  a means for  stockholders
    who  wish to sell  all or a portion  of their Company holdings  to do so, in
    whole or in part, at a premium to recent market prices;

       (iii) the proposed transactions would bring the Company into a  strategic
    relationship  with  a  large and  financially  strong partner  in  a closely
    related segment of the  health care industry, which  the Board of  Directors
    believes  will give  the Company  opportunities to  offer its  services to a
    large group of new potential patients; and

       (iv) the proposed  transactions would,  in the  opinion of  the Board  of
    Directors,  strengthen  the Company's  general  competitive position  in the
    ongoing consolidation of the U.S. health care industry.

BOARD OF DIRECTORS RECOMMENDATIONS

    The Board of Directors has reviewed and considered the terms and  conditions
of  the Investment Proposals and believes that the Investment Proposals are fair
to, and  are  advisable and  in  the best  interests  of, the  Company  and  its
stockholders   and  has  unanimously  approved   the  Investment  Proposals  and
unanimously recommends that  stockholders vote  for approval  of the  Investment
Proposals.  The Company's directors  and executive officers  (who currently hold
Common Stock  representing in  the  aggregate less  than  10% of  the  Company's
outstanding  Common Stock) have indicated that they intend to vote all shares of
voting stock over which they exercise voting  power as of the close of  business
on the Record Date in favor of approval of the Investment Proposals.

    In  considering  whether  to  recommend  the  Investment  Proposals  and the
Purchase Agreement for approval  by the stockholders,  the Board considered  the
concerns  it  had  discussed  since  fiscal 1993  about  the  reductions  in the
Company's profitability and in its cash  and working capital since fiscal  1993.
As described above under "Background of the Investment Proposals," the Board had
ultimately  concluded that the  Company should consider  additional financing, a
strategic partnership or a sale of the Company and that it might be advantageous
to enter into some  form of partnership or  alliance. After the Company  engaged
Hambrecht  & Quist  to investigate  these alternatives,  the Board  considered a
number  of  proposals,  as  described   under  "Background  of  the   Investment
Proposals,"  and ultimately determined that the  offer from Manor Healthcare was
the best  alternative available  to the  Company to  address its  concerns in  a
transaction  that gives stockholders the option to either divest or retain their
ownership  interests  in  the  Company.  Specific  factors,  both  positive  and
negative,  considered by the  Board of Directors in  making its determination to
recommend approval include the following (in declining order of importance):

        (i) The Board believed that the Company needs additional working capital
    due to the unresolved  Medicare disputes and their  effect on the  Company's
    cash   position.  The  Board  considered  it  a  positive  factor  that  the
    transaction would provide the Company with approximately $18 million in  new
    cash  (after expenses) and the opportunity to receive additional cash in the
    next three years if the Warrant is exercised by Manor Healthcare.

        (ii) The  Board  believed  that  a  positive  feature  of  the  proposed
    transaction is the opportunity it provides for stockholders who wish to sell
    all  or a  portion of their  Company Common Stock  for cash at  a premium to
    recent market prices.

       (iii) The Board believed that the  $2.00 per share conversion price,  12%
    dividend rate and as-if-converted voting rights for the preferred stock were
    negative  factors if viewed  in isolation, but that  they were outweighed by
    the positive  features of  the $3.40  per share  price available  to  public
    stockholders  who wished to sell, the $3.75  per share exercise price of the
    Warrant, the limited  three year term  of the Warrant  and the large  amount
    that  Manor  Healthcare  was  investing.  The  Board  concluded  that  Manor
    Healthcare viewed the economic terms of the preferred stock as linked to the
    economic terms of the other securities, and that the terms of the  preferred
    stock  could not be improved without an adverse effect on the other economic
    elements of the transaction.

                                       13
<PAGE>
       (iv) The Board believed  that a positive feature  of the transaction  was
    that  the Company  would remain in  existence as a  separate public company,
    which allowed existing stockholders  who wished to do  so to continue  their
    investment  in the  Company as a  separate entity. This  positive feature is
    offset to some extent by the  potential negative impact on the market  price
    of the Company's Common Stock that could result from possible sales by Manor
    Healthcare  of  some or  all  of its  Common  Stock, including  Common Stock
    purchased pursuant to the  Purchase Agreement or  acquired upon exercise  of
    the  Warrant or acquired  upon conversion of  preferred stock, at  a time or
    times when such sales may  have an adverse effect  on market prices for  the
    Company's Common Stock.

        (v) The Board considered the change in control of the Company that would
    result  from Manor Healthcare becoming the Company's largest stockholder and
    nominating four of the  seven members of the  Company's Board of  Directors.
    The  Board recognized that having a  single controlling stockholder could in
    the future create conflicts of interest or discourage or prevent the Company
    from entering into transactions or relationships with other businesses  that
    could  be advantageous  to the Company.  This was  viewed by the  Board as a
    potentially negative factor.

       (vi) The Board  believed that Manor  Healthcare's complementary lines  of
    business,  record of success and financial strength were positive factors in
    favor of the  proposed transaction.  The Board believed  that because  Manor
    Healthcare's  business is focused in nursing centers and custodial care, the
    Company's home  health  business offered  natural  synergies that  made  the
    Company  more valuable to Manor Healthcare than it would be to the Company's
    current direct competitors  and would  provide important  growth and  profit
    opportunities for the Company.

       (vii)  The  Board believed  that the  Manor Healthcare  transaction would
    strengthen  the  Company's  general  competitive  position  in  the  ongoing
    consolidation of the U.S. health care industry by providing an alliance with
    a  large  and financially  strong partner.  Since Manor  Healthcare is  in a
    closely related segment of the health care industry, the Board also believed
    that this alliance would provide the Company with opportunities to offer its
    services to a large group of  new potential patients. The Board viewed  this
    as a positive factor in favor of the proposed transaction.

      (viii)  The Board  considered as  a positive  factor that  the transaction
    would be subject to approval by  the Company's stockholders, who could  vote
    to reject the proposed transaction if they found it unsatisfactory.

       (ix)  The Board viewed as a negative factor Manor Healthcare's insistence
    on a $1.3 million "break-up  fee" which would be  payable in the event  that
    Manor  Healthcare terminated the Purchase  Agreement due to certain breaches
    of the Purchase Agreement by the  Company, the Company's Board of  Directors
    or  its  Special  Committee  withdrawing its  recommendation  for  the Manor
    Healthcare Investment  or recommending  an acquisition  proposal of  another
    party,  or in the event of the Company terminating the Purchase Agreement in
    favor of an acquisition proposal from another party. Manor Healthcare viewed
    that fee  as an  essential  corollary to  the Purchase  Agreement  expressly
    providing  that  the  Company  retained the  legal  right  to  terminate the
    Purchase Agreement in  the event  of a  more attractive  offer from  another
    party  which the Board  had a fiduciary duty  to entertain. Manor Healthcare
    initially proposed  a fee  of $5  million, but  after extended  negotiations
    agreed  to a fee of $1.3 million,  which the Company believed was acceptable
    and the best result it could achieve on this point.

        (x) The Board  considered as  a negative  factor the  reductions in  the
    Company's  net income  per common and  common equivalent share  (but not net
    income) that would result from the future dividends payable on the preferred
    stock. While  a  negative  factor,  the  Board  believed  the  dividend  was
    reasonable  in light of  market conditions and the  cost and availability of
    capital from other sources. The Board was advised by Hambrecht & Quist  that
    no  adequate alternative sources  of capital were  available to the Company.
    The Board was also advised that, if any such

                                       14
<PAGE>
    sources were  to materialize,  they would  have likely  either required  the
    Company  to relinquish operating control or pay cash interest payments (plus
    equity enhancements) at considerably higher  rates than the preferred  stock
    dividend, which is payable in-kind.

       (xi)  The Board viewed as positive the desire of Manor Healthcare to have
    the Company's senior executives enter  into employment agreements and  Manor
    Healthcare's  willingness to place two other  key officers under contract as
    an indication that  Manor Healthcare  was willing to  maintain the  separate
    existence  of the Company with current  management remaining in place, while
    adding the direction and financial strength of Manor Healthcare.

       (xii) The Board considered as a positive factor the receipt of  Hambrecht
    &  Quist's opinion that  the proposed transactions were  fair to the Company
    and to its stockholders from a financial point of view.

    THE BOARD OF DIRECTORS BELIEVES THAT  THE INVESTMENT PROPOSALS ARE FAIR  TO,
AND ARE ADVISABLE AND IN THE BEST INTERESTS OF, THE COMPANY AND ITS STOCKHOLDERS
AND HAS UNANIMOUSLY APPROVED THE INVESTMENT PROPOSALS AND UNANIMOUSLY RECOMMENDS
THAT  THE  STOCKHOLDERS OF  THE COMPANY  VOTE "FOR"  APPROVAL OF  THE INVESTMENT
PROPOSALS.

    The Board  of  Directors  reserves  its  right,  pursuant  to  the  Purchase
Agreement,  to amend or waive  the provisions of the  Purchase Agreement and the
other documents related thereto in all respects before or after approval of  the
Investment  Proposals by the  Company's stockholders. In  addition, the Board of
Directors reserves the right to  terminate the Purchase Agreement in  accordance
with its terms notwithstanding stockholder approval.

OPINION OF FINANCIAL ADVISOR

    The  Company engaged Hambrecht  & Quist to  act as its  financial advisor in
connection with  the  Company's  review  of  strategic  and  financial  planning
matters.  Hambrecht & Quist was subsequently engaged  to render an opinion as to
the fairness from a financial point of view of the Investment to the Company and
its stockholders.  Hambrecht &  Quist undertook  a presentation  to the  Special
Committee  of the Board of Directors  on May 1, 1995 and  to the entire Board of
Directors on May 2, 1995 and  rendered its oral opinion (subsequently  confirmed
in  writing) that, as  of such date, the  Investment was fair  to the holders of
Common Stock  from a  financial point  of  view. For  purposes of  its  opinion,
Hambrecht  & Quist defined  the Investment as collectively:  (i) the purchase by
Manor Healthcare of  an aggregate  of approximately 6,440,000  shares of  Common
Stock for $3.40 per share in cash, (ii) the purchase by Manor Healthcare for $20
million  of 200,000  shares of Series  A Preferred Stock,  which are convertible
into an aggregate of 10,000,000 shares of Common Stock, and a three-year Warrant
to purchase up to 6,000,000 shares of Common Stock at a purchase price of  $3.75
per  share, and  (iii) the  Self-Tender Offer  by the  Company for approximately
6,440,000 shares of Common Stock at a cash purchase price of $3.40 per share.

    A COPY OF HAMBRECHT & QUIST'S OPINION DATED MAY 2, 1995 WHICH SETS FORTH THE
ASSUMPTIONS MADE, MATTERS CONSIDERED,  THE SCOPE AND  LIMITATIONS OF THE  REVIEW
UNDERTAKEN  AND  THE PROCEDURES  FOLLOWED BY  HAMBRECHT &  QUIST IS  ATTACHED AS
APPENDIX III TO THIS PROXY STATEMENT. THE COMPANY'S STOCKHOLDERS ARE ADVISED  TO
READ  THE OPINION  IN ITS  ENTIRETY. No limitations  were placed  on Hambrecht &
Quist by the Special  Committee of the  Board of Directors  of the Company  with
respect  to the investigation  made or the procedures  followed in preparing and
rendering its opinion. Stockholders  should note that  the opinion was  provided
for  the use of the Board  of Directors of the Company  in its evaluation of the
Investment and was not on  behalf of, and was not  intended to confer rights  or
remedies  upon Manor Healthcare or any person  other than the Company's Board of
Directors.

    In its review of the Investment, and in arriving at its opinion, Hambrecht &
Quist, among  other things,  (i) reviewed  the publicly  available  consolidated
financial statements of the Company for recent years and interim periods to date
(including  fiscal 1992 through the second quarter ended March 1995) and certain
other relevant financial  and operating  data of the  Company (including  recent

                                       15
<PAGE>
operating  projections and operating and geographic segment data) made available
to Hambrecht & Quist  from the internal records  of the Company; (ii)  discussed
with  certain members of  the management of the  Company the business, financial
condition and prospects  of the  Company; (iii) reviewed  certain financial  and
operating  information, including certain projections provided by the management
of the Company,  relating to the  Company, and discussed  such projections  with
certain  members  of  the  management of  the  Company;  (iv)  reviewed publicly
available consolidated financial statements of Manor Healthcare for recent years
and interim periods to  date (including fiscal 1992  through the second  quarter
ended March 1995); (v) discussed with certain members of the management of Manor
Healthcare  the business, financial condition and prospects of Manor Healthcare;
(vi) reviewed the  recent reported prices  and trading activity  for the  Common
Stock  of the  Company and  Manor Care, Inc.  and compared  such information and
certain financial information of the Company  and Manor Care, Inc. with  similar
information  for certain other companies engaged in businesses Hambrecht & Quist
considered comparable  to  those of  the  Company and  Manor  Healthcare;  (vii)
discussed  with  parties  other  than  Manor  Healthcare  the  possibility  of a
transaction or series of transactions involving a business combination with  the
Company; (viii) reviewed the terms, to the extent publicly available, of certain
comparable transactions; (ix) reviewed the Purchase Agreement; and (x) performed
such  other  analyses and  examinations and  considered such  other information,
financial studies,  analyses  and  investigations and  financial,  economic  and
market data as Hambrecht & Quist deemed relevant.

    Hambrecht  &  Quist  did  not  assume  any  responsibility  for  independent
verification  of  any  of  the  information  concerning  the  Company  or  Manor
Healthcare  considered in connection with its  review of the Investment and, for
purposes of its opinion, assumed and  relied upon the accuracy and  completeness
of  all  such information.  Hambrecht  & Quist  did  not prepare  or  obtain any
independent evaluation or appraisal of any  of the assets or liabilities of  the
Company  or Manor Healthcare, nor did they  conduct a physical inspection of the
properties and facilities of  the Company or Manor  Healthcare. With respect  to
the  financial forecasts and projections made available to Hambrecht & Quist and
used in their analyses, Hambrecht &  Quist assumed that they reflected the  best
currently  available estimates  and judgments  of the  expected future financial
performance of the Company or Manor  Healthcare. Hambrecht & Quist assumed  that
neither   the  Company  nor  Manor  Healthcare   was  a  party  to  any  pending
transactions,  including  external   financings,  recapitalizations  or   merger
discussions,  other  than the  Investment and  those in  the ordinary  course of
conducting  their  respective  businesses.  Hambrecht  &  Quist's  opinion   was
necessarily  based upon market, economic, financial and other conditions as they
existed and could be evaluated as of the date of the opinion, and any change  in
such  conditions would require a reevaluation of such opinion. Hambrecht & Quist
expressed no opinion as to the price  at which the Company's Common Stock  would
trade subsequent to the Closing.

    The  preparation of a fairness opinion involves various determinations as to
the most appropriate and relevant quantitative methods of financial analyses and
the application of those methods to the particular circumstances and, therefore,
such an opinion is not readily susceptible to summary description.  Accordingly,
in  arriving at its opinion, Hambrecht &  Quist did not attribute any particular
weight to any analysis or factor  considered by it, but rather made  qualitative
judgments  as to the significance and relevance  of each analysis and factor. No
company or transaction used in Hambrecht & Quist's analyses is identical to  the
Company, Manor Healthcare or the Investment. Accordingly, the analyses performed
by  Hambrecht & Quist were not purely mathematical; rather they involved complex
considerations and judgments concerning  differences in financial and  operating
characteristics  of the companies and other factors that could affect the public
trading values  of  the  companies  or  company  to  which  they  are  compared.
Accordingly,  Hambrecht & Quist  believes that its analyses  and the summary set
forth below must be  considered as a  whole and that  selecting portions of  its
analyses,   without  considering  all  analyses,  or  of  the  summary,  without
considering all factors  and analyses, could  create an incomplete  view of  the
processes   underlying  the  analyses  set  forth   in  the  Hambrecht  &  Quist
presentation to the Company's Board and its opinion. In performing its analyses,
Hambrecht  &  Quist   made  numerous  assumptions   with  respect  to   industry
performance, general business and economic conditions and other matters, many of
which are beyond the control of the

                                       16
<PAGE>
Company  and  Manor  Healthcare  (including the  maintenance  of  government and
private sector  reimbursement practices  and the  absence of  any  macroeconomic
dislocations  as  evidenced by  unusually high  unemployment or  inflation). The
analyses  performed  by  Hambrecht  &  Quist  (and  summarized  below)  are  not
necessarily  indicative of actual values or  actual future results, which may be
significantly  more  or  less  favorable   than  suggested  by  such   analyses.
Additionally, analyses relating to the values of businesses do not purport to be
appraisals or to reflect the prices at which businesses actually may be sold.

    COMPARABLE  PUBLIC COMPANY  ANALYSIS.   Hambrecht &  Quist compared selected
historical and projected financials, operating and stock market performance data
of the  Company to  the corresponding  data of  certain publicly  traded  health
services  companies that Hambrecht & Quist considered comparable based on market
value and strategic focus. Comparisons were analyzed for the following companies
in the home healthcare business (the "Home Healthcare Group"): Abbey  Healthcare
Group,  Inc.,  American  HomePatient, Inc.,  Caretenders  Health  Corp., Homedco
Group, Inc.,  Hooper Holmes,  Inc., Interim  Services, Inc.,  Lincare  Holdings,
Inc.,  Olsten Corp. Pediatric  Services of America,  Inc., Rotech Medical Corp.,
Staff Builders,  Inc., and  Transworld Home  Healthcare, Inc.  For each  of  the
foregoing  companies, Hambrecht & Quist analyzed the equity market value of each
company as a multiple of last twelve  months' net income, 1994 net income,  1995
estimated  net income,  and 1996  forecasted net  income, and  Hambrecht & Quist
analyzed the enterprise value of each company (calculated as market equity value
plus preferred  stock and  long-term debt  minus  cash) as  a multiple  of  each
company's  last  twelve months'  and  latest quarter  annualized  revenues, EBIT
(earnings before  interest and  taxes) and  EBITDAR (earnings  before  interest,
taxes, depreciation, amortization and rent). All multiples were based on closing
stock  prices  on  April  27,  1995. All  forecasted  data  for  such comparable
companies were  based on  publicly-available independent  estimates by  selected
investment  banking  firms. Specifically,  the average  last twelve  months' net
income multiple (25.6x) for the comparable companies implied an equity value for
the Company of less than  zero (in view of  the Company's historic losses);  the
average 1994 net income multiple (23.4x) for the comparable companies implied an
equity  value  for the  Company of  $5.8  million; the  average 1995  net income
multiple (19.3x) for the  comparable companies implied an  equity value for  the
Company  of $35.9 million; and the average  1996 net income multiple (16.3x) for
the comparable  companies implied  an  equity value  for  the Company  of  $38.3
million.  The average last twelve months' net revenue multiple (1.6x) implied an
enterprise value  for the  Company  of $203.0  million; the  average  annualized
latest  quarter net revenue multiple (1.4x)  implied an enterprise value for the
Company of  $182.5 million;  the average  last twelve  months' EBITDAR  multiple
(10.4x)  implied  an enterprise  value  for the  Company  of $82.2  million; the
average annualized latest quarter EBITDAR multiple (9.7x) implied an  enterprise
value  for the Company of  $105.7 million; the average  last twelve month's EBIT
multiple (21.6x) implied an enterprise value  for the Company of $21.6  million;
the   average  annualized  latest  quarter  EBIT  multiple  (16.2x)  implied  an
enterprise value for the Company of $66.4 million. Hambrecht & Quist noted  that
the  Company  and the  comparable companies  tended  to trade  as a  function of
earnings in  general and  forecasted  earnings in  particular, thus  making  the
revenue multiples a less reliable indicia of value. The foregoing implied values
were  compared with a valuation of the Company of approximately $55.2 million as
implied by  the  self-tender  price  of  $3.40 per  share  and  a  valuation  of
approximately  $66.5 million as  implied by the purchase  by Manor Healthcare of
16.4 million shares  (assuming conversion of  the Series A  Preferred Stock)  of
Common  Stock for approximately $41.9 million. Hambrecht & Quist also noted that
the 1995 estimated net income  multiples implied a value  of $2.22 per share  of
the Company's Common Stock based on management's estimates of the likely results
for  1995; Hambrecht & Quist noted that the current trading price of the Company
common stock represented a 24% premium to such implied value and the self-tender
price represented a 53% premium to such implied value.

    SELECTED  ACQUISITIONS  ANALYSIS.    Using  publicly-available  information,
Hambrecht & Quist analyzed the purchase prices and transaction values (as equity
value  multiples of net income, tangible  book value, cash flow from operations,
and as  enterprise value  multiples  of revenue,  EBIT, EBDIT  (earnings  before
depreciation,  interest and taxes),  and net operating  assets) in the following
selected

                                       17
<PAGE>
completed and pending merger and acquisition transactions in the health services
industry in  1994  and  1995: Lincare  Holdings,  Inc./Coram  Healthcare  Corp.,
Continental   Medical  Systems,   Inc./Horizon  Healthcare   Corp.,  Diagnostek,
Inc./Value Health,  Inc.,  Abbey  Healthcare Group,  Inc./Homedco  Group,  Inc.,
Caremark,   Inc.  (infusion)/Coram  Healthcare  Corp.,  Hillhaven  Corp./Horizon
Healthcare Corp., Southern Health Management Corp./TheraTx, Inc., Mariner Health
Group,  Inc./Convalescent   Services,   Inc.,  Pharmacy   Management   Services,
Inc./Beverly  Enterprises, Inc.,  Advacare, Inc./ Medaphis  Corp., Salick Health
Care, Inc./Zeneca Group PLC, Medstat Group, Inc./Thomson Corp., American Medical
Holdings Inc./National Medical  Enterprises Inc., Healthtrust  Inc./Columbia-HCA
Healthcare   Corp.,  CareNetwork  Inc./Humana   Inc.,  Relife,  Inc./Healthsouth
Rehabilitation Corp., Nichols Institute/Corning,  Inc., GenCare Health  Systems,
Inc./United  HealthCare  Corp.,  Intergroup  Healthcare  Corp./Foundation Health
Corp., Hallmark Healthcare Corp./Community Health Systems, Inc., Community  Care
Network,  Inc./Value  Health Inc.,  Allied Clinical  Laboratories, Inc./National
Health Laboratories  Inc., Home  Nutritional Services,  Inc./W.R. Grace  &  Co.,
Ramsay-HMO  Inc./  United  HealthCare  Corp.,  Providence  Health  Care Inc./The
Multicare Companies, Inc., Coordinated Medical Services Inc./Healthsource, Inc.,
Complete Health Services  Inc./United HealthCare Corp.,  T2 Medical,  Inc./Coram
Healthcare  Inc.,  HealthInfusion, Inc./Coram  Healthcare Inc.,  Curaflex Health
Services, Inc./Coram  Healthcare  Inc.,  Medisys,  Inc./Coram  Healthcare  Inc.,
Critical  Care  America,  Inc./Caremark  International  Inc.,  TakeCare Inc./FHP
International Corp., EPIC Healthcare Group, Inc./HealthTrust Inc., Pinnacle Care
Corp./Mariner Health Group, Inc., and Mediplex Group Inc./Sun Healthcare  Group,
Inc.  Specifically, the average last twelve  months' net income multiple (28.1x)
for the comparable transactions implied an equity value for the Company of  less
than  zero (in view of the Company's historic losses); the average tangible book
value multiple (3.7x) for  the comparable transactions  implied an equity  value
for  the  Company of  $85.0 million;  the average  operating cash  flow multiple
(16.4x) for the comparable transactions implied an equity value for the  Company
of  $16.1 million. The  average last twelve months'  net revenue multiple (1.6x)
for comparable  transactions implied  an  enterprise value  for the  Company  of
$203.0  million; the  average last  twelve months'  EBITDA multiple  (11.9x) for
comparable transactions implied  an enterprise  value for the  Company of  $94.0
million;  the average last  twelve months' EBIT  multiple (16.4x) for comparable
transactions implied an enterprise value for  the Company of $16.4 million;  the
average  net operating asset multiple (2.7x) for comparable transactions implied
an enterprise value for the Company of $92.0 million.

    PRIVATE  PLACEMENT   DISCOUNT  ANALYSIS.     Hambrecht   &  Quist   reviewed
publicly-available  data regarding the private placement of equity securities by
31 publicly-traded companies in 1993 and  1994. It was noted that purchasers  of
such private placements typically acquired the securities at an average discount
of  26% (before placement  fees) to the public  market price at  the time of the
purchase and that in  many such transactions issuers  had undertaken to  provide
freely-tradable  securities to  the purchasers  within a  short period  of time.
Hambrecht & Quist observed that it was unlikely that the Company would have been
capable of  privately placing  $20  million of  equity securities  with  typical
institutional  purchasers  in  any event,  but  if it  were  able to  do  so the
foregoing data suggested that  such equity would have  to be freely-tradable  in
the  near-term and have  to be sold at  a price ranging from  $1.66 to $1.86 per
share. This compared with the purchase  price paid by Manor Healthcare of  $2.00
per  share (on an as-converted basis), which is a premium of 7% to 21% over such
expected range.

    WARRANT VALUATION ANALYSIS.   Hambrecht & Quist analyzed  the Warrant to  be
purchased  by Manor Healthcare. Under the Black-Scholes option valuation formula
the value of a warrant for a single share of Common Stock would be from $0.37 to
$1.02, assuming a  risk-free interest rate  of 7.69%, a  range of the  Company's
Common  Stock volatility from 40% to 100%,  no payment of dividends and exercise
at the end  of the  three-year term. Thus  under the  Black-Scholes formula  the
value  of the Warrant would range from $2.2 million to $6.1 million. Hambrecht &
Quist observed  that, since  the Warrant  would be  less liquid  than a  typical
freely   tradeable  option,  its  valuation  would  likely  be  lower  than  the
Black-Scholes formula would indicate.

    STOCK TRADING HISTORY ANALYSIS.  Hambrecht  & Quist examined the history  of
the  trading  prices and  volume  of the  shares of  the  Common Stock,  and the
relationship between movement in the prices

                                       18
<PAGE>
of such  shares and  movements  in certain  stock  indices and  certain  indices
derived  from the Home Healthcare Group during the period from April 28, 1994 to
April 28, 1995. The Home Healthcare Group consisted of those so specified  under
the  caption "Comparable Public  Company Analysis" above. Such  data was used to
analyze the historical public market valuation  of the Company as compared  with
the  historic  public  market valuation  of  the companies  comprising  the Home
Healthcare Group. At any given point in the period, such data indicated  whether
the  Company's value was higher  or lower relative to  such blended indices. For
such period, the  Common Stock under-performed  on a relative  basis the  public
stocks  comprising the  Home Healthcare  Group and  the Nasdaq  composite index.
Similarly, Hambrecht &  Quist examined  the history  of the  trading prices  and
volume  of  the  shares  of  the  Common Stock  of  Manor  Care,  Inc.,  and the
relationship between movement  in the  prices of  such shares  and movements  in
certain  stock  indices  and  certain  indices  derived  from  a  compilation of
comparable nursing and extended care companies (the "Nursing Group") during  the
period  from April 28, 1994  to April 28, 1995.  Specifically, the Nursing Group
consisted of  Arbor  Health  Care  Co.,  Beverly  Enterprises,  Inc.,  Evergreen
Healthcare,  Inc., Genesis Health  Ventures, Inc., Grancare  Inc., Health Care &
Retirement Corp., Hillhaven Corp., Horizon  Healthcare Corp., Living Centers  of
America,  Inc., Manor Care, Inc., Multicare  Cos. Inc., Regency Health Services,
Inc., Summit Care Corp., and Sun Healthcare Group, Inc. Hambrecht & Quist  noted
that  Manor Care,  Inc. had appreciated  23% from  January 1, 1994  to April 17,
1995, as compared with an appreciation of 16% for the Nursing Group; the Company
had appreciated 7% from January 1, 1994  to April 27, 1995, as compared with  an
appreciation  of 75%  for the  Home Healthcare  Group. Accordingly,  Hambrecht &
Quist observed that  Manor Care, Inc.  was operated  in a fashion  in which  the
public  market valued it more than  comparable companies and that the Investment
may  permit  the  Company  to  exploit  certain  management  skills  from  Manor
Healthcare for the benefit of its own stockholders.

    GENERAL.    The  foregoing description  of  Hambrecht &  Quist's  opinion is
qualified in its entirety by reference to  the full text of such opinion,  which
is attached at Appendix III to this Proxy Statement.

    Hambrecht  & Quist, as part of its investment banking services, is regularly
engaged in the valuation of businesses  and their securities in connection  with
mergers   and  acquisitions,  corporate   restructurings,  strategic  alliances,
negotiated  underwritings,  secondary  distributions  of  listed  and   unlisted
securities,  private placements and valuations for corporate and other purposes.
Hambrecht & Quist  may in the  future provide additional  investment banking  or
other financial advisory services to the Company.

    Pursuant  to an engagement letter dated  September 19, 1994, as supplemented
by a letter dated May 31, 1995, the Company has agreed to pay Hambrecht &  Quist
a  retainer of $60,000 and a fee  (the "Fairness Opinion Fee") of $250,000 (paid
in connection with the delivery of  the Fairness Opinion). The Company has  also
agreed  to pay Hambrecht & Quist a  transaction fee (the "Transaction Fee") upon
the Closing of  the Purchase Agreement,  of $950,000. The  Fairness Opinion  Fee
shall  be credited against the total Transaction Fee. In addition, pursuant to a
Dealer Manager  Agreement  dated  August     ,  1995, the  Company  has  engaged
Hambrecht  & Quist to act  as dealer manager in  connection with the Self-Tender
Offer and  has agreed  to pay  Hambrecht  & Quist  a fee  of $250,000  for  such
services.  The Company has agreed to indemnify Hambrecht & Quist against certain
liabilities, including liabilities under the federal securities laws or relating
to or arising  out of  Hambrecht & Quist's  engagement as  financial advisor  or
services  as dealer-manager and related matters.  The Company has also agreed to
pay Hambrecht  &  Quist  a  nonaccountable  expense  allowance  of  $250,000  in
connection  with its services related to the Investment and its fairness opinion
and to  reimburse  certain  accountable  expenses related  to  its  services  as
dealer-manager.

DESCRIPTION OF THE INVESTMENT BY MANOR HEALTHCARE

    COMMON  STOCK INVESTMENT BY MANOR HEALTHCARE.   Pursuant to the terms of the
Purchase Agreement and as part of the Investment, Manor Healthcare will purchase
for $3.40 per share approximately 6,440,000  shares of Common Stock for a  total
purchase price of approximately $21.9 million. The Investment is contingent upon
a    minimum   of   5,635,000   shares    of   Common   Stock   being   tendered

                                       19
<PAGE>
to and  repurchased by  the Company  in the  Self-Tender Offer.  If the  Company
repurchases  the minimum number of shares, the Manor Healthcare investment would
be reduced by $2.7  million to approximately $39.2  million, with an  equivalent
reduction  in the  proceeds to be  used by  the Company to  fund the Self-Tender
Offer. The terms and conditions of the Common Stock purchase by Manor Healthcare
are as set forth in the Purchase  Agreement attached to this Proxy Statement  as
Appendix I.

    COMPANY  SELF-TENDER OFFER.  In connection  with the Investment, the Company
is conducting the Self-Tender  Offer for approximately  6,440,000 shares of  its
Common  Stock at  an offering  price of $3.40  per share.  In the  event that an
amount of shares of Common Stock less  than or greater than 6,440,000 shares  is
tendered  in  the  Self-Tender  Offer, the  Company  and  Manor  Healthcare will
mutually determine  whether the  Company will  accept for  purchase such  lesser
number  of shares or all or any portion of such greater number of shares. To the
extent that the number of shares accepted for purchase in the Self-Tender  Offer
is  greater than or less  than 6,440,000 shares, the  number of shares of Common
Stock to be  purchased by Manor  Healthcare in the  Investment will increase  or
decrease  accordingly. The  Company and  Manor Healthcare  have agreed  that the
tendering of at least 5,635,000 shares of Common Stock in the Self-Tender  Offer
will  be sufficient to permit  them to make the  mutual determination to proceed
with the completion of the Self-Tender  Offer and the concurrent Closing of  the
Purchase Agreement. Some officers and directors of the Company may tender all or
a  portion  of  their  shares  in connection  with  the  Self-Tender  Offer. The
Company's Self-Tender Offer will be funded  out of the proceeds of the  purchase
of  Common Stock  by Manor  Healthcare. The terms  of the  Self-Tender Offer are
described in a Tender  Offer Statement dated [DATE],  1995, being mailed to  the
stockholders of the Company on or about [DATE], 1995.

    PURCHASE  OF SERIES A PREFERRED STOCK.  The Company has authorized 1,000,000
shares of preferred stock, $1.00 par value per share, none of which is currently
outstanding. Pursuant to the terms  of the Purchase Agreement, Manor  Healthcare
will  purchase 200,000  shares of  the Series A  Preferred Stock  for a purchase
price of  $20 million.  The Board  of Directors  of the  Company has  adopted  a
Certificate  of Designation reserving 200,000 shares of the authorized preferred
stock as Series A Preferred Stock. As a condition to the Closing of the Purchase
Agreement, the  Company will  cause  the Certificate  of Designation  to  become
effective.  The  rights and  preferences  of the  Series  A Preferred  Stock are
indicated below.

    RANK.  With  respect to  the payment of  dividends and  the distribution  of
assets  on liquidation, dissolution and winding up  of the Company, the Series A
Preferred Stock ranks senior to the Common Stock and on a parity with or  senior
to each other series of preferred stock thereafter issued by the Company.

    LIQUIDATION VALUE.  The liquidation value of the Series A Preferred Stock is
equal to $100 per share.

    DIVIDENDS.  Holders of Series A Preferred Stock are entitled to receive when
and  as declared by the Board of  Directors, cumulative dividends at the rate of
12% of the Liquidation  Value per annum, per  share, payable in equal  quarterly
payments  on the  business day  preceding the last  business day  of each March,
June, September  and  December  (each, a  "Quarterly  Dividend  Payment  Date"),
commencing with the first Quarterly Dividend Payment Date following the Closing.
Dividends  shall accrue  on a daily  basis and  shall cumulate from  the date of
original issue of  the Series A  Preferred Stock. Accrued  but unpaid  dividends
shall  accrue as  of the  Quarterly Dividend  Payment Date  on which  they first
became payable and may be  paid in the form of  either cash or shares of  common
stock  having  a market  value equal  to  the dividend  amount. However,  if any
quarterly dividend,  redemption  payment,  repurchase payment,  or  accrued  and
unpaid  dividend payment due upon conversion of  the Series A Preferred Stock is
not paid when due,  then the holders  of the Series A  Preferred Stock shall  be
entitled  to additional dividends which shall accrue in respect of such payments
at the rate of 12% of the Liquidation Value per annum, compounded quarterly  and
shall  be added to such payments. No dividends may be paid to or declared or set
aside  for  the   benefit  of  holders   of  any  class   or  series  of   stock

                                       20
<PAGE>
ranking  on  a  parity with  the  Series A  Preferred  Stock in  the  payment of
dividends if  at  the  time there  shall  be  any current  or  accumulated  cash
dividends  payable to the  Series A Preferred  Stock, unless at  the same time a
like proportionate dividend, pro rata based on the annual dividend rates of  the
Series  A Preferred Stock and such parity stock,  shall at the same time be paid
to or  declared and  set  aside for  the  benefit of  holders  of the  Series  A
Preferred Stock entitled to receive such dividend.

    LIQUIDATION  PREFERENCE.   In the event  of any  liquidation, dissolution or
winding up of the Company, holders of Series A Preferred Stock will be  entitled
to  receive in preference to holders of any stock ranking junior to the Series A
Preferred Stock, the Liquidation Value of $100 per share plus an amount equal to
all accrued but unpaid  dividends thereon on the  date of final distribution  to
such  holders.  If,  upon any  liquidation,  dissolution  or winding  up  of the
Company, such payment shall  not have been  made in full to  the holders of  all
outstanding  shares  of  Series  A  Preferred Stock,  the  holders  of  Series A
Preferred Stock and all other classes or series of stock of the Company  ranking
on  a parity therewith in the distribution of assets, shall share ratably in any
distribution of assets  in proportion to  the full amounts  to which they  would
otherwise be respectively entitled.

    VOTING  RIGHTS.   The holders  of Series  A Preferred  Stock shall  have, in
addition to any voting  rights provided by  law, the right to  vote as a  single
class  with the  Common Stock  on an as-if-converted  basis. The  effect of this
provision is that holders of Series A  Preferred Stock will be entitled to  cast
50  votes for each share of Series  A Preferred Stock, subject to adjustment, as
described below. The holders  of shares of Series  A Preferred Stock shall  have
the right to vote as a separate class on (i) all matters as to which the holders
are  entitled to  vote under  the Minnesota  Business Corporation  Act; (ii) any
amendment, alteration or repeal  of any provision of  the Company's Articles  of
Incorporation  or  Certificate of  Designation that  would adversely  affect the
rights, powers or  preferences of the  Series A Preferred  Stock; and (iii)  any
proposed  creation of a class  or series of preferred  stock ranking on a parity
with  the  Series  A  Preferred  Stock  as  to  dividends  or  on   liquidation.
Authorization  of any of the foregoing  actions requires the affirmative vote of
the holders of at  least two-thirds of  the outstanding shares  of the Series  A
Preferred  Stock. In addition, the holders of shares of Series A Preferred Stock
shall have the right to vote as a class with the holders of Common Stock on  all
matters as to which the holders of Common Stock are entitled to vote. The number
of  votes  per share  which the  holders of  Preferred Stock  may cast  shall be
adjusted, upon any change in the  Conversion Price as described below, to  equal
the  number of shares  of Common Stock  into which it  would then be convertible
(whether or not such conversion is restricted or prohibited for any reason).

    CONVERSION.  Each  share of Series  A Preferred Stock  shall be  convertible
(subject  to the anti-dilution provisions thereof) at  any time at the option of
the holder  thereof, unless  previously redeemed,  into a  number of  shares  of
Common  Stock of the Company calculated as described below, initially 50 shares.
This conversion number shall be obtained by calculating (to the nearest 1/100 of
a share)  the number  of shares  of Series  A Preferred  Stock to  be  converted
multiplied  by  a  fraction,  the  numerator of  which  shall  be  equal  to the
Liquidation Value for each share of Series A Preferred Stock and the denominator
of which shall  be the  Conversion Price (initially  $2.00 per  share of  Common
Stock),  subject to  adjustment and as  defined in the  Company's Certificate of
Designation. If the Company shall default on the applicable payment date in  the
payment  of any redemption or repurchase price, as the case may be, the right of
conversion shall continue  until the  Series A  Preferred Stock  is redeemed  or
repurchased.

    The Series A Preferred Stock provides for adjustments upon the occurrence of
certain   events  including,  but   not  limited  to,   stock  dividends,  stock
subdivisions  or  reclassifications  or  combinations,  issuance  of  rights  or
warrants  to holders of Common Stock generally entitling them to purchase Common
Stock  at  a  price  less  than   the  then-current  market  price  thereof   or
distributions  to holders of Common Stock generally of evidences of indebtedness
or assets (other  than those described  in the preceding  clause). In  addition,
upon  the occurrence  of any merger  or combination or  similar transaction, the
Series A Preferred Stock is convertible  into the consideration received by  the
holders of the Common Stock in such merger, combination or similar transaction.

                                       21
<PAGE>
    REDEMPTION PROVISIONS.  The Series A Preferred Stock is not redeemable prior
to  the fifth  anniversary date after  issuance (the "Redemption  Date"). On and
after such date, the Series  A Preferred Stock shall  be redeemable in cash,  at
the  option of the Company, in  whole at any time or  in part from time to time,
upon no less than 30 days and no  more than 60 days prior written notice by  the
Company  to the holders thereof. Conversions  shall be permitted until the close
of business on the business day  immediately preceding the Redemption Date.  The
redemption  price for the  Series A Preferred  Stock is $100  per share, plus an
amount equal to all accrued and unpaid dividends thereon.

    REPURCHASE PROVISIONS.  The  Series A Preferred  Stock is not  repurchasable
prior  to the fifth anniversary date  after issuance (the "Repurchase Date"). On
and after  the Repurchase  Date  and unless  such  shares have  been  previously
converted,  the holders of the Series A  Preferred Stock may require the Company
to repurchase all or  a portion of  such holder's Series  A Preferred Stock  for
cash, at the option of the Company, in whole at any time or in part from time to
time, upon no less than 30 days and no more than 60 days prior written notice to
the  Company.  Conversions  of shares  shall  be  permitted until  the  close of
business on  the business  day immediately  preceding the  Repurchase Date.  The
repurchase  price for the  Series A Preferred  Stock is $100  per share, plus an
amount equal to all accrued and unpaid dividends thereon.

    No shares  of Common  Stock, preferred  stock issued  on a  parity with  the
Series A Preferred Stock, or Series A Preferred Stock may be purchased, redeemed
or  otherwise acquired for value by the  Company unless all dividends accrued on
the Series A  Preferred Stock shall  have been  paid or declared  and funds  for
payment of the dividends set aside.

    STOCK  PURCHASE WARRANT.   Pursuant to the terms  of the Purchase Agreement,
the Company will issue  to Manor Healthcare a  three-year Common Stock  Purchase
Warrant  allowing the holder to purchase up  to 6,000,000 shares of Common Stock
of the Company  at an exercise  price of  $3.75 per share  (the "Warrant").  The
exercise price of the Warrant is subject to the same anti-dilution provisions as
are  applicable  to  the  Series  A Preferred  Stock.  See  "Description  of the
Investment by  Manor Healthcare  --  Purchase of  Series  A Preferred  Stock  --
Conversion."

    REGISTRATION  RIGHTS AGREEMENT.  Pursuant to  the Purchase Agreement, on the
Closing Date the  Company and Manor  Healthcare will enter  into a  Registration
Rights  Agreement covering the  securities being purchased  by Manor Healthcare.
Manor Healthcare will  have the right  to require  the Company to  use its  best
efforts  to register under the Securities Act of 1933, at the Company's expense,
all or  any portion  of the  Common  Stock, the  Common Stock  purchasable  upon
exercise  of the Warrant, or the Common  Stock into which the Series A Preferred
Stock, directly  or indirectly,  is convertible  ("Registrable Securities")  for
sale  in an underwritten  public offering. The  Company will not  be entitled to
sell its securities  in any such  registration for its  own account without  the
consent  of Manor Healthcare. In  addition, if the Company  at any time seeks to
register under the  Securities Act of  1933 for sale  to the public  any of  its
securities,  the  Company must  include,  at Manor  Healthcare's  request, Manor
Healthcare's Registrable Securities  in the registration  statement, subject  to
underwriter cutback provisions.

DESCRIPTION OF THE PURCHASE AGREEMENT

    PURCHASE  AND SALE OF SECURITIES.  The Purchase Agreement provides for Manor
Healthcare to purchase approximately 6,440,000 shares of Common Stock, $.01  par
value,  of  the Company,  200,000 shares  of  Series A  Preferred Stock  and the
Warrant to purchase  up to 6,000,000  additional shares of  Common Stock of  the
Company.  The aggregate purchase price for the Common Stock, the Warrant and the
Series A  Preferred Stock  is  approximately $41.9  million. The  Investment  is
contingent  upon a minimum of 5,635,000 shares of Common Stock being tendered to
and repurchased  by  the  Company  in the  Self-Tender  Offer.  If  the  Company
repurchases  the minimum number of shares, the Manor Healthcare investment would
be reduced by $2.7  million to approximately $39.2  million, with an  equivalent
reduction  in the  proceeds to be  used by  the Company to  fund the Self-Tender
Offer. Certain terms  and conditions  of the Purchase  Agreement are  summarized
below. See "Description of the Investment by Manor Healthcare."

                                       22
<PAGE>
    CONDITIONS  TO CLOSING.  The  Purchase Agreement contains certain conditions
which must be  met or waived  prior to  the Closing of  the Purchase  Agreement,
including the following:

    CONSUMMATION  OF THE COMPANY  SELF-TENDER OFFER.   The Company must complete
the Self-Tender Offer to purchase at least 5,635,000 shares of Common Stock at a
purchase price of $3.40 per share.

    COMPANY STOCKHOLDER APPROVAL.  The stockholders of the Company are  required
to  approve and  adopt the  Purchase Agreement  and related  Investment by Manor
Healthcare, including the amendments to the Company's Articles of  Incorporation
and Stock Option Plans included herein as Proposals Two and Three, respectively.

    NO  ORDER.  There shall be no statute, rule, regulation or other restriction
in effect promulgated by  a governmental or regulatory  authority or federal  or
state  court of competent  jurisdiction which would  prohibit or otherwise limit
the consummation of the transactions contemplated by the Purchase Agreement.

    AMENDMENT TO ARTICLES  OF INCORPORATION.   An amendment to  the Articles  of
Incorporation  of  the  Company  effecting  the  amendment  described  herein as
Proposal Two shall  have been filed  with the Minnesota  Secretary of State,  to
become effective on the Closing Date.

    COMPANY CONSENTS AND PERMITS.  The Company shall have obtained all necessary
consents, approvals and other authorizations required to effect the transactions
contemplated by the Purchase Agreement, principally consisting of the following:
(1)  the Company must receive consent to  the transaction from its lender, which
has  preliminarily  granted  its  consent  and  extended  the  Company's  credit
agreement until December 31, 1995; (2) substantially all of the Company's leases
and  various insurance  contracts of  the Company  require consent  of the other
party to a change in control or material change in the Company's ownership;  and
(3)  notification or consent to maintain state licensure will be required in all
14 states where the Company is  licensed for home care and/or hospice.  Consents
are  also required pursuant to the  Company's pharmacy license requirements, and
the Medicare program requires various notifications and re-approvals.

    MANOR HEALTHCARE CONSENTS.  Manor  Healthcare and its parent company,  Manor
Care,  Inc., must obtain waivers from  their lenders under a certain Competitive
Advance and  Multi-Currency Revolving  Credit Facility  Agreement, dated  as  of
November  30,  1994,  as to  (i)  the  applicability of  the  covenants  in such
agreement to the  Company and (ii)  any requirement that  the Company provide  a
guaranty  of  the  obligations under  such  agreement. This  condition  has been
fulfilled.

    REGISTRATION RIGHTS AGREEMENT.  The Registration Rights Agreement  described
above under "Registration Rights Agreement" shall have been executed.

    There can be no assurance that each of the conditions to the Closing will be
satisfied  or waived. The Company does not anticipate problems in satisfying any
conditions to closing,  and the Board  does not intend  to waive any  applicable
conditions  to the Company's obligation to close.  If the Closing does not occur
on or prior to the Closing  Date, the Purchase Agreement will terminate  without
any action by the Company or Manor Healthcare. In the event one or more of these
conditions  are not met or waived, the Purchase Agreement may be terminated. See
"Termination" below.

    REPRESENTATIONS AND  WARRANTIES; INDEMNIFICATION.   The  Purchase  Agreement
contains  extensive representations and warranties given by the Company to Manor
Healthcare, designed  to provide  Manor Healthcare  with adequate  and  complete
disclosure regarding such matters as the Company's participation in the Medicare
and  Medicaid programs, compliance with  various laws and environmental matters,
the accuracy of  the Company's  financial statements,  payment of  taxes by  the
Company  and any pending  or threatened litigation  involving the Company, among
other things. Under the terms of the Purchase Agreement, the representations and
warranties contained therein will survive  until December 31, 1996. The  Company
has agreed to indemnify Manor Healthcare and its affiliates from and against any
losses  they may  suffer as a  result of  any breach of  such representations or

                                       23
<PAGE>
warranties or any material misstatement contained in this Proxy Statement or  in
documents  delivered to  stockholders in  connection with  the Self-Tender Offer
(the "Tender Offer Documents") or material omission from this Proxy Statement or
the Tender Offer Documents, provided that Manor Healthcare gives written  notice
to the Company of such a claim on or prior to December 31, 1996.

    COVENANTS.   The Purchase Agreement contains certain covenants including the
following:

    HART-SCOTT-RODINO  FILING.    The   applicable  waiting  period  under   the
Hart-Scott-Rodino  Antitrust  Improvements  Act  of 1976  (the  "HSR  Act") with
respect to the transactions  contemplated by the  Purchase Agreement shall  have
expired  or  been terminated  prior to  Closing. To  the extent  applicable, the
Company and Manor Healthcare shall make all filings and furnish all  information
required  by the HSR  Act with respect  to the transactions  contemplated by the
Purchase Agreement  and  shall  use  their best  efforts  to  obtain  the  early
termination  of the waiting period  under the HSR Act  provided that neither the
Company nor Manor Healthcare shall  be required to agree  to dispose of or  hold
separate  any portion of its business or  assets. The required filings under the
HSR Act have been made and the applicable waiting period has terminated.

    PRE-CLOSING ACTIVITIES.  From and after  the date of the Purchase  Agreement
until  the Closing, the Company  and Manor Healthcare shall  act with good faith
towards, and  shall  use their  best  efforts to  consummate,  the  transactions
contemplated  by  the  Purchase Agreement,  and  neither the  Company  nor Manor
Healthcare will take  any action that  would prohibit or  impair its ability  to
consummate the transactions contemplated by the Purchase Agreement.

    ACQUISITION  PROPOSALS.   The Company has  agreed in  the Purchase Agreement
that prior to the Closing neither the Company nor any of its officers, directors
or employees will, and the Company will direct and use its best efforts to cause
its employees, agents  and representatives (including,  without limitation,  any
consultant,  financial advisor, attorney or  accountant retained by the Company)
not to initiate, solicit or encourage, directly or indirectly, any inquiries  or
the  making  of  any proposal  or  offer  to stockholders,  or  make  any public
announcement regarding the same, with respect to (i) a tender offer or  exchange
offer  for any securities of the Company; (ii) a merger, consolidation, business
combination or similar transaction; (iii) any purchase, lease, exchange, pledge,
mortgage, transfer or other disposition of at least 20% of the assets of, or any
equity securities  of, the  Company  (an "Acquisition  Proposal") or  engage  in
negotiations,  provide information or  discuss an Acquisition  Proposal with any
person, or otherwise facilitate  any effort or attempt  to make or implement  an
Acquisition Proposal.

    Nothing  contained in the Purchase Agreement, however, prohibits the Company
and its directors from making to the stockholders any recommendation and related
filing with the Securities Exchange Commission,  as required by Rules 14d-9  and
14e-2  under the  Securities Exchange  Act of 1934,  with respect  to any tender
offer, or from informing the stockholders of the Company in the proxy  materials
with  respect to the meeting of stockholders called to consider the transactions
contemplated by the Purchase  Agreement of information that  is material to  the
vote  with respect  to such  transactions, or  from changing  or withdrawing the
recommendation of  the  directors  with  respect to  such  transactions  if  the
directors conclude that such change or withdrawal is required by their fiduciary
duties  (as determined in  good faith by  the Board of  Directors of the Company
upon the advice of counsel).

    CONDUCT OF BUSINESS PENDING  CLOSING.  The Company  has agreed, among  other
things,  that as and after the date of the Purchase Agreement and up to the date
of Closing, the Company will use its best efforts to conduct its business in the
ordinary course pursuant  to ordinary  business terms and  consistent with  past
practice.  The Company has further agreed that, without Manor Healthcare's prior
written consent it will not, among  other things: (i) sell, pledge, dispose  of,
lease or encumber any of its assets; (ii) amend its Articles of Incorporation or
bylaws;  (iii) split, combine or reclassify  its shares or declare any dividends
on  its  capital  stock;  (iv)  redeem  any  of  its  own  shares  (other   than

                                       24
<PAGE>
pursuant  to  the  Self-Tender  Offer);  (v)  effect  any  plan  of liquidation,
dissolution, merger, recapitalization or other reorganization; or (vi) create or
otherwise acquire or fund any new  subsidiary. The Company has also agreed  that
it will not: (i) issue, pledge or dispose of any shares of capital stock (except
for  shares issuable  upon the  exercise of  outstanding options),  or issue any
additional options, warrants or rights to purchase shares of its capital  stock;
(ii) acquire or invest in another business; (iii) incur any indebtedness, either
directly  or through the guaranty of the  debt of others; (iv) effect any change
in its  capitalization;  (v) change  any  assumption underlying,  or  method  of
calculating,  any bad  debt, contingencies,  provisions or  other reserves; (vi)
pay, discharge or  satisfy any  claims, liabilities or  obligations or  collect,
accelerate  the  collection of,  any amounts  owed, other  than in  the ordinary
course of business;  (vii) waive,  release or transfer  any rights  of value  or
modify or change in any material respect an existing license, lease, contract or
other  document; or  (viii) make  any tax election  or settle  or compromise any
income or other tax liability. Moreover,  the Company may not effect any  change
in  any form of employee benefit plan or other benefits granted to its employees
or former employees, except for  increasing the compensation or fringe  benefits
of  non-officer employees in the ordinary course of business and consistent with
past practice or as otherwise required by law.

    TERMINATION.  At any time prior  to the Closing, the Purchase Agreement  and
the  transactions contemplated thereby  may be terminated  (i) by mutual written
agreement of the  Company and Manor  Healthcare; (ii) if  the Closing shall  not
have  been  consummated on  or  before September  15,  1995; (iii)  if  any law,
regulation or  non-appealable final  order or  judgment is  effected that  makes
consummation  of the transactions contemplated by the Purchase Agreement illegal
or otherwise prohibited; (iv) if the Company's stockholders fail to approve  the
Purchase  Agreement; (v) by  Manor Healthcare upon  certain material breaches or
defaults by the Company; or (vi)  by the Company upon certain material  breaches
or defaults by Manor Healthcare.

    COMPANY PAYMENTS IN THE EVENT OF TERMINATION.  The Company has agreed to pay
Manor  Healthcare  $1,300,000  for  Manor  Healthcare's  costs  associated  with
entering into the  Purchase Agreement  in the  event the  Purchase Agreement  is
terminated  (a) by Manor  Healthcare due to (i)  a breach by  the Company of its
"no-shop" or conduct  of business obligations  of Sections 7.9  and 7.13 of  the
Purchase  Agreement;  (ii)  a willful  breach  by  the Company  of  the Purchase
Agreement which is  not cured  within 10 days  after notice  thereof from  Manor
Healthcare;  (iii) withdrawal or modification  of certain documents delivered to
Manor Healthcare prior  to execution  of the Purchase  Agreement, including  the
resignation  letters submitted by Messrs. Finkle and Lieberbaum, the resolutions
adopted by the Company's Board of Directors approving the Purchase Agreement and
the Investment and a legal opinion  delivered by Lindquist & Vennum P.L.L.P.  as
to  the effect of certain  aspects of the Minnesota  Business Corporation Act on
the Investment;  (iv) withdrawal  or  modification of  the Board  of  Directors'
approval  or recommendation of the Purchase Agreement, the Investment or related
transactions; (v) withdrawal  or modification  by the Special  Committee of  the
Board  of Directors of its approval of the Purchase Agreement, the Investment or
related transactions; or (vi) a recommendation of the Board of Directors to  its
stockholders  to accept  an Acquisition Proposal  or a failure  by the Company's
Board of Directors to recommend to its stockholders that they not tender  shares
into  any such Acquisition Proposal, or the acquisition by any person other than
Manor Healthcare or its affiliates of the right to acquire beneficial  ownership
of  20% or more of the Company's outstanding Common Stock; or (b) by the Company
if its Board  of Directors fails  to make or  withdraws its recommendation  that
stockholders  approve the Purchase Agreement if there is an Acquisition Proposal
at such time or if the Board recommends that its stockholders accept or  approve
an Acquisition Proposal.

EFFECTS OF THE INVESTMENT ON THE COMPANY

    USE  OF PROCEEDS.   On  the date  of the  initial purchase  of the Company's
Common Stock and  Series A  Preferred Stock  under the  Purchase Agreement  (the
"Closing"),  the Company will  receive approximately $41.9  million in cash from
Manor Healthcare  in  consideration for  the  issuance to  Manor  Healthcare  of
approximately  6,440,000  shares of  Common Stock,  200,000  shares of  Series A
Preferred Stock, and a three-year Warrant to purchase up to 6,000,000 additional
shares of Common

                                       25
<PAGE>
Stock for $3.75 per share.  Substantially all of the  proceeds from the sale  of
the  Common Stock will be used to fund the Self-Tender Offer. The $20 million in
proceeds from the issuance of the Series A Preferred Stock and the Warrant,  net
of  the transaction expenses  (such net proceeds  are referred to  herein as the
"Transaction Proceeds"), will be invested in interest bearing securities pending
application as described below. Expenses of the transaction, to be borne by  the
Company, are estimated to be $2 million.

    The  Transaction  Proceeds  will be  available  to the  Company  for general
corporate purposes. The Company anticipates that it will principally utilize the
Transaction Proceeds to invest in the  expansion of Company operations into  the
eight  geographic areas where Manor Healthcare is present and the Company is not
and to finance the  Company's continued operations.  Except as described  above,
the  Company does not currently have any commitments or understandings regarding
the use of  the Transaction Proceeds.  The Company believes  that its cash  flow
from current operations is sufficient to meet its current cash needs.

    There can be no assurance that the Company will be successful in its efforts
to  utilize  the  Transaction  Proceeds  in a  manner  that  contributes  to the
profitable growth of  the Company's  business or that  the Transaction  Proceeds
will  not be used in such a way as to dilute the per share earnings or equity of
the Company after giving effect to the purchase of shares of Series A  Preferred
Stock by Manor Healthcare.

    If the Warrant is exercised in full, the Company would receive an additional
$22.5 million in proceeds. Since it is not known if or when the Warrant might be
exercised,  it  is  uncertain  how the  additional  proceeds  would  be applied.
However, it is the Company's  current expectation that the additional  proceeds,
if  received,  would  be used  to  fund  growth in  the  Company's  business and
expansion into additional geographic areas.

    PRO FORMA  FINANCIAL  EFFECT.    The Investment  will  have  the  effect  of
increasing the Company's cash and equity (net of estimated transaction expenses)
by  approximately  $18 million.  Because the  Series A  Preferred Stock  bears a
dividend, the pro  forma effect  of the  Series A  Preferred Stock  would be  to
reduce  earnings  per share,  on  both a  primary  and fully-diluted  basis. The
following Pro Forma Balance Sheet as of  June 30, 1995 and Pro Forma  Statements
of  Income for the year ended September 30, 1994 and the nine month period ended
June 30, 1995 reflect these changes.  The Pro Forma Statements of Income  assume
that  the  Investment  occurred on  October  1,  1993 and  on  October  1, 1994,
respectively.

                                       26
<PAGE>
                              IN HOME HEALTH, INC.
                      PRO FORMA CONSOLIDATED BALANCE SHEET
                                At June 30, 1995
                                  (Unaudited)
                (Amounts in thousands except per share amounts)

<TABLE>
<CAPTION>
                                                                        HISTORICAL   ADJUSTMENTS      PRO FORMA
                                                                        ----------   ------------     ----------
<S>                                                                     <C>          <C>              <C>
CURRENT ASSETS........................................................  $   18,285   $  (21,900)(1)   $  36,285
                                                                                         41,900(2)
                                                                                         (2,000)(3)
PROPERTY, NET.........................................................      11,313                       11,313
OTHER ASSETS..........................................................      22,971                       22,971
                                                                        ----------   ------------     ----------
TOTAL ASSETS..........................................................  $   52,569   $   18,000       $  70,569
                                                                        ----------   ------------     ----------
                                                                        ----------   ------------     ----------
CURRENT LIABILITIES...................................................  $   16,738                    $  16,738
LONG-TERM DEBT........................................................       2,546                        2,546
DEFERRED ITEMS........................................................       3,535                        3,535
REDEEMABLE PREFERRED STOCK -- authorized 1,000 shares.................               $   18,500(2)       18,500
SHAREHOLDERS' EQUITY:
  Common stock -- authorized 40,000 shares............................         161          (64)(1)         161
                                                                                             64(2)
  Additional paid-in capital..........................................      23,904      (21,836)(1)      23,404
                                                                                         21,836(2)
                                                                                          1,500(2)
                                                                                         (2,000)(3)
  Retained earnings...................................................       5,685                        5,685
                                                                        ----------   ------------     ----------
  Total shareholders' equity..........................................      29,750         (500)         29,250
                                                                        ----------   ------------     ----------
TOTAL LIABILITIES AND SHAREHOLDERS'
 EQUITY...............................................................  $   52,569   $   18,000       $  70,569
                                                                        ----------   ------------     ----------
                                                                        ----------   ------------     ----------
<FN>
- ------------------------
(1)  Represents the Company's Self-Tender Offer for the purchase and  retirement
     of  approximately 6,440 shares of the Company's outstanding Common Stock at
     $3.40 per  share.  If  the minimum  of  5,635  shares of  Common  Stock  is
     tendered,  the  impact  is  a  reduction of  $2,700  in  the  cash  used to
     repurchase, and received for the issuance of, the Common Stock. There is no
     net impact to the pro forma financial statements above.
(2)  Represents gross  proceeds  to  the  Company  upon  consummation  of  Manor
     Healthcare's  investment in the  Company as follows:  (i) issuance to Manor
     Healthcare of 200 shares of the Company's redeemable Preferred Stock  (fair
     value  of $18,500)  and a  Warrant (fair  value of  $1,500) to  purchase an
     additional 6,000 shares of  the Company's Common  Stock (gross proceeds  of
     $20,000)  and (ii) issuance of approximately  6,440 shares of the Company's
     Common Stock at  $3.40 per  share. Pursuant to  the terms  of the  Purchase
     Agreement,  the  Common Stock  to be  sold to  Manor Healthcare  equals the
     number of shares of Common Stock repurchased by the Company (gross proceeds
     of $21,900). See "Description of the Investment by Manor Healthcare -- Pur-
     chase of Series A Preferred Stock" and "Investment Proposals --  Background
     of  the Investment  Proposals" and "--  Reasons for  the Purchase Agreement
     Transactions" for a description  of the conversion  of the Preferred  Stock
     and a discussion of the initial $2.00 conversion price.
(3)  Represents estimated transaction expenses of $2,000 which include Hambrecht
     &  Quist's transaction and tender offer fees, legal and accounting fees and
     printing costs.
</TABLE>

                                       27
<PAGE>
                              IN HOME HEALTH, INC.
                         PRO FORMA STATEMENT OF INCOME
                  For the Fiscal Year Ended September 30, 1994
                                  (Unaudited)
                (Amounts in thousands except per share amounts)

<TABLE>
<CAPTION>
                                                                        HISTORICAL   ADJUSTMENTS    PRO FORMA
                                                                        -----------  ------------  -----------
<S>                                                                     <C>          <C>           <C>
REVENUE...............................................................  $   120,485                $   120,485
OPERATING EXPENSES:
  Direct costs of revenue.............................................       69,411                     69,411
  General, administrative and selling expenses........................       49,721                     49,721
                                                                        -----------                -----------
  Total operating expenses............................................      119,132                    119,132
                                                                        -----------                -----------
INCOME FROM OPERATIONS................................................        1,353                      1,535
                                                                        -----------                -----------
INTEREST EXPENSE, NET.................................................          669                        669
                                                                        -----------                -----------
INCOME BEFORE INCOME TAXES............................................          684                        684
INCOME TAX EXPENSE....................................................          437                        437
                                                                        -----------                -----------
NET INCOME............................................................          247                        247
REDEEMABLE PREFERRED STOCK DIVIDENDS AND ACCRETION....................               $  (2,691)(1)      (2,691)
                                                                        -----------  ------------  -----------
NET INCOME (LOSS) APPLICABLE TO COMMON STOCK..........................  $       247  $  (2,691)    $    (2,444)
                                                                        -----------  ------------  -----------
                                                                        -----------  ------------  -----------
NET INCOME (LOSS) PER COMMON AND COMMON EQUIVALENT SHARE:
  Primary.............................................................  $      0.02                $     (0.15)
                                                                        -----------                -----------
                                                                        -----------                -----------
  Fully Diluted.......................................................  $      0.02                $     (0.15)
                                                                        -----------                -----------
                                                                        -----------                -----------
WEIGHTED AVERAGE COMMON AND COMMON EQUIVALENT SHARES OUTSTANDING:
  Primary.............................................................       16,013                     16,013
                                                                        -----------                -----------
                                                                        -----------                -----------
  Fully Diluted.......................................................       16,013                     16,013
                                                                        -----------                -----------
                                                                        -----------                -----------
<FN>
- ------------------------
(1)  Represents an assumed dividend on the redeemable Preferred Stock of  $2,400
     and  redeemable Preferred Stock accretion of $291. The redeemable Preferred
     Stock is assumed to accrete over five years from its fair value of  $18,500
     on  the  date of  issuance to  its redeemable  value of  $20,000 as  of the
     mandatory redemption date.
</TABLE>

                                       28
<PAGE>
                              IN HOME HEALTH, INC.
                   PRO FORMA CONSOLIDATED STATEMENT OF INCOME
                    For the Nine Months Ended June 30, 1995
                                  (Unaudited)
                (Amounts in thousands except per share amounts)

<TABLE>
<CAPTION>
                                                                         HISTORICAL   ADJUSTMENTS   PRO FORMA
                                                                         ----------  -------------  ----------
<S>                                                                      <C>         <C>            <C>
REVENUE................................................................  $   97,166                 $   97,166
OPERATING EXPENSES:
  Direct costs of revenue..............................................      55,364                     55,364
  General, administrative and selling expenses.........................      38,969                     38,969
                                                                         ----------                 ----------
  Total operating expenses.............................................      94,333                     94,333
                                                                         ----------                 ----------
INCOME FROM OPERATIONS.................................................       2,833                      2,833
INTEREST EXPENSE, NET..................................................         623                        623
                                                                         ----------                 ----------
INCOME BEFORE INCOME TAXES.............................................       2,210                      2,210
INCOME TAX EXPENSE.....................................................       1,020                      1,020
                                                                         ----------                 ----------
NET INCOME.............................................................       1,190                      1,190
REDEEMABLE PREFERRED STOCK DIVIDENDS AND ACCRETION.....................              $  (2,018)(1)      (2,018)
                                                                         ----------  -------------  ----------
NET INCOME (LOSS) APPLICABLE TO COMMON STOCK...........................  $    1,190  $  (2,018)     $     (828)
                                                                         ----------  -------------  ----------
                                                                         ----------  -------------  ----------
NET INCOME (LOSS) PER COMMON AND COMMON EQUIVALENT SHARE:
  Primary..............................................................  $     0.07                 $    (0.05)
                                                                         ----------                 ----------
                                                                         ----------                 ----------
  Fully Diluted........................................................  $     0.07                 $    (0.05)
                                                                         ----------                 ----------
                                                                         ----------                 ----------
WEIGHTED AVERAGE COMMON AND COMMON EQUIVALENT SHARES OUTSTANDING:
  Primary..............................................................      16,260                     16,260
                                                                         ----------                 ----------
                                                                         ----------                 ----------
  Fully Diluted........................................................      16,344                     16,344
                                                                         ----------                 ----------
                                                                         ----------                 ----------
<FN>
- ------------------------
(1)  Represents an assumed dividend on redeemable Preferred Stock of $1,800  and
     redeemable  Preferred  Stock accretion  of  $218. The  redeemable Preferred
     Stock is assumed to accrete over five years from its fair value of  $18,500
     on  the  date of  issuance to  its redeemable  value of  $20,000 as  of the
     mandatory redemption date.
</TABLE>

    REQUIRED  CONSENTS.    As  described  under  "Description  of  the  Purchase
Agreement   --  Conditions   to  Closing,"  consummation   of  the  transactions
contemplated by the Purchase Agreement will require consent or notification of a
number of parties.  The Company anticipates  that there will  be no  significant
financial effect from obtaining any required consents.

    PERCENTAGE  OWNERSHIP BY MANOR HEALTHCARE  AFTER CLOSING.  Upon consummation
of the transactions  contemplated by  the Purchase  Agreement, Manor  Healthcare
will  directly own  approximately 6,440,000  shares of  the Common  Stock of the
Company and  200,000  shares  of  the Series  A  Preferred  Stock,  representing
approximately 63% of the then existing voting power of the Company. In the event
of  full exercise of the Warrant to acquire up to an additional 6,000,000 shares
of the Common Stock of the Company, Manor Healthcare would own approximately 70%
of the  Company's  total voting  power,  of  which approximately  20%  would  be
represented by Common Stock purchased directly by Manor

                                       29
<PAGE>
Healthcare  under the Purchase Agreement, 31% would be represented by the Series
A Preferred Stock,  and 19%  would be  represented by  the additional  6,000,000
shares of Common Stock issued upon exercise of the Warrant.

CHANGES TO COMPANY MANAGEMENT

    BOARD  OF DIRECTORS.   Pursuant to the  terms of the  Purchase Agreement and
effective immediately following Closing of the Purchase Agreement, the Company's
Board of Directors will  be expanded from  five to seven  members, four of  whom
will  be nominees of Manor Healthcare. In connection therewith, S. Marcus Finkle
and Sheldon Lieberbaum  have submitted  their resignations as  Directors of  the
Company  to  take effect  immediately upon  Closing  of the  Purchase Agreement.
Certain of the amendments to the Stock Option Plans set forth in Proposal  Three
herein  are designed to allow the outstanding options held by Messrs. Finkle and
Lieberbaum to be immediately vested in full notwithstanding their  resignations.
Messrs.  Finkle and Lieberbaum currently hold  options to purchase 35,000 shares
each, of which 14,100 shares each are currently vested.

    The four  nominees of  Manor Healthcare  who  will be  elected to  fill  the
newly-created vacancies as directors of the Company are set forth below:

    MARK  L. GILDEA,  age 43, has  served as President,  Alternate Site Services
    Division of Manor Healthcare  since December 1994.  Previously he served  as
    Vice  President of  Managed Care of  Manor Healthcare from  December 1993 to
    December 1994.  Prior  to  joining  Manor Healthcare,  he  was  employed  as
    Executive  Vice President of Option Care, Inc. from October 1992 to December
    1993. He  was previously  employed  by Caremark,  Inc.  for over  10  years,
    including as Area Vice President.

    DONALD C. TOMASSO, age 50, has served as President, Long Term Care Division,
    of Manor Healthcare since February 1995, as Chief Operating Officer of Manor
    Healthcare  from  May 1991  to February  1995,  and as  a Director  of Manor
    Healthcare since June 1991. He has been Chairman and Chief Executive Officer
    of Vitalink Pharmacy  Services, Inc. since  February 1995 and  was its  Vice
    Chairman  from September 1991  to February 1995.  Mr. Tomasso was previously
    employed by  Marriott Corporation  for more  than five  years, including  as
    Executive Vice President/General Manager of the Roy Rogers Division.

    JOSEPH BUCKLEY, age 47, has served as President, Assisted Living Division of
    Manor  Healthcare  since  February 1995  and  was Senior  Vice  President --
    Information Resources and Development of Manor Care, Inc. from June 1990  to
    February  1995.  He  previously  served  as  Vice  President  -- Information
    Resources of  Manor Care,  Inc. from  July 1989  to June  1990 and  as  Vice
    President  -- Real Estate  of Manor Care,  Inc. from September  1983 to July
    1989.

    JAMES H. REMPE, age 65, has served as Senior Vice President, General Counsel
    and Secretary of Manor Care,  Inc. since August 1981.  He has served in  the
    same  capacities with Choice Hotels  International, Inc. since February 1981
    and with Manor  Healthcare since  December 1980.  He has  been Secretary  of
    Vitalink  Pharmacy Services, Inc. since January 1983 and was its Senior Vice
    President and a Director from January 1983 to September 1991.

It is anticipated that each of the  foregoing individuals will be able to  serve
as  directors  effective  immediately  following  the  closing  of  the Purchase
Agreement. However, one  or more other  individuals may be  substituted for  the
foregoing  nominees if  specified by  Manor Healthcare  in writing  prior to the
closing of the Purchase Agreement, provided that any such substitutions must  be
agreed to by the Company.

    As  a result of the foregoing, Manor Healthcare will effectively control the
actions of  the  Company's Board  of  Directors  following the  closing  of  the
Purchase Agreement. In addition, Manor Healthcare will control approximately 63%
of the voting power of the stockholders of the Company immediately following the
Investment.  As such, Manor  Healthcare will be able  to effectively control the
outcome of any stockholder votes, including the election of directors, following
the Closing of the

                                       30
<PAGE>
Purchase Agreement.  However,  Manor  Healthcare  has  agreed  in  the  Purchase
Agreement  that so  long as  Judy Figge  and Kenneth  Figge are  employed by the
Company, Manor Healthcare will vote, or cause to be voted, all shares of  Common
Stock  beneficially owned  by them in  favor of  their election to  the Board of
Directors. In addition to  the Figges, James  Lynn will continue  to serve as  a
director following the Closing of the Purchase Agreement.

    MANAGEMENT  PERSONNEL.  Pursuant to the  terms of the Purchase Agreement and
effective upon Closing of the Purchase Agreement, Mark L. Gildea will be elected
as Chief Executive Officer of the  Company. The terms of the Purchase  Agreement
require  that Mr. Gildea devote at least approximately 75% of his entire working
time to the affairs of the Company,  while the balance of his working time  will
be  devoted to Manor Healthcare  and its affiliates other  than the Company. The
Company will be  responsible for the  payment of his  compensation, but will  be
reimbursed  by  Manor  Healthcare  for  25% of  the  costs  associated  with the
employment of Mr. Gildea by the Company.

    EMPLOYMENT AGREEMENTS.    Concurrent  with the  execution  of  the  Purchase
Agreement,  the  Company  executed  employment agreements  with  Judy  Figge and
Kenneth Figge, which agreements are contingent  upon and will be made  effective
following  the  closing  of the  Purchase  Agreement. Each  of  these employment
agreements  expire  by  their  terms  on  September  30,  1997,  unless  earlier
terminated  or  extended  beyond  that date.  Ms.  Figge's  employment agreement
specifies that she will  serve the Company as  its President and Chairperson  of
the Board of Directors, reporting to the Chief Executive Officer of the Company.
Ms.  Figge will be paid a base salary  of $300,000 per annum until September 30,
1996 and $315,000  per annum from  October 1,  1996 to September  30, 1997.  Mr.
Figge's  employment contract  specifies that  he will  serve the  Company as its
Chief Financial Officer,  receiving a base  salary of $226,000  per annum  until
September  30, 1996 and $237,000 per annum from October 1, 1996 to September 30,
1997. Each of  Ms. Figge and  Mr. Figge  will be reimbursed  for all  reasonable
travel,  hotel, entertainment or other  expenses, including a monthly automobile
allowance, cellular phone, the use of a personal computer and facsimile  machine
at  their home and life insurance premiums  on policies owned by the Figges. The
automobiles currently  leased by  the Company  for  use by  the Figges  will  be
assigned  to the Figges as soon as practicable after the closing of the Purchase
Agreement. The Figges will also be entitled to participate in all of the benefit
plans or programs of the Company, and will be eligible to receive annual bonuses
in accordance with  the current  management incentive compensation  plan of  the
Company, wherein cash bonuses may be awarded based on a designated percentage up
to 75% of base salary depending on the Company's performance.

    Under  their employment  agreements, Ms.  Figge and  Mr. Figge  will also be
granted  stock  options   to  purchase  300,000   shares  and  200,000   shares,
respectively,  of Common  Stock pursuant to  an amendment to  the Company's 1995
Stock Option  Plan described  in  Proposal Three.  These  options will  have  an
exercise price equal to the fair market value of the Common Stock on the date of
the  Closing, will be immediately vested upon the grant thereof (but will not be
exercisable until after January 1, 1997) and will have a term of ten years  from
the date of grant, although they will expire on the later of (i) March 31, 1997,
or  (ii) the  date that is  90 days  after the termination  of employment. These
options will also be subject to forfeiture in their entirety in the event  that,
on  or prior to December 31, 1996, the Board of Directors of Manor Healthcare or
of the Company shall have  (a) formed in good faith  a belief that Ms. Figge  or
Mr.  Figge,  as  the  case  may  be,  had  actual  conscious  knowledge  that  a
representation or warranty included in  the Purchase Agreement or any  schedule,
exhibit  or appendix thereto was materially untrue at the time of Closing of the
Purchase Agreement  and  (b)  commenced  an  action  in  a  court  of  competent
jurisdiction  with  respect to  such believed  material representation  and such
court determines that Manor Healthcare's or the Company's belief was correct. If
such court  determines that  such  belief was  incorrect,  the options  will  be
exercisable  until  the  date  that  is  the later  of  90  days  after  (x) the
termination of employment or (y) the date of the court's decision.

    Pursuant to the terms of the Purchase Agreement, the Company will also offer
employment agreements to James Lynn, Cathy  Reeves and Margaret Maxon under  the
terms  provided in  the Purchase Agreement.  If executed,  Mr. Lynn's employment
agreement extends  for  a period  of  two years  following  the closing  of  the
Purchase  Agreement  and  requires  Mr.  Lynn  to  provide  60  to  80  hours of

                                       31
<PAGE>
human resources/training services for the Company each month, for which he  will
be compensated at a rate of $90,000 per annum. Mr. Lynn will also be eligible to
receive  annual bonuses  based on  the Company's  financial performance  up to a
maximum amount equal to 50% of his  base salary. Mr. Lynn will also be  entitled
to participate in the Company's benefit plans or programs otherwise available to
executives  of  the Company.  Mr. Lynn's  employment agreement  contemplates the
granting of options to Mr. Lynn to purchase 50,000 shares of Common Stock at  an
exercise price equal to the fair market value of the Common Stock on the date of
grant.  These options will be immediately vested upon the grant thereof, will be
exercisable immediately and will have a term of 10 years from the date of grant,
provided, however,  that  the options  will  expire within  three  months  after
termination of employment.

    The  employment agreements to  be offered to  Ms. Reeves and  Ms. Maxon will
extend for a term of  one year following the  closing of the Purchase  Agreement
and  contemplate that  each will serve  the Company as  an officer-employee. Ms.
Reeves is currently the Vice President of Operations and Chief Operating Officer
of the Company and Ms. Maxon is the Vice President of Customer Relations.  These
employment  agreements contemplate a  base salary of $137,500  per annum for Ms.
Reeves and $129,250 per annum  for Ms. Maxon. Each  will be eligible to  receive
bonuses  in accordance with the Company's management incentive compensation plan
and each  will  be  entitled  to participate  in  the  Company's  benefit  plans
generally  available to its executives. Each of Ms. Reeves and Ms. Maxon will be
granted options to purchase 50,000 shares  of Common Stock at an exercise  price
equal to the fair market value of the Common Stock on the date of grant. Each of
these  options  will  be immediately  vested  upon  the grant  thereof,  will be
exercisable immediately and  will have  a term  of ten  years from  the date  of
grant,  provided, however,  that such  options will  expire within  three months
after termination of employment.

    Each of the employment agreements with  Ms. Figge, Mr. Figge, Mr. Lynn,  Ms.
Reeves  and Ms. Maxon has  severance provisions designed to  pay to the employee
severance payments  equal  to the  amount  due for  the  remaining term  of  the
applicable  employment agreement if such employee's employment is terminated due
to death, disability  or resignation  or retirement  of the  employee for  "Good
Reason".  "Good  Reason" is  defined to  include any  request that  the employee
permanently  relocate  to   a  location  not   in  the  Minneapolis,   Minnesota
metropolitan  area or a failure or refusal  by the Company to provide duties for
the employee to perform which are consistent with such employee's position. Each
of the employment agreements,  other than Mr.  Lynn's, also contains  agreements
not  to compete with the Company during the term of the employment agreement and
for a period of one year following termination, in the case of Ms. Figge and Mr.
Figge, or for the greater of six months or the remaining term of the  employment
agreement in the case of Ms. Reeves and Ms. Maxon.

    POST-CLOSING  COVENANTS.  Manor Healthcare has  agreed that, for a period of
two years  following  the  Closing  of the  Purchase  Agreement,  the  Company's
corporate   headquarters  will  be  maintained  in  the  Minneapolis,  Minnesota
metropolitan area  (unless  otherwise  unanimously  approved  by  the  Board  of
Directors); the Common Stock of the Company will continue to be publicly traded;
and  the Company will continue  to operate in the lines  of business in which it
currently engages.

    FUTURE ARRANGEMENTS.   Subsequent  to  the Closing,  the Company  and  Manor
Healthcare  may determine to discuss entering into, or enter into, agreements or
arrangements which they deem prudent and mutually beneficial for the  provisions
of services between them on terms that are fair to each party. Such services may
include,  without  limitation,  administrative services,  financial  or treasury
management services, reimbursement matter  services, legal services,  accounting
services and other similar types of services.

SOURCE OF FUNDS

    Manor  Healthcare  has informed  the  Company that  the  approximately $41.9
million to be used to make the Investment will come from its operating cash flow
and existing lines of credit available to it.

                                       32
<PAGE>
INFORMATION CONCERNING MANOR HEALTHCARE

    Manor Healthcare  is a  subsidiary  of Manor  Care,  Inc., a  publicly  held
corporation  with consolidated revenues of $1.3 billion in its fiscal year ended
May 31, 1995, of  which approximately 77% was  derived from health care  related
services.  Manor  Healthcare  owns,  operates  or  manages  179  nursing centers
(including 10 medical and physical rehabilitation centers and 15 assisted living
centers) which provide high acuity services, skilled nursing care,  intermediate
nursing  care,  custodial care  and  assisted living  services,  principally for
residents over the age of 65. Manor Healthcare also owns approximately 82.3%  of
Vitalink   Pharmacy  Services,   Inc.,  a   public  company   that  operates  18
institutional pharmacies in five states. Manor Healthcare also owns and operates
an acute care general hospital and five nursing assistant training schools.

    Manor Healthcare's nursing centers generally provide five types of services:
high acuity  services  for persons  who  require complex  medical  and  physical
rehabilitation  services;  skilled  nursing  care  for  persons  who  require 24
hour-a-day professional services of a  registered nurse or a licensed  practical
nurse;  intermediate  care  for  persons needing  less  intensive  nursing care;
custodial care for persons needing a minimum level of care; and assisted  living
for persons needing some supervision and assistance with personal care.

    Substantially  all  of  Manor  Healthcare's  nursing  centers  are currently
certified to  receive  benefits  provided  under  Medicare  and  under  programs
administered  by  the  various  states  to  provide  medical  assistance  to the
medically indigent ("Medicaid").  However, Manor Healthcare  attempts to  locate
and operate its nursing centers in a manner designed to attract patients who pay
directly  to  the  facilities for  services  without benefit  of  any government
assistance program. Patients seeking  the services of  the nursing centers  come
from  a  variety  of  sources  and are  principally  referred  by  hospitals and
physicians.

    Certain other information regarding Manor  Healthcare, as supplied by  Manor
Healthcare to the Company, is contained in Appendix IV -- Manor Healthcare Corp.
Information Statement.

    Manor Healthcare's principal executive offices are located at 10750 Columbia
Pike, Silver Spring, Maryland 20901 and its telephone number is (301) 681-9400.

                                       33
<PAGE>
          MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                           AND RESULTS OF OPERATIONS

RESULTS OF OPERATIONS

    YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

    The  following table  sets forth, for  the periods  indicated, the Company's
results of operations as a percent of revenue:

<TABLE>
<CAPTION>
                                                                                                       PERCENT CHANGE
                                                                    PERCENT OF REVENUES           ------------------------
                                                           -------------------------------------     1993         1992
                                                              1994         1993         1992        TO 1994      TO 1993
                                                           -----------  -----------  -----------  -----------  -----------
<S>                                                        <C>          <C>          <C>          <C>          <C>
Revenue..................................................        100%         100%         100%          16%          38%
Direct Costs of Revenue..................................         58           55           55           22%          39%
                                                                 ---          ---          ---
Gross Profit.............................................         42           45           45            9%          38%
General, Administrative and Selling Expenses.............         41           43           40           12%          47%
                                                                 ---          ---          ---
Income From Operations...................................          1%           2%           5%         (44%)        (37%)
</TABLE>

    Revenue for 1994 increased 16% over 1993. Revenue increased 17% as a  result
of  increased  services  provided in  geographic  markets in  which  the Company
operated at the beginning of  the prior year ("existing  markets"), and 5% as  a
result  of acquisitions. This is offset by a  6% decrease in revenue as a result
of the Medicare reserve (4%) and pricing  and mix changes (2%). In 1993  revenue
increased  38% over 1992.  1993 revenue increased  23% as a  result of increased
services in existing  markets, 15%  as a  result of  acquisitions, and  1% as  a
result  of pricing and mix adjustments. This was  offset by a 1% decrease due to
the Medicare  reserve.  Medicare  reserves of  $3,861,000  and  $1,100,000  were
recorded as adjustments to revenue in 1994 and 1993, respectively. The Company's
growth  within existing markets is the  result of industry growth, the Company's
marketing  efforts,  improved  name  recognition  and  the  growth  of  infusion
operations.  In  1994 the  Company entered  the Toledo  and San  Antonio markets
through acquisitions  and  expanded  into  the  Greensboro  market  utilizing  a
Certificate  of  Need  acquired  in  1993.  In  1993  the  Company  entered  the
Raleigh-Durham, Dallas and Norfolk geographic markets, all of which were through
acquisitions.

    The breakdown by division of the Company total revenue is as follows:

<TABLE>
<CAPTION>
                                                                                          YEAR ENDED SEPTEMBER 30
                                                                                   -------------------------------------
                                                                                      1994         1993         1992
                                                                                      -----        -----        -----
<S>                                                                                <C>          <C>          <C>
Extended Hours Division..........................................................         18%          20%          25%
                                                                                          --           --           --
                                                                                          --           --           --
Visit Division -- Service........................................................         78%          77%          71%
                  Infusion Products..............................................          4%           3%           4%
                                                                                          --           --           --
                                                                                          82%          80%          75%
                                                                                          --           --           --
                                                                                          --           --           --
</TABLE>

    While Extended Hours Division revenue increased 7% and 9% in 1994 and  1993,
respectively,  Visit Division  revenue increased 18%  and 48%  in the comparable
periods, increasing its relative contribution to total revenue. Within the Visit
Division, infusion product  revenue growth  was 32% and  18% in  1994 and  1993,
respectively. This change in revenue mix is the result of stronger market demand
for Visit Division services, which are primarily Medicare reimbursed, along with
acquisitions  of  primarily visit-based  businesses and  the growth  of infusion
products revenue. The reductions  in the rate of  the Company's growth were  due
primarily  to  cash constraints  resulting  from disputes  with  Medicare fiscal
intermediaries which are discussed under  "Liquidity and Capital Resources"  and
Note 5 to the Financial Statements.

    Direct  costs of revenue,  as a percentage  of revenue, were  58% in 1994 as
compared to 55% in 1993 and 1992. The change in 1994, resulting from an increase
of direct costs of 22% over 1993, whereas

                                       34
<PAGE>
revenues increased  only 16%,  was due  to volume  increase, fewer  and  smaller
acquisitions  and reductions in operational support staff resulting in a smaller
relative increase in general, administrative  and selling expense. In 1993,  the
increase  in the less profitable Visit  Division services resulted in a slightly
higher percentage  increase for  direct costs,  as contrasted  with the  revenue
increase,  compared to 1992. Direct costs, as a percentage of revenue before the
Medicare reserves, were 56%, 54% and 55% in 1994, 1993 and 1992, respectively.

    Total operating expenses as  a percentage of revenue  have increased 18%  in
1994 and 42% in 1993, which exceeded the increase in revenues of 16% in 1994 and
38%  in  1993. The  greater percentage  increases in  total operating  costs, as
compared to the revenue increases, were due to the growth in the less profitable
Visit Division services and the increases in reserves for disputed costs  (which
reduce the magnitude of the increase in revenues).

    With  the growth  in the Company's  operations, revenue and  direct costs of
revenue in 1994 have  grown at a greater  pace than general, administrative  and
selling  expenses  (see table  above). The  disproportionate increases  in these
elements, combined with the greater increase in direct costs of revenue (22%) in
relation to  the increase  in revenue  (16%), resulted  in a  decrease in  gross
profit  in 1994 to 42%, as compared to  45% in 1993. The gross profit percentage
was 45% for  both 1993 and  1992. Although general,  administrative and  selling
expenses in 1993 increased at a greater rate than direct costs (which ordinarily
would  result in an increase in the  gross profit percentage), the change in the
mix of services and revenue sources (to  a higher volume of the less  profitable
Visit  Division services) resulted in no  change in the gross profit percentage.
Gross profit, as a percentage of revenue before the Medicare reserves, was  44%,
46% and 45% in 1994, 1993 and 1992, respectively.

    Management's  plans  to  address  the decline  in  operating  profit include
increasing the volume  of the  more profitable Extended  Hours Division  through
increased  marketing  and contracting  efforts.  In addition,  the  Company will
pursue an increase in its more profitable infusion products revenue.

    General, administrative  and  selling  expenses  as  a  percent  of  revenue
decreased  to 41% of revenue in 1994, compared  to 43% and 40% in 1993 and 1992,
respectively. The  decrease in  1994  was due  to  revenue growth  at  locations
acquired  in  prior years  without  related growth  in  expenses, as  well  as a
conscious effort to control  expense. The increase  from 40% in  1992 to 43%  in
1993  was  due  to  additional  overhead  associated  with  the  acquisition and
integration of new branch offices  and geographic markets and start-up  expenses
associated with a new management information system.

    Net  interest expense increased  $189,000 in 1994 over  1993 and $356,000 in
1993 over 1992. The increase was the result of greater borrowing under long-term
equipment leases and reduced short-term investments.

    Income taxes in 1994 were 64% of pretax income, compared to 44% in 1993  and
38%  in  1992.  The increase  in  1994 in  the  effective  tax rate  was  due to
non-deductible expenses  being  a  higher proportion  of  pretax  earnings.  The
increase  in  1993 in  the  effective tax  rate was  the  result of  the Company
adopting Statement of  Financial Accounting  Standard No.  109, "Accounting  for
Income  Taxes"  and  higher  non-deductible expenses  relative  to  lower pretax
income.

    Net income was $247,000, $1,015,000, and $2,303,000 for the years 1994, 1993
and 1992, respectively. The  primary reason for  the reduction in  profitability
was  the addition of reserves  related to the Medicare  payment dispute which is
discussed below and  in Note  5 to the  Financial Statements.  Additions to  the
Medicare reserves totaled $3,861,000 in 1994 and $1,100,000 in 1993.

    NINE MONTHS ENDED JUNE 30, 1995 AND 1994

    Revenue  for the three and  nine months ended June  30, 1995 increased by 5%
and 7%, respectively, over the same periods  in the prior year. The increase  is
the result of industry growth, the Company's marketing efforts and improved name
recognition.

    Direct  costs of revenue, as a percentage of revenue, were 58% for the three
month period ended June  30, 1995 as  compared to 59%  for the comparable  prior
year period. The lower direct costs, as a

                                       35
<PAGE>
percentage  of revenue, were a  result of changes in net  revenue as a result of
Medicare reserves. Direct costs of revenue, as a percentage of revenue, were 57%
for the  nine month  periods  ended June  30, 1995  and  1994. Direct  costs  of
revenue,  as a percentage of revenue before  the Medicare reserves, were 57% for
the three months ended June 30, 1995 and 1994 and 56% for the nine months  ended
June 30, 1995 and 1994.

    Changes  in net revenue,  as a result of  Medicare reserve adjustments, have
resulted in an increase in gross profit for the three months ended June 30, 1995
to 42% as compared to 41% for the comparable prior year period. The gross profit
percentage of 43% for the nine months ended June 30, 1995 was unchanged from the
comparable prior year period. Gross profit,  as a percentage of revenue,  before
the  Medicare reserve, was 43% for the three months ended June 30, 1995 and 1994
and 44% for the nine months ended June 30, 1995 and 1994.

    General, administrative and  selling expenses, as  a percentage of  revenue,
remained  unchanged at 40% for the three and nine months ended June 30, 1995 and
1994. For  the nine  months ended  June  30, 1995  and 1994,  respectively,  the
Company  has recorded income tax expense at  46% and 50% of income before income
taxes.

    Net income for  the three months  and nine  months ended June  30, 1995  was
$347,000  and $1,190,000 compared to $152,000 and $1,208,000 in the same periods
during the previous year. The  change in net income  for the three months  ended
June  30,  1995  was principally  due  to  the change  in  the  Medicare revenue
reserves.

LIQUIDITY AND CAPITAL RESOURCES

    The Company's cash and  cash equivalents decreased  $2,170,000 for the  year
ended  September 30,  1994 and increased  $1,040,000 to $1,951,000  for the nine
months ended June 30, 1995. Accounts receivable classified as current  decreased
from  $18,346,000 at September 30, 1993 to $16,503,000 at September 30, 1994 and
to $12,909,000 at  June 30, 1995.  These changes relate  to disputes  concerning
payment  for services  to Medicare beneficiaries.  Approximately 74%  and 76% of
revenue for the year ended September 30, 1994 and for the nine months ended June
30,  1995,  respectively,  was  derived  from  services  provided  to   Medicare
beneficiaries.  Payment for these services is made by the Medicare program based
on reimbursable costs incurred in rendering the services. Payments are made  via
an  interim payment rate as  services are rendered. Cost  reports are filed with
Medicare on  an  annual  basis,  which are  subject  to  audit  and  retroactive
adjustment by Medicare. The Company reports revenue only for those costs that it
believes  are  reasonably  assured  of recovery  under  the  applicable Medicare
statutes and regulations. The Company  utilizes an extensive system of  internal
controls  to  ensure  such proper  reporting  of revenues.  The  Company employs
personnel with significant Medicare reimbursement experience to prepare its cost
reports and  to monitor  its operations  on  an ongoing  basis to  identify  and
minimize  those  costs which  are not  reimbursed. As  a part  of its  system of
internal controls, the Company uses  a detailed analysis process in  calculating
its   Medicare  revenue.   This  process   considers  applicable   statutes  and
regulations,  administrative   and   judicial   decisions,   consultation   with
independent  industry experts and legal  counsel, disputed costs, and historical
knowledge from past Medicare audits.  Results of this analysis are  extrapolated
to  other  open cost  reporting years  for  all of  the Company's  operations to
determine the gross amount of reimbursement that would be affected. The Company,
through this  ongoing control  and monitoring  process, provides  a reserve  (by
means  of a revenue reduction) for any costs incurred which the Company believes
are not reasonably assured of recovery.

    Over the  years,  Medicare,  in  connection  with  its  retrospective  audit
process,  has taken  certain positions with  respect to certain  types of costs,
claiming that they are not reimbursable and thus not recoverable by the  Company
from  the  Medicare  program.  These  positions  are  based  on  interpretations
promulgated  after  the  period  covered   by  the  cost  reports  and   applied
retroactively,  on  interpretations of  cost  reimbursement principles  that are
contrary to the Company's interpretations, or on what the Company believes to be
misapplications of specific reimbursement principles,  that could not have  been
foreseen.  These  positions  taken  by  Medicare  are  usually  determined  from
Medicare's Notice of

                                       36
<PAGE>
Program Reimbursement  ("NPR") which  typically are  not received  until two  to
three  years  after the  services  are rendered.  Upon  receipt of  an  NPR that
contains denial  of certain  costs  as reimbursable,  the Company  assesses  the
probability  of its success in challenging  positions taken by Medicare that are
contrary to  the Company's  positions.  In those  situations where  the  Company
decides  to  not challenge  the NPR,  any  revenue relating  to costs  for which
Medicare has denied reimbursement  as well as the  extrapolated impact on  other
open  cost  reporting years,  if not  written  off or  provided for  earlier, is
written off as a  revenue reduction at  that time. The results  of all NPRs  are
included in the analysis process in calculating net Medicare revenue.

    The  Company has received NPRs challenging $9.6 million and $11.6 million of
costs as of September  30, 1994 and  June 30, 1995,  respectively. There was  an
additional  $10.4 million and $14.4  million of costs at  September 30, 1994 and
June 30,  1995, respectively,  related to  open cost  reporting years  that  are
similar  to the costs that have been  challenged on NPRs. Together these amounts
($20 million at September 30,  1994 and $26 million  at June 30, 1995)  comprise
the  total amount  the Company  considers to be  disputed costs.  The major cost
category in dispute, accounting for approximately half of total disputed  costs,
is  the treatment of certain personnel costs relating to the Company's community
liaison positions, which Medicare alleges are unreimbursable sales costs;  other
costs  in dispute  relate to  the cost  of physical  therapists employed  by the
Company, administration  and  general  costs  allocated  to  branch  operations,
certain  corporate expenses, and  cost transfers among  branch operations. These
disputed costs (including the extrapolated  impact) of $20 million at  September
30, 1994 arose in the fiscal years ended September 30, 1994 ($7.2 million), 1993
($6.4  million), 1992  ($4.3 million)  and 1991  ($2.1 million).  Disputed costs
(including the extrapolated  impact) of $6.0  million arose in  the nine  months
ended  June 30, 1995. The  amount of disputed costs  has increased over the last
several years as  the Company has  received the NPRs  and has extrapolated  that
amount  of costs that may be challenged  to other open cost reporting years. The
normal Medicare administrative appeal process may take several years to  resolve
these types of disputes.

    The  Company  disagrees  with the  positions  taken by  the  Medicare fiscal
intermediaries and the  Health Care Financing  Administration and is  vigorously
pursuing  these matters through  administrative and legal  channels. The Company
has filed two  suits against the  U.S. Department of  Health and Human  Services
("HHS")  and several  members of  the Blue Cross  Association which  HHS uses to
administer the Medicare program. The two  suits allege that the defendants  have
unjustly withheld payments that are owed to the Company for services it provided
to Medicare beneficiaries from fiscal 1989 through fiscal 1994.

    The  Company, based  on its  disputed cost  analysis process,  believes that
recovery of $4,961,000  and $5,860,000  of total disputed  costs (including  the
extrapolated  impact)  may  not  be  reasonably  assured  and,  accordingly, has
established a reserve in that amount as of September 30, 1994 and June 30, 1995,
respectively. The remaining net  amount of disputed costs  has been included  in
revenues  in the respective  years in which  services were rendered  and, to the
extent not  paid to  the  Company, is  included  in accounts  receivable.  Total
accounts  receivable (net of  reserves) due from Medicare  at September 30, 1994
and June 30, 1995 were $20,599,000 and $22,943,000, respectively, including  the
receivables (net of reserves) for disputed costs of $12,347,000 and $18,516,000,
respectively.  In view of the expectation  that resolution of the disputed costs
will not  likely be  accomplished within  the next  twelve months,  related  net
receivables  of $9,979,000 and $15,630,000 have been classified as a non-current
asset as of September 30, 1994 and June 30, 1995, respectively.

    Operating activities provided $982,000 and  $1,989,000 in cash for the  year
ended  September  30,  1994 and  the  nine  month period  ended  June  30, 1995,
respectively, compared  to  providing $951,000  and  using $117,000  during  the
comparable prior year periods, respectively. Accounts receivable have grown by a
lesser  amount due to less  revenue growth during the  current year. The average
age of accounts receivables  increased from 73  to 80 days  as of September  30,
1994 and was essentially unchanged as of June 30, 1995.

                                       37
<PAGE>
    Investing activities used $1,519,000 and $531,000 in cash for the year ended
September  30, 1994  and nine  month period  ended June  30, 1995, respectively,
compared to $3,152,000 and $1,312,000 during the comparable prior year  periods,
respectively. The Company acquired two companies during 1994, which acquisitions
were  made with $341,000 in cash, issuance  of 10,000 shares of Common Stock and
the assumption of $264,000 in notes payable. In connection with its acquisitions
and expansion of branches, the Company acquired property and developed software,
which was funded by $995,000 in cash and $753,000 of capitalized leases in  1994
and  $2,466,000 in cash and $3,713,000 of capitalized leases in 1993. There were
no acquisitions during the nine months ended June 30, 1995.

    Financing activities used $1,633,000  and $418,000 in  cash during the  year
ended  September  30,  1994 and  the  nine  month period  ended  June  30, 1995,
respectively, principally to make scheduled payments of long-term debt.

    The Company has a line of credit with a commercial bank that will expire  in
December  1995. Under the credit line, the  Company may borrow or obtain letters
of credit, all of which in the aggregate may not exceed the lesser of $7,500,000
or a borrowing base (which was $6,575,000 at June 30, 1995) that consists of 80%
of eligible accounts receivable. Substantially all the Company's receivables and
general intangible assets are pledged to secure the credit line. As of June  30,
1995 the Company had $1,000,000 in borrowings and had utilized $4,390,000 of the
credit  facility as the basis  for a letter of credit.  The interest rate on the
line of credit is prime plus .75% (9.5% at August 4, 1995). The credit agreement
obligates the Company to, among other things, maintain certain financial  ratios
and  limits the payment of dividends. As of June 30, 1995 the Company was not in
compliance with a covenant of the credit agreement, but has obtained a waiver of
this non-compliance. The bank has advised the Company that it does not intend to
renew the line of credit agreement beyond the expiration date. The bank has also
advised the Company that the letter of  credit must be replaced by December  15,
1995  or the bank will draw upon the line of credit to fund a collateral account
to accommodate any  cash requirements of  the letter of  credit. The Company  is
currently  considering  possible  alternative sources  of  financing,  which may
include establishment of a line of credit  with a new lender or other  financing
of certain accounts receivable and fixed assets.

    Because  of the pending Medicare disputes and their effect on liquidity, the
Company has  significantly reduced  its  efforts to  expand its  business.  This
posture  is expected  to continue  until new capital  is found  or a significant
portion of the  Medicare cost disputes  are resolved, and  it is uncertain  when
either  of these will occur. The Company  continues to lease the majority of its
capital additions  (primarily office  furniture  and equipment).  Currently  the
Company  has no other material commitments  which will require a significant use
of cash.

    On May 2, 1995, the Company  entered into the Purchase Agreement with  Manor
Healthcare pursuant to which the Company anticipates receiving net cash proceeds
of  $18 million.  These proceeds  will be available  to the  Company for general
corporate purposes. The  Company anticipates  that it will  principally use  the
proceeds  to  invest  in the  expansion  of  Company operations  into  the eight
geographic areas where Manor Healthcare is present and the Company is not and to
finance the Company's continued operations.

                                       38
<PAGE>
                                  PROPOSAL ONE

                         APPROVAL OF PURCHASE AGREEMENT

REASONS FOR APPROVAL

    The  Board of Directors of the Company has unanimously approved the Purchase
Agreement for  the  reasons described  above  in  this Proxy  Statement  and  is
submitting  the  Purchase  Agreement  to the  stockholders  of  the  Company for
approval. Schedule D  of the Bylaws  of the National  Association of  Securities
Dealers Inc. requires stockholder approval for consummation of the Investment.

CONTROL SHARE ACQUISITION ACT APPROVAL

    The  Minnesota Control Share  Acquisition Act (the  "Act") requires that any
party making  a "control  share acquisition"  must obtain  the approval  of  the
stockholders  of the issuing public corporation.  A control share acquisition is
defined as  any acquisition  that would  cause the  acquiring person  to  exceed
certain thresholds of voting power in the election of directors (20%, 33 1/3% or
50%).  Any  direct purchase  of  shares from  the  issuer is  excluded  from the
definition of  "control  share  acquisition." Thus,  the  Company  believes  the
Investment  by Manor Healthcare does not constitute a control share acquisition,
even though the Investment will  result in Manor Healthcare beneficially  owning
shares exceeding the applicable threshold of voting power of the Company.

    However, if the Investment were deemed to be a control share acquisition and
the  requisite  stockholder  approval were  not  obtained under  the  Act, Manor
Healthcare would be unable to vote the shares exceeding the thresholds set forth
in the Act, and such  shares would be subject to  redemption upon the terms  set
forth  in  the  statute.  In  order  to  avoid  any  claim  that  the Investment
constitutes a control  share acquisition  which has not  obtained the  requisite
stockholder  approval, the Company and Manor Healthcare intend that the approval
of Proposal One  will also  constitute the  stockholder approval  that would  be
required  under the specific  requirements of the  Act. As required  by the Act,
Manor Healthcare has delivered to the Company an information statement regarding
the terms of the acquisition. This information statement is attached as Appendix
IV to this Proxy Statement.

REQUIRED VOTE

    Approval of Proposal One requires the affirmative vote of (i) the holders of
a majority of the shares of the Company's Common Stock outstanding on the Record
Date and entitled to vote at the  Special Meeting, provided that the total  vote
cast  on  the proposal  represents  over 50%  in  interest of  all  Common Stock
entitled to vote on the proposal, and (ii) a majority of such outstanding shares
excluding all "interested"  shares. The  term "interested  shares" includes  any
shares  held by officers of the Company, directors who are also employees of the
Company or by  Manor Healthcare.  Manor Healthcare  does not  currently own  any
shares  of the Company's  voting stock. The  number of shares  currently held by
officers and employee-directors of the Company, which would be excluded from the
vote contemplated in  clause (ii)  above, is  966,066 shares.  If not  otherwise
specified,  properly executed proxies will be voted  in favor of approval of the
Purchase Agreement.

    Approval of Proposal One is conditioned on the approval of Proposals Two and
Three.

    THE BOARD OF DIRECTORS UNANIMOUSLY  RECOMMENDS THAT STOCKHOLDERS VOTE  "FOR"
APPROVAL OF PROPOSAL ONE.

                                       39
<PAGE>
                                  PROPOSAL TWO

                     AMENDMENT TO ARTICLES OF INCORPORATION

REASONS FOR THE AMENDMENT

    The  Board of Directors of the Company has unanimously approved an amendment
to Article III of the Articles of  Incorporation of the Company to provide  that
the Directors, in designating the voting rights of any series of preferred stock
of the Company, may provide that each share of preferred stock has voting rights
equal to the number of shares of Common Stock into which the shares of preferred
stock  are  convertible (the  "Amendment"). The  Board of  Director's resolution
approving the Amendment states:

    NOW, THEREFORE,  BE  IT RESOLVED,  that  Article III  of  the  Company's
    Articles  of  Incorporation be,  and it  hereby  is, amended  subject to
    approval by the Company's shareholders  and contingent upon the  closing
    of  the Investment  Agreement, by adding  the following  sentence to the
    existing text of Article III:

       "In addition, as to any series  of Preferred Stock which may  have
       voting  rights fixed by resolution of  the Board of Directors, the
       Board of  Directors is  authorized to  provide in  the  resolution
       fixing  the voting  rights of any  series of  Preferred Stock that
       each share of such Preferred Stock has voting rights equal to  the
       number  of shares of Common  Stock in to which  each such share of
       Preferred Stock may be convertible at any time."

The Board of  Directors believes that  adoption of the  Amendment clarifies  the
power  of the Board to provide that preferred stock may have voting rights on an
as-if-converted basis. Adoption of the Amendment is a condition to  consummation
of the Investment and related transactions. The Board of Directors has concluded
that  adoption of the  Amendment, individually and  together with the amendments
set forth in Proposals One  and Three, is in the  best interests of the  Company
for  the reasons set forth  above in "Investment Proposals  -- Background of the
Investment Proposals" and "-- Reasons for the Purchase Agreement Transactions."

REQUIRED VOTE

    The affirmative vote of the holders of a majority of shares of the Company's
Common Stock outstanding on the Record Date and entitled to vote at the  Special
Meeting  is  necessary to  approve the  Amendment.  If not  otherwise specified,
properly executed proxies will be voted in favor of the Amendment.

    Approval of Proposal Two is conditioned on the approval of Proposals One and
Three.

    THE BOARD OF DIRECTORS UNANIMOUSLY  RECOMMENDS THAT STOCKHOLDERS VOTE  "FOR"
APPROVAL OF PROPOSAL TWO.

                                       40
<PAGE>
                                 PROPOSAL THREE

                        AMENDMENT OF STOCK OPTION PLANS

    The Board of Directors of the Company has unanimously approved amendments to
the  Company's 1987 and  1995 Stock Option  Plans (the "Plans")  to: (i) provide
that the  options of  non-employee directors  of the  Company will  vest upon  a
change  in control of the  Company and that upon a  change of control, the Board
may grant certain options that depart from the terms of the Plans; (ii) increase
the total  number of  shares available  under the  1995 Stock  Option Plan  from
650,000  to 1,300,000 in order to permit the granting of options under the Plan,
in the aggregate amount of 650,000 shares, to five officers or employees of  the
Company  as of the Closing Date; and (iii) impose a limit of 300,000 shares that
can be issued to  any participant under  each Plan during  any fiscal year.  The
Board  of Directors believes  that adoption of  these amendments is  in the best
interests of the stockholders of the Company and recommends that stockholders of
the Company vote in favor of Proposal Three.

REASONS FOR THE AMENDMENTS

    The Company's 1987 Stock  Option Plan (the "1987  Plan") was adopted by  the
Board  of Directors  and approved  by the  stockholders on  April 15,  1987. The
Company's 1995 Stock Option Plan (the "1995  Plan") was adopted by the Board  of
Directors  and approved by the stockholders on  November 8, 1994 and January 20,
1995, respectively. The 1987 Plan and 1995 Plan (the "Plans") allow issuance  of
options  covering up  to 2,500,000 shares  and 650,000  shares, respectively, of
Common Stock. If an option expires  without being exercised, the shares  covered
by that option again become available for issuance under the new options.

    As described under "Investment Proposals -- Changes to Company Management --
Management Personnel -- Employment Agreements," concurrently with the Closing of
the  Purchase Agreement, the  Company shall grant to  the following officers and
employees pursuant to  the 1995 Plan  options to purchase  an aggregate  650,000
shares  of Common Stock:  Ms. Figge, 300,000 shares;  Mr. Figge, 200,000 shares;
Mr. Lynn,  50,000 shares;  Ms.  Reeves, 50,000  shares;  and Ms.  Maxon,  50,000
shares.

    In  connection with the approval of the Investment and related transactions,
on May 2, 1995 the  Board of Directors of the  Company approved an amendment  to
the  1995 Plan to increase the number of shares available under the 1995 Plan by
650,000 shares to a total of 1,300,000 shares. The purpose of this amendment  is
to  permit the Company to grant the options to purchase 650,000 shares of Common
Stock as contemplated by the  Purchase Agreement, without depleting the  reserve
of  shares available for issuance under the  1995 Plan. These shares can be used
by the Board of Directors in the future to attract and retain employees.

    On May 2, 1995, the Board of Directors also approved an amendment to each of
the Plans, subject  to stockholder approval,  by changing the  title of  Article
XIII  to "Merger, Consolidation or  Change of Control" and  adding a new Section
13.2 reading as follows:

        "13.2  CHANGE IN CONTROL.  In the event that the Company closes  and
    consummates  any transaction  which has  been approved  by the Company's
    stockholders which,  while not  a merger  or consolidation,  involves  a
    change  in  control  of  the Company,  then,  notwithstanding  any other
    provision of the Plan,  (i) the Board  or the Committee  may grant as  a
    part   of  such  transaction  Options  which  are  not  subject  to  the
    termination provisions of  Article IX  and having such  other terms  and
    provisions as the Board or the Committee deems appropriate, and (ii) any
    outstanding  Option  held  by  non-employee  members  of  the  Board  of
    Directors shall be immediately vested in full."

    Clause (i) of this amendment permits the granting of the options to the five
individuals described above with  terms that depart from  the terms of the  1995
Plan.  The effect of clause (ii) of this  amendment is to cause the options held
by non-employee directors to become vested in full as of the Closing Date of the
Purchase Agreement, which will  permit Messrs. Finkle  and Lieberbaum to  obtain

                                       41
<PAGE>
vesting of all of their stock options as of the Closing Date, which will also be
the  effective date  of their resignations.  Messrs. Finkle  and Lieberbaum each
hold options  to purchase  35,000  shares of  Common  Stock which  were  granted
pursuant to the 1987 Plan.

    In  1993, Section 162(m) was added to the Internal Revenue Code of 1986 (the
"Code"). The  inclusion  of this  section  limits the  Company's  deduction  for
federal  income  tax  purposes  of  compensation in  excess  of  $1  million per
individual paid to the  Company's Chief Executive Officer  and its four  highest
paid  executive officers. Compensation plans  which are performance based within
the  requirements  of  Code  Section  162(m),  are  approved  by  the  Company's
stockholders,  and  granted by  a  committee consisting  solely  of two  or more
outside directors as defined in Code Section  162(m) will not be subject to  the
deduction  limit.  Stock  options  awarded  under  a  plan  that  satisfies  the
conditions of Code  Section 162(m)  qualify as  performance based  compensation.
Therefore,  in order to satisfy one of the conditions of Code Section 162(m), on
May 31,  1995  the Board  of  Directors of  the  Company adopted  the  following
amendment to the Plans:

        ARTICLE  VII, TERMS  OF STOCK  OPTION.  A  new Section  7.8 shall be
    added at the end thereof, to read as follows:

       "ANNUAL LIMIT ON ALL STOCK OPTIONS.   No eligible person shall  be
       granted any stock options for more than 300,000 shares of stock in
       the   aggregate  during   any  fiscal  year   period,  subject  to
       adjustments pursuant to Section 5.3. For this purpose, each fiscal
       year period  shall begin  each  October 1  and  shall end  on  the
       following September 30."

    The  addition of Section  7.8 imposes a  limitation on the  number of shares
that may be issued to any employee. This change is necessary to bring the  Plans
into compliance with the requirements of Code Section 162(m). The options to Ms.
Figge,  Mr. Figge, Mr.  Lynn, Ms. Reeves  and Ms. Maxon  described above will be
granted by the Compensation Committee of the Board which will, immediately  upon
the  consummation of  the transactions for  which stockholder  approval is being
sought, consist of at least three persons who will qualify as outside  directors
as  defined in  Code Section  162(m). By adopting  this change,  the Company may
deduct any compensation expense resulting from the grant or exercise of  options
issued  under the  Plans without  regard to  the limitations  under Code Section
162(m), including  the  options to  the  individuals described  above.  For  the
foregoing  reasons, as well as those set forth above in "Investment Proposals --
Background of  the  Investment  Proposals"  and "--  Reasons  for  the  Purchase
Agreement  Transactions", the  Board of Directors  of the  Company believes that
adoption of this Amendment,  individually and together  with the amendments  set
forth in Proposals One and Two, is in the best interests of the stockholders and
the Company.

SUMMARY OF THE PLANS

    The  purpose of the Plans is to promote the interests of the Company and its
stockholders  by  aiding  in  attracting,  retaining,  and  motivating   Company
employees.  All Company employees (approximately 5,000 persons) are eligible for
options. Each  option qualifying  as  an incentive  stock  option must  have  an
exercise  price not less than  100% (110% for a 10%  or more stockholder) of the
fair market  value  of the  Common  Stock on  the  day the  option  is  granted.
Generally the fair market value is the closing sale price reported on the Nasdaq
National  Market on the date of grant. On               , 1995, the last day for
which information was available  at the time this  Proxy Statement was  printed,
the closing sale price was $       per share.

                                       42
<PAGE>
    Effective  on  closing  of the  Purchase  Agreement, the  Company  will have
executed employment  agreements  with  certain of  its  executive  officers  and
directors  which  will  provide for  the  granting  of stock  options  under the
Company's 1995 Plan. The following table sets forth the shares to be granted  to
such  persons  pursuant to  the 1995  Plan  and concurrent  with Closing  of the
Purchase Agreement:

                               NEW PLAN BENEFITS

<TABLE>
<CAPTION>
                                                                         1995 STOCK OPTION PLAN (1)
                                                                    ------------------------------------
                                                                                         NUMBER OF UNITS
                        NAME AND POSITION                            DOLLAR VALUE ($)    (COMMON STOCK)
- ------------------------------------------------------------------  -------------------  ---------------
<S>                                                                 <C>                  <C>
Judy M. Figge, President and Chief Executive Officer (2)                        (3)            300,000
Kenneth J. Figge, Executive Vice President and Secretary (2)                    (3)            200,000
James J. Lynn (2)                                                               (3)             50,000
Cathy R. Reeves, Vice President -- Operations and Chief Operating               (3)             50,000
 Officer
Margaret L. Maxon, Vice President -- Customer Relations                         (3)             50,000
Executive Group                                                                 (3)            600,000
Non-Executive Director Group (4)                                                (3)             50,000
Non-Executive Officer Employee Group                                                           --
<FN>
- ------------------------
(1)  There  are  currently  options  to  purchase  approximately  75,000  shares
     outstanding  under the  1995 Plan.  The maximum  number of  shares issuable
     under the 1995  Plan, on adoption  of the proposed  amendment set forth  in
     Proposal Three of this Proxy Statement, is 1,300,000.
(2)  Director of the Company
(3)  The  exercise price of  the shares issuable  under the options  will be the
     fair market value on the date of grant, which is the date of Closing.
(4)  This group does  not include  Messrs. Gildea, Rempe,  Tomasso and  Buckley,
     directors  nominated by Manor  Healthcare, who will  take office concurrent
     with Closing of the Purchase Agreement.
</TABLE>

    The Plans allow the Board of Directors  to designate any option at the  time
of  grant as either an  "incentive stock option" or  a "nonqualified option" for
tax purposes. The Board of  Directors also designates at  the time of grant  the
number  of shares covered, exercise price,  vesting schedule and expiration date
of each option. No option may be exercised more than ten years after the date of
grant.

    Generally  speaking,  if  an  option  holder's  employment  by  the  Company
terminates  for a reason  other than death  or disability, options  held by that
person will expire if not exercised within three months following termination of
employment. If  an  option holder  dies  or becomes  permanently  disabled,  his
options  will generally  expire in one  year if  not exercised by  his estate or
legal representative.

    The number, kind and price of the shares subject to each outstanding  option
will  be adjusted  in the  event of  stock splits,  stock dividends,  or similar
changes  in  the   Company's  outstanding   securities.  In  the   event  of   a
reorganization  of  the  Company, appropriate  provision  will be  made  for the
continuation of any outstanding options, or the substitution of new options,  on
an  equitable basis. In addition, the Plans  grant broad discretion to the Board
of Directors to take such action as it may deem necessary or advisable and  fair
and equitable to optionees in the event of a change in control of the Company, a
tender  or exchange offer for all or part  of the Common Stock of the Company, a
merger or consolidation of the Company or a sale of all or substantially all  of
the  Company's  assets,  including  authority  to  provide  for  earlier, later,
extended or additional terms for the  exercise of the whole or any  installments
of outstanding options, alternate forms of payment or other modifications.

                                       43
<PAGE>
    The  1987 Plan and 1995 Plan expire on  April 15, 1997 and November 8, 2004,
respectively. The Board  of Directors may  terminate or amend  either Plan.  Any
amendment  to increase the number  of shares covered by  either Plan, change the
class of eligible employees,  or reduce the minimum  option price for  incentive
stock  options  to less  than fair  market  value requires  stockholder approval
within twelve months after it is adopted  by the Board of Directors in order  to
become  effective. The Board of Directors  may delegate its plenary authority to
administer either Plan to a committee of not fewer than three directors, two  of
which may or may not be eligible to receive options under either plan.

GRANTS OF OPTIONS

    There   are  currently  options  to  purchase  approximately  75,000  shares
outstanding under the 1995 Plan. During the last three fiscal years (October  1,
1991  to September 30, 1994) the Company has granted under the 1987 Plan options
to purchase a total of 330,000 shares to executive officers at an average  price
of  $3.61 per share and options for a total of 693,000 shares to other employees
at exercise prices ranging from $1.88 to $5.94 per share.

    The following table sets forth options granted under the Company's 1987  and
1995  Stock Option  Plans, and  the number  of shares  issuable thereunder, from
fiscal year 1992  to the Record  Date and on  the Closing Date.  The table  sets
forth  options granted to  the Company's executive  officers, directors, nominee
directors, any  associate  of  any  of such  directors,  executive  officers  or
nominees,  persons who  received or  will receive  5% of  such options,  and all
employees, including non-executive officers.

<TABLE>
<CAPTION>
                                                             STOCK OPTION PLANS (1)(2)
                                                ---------------------------------------------------
                                                                  OPTIONS GRANTED
                                                ---------------------------------------------------
                                                  OCTOBER 1991 TO RECORD         CLOSING DATE
                                                           DATE               (1995 STOCK OPTION
              NAME AND POSITION                  (1987 STOCK OPTION PLAN)            PLAN)
- ----------------------------------------------  --------------------------  -----------------------
<S>                                             <C>                         <C>
Judy M. Figge, President and Chief Executive               190,000                    300,000
 Officer (3)
Kenneth J. Figge, Exec. Vice President and CFO             115,000                    200,000
 (3)
Cathy R. Reeves, Vice President -- Operations               50,000                     50,000
 and Chief Operating Officer
Margaret L. Maxon, Vice President -- Customer               45,000                     50,000
 Relations
S. Marcus Finkle (3)                                        40,000                    --
Sheldon Lieberbaum (3)                                      40,000                    --
James J. Lynn (3)                                           40,000                     50,000
Executive Group                                            400,000                    600,000
Non-Executive Director Group (4)                           120,000                     50,000
Non-Executive Officer Employee Group                        --                        --
<FN>
- ------------------------
(1)  During the last three fiscal years (October 1, 1991 to September 30,  1994)
     the  Company granted  under the  1987 Plan options  to purchase  a total of
     330,000 shares to executive officers at an average price of $3.61 per share
     and options for a  total of 693,000 shares  to other employees at  exercise
     prices ranging from $1.88 to $5.94 per share.

(2)  Maximum shares issuable under the 1987 Plan: 2,500,000

(3)  Director of the Company

(4)  This  group does  not include Messrs.  Gildea, Rempe,  Tomasso and Buckley,
     directors nominated by  Manor Healthcare, who  will take office  concurrent
     with Closing of the Purchase Agreement.
</TABLE>

                                       44
<PAGE>
FEDERAL INCOME TAX TREATMENT

    Generally  the grant of  either an incentive stock  option or a nonqualified
option under the Plans will not cause  recognition of income by the optionee  or
entitle  the Company to an income tax  deduction. Upon exercise of an option the
tax treatment  will  generally  vary  depending on  whether  the  option  is  an
incentive  stock option or  a nonqualified option. The  exercise of an incentive
stock option will generally not cause  recognition of income by the optionee  or
entitle  the Company to a  tax deduction. However, the  amount by which the fair
market value of the  shares obtained exceeds  the exercise price  on the day  of
exercise  is an item of  tax preference to the  optionee for alternative minimum
tax purposes.

    The exercise of a nonqualified option  will generally cause the optionee  to
recognize  taxable income equal to the difference between the exercise price and
the fair market value of the stock obtained on the day of exercise. The  Company
must  then in most cases obtain from  the optionee funds to meet tax withholding
requirements  arising  from   that  income  recognition.   The  exercise  of   a
nonqualified  option will  also generally entitle  the Company to  an income tax
deduction equal to the amount of the income recognized by the exercising  option
holder.  The  deduction  by the  Company  may  be denied  unless  the  Plan also
satisfies the requirements of Code Section 162(m).

    The foregoing discussion of the federal  income tax treatment of options  is
necessarily  general and any option holder should  consult his tax advisor as to
his own particular circumstances and applicable laws and regulations.

REQUIRED VOTE

    The affirmative vote of  the holders of a  majority of the Company's  Common
Stock  present and  entitled to vote  on this  matter at the  Special Meeting is
necessary to approve  the proposed  amendments to  the Plans.  If not  otherwise
specified, properly executed proxies will be voted in favor of these amendments.
However,  if the shares present and entitled to vote on Proposal Three would not
constitute a quorum for the transaction of business at the Special Meeting, then
Proposal Three must be approved by a majority of the voting power of the minimum
number of shares that would constitute such a quorum.

    Approval of Proposal Three is conditioned  on the approval of Proposals  One
and Two.

    THE  BOARD OF DIRECTORS UNANIMOUSLY  RECOMMENDS THAT STOCKHOLDERS VOTE "FOR"
APPROVAL OF PROPOSAL THREE.

                 STOCKHOLDER PROPOSALS FOR 1996 ANNUAL MEETING

    Stockholders are advised that any  proposals of stockholders intended to  be
presented  at the 1996  Annual Meeting of  Stockholders must be  received by the
Company on or  before September 17,  1995 for inclusion  in the Company's  proxy
statement and form of proxy relating to that meeting. In addition, the bylaws of
the Company establish an advance notice requirement for any proposal of business
to  be considered at an annual meeting of stockholders that is not made by or at
the recommendation of a  majority of the directors  then in office. In  general,
written  notice  must  be delivered  to  the  Secretary of  the  Company  at its
principal executive office,  Carlson Center, Suite  500, 601 Lakeshore  Parkway,
Minnetonka,  Minnesota 55305-5214, within certain time periods in advance of the
meeting and  must contain  specified  information concerning  the matter  to  be
brought  before  the  meeting  and the  stockholder  proposing  the  matter. Any
stockholder desiring a copy of the bylaws  of the Company will be furnished  one
without charge upon written request to the Secretary of the Company.

                                       45
<PAGE>
                                 OTHER MATTERS

    Under  Minnesota law and the bylaws of the Company, no other business may be
transacted at the Special Meeting.

    A  representative  of  Deloitte   and  Touche,  the  Company's   independent
accountants,  is expected to be present  at the Special Meeting of Stockholders,
will have an opportunity to make a statement  if he or she desires to do so  and
will be available to respond to appropriate questions.

    Under  Minnesota law, if the shares present  and entitled to vote on an item
of business would not constitute a quorum for the transaction of business at the
meeting, then the item must be approved by a majority of the voting power of the
minimum number of  shares that  would constitute such  a quorum.  Votes cast  by
proxy or in person at the Special Meeting will determine whether or not a quorum
is  present. Abstentions will be treated as shares that are present and entitled
to vote for purposes of determining the presence of a quorum, but as unvoted for
purposes  of  determining  the   approval  of  the   matter  submitted  to   the
stockholders. Therefore abstentions are effectively a vote against the proposal.
If a broker indicates on the proxy that it does not have discretionary authority
as  to certain shares to  vote on a particular matter,  those shares will not be
considered as present and entitled to vote with respect to that matter.

                                          By Order of the Board of Directors,

                                          Kenneth J. Figge, SECRETARY

                                       46
<PAGE>
                              IN HOME HEALTH, INC.

                         INDEX TO FINANCIAL STATEMENTS

<TABLE>
<CAPTION>
                                                                       PAGE(S)
                                                                     -----------
<S>                                                                  <C>
Independent Auditors' Report.......................................  F-3
Consolidated Balance Sheets........................................  F-4 to F-5
Consolidated Statements of Income..................................  F-6
Consolidated Statements of Shareholders' Equity....................  F-7
Consolidated Statements of Cash Flows..............................  F-8
Notes to Consolidated Financial Statements.........................  F-9 to F-19
</TABLE>

                                      F-1
<PAGE>
                 (This page has been left blank intentionally.)

                                      F-2
<PAGE>
                          INDEPENDENT AUDITORS' REPORT

In Home Health, Inc.:

    We  have audited  the accompanying  consolidated balance  sheets of  In Home
Health, Inc. as  of September  30, 1994 and  1993 and  the related  consolidated
statements  of income, shareholders' equity and cash flows for each of the three
years in the period ended September 30, 1994. These financial statements are the
responsibility of the Company's management. Our responsibility is to express  an
opinion on these financial statements based on our audits.

    We  conducted  our audits  in  accordance with  generally  accepted auditing
standards. Those standards require that we plan and perform the audit to  obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also  includes
assessing  the  accounting principles  used  and significant  estimates  made by
management, as well as evaluating the overall financial statement  presentation.
We believe that our audits provide a reasonable basis for our opinion.

    In  our opinion, such  consolidated financial statements  present fairly, in
all material respects,  the financial  position of In  Home Health,  Inc. as  of
September  30, 1994 and 1993, and the results of their operations and their cash
flows for each  of the three  years in the  period ended September  30, 1994  in
conformity with generally accepted accounting principles.

    As  discussed in Note 8 to  the consolidated financial statements, effective
October 1, 1992 the Company changed its method of accounting for income taxes.

/s/ Deloitte & Touche LLP

Minneapolis, Minnesota
November 18, 1994, except for the
 second paragraph of Note 3 and
 Note 10, as to which the date is June 29, 1995.

                                      F-3
<PAGE>
                              IN HOME HEALTH, INC.

                          CONSOLIDATED BALANCE SHEETS

                          SEPTEMBER 30, 1994 AND 1993
                       (DOLLARS AND SHARES IN THOUSANDS)

                                     ASSETS

<TABLE>
<CAPTION>
                                                                         1994     1993
                                                                        -------  -------
<S>                                                                     <C>      <C>
Current assets:
  Cash and cash equivalents...........................................  $   911  $ 3,081
  Accounts receivable (net of allowances of $1,029 and $859 in 1994
   and 1993, respectively)............................................   16,503   18,346
  Prepaid income tax..................................................      459      538
  Deferred income tax.................................................      800    1,017
  Prepaid expenses and other current assets...........................    1,438    1,044
                                                                        -------  -------
    Total current assets..............................................   20,111   24,026
                                                                        -------  -------
Property:
  Furniture and equipment.............................................    9,007    8,581
  Leasehold improvements..............................................      654      574
  Computer equipment and software.....................................    7,057    6,310
                                                                        -------  -------
    Total.............................................................   16,718   15,465
  Accumulated depreciation............................................   (4,993)  (2,940)
                                                                        -------  -------
    Property -- Net...................................................   11,725   12,525
                                                                        -------  -------
Other Assets:
  Accounts receivable.................................................    9,979    3,849
  Goodwill............................................................    5,906    5,307
  Covenants not to compete............................................      128      491
  Deposits............................................................      559      509
  Other assets........................................................      652      842
                                                                        -------  -------
    Total other assets................................................   17,224   10,998
                                                                        -------  -------
Total Assets..........................................................  $49,060  $47,549
                                                                        -------  -------
                                                                        -------  -------
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-4
<PAGE>
                              IN HOME HEALTH, INC.

                          CONSOLIDATED BALANCE SHEETS

                          SEPTEMBER 30, 1994 AND 1993
                       (DOLLARS AND SHARES IN THOUSANDS)

                      LIABILITIES AND SHAREHOLDERS' EQUITY

<TABLE>
<CAPTION>
                                                                         1994     1993
                                                                        -------  -------
<S>                                                                     <C>      <C>
Current Liabilities:
  Current maturities of long-term debt................................  $ 2,286  $ 2,214
  Accounts payable....................................................    3,821    3,913
  Accrued liabilities:
    Compensation......................................................    3,486    2,671
    Insurance.........................................................    2,960    3,446
    Other.............................................................      488      383
                                                                        -------  -------
      Total current liabilities.......................................   13,041   12,627
                                                                        -------  -------

Long-Term Debt........................................................    3,304    4,740
Deferred Revenue......................................................    1,632    --
Deferred Rent Payable.................................................      516      536
Deferred Income Tax...................................................    2,085    2,187
Commitments and Contingencies.........................................    --       --

Shareholders' Equity:
  Preferred stock -- authorized 1,000 shares..........................    --       --
  Common stock -- $.01 par value: authorized -- 40,000 shares; issued
   and outstanding -- 1994 -- 15,944 shares 1993 -- 15,518 shares.....      159      155
  Additional paid-in capital..........................................   23,828   23,056
  Retained earnings...................................................    4,495    4,248
                                                                        -------  -------
      Total shareholders' equity......................................   28,482   27,459
                                                                        -------  -------
Total Liabilities and Shareholders' Equity............................  $49,060  $47,549
                                                                        -------  -------
                                                                        -------  -------
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-5
<PAGE>
                              IN HOME HEALTH, INC.

                       CONSOLIDATED STATEMENTS OF INCOME

             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992
          (DOLLARS AND SHARES IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                          1994      1993     1992
                                                                        --------  --------  -------
<S>                                                                     <C>       <C>       <C>
Revenue...............................................................  $120,485  $103,761  $75,072
                                                                        --------  --------  -------
Operating Expenses:
  Direct costs of revenue (primarily payroll related costs)...........    69,411    57,059   41,111
  General, administrative and selling expenses........................    49,721    44,270   30,121
                                                                        --------  --------  -------
    Total operating expenses..........................................   119,132   101,329   71,232
                                                                        --------  --------  -------
Income From Operations................................................     1,353     2,432    3,840
                                                                        --------  --------  -------
Interest:
  Interest expense....................................................       698       575      417
  Interest income.....................................................       (29)      (95)    (293)
                                                                        --------  --------  -------
    Net interest expense..............................................       669       480      124
                                                                        --------  --------  -------
Income Before Income Taxes............................................       684     1,952    3,716
Income Tax Expense....................................................       437       865    1,413
                                                                        --------  --------  -------
Income Before Cumulative Effect of Change in
 Accounting Principle.................................................       247     1,087    2,303
Cumulative Effect of Change in Accounting Principle...................     --           72    --
                                                                        --------  --------  -------
Net Income............................................................  $    247  $  1,015  $ 2,303
                                                                        --------  --------  -------
                                                                        --------  --------  -------
Net Income Per Common and Common Equivalent Share:
  Primary.............................................................  $    .02  $    .06  $   .15
                                                                        --------  --------  -------
                                                                        --------  --------  -------
  Fully diluted.......................................................  $    .02  $    .06  $   .14
                                                                        --------  --------  -------
                                                                        --------  --------  -------
Weighted Average Common and Common Equivalent
 Shares Outstanding:
  Primary.............................................................    16,013    16,056   15,780
                                                                        --------  --------  -------
                                                                        --------  --------  -------
  Fully diluted.......................................................    16,013    16,056   15,913
                                                                        --------  --------  -------
                                                                        --------  --------  -------
</TABLE>

Net income per share impact of the cumulative effect of the change in accounting
principle is less than $.01.

          See accompanying notes to consolidated financial statements.

                                      F-6
<PAGE>
                              IN HOME HEALTH, INC.

                CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY

             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992
                       (DOLLARS AND SHARES IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                         COMMON STOCK    ADDITIONAL
                                                                        --------------    PAID-IN     RETAINED
                                                                        SHARES  AMOUNT    CAPITAL     EARNINGS
                                                                        ------  ------   ----------   --------
<S>                                                                     <C>     <C>      <C>          <C>
Balance -- September 30, 1991.........................................  11,603   $116     $12,826      $  930
Common stock issued for:
  Class C warrant exercise............................................   2,726     27       7,446       --
  Underwriter warrant exercise........................................      34      1          48       --
  Private warrant exercise............................................     140      1          86       --
  Employee stock plans................................................     528      5         617       --
  Acquisitions........................................................     120      1         569       --
Net income............................................................    --     --         --          2,303
                                                                        ------  ------   ----------   --------
Balance -- September 30, 1992.........................................  15,151    151      21,592       3,233
Common stock issued for:
  Employee stock plans................................................     194      2         521       --
  Acquisitions........................................................     173      2         943       --
Net income............................................................    --     --         --          1,015
                                                                        ------  ------   ----------   --------
Balance -- September 30, 1993.........................................  15,518    155      23,056       4,248
Common stock issued for:
  Employee stock plans................................................     266      3         745       --
  Acquisitions........................................................      10   --            28       --
  Exchange for warrants...............................................     150      1          (1)      --
Net income............................................................    --     --         --            247
                                                                        ------  ------   ----------   --------
Balance -- September 30, 1994.........................................  15,944   $159     $23,828      $4,495
                                                                        ------  ------   ----------   --------
                                                                        ------  ------   ----------   --------
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-7
<PAGE>
                              IN HOME HEALTH, INC.

                     CONSOLIDATED STATEMENTS OF CASH FLOWS

             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                         1994     1993     1992
                                                                        -------  -------  -------
<S>                                                                     <C>      <C>      <C>
Cash Flows From Operating Activities:
  Net income..........................................................  $   247  $ 1,015  $ 2,303
  Adjustments:
    Depreciation and amortization.....................................    3,233    2,146    1,513
    Accounts receivable...............................................   (4,172)  (4,232)  (8,305)
    Prepaid expenses and other assets.................................     (210)    (141)    (206)
    Accounts payable..................................................     (216)     545    1,329
    Accrued liabilities...............................................      360    1,073    1,387
    Deferred revenue..................................................    1,632    --       --
    Deferred rent payable.............................................      (20)     139      245
    Deferred income tax...............................................      128      406      699
                                                                        -------  -------  -------
      Net cash provided (used) by operating activities................      982      951   (1,035)
                                                                        -------  -------  -------
Cash Flows From Investing Activities:
  Acquisition of businesses...........................................     (389)    (699)    (803)
  Acquisition of property.............................................     (995)  (2,466)  (1,961)
  Advances to officers and employees..................................     (135)      13      161
                                                                        -------  -------  -------
      Net cash used by investing activities...........................   (1,519)  (3,152)  (2,603)
                                                                        -------  -------  -------
Cash Flows From Financing Activities:
  Payment of long-term debt...........................................   (2,381)  (2,741)  (1,834)
  Proceeds from issuance of common stock..............................      748      523    8,231
                                                                        -------  -------  -------
      Net cash provided (used) by financing activities................   (1,633)  (2,218)   6,397
                                                                        -------  -------  -------
Cash and Cash Equivalents:
  Net increase (decrease).............................................   (2,170)  (4,419)   2,759
  Beginning of year...................................................    3,081    7,500    4,741
                                                                        -------  -------  -------
      End of year.....................................................  $   911  $ 3,081  $ 7,500
                                                                        -------  -------  -------
                                                                        -------  -------  -------
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-8
<PAGE>
                              IN HOME HEALTH, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

1.  BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    BUSINESS  -- In Home  Health specializes in  high-quality health services to
clients in  their  own homes,  including  infusion therapy,  high-tech  nursing,
rehabilitation and personal care.

    BASIS  OF CONSOLIDATION -- The consolidated financial statements include the
accounts of  In Home  Health, Inc.  and its  subsidiaries (the  "Company").  All
material   intercompany  accounts  and  transactions  have  been  eliminated  in
consolidation.

    CASH EQUIVALENTS -- Securities which are readily convertible into cash  with
original maturities of three months or less are considered cash equivalents.

    NOTES  RECEIVABLES FROM  OFFICER -- Included  in prepaid  expenses and other
current assets  are advances  to an  officer of  the Company  in the  amount  of
$150,000  as  of September  30,  1994. There  were  no advances  to  officers at
September 30, 1993.

    PROPERTY AND  PROPERTY UNDER  CAPITALIZED LEASES  -- Property  and  property
under  capitalized leases are  stated at cost and  depreciated or amortized over
estimated useful  lives (from  three to  twelve years)  using the  straight-line
method.  Property acquired  by capital lease  for the years  ended September 30,
1994, 1993 and 1992 was $753,000, $3,713,000 and $3,848,000, respectively.

    GOODWILL -- Costs in excess of  net assets of acquired businesses have  been
capitalized  and are being amortized over 40 years. Accumulated amortization was
$420,000 and $268,000 at September 30, 1994 and 1993, respectively.

    COVENANTS NOT TO  COMPETE -- Covenants  not to compete  are being  amortized
over  the terms of the various agreements  (from two to five years). Accumulated
amortization was  $579,000  and  $1,326,000  at September  30,  1994  and  1993,
respectively.

    DEFERRED  REVENUE --  Deferred revenue relates  to the  timing difference in
recording certain software  development costs for  financial statement  purposes
and  Medicare  cost  reporting  purposes.  Incremental  costs  relating  to  the
development of software for certain major management information system projects
undertaken during 1992 through  1994 have been capitalized  and are included  in
computer  equipment  and  software  on  the  balance  sheet.  For  Medicare cost
reimbursement purposes, the  Company has  filed amended cost  reports for  prior
years  to include in reimbursable  costs the amount of  expenditures in the year
they were  incurred. Accordingly,  as of  September 30,  1994, the  Company  has
reported  an amount of deferred revenue, representing the Medicare impact of the
difference between the reimbursable costs reported on the Medicare cost  reports
and  the  unamortized balance  of  capitalized software  development  costs. The
deferred revenues are  being recorded to  revenue when the  amortization of  the
related  software development  expenses is recorded  (over a  five year period).
Unamortized software  development  costs are  $2,368,000  and $2,734,000  as  of
September 30, 1994 and 1993, respectively.

    DEFERRED  RENT  PAYABLE  --  Deferred rent  payable  has  been  recorded for
long-term office space operating leases which contain initial rent  inducements.
Rental expense is being amortized on a straight-line basis over the terms of the
operating leases.

    INCOME  TAXES  --  The  Company adopted  Statement  of  Financial Accounting
Standard (SFAS) No. 109, "Accounting for  Income Taxes" in 1993. Under SFAS  No.
109,  the deferred tax provision is determined under the liability method. Under
this method,  deferred  tax  assets  and liabilities  are  recognized  based  on
differences  between  the  financial  statement  and  tax  bases  of  assets and
liabilities using presently enacted tax rates.

                                      F-9
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

1.  BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
    REVENUE RECOGNITION --  Revenues are  recorded at  the time  the service  is
provided.  The Company records revenue for services to Medicare beneficiaries at
the time the services are rendered and based on the Medicare cost  reimbursement
principles.  Under  those principles,  Medicare reimburses  the Company  for the
reasonable  costs  (as   defined)  incurred  in   providing  care  to   Medicare
beneficiaries.  The Company reports  as reimbursable costs  in the Medicare cost
reports only those  costs it believes  to be reimbursable  under the  applicable
Medicare  cost reimbursement principles. In determining the amount of revenue to
be  recorded,  those  costs  are  reduced  for  costs  that  are  in  excess  of
reimbursable  cost  limits,  and  for  costs  for  which  reimbursement  may  be
questionable based on the Company's understanding of reimbursement principles in
effect at that time. Accordingly, this process results in recording revenue only
for the costs  that the  Company believes  are reasonably  assured of  recovery.
Refer to Note 5 for additional information.

    NET  INCOME PER COMMON AND COMMON EQUIVALENT  SHARE -- Net income per common
and common equivalent share is computed  by dividing net income by the  weighted
average   number  of  common   stock  and  dilutive   common  stock  equivalents
outstanding. Common stock  equivalents result  from dilutive  stock options  and
warrants.  Any differences  in common  stock equivalents  for primary  and fully
diluted shares are the result of the quoted market price of the Company's common
stock being higher at the end of the period than the average market price during
the period.

                                      F-10
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

2.  ACQUISITIONS
    The Company acquired all of the issued and outstanding capital stock of two,
three and five home health care  companies during the years ended September  30,
1994,  1993 and 1992, respectively. The  acquisitions accounted for as purchases
for financial reporting purposes are summarized as follows (in thousands):

<TABLE>
<CAPTION>

                                                           CONSIDERATION:
                                                           CASH
                                                           NOTES PAYABLE      TOTAL VALUE OF
                                            ACQUISITION    ISSUED             CONSIDERATION   GOODWILL
              COMPANY NAME                     DATE        COMMON STOCK            PAID       RECORDED
<S>                                       <C>              <C>                <C>             <C>
Professional Medical Personnel, Inc. &    October, 1991    $    77            $        173    $   240
 Professional Medical Personnel -- Home                         96
 Health Care Division, Inc.                                       --
Meyer Care SF, Inc.                       October, 1991    $   500            $        700    $   429
                                                               100
                                                                26  shares
Faust Home Health Care, Inc. & Faust      June, 1992       $   170            $        205    $   177
 Health Care Network, Inc.                                      35
                                                                  --
Professional Home Care of Washington,     July, 1992       $   150            $        550    $ 1,228
 Inc.                                                             --
                                                                79  shares
CareServices of Raleigh Limited           January, 1993    $   210            $        569    $   548
 Partnership, CareServices of Raleigh,                            --
 NC, Inc. and CareServices of                                   58  shares
 Greensboro, NC, Inc.
Accent on Care Home Health Services,      January, 1993    $    25            $        100    $   155
 Ltd.                                                           25
                                                                 8  shares
Home Care Resources, Inc., HCR            February, 1993   $   205            $        741    $   852
 Associates, Inc. and Physician Home                              --
 Health Care, Inc.                                             107  shares
ENS, Inc.                                 January, 1994    $    41            $         69    $   232
                                                                  --
                                                                10  shares
RI Partners and RHC Partners              May, 1994        $   300            $        300    $   516
                                                                  --
                                                                  --
</TABLE>

    The purchase price has been allocated to the net assets acquired,  including
intangible  assets, based on their fair  market values at the acquisition dates.
The net assets acquired  in these acquisitions  consisted primarily of  accounts
receivable  and current  liabilities. The consolidated  statements of operations
include the  results of  operations of  these companies  since their  respective
acquisition  dates. The  fair market  value of the  common stock  issued for the
acquisitions in 1994, 1993 and 1992

                                      F-11
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

2.  ACQUISITIONS (CONTINUED)
was  $28,000,  $945,000  and  $500,000,  respectively.  Additional  goodwill  of
$421,000 was recorded in 1993 related to 1992 acquisitions. Notes payable issued
for  the acquisitions in 1993 and  1992 were $25,000 and $231,000, respectively.
The Company incurred $95,000, $264,000 and  $390,000 of costs in 1994, 1993  and
1992, respectively, in connection with the acquisitions.

    The  following table summarizes the  Company's unaudited pro forma operating
results as if the 1994  and 1993 acquisitions had  occurred at the beginning  of
1993 (in thousands, except per share amounts):

<TABLE>
<CAPTION>
                                                                     YEAR ENDED SEPTEMBER 30
                                                                    -------------------------
                                                                       1994          1993
                                                                    -----------  ------------
<S>                                                                 <C>          <C>
Service revenue...................................................  $   121,277   $  106,602
                                                                    -----------  ------------
                                                                    -----------  ------------
Net income........................................................  $       250   $      904
                                                                    -----------  ------------
                                                                    -----------  ------------
Net income per common and common equivalent share -- primary......  $       .02   $      .06
                                                                    -----------  ------------
                                                                    -----------  ------------
</TABLE>

    The  pro  forma operating  results for  1992, if  the 1993  acquisitions had
occurred at the beginning of 1992,  include service revenue of $80,061,000,  net
income of $2,227,000 and net income per share -- primary of $.14.

    The  pro forma  operating results  do not  purport to  be indicative  of the
results that actually would have been obtained had the combined operations  been
conducted  during the periods presented and are  not intended to be a projection
of future operating results.

    VALLEY HOME HEALTH

    Effective September 1, 1992, the Company acquired all of the stock of Valley
Home Health, Inc. by issuing 41,204 shares of the Company's common stock.

    The Valley Home Health, Inc. acquisition  was accounted for as a pooling  of
interests  and, accordingly, the consolidated financial statements for 1992 have
been restated to include the accounts and operations of Valley Home Health.

    Revenues and net  income (loss) of  the separate companies  for the  periods
preceding the acquisition were (in thousands):

<TABLE>
<CAPTION>
                                                                              11 MONTHS ENDED
                                                                              AUGUST 31, 1992
                                                                                (UNAUDITED)
                                                                              ----------------
<S>                                                                           <C>
Revenues:
  In Home...................................................................     $   67,010
  Valley Home...............................................................            924
                                                                                   --------
  Combined..................................................................     $   67,934
                                                                                   --------
                                                                                   --------
Net Income (Loss):
  In Home...................................................................     $    2,131
  Valley Home...............................................................            (62)
                                                                                   --------
  Combined..................................................................     $    2,069
                                                                                   --------
                                                                                   --------
</TABLE>

                                      F-12
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

3.  NOTE PAYABLE -- BANK
    The Company has an agreement with a bank which provides for a line of credit
equal to the lesser of $7.5 million or a borrowing base (which was $8,511,000 at
September  30, 1994) that consists of 80% of eligible accounts receivable. As of
September 30, 1994 the  Company had utilized $4,130,000  of the facility for  an
irrevocable   standby  letter   of  credit   to  secure   workers'  compensation
commitments. The interest rate on the line of credit is prime plus .75% (8.5% at
September 30, 1994). Borrowings are due  at the expiration of the agreement  and
are  collateralized by accounts  receivable and intangibles.  The Company had no
bank borrowings at September 30, 1994 and 1993.

    The Company is required to maintain certain financial ratios and is  limited
to  paying dividends  equal to  25% of  the prior  twelve month  earnings. As of
September 30, 1994, the Company was out of compliance with certain provisions of
its credit  agreement  underlying  its  line of  credit  and  letter  of  credit
facility.  The bank has agreed to waive  these covenant violations. The bank has
advised the  Company  that it  does  not intend  to  renew the  line  of  credit
agreement beyond the expiration date. The line of credit, as amended on June 29,
1995,  expires on December 31, 1995. The  bank has also advised the Company that
the letter of credit must be replaced by December 15, 1995 or the bank will draw
upon the line of  credit to fund  a collateral account  to accommodate any  cash
requirements  of  the letter  of credit.  The  Company is  currently considering
possible alternative sources of financing, which may include establishment of  a
line  of  credit  with a  new  lender  or other  financing  of  certain accounts
receivable and fixed assets.

4.  LONG-TERM DEBT
    Following is a summary of long-term debt at September 30 (in thousands):

<TABLE>
<CAPTION>
                                                                                       1994       1993
                                                                                     ---------  ---------
<S>                                                                                  <C>        <C>
Obligations under capitalized leases, up to 37.2% (primarily 5.5% to 15.9%),
 due through July 1999.............................................................  $   5,220  $   6,523
Installment notes payable, 6.5% to 6.9%, due through December 1995,
 secured by property...............................................................        370        431
                                                                                     ---------  ---------
Total..............................................................................      5,590      6,954
Less current maturities............................................................      2,286      2,214
                                                                                     ---------  ---------
Long-term debt.....................................................................  $   3,304  $   4,740
                                                                                     ---------  ---------
                                                                                     ---------  ---------
</TABLE>

    Future minimum  payments  as  of  September 30,  1994  are  as  follows  (in
thousands):

<TABLE>
<CAPTION>
YEAR ENDING                                                           CAPITALIZED   INSTALLMENT
SEPTEMBER 30                                                            LEASES         NOTES        TOTAL
- --------------------------------------------------------------------  -----------  -------------  ---------
<S>                                                                   <C>          <C>            <C>
1995................................................................   $   2,498     $     369    $   2,867
1996................................................................       2,192             1        2,193
1997................................................................       1,523        --            1,523
1998................................................................         638        --              638
1999................................................................         115        --              115
                                                                      -----------        -----    ---------
Total minimum payments..............................................       6,966           370        7,336
Less amounts representing interest..................................       1,746        --            1,746
                                                                      -----------        -----    ---------
Present value of future minimum payments............................       5,220           370        5,590
Less current maturities.............................................       1,917           369        2,286
                                                                      -----------        -----    ---------
Long-term debt......................................................   $   3,303     $       1    $   3,304
                                                                      -----------        -----    ---------
                                                                      -----------        -----    ---------
</TABLE>

                                      F-13
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

4.  LONG-TERM DEBT (CONTINUED)
    Assets  recorded under  capital leases are  included in property  at cost of
$7,993,000 and  $7,435,000,  and  accumulated  depreciation  of  $1,854,000  and
$1,356,000  at September 30, 1994 and  1993, respectively. Interest paid for the
years ended  September  30, 1994,  1993  and  1992 was  $687,000,  $546,000  and
$403,000, respectively.

5.  MEDICARE COST REIMBURSEMENT
    Approximately  74%, 73% and 68% of revenue for the years ended September 30,
1994, 1993 and 1992, respectively, is derived from services provided to Medicare
beneficiaries. Payment for these services is made by the Medicare program  based
on  reimbursable costs incurred in rendering the services. Payments are made via
an interim payment rate  as services are rendered.  Cost reports are filed  with
Medicare  on  an  annual  basis,  which are  subject  to  audit  and retroactive
adjustment by Medicare. The Company reports revenue only for those costs that it
believes are  reasonably  assured  of recovery  under  the  applicable  Medicare
statutes  and regulations. The Company utilizes  an extensive system of internal
controls to  ensure  such proper  reporting  of revenues.  The  Company  employs
personnel with significant Medicare reimbursement experience to prepare its cost
reports,  and to  monitor its  operations on  an ongoing  basis to  identify and
minimize those  costs which  are not  reimbursed. As  a part  of its  system  of
internal  controls, the Company uses a  detailed analysis process in calculating
its  Medicare   revenue.  This   process  considers   applicable  statutes   and
regulations,   administrative   and   judicial   decisions,   consultation  with
independent industry experts and legal  counsel, disputed costs, and  historical
knowledge  from past Medicare audits. Results  of this analysis are extrapolated
to other  open cost  reporting years  for  all of  the Company's  operations  to
determine the gross amount of reimbursement that would be affected. The Company,
through  this ongoing  control and  monitoring process,  provides a  reserve (by
means of a revenue reduction) for any costs incurred which the Company  believes
are not reasonably assured of recovery.

    Over  the  years,  Medicare,  in  connection  with  its  retrospective audit
process, has taken  certain positions with  respect to certain  types of  costs,
claiming  that they are not reimbursable and thus not recoverable by the Company
from  the  Medicare  program.  These  positions  are  based  on  interpretations
promulgated   after  the  period  covered  by   the  cost  reports  and  applied
retroactively, on  interpretations of  cost  reimbursement principles  that  are
contrary to the Company's interpretations, or on what the Company believes to be
misapplications  of specific reimbursement principles,  that could not have been
foreseen.  These  positions  taken  by  Medicare  are  usually  determined  from
Medicare's  Notice  of  Program  Reimbursement  (NPR)  which  typically  are not
received until two to three years after the services are rendered. Upon  receipt
of  an NPR that  contains denial of  certain costs as  reimbursable, the Company
assesses the  probability  of its  success  in challenging  positions  taken  by
Medicare that are contrary to the Company's positions. In those situations where
the  Company decides to not challenge the NPR, any revenue relating to costs for
which Medicare has denied  reimbursement as well as  the extrapolated impact  on
other  open cost reporting years, if not written off or provided for earlier, is
written off as a  revenue reduction at  that time. The results  of all NPRs  are
included in the analysis process in calculating net Medicare revenue.

    The  Company has received NPRs challenging  $9.6 million as of September 30,
1994. There  was an  additional $10.4  million of  costs at  September 30,  1994
related  to open cost  reporting years that  are similar to  the costs that have
been challenged on NPRs.  Together these amounts ($20  million at September  30,
1994)  comprise the total amount the Company considers to be disputed costs. The
major cost  category in  dispute,  accounting for  approximately half  of  total
disputed  costs, is  the treatment  of certain  personnel costs  relating to the
Company's community liaison positions, which Medicare alleges are unreimbursable
sales  costs;  other  costs   in  dispute  relate  to   the  cost  of   physical

                                      F-14
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

5.  MEDICARE COST REIMBURSEMENT (CONTINUED)
therapists  employed by the Company,  administration and general costs allocated
to branch  operations,  certain corporate  expenses,  and cost  transfers  among
branch  operations. These disputed costs  (including the extrapolated impact) of
$20 million at September 30, 1994 arose in the fiscal years ended September  30,
1994  ($7.2 million),  1993 ($6.4 million),  1992 ($4.3 million)  and 1991 ($2.1
million). The amount of disputed costs has increased over the last several years
as the Company has received the NPRs  and has extrapolated that amount of  costs
that  may be challenged to other open  cost reporting years. The normal Medicare
administrative appeal process may take several  years to resolve these types  of
disputes.

    The  Company  disagrees  with the  positions  taken by  the  Medicare fiscal
intermediaries and the  Health Care Financing  Administration and is  vigorously
pursuing  these matters through  administrative and legal  channels. The Company
has filed two  suits against the  U.S. Department of  Health and Human  Services
(HHS)  and  several members  of the  Blue  Cross Association  which HHS  uses to
administer the Medicare program. The two  suits allege that the defendants  have
unjustly withheld payments that are owed to the Company for services it provided
to Medicare beneficiaries from fiscal 1989 through fiscal 1994.

    The  Company, based  on its  disputed cost  analysis process,  believes that
recovery of  $4,961,000  of total  disputed  costs (including  the  extrapolated
impact)  may  not  be reasonably  assured  and, accordingly,  has  established a
reserve in that amount  as of September  30, 1994. The  remaining net amount  of
disputed  costs has been included  in revenues in the  respective years in which
services were rendered and, to the extent  not paid to the Company, is  included
in  accounts receivable.  Total accounts receivable  (net of  reserves) due from
Medicare at  September  30, 1994  and  1993 were  $20,599,000  and  $20,120,000,
respectively,  including the receivables (net of reserves) for disputed costs of
$12,347,000 and  $5,730,000,  respectively.  In view  of  the  expectation  that
resolution of the disputed costs will not likely be accomplished within the next
twelve  months,  related  net receivables  of  $9,979,000 and  $3,849,000  as of
September 30, 1994 and 1993, respectively, have been classified as a non-current
asset.

    The reserve balance of  $4,961,000 at September 30,  1994 has been  recorded
during  fiscal  1993 ($1,100,000)  and fiscal  1994  ($3,861,000), based  on the
timing of information that was available  to make an assessment of assurance  of
recovery  of the disputed  costs. In connection  therewith, based on information
that became available in the last fiscal quarters of 1994 and 1993,  adjustments
to  the Medicare  reserves of $2,639,000  and $1,100,000 were  recorded in those
fiscal quarters.

6.  COMMITMENTS AND CONTINGENCIES
    The Company is  obligated under several  noncancelable operating leases  for
office  space and equipment.  Total rental expense for  all operating leases was
$3,666,000, $2,763,000 and $2,007,000, for  the years ended September 30,  1994,
1993 and 1992, respectively.

                                      F-15
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

6.  COMMITMENTS AND CONTINGENCIES (CONTINUED)
    Future minimum rental payments as of September 30, 1994 for operating leases
with noncancelable terms in excess of one year are as follows (in thousands):

<TABLE>
<CAPTION>
YEAR ENDING
SEPTEMBER 30
- -------------------------------------------------------------------------
<S>                                                                        <C>
1995.....................................................................  $   3,240
1996.....................................................................      3,065
1997.....................................................................      2,226
1998.....................................................................      2,020
1999.....................................................................        941
Thereafter...............................................................        631
                                                                           ---------
Total minimum payments...................................................  $  12,123
                                                                           ---------
                                                                           ---------
</TABLE>

    The  Company  is  a party  to  various  claims and  legal  proceedings which
management believes are in  the normal course of  business and will not  involve
any material loss.

7.  CAPITAL TRANSACTIONS

    STOCK OPTION PLAN

    The  Company has adopted a stock option  plan to provide for the granting of
options to purchase up  to a maximum  of 2,500,000 shares  of common stock.  The
options  are granted at  exercise prices equal  to the fair  market value of the
common stock at the date  of grant. The following is  a summary of stock  option
activity (in thousands, except per share amounts):

<TABLE>
<CAPTION>
                                                                   NUMBER OF SHARES
                                                              --------------------------
                                                               AVAILABLE
                                                               FOR GRANT    OUTSTANDING    EXERCISE PRICES
                                                              -----------  -------------  -----------------
<S>                                                           <C>          <C>            <C>
Balance -- September 30, 1991...............................         980         1,459       $ .53 to $3.38
  Options granted...........................................        (214)          214       $3.63 to $5.38
  Options exercised.........................................      --              (446)      $ .58 to $2.97
  Options cancelled.........................................          88           (88)      $ .86 to $5.06
                                                                     ---         -----
Balance -- September 30, 1992...............................         854         1,139       $ .53 to $5.38
  Options granted...........................................        (449)          449       $2.94 to $5.94
  Options exercised.........................................      --               (76)      $ .69 to $4.44
  Options cancelled.........................................         109          (109)      $1.03 to $5.50
                                                                     ---         -----
Balance-- September 30, 1993................................         514         1,403       $ .53 to $5.94
  Options granted...........................................        (360)          360        $1.88 - $4.06
  Options exercised.........................................      --              (117)       $ .54 - $2.69
  Options cancelled.........................................         211          (211)       $1.03 - $5.94
                                                                     ---         -----
Balance -- September 30, 1994...............................         365         1,435        $ .53 - $5.63
                                                                     ---         -----
                                                                     ---         -----
</TABLE>

    At  September 30, 1994, options for the purchase of 896,000 shares of common
stock are currently exercisable at prices ranging from $.53 to $5.63 per share.

    WARRANTS

    As of September 30, 1994, private warrants issued in January 1993  totalling
96,000 and expiring January 1996, are exercisable at $6.00 per share.

                                      F-16
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

7.  CAPITAL TRANSACTIONS (CONTINUED)
    In  November 1991,  2,726,000 shares  of common  stock were  issued upon the
exercise of Class C warrants which were issued in connection with the  Company's
1990  public offering.  The Company received  proceeds of  $7,473,000 upon these
warrant exercises. In April 1994, 150,000 shares of common stock were issued  in
exchange  for  300,000  private warrants  issued  in January  1991  and expiring
January 1996.

    STOCK PURCHASE PLAN

    The Company has a plan whereby eligible employees may purchase the Company's
common stock at the lower of 85% of the market price at the time of grant or the
time of  purchase. There  are 700,000  shares reserved  for this  plan of  which
144,000  shares were issued  on September 30,  1994 at $1.96  per share, 116,000
shares were issued on September 30, 1993  at $3.40 per share, and 82,000  shares
were issued on September 30, 1992 at $3.05 per share.

8.  INCOME TAXES
    The  income tax provision for  the years ended September  30, 1994, 1993 and
1992 consisted of (in thousands):
<TABLE>
<CAPTION>
1994                                                                          FEDERAL     STATE      TOTAL
- ---------------------------------------------------------------------------  ---------  ---------  ---------
<S>                                                                          <C>        <C>        <C>
Current....................................................................  $     483  $      46  $     529
Deferred...................................................................       (138)        46        (92)
                                                                             ---------  ---------  ---------
                                                                             $     345  $      92  $     437
                                                                             ---------  ---------  ---------
                                                                             ---------  ---------  ---------

<CAPTION>

1993                                                                          FEDERAL     STATE      TOTAL
- ---------------------------------------------------------------------------  ---------  ---------  ---------
<S>                                                                          <C>        <C>        <C>
Current....................................................................  $     437  $      94  $     531
Deferred...................................................................        291         43        334
                                                                             ---------  ---------  ---------
                                                                             $     728  $     137  $     865
                                                                             ---------  ---------  ---------
                                                                             ---------  ---------  ---------
<CAPTION>

1992                                                                          FEDERAL     STATE      TOTAL
- ---------------------------------------------------------------------------  ---------  ---------  ---------
<S>                                                                          <C>        <C>        <C>
Current....................................................................  $     952  $     225  $   1,177
Deferred...................................................................        191         45        236
                                                                             ---------  ---------  ---------
                                                                             $   1,143  $     270  $   1,413
                                                                             ---------  ---------  ---------
                                                                             ---------  ---------  ---------
</TABLE>

    The income tax  expense differs  from the  amount computed  by applying  the
Federal statutory rate to income before income taxes for each of the years ended
September 30, 1994, 1993 and 1992 as follows (in thousands):

<TABLE>
<CAPTION>
                                                                                 1994       1993       1992
                                                                               ---------  ---------  ---------
<S>                                                                            <C>        <C>        <C>
Tax at Federal statutory rate................................................  $     233  $     664  $   1,263
State income taxes, net of Federal benefit...................................         92         90        178
Officers life insurance......................................................         24         45         27
Goodwill amortization........................................................         44         44         23
Meals and entertainment......................................................         32         34         16
Other........................................................................         12        (12)       (94)
                                                                               ---------  ---------  ---------
Income tax expense...........................................................  $     437  $     865  $   1,413
                                                                               ---------  ---------  ---------
                                                                               ---------  ---------  ---------
</TABLE>

    The  tax  benefit  related to  the  exercise  of employee  stock  options is
recorded as additional paid-in-capital.

                                      F-17
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

8.  INCOME TAXES (CONTINUED)
    Income taxes paid during the years  ended September 30, 1994, 1993 and  1992
were $31,000, $1,566,000 and $801,000, respectively.

    The  Company adopted SFAS No.  109 as of the  beginning of fiscal year 1993.
The cumulative effect  on prior  years of  this change  in accounting  principle
reduced  1993  net  income  by  $72,000,  and  is  reported  separately  in  the
consolidated statement of income for the year ended September 30, 1993.

    The tax effect  of the temporary  differences giving rise  to the  Company's
deferred  tax  assets and  liabilities at  September  30, 1994  and 1993  are as
follows:

<TABLE>
<CAPTION>
                                                                       1994                     1993
                                                             ------------------------  ----------------------
                                                               CURRENT     LONG-TERM    CURRENT    LONG-TERM
                                                                ASSET      LIABILITY     ASSET     LIABILITY
                                                             -----------  -----------  ---------  -----------
<S>                                                          <C>          <C>          <C>        <C>
Bad debt allowance.........................................   $     397    $  --       $     320   $  --
Depreciation and amortization..............................      --            2,047      --           1,749
Insurance accruals.........................................         225       --             561      --
Capitalized items expensed for taxes.......................      --              516      --             437
Vacation...................................................         240       --             189      --
AMT credit carry forward...................................      --             (321)     --          --
Other......................................................         (62)        (157)        (53)          1
                                                                  -----   -----------  ---------  -----------
                                                              $     800    $   2,085   $   1,017   $   2,187
                                                                  -----   -----------  ---------  -----------
                                                                  -----   -----------  ---------  -----------
</TABLE>

9.  QUARTERLY FINANCIAL DATA (UNAUDITED)

              FISCAL 1994 (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                             FIRST     SECOND      THIRD     FOURTH
                                                            QUARTER    QUARTER    QUARTER    QUARTER
                                                           ---------  ---------  ---------  ---------
<S>                                                        <C>        <C>        <C>        <C>
Service revenue..........................................  $  29,780  $  30,167  $  30,591  $  29,947
Income (loss) from operations............................      1,375        979        597     (1,598)
Net income (loss)........................................        646        410        152       (961)
Net income (loss) per share..............................        .04        .03        .01       (.06)
</TABLE>

    See Note 5 for a discussion of  a fourth quarter adjustment recorded to  the
Company's Medicare reserve.

              FISCAL 1993 (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                             FIRST     SECOND      THIRD     FOURTH
                                                            QUARTER    QUARTER    QUARTER    QUARTER
                                                           ---------  ---------  ---------  ---------
<S>                                                        <C>        <C>        <C>        <C>
Service revenue..........................................  $  23,378  $  25,613  $  27,520  $  27,250
Income (loss) from operations............................      1,007        944        621       (140)
Net income (loss)........................................        486        491        286       (248)
Net income (loss) per share..............................        .03        .03        .02       (.02)
</TABLE>

    The  first quarter of 1993  net income and earnings  per share data has been
restated for the cumulative effect of adopting SFAS No. 109 of $72,000.

    See Note 5 for a discussion of  a fourth quarter adjustment recorded to  the
Company's Medicare reserve.

                                      F-18
<PAGE>
                              IN HOME HEALTH, INC.
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
             FOR THE YEARS ENDED SEPTEMBER 30, 1994, 1993 AND 1992

10. SUBSEQUENT EVENTS
    On  May 2, 1995, the  Company entered into an  agreement to form a strategic
partnership with  Manor Care,  Inc. (Manor  Care), a  national health  care  and
international  lodging  firm.  Pursuant  to this  partnership,  Manor  Care will
purchase up to 6.4 million common shares from the Company for $3.40 in cash  per
share. The Company will conduct a cash self-tender for 6.4 million of its shares
(40% of outstanding) at $3.40 per share. In addition, Manor Care will invest $20
million in the Company in exchange for voting convertible preferred stock. Manor
Care  will also receive a three year warrant to purchase an additional 6 million
shares of common stock at an exercise price of $3.75 per share. This transaction
is  subject  to,  among  other   conditions,  the  approval  of  the   Company's
shareholders and the completion of the self-tender by the Company.

                                      F-19
<PAGE>
                                                                    APPENDIX III

HAMBRECHT & QUIST LLC

                                                            ONE BUSH STREET
                                                        SAN FRANCISCO, CA 94104
                                                             (415) 576-3300

May 2, 1995

The Special Committee of the Board of Directors
In Home Health, Inc.
Carlson Center, Suite 500
601 Lakeshore Parkway
Minnetonka, Minnesota 55305-5214

Gentlemen:

    You  have requested our opinion as to the fairness from a financial point of
view to In Home Health, Inc. ("In Home" or the "Company") and the holders of its
outstanding shares of common  stock of the  proposed strategic partnership  with
Manor Care, Inc. as more fully described below.

    We  understand  that  In Home  and  Manor Healthcare  Corp.,  a wholly-owned
subsidiary of  Manor  Care,  Inc.  ("Manor  Care"),  propose  to  enter  into  a
Securities Purchase and Sale Agreement (the "Agreement") pursuant to which Manor
Care  will purchase from In Home, (i) an aggregate of 6,440,000 shares of common
stock, par value $.01 (the "Common Stock"), of the Company, (ii) an aggregate of
200,000 shares of  convertible preferred stock  having an aggregate  liquidation
preference  of  $20,000,000  (the  "Preferred Stock")  and  convertible  into an
aggregate of 10,000,000 shares of Common  Stock, and (iii) a three-year  warrant
(the "Warrant") to purchase up to 6,000,000 shares of Common Stock at a purchase
price  of $3.75  per share. The  Agreement provides that  the aggregate purchase
price for the  Preferred Stock  and Warrant  is $20,000,000,  and the  aggregate
purchase  price for the Common Stock is $21,896,000. We also understand that the
Agreement contemplates  that  the  Company  shall  commence  a  self-tender  for
6,440,000 shares of Common Stock at a cash purchase price of $3.40 per share for
the  purpose of  delivering such  shares to Manor  Care as  described above. The
foregoing transactions collectively constitute the "Proposed Transaction."

    Hambrecht &  Quist LLC  ("Hambrecht &  Quist"), as  part of  its  investment
banking  services, is regularly engaged in the valuation of businesses and their
securities   in   connection   with   mergers   and   acquisitions,    corporate
restructurings,   strategic   alliances,  negotiated   underwritings,  secondary
distributions  of  listed  and  unlisted  securities,  private  placements   and
valuations  for corporate and other purposes. We have acted as financial advisor
to the Board of Directors and the Special Committee of the Board of Directors of
In Home in connection with the Proposed  Transaction and will receive a fee  for
our services (including the rendering of this opinion). Hambrecht & Quist may in
the  future provide  additional investment  banking or  other financial advisory
services to the Company.

    In connection with our review of  the Proposed Transaction, and in  arriving
at our opinion, we have, among other things:

        (i) reviewed the publicly available consolidated financial statements of
    the  Company for recent years and interim  periods to date and certain other
    relevant financial and operating  data of the Company  made available to  us
    from the internal records of the Company;

        (ii) discussed with certain members of the management of the Company the
    business, financial condition and prospects of the Company;

       (iii)  reviewed  certain financial  and operating  information, including
    certain projections provided by the  management of the Company, relating  to
    the  Company, and  discussed such  projections with  certain members  of the
    management of the Company;

       (iv) reviewed  publicly available  consolidated financial  statements  of
    Manor Care for recent years and interim periods to date;
<PAGE>
        (v)  discussed with certain members of  the management of Manor Care the
    business, financial condition and prospects of Manor Care;

       (vi) reviewed the  recent reported  prices and trading  activity for  the
    common stock of the Company and Manor Care and compared such information and
    certain  financial information  of the Company  and Manor  Care with similar
    information for certain  other companies engaged  in businesses we  consider
    comparable to those of the Company and Manor Care;

       (vii)  discussed with parties other than  Manor Care the possibility of a
    transaction or series of transactions involving a business combination  with
    the Company;

      (viii)  reviewed the terms,  to the extent  publicly available, of certain
    comparable transactions;

       (ix) reviewed the Agreement; and

        (x) preformed such other analyses  and examinations and considered  such
    other  information,  financial  studies,  analyses  and  investigations  and
    financial, economic and market data as we deemed relevant.

    We have not assumed any  responsibility for independent verification of  any
of the information concerning the Company or Manor Care considered in connection
with our review of the Proposed Transaction and, for purposes of the opinion set
forth  herein, we have assumed and relied  upon the accuracy and completeness of
all  such  information.  We  have  not  prepared  or  obtained  any  independent
evaluation  or appraisal of any  of the assets or  liabilities of the Company or
Manor Care, nor have  we conducted a physical  inspection of the properties  and
facilities of the Company or Manor Care. With respect to the financial forecasts
and  projections made available to us and  used in our analyses, we have assumed
that they reflect the  best currently available estimates  and judgments of  the
expected  future  financial performance  of the  Company.  We have  assumed that
neither the  Company nor  Manor Care  is a  party to  any pending  transactions,
including  external financings,  recapitalizations or  merger discussions, other
than the Proposed  Transaction and those  in the ordinary  course of  conducting
their  respective  businesses. Our  opinion  is necessarily  based  upon market,
economic, financial and other conditions as  they exist and can be evaluated  as
of  the date of this  letter, and any change in  such conditions would require a
reevaluation of this opinion. We express no opinion as to the price at which  In
Home  Common  Stock will  trade subsequent  to  the Closing  (as defined  in the
Agreement).

    Our advisory services and the opinion expressed herein are provided for  the
use  of the  Board of  Directors of In  Home in  its evaluation  of the Proposed
Transaction and are not on behalf of,  and are not intended to confer rights  or
remedies upon Manor Care, or any person other than In Home's Board of Directors.
Except  as  required by  applicable  law, including  without  limitation federal
securities laws, our opinion may not be published or otherwise used or  referred
to,  nor shall any  public reference to  Hambrecht & Quist  be made, without our
prior consent.

    Based upon and  subject to the  foregoing and after  considering such  other
matters  as we deem relevant, we  are of the opinion that  as of the date hereof
the Proposed Transaction is fair  to the Company and  the holders of the  Common
Stock  from a financial point of view. We express no opinion, however, as to the
adequacy of  any consideration  received in  the Proposed  Transaction by  Manor
Care, Inc. or any of its affiliates.

Very truly yours,

HAMBRECHT & QUIST LLC

By   /s/
- --------------------------------------
   David Golden
   MANAGING DIRECTOR

                                       2
<PAGE>
                         PROXY -- IN HOME HEALTH, INC.
          THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
        FOR A SPECIAL MEETING OF STOCKHOLDERS TO BE HELD AUGUST   , 1995

    The  undersigned hereby appoints                                         and
                               , or either of them,  as proxies with full  power
of  substitution to vote all of the shares of common stock which the undersigned
would be  entitled to  vote if  personally  present at  the Special  Meeting  of
Stockholders  of In Home Health, Inc. to be held August    , 1995 at      .m. at
                            , Minneapolis,  Minnesota  or  at  any  adjournments
thereof,  upon any  and all  matters which  may properly  be brought  before the
meeting or adjournments thereof, hereby revoking all former proxies.

(1)  PROPOSAL TO APPROVE SECURITIES PURCHASE AND SALE AGREEMENT DATED AS OF  MAY
     2,  1995 BETWEEN IN  HOME HEALTH, INC.  AND MANOR HEALTHCARE  CORP. AND THE
     TRANSACTIONS THEREUNDER

      / /  FOR              / /  AGAINST              / /  ABSTAIN

(2)  PROPOSAL TO  APPROVE  AN  AMENDMENT  TO ARTICLE  III  OF  THE  ARTICLES  OF
     INCORPORATION OF THE COMPANY

      / /  FOR              / /  AGAINST              / /  ABSTAIN

(3)  PROPOSAL  TO APPROVE AMENDMENTS TO THE COMPANY'S 1987 AND 1995 STOCK OPTION
     PLANS
      / /  FOR              / /  AGAINST              / /  ABSTAIN

(4)  In their discretion,  the proxies are  authorized to vote  upon such  other
     business as may properly come before the meeting.
<PAGE>
             THE SHARES REPRESENTED BY THIS PROXY WILL BE VOTED ON
        PROPOSALS (1), (2) AND (3) IN ACCORDANCE WITH THE SPECIFICATIONS
          MADE AND "FOR" SUCH PROPOSALS IF THERE IS NO SPECIFICATION.

    PLEASE DATE AND SIGN exactly as your name(s) appears below indicating, where
proper,  the  official  position or  representative  capacity in  which  you are
signing. When signing as executor, administrator, trustee or guardian, give full
title as such; when shares have been issued in names of two or more persons, all
should sign.

                                              Dated                       , 1995
                                                 -------------------------------

                                              ----------------------------------
                                                   Signature of Stockholder


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