IN HOME HEALTH INC /MN/
PRER14A, 1995-09-07
HOME HEALTH CARE SERVICES
Previous: IN HOME HEALTH INC /MN/, 10-Q/A, 1995-09-07
Next: IN HOME HEALTH INC /MN/, 10-Q/A, 1995-09-07



<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>
   
                                                                          9-6-95
                                                                         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,

                                                 [SIGNATURE]
                                          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,

                                                 [SIGNATURE]
                                          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  &  Co., 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
  Board of Directors Analysis and Recommendation..........................    12
  Opinion of Financial Advisor............................................    15
  Description of the Investment by Manor Healthcare.......................    20
    Common Stock Investment by Manor Healthcare...........................    20
    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...................................    23
    Purchase and Sale of Securities.......................................    23
    Conditions to Closing.................................................    23
    Representations and Warranties; Indemnification.......................    24
    Covenants.............................................................    24
    Conduct of Business Pending Closing...................................    25
    Termination...........................................................    25
    Company Payments in the Event of Termination..........................    25
  Effects of the Investment on the Company................................    26
    Use of Proceeds.......................................................    26
    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..............................    40
  Reasons for Approval....................................................    40
  Control Share Acquisition Act Approval..................................    40
  Required Vote...........................................................    40
PROPOSAL 2 -- AMENDMENT TO ARTICLES OF INCORPORATION......................    41
  Reasons for the Amendment...............................................    41
  Required Vote...........................................................    41
PROPOSAL 3 -- AMENDMENT OF STOCK OPTION PLANS.............................    42
  Reasons for the Amendments..............................................    42
  Summary of the Plans....................................................    43
  Grants of Options.......................................................    45
  Federal Income Tax Treatment............................................    46
  Required Vote...........................................................    46
STOCKHOLDER PROPOSALS FOR 1996 ANNUAL MEETING.............................    46
OTHER MATTERS.............................................................    47
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>
    

                                       2
<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
<PAGE>

<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.  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, 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  Analysis
                                     and  Recommendation" for  a discussion  of the factors
                                     considered by  the  Company's Board  of  Directors  in
                                     agreeing to this conversion price. 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  November 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)                                 114,166(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)                            1,308,431(5)           8.0%
<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.

    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

                                       10
<PAGE>
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 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.

                                       11
<PAGE>
    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.
    

   
BOARD OF DIRECTORS ANALYSIS AND RECOMMENDATION
    

    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.

                                       12
<PAGE>
   
    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  consisted   of  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. While this
    factor  is relevant to the Board's  conclusion that the Investment Proposals
    are in the Company's and its stockholders' best interest, it does not go  to
    the fairness of the particular economic terms of the Investment Proposals.
    

        (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.

       (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  the   Company  having  a  single   controlling
    stockholder  with a majority on the Board  and a Chief Executive Officer who
    was also an executive officer of Manor Healthcare 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.
    

                                       13
<PAGE>
   
       (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. While this factor is relevant to the  Board's
    conclusion  that  the  Investment Proposals  are  in the  Company's  and the
    stockholders' best  interest,  it  does  not  go  to  the  fairness  of  the
    particular economic terms of the Investment Proposals.
    

   
       (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, namely the provision of
    health services  in nursing,  physical  rehabilitation and  assisted  living
    centers.  However, Manor Healthcare  generally does not  provide services to
    patients in their homes  and currently typically  refers to other  providers
    patients who are discharged from a Manor Healthcare Center. Manor Healthcare
    has  indicated it is interested in offering to the patients it discharges to
    the patient's home the Company's services, and the Company's Board  believes
    that this 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. However, there are not
    any existing or anticipated agreements that would obligate Manor  Healthcare
    to  make referrals to the Company, or  which would in any way obligate Manor
    Healthcare's patients to use  the Company's services.  While this factor  is
    relevant  to the Board's conclusion that the Investment Proposals are in the
    Company's and  its  stockholders' best  interest,  it  does not  go  to  the
    fairness of the particular economic terms of the Investment Proposals.
    

      (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 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

                                       14
<PAGE>
   
    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. While this factor is relevant to the
    Board's  conclusion that the  Investment Proposals are  in the Company's and
    its stockholders'  best interest,  it does  not go  to the  fairness of  the
    particular economic terms of the Investment Proposals.
    

   
       (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. In its deliberations
    the  Board did not consider the receipt of Hambrecht & Quist's opinion to be
    as significant as the other factors described above. However, had  Hambrecht
    &  Quist refused  to provide  such an opinion,  that would  likely have been
    considered significant and might have altered the Board's analysis.
    

   
    In concluding to recommend the  Investment Proposals, the Board weighed  the
twelve  positive and  negative factors identified  above and  concluded that the
positive factors outweighed the  negative factors as to  both the rationale  for
the   transaction  and  its  fairness  to  the  Company  and  its  stockholders.
Essentially, the Board  concluded that  the additional working  capital for  the
Company, opportunity for stockholders to sell all or a portion of their stock at
a  premium, continued  separate existence of  the Company,  and expected patient
flow and competitive benefits from association with Manor Healthcare  outweighed
the  factors viewed by the Board as negative,  such as loss of voting control by
the existing stockholders, the $2.00 per share conversion price and 12% dividend
rate associated with  the preferred stock  being issued, and  the business  risk
that  the expected enhanced  patient flow would not  be realized. In particular,
the Board viewed the loss of control and potential conflicts of interest arising
from control by Manor Healthcare as being mitigated in part by the magnitude  of
the  investment Manor  Healthcare was  making, the  complementary nature  of its
business and the contribution it could  likely make to the Company's growth  and
success  in  the future.  The  Board also  viewed  the negative  aspects  of the
conversion price and dividend rate on the preferred stock being issued to  Manor
Healthcare  as mitigated  by the  $3.40 price per  share being  paid to purchase
common stock and the exercise price of the Warrant.
    

    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

                                       15
<PAGE>
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.
    

    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
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

                                       16
<PAGE>
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 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

                                       17
<PAGE>
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 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

                                       18
<PAGE>
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 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

                                       19
<PAGE>
   
September    , 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 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.

                                       20
<PAGE>
    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 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

                                       21
<PAGE>
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.

    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

                                       22
<PAGE>
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."

    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.

                                       23
<PAGE>
    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
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

                                       24
<PAGE>
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 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  November  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

                                       25
<PAGE>
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 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........................................................  $   21,987   $  (21,900)(1)   $  39,987
                                                                                         41,900(2)
                                                                                         (2,000)(3)
PROPERTY, NET.........................................................      11,313                       11,313
OTHER ASSETS..........................................................      24,236                       24,236
                                                                        ----------   ------------     ----------
TOTAL ASSETS..........................................................  $   57,536   $   18,000       $  75,536
                                                                        ----------   ------------     ----------
                                                                        ----------   ------------     ----------
CURRENT LIABILITIES...................................................  $   21,705                    $  21,705
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...............................................................  $   57,536   $   18,000       $  75,536
                                                                        ----------   ------------     ----------
                                                                        ----------   ------------     ----------
<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" 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 (net of Medicare reserves of $3,861)..........................  $   120,485                $   120,485
OPERATING EXPENSES:
  Direct costs of revenue (primarily payroll related costs)...........       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 (net of Medicare reserves of $899).............................  $   97,166                 $   97,166
OPERATING EXPENSES:
  Direct costs of revenue (primarily payroll related costs)............      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 to $911,000 at
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
$23,295,000 at September 30,  1993 to $20,318,000 at  September 30, 1994 and  to
$16,611,000  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 probable (as defined in Statement of Financial Accounting Standards
No. 5) of recovery  under the applicable Medicare  statutes and regulations  and
reports  its accounts receivable  balances at net  realizable value. 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  at  the  time
services  are rendered.  This process  considers the  nature and  amounts of the
disputed  costs  (as  described  in  more  detail  below)  along  with   several
authoritative, legal and historical sources of information including:
    

   
    - Applicable  statutes  and regulations,  such as  those contained  in Title
      XVIII of  the Social  Security Act,  particularly Sec.  1861 (V)  (1)  (A)
      "Reasonable  Cost" and  42 C.F.R.  413.9 "Cost  Related to  Patient Care,"
      Health Care Financing Administration ("HCFA") Publication 11 "Home  Health
      Agency  Manual," applicable  sections of  HCFA Publication  15-1 "Provider
      Reimbursement Manual"  and  intermediary  letters  and  program  memoranda
      issued by HCFA.
    

   
    - Administrative  decisions and  rulings on  related issues  by the Provider
      Reimbursement Review Board and Administrative Law Judges.
    

   
    - Judicial decisions from Federal District Courts on relevant cases.
    

                                       36
<PAGE>
   
    - Consultation with  independent  industry  experts such  as  Medicare  Cost
      Reimbursement Consultants.
    

   
    - Opinions  of outside legal counsel who specialize in dealing with Medicare
      reimbursement issues.
    

   
    - Historical knowledge gained internally from past Medicare audits.
    

   
    - Meetings and other communication with Medicare Intermediaries, Blue  Cross
      Association and HCFA.
    

   
    This  detailed analysis process is updated on a quarterly basis, taking into
account any  new  information  (such  as decisions  relating  to  the  Company's
disputed  costs, and administrative  and judicial decisions  relating to similar
issues) that  may  affect the  determination  of  the net  realizable  value  of
accounts  receivable or  of liabilities to  repay amounts  received for disputed
costs. Results  of this  detailed  analysis process  are extrapolated  to  other
unaudited  cost reporting  years for all  of the  Company's operations including
operations that have  not yet been  audited by Medicare,  to estimate 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
probable of  recovery. This  reserve  is reported  as  a reduction  of  accounts
receivable  for disputed costs for which  the Company may not ultimately receive
payment. The Company has also reported  as a liability disputed costs for  which
it has received payment, which may have to be returned to Medicare. Accordingly,
the  Company believes that its accounts  receivable are stated at net realizable
value, and  that it  has  recorded all  probable  liabilities for  repayment  of
disputed costs.
    

   
    Over   the  years,  Medicare  auditors   employed  by  the  Medicare  fiscal
intermediaries have, in connection with their retrospective audit process, 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 at the time
services were rendered and revenue  recorded. These positions taken by  Medicare
auditors  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.  In those  situations where  the Company  decides to not
challenge an NPR finding, any  revenue relating to these  costs, as well as  the
extrapolated  impact, if any, 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 as described above.
    

   
    The  Company has received NPRs challenging $9.6 million and $11.8 million of
costs as of September  30, 1994 and  June 30, 1995,  respectively. There was  an
additional  $11.6 million and $13.8  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
($21.2 million  at  September 30,  1994  and $25.6  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 auditors allege are  unreimbursable
sales  costs; other costs in  dispute relate to the  cost of physical therapists
employed by the Company, the method of allocation of administrative and  general
costs  to  branch operations,  certain  corporate expenses,  and  cost transfers
within branch  operations.  These  disputed costs  (including  the  extrapolated
impact)  of $21.2 million at September 30,  1994 arose in the fiscal years ended
September 30, 1994 ($8.2 million), 1993 ($6.5 million), 1992 ($4.4 million)  and
1991  ($2.1 million). Disputed costs (including the extrapolated impact) of $4.4
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's operations have
    

                                       37
<PAGE>
   
grown,  Medicare  auditors have  taken positions  to  disallow certain  costs in
certain cost reports as non-reimbursable, and the Company has extrapolated  that
amount  of costs that may be challenged to other unaudited 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' auditors and  the Health  Care Financing  Administration and  is
vigorously pursuing these matters through administrative and legal channels. The
disputed  cost analysis  process related to  the community  liaison and physical
therapist positions (which comprise  62% of disputed  costs) encompassed all  of
the  authoritative, legal and historical sources  discussed above. Based on this
review, the Company believes  that the majority of  the community liaison  costs
are  probable of recovery and that a relatively small portion of these costs are
not probable of recovery. The Company has established, and is continuing to  add
to,  a  reserve  for the  portion  of  these costs  not  considered  probable of
recovery. Since the reserves have been established, the Company has continued to
review whether their level is appropriate. Nothing has occurred in the legal  or
administrative  process which  the Company  is pursuing  concerning the disputes
which has caused  the Company to  conclude that the  reserve should be  changed.
Therefore,  no  change has  been  made in  the rate  of  reserve used  to record
additional reserves on community  liaison related costs  incurred on an  ongoing
basis.  On the  physical therapist issue,  the Company believes  Medicare has no
basis in  the regulations  for  its disallowance  of  certain costs  related  to
physical  therapists employed by the Company,  and therefore the Company has not
established a reserve for these disputed costs. 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  act as  fiscal intermediaries  to
administer the Medicare program. The two suits related the community liaison and
physical  therapist  issues  discussed  above 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. Legal  opinions
have  been received on both the  community liaison and physical therapist issues
from an attorney specializing in  Medicare reimbursement issues indicating  that
it is probable that the Company will prevail on both issues.
    

   
    The  Company,  based  on its  analysis  process, believes  that  recovery of
$4,961,000 and $5,860,000  of total disputed  costs (including the  extrapolated
impact)  may not  be probable and,  accordingly, has  established reserves which
totaled that amount as  of September 30, 1994  and June 30, 1995,  respectively.
The  total reserve, as a percentage of  total disputed costs, has decreased from
23.4% at September  30, 1994 to  22.9% at June  30, 1995. This  decrease is  the
result  of the  Company resolving  or changing its  practices on  certain of the
historical issues  in  dispute that  had  a  low probability  of  recovery,  and
therefore,  high reserve levels relative to  the related disputed costs, so that
no additional reserves on these issues  were required. In addition, more  recent
issues  adding to the disputed costs have  a high probability of recovery in the
Company's judgement and therefore, require minimal addition to the reserves. The
net amount of disputed costs which the Company believes is probable of  recovery
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  $28,265,000  and  $27,910,000,
respectively,  including the receivables (net of reserves) for disputed costs of
$16,197,000 and $19,781,000, respectively. As of September 30, 1994 and June 30,
1995, the  Company  had received  $7,666,000  and $4,967,000,  respectively,  in
payments  from Medicare for disputed costs. Medicare may seek repayment for such
amounts and accordingly, the potential  liability for repayments is recorded  as
"Accrued  Liabilities. -- Third Party." The Company believes it is probable that
it has not incurred any other liability to repay disputed costs. 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
$13,830,000  and  $16,895,000,  as of  September  30,  1994 and  June  30, 1995,
respectively have been classified as a non-current asset.
    

    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

                                       38
<PAGE>
   
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
96  to 102 days as of September 30, 1994 and decreased to 95 days as of June 30,
1995.
    

    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.

                                       39
<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  903,517 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.

                                       40
<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."
    

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.

                                       41
<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

                                       42
<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," 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.

                                       43
<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.

                                       44
<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>

                                       45
<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.

                                       46
<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,

                                                 [SIGNATURE]
                                          Kenneth J. Figge, SECRETARY

                                       47
<PAGE>
                              IN HOME HEALTH, INC.

                         INDEX TO FINANCIAL STATEMENTS

   
<TABLE>
<CAPTION>
                                                                       PAGE(S)
                                                                     -----------
<S>                                                                  <C>
SEPTEMBER 30, 1994
 -----------------

  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

JUNE 30, 1995
 -----------------

  Consolidated Balance Sheets......................................  F-20
  Consolidated Statements of Income................................  F-22
  Consolidated Statements of Cash Flows............................  F-23
  Notes to Unaudited Consolidated Financial Statements.............  F-24
</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 (net of Medicare reserves of $3,861, $1,100 and $0 in 1994,
 1993 and 1992, respectively.)........................................  $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,  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  probable (as  defined  in Statement  of Financial
Accounting Standards No. 5) of  recovery under the applicable Medicare  statutes
and  regulations and reports its accounts  receivable balances at net realizable
value. 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  at
the time services are rendered. This process considers the nature and amounts of
the  disputed  costs (as  described  in more  detail  below) along  with several
authoritative, legal and historical sources of information including:
    

   
       Applicable statutes and  regulations, such as  those contained  in
       the Title XVIII of the Social Security Act, particularly Sec. 1861
       (V) (1) (A) "Reasonable Cost" and 42 C.F.R. 413.9 "Cost Related to
       Patient   Care",  Health  Care   Financing  Administration  (HCFA)
       Publication 11 "Home Health Agency Manual", applicable sections of
       HCFA  Publication   15-1  "Provider   Reimbursement  Manual"   and
       intermediary letters and program memoranda issued by HCFA.
    

   
       Administrative  decisions  and rulings  on  related issues  by the
       Provider Reimbursement Review Board and Administrative Law Judges.
    

   
       Judicial decisions from Federal District Courts on relevant cases.
       Consultation with independent  industry experts  such as  Medicare
       Cost Reimbursement Consultants.
    

   
       Opinions  of outside legal counsel  who specialize in dealing with
       Medicare reimbursement issues.
    

   
       Historical knowledge gained internally from past Medicare audits.
    

   
       Meetings and  other  communication with  Medicare  Intermediaries,
       Blue Cross Association and HCFA.
    

   
    This  detailed analysis process is updated on a quarterly basis, taking into
account any  new  information  (such  as decisions  relating  to  the  Company's
disputed  costs, and administrative  and judicial decisions  relating to similar
issues) that  may  affect the  determination  of  the net  realizable  value  of
accounts  receivable or  of liabilities to  repay amounts  received for disputed
costs. Results  of this  detailed  analysis process  are extrapolated  to  other
unaudited  cost reporting years  for all of  the Company's operations, including
operations that have  not yet been  audited by Medicare,  to estimate 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
    

                                      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)
   
incurred  which the Company believes are  not probable of recovery. This reserve
is reported as a reduction of  accounts receivable for disputed costs for  which
the Company may not ultimately receive payment. The Company has also reported as
a  liability disputed costs for which it has received payment, which may have to
be returned to  Medicare. Accordingly,  the Company believes  that its  accounts
receivable  are stated  at net  realizable value, and  that it  has recorded all
probable liabilities for repayment of disputed costs.
    

   
    Over  the  years,  Medicare  auditors   employed  by  the  Medicare   fiscal
intermediaries have, in connection with their retrospective audit process, 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 at the time
services  were rendered and revenue recorded.  These positions taken by Medicare
auditors 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.  In those  situations where  the Company  decides to  not
challenge  an NPR finding, any  revenue relating to these  costs, as well as the
extrapolated impact, if any, on other open costs 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 as described above.
    

   
    The  Company  has received  NPRs  challenging $9.6  million  of costs  as of
September 30, 1994. There was an additional $11.6 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 ($21.2 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  auditors  allege  are
unreimbursable  sales  costs;  other costs  in  dispute  relate to  the  cost of
physical therapists  employed  by  the  Company, the  method  of  allocation  of
administrative  and  general  costs  to  branch  operations,  certain  corporate
expenses, and  cost transfers  within branch  operations. These  disputed  costs
(including the extrapolated impact) of $21.2 million at September 30, 1994 arose
in  the  fiscal  years  ended  September 30,  1994  ($8.2  million),  1993 ($6.5
million), 1992 ($4.4 million), and 1991  ($2.1 million). The amount of  disputed
costs has increased over the last several years as the Company's operations have
grown,  Medicare  auditors have  taken positions  to  disallow certain  costs in
certain cost reports as non-reimbursable, and the Company has extrapolated  that
amount  of costs that may be challenged to other unaudited 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' auditors and  the Health Care  Financing Administration, and  is
vigorously pursuing these matters through administrative and legal channels. The
disputed  cost analysis  process related to  the community  liaison and physical
therapist positions (which comprise  62% of disputed  costs) encompassed all  of
the  authoritative, legal and historical sources  discussed above. Based on this
review the Company believes that the majority of the community liaison costs are
probable of recovery, and that a relatively small portion of these costs are not
probable of recovery. The Company has established, and is continuing to add  to,
a  reserve for the portion  of these costs not  considered probable of recovery.
Since the reserves have  been established, the Company  has continued to  review
whether their level is appropriate.
    

                                      F-15
<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)
   
Nothing has occurred in the legal or administrative process which the Company is
pursuing  concerning the disputes which has  caused the Company to conclude that
the reserve should be changed. Therefore, no change has been made in the rate of
reserve used to record  additional reserves on  community liaison related  costs
incurred  on  an ongoing  basis. On  the physical  therapist issue,  the Company
believes Medicare  has no  basis  in the  regulations  for its  disallowance  of
certain  costs  related  to physical  therapists  employed by  the  Company, and
therefore the Company has  not established a reserve  for these disputed  costs.
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 act  as
fiscal  intermediaries to administer the Medicare program. The two suits related
to the community liaison  and physical therapist  issues discussed above  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. Legal opinions have been received on both the community liaison and
physical  therapist   issues  from   an   attorney  specializing   in   Medicare
reimbursement  issues  indicating  that it  is  probable that  the  Company will
prevail in both issues.
    

   
    The Company,  based  on its  analysis  process, believes  that  recovery  of
$4,961,000  of total disputed costs (including  the extrapolated impact) may not
be probable and, accordingly, has established reserves which totaled that amount
as of September 30, 1994. This decrease  is the result of the Company  resolving
or  changing its practices on  certain of the historical  issues in dispute that
had a low probability of recovery,  and therefore, high reserve levels  relative
to  the related disputed costs,  so that no additional  reserves on these issues
were required. In addition, more recent issues adding to the disputed costs have
a high probability of recovery in the Company's judgement and therefore, require
minimal additions to the  reserves. The net amount  of disputed costs which  the
Company  believes is probable of  recovery 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 were $28,265,000, including
the receivables  (net of  reserves) for  disputed costs  of $16,197,000.  As  of
September 30, 1994 the Company had received $7,666,000 in payments from Medicare
for   disputed  costs.  Medicare  may  seek   repayment  for  such  amounts  and
accordingly, the  potential  liability for  repayments  is recorded  as  Accrued
Liabilities  -- Third Party. The Company believes it is probable that it has not
incurred any other liability to repay disputed costs. 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 $13,830,000 as of September  30,
1994 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-16
<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.

    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

                                      F-17
<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)
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.

    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.

                                      F-18
<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)
    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.

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>
                              IN HOME HEALTH, INC.

                          CONSOLIDATED BALANCE SHEETS
                             (AMOUNTS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                                SEPTEMBER 30, 1994
                                                                                 JUNE 30, 1995  ------------------
                                                                                 -------------
                                                                                  (UNAUDITED)
<S>                                                                              <C>            <C>
Current Assets:
  Cash and cash equivalents....................................................   $     1,951       $      911
  Accounts receivable, net.....................................................        16,611           20,318
  Prepaid income tax...........................................................       --                   459
  Deferred income tax..........................................................         1,868              800
  Prepaid expenses and other current assets....................................         1,557            1,438
                                                                                 -------------        --------
    Total current assets.......................................................        21,987           23,926
                                                                                 -------------        --------
Property:
  Furniture and equipment......................................................         9,805            9,007
  Computer equipment and software..............................................         7,647            7,057
  Leasehold improvements.......................................................           738              654
                                                                                 -------------        --------
    Total......................................................................        18,190           16,718
  Accumulated depreciation.....................................................        (6,877)          (4,993)
                                                                                 -------------        --------
    Property -- net............................................................        11,313           11,725
                                                                                 -------------        --------
Other Assets:
  Accounts receivable..........................................................        16,895           13,830
  Goodwill.....................................................................         5,788            5,906
  Covenants not to compete.....................................................       --                   128
  Deposits.....................................................................           564              559
  Other assets.................................................................           989              652
                                                                                 -------------        --------
    Total other assets.........................................................        24,236           21,075
                                                                                 -------------        --------
Total Assets...................................................................   $    57,536       $   56,726
                                                                                 -------------        --------
                                                                                 -------------        --------
</TABLE>

           See Notes to Unaudited Consolidated Financial Statements.

                                      F-20
<PAGE>
                              IN HOME HEALTH, INC.

                    CONSOLIDATED BALANCE SHEETS (CONTINUED)
                             (AMOUNTS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                                SEPTEMBER 30, 1994
                                                                                 JUNE 30, 1995  ------------------
                                                                                 -------------
                                                                                  (UNAUDITED)
<S>                                                                              <C>            <C>
Current Liabilities:
  Current maturities of long-term debt.........................................   $     2,108       $    2,286
  Notes payable................................................................         1,000           --
  Accounts payable.............................................................         3,986            3,821
  Accrued liabilities:
    Third party................................................................         4,967            7,666
    Compensation...............................................................         3,920            3,486
    Income taxes...............................................................           592           --
    Insurance..................................................................         4,537            2,960
    Other......................................................................           595              488
                                                                                 -------------        --------
      Total current liabilities................................................        21,705           20,707
                                                                                 -------------        --------
Long-Term Debt.................................................................         2,546            3,304
Deferred Revenue...............................................................         1,349            1,632
Deferred Rent Payable..........................................................           484              516
Deferred Income Tax............................................................         1,702            2,085
Commitments and Contingencies..................................................       --                --
Shareholders' Equity:
  Preferred stock -- authorized 1,000 shares...................................       --                --
  Common stock -- $.01 par value: authorized -- 40,000 shares; issued and
   outstanding -- June 30 -- 16,142 shares;
   September 30 -- 15,944 shares...............................................           161              159
  Additional paid-in capital...................................................        23,904           23,828
  Retained earnings............................................................         5,685            4,495
                                                                                 -------------        --------
      Total Shareholders' Equity...............................................        29,750           28,482
                                                                                 -------------        --------
Total Liabilities and Shareholders' Equity.....................................   $    57,536       $   56,726
                                                                                 -------------        --------
                                                                                 -------------        --------
</TABLE>

           See Notes to Unaudited Consolidated Financial Statements.

                                      F-21
<PAGE>
                              IN HOME HEALTH, INC.

                 CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
           FOR THE THREE AND NINE MONTHS ENDED JUNE 30, 1995 AND 1994
                (AMOUNTS IN THOUSANDS EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                      THREE MONTHS ENDED    NINE MONTHS ENDED
                                                                           JUNE 30               JUNE 30
                                                                     --------------------  --------------------
                                                                       1995       1994       1995       1994
                                                                     ---------  ---------  ---------  ---------
<S>                                                                  <C>        <C>        <C>        <C>
Revenue (net of Medicare reserves of $328, $752, $899 and $1,200
 for the respective periods).......................................  $  32,239  $  30,591  $  97,166  $  90,538
                                                                     ---------  ---------  ---------  ---------
Operating Expenses:
  Direct costs of revenue (primarily payroll related costs)........     18,629     17,908     55,364     51,340
  General, administrative and selling expenses.....................     12,790     12,086     38,969     36,247
                                                                     ---------  ---------  ---------  ---------
      Total operating expenses.....................................     31,419     29,994     94,333     87,587
                                                                     ---------  ---------  ---------  ---------
Income From Operations.............................................        820        597      2,833      2,951
                                                                     ---------  ---------  ---------  ---------
Interest:
  Interest expense.................................................        182        159        640        541
  Interest income..................................................         (8)    --            (17)        (6)
                                                                     ---------  ---------  ---------  ---------
      Net interest expense                                                 174        159        623        535
                                                                     ---------  ---------  ---------  ---------
Income Before Income Taxes.........................................        646        438      2,210      2,416
Income Tax Expense.................................................        299        286      1,020      1,208
                                                                     ---------  ---------  ---------  ---------
      Net Income...................................................  $     347  $     152  $   1,190  $   1,208
                                                                     ---------  ---------  ---------  ---------
                                                                     ---------  ---------  ---------  ---------
Net Income Per Common and Common Equivalent Share..................  $     .02  $     .01  $     .07  $     .08
                                                                     ---------  ---------  ---------  ---------
                                                                     ---------  ---------  ---------  ---------
Weighted Average Common and Common Equivalent Shares Outstanding...     16,422     15,921     16,344     16,011
                                                                     ---------  ---------  ---------  ---------
                                                                     ---------  ---------  ---------  ---------
</TABLE>

           See Notes to Unaudited Consolidated Financial Statements.

                                      F-22
<PAGE>
                              IN HOME HEALTH, INC.
               CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                FOR THE NINE MONTHS ENDED JUNE 30, 1995 AND 1994
                             (AMOUNTS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                         1995     1994
                                                                        -------  -------
<S>                                                                     <C>      <C>
Cash Flows From Operating Activities:
  Net income..........................................................  $ 1,190  $ 1,208
  Adjustments:
    Depreciation and amortization.....................................    2,365    2,176
    Accounts receivable...............................................      642   (4,225)
    Prepaid expenses and other assets.................................     (730)    (258)
    Accounts payable..................................................      165     (404)
    Accrued liabilities...............................................      123      669
    Deferred liabilities..............................................   (1,766)     717
                                                                        -------  -------
      Net cash provided (used) by operating activities................    1,989     (117)
                                                                        -------  -------
Cash Flows From Investing Activities:
  Acquisition of businesses...........................................    --        (369)
  Acquisition of property.............................................     (570)    (943)
  Advances of officers and employees..................................       39    --
                                                                        -------  -------
      Net cash used by investing activities...........................     (531)  (1,312)
                                                                        -------  -------
Cash Flows From Financing Activities:
  Payment of long-term debt...........................................   (1,496)  (1,814)
  Notes payable to banks..............................................    1,000    1,000
  Issuance of common stock............................................       78      370
                                                                        -------  -------
      Net cash used by financing activities...........................     (418)    (444)
                                                                        -------  -------
Cash and Cash Equivalents:
  Net increase (decrease).............................................    1,040   (1,873)
  Beginning of period.................................................      911    3,081
                                                                        -------  -------
    End of period.....................................................  $ 1,951  $ 1,208
                                                                        -------  -------
                                                                        -------  -------
Supplemental Disclosure of Cash Flow Information:
  Cash paid during the period for:
    Interest..........................................................  $   636  $   530
                                                                        -------  -------
                                                                        -------  -------
    Income taxes......................................................  $ 1,420  $   (21)
                                                                        -------  -------
                                                                        -------  -------
Noncash Investing and Financing Activities:
  Property acquired by capital lease..................................  $   907  $   583
                                                                        -------  -------
                                                                        -------  -------
</TABLE>

           See Notes to Unaudited Consolidated Financial Statements.

                                      F-23
<PAGE>
                              IN HOME HEALTH, INC.
              NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

1.  FINANCIAL STATEMENTS
    In  the opinion  of management  of the  Company, the  accompanying unaudited
consolidated financial statements  contain all adjustments  (consisting of  only
normal,  recurring accruals) necessary to  present fairly the financial position
of the Company  and its  subsidiaries as  of June 30,  1995 and  the results  of
operations  for  the three  and nine  month and  cash flows  for the  nine month
periods ended June 30, 1995 and 1994. The results of operations for any  interim
period are not necessarily indicative of the results for the year. These interim
consolidated  financial  statements  should  be  read  in  conjunction  with the
Company's annual financial statements  and related notes  in the Company's  Form
10-K.

2.  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 shares 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 results 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. Primary and fully diluted net income per
share are the same for all periods presented.

3.  MEDICARE COST REIMBURSEMENT
    Approximately  76% of revenue  for the nine  months ended June  30, 1995 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 probable (as  defined
in  Statement of  Financial Accounting  Standards No.  5) of  recovery under the
applicable Medicare statutes and regulations and reports its accounts receivable
balances at net realizable  value. 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 at the time  services are rendered. This process  considers
the nature and amounts of the disputed costs (as described in more detail below)
along  with several authoritative,  legal and historical  sources of information
including:

    - Applicable statutes and regulations, such as those contained in the  Title
      XVIII  of  the Social  Security Act,  particularly Sec.  1861 (V)  (1) (A)
      "Reasonable Cost"  and 42  C.F.R. 413.9  "Cost Related  to Patient  Care",
      Health  Care Financing  Administration (HCFA) Publication  11 "Home Health
      Agency Manual",  applicable sections  of HCFA  Publication 15-1  "Provider
      Reimbursement  Manual"  and  intermediary  letters  and  program memoranda
      issued by HCFA.

    - Administrative decisions and  rulings on  related issues  by the  Provider
      Reimbursement Review Board and Administrative Law Judges.

    - Judicial decisions from Federal District Courts on relevant cases.

    - Consultation  with  independent  industry experts  such  as  Medicare Cost
      Reimbursement Consultants.

    - Opinions of outside legal counsel who specialize in dealing with  Medicare
      reimbursement issues.

    - Historical knowledge gained internally from past Medicare audits.

                                      F-24
<PAGE>
                              IN HOME HEALTH, INC.
        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

3.  MEDICARE COST REIMBURSEMENT (CONTINUED)
    - Meetings  and other communication with Medicare Intermediaries, Blue Cross
      Association and HCFA.

    This detailed analysis process is updated on a quarterly basis, taking  into
account  any  new  information  (such as  decisions  relating  to  the Company's
disputed costs, and  administrative and judicial  decisions relating to  similar
issues)  that  may  affect the  determination  of  the net  realizable  value of
accounts receivable or  of liabilities  to repay amounts  received for  disputed
costs.  Results  of this  detailed analysis  process  are extrapolated  to other
unaudited cost reporting years  for all of  the Company's operations,  including
operations  that have not  yet been audited  by Medicare, to  estimate 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
probable  of  recovery. This  reserve  is reported  as  a reduction  of accounts
receivable for disputed costs for which  the Company may not ultimately  receive
payment.  The Company has also reported as  a liability disputed costs for which
it has received payment, which may have to be returned to Medicare. Accordingly,
the Company believes that its accounts  receivable are stated at net  realizable
value,  and  that it  has  recorded all  probable  liabilities for  repayment of
disputed costs.

    Over  the  years,  Medicare  auditors   employed  by  the  Medicare   fiscal
intermediaries have, in connection with their retrospective audit process, 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 at the time
services  were rendered and revenue recorded.  These positions taken by Medicare
auditors 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.  In those  situations where  the Company  decides to  not
challenge  an NPR finding, any  revenue relating to these  costs, as well as the
extrapolated impact, if any, on other open costs 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 as described above.

    The  Company has received NPRs challenging $11.8 million of costs as of June
30, 1995.  There was  an additional  $13.8 million  of costs  at June  30,  1995
related  to open cost  reporting years that  are similar to  the costs that have
been challenged on NPRs. Together these amounts ($25.6 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  auditors allege are unreimbursable
sales costs; other costs  in dispute relate to  the cost of physical  therapists
employed  by the Company, the method of allocation of administrative and general
costs to  branch  operations, certain  corporate  expenses, and  cost  transfers
within  branch operations. The  amount of disputed costs  has increased over the
last several years  as the  Company's operations have  grown, Medicare  auditors
have  taken positions to disallow certain costs  in certain cost reports as non-
reimbursable, and the Company has extrapolated that amount of costs that may  be
challenged  to  other  unaudited  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' auditors and  the Health Care  Financing Administration, and  is
vigorously pursuing these matters through

                                      F-25
<PAGE>
                              IN HOME HEALTH, INC.
        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

3.  MEDICARE COST REIMBURSEMENT (CONTINUED)
administrative and legal channels. The disputed cost analysis process related to
the  community liaison and  physical therapist positions  (which comprise 62% of
disputed costs)  encompassed  all of  the  authoritative, legal  and  historical
sources  discussed above.  Based on  this review  the Company  believes that the
majority of the  community liaison costs  are probable of  recovery, and that  a
relatively  small  portion of  these  costs are  not  probable of  recovery. The
Company has established, and is continuing to add to, a reserve for the  portion
of these costs not considered probable of recovery. Since the reserves have been
established,  the  Company  has  continued  to  review  whether  their  level is
appropriate. Nothing has occurred in  the legal or administrative process  which
the  Company is pursuing concerning the disputes which has caused the Company to
conclude that the reserve should be changed. Therefore, no change has been  made
in  the rate of reserve used to  record additional reserves on community liaison
related costs incurred on an ongoing basis. On the physical therapist issue, the
Company believes Medicare has no basis  in the regulations for its  disallowance
of  certain costs  related to physical  therapists employed by  the Company, and
therefore the Company has  not established a reserve  for these disputed  costs.
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 act  as
fiscal  intermediaries to administer the Medicare program. The two suits related
to the community liaison  and physical therapist  issues discussed above  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. Legal opinions have been received on both the community liaison and
physical  therapist   issues  from   an   attorney  specializing   in   Medicare
reimbursement  issues  indicating  that it  is  probable that  the  Company will
prevail in both issues.

    The Company,  based  on its  analysis  process, believes  that  recovery  of
$5,860,000  of total disputed costs (including  the extrapolated impact) may not
be probable and, accordingly, has established reserves which totaled that amount
as of June 30, 1995. The total reserve, as a percentage of total disputed costs,
has decreased from 23.4% at September 30,  1994 to 22.9% at June 30, 1995.  This
decrease  is the result  of the Company  resolving or changing  its practices on
certain of  the historical  issues in  dispute  that had  a low  probability  of
recovery,  and therefore, high  reserve levels relative  to the related disputed
costs, so  that  no  additional  reserves on  these  issues  were  required.  In
addition,  more  recent  issues  adding  to  the  disputed  costs  have  a  high
probability of  recovery  in  the Company's  judgement  and  therefore,  require
minimal  additions to the reserves.  The net amount of  disputed costs which the
Company believes is probable  of recovery 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 June 30, 1995 were $27,910,000, including the
receivables (net of reserves) for disputed costs of $19,781,000. As of June  30,
1995  the Company had received $4,967,000 in payments from Medicare for disputed
costs. Medicare  may  seek  repayment  for such  amounts  and  accordingly,  the
potential  liability for repayments is recorded  as Accrued Liabilities -- Third
Party. The Company believes it  is probable that it  has not incurred any  other
liability to repay disputed costs. 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 $16,895,000  as of June  30, 1995 have  been
classified as a non-current asset.

4.  SUBSEQUENT EVENTS
    On  May 2, 1995, the  Company entered into an  agreement to form a strategic
partnership with Manor  Healthcare Corp.  ("Manor Healthcare"),  a wholly  owned
subsidiary of Manor Care, Inc., a national health care and international lodging
firm.  Pursuant to  this partnership, Manor  Healthcare 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

                                      F-26
<PAGE>
                              IN HOME HEALTH, INC.
        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

4.  SUBSEQUENT EVENTS (CONTINUED)
convertible preferred stock.  Manor Healthcare  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-27
<PAGE>
                                                                    APPENDIX III

<TABLE>
<S>                                                                          <C>
HAMBRECHT & QUIST LLC                                                              ONE BUSH STREET
                                                                               SAN FRANCISCO, CA 94104
                                                                                   (415) 576-3300
</TABLE>

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).
    

    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


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission